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AF - 43031. . - %._._. . _.._._ _..__... _.. . . Village of Fridley, Minn. N° '7 4 2 suu,nnvG r�rru�r Office of INSPECTOR OF BUII.DINGS ; ,;,�r+��F+�w�++'�.� f �, j ��'�'�, Owner � Architect Fridley, Minn., ��'�� Ig��.-. ' Builder LOCATION OF BUILDING Na� ..,� > t� �� ' � Sireet Paxt of Lot Lot Bloc Addition or Sub-Divieion , DESCRIPTION OF BUILDING c,.�'`�` % �' ; �,,, ` ; : Front ' "' D� th <�� :<�.�;;_ ,�r t �:^_.�. -.: . P Height Stories Manner of Construction "`-° `� ' To be, used as �`�`'`"'� �"'�'�"'"` '' � • To be completed Estimated COSt •fp �r �`'�� t±`:,� � 15~�,'.��.» v . : :..,..r..,'�" n, � ,,.:., i" .�� i f �^ f�+�"" :"�"' t,.:.-�wfwwi :r,:''.4-.�n:,,.�,,� . J �, Permit is hereby graated to��-,�"�. '� �:�.`.°..."�-- ��id'is.�c.�„�,,, s%; ' the building �'"�"'""' described in the above statemeni. This permii is gra,nted upon the expreas condition that the person to whom it is granted, and his agents, . employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respecta to the ordi- nances of Fridley, Minn., regarding the construction, alteration, ma.intenance, repair and moving of buil@ings within the city limits, and this permit may be revoked at a.ny time upon violation of any of the provisions of said ordinances. /�� ;� ""' � "� ` speetor of Buildings. i AGftEEMENT AND SWOR1�7 STATEMENT In con�ideration of the issue and delivery to me by tlie Inspector of Buildings of Fridley of the afiiove permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn; I hereby state and say that the facts stated by me and contained, in the above permit axe true as therein stated. Subscribed and sworn to before me at Fridley, Minnesota, tiiis �*""�"�"' day of ,. ��.D. 1��: �' � t7� � C� • � LJ � City of Fridley, Minn. BUILDING PERMIT Date: _.�...._._ �E 22 , 1966 � � .�. ��D � N° 8898 �r. MRS . bOROTHY MAHURIN Buiider ROYAL ALUMIftUM PRODUCTS AdBress _.__6378.._DELLWOOD DRIVE.. N...ER.._.._____ Addreas �.........._ 1413�P.,,��,M4�T�...A�E�;�Q�. FRIDLEY. MTNI�TESOTA 55421 MINNEAPOLIS_, MINRESOTA LOCATION OF BUILDING No. _...__ 6378 __.. Sts�eet ._._.. DELLWOOD DRIVE_.N E_„_....._.._......._..._._._. Part of Lot Lot _.__.._ 3._____.__ Slock _.._._..._._ 1........_..._..._._..... Addition or Sub-Divlsion ...__ MOORE LAKE HIGHLANDS Corner Lot ...__._._..._.._.._ Inatde Lot _.._.___._?� .._....._..._ S.etback _._.._..._..._..____._.._ Sideyard _.__....._...._._.._ �._.. Sewer Elevatiaz� __._....__._._..._...__..__._.._..._..__,......_...._..._._._.._._ Foundation IIevation ....�..___..._....._..__ ______..._.. DESCRIPTION OF BUILDING To be Uaed as: � R.ESIDING _._..._... P�t _...__._._.._.. Depth _..._.___..._ Height _..._.._......._.. Sq. F� ._._.._._...._.. Cu. FL _ _ ._....__.._---.__.._.....____.._ Front .._._._..._.._ Depth _...__......._.. FTeight ....._......._.__ Sq. Ft. _.__....._..._.. Cu. F't. _._.�� 7'ype of Conatruction __.._._..__....._.._......_.._...__... Es� Cost _..�a.,.s.��_Q.MS�.Q.._.._........ To be Co�npleted _..._....._..� In co�sideration o! the issuance to me of a permit to construct the building described above, I agree to do th� proposed work in accordance with the d�scription above set forth and in compliance with all pro�visions of ordinances o! the city of Fridley. ��,a.��.�.�. �.�.�—� - In co�sideration of the payment of a fee of �._2.�92___.____.., permit is hereby granted to_ RQYAT. AT.itMTNTTM PRODLTCTS.,_ __ to construct the bufldin.g or addition as descrlbed above. This perniit is Sranted upon the express condition that thepe rson to whom it is granted and his agents, employees and workmen, in all wark. done in, around and upon safd building, or anyp� thereof, shall conform in all respects to the ordinancea o� Fridley, Minnesota regarding lacation, construction, alteration, maintenance, repair and moving of builciinSa within the dty limits and this permit may be revoked a t a�y time upo� violation of any of the Brovisiana o! said ordinanc�e. �} �_; ,� :� � .i� NOTICEs Thb p�emif doa not eew� NN een�allou, MM�II�Nen /er wIr6H. P��Y� Yas I�NNnq, aw�r er wN�r. b wn te � fh� dniWiao impals� hr ap�raN �nnMs fo� fhw� h�nn. APPLICATION FOR BUILDING PERMIT CITY OF FRIliLEY, MINNESOTA OWNER' S NAME � %�I.e-1�tN'1-v1'� BUILDER G2�� ADDRESS 4�� ' �' ADDRESS_ i/5�1� ,►��o�`�`�'�`�" � LOCATION OF B DING N0, �v�7 REET Gis'��^-�-- � PART OF LOT LOT � BLOCK •� ADDIZ'ZON OR SUBDIVIS20N �-cf--h-i-�- ,�C- `-a-� CORNER LOT INSIDE LOT SE'IBAG'K SIDE YARD SEWER ELEVATION FOONDATiON ELEVATIOR Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUYLDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction � 9 Estimated Coat /�.�4 ''o O To be completed The undersigned hereby makes application for a germit 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, _ 1.��:�w�- �� DATE_ o�D " � SIGNATURE �� (Schedule of Fee Costs can be found on the Reverse Side�. � � � � , � , , • • '- - � .. Ci4y of Fridley _ APP�icarion for Plwnbitiq and Ga� FNii�q hn�it DESCRIPTION OF WORE I�iumb�r, Kiad at�d Loeatfon oi Fixtures � ��3�� o�� Base Ist '(,_ C. / V- 2nd 3rd 4th • Fuxnr� Coaa�clba Op�aiaps * N�w Fixtur�, Old Op�ai�s ��V � I< � IU' ��U' K I(7 � I I I N I,GAS7ER MTEC S��IK � �� n PARTIAL RATE SCHEDULE PC.IIMSTNG FIXTURE RATES: NO. RATE TOTAL Number Flxtures . . . . . . . . . . . . . . . . x a2.00 a Ftiture Ffxture Opening . . . . . . . . . . . x a1-50 a�_ New Fixture Old Opening . . . . . . . . . . . x 51.50 ;�__ Catch Basin . . . . . . . . . . . . . . . . . . . . x �3.25 E Water Heater :Up ta 99,000 BTU) .... x a3.00 ; New Ground Run Old Bldg. . . . . . . . . x �3.25 $ El�ctric Wat�r iI�atu� . . . . . . . . . . . . . : :2,00 i GAS FITTING FEEB: NO. R111`E TOTAL lst 3 Fixtures . . • • • • • • • • • • . • • . • z 5200 ; Additional l�Yutures . ... . . . . .... . . . . . x ; .75 ; Gas Ran�e to 199.000 BTU .. . ... . . . . ... x �5.00 � REPAIAS � ALTERATIOIIS---R�i�s to Cod� Description . . . . . . . . . . .. . . . . .. . . .... . . . . .. . . .. . ... . ... . ; TOrPAI. !'EE ; City oi P�idley: The undersigned hereby makes application for a permit for the �r�k herei speciiied, agreeing to do all work in strict accordance with the Ci� (kdinance and ruling of the Department of Buildings. and hereby declares that ali the facl and representations stated in this application are true and correct P�id1eY. Minn � � 6 19,1 �j�� Owner �� /ltt��itt/1..�/Y'l Kind of Building Used as To be completed a t Estimated Cost, � �� _ Old—New. Building Permit No. P�rmit No. �� / i Signed ��' '� � _.. �� BY _ - Business Phu o �� •� ~� °�� ROUGH FINAL S" Z v- 7�— _ _ C�TY OF FRiDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 5�=132 •(612) 571-3450 • FAX {612) 571-1287 December 6, 1.994 Mr. Michael Brytowski 6378 Dellwood Drive NE Fridley, MN 55432 Re: Construction Without Obtaining a Building Permit Dear Mr. Brytowski: During November, 1994, we stopped at your residence when we noticed that you were installing new windows. You were informed at that time that you were in violation of the City Code and were asked to come into City Hall to obtain a building permit. As of todays date, you have not applied for this permit. We will expect you to correct this violation on or before December 23, 1994 and a special investigation fee will be added.equal to the permit fee. If the permit is not obtained by December 23, 1994, this matter may be turned over to the City Prosecutor for his legal consideration. Please contact me at 572-3603 if you have any questions on this matter. . Sincerely, a �� BP,RRY IESCH Building Inspector BR/mh sue�ecr P ' "' City of Fridley �� 5 AT THE TOP OF TME TWINS g � I L D I N G P E R M I f � � IPT NO. � � COMMUNITY DEVELOPMEN7 DIV. r � y � PROTECTIVE INSPECTION SEC. J-��/ i � i � - � � /��\ � CITY HALL FRIDLEv SS432 NUMBER REV DATE PAGE OF APPqOVED Bv �-"'�"� �'' 612-571-3450 910-F15 12/15/94 / / JOB ADDRESS 6378 Dellwood Dr NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Moore Lake Highlands 3rd SHEET 2 PROPERTY OWNER MAIL AODRESS 21P PHONE Michael Br towski 6378 Dellwood Dr NE 571-5679 3 CONTRACTOR MAIL AODRESS Z�P PHONE UCENSE NO Same 4 AFiCHITECT OR DESIGNER MAIL ADDRESS Z1P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDl710N ❑ ALTERATION [J REPAIR 0 MOVE O REMOVE X 8 DESCRIBE WORK Re lace basement windows 9 CHANGEOFUSEFROM TO STIPULA710NS Any windows being replaced in sleeping areas must meet the State Egress Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMiTS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. F7. 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 ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE AEAD AND EXAMINED THIS APPIICATION 1 STALIS GARAGES ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WI7H WHETNER SPECIFIED HERElN OR N07. THE GRAN7ING OF A PERMIT ��FOO �.40 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL 7HE pERMIT FEE SAC CHARGE PROV�SIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION � iS . OO Fire SC �. SO PLAN CHECKFEE TOTALfEE $15.90 siGn+aTUaeoFCON' cr aa HORi2EDaGENi �DATEi WHEN PFiOPERL ALIDATED THIS IS VOUA PERMIT /' I��;�� _�� e% Gr.� /'l — /5'—`�41 SiGNATURE F NE F WN ER� ATEi BL �NSP �1ATE NEW ADDN ALTER il [l t� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: C.P �`� j�C �� (,f�Cx>� �►Z L �lC� 1�1. �� Legal Description: Effective 1/i/94 �s�/9 Owner Name & Address: W� ��-�►�G� 3z,, � w5�� Tel. # S`� l-�C�� G Contractor: SC I� MN LICENSE # 3-� 3 Z-�3� 3Co i• 9 te � Address: si4✓�' L� Tel. # Attach to this appiication, a Certificate of Survey of the lot, with the proposed constniction drawn on it to scale. DESCRIPTION OF IMPROVEMENT I.IVING AREA: Length Width Heigttt Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: j3 A� y� C.yv T' Lv �.�..� pc��S Corner Lot [] Ynside Lot (] Ft. Yd Setback Side Yard Setbacks Type of Construction: rZ_�-pt �oc� �� C�u T c.v � r.�.Dc, wS Estimated Cost: $�1�r0� •�� _ Approx. Completion Date: �3 l f� 5 .�° . (Cost on �ack) Driveway C�rt� Cut Width Nceded: Ft. + 6 Ft = Ft x$ _$ DATE: � Z`i5� � � APPLICANT: Tel. # 5'7 ! - S� �,`� � S;ITY U�F ONLY , Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $ $ $ $, $. $ $ $ ,/� , UD Fce �hedute on Reverse Side �n .001 of Permit Valuation (1ilOth%) v � $.50/$1,000 Valuafion $800 per SAC Unit $S.OQ {State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Pian Review Fee Determ.ined by Engineering Agreement Necessary [] Not Necessary { j $ /S, �� ' � SUBJECT�. . .. . � , � . . City of Fridley ' AT THE TOP OF THE TWINS g u I L D I N G P E R M I T 2 8 5 s 9 � �.572-3�Q� . RECEIPT ' � �: ----- , O MUMITY OEVELOPMENT OIV. r � � PROTECTIVE INSPEC710N SEC. 7�� . � � �"'1 � CITY MALI FRIOLE� SS�SZ NUMBEp REV D�TE v�GE O� �vvROvEO Br �----�•• •�' 612-571-3450 9�0-F�5 / / 11 16 98 108 apDRESS 6378 Dellwood Drive NE 1 IEGA� �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 3 1 Moore Lake Hi hlands 3rd SMEET 2 PROPERTY OWNER MAIL AODRES$ 21P PHONE Michael Brytowski 571-5679 3 CONTRACTOR MAIL ADDRESS 21P PMONE IICENSE NO Seal Guard S stems 9199 Central Ave NE Blaine � ARCHITECT OR OESIGNER MAI� AOORESS ZIP PHONE UCENSE NO 5 ENGINEER MAIL AOORESS ZIP PMONE LICENSE NO 6 USE OF BUIIDING Residential 7 CLASS OF WOFK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR p MOVE O REMOVE 8 DESCFIBE WOFiK Reroof house and ara e(25 S Tear-off 9 CHANGEOfUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTfiICAL, PLUMBING, HEATING. VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT CU fT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOF A PER100 OF 12p pqYS AT ANY TIME AFTER WOFK IS COMMENCED. ' NO DWLG. UNITS OFPSTF�ET PARKING I MEREBY CERTIFV TMAT I HAVE READ ANO EXAMINED TMIS APPLICA710N STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORi;ECT. ALL PROVISIONS OF LAWS VAWATION SURTA% AND ORDINANCES GOVERNING THIS TVPE OF WORK WI�L QE COMPLIEO WITH WHETMEfi SPECIFIED MEREIN Oii NOT. THE GFiANTING OF A PERM�T $2142 � $1.07 DOES NOT PRESUME TO GIVE AUTMOR�TV TO vIOIATE OA CAMCEL THE pEqMIT fEE SAC CH GE PROVISIONS OF ANY OTHEfl StATE OF LOCAL LAW ftEGULATING CON• STqUCTION OR THE PERfORMANCE OF CONSTRUCTION �]�{.. ]S Fl SC �2. I�F P�AN CMECK fEE TOT L EE Lice e C .96 S�GNATUQEO�CON"�7A(;TOpOQAUTMOQ�ZED�GENT ��rE, E PR V LIp THIS IS r�PE T � / S�GNSiUAE Oa OwaEQ�� OWNEABUiLDEN� �O�TEi � B G�h5� � ��<<E a�a.:r� . ADD1�I AL1'ER .. : ..: . ,.. . : . . : �� j . - _ .:� . _ - ��`��_., �3 ;=, ��OF FBIDLEY r = -_ �j_ - _ -- "-=�y � �%� SINGI.E FA1�iILY AND DUP'LEXF.S R-1 AND R Z ' ---'- -- - . BUIL.DING P'ERNII'I' APPLICATION _ � - -�,� �` . co��ao�aaa�: I.egal Description: Owner T Contract� Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scate. DESCRIPTION 4F IvIPROYEMENT LIVPi iG AREA: Ixngth Width Height � Sq. Ft. GARAGE AREA: Ixngth Width Height � Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. � 01'HER: ,__ _----------- _---- .------- __.____------- --- ------------__ �----_�_�� _---- --- -- __.___--_ Construction Type: � r� Fstimated Cost: $ � �� (Fee Schedule on Back) Driveway Curb Ctit Width Needed: Ft. + 6 Ft = Ft x S =$ DATE: �` � APPLICAN'T: Tel Q Q .# U CITY USE ONLY � Permit Fee $ �� Fee Schedule on Reverse Side Fire Surcharge S .� .001 of Permit Valuation (I/lOth9b) State Surcharge $ , c� $.50/aI,000 Valuation . _ _ _ __ ._� , _ _. ._ _ _-- ---- _ .--- .. _ _ _ .. __ - --_- — --, _ ________ ___ ___S�e._e��_ �_� _�._.r.___ ___— --�IOOO�pecSAC^Unit_ —__ License Surcharge $ .�U $5.00 (State Licensed Residential Contractors) Driveway Fscrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL S ��' F STIPUL.ATiONS• � � ,25 � . � I f LITY UF FRIpLEY INSPECiION DIViSfON ;, �� i ( r�� i431 University Ave NE "' �' `' � � Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATlNG, CO�LlNG, VEr�TiLATION, 572-3604 R£FRIGERATION AND AIR CONDiT10NING SYSTEMS AND DtVECES JOB ADDRESS ��0� RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Fumace (Side Vent • Fill Out Back) Gas Piping (Needed with new furnace, but not repfac�:ment) ,.n t:��:,s �t�rt�;� Gas Oryer *Air �;oriditioning - AI{ Sizes AllOthers/Ftepairs & Altcra;ions (LI51" ON BACK) 1�'Q of Va(ue of A�plian�� c�r �'lc�rk Gc►mm�rci�l✓indus4rial 1.25 j'„ of V�lu� af Ap�lia;�c� or wJo:°f� Rate TOTAL $ 30.00 $ $ 10.00 $.�_. � X�.CO $ 10.00 $ 25.00 �� S�rc,h��r•ge i'�1"AL F'Ei.: MlNIMLJM FEE FOR ANY HEATIN�G/�QOLING/VEt.�,�Il.AT10N R�FRiGERATI N/AIR CO DITIONING PERMIT la 25.00 PL S TF{ . STATE SURCHARCE REINSPECTION FEE $47.00/Hr BUILDIN� USED AS ��-'�S ` Effective t�n January 1, 2000 ��5.�,�� C�-- ESTIMATED COST o23��' � PERMIT NO.�� %� DESCRiPT10� OF FUEtNAC� �+�l� OR BUR�D''i� � .............._.,...... _. No. of !-��atin�; Units..._._.��....... Circfe �'n� (�te��} (Not �l�Jater) (4Varm �ir� $.�_�_ � Trade Name�m�____ � aize ltio.,.�._..,_,....�_� BTU �i� . Ef�R $�� ue6�_..�.,�-__��._..�. iatal C�nne�t��i Load____.�_..�_ �. �____.___�__ �_ _.�...�..�.. .�._...�_._....._,_`'�% �:�� E3u��ner 1'rar��: N�rr�eW. .�_____�_ -- -__. �i�.� ��._—..�..___ �..._._.______�..._. BTU- --__._______.__.�..__._.__.. Hp _r�.�...__...__.___...-- ��R..�._�..._.__�_._.., The under�i�r�ecf h�reby makes dp�,lic.�tivn fic�r � p�rr�it tar t�� wo�ic h�r�;s� specified a�r�ein� to do aIl work in strict �ccL�rda;�r,e wi�►� the C�t±,r C�dc�s �c� rulinps of thp Bu's!r:�i�� piv�,ion, anti t��t�by d�cl��s ihc� �l; the f�zfs �ne# repres�nt�tic;�� s°�at�:c( i�� t�tis ap�s{ir,ation �,Y� krus: �nd cr�rs�ecfi. H EAT! n,4°� E ;'� __ ;� � ; Signec�"C _ �� ` �� iEt� #� %�� 7�/—� 4�d/ _/i % *Air Conditioners can not be placed in a side yard without Approved E3y�� Rdugh-In pate.�_______ Final Da�C�� writien permission from adjoinin� property owner. �t � COMMON VENT, VENT CONNECTOR AND COMBUSTION A!R VERlFICATION When replacina an existinq fu�ance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstn�ct�ons, and is securely sup�orted a�d firestopped where requirerl. Yes () No () The venting system is pfasticlPVC and �neets aEl current codes and manufacturer specifications including sizing, �engti�, number of elbows and termination. Yes O No O The undersigned atso verifies that the replacement unit is a 9isted assembly and meets the current codes and manufacturer's sper,ifcations. This doe� inciude AGA-GAMA Category i Central Furnace Venting Tables for fan assisted and natural draft appliances. The existing combustion air is sized and installeci ta meet the current eodes and manufacturer's speci%cations. When required to instati a new combustion air it wiil be sized and installed To meet the current codes and manufacfu�ers specifications. Yes ( ) No ( } Yes ( ) No ( ) Yes(}No() When instailinca a new venting system, the undersigned hereby verifies that i� is a Eisted assembly and meets the curre�tt codes and manufacturer's specifcations. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and naiural draft appliances. Yes () No (} �s the common vent and vent connectors sized and ir�stalled correctly a�ter an appliance has been femoved from t�e common ve�t and vented separately as per current codes. Yes (} No () Appliance T�pe and SizelCommon Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted o� Nat Appliance #2 Type �TU inpu# Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Tota! Appliances �'otal Btu Mput Common Vent Typs Vent Height Diameter inches �,ppliance #1 Ver�t Car�nector He±Cht �t Length ��t L�iametes ir� Type Appliance #2 Vent Connector Heiohi �ft Length ft Diameter in Type Appliance #3 Vent Connector Heigh? ft Length it Diameter in Type ALTERATIONS: (�escribe) HEATiNG CO: Signed By: _ _ C� 1 [ �F FR(DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 January 31, 2003 Ms. Laura Brytowski 6378 Dellwood Dr NE Fridley, MN 55432 Re: Final Inspection at 6378 Dellwood Drive NE Contractor: Daves Heating & Air Conditioning Dear Ms. Brytowski: A mechanical permit was issued on May 21, 2001 to install a furnace at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The pernut 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 pernvt "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh Building BUILDING p�� to.��/G'Z' 1�1.3 Inspectians RESIDENTIAL APPLICATI(JN Received By: 763-572-3604 CITY QF FRIDLEY vat��d.°�� F P 20� 763-502-4977 FI�X EF�c�rcvE�-i-zoio �ATE �oux F-n�raII, a��ss M�5�� CG'. nn SN . Cor� SITE ADDRESS �3 70 /��'LLi..1 vo.� �Y�-. TFIIS APPLICANT IS: ❑ OWNER j�CONIRACTOR PROPERTY OWNER/ N,�: M j k� �/Ly TD v SK 1 TENANT �D�ss: 6 378 D£�i.�� D�- C17'Y ,.�"2 � p t� Y sTa��► n�z� �z`�f 3�. �ortE: '�`7 / — S� 7 S CONTRACTOR ��: �,y �� (Zq J�'�� SUBMIT A Ct�PY OF STATE LICENSE # �, 6 3� 7 y7 EXP DATE y � Z YUUR STATE LICENSE � ANDCERTIFICATEOF �DRESS: �j�17 1%icKo�'( �. CITY �;2��tt�/ STATEMt�iLIF' S� INSURANCE PHONE 6� Z- � Z`i �� a(„ FAX — S�Z — 7 PROPERTY TYPE ,�SINGLE FAMILY/NEW CQNSTRUCTION S1ZE � TWO FAMILY/NEW CONSTRUCTION STORIES PERNIIT TYPE � �pITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FLI IISH ❑ R()OF ❑ DRAIN TILE Q DECK ❑ SIDING ❑ OTf�R ❑ SWII��iING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDTTION ❑ MAINTENANCE(REPAIR �,REMODELING DESCRIBE WORK BEING DONE: �� /�lo (} �� M1F�( t� '�A-T/-��2p aM � IA�I ��i� L� i.f�ltiNDIL y SiZ.E OF IMPRC3VEMENT LENGTH WIDTH HEIGHT S Ff ROOFING Q HOUSE dNLY NIJMBER OF SQUARES 0 HOUSE 6t GARAGE BASF,MENT REMODELING SUBMI'f: 1. ExistingFloorPlan GtLRAGE5 Q ATTACI�DGARAGE 2. Proposed ttoorplan PROPOSED SiZE: ❑ DETACF�D GARAGE 3. Lixt of stxuctural membern to be used PROPOSED HEIGHT: SIDING ` FOR NE W CONSTRUCTION INCLUDING DECKS, ❑ Vinyl OSoffit ADDTiTONS. & PORCI�S SUBMIT: ❑ Aluminum ❑ Trim L Site P'lan/Survey showing the existing atructures ❑ t7ther ❑ Faqcia and pmposed project - 2. Two sets of cot�sWction pla� WINDOWS 3. Energy Calculations INEXISTINGOPEiVINGS �es QNo LOCATIONOFWINIIOWS FOBWINDQWS-PROVIDEU-VALUEAND OR FOR NEW OPEIVINGS-DESCRIBE SIZE OF MANLJFAC'TURE STICKER ON WINDOW. OPENTNG CfIANGE5 & TYPE OF WINDOW TO BE INSTALLED NIJMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION. INCLUDING THE COST OF LABOR AND MATERIALS: AL JOB V Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAG Charge Curb Cut Eserow Erosion Cantrol Park Fee Sewer Main Charge (USIl�TG THE 1997 U.B.0 FEE 5CHEDULE) TION $ Z., 5 o p� o � OCCUPANCY $ $ $ $ $ $ i lr � See Back Page for Fee Schedule 65% of Building Peimit Fee .001 times the total job valuation .0045 x Permit Vaivation Minimum $5.00 $S.t30 (State Licensed Residential Contractors) $Z100 per SAC Uait (Plaus to i�iWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Fngineering Agreement necessary ( ) Non Necessary ( ) to: Citv of Fridlev Arta�n THIS IS AN APPLICtiTION FOR A PERM[T-NOT VALID iTNITL PROCESSED I hereby apply for a building permiY and I acl�owledge that the information above is cornplete aud accurate; that the work will be in conformance with the ordinances anci codes of the City of Fridley and with the Nfinnesota Constzuction Codes; that I underst�d this is not a permit but only an application for a permit and work is not to start w�thout a percnit on site; that the work wilI be in accordance with the approved plan in the case of work uues review and approvai of plans. �/r ( SIGNAT'[7REOFt1PPI.ICANT ,/�_` �� PRINTNAME �.ttc SWEi,ls7.t,G�,D DATE ( /Z3I� ° PI;EASE NOTE: SEP�Rf�TE PERMITS �RE 12ECfUIIiEll FOR I'I,I32vISIl�TG; EI;ECTRIGt1I; AND MECHAI�TICAL WORK PROPOSAL ��f�� "" ; �--�. � �, -��`�, ��7� �' � {,-,, �# �'r-- � � ,- „ ; � .' � � i �...� J ';� ��.-� '.._.:� �: �.� Mike and Laura Brytowski 6378 Dellwaod Dr. Fridley, MN 55432 PrOposal Items Eric Swendsrud 6917 Hickory Dr. Fridley, MN 55432 612-298-7706 Cell 763-502-7809 Fax Lic.# 20637747 Project Overview: Full remodeling of main bathroom and laundry rooms. July 21, 2010 Bathroam Details: Repair any rotten framing, sub-floor, and neutralize any mold. Remove and replace window with 26"x36" white vinyl double hung window, low E, and insulate exterior wall. Install new 32" x 18" x 60" vinyl tub (biscuit), new Delta shower and sink faucets (oil rubbed bronze), replace and update plumbing pipes as needed. Install new toilet (elongated/biscuit color�. Update etectrical outlets to code, install vanity light ($100 allowance), ceiling light ($25 allowance}, switches, and breaker. Install sheetrock on walls, mud, tape, sand, and prime. Insta!! 51"x35"x2Y' birch vanity with sink on teft side. Instafl smaft birch face frame cabinet to go above right of vanit}r and built into linen closet. Install aff white cultured marbEe top with built-in sink to the left side. Install white pvc beadboard up to 4' tall with bottom and top trim (pvc}. Case window outside with 1x6 maintenance free material, case inside of window and door wi#h s#andard pine ranch casing. Instalt oi! rubbed bronze towel bar, paper holder, shower rod, and robe hook. Install 48�x36" beveled mirror above vanity. Install ceramic tile an floor and tub surround with one 3" border piece, comer shelf, and ceramic towel bar at back of tub ($2 per sq. ft. tile allowance). Paint walls and ceiling with low v.o.c. paint (satin), paint heating vent white, stain and vamish cabinet and trim mofdings. Sand and paint inside of existing door. Laundry Raom Details: Repair rotten framing and neutralize any mold_ Remove window and frame in. Widen door opening 2". Frame up 2x6 wall on exterior wali, and 2x4 wafl across mechanical side. Insulate ext. wall. Vacate existing sink and shower plumbing, install new plumbing feeds to utility sink and washer {includes wall drain for washirtg machine). Bring all plumbing up ta code and extend gas line to dryer at new location. New 21°x24" white drop in utility sink with chrome faucet instalfed in base cabinet immediatefy left of washer. Install new toilet (etongated/white). Hook-up stackabte washer and dryer (provided by cusfomer}. tnstatt 4 recessed lights in ceiling (one of these is a combination e�chaust fan/light vented io back of house). Install 15 min. timer onloff switch #or fan and standard white switch for lights. Install 2 GFt outlets, one in cabinet area and other for washer/dryer, and two standard outiets. Install new cir. breakers and wiring as required. Sheetrock walls, mud, tape, sand, and prime. Install new solid core, flush, birch swing door (LH, 30�}, and door knob. Instalf pine ranch base baard, door casing, vamished bead board plywood on ceiting with'/" cove. Install white melamine cabinets {see cab. ptan for tayout) and formica counter top. Instali chrome toifet paper holder and 24" towel bar holder. Tile floors ($2 per sq. ft. tile allowance). Stain and vamish door, casing, and base moidings. Paint outside ofi fil}ed in wrindow white with sand textiare, attempting to match existing e�ct. wall. Paint walls wl eggshell sheen. Notes: Customer responsible for d�moliiion of bathroom and laundry except for windows and bathroam ceiling. 20 yard dumpster, all permits, and clean-up included. Project should fake about 45 weeks to comptete. 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""°"'+ � �1 � FT. _. . .�_ - �^"- Ex�is��n1G, __ `!" �__ _ � _ , %v1p �J C �^! � N Ja,.f �J Q F t L` __� 1-) -' �� M� ��,`{ W D a,�` ,L ny s k�'Tl v r.J' � � 9,J �._�-----• �,"�-��„�e-�-^"°.� _ _ _ �' r U. t, � l�-� N � `( °�- � �,� � � M.� D � t... --• _ _ Building PLUMBING Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE�( )�^ SITE ADDRESS Cc. THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE TYPE OF WORK: � OWNER NAME: � r� , ADDRESS: PHONE:� NAME-_� � STATE LICENSE #_ STATE BOND # � ADDRESS: Z3�( PI-IONE �= �SINGLE FAMILY ❑ NEW YOUR E-MAIL ADDRESS P�'i'�— , IA I Ul.w—I� 1 �GONTRACTOR S�� c l ❑ TWO FAMILY Permit No.;�,.' Received By: jrr� Da�a�d� �� , � '�� CITY STA' EXP DATE EXPDATE _CITY - C STAT _ FAX O TOWNHOUSE :� 1 , c� � DETAILED I�,ECSCRIPTION F WORK �Q �� c5 �� ^��' , �p�L° �t��S'�tr6� ��d � -��`� FEES ARE BASED ON $]0.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). M[NIMUM FEE $�.50. BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPRJG l BATHTUB GAS PIPING (NEED CITY L1C) SW(MMING POOL WATER SOFTNER ($35) � CLOTHES WASHER KITCHEN SINK �WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknow]edge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an appl'cation for permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case o�iir.l�-t �res review and approval f 1 ns. SIGNATURE OF APPLICANT PRINT NAME DATE APPROVAL INSPECTORS SIG A URE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.:. ' (; � ' Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date�c�: � c� �� 763-502-4977 FAX EFFECTIVE7-1-2010 DATE �c�/ f�/ � YOUR E-MAIL ADDRESS SITE ADDRESS � 3 T r� L��-�-' •d �(' ��r /`� r-% 5 S`i 3 Z - THIS APPLICANT IS: �7`OWNER ❑CONTRACTOR PROPERTY NAME: (l� � � �� 10 .S S k � - OWNER/ ADDRESS: 6 37 b' j� ((�a�<4 l7� CITY �r ,� �,_... __STATE�ZIP.7-,�"`i32 TENANT pHONE: S�!I—S�'�`1 CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: CITY STATE ZIP APPLICATION pHONE FAX PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW ❑ REPLACEMENT WALTERATION/REMODEL DETAILEDDESCRIPTIONOFWORK � 1 �x�1'� �� I�-�-.��_�__?��--�� 1��^- �� '^ ��"��r`' FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK. Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $] 5 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 �DUCT WORK $10.00 _GAS PIPING $10.00 �VENTILATOR $15.00 .. ,. , _.,, ,� y- . ,. . ,, ; � � . , ��,�.t _� 'a, ' � � - . �r � ,'�� r �'n fi� �� ,. �� Y �3- �Ri�, ` _ � B `� � "�'� � 7 ;'� '� � � ��-` "�� .� ry �: � �'� rT � �� 4 tS�' '� �zs � ��.,i�"%x�p c� `` �� 'v� � z"*;_ , ' a�`t � '�3� °�.`�'� _ ,� '� ��, r �'� 5�5 :.��- � j��, i �� . �� -� ,.�:- 5�s� -�,,� r� � t�+�'�ec �, x 'a. ��a�' �, € .,,:,�e '�x �� " %� ,-� z- '", =� � 3�� 3 y `�,�� z �`' av �°� � 4 .� ��;r � � � � ��rs� � s � "� � � ,>� �,.� � z*� ,� � �, � �* z. . >±'� 'e� `' � 'r? £ � ° �_ r � ; "�' � �°, �� , '��`v �t`� ,��'F. -F�' r .- �sa�.'� 3 r :�. THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of worl whi requires revie�w and approval of plans. , _: - SIGNATURE OF APPLICAN f PRINT NAME��I<Co �`�+_rs�� DATE lo � q t APPROVAL INSPECTORS SIGNATURE � '�." '' �`� DATE ., � . a _. . ... _ ; . o � � � - - , _� � . ._ .. , .+ .., , _ (''i+v nf Frir�lPv Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977