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AF - 43177J Application for Power Plants and Heating. Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . ... . . . . . . . . . . 8.00 $ Replacement of F'urnace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2.50 $ fJ MECH. WARM AIR p 6 d i Furnace Shell & Duct Work to 1?A,000 BTCT . . . . . . . . . . , . � $ � each add. 60,000 BTLT . ... ...... .. . .. . . . . . .. . 2.00 � fteplacement of Furnace . . . . . . . . . . . . . . . . . . . .. . . . . .. . . 5.00 $ Repairs & Alterations—up to $500.00 . . . . . . . .. . . . . . . . . 5.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BUR.NER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . 5.00 $ � over 3 gal. per hour—See Fee Schedule h p� GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $�— GAS FITTING FEES: NO ,�oF�TE �O�AL lst 3 Fixtures ..................... x.$d.a6� $�j , I Additional Fixtures . ............... x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . . x 2.d0 $ AIR CONDITIONING � I FAN HEATING SY3TEM See Fee Schedule VENTILATING 3YSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $�--��— /� ROUGii FINAL � � � �/ Dept. of Bldgs. Phone SU 0 City of Fridley: 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. [� F�,y�ley, Minn. /_�L� / , 19�� Owner Kind of 0 Used as To be completed abou� �''� �� `L! � �� Estimated Cost, $_T QkT New. Building Permit No. Permit No. �' � S DESCRIPTION OF WORK , � � HEATING or PO i'I.ANTS—Steam, Hot Water Wazm Air�`No. �—� Trade Name Size No. ��" �� Capacity Sq. Ft. E.D.R. BTU H.P. Total Connected Load �s—� Kind of Fue �`` � BUFtNER — Trade Name Size No- Capacity Sq. Ft. E.D.R BTU H.P. 0� `� �o 4 ,.o 11 4 -,� . „ , °��°. z 4 (REMARKS O�jEW I� �� .,��;,,..� �.::, ,�.� x � �"°s.rvcswn.�x.- i` Business Phone � City of Fridley Application for P'lumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures � I W u� ` 2 N ? x = Y Z Z o� �� Z U Z O x _j C9 Z � 3c�i � � F� � 3� o � � go g� <3 �°! �� O Base lst 2nd 3rd _ 4th • Fu2ure Conaec3fon Openiags I Connected wiih * New Fixlure, Old Openi:tgs PARTIAL RATE SCHEDULE PLIIMBING FIXTURE RATES: Number Fixtures ....... .............. Fizture Fixture Opening ................ New Fixture Old Opening .............. Catch Basin . . . Water Heater (Up ta 200,000 BTLT) . . . . . . New Ground Run Old Bldg. . . . . . . . . . . . . WATER HTR. • • F N GAS ELEC. Sewer � Cesspool n NO. RATE TOTAi. — x $1.50 $ — x 1.20 $— _ x 1.00 $ — x 3.25 $ — x � 00 $ � / — x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures .......................... x $1.50 $ Additional Fixtures . . ... . . ..... ...... .. x .50 $ Gas Range to 200,000 BTU . ......... .. .. x 2.00 � REPAIRS 8c ALTERATIONS—Refer 2o Code Description ................................................$ TOTAL FEE $ o 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, hereby declares that all the fact and representations stated in this applic on re true and correct. ' /� �� , � Fridl�, Minn. Owner _�.� Kind of Building Used as To be completed Estimated Cost, Old-1\Tew. Build � ROUGH FINAL � 2 ' � � � �1 42 Business Phone No. � Permit for LUMBING AND GAS ING N.B. When work covered by this permii is ready, the Plumbing Ordinance requires that requeat for inspection ahall be phoned in to the plumbing Inspector, 560-3450 giving number of thie permit., Stories Basement ist 2nd 3rd 4th Number, Bind and Location of Fixtuzea 3 U I � � m F- I m I N ��+ F' I � a I N ( O O I U Ol 1 K J I�' a I O< I tl C I WATE � HTR. J � <� t K C O S J C << < O < d < t 6A8 ELEC. Connected with Sewer-Cesspool Gas Piping for Openings Permission is hereby granted to do the plurnbing and gas �tting in the 5uilding described in the statement hereto attached, u n the express condition that the person to whom this perrnit is granted, and his agents, employees a workmen, in th.e plumbing or gas fitting of aaid building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the vio�ation of any o f the provisians of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. FirtaZ Inapection Date �e A 4 N° 5U21 �� 7�/ I Fernnit �,a� � City of Fridley �.� �� , Y9� Owner — �/ik.CQ� �.. LLh�> Location � � (1 � 0 � � � Kind of Buiidin� ��ll�Vt�� Used as � To be Completed , 19.____ Estimated Cost $ Old-New. Building Permit Date jnspector. Inspector of Buildings. • z 1 M-6-69- V City of Fridtey �Pi�ic.�ion � Phnnbinq aed Gas Rt1i�g p�rmet Dept. of Bldq�. Phone 560-3950 DE3CR%PTION OF WORK i "} i� ` Number, I{int3 and Location of Fixf►ires � f.ocatioa �% :�' J t�y�"v--�t� � � � I � � I � � I�A ��V�(� z �< YZ ; sZ< �1_/� �t/� I z_ � � d' � � m � 0C K � ! � J OC < � � ` � � i ` � . < 6 a, ., :; � u, 3� a� �o U <3 c�°! c�s ca0 � _, _ _ � - - ---�-- - -- � - _ --- �-- _ 1- - 1 ' ; � � � _ � ___ -- 2 � _-�— - c a _ - - 3 , � _ -__.�_ — -- � _ q� � � _ ____ __�_ 1--- --- ° � u�u� Cona�c3loa Op�nings '� Naw Fixluro, Old Op�aiags t -t- - +--- �- � ---I�� i - �- -- -- -- --I-- - - - __ . �. _ �- I Conneci�d with � PARTIAL RATE SCHEDULE WATER HTR. • � R N GAS �LEC. -- - � _ -- - City of Fridley: The undersigned hereby makes applicatia❑ ior a germit for the work herc:i specified, agreeing to do all work in strict accordance with the City Ordinarice and ruIing of the Department of Buildings, and hereby declares that all the fae.9 and representations stated in this application are true and correct Fridley, Minn._=Z. � � c� ---- , 19�-� c. --�,� �,=� Owner —_ a'''--2--y.,� =� _ — Kind of Building Sewsr � �� n Used as PLIIMBING FIXTURE RATES: NO. AATE TOTAL Number Fixtures x $2.00 $ Future F�xture Opening _ x $1.50 $�_ _ New Fixture Old Opening X ai,r�p � Catch Basin x $3.25 $ Water Heater (Up ta 99,000 BTtT) X$3,00 $ New Ground Run Old Bldg. _ x$3,�5 $�� IIectrfc Water H�ater z$2.pp S GAS FITTING FEEB: NO. R]1TE TOTAL ist 3 Fixtures . . . . x �2.00 = Additional Ffxtures . . . . . . . . . . . . . . . . . x a .75 � Gas Range to 199.000 BT[I . . . . . . . . . . . . . x 35.00 � REPAIRS k ALTERATIOI�/S--Raf�r !o Cod� Deacriptfon .... .. ............... ......... � ��. �+�'+ _ �r � J To be completed about Estimated Cost, Old—New. Building Permit No.� ._ _ _ _ _pe:mit N . �f%�'� Signed � � � By-�---- `��-�-' Business Phune No. �� ROUC3H FINAL � � � �.i � � U r, 53-8!a-s915.51 �ify of Fridley �►PPl�ca�ion for Ph�nbi�g and Grat Fi�H�q hn�it Dept. of Bldq�. Phon� 5�0-3450 - DESCatPTION OF WORI[ 670 N E Dover St Tdumb�r, Kiad u►d Locat�oa oi Fixtures ��°° �� I� � I � I� I� ��G �� T I� a IV tl�� I(`9 � I(f oi IC! V I •+ N'GASTER HTEG. Base 1 3t C 1 st 2nd 3rd 4th • Futur� CoDaKlioa Op�niaps � N�w Fixlu�. Old Op�nit�s PARTIAL RAT� SCHEDULE City oi P�idley: Ttie undersigned hereby makes application fo� a permit for the soak herei speci fie d, agreeing to do aII work in strict accordance with the CiL� Qc�dinance and ruliag of the Department oi Buildinga, and hereby declares that $ti the tact and representations stated in this application are true and correct 7-21-70 Fridley, Minn 18_ Owner fred Larson Kind of Building frame �� Used as r�S CN+Poo ❑ To be compieted about 7-26-7� Estimated Cost, � Z0.00 PLOMBING FIRTURE RATES: NO. R1�TE TOTAL Number F`ixtures . . . . . . . . . . . . . . . . x a2.00 $ Ftiture F9xture Opening . . . . . . . . . . . x �1.50 ; _. New Fixture Old Opening . . . . . . . . . . . x a1.50 S,.__ Catch Basin . . . . . . . . . . . . . . . . . . . . x a3.25 a Water Heater ;Up to 99,000 BTU� ••.. x a3.00 = New Ground Run Old Bldg. . . . . . . . . x E3.25 $ Elsctric Wat�r H�at�s . . . . . . . . . . . . . z :2.00 = GAS FITTING FEES: NO. A11TE TOT1►L lst 3 Fixtures . . . . . • • . . • • • . . • . . x 52.00 � Additioaal Fixtures . . . . ... . .... . . . . . x ; .7b ; Gae Ran�e to 199.000 BTU . . ... . , . . ... x E5.0� � G�s Incinerator 1 5.00 AEPAIRS � 1►LTERATIOtib—R�i�s !o Cod� Descriptlon . .. . . .. . ...... . . ........ ...:. ..............1 ��, � 00 OId--New. Building Permit P mit No. • �, : �i .!a ^!i 1 ,` �1s�, By ! � �,�f � ` �I� f� Business Phune No. �'�� ROUGH FINlIL i�- City of Fridley, Minn. � 16 3 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: September 1, 1972 Owner: _----•-----------Fred. Larsen....._r.__�-----___._._...._: Builder _.__ Sussel Co Aaare�ss .--------------_----.--67..Q.._I�QY�x�.�x.�.�t_.1I..E..__._..__._ Address 185 0 Como Ave . LOCATION OF BUILDING 670 Dover St, N,E, �. ___ p� of Lot No. .---------------�------------=-_. Street ------�--------------___�._.._.------••-•--•._- Lot ._.._.._......__24 � 25 Block ._.:__W...._...__. _. Riverview Hei hts .. ........................... Addition or Sub-Division .____....__ _.__.� Corner Lot ...-_----•-.---•--.----•---- Inside Lot _...--X----------__.----.... Setback .___._�46_.5 Sideyard 3� Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front -_---24 �_ Depth 30 �__ Height l� � Sq. F� 720� ��200 ....._......_.-•---•----.-----........_...------... Front ._----.._.._ Depth Height ._�___.___ Sq. Ft __ Cu. F� Type of Construction._---_..-----_-.F��e_.._.____.V Es� Cost ..._._.__3262__._..__._._._._ To be Completed 60 days Provide a hard surface drive and the drivegay to drain to the street. In consideration of the issuance to me of a permit 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 provisions o! Ordinances of the city of Friciley. �w_.. �� ..� . �..,� ....�..... .,,��..�.�+b.. In consideration of the payment of a fee of $__ 13 . 5 0 ___., permit is hereby granted to Sus s e l Co . ..._._..._.._.�__...._._._ ..............................._ 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 vVOrk done in, around and upon said building, or any part thereof, shall conform in all respects •to the orc7inanCes oi Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildirig�i vyithin the city limits and this permit may be revoked a t any time upon violation of any of the provisions of Said ardinances. �� ._._��_ Buildin8 Laspecto� DARR,EL CLARK NOTICE: This psrmit does no� eover the construcfion, installation fo� wiring, plumbing, gas heafing, sewer or wafer. B� sun io sN ths Building Inspecfor for separafe permits for these items. � a APP�ICATION �OR RESIDENTIA�, AL��RATION, QR AllDITION BUILD�NG P��IT CITY OF FRIDLEY, MINN�SOTA OWl`1E� � S NAME :��, �� a,z s�-�. BUILDER : -�-J u s=� �t- G o. .ADDRES S: G' 7 o t�o,� ,�z � i- ADI?RES S: l R� o C c5+�w .G�J � w NO :; 6� � STREET •.Du�r�z s � , , �, z:, z{, �� c z� I,01' ; 3,� ;.s o T BLOCK : �,� ADDITION i �Z � v i:xv, �,,,� �-(,�,]�„�-� �,s� .�,,,, ,^ CORNER LOT : INS IDE LOT :�c SETBACK :�6 •�� SI DEXA,RT) s 3� ...�..........�.. Applicant attach to this form Tt,io Certificates of Survey of Lot and pxo�oa�d building location drawn an theae Certificates. DESCRIPTION OF BUILDING To Be Used As: �� a�� -rA`}+Front: z4 �- o Depth: �a � -o Height: 1 0 ,, Square Feet :� zo Cubic Feet : ^7 Zo 0 ' Front: Depth• Height: Square Feet; Cubic Feet: 'i�rpe of Construction: �= ,ZA,..,, �. Estimated Coat: $ 3z�z -,,..��.,�. xo Be Completed: �c� �avs. The underaigned hereby makes applicativn for a permit for tt�e wq�k '�e�C��,�1 �s�ec�.fied, agreeing to do all work in sttict accordance with the G��y +p� FF�,d�.ey Ordinances and rulinge of the Department of Buildings, and �e�c�bY de�la�es that all the facts aad representations stated in this app�.i��iC�� are true and correct. a��c�: `� � � �� z. sicru��: �- (�ee l�everse Side For AdditionaY Infosmation.) _ --- �r�� .�� ,�.,-� ' `� � � �� d�� . . - �, �� .�-��.�.. ��.F� � . �� , � r' "''� �HE SUSSEL CO. CONCRETE WORK ORDER . ` � ° � '�1850 COMO AVE. ST. PAUL NAME �2�:l� L/�k,�St-)J PHONE � CALL: 645-0331 _ ` - J06 ADDRESS � zD L7o✓�_ 5T; ��-/,DL.¢-ti�_ SALESMA�! J� ��E�' LE_ E�� LDG. CODE'AREA FOR OFFICE USE ONLY CONTRACT DATE �� ` � `– ��' CONTRACTOR �I�1 S� JOB #f �' �Q SIZE Z�%X �fl SUSSEL JOB # �O�(c CONTRACT # 300-Q_,� INDICATE THE ITEMS BELOW ON LAYOUT �Permit by _�,,,'�v_SS'�'_L.— , _ ° i.l i�egal pescriptian �---,r___.� ; ' !�J Lot _ C efk ! � Add'n � �/ c �"idt3.. �' .` '�' Val�ie �� XType Gonst. �'�i:tt �` . ,. < ' . � , ' �'Square With /��'esJ �'e.'. u Ro�s � , _, ` �Mesh �% . , '�$od Rem` - By GW ��r 12- ❑ 5•Bag Mix �6-9ag :,�t , (cln�� . t�•' .�Tamping �� , Ci No Tamping � -----�— � A. B. U Iq..�t°�-�-��.�:._ , p (� p N `l.. � "�� Lib �'7 � 2-Startings Points Only -�--= � 1 —� 3 � S.P.L " S.S.P.L. � o u T _ G ntD 1 � � R.P. L. r. . -, ; Aliey ; 7 � , Nouse ' ° _ '� � : ` F. Street j -. ' . � Other � t .. 6Z'CONDUIT ' � O.H. Dr. Offset Z, R ; . : ; �1�.S.1�. LC)(:a(ion ) r�y �� ti C"-' -lstorks---- 3 0 ' �Windows Z R.A /vC.K � , ' .., ; , .. . � �. _ . . � . . . � . .F� � � ��i✓�a r J�o r e r+�+ .v !' S '� ox.;r f:� ��. � e , P , � r � . ,..�.,.T .; , . . . � .... . ... . . � . .. ' k.`,.� .. J..:.. :.�.. L � � �, . e. � . � . . . . . � , . .. . . I:� . ... -'-: . � .j�:.. f� .� : �... . �� . . . . .. . � ... . . . �. . . . . . . . . � �. � . , . . . . � � . .. . . ,� . .. . : .. �� . . . . . . ... . �..' . ; ��.. i. � . � � - � . � � '�-' � ..... �� . � � � . . � , .. _ ' . � - � i �r�t . . . . . :. . . . . . � . ;.� . . , . � .-:.. ,, � � , , _.�.._____._._._..�..,:__--_. � y .3 ; #� ,� S'3 Z-/ g PARi' �F CONTRACT =� DIRE�TtcN � � �,, , �� .� '� P.�1 REY ;r�� £ �, v.�,�;; ° ,.� ` < f �c +_ . ... .. . . �. , . .. . . . . . .. . ... _ _ �_ _ ... _ . . :.'?'. .Y... .,..�.u_��''*'�� ,'r,Jt.y�'.,2��., t M e � Ap � iD Grade_ �TYPlCAL SLAB DETAIL 2-- 4 Re— 8a�s `c - f tD _ —Ku 12�� Min. a � 6s x IO�o wire mesh 45° 8" M�n. c � aD � ,i L�.,ak � � � � . The above is a substitute design for frost £ootings, ha�aever, it is not yet accepted by the State as 3n amendment to the Uniform Building Code, Section 2�05,a. Therefore upon using this method of construction, I agree to hold the City of Fridley hannless of any possible claim for foundation failure or structural da.mage caused by foundation failure. c, , - � � �� . W' ness Property er � . O � o� �/ � � . Da.te Address of Property/I,egal Desc. �. �. �� < 0 0 s �� ..�,..�.�,,.��.�,�.�.�—�, _ _ . � � . � s `� - z `" :� ., ,_ :: � :s � ' - . � k � . . - � . _;e� � 's �..a � � . r . .. . ., . _ � � ' �.> � r �� •� �'�r ..q . . �� . . . ,. . . ., . ., � .. l � . . r' . . ' . . . . " - � ' .. � �j . i- �. �-.� . , k'�;. .. . .. � � �f) .�. . _ �. . . . � ' ' � . � . . .. � - Y . . .: .. � �.' � v , �,.�� . , : „ ' , . .. • `� + ��°��'`�`� � _ " .. . h V`�. . .� � � �- � � . . � , - � _ ;t• `. . . �� ` ,V .�.� . �+ • ~q� � � �� _ , � � . . . � �� ' x 4 �t i . 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'._ 53-84-s-915.5� Cily► of Fridtey ��rlic�io� I�or rt�aabi�q aad Ga�t FiM3iq hra� . --° n.�c_ a sd,.. r�.,. eea.saaa ocscatr'eto� ot' �ro�ts , �� 57p N, L. Dover Street li�D.�. K;� .u� Loc.tf.� .r Ffl�3uYera � � �!� � �g • � �a� � �� j�1�8�� IS� i� `'�� ' �.■■ �� .. ■�a�■ ■�� ■��a�r��■ .� ■�i�r��■ . Q� �. �� a � i o� i s � f ws ruc. �K C�/�N PART{AL RATE SCHEDULE RQN�II�G f7Z�C lU►7E1: lf0. !tJ►:C TOT�I. NmnLes llztiutes . . . . . . . . . . . . . . . . s =i0Q i 11�eote l�tra+e ti�e+� . . . . : . . . . . . : i1.60 =,.__ - l�e�r ttst�ne Old Oprnin� . . . . . . . . . . = i1.bQ i Cste+� Ba�la . . . . . .. . . . . . . . . . . . . . . z iS.� i w'a[er Re�Uer "Vp ta YD�.Oeb HTUf .... :�Od i Nie�r Gro�nd Rva qi Btds: . � . . . . . . • r :4.ZS t ii�eesir Aihr 1%e1ir. . . . . . . � . . . . . a �00 i c�s ri�c s�s: �a �u►r� ro�r�. � � s�a� . . . . . . . . . . . . . . . : rta�o � , �n�oa.t �.e� . . . . . . . . . . . . . . : _ :� t w. Aae�e � iweoa �v . . �.. . . . . . : �sm � State Sur�hsYgs • $ .SO 1�i�ts t atle�t�ztows.-a.t.' i. aw. �� .f.,�.Install.Clothes.Dr�r.;.....�.:� �� 5.5� c;v ac sria�.�.: 'Tfie umdersi�ed ha�by a�ai�es �pyll�eatioe tor a permit tor tAe �sarls l�erei : sDtcified, atreeins to do ZII �vork in strtct arcordamoe with ttu GZti � and rulinr of t�e Depaa'tmrat of Buildtop. and i+ereb? decLre' that �i tRe taai ♦ . and t�e�resentatioos slaled tn this appiinfio� �re true wd eorreet �I��S�aA� �urcharge .50� �! � 6-1.1� -73 »� . _. , Kind ot HuiMi� nrame Uxd as Re S . ` To bc caeuple�ed aboat 6-C1-73 fstimated Cost„ s 10. CG -- otia-�e�c n�a�o� �t wa ��` °a �O . ��/ d r'�i�� o�+ . :1'"`- . � �118HEC�C6 9usi■es !'h��e � �,. . : �a� 9--�1- 7�S`— . SUBJECT City of Fridley . I4330 � AT THE TOP OF THE TWINS g U I L D I N G P E R M! T � � RE � • COMMUNITY DEVELOPMENT DIV. �� a: ------ r � � PROTECTIVE INSPECTION SEC. 1 . � 1 �4 � /'�'1 � CITY HALL FRtDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY ""'�'� ,'� 612-560-3450 910-F15 8/29/77 � � �os Ao�RESS 670 Dover Street N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 24,25 W Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS TIP PHONE Fred Larson 670 Dover Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 AFCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION d ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof dwelli,ng 9 CHANGE OP USE FROM TO 5TIPULATIONS Install ridged galvanized valleys. New roof can be 2nd but not 3rd roof. SEPERA�'E PERMJTS RE�UtREO Ft�R WtRING, HEAT1MGr. PLUA�I$!NG AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAp VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. fT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Ofl ABANDONEO FOR A PERIOD OF 120 DAYS A7 ANY TIME AFTER WORK IS COMMENCED. NO. DW�G. 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 yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y56OO $.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. yS% . SO PLAN CHECK FEE TOTAL FEE yi8.�� SIG IA7UREOFCONiR itORAU7HORIZEDAGENT IDnrE� HEN PROPERLY VALIDATED THIS IS YOUR PERMIT � �� C1�'�1� 8-a�'- � � SIGNATUREO WNERUFOWNERBUILDERI TE � BLDG INSP DATE � C 1 I Y UI I it 1 llL�Y ' A�'�LIC�.TI(;f�1 FOfZ RF�SIll(=�JTI/�L �UI(_DI�°JG PERI�IITS ��`��Et�t, �iLTi_i;/'�7I0[`�S, �i)liITI0��1�, Of� ��EP/�IRS) % �---- . OPdt1}�f?: �� G' -��2 1� �l° �;1 I;UIT,D'..1:: �7 '� C�' — Adcir.es:,. � �G �c- ,�; �- �- f�l� Address: �✓ I �.(� %> �,. /�/� �j �r � S � 3 -� Z'e 1. tQo . . No.: Street: LOT: _-? �/ r-� ,�_� BLOCY.: Lt� ADDITION :�(�z` r G� /� c� � h` ct� COI2IQ�R LOT: INSIDE LOT: S;_.TF3ACK: SIUEY71F2D5: Appl.icant attach to this form T�o Certi{icates of Surv�y of Lot and propcsed building location dra4m on these Certificat�s. DESCRI PTIOP� OF BUI LDI P�G To Be Used As: �p�--�� s� Fron�t: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: . � o �� Type of Construction: j`j�� Estimated Cost: $ ��Q --_3T' To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SE� REVERSE SIDE OF SHEET) The undersigned hereby mal:es application for a permit for the work herein specified, agreeing :.o do all work in str�ct accordance coith the City of Fridley Ordinances azid rulings of the Department of Euiidings, and hereby declares that.all tlie facts atid representati_ons stated iii this ap�licatieii are true and correct. See reverse si.de for additional information. .. DATE: � -� SIGNATURE: ``"� G� � C��'�%„! GC�-I�e Q�% Stipulatiotls: l,°�'� � '�� °v � � � ° . SUBJECT P I . City of Fridley 19123 � � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ; � ECEIPT N � • COMMUNITY DEVELOPMENT DIV. r ;.: ------. ��1 � PROTECTIVE INSPECTION SEC. i � i � , l.--. �; '��1,`� CITY MALL FRIDLEY 55432 NUMBER � REV. OATE PAGE OF APPpOVED BY z' 1� 612-571-3450 910-Ft5 8/17/87 / / JOB ADDRESS 670 DoVer Street N.E. 1 �EGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 24,25 W Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave & Rita Padilla 784-0789 3 CONTFACTOfi MAILADDRESS ZIP PHONE UCENSENO. 11576 Flintvzood St. Coon Rapids �57-4555 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5548@ PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PHONE UCENSE N0. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION �I ALTERATION ❑ REPAIR ❑ MOVE 0 REMOVE 8 DESCRIBE WORK Sidin Windc7w and Door H 9 CHANGEpFUSEFROM TO Si'tPULATIONS SEPARATE PERMITS ARE REQUIRED fOR ELECTRICAL, PlUM81NG, MEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING Ofi AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHOAIZED 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 WOfiK IS COMMENCED. NO. DWLG. UNITS OfF$TREET PARKING I HEREBY CERTIFY THAT I HAVE AEAD AND EXAMINED THIS APPLICATION S7ALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANGES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFlED HEREIN OR NOT. THE GRANTING OF A PERMIT ].1 OOO �S.�JO DO NOT PRESUME 70 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR ISIONS F NY OTHER STATE OR �OCAL LAW REGULATING CON- STR TI N E PERFOR ANCE OF CONSTRUCTION. $6.SO PLAN CHECK FEE TOTAL FEE "" �9 2 . �� GNA E OF CO TRAC70A OA AUTHORIZED AGENT IDATEI HEN PR P V LI ED THIS IS �YOUR PERMIT /� SiGNATUREOFOWNER11fOWNER$UI�DEA1 IOATEI � BLDG WSP qp7E p� [] City of Fridley Effeetive u/1/86 ADDN. [ ] R-1 AND R-2� AI,TER. � Building Permit Application Construction Address:ia 7 v 2 Legal Description: ! Owner Name & Address : ��C � � ��a' �� ' � � Tel . # ' ` � �0 � � Contractor :�t� /� Dv�•J Z['i �/ .i�i � C�, C o x� N t'z'f'c.� ►�v rL ,i/ e_ Tel .�%� %— �/SS.� Address:,�/�7G �L/tifl.Joaa S� JV+� �Oc��! �a4�A1US ��f3 � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROQEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. <' ,.�.. _, „ �,. r., .. ��.., _ � ..L�Y4Q . �I�l2.,A� rt. � �� Corner Lot [� Inside Lot [] Ft. Yd. Setbaek Side Yard Setback Type of Construetion: Estimated Cost: $ _ Approx. Completion Date: 4 "��/ Alt. A Alt B Proposed Driveway Width If New Opening Is Aesired: $ $ See Back Page for Explanation � � DATE: ' � APPLICANT Tel. #2� ^ T � Permit Fee Plan Check State Sureharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY IISE ONLY $ ___ `��.d �� $ $ $ $ $ $ d ��- ��r� � , 3�.0� Fee Schedule on Reverse Side 25$ of Building Permit Fee �•50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ��, o� � a a a -- 3�,s� _ _ . , ��G �� ° _ _ CtTYOF FIttDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (6l2) 571-3450 Octobe� 4, 1988 � Mr. Wally Kikos Windaw & Siding Connection Inc. 11576 Flintwood Street N.E, Coon Rapids, MN 55433 Re: Residing of 670 Dover Street N.E., Fridley - Permit 19123 Dear Mr. Kikos: Please be advised that we inspected the the siding project at the above address on October 3, 1988 tfiat was installed by your firm, af ter we received a call frozn the property owner, Ms. Rita Padilla, tfiat they were experiencing a problem and that they had not received any action from your company after a call was made in August, 1g88, The problem that was noted during the inspection was that the top course of sii3ing under the soffits is falling off and the rigid insulation installed on the masonry, below the siding, is also loose. Would you please make the necessary corrections and call our office upon completion of this project. We will expect to hear f ram you on or before October 24, 1988. If you have any questions on th is matter, please f eel free to contact me at 571-3450. Sincere ly , DARREL G. CLARK Chief Building Official DGC/mh CC: Mr. & Mrs. Padilla 670 Dover Street N.E. sus�ecr PERMIT NO. c�cy of Fridley 2 2 AT THE TOP Of THE TWINS g �� L D I N G P E R M l T r i . � � � • COMMUNITY DEVELOPMENT DIV. � � �.------ r � � PROTECTIVE INSPECTION SEC. 1 � � � i'-'1 � CITY HALL FRIDLEV 55432 NuMeER �""� � ,'' 612-571-3450 910-Ft 5 JOB ADDRESS 670 Dover Street NE t IEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 2[},25 W Riverview 2 PROPERTY OWNER MAIL ADDRESS David Padilla 670 Dover Street NE 3 CONTRACTOR MAILADDRESS Same 4 ARCHITECT OR DESIGNEF MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 6 USE OF BUILDING Residential REV OATE 6/7/94 EIPT NQ__ a�3�. PAGE OF APPROVED BV � � SEE ATTACHED SHEET 21P PHONE 784-0798 ZIP PHONE UCENSE NO. Z�p PHONE LICENSE NO. Z►P PHONE LICENSE NO. 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION I� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace fire dama�ed 30' x 24' Garage _ 9 CHANGE QF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surfaced driveway. Provide smoke detectors adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPI SEPARATE PERMITS ARE REOUIRED FOR ELECTR�CAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO If WORK OR CONSTRUCTION 20NING SQ. fT. AUTHORIZED IS N07 COMMENCED WITHIN 60 DAYS, OR IF CONSTpUCTION OR WORK IS SUSPENDED OF ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTEFi WOFK IS COMMENCED. NO. DWIG. UNITS I HEREBY CERTIFV 7HAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUAT�ON AND ORDINANCES GOVERNING 7HIS TYPE OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1F�SOO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITfEE PROVISIONS Of ANY OTHER STATE OR IOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �7Z.00 OF CON'RACTOA OR ._ � � iZE�AGENT iDATE� yy�.{ p VA ? -�.,.�-�- �� - a� ii IDATEI LDG INSP GROUP OCCUPANCVLOAD CU. FT. OFFSTREET PARKING GAfiAGES SURTAX 2.25 SAC CHARGE Fire SC 4.50 TOTALFEE 78.75 TE�S IS �O�fRr�`),j� � ( 1� _ NEw f� ADDN j� ALTER ( j Constructi<�n Adclress Legal Description: _ CITY OF FRIDLEY S[NGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ��_� __� �_� t!Z _�__ 1�% �_� . � o i. Effective 1 / 1 /94 �� Owner Name 8i Address:�f�� R� t� Pr !�? C� dJpJEiZ Tel. ff ��' �� _ Contractor: Adciress: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE # Tel. # Attach to thi� application, a Certificate of Survey of the Iot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length � Width a � , _ Height �� Sq. Ft. Sq. Ft. 7 �.o Length Width HgtJGround Sq. Ft. Ca� �h �,�r�1N6 �1LA� Corner Lot {] Inside Lot �.. Ft. Yd Setback Side Yard Sethacks Tyge of Construction: Wpo � o �� oTEstimated Cost: $ 'z�,�pC7, o� �, Approx. Completion Date: �ca C� � 1. �Qg �`"�'`� T"'� �` R� (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x$ _$ DATE: - ^ �F APPLICANT: ...-�--- Tel. # �� <j — Z,`�'%�� Permit Fee Fire Surcharge State Surcharge SAC Ch�rge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � ��: f�0 $�-�� $ �� $ $ $ $ $ $ r � �� , � �� CITY USE ONLY Fee Scheduie on Reverse Side .001 of Permit Valuation (1110th%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary ( ] I�Tot Necessary [ ) STIPULATiONS: ��„ °` ' � , �c��.,e�, _ 1/ �r 4 `� � � 0 , � � �, a, � -i:. �� «----- ,. ,�-: g---�-t ; � .O � T � � � � � � �� G! `-- O �� } o T �, (� � � 5 - � � o � �. 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P�Q� . `�- . , � �� ,21 P � : � i `�_. . �l . �� h1AY-26-'94 TNU 09:21 ID:TRUSS MANUFACTURING TEL N0:612-497-4339 q995 P01 ' OS/!i/0� 24:J0 'QTOb 48d 7T9� AEPI-St. C8A9. �++ TRUSS MFG. � 001/001 !, �I � �• e -Y W 1 F� �.1 y � �� i 0 u: � 1 � �. W �, v� �� 0 � d �. � � :i uS�BA� 9�i��o00 � i 0 � v � � f � �� x N :� 4 a � o g "� � � • � � Q M ., � .. � �� . bi�N� � � �� WQQ�t� J NNNN, � �� „ � 8S � �� ►- . �� - � � 0 O � c � �. Y � � ¢ � � � � Q� �w lo �� W . m . � . � � . � �; ~ ` iV 0� � N Da � \� � • � �3 � � � ��'a�� ;,'', n!OOOOOIl7;� . r...,� �00000 • ^ > •P r, .� � �, � J C < � J O� J J LL t� ��8�'� � 4 ; g'C�� .�I e � � � v � � tQ � tsl� � --� ,� jrl 3 � }ii�� ifl rar �g��1��x�� ' � ��=�;e!v�`i!:: : }��„�ag�:�� , �� g ��<��i ��.:��11��a1S�I - -�� :��s��1 �, � W �.�I�=I Z = s�r�.��r � ��p��:�� aa �� ,�� y � ,Y_ �^ �a��::sys � f��t`x�� ;� :`,ss�3��i�; 1� � Y• M I �I I� � � � Y � W � i I � -, ��'M��,' .r � S� L �x" ��bl�$"�g a _ �9� ��,.��5 '� � xw�� . �i-s-:: a�a<� M��' � � ��;�g��4; � � ��'�yc��y�i 'g�� '�i��'� * ��«_: � Q�00�0�0 0 � 00600 0 ,` 0 � v D � 0 � � 0 - 0�006 Q i ��Q�� • � \ � Enginee�ing` Sewer Water-- '_. Parks - St.eeis Mamfenancc - - - - �� `T � �� TO: Wiliiam W. Burns, City Manager ;= FROM: John G. Ffora,' Public Works Director DATE: June 22, 1994 SUBJECT: Hedlund Special Use Permit P1iV94209 An issue associated with ihe Hedlund's Special Use Permit for the three properties in the Riverview Heights area is the sanitary sewer line. The entire sanitary sewer system is predicated on an 8-inch line which is more then adequate to serve the area and the community. The Riverview Heights system collects into a 10-inch line on Riverview Terrace and then runs east on 79th to the Apex lift station where the sewage is lifted and runs south eventually for connection into the f�letropolitan interceptor. The resident at 614 Cheryl Street has recorded a total of nine sewer backups since 1973. Six of these were the results of sticks or roots in the system and three were the result of a power system outage at the Apex lift station. Since 1981 we have improved the alarm system and controls at the Apex lift station. Because this is a low area, we have equipped the site to accept auxiliary power during power outages and have a number of times placed our generator there during storm events. This area is particularly affected by heavy storms due to the large amount of trees in the area. As indicated to the Nason's, their residence has the lowest basement in relationship to the Apex lift station. Accordingly, if any blockage occurs in that line, their residence is the first that the blockage affects. In 1989, the City instalred a back flow preventor on their service. This was initiated as an attempt to reduce any backup into their basement. In 1993, The Nason's experien�.ed a sewer backup as a result of the back flow preventor working in the line. While the Apex line was blocked, the back flow preventor stopped any flow into the residence, but they experienced a backup in their line as a result of their own waste water disposal. JGF:cz ' �r. �Cn (i�� , �-- (��r 6 ��L�� -� � � ) 9 js ✓� � �=�� , � �1 ,.•s � � SUBJECT . City of Fridley 25 55 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. COMMUNITY OEVELOPMENT DIV. / r � ~ � � PROTECTIVE INSPEC710N SEC. � � � � � ' /'�'\ � CITY HALL FRIDIE� 55�32 NUMBER AEV OATE PAGE Of APPROVED BV �'"°�' ,'' 612-571-3450 9�0-Ft5 9/30/97 � � JOB ADDRESS 670 Dover Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 24, 25 W Riverview Heights sHEer 2 PROPERTY OWNER MAIL AODRESS 21P PHONE James Clobes 670 Dover Street NE 280-8885 3 CONTRACTOR MAIL ADDRESS ZiP PHONE LICENSE NO. Same 4 ARCHI7ECT OR DESIGNER MAIL ADORESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE tICEtVSE MO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION �] ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRfBE WOFK Remove and replace sheetrock (walls/Ceiling) upstairs bedroom; insulation, p um ing ixtures, itc en ca inets 9 CHANGE OF USE FROM TO STlPULATlONS See notations on plan. Provide egress windows in sleeping rooms. Provide smoke detectors on all levels, adjacent to and in all sleeping rooms. Add ventilation to roof to meet the State Building Code. Insulate attic - R-19 walls, R-44 Roof. S�P��'E PERMIi`S REQUIR�D F� i1�tNG, HEATiNG, PLUMg1NG A1►J� �� . TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED POR ELECTRICAL, PLUMBING, HEATING, VENTILA7ING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTpUCT10N ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOfiK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS APPIICATION 1 STALLS GAFAGES AND KNOW THE SAME 70 BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATIOM SURTAX AND OROINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GiiANTING Of A PERMIT � 1 a SOO �. 7S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEpMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ @ STRUC710N OR THE PERFORMANCE OP CONS7RUC7lON y�48. SO Fire SC �p 1. SO PLAN CNECKFEE TOTALFEE $50.75 SIGNATUAEOFCON'RACTOROFIAUTMOA�ZEDAGENT IDATE� WHEN PROPERLV LIDATED THIS IS VOUR PERMIT Cs� /� T T �� , —.3�—� SiGN/+TUFlE OF OWNEP i�F OWNEA ILD 1 IDATEI BLD INSP �14TE NEW [ l ADDN [ J ALTER ( ] ConstructionAddress Legal Description: CITY OF FRIDLEY S(NGLE FAMILY AND DUPGEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � ��` _. � =,_ t. Effective 1 / 1 /97 Owner Name & Address: 1� � � g� t� ; 4 o-p ; Tel. #�� O�� Contractor: � �= � �.. MN LICENSE # Address LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Tel. # Attach to this application, a Certificate of Survey of the lot, tvith the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Lenath Width Height Sq. Ft. Len�th Width Height Sq. Ft. Lenath Width Hgt/Ground Sq. Ft. i _i.,_ .. 4 « � ' 's�:.-� E _ _ . } � ' , , � � . . F ..Y . K-4 e -. �{ . �"r {.� � � `. "�"� F3. � F�'.. � t , : , l�. y ti � � 4 j i � t �, �: l � .,, r.. i . , ��. ,.� � . , X � � � t, � n e . _.� , �., 3 � , v.. � , . -. u 3- ' . t:. FSt1II11ted�COSt: $ � ], � . , ;� , - . (Fee Schedule on Back) � Drivew�.y C,iarb C�t Width Needed: `� -° Ft.: + 6'Ft = Ft x$ ` —$ DATE: � Permit Fee � Fire Surchazge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Ct�arge TO"I'A L S'i'iPULn"['(ONS: A.PPLICANT: CI1'Y USE ONLY Tel. # r" 'r � �� l(i%/�%��ulJ � �`�u � L��%�-G ,�� $� .��"� Fee Schedule on Reverse Side $ /�°S� .001 of Permit Valuation (1/lOth%) � �� ,�1� �C,� $ , $.50/$1,000 Valuation $ $950 per SAC Unit CL�i�S /��'�" '% v s�l /-L 5�:��'�� $ $5.00 (State Licensed Residential Contractors) ' $ Alt_ "A" or Alt_ "B" Above ��5 $ � $450.00 Conservation Plan Review � �� `'Z�Z � $ Fee Determined by Engineering %J .�� -� �� $ Agreement Necessary [ ] Not Necessary [ ] - %� � �f�� C�r $ ., l! !�/t%luS� _ �`�%� C�'� � ' " .-• � M./�' .�i. ... . .. : .a_� ,;Q(�1+..' � . ____ __ .. ....... .. .. .. .. ._ Fr ^'( ` � �` . �� =,.�.i�+,i ..... 4. .',.4�. . .. � . . . .. �.y�. ,a ;: � �� . s :. _ . . - ' �'V , F.'t - ' . . . . •�- �-1 L v .h '� �� . 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I ,j' , �, �4._ i � J �+�yy�� I �� v � � C/.L � �� i r �_.. __, .... ...: . . � _ .. _ __._�.._. ._ _.. _ ____.._ ; 0 � � � _.��, � � i� ;,r� � � K ,J � r..� V � 4 c � !/`� nv?�1�1% � � � j, ��j �`}"�+.� � � f.. , �.^� �{ ��> / % � >,'� / �� . ; �._ . .__._ __.. __ _ ., ; �7/ �'` i � � � i � rn ; � i � ; � rt f/� �G. _; � � lr" ' �. /� , �i� ' �i �Tr, r `'" �i (�� ' � i � lf� ,'�� ^ � , l �'� �, ',� �,;, . , � �; , � , r� � �- � \ , :;.. �� _� �� t �� . ; c� ,� ,�, � � ; � � �.� �T � z- �� -� . �- 1\ C� `�.. �. .�_ �\'� �, �\ `-�� \ � �� `\ `��i � L` Y� � n � C' % � i I I I - % / . , I �� J / / ,/ . t � \,, j � j C(TY OF FRIDLEY fNSPECTION DIV. 6431 Universiiy Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES New Fixtures Old Opening, New Fixture Beer Dispenser Btow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Wash D:rink. ; Floor Gatch ;: Auto. Urinal �Tub; �Shower NO. RATE $ 7.00 � $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 TO TAL Drain ► Basin !I Washer Effective On January 1, 1997 Gas M�sc Water Heater Range F�xt ; Gas Elec JOB ADDRESS � � � D � V �j � The undersigned hereby makes application for a permit for the work herein �U� 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. � � ,1997 Water Heater -- Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ()Yes () No Type, $15.0 �=�r��e�S �'� (�ef��e� � ��ti�� - �� ",,�j�, � Reinspection Fee $42.00/Hr ` ��J �� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1,5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 $a�,s� Owner^�fQIY��s l�Cl�� $y— Building Used As_ /�� SG� " \� �� Estimated Cost / � PERMIT NO. ; �=�( �'L PLUMBING COMPANY � C � �HV � � (� SIGNED BY EL N0. j" 1 l-1 � Approved By Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/ PLUS THE $.50 STATE SURCHARGE **COM8USl10N AIR SHALL BE PROViDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SG1 INCHES. CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND D�VICES RATE SCHEDULE 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 Al) Others/Repairs & Alterations (LIST ON BACK) laJo of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appiiance or Work Rate TOTAL $ 30.00 �o $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ �� $ $ State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE 5.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 � 5 S, �'� Effective On May 10, 1999 JOB ADDRESS �� °`'�'� S� OWNER �' c•k. �`�v'►s o r- `�'j�e-rc�c� Cc�ns ov. BUILDING USED AS S j� `�- a�,w�.� � � ESTIMATED COST �� 3a o PERMIT N0. �"�` C"�S� DESCRIPTION OF FURNACE AND OR BURNER -�6. No. of Heating Units�_ Circle One (Steam) (Hot Water) (Warm Ai�r) Trade Name �'�� r�� SIZ@ NO. �D��60O BTU � dv, ovo HP EDR Fuel ��S Total Connected Load �� 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 Division, and hereby declares that all the facts�and representations stated in this application are true and correct. � r � ��. G -� w...v)� c�w. c� - � �-• ,�,h c i ne DATE 3—�-o - �O Approved By Rough-In Date Final Dat� %'2 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes� ) No () 2. Is free from rust or deterioration Yes �`' ) No O 3. Has no foreign objects lodged within � Yes �) No O 4. Is securely supported Yes�► ) No O 5. Meets all current Code requirements for size ancl total B�'U's co:Yr:ec±ed �'es� ) No i) 6 Has total heating BTU's of �j ,��, ��- All other BTU's �, �� TOTAL BTU's � 2�= , � �t� 7. Has a liner been provided for water heater Yes� ) No () 8. Has combustion air been provided for water heater Yes N) No () Remarks: List ALTERATIt�NS Bein D�on��. '�� a- t.2.. �C�n v� �.CSZ -F � C- HEATING C Signed By: Date: rv�� AN HEATING & AIR SUPPLY, INC. 8347 llNIVERSITY A • • • _ � 3- 2.v - o� - iFt 217g0-3800 _____ , �� t ��L� NEW [] �y�,�� CITY OF FRIDLEY Effective 1/1/2003 ADDN [] ��/ 6431 tJniversity Ave NE, Fridley, MN 55432 (763j 572-3&04 Bldg lnsp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: �D�d ��`� s'F •�lL- , FV%nu.tj , m✓� S�`l�L Legai Description: Owner Name 8� Address: CUIi I�i, ��vl,� s�I�Y�i3(4�14�r Ki:�i'1xSm.1 Tel. #�le�- 7�5'- y(��- Budget Exteriors Contractor: . g017 Nicollet Ave. S. MN LICENSE #%S(P`i Address:_ Bloomington, MN 55420 Tel. # Ph: 877-310-1742 Fax: 952-887-1659 �, a Certificate of Survey of the LIVING AREA GARAGE AREA: .nstruction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. DECK AREA: Length OTHER: Width HgUGround Sq. Ft. Construction Type: �ki�w"� � i��`1�� • Estimated Cost: $ ly ,q 1/. � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � ��b� APPUCANT: ��fZf9"�F uG�i I�L� �(� - Tel. #�9sa�� ' �� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763�71-1287 if using credit card and we will call you for card number. ClTY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ �'15 /. v� S'� $ � ( $ %. �� $ $ 5 � c�G $ $ $ $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th°/a) $.50/$1,000 Valuation $1275 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 [ J Not Necessary [] TOTAL $ �� $ • �� $TIP 1 ATIONS�