AF - 40967Caty of Fridley, Min�..
6431 Univeraity Ave. N. E., Miuneapolis, Minn. 55432
BUILDING PERMIT
�8f@S ��'� m r 95__ 1972
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p��; Ga� .�o�te g�� � Ro�r�l Impxovement _
�� _ 7627 F,,ast River Road N.�. Address 526 - 6fih � Avenue North
LOCATIOfV OF BUILDING
No - 7.b2� Street Es�t_.Riv�r ��.� .N.E.. __. Part oP Lot
�� 6,26 $�a� Addition or Sub-Divis�tan Auditor's Sub. �77
Coraer Lot Inside Lot o—�C Setback ._._.r Sideyard
Re�ver Flevatian
Foundation IIevation
DESCRIPTION OF BUILDI�IG
To be Used as:
Adcln. to House �-=.ont 16 �6" �p� 12 � �e;gh� 10' Sq, �, �199' �, �, 1990'
Front Depfh Iiei�ht Sq. F� __ Cu. Ffi.
����{��q� �ood Frame ��, �� .�3� SQ�.a,00 To be Completed Dec., 1; 1972
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In considerai3on of the issuance to me of a perniit to construc� the bnilding described above, I agree to do
the proposed work in accordance with the descr3ption above set�q rth an in compliancg� th all provieions oE
Ord�ances of the dty of F�.3d1eY• �/ :� il _( .�—
2.00 State Surcha"rge
Ia consideration of the payment of a fee of $ 2� . �0 , permit is hereby granted to Ro�a1 Imi rnvr�ment
to construct the building or addition as described above. This permit is granted upon,
the express condition that the person to whom it 3s granted and his agents, employees and worl�nen, in all work
done in, around and upon said building, or any part thereof, shall confor��. in all respects •to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bui18ffigB
�th�e city limits and this permit ma.y be revoked at any time upon violation of any of the provisions oE BRid
uildin8 Inspector
DA�RRE.Z -CLARK
I
' NOTICE:
This pern�It does not eover the eoestrucfion, installafion fo� w�ring, plumbing, ges heaiing, sewer or vrater. Bo sure to �s
t6s Building Inspecfar fo� aeparate permifs fo� theae items
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GERALD T. COYNB �OT SURVEYS COMPANY
30D BRUNSWICK AVE. 5.
GOLDEN VALLEY, MiNN. LAND SURVEYORS
BE(iISTEBED pNDEB LAWB OF BTSTE OF MLNNEBOTA
LIOENSED SY 08DIRANOE OF aITY OF 2SINNEAPOL28 !✓Ec:.c%
691T Idaho Ave. N. 533-992`L �`' �"
Minneapolis, Minnesota 55928 „ ,
COA�4MERCIqRIALTOPOGRAPHICAL �urbeporg �ertificate
CITY LOTS - PLATTING
THE KNUTSON COMPANIES INC.
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INVOice No.
RAYMOND A oRASCH
6917 IDAHO AVE. N.
BROOKLYN PARK, MINN.
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, s That part of Section lU, Township
E�?���'`� 30� Range 24, described as iollo�;�, tc,-�rrit:
� C o m me n ci ng � t a n a c tu a l p oi n t o f begi n n i n� a lo n g t he
Easzerly line oi Lot �, 39-�.5 feet Southeasterly from tne
Northeast corner of Lot b, Auditc,r� s Subdivi�ion iV'a. 77;
thence at an interior �nble to the� left of 9�7°3�' to a painr
of intersection �.aith the Easterly ribht-o�'-�:r�iy line of the
Edst River Road as now laid out• �nd constructed; thence
Northwe�terly along said Easterly line o�' th� E;as� R�, �Pr - -"�
Road a distance �f yO.JU feet; thence Northeasterly al�ng a
line p�rallel �vith and ��t�.!� feet from the �outherly line af
said Lat b to a point of intersectivn with the Easterly line
of said Lot 6; thence along said Easterly line to tYie point
of actual be�;inning, al�l �according. to the map rr plat thp��o�
on file and of record in the office of the Re�ister of Dzeds
in and for the County of Anoka, State of 1�9innesota. (�tow
known as part of Ftevised Auditor's Subdivi�ion No. 77.
ae �, �
We 6e�eby tertify tha+ this is a frue snd earree+ reprose�etion of a survey of 1he bourtderies o4 +he above described
properfy, and of fhe loeefion of all buildings, if eny, flrereon, end ell visible eneroaehmenfs, if eny, from or on seid land.
T6is survey is made only in eonnee�ion with e morlgags loan now being placad on the propei+y and no liabilify is as-
sumed ezeept to the holder of iueh morlgage or eny othsr inferosf eequired by reeson of such mor+gage. I+ is under- �
s+ood end egreed na monumen4t have besn plaeed for tks purpose of es4ebliehi� lo+ lines or boundyxy cq�nen,: �
ila " �� . �'+ �
15 — de of C�c?f'o9:��' Signed 'r ..s�- . }`<;? �*��, ,e� v� �,,,.--.'�.� "'
Surreyed by uc 4hi� Y ---� �g7�-. I p SURVEYS CO�MPAIVY ��
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AP.PL�CATION FOR RESIDENTIA�, ALT�R.ATION,
OR AllllITION BUILD�NG P��IT
CITY OF FRIULEY, MINN�SOTA
/J d �/9C //y!plaavE,r7�'.�/T
OWrT�Ii�S �TAME E C-�fJ% % �o�-� BUILDER:
ADD1tLS S:%6 ,? 7�sT'iP/dE�P �� ADDRLS S t�� � TH Ar/- �(/o
�T0 :�; 7G z7 STREET : F�J s�- �ivE�C iS'a
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IA'1' w �o �►' `�� BI�(,?CK : ADAiTZON c�G�ar To/1 s 1'��3 �77
_- - ,�—, � � � s�.
CO�,�TER �.QT ; II�TS IDE LOT : r� SE�'H�r,CI�: STDF�'� t�
Ap�].ica�� �Ct,��� ta t�,�.e �o� �Q Certi�ica��� o� �u�� of �,at amd ��apos�d
bui�dal.n� �a�c��ion dr� �ta �ese Certificates.
HESCRIPTION OF BUILDING
To Be Ueed As:
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,�EA•Po�M Froat : /6 G " Depth : � Z � Height : I
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Square Feet :/9� a Cubic Feet : / 9�a
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' Front: Depth: Height:
Square Feet; Cubic Feet:
�►pe of Conatruction: _1r1/oae r�t��E Estimsted Coet: $3 �'oo. o �
■ w .�ass��+v
To Be Campleted: �c'c �,� i37a
The undereigaed hereby mskes applicativa for a pes�mit for ti�e _wp�ck i�e�7r��►
epecifi,ed, agreeing to do all work ia et*ict accordance w�ti� the C,�.ty g�
F�i,dley Osdiaancee and sulinge of tise Department of Buildings, and i�e�Ceb,
d�ala�ee that all the facte aad representationa etated in this ap��i��R�o�
a7ee tsue aad cottect.
AATE :�EI°T zo � 9 7 z- S IGNATURE : i��!! G�
(8ee Reverse Side For Additioaal Iaformatioa.)
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$UILDING PERM�T FEE SCHEVULE
SEC1"!ON 2. The Tnspector of Buildings shall, before issuiag permitS foz th�
erection of aay building or structu�e, or for any addition �o any existi.r�
building or structure, or for any alteration or repairs to any e�ist3,ng
bui,ldiag or structure, upon application therefore, require the payme�t by Che�
applicant for such permit of fees to the amouat herein below set for�hh aRd �.t►
the maaaaer herein prrn►ided �o-wit:
T,J�I'IFORM BUILDING CODEs �pe 1, 2& 4-$2.15 fos each one thousand cubi.c
�e�t, ox fraction tt►ereof, ia such cubical conteats. Type 3 6 5-�]..�5 �or
eacl� one thousand cubic feet.
ADDITIONAL INFORMATION
Fvr the purpoee of computing fees for buildiag pesmits, the cubical contents
of aay buildi�g or �ddition. is determined by multiplying the ground area
coe►ered from a point eiic (6) inches below the floor line of the basearent
o= the cellar to the avesage heights of the upper surface or to the average�
height of the roof surface of the main gable of a pitched roof.
For repairs ar alterationa to an existing etructure, the fee shall be at the
rate of $3.00 per each five huadred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
Tu no case shall the fee charged for any germit as set forth ia Sectia� � be�
less than $5.00.
VBRIFICATION OF FOUNDATION
�pTE; Permits for eonstructios� will be iseued a mini�m of 24 hours frotp t11�
�ime of applicatioa, to allow for pro�er review of the proposed structux'e aud
of the construction eite.
A Cextified Survey of the lot, ehawiag the location of the foundaL:�A�►� Q1�a�+ ��
h$a been canstsvcted, will be required befo�e proceedins with the fxamin�,
CERTIFICATE OF OCCUPANCY
Application for a Certificste.of Occupancy ahall be made ten (10) days p�iAa
�(� the uae or occupancy of any structure for which a building petmit �ta�s b�sA
iesued; and eaid etructure ahall not be used or occup3ed until a Certificate�
of Occupancy ha� been issued.
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SuB�ECT
City of Fridley
AT TME TOP Of TNE TWINS g U I L D I N G P E R M I T
i�
� �
� ; v _���� � COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 � �
i--_-�� �"' �'� CITY MALL FRIOLE� '35132 NuMeEn nEV OATE
� 612-571-34b0 9i0-Ft5 5/5/99
lOB ADDRESS 7627 East River Road NE
t LEGAL -�OT NO. BIOCK TRACT OR AODITION
oescA. pt 6 Rev. Auditor's Sub. ��77
2 PROPERTY OWNER MAIL ADDRESS
Perry E11 7627 East River Road NE
3 CONTRACTOR MAIL AODRESS
Same
a AaCHITECT Ofi DESIGNEii MAIL ADDRESS
S ENGINEER MAII ADDRESS
ZIP
� �
P,€RMIT NO.
'29402
�__._---,
RECEIPT NO.
� ���
APPROVED B�
SEE ATTACHED
SNEET
PNONE
571-4884
PHONE LICENSE NO
PMONE LICENSE NO.
PMONE LICENSE NO
8 USE OF BUILDING
Residential
7 CIASS OF WORK
O NEW O ADDITION ❑ ALTERATION � REPAIR p MOVE O REMOVE
e oescRiee woaK
Reroof Iiouse (14 Sq) Tear-off
9 CHAN(iE OF USE FROM
STIPULATIONS
TO
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
TYPE OF CONST.
SEPARATE PERMITS AqE REOUIRED FOR ELECTFICAL, PLUMBING. MEATING,
VENTILATING OR AIR CONDITIONING
7MIS PERMIT BECOMES NULL AND VOID IF WOliK OR CONSTfiUCTION 20NING
AUTHOqIZED IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED fOfi A PERIOD OF 120 DAYS AT
ANY TIME AF7ER WORK IS COMMENCED NO. DWIG. UNI
I HEREBY CERTIFV TMAT I NAVE READ AND EXAMINEO TMIS APPLICATION 1
AND KNOW TNE SAME TO BE TRUE AND CORRECT. A�L PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITM WMETMER SPECIFIEO HEREIN OR NOT. TME GRANTING OF A PERMIT 1 199
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEI TNE pERMl7 FEE
PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR TME PERfOfiMANCE OF CONSTRUCTION ��FO . ZS
S�G lUAE OF CON7FACT A/ O�A AUTIaOp�2ED AGENT iD�TE�
M � A u ✓ — \
�DATEi
�
STA�LS
P �OCCUPANCVLOAD
CU FT.
OFFSTREET PARKIN(
IGARAGES
Fire SC $1.20
JTAL FEE
�Z.�S
�MIS IS�UR�ERAyI�
r�� t
1vEw
ADDN
�►I,TER
[l
[l
[l
ConstivctionAddress:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERNIIT APPLICATION
�as�- �:�=r t�S� . ��-; �t.��, �^N. � sy 3
Effective 1/1/99
�o�'
�� ��
Legal Description:
Owner Name & Address: �� S T� �"-1 � Tel: # 5� i���� y
Contractor: MN LICENSE #
Address: 7 (9 a1 �� S�- (�: �ct' ��D . �c: � (�ey� MN . S S�i3 Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AR�A:
DECK AREA:
01'��R:
DESCRIPTION OF IlVIPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
� t = t2-,e��� °� �� s' -- � �F�f ._ " :
Sq. Ft.
Sq. Ft.
�
Construction Type: � � G o'� ` �� � � � Estimated Cost: $ �9�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: �S "' S ^ �� APPLICANT: � Tel. � s � � � � ��
CITY USE ONLY
Permit Fee
Fire Surcharge.
State Surcharge
SAC Chazge
License 5urcharge
Driveway Fscrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �o. aS�
$ �a ��
$ �
$
$
$
$
$
$
�
�� � � �
�
Fee Schedule on Reverse Side
.QOl 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 [ ]
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
sttucture, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein l�low set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,0�
$25,�1 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,0�,�1 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1, 000 or fraction thereof, to and including $100, 000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for consiruction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
p Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
� ��_
� -
b
I Su6�8Cr
c�ty of Fridley
AT THE TOP OF TME TWINS g U I L D i N G P E R M I T
i �
� �
; ; y �_��_ COMMUNITV OEVEIOPMENT OIV.
r � � PROTECTIVE INSPECTION SEC.
� i .
� �'�'1 � CITY HALL FRIOLEr SS132 Nu►teEP pEV OATE
�"""'�� �'' 612-57�-3ab0 s�aF�s 5/7/99
JOB ADDRESS 7627 East River Road
1 IEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. t.6, Par. Rev. Auditor's Subdivision �'�77
2 PiiOPERTY OWNER MAIL ADDRESS 21P
Perry Ell
3 CONTRACTOR MAIL ADDRESS tIP
Owner
a ARCNITECT OR DESIGNER MAIL ADDRESS ZIP
5 ENGINEER MAIL ADORESS ZIp
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION � ALTERATION ❑ REPAIR
8 DESCRIBE WORK
Fin3sh basement
9 CHANGEOFUSEFqOM TO
STIPULATIONS
See notations on plan.
SEPARATE PERMI7S AqE REOUIREO FOR EIECTRICAL, PLUMBING, MEATING, TYPE OF C
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 2pNING
AUTHORIZED IS NOT COMMENCEO WITHIN 80 OAYS, OR IF CONSTRUCTION
ON WOpK IS SUSPENDED OR ABANDONED fOR A PERIOO OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLI
I HEREBY CERTIFV TMAT I MAVE READ AND EXAMINEO THIS APPLICATION
AND KNOW TME SAME TQ BE TFUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATIOi
AND ORDINANCES GOVERNING THIS TVPE OF WORK WI�� BE COMPLIED
WITM WHE7MER SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT �ZOOO
DOES NOT PRESUME TO GiVE AUTMORITY TO VIOLATE OR CANCEL TNE pERMl7 FE
PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGUTATING CON-
STRUCTION OFi 7ME PERfOfiMANCE OP CONSTRUC710N y$()2.25
L9i
STALlS
TUAEOFCON'iIACTOpON4UTMOp�IEDAGENT IDAfE� WMEN PROPERLV
���
UAE O� O NE ��F O Ea Bw�DEp� �DATE� o� nr. �reo
PAGE Oi
/ /
�'ERMIT NO.
29425
RECEIPT NO.
�6��
APPROVEO B�
SEE ATTACNED
SHEET
PHONE
571-4884
PMONE LICENSE NO
PNONE LICENSE NO.
PMONE LICENSE NO
O MOVE O REMOVE
P � OCCUPANCY LOAD
f PARKIN(
GARAGES
$1.00
iAC CMAqGE
Fire SC $1.00
'OTAL FEE
$65.25
1 TMIS IS VOUR PEFIMIT
/1` T
r�w �
ADDN
ALTER
_���
Il
[l
ConstructionAddress:
Legal Description: _
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUII.DING PERMIT APPLICATION
�� S� IR:v=t' �.o. rc•�rPy � �.�v,. SS�(3Z
Effective 1 / 1 /99
l,'�
�� ��
� ��O
����
Owner Name & Address: Qt�'�N � L�- �C��� E�� R;vcr �- F<i d�PY,Mti. Tel. #�?I � y a$y
Contractor: MN LICENSE �
Address: Tel. �
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
01'HER:
DESCRIPTION OF IlViPROVEMENT
Length Width Height
Length Width Height
Length d Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: Estimated Cost: $ �L� �
(Fee Schedule on Back)
.Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
na�: �� -a�-9 9 APPLICANT: Tel. #��k� S'�g� - 3� 3g
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
� � Z�
$ �� �
$ /.�
$
$
$
$
$
$
$ �� 2`�
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,Q00 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure; upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,�1 to $25,OQ0
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to� $1,000,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional$1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B" : Removal and replacement of curb and gutter and insta.11 a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for consnuction will be issued. a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundarion once it has it has been constructed
will be required before proceeding with the framing.
Every elenpin� room shall have at least one �
window with a stll height of not more thzn 44'
aD v tAe fl P d h il r'd t i as than
�- _1
� � o0 0o an ca povieno e
5.7 sQ. fX. of openable area. Min. width 22".
min. height 24'.
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CHIMNEY AND STACK VERIFICATION .
The undersigned hereby verifies that the existing chirnney or stack:
1. Has been carefully examined Yes () No ()
2. Is free from rust or deterioration Yes () No ()
3. Has no foreign objects lodged vvithin Yes O Z�To O
4. Is securely supported Yes () No ()•
5. Meets all current Code requirements for size
and total BTU's connected Yes () No ()
6 Has total heating BTU's of
All other BTiJ's
TOTAL BTU's
7. Has a liner been provided for water heater � Yes O No O
8. Has combustion air been provided for water heater Yes () No ()
Remarks:
List ALTERATIONS Bein� Done: .
HEATING CO:
Signed By:
Date: �
�
�; , 4
�
�
CI"IYOE
FRlDLE.Y
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
August 9, 2000
Perry EII
7627 East River Road NE
Fridley, MN 55432
Re: Final Inspection at 7627 East River Road NE
Contractor: Royalton Heating and Cooling
Dear Mr. EII:
A mechanical permit was issued on May 30, 2000 for the property located at
7627 East River Road NE for an air conditioning unit. According to Section
305(a) of the 1991 Uniform Mechanical Code a final inspection shall be
performed on the mechanical system. As of this date no inspection has been
called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
Building
Inspections
763-572-3604
Da� � '.� T �
SITE ADDRESS
THIS APPLICANT IS;
PROPERTY
OWNER/
TENANT
MECHANICAL
RESIDENTIAL APPLICATION
CI'TY OF FRID�E�
YOUR B-MAIL ADDRESS
0 OWNER �CONTRACTQR
co�,v�nr
Permit No.;
Received By:
SUBMIT A COPY OF CONTAGT PERSON: _C(�/d ��q,�l C[�
YOUR STATE STATE LICE�N7SE # �� g� Dp'�
LICENSE WTfH ,,�DgFSS: ( " CTTY RL I�1� STATE,�ZIP�p�
APPLICATION pHONE �T�p 3 " �%�� � �� FAX
PERNIIT TYPE
TYPE OF WORK:
�SINGLE FAMILY ❑ TWO FAIvIILY
❑ NEw �REPI,ACEiwIEATT
DETAILED DESCRIP'�ION OF WORK
❑ TOWNHOLJSE
O AL TTERAATION/REMODII.
PER MS 16B.665 the permit fee is a minimam of $15.00 or 5°10 of the total cost up to $SOD'.00; whichaver is greater, for the
improvement, installation or replacement of a residentia.l fixture, excluding the fvctures. (This should reflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WHERE LABOR EXCEEDS $500, ARE BASID ON $10.00 PER FIXTIJRE, EXCEPT WHERE NpTED, FlXTURHS; (II4DICAT$ TOTAL
NUMBER OF EACH BELOV� �/
Equipment Installed , MFG: (�li MODEL: 1/ SIZFJBTU
A�ffG: MODEL: STZEJBTU
MFO: MODII.: SIZE/BTL)
A/C $25.00 CE (GAS) $15.00 _GAS WWGFlOVEN $10.Q0
_AIR TO AIIt EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW (�AS GRII,L $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
�°� a �� ����—��� —
Permit Fee $ Number of fixbures @$ t 0.00 x$10.00 �_ $ �
Surcharge $ .50 Number of fixhxres @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @$25.00 x$25.00 =$
� Number of Sxtures @ $35.OU � x $35.00 = $ ��. j�p
State Surchazge = $ 50
' Total = $�
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acl�owledge 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 f r a ermit and work 's not to start without a permit; that the work will be in accordance with the
approved plan in the case o wor i equires revie and approval of pl .,
SIGNATURE OF APPLICANT PR1Nf NAME � 0 P DATE ��
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
� 763-572-3604
FAX: 763-502-4977