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AF - 42052Appiication �or Power Plants and Healing, Cooling, Yentilation. Refrigeration and Air Conditioning Srstems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . . .. . . . . . . . . . . $10.00 $ Replacement of Furnace ............................. 6.00 3 Repairs & Alterations—up to $50Q.00 . . . . . . . . . . . . . . . . . . 6.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 3.00 $ MECH. WARM AIR ' F'urnace Shell & Duct Work to 17A,OOQ BTiJ . . . . . . . . . . . . $10.00 $ � each add. 60,Q00 BTLT . . .. ...... .. . . .. .. .. .. . 3.00 � Replacement of Fixrnace ............................. 6.00 $ Repairs & Alterations—up to $500.60 . . . . . . .. . . . . . . . . . 6.00 $ Repairs & Alterations each add. $500.00 . . . . . . .. . . .. . . 3.00 $ 3TEAM or HOT WATER SYSTEM Furnace Shell & Lines—ta 400 sq. ft. EDR Steam .... .$10.00 $ F'urnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . 3.00 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 3.00 $ OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ � over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x ,75 $ Gas Range to 199,000 ., x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL � See Fee Schedule $ � TOTAL FEE �� Dept. of Bldgs. Phone 560-3450 U ` � City of Fridley: The undersigned hereby makes application for ,a permit for the work hereir. specified, agreeing to do ail work in strict accordance with the City Ordinance: and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Kind of Building ��`",�.�� Used as ,��u��-�i��6'�� To be completed about �/� N• �i �� _ _ Estimated Cost, $ � � Old�e�'�.° Building Permit No. Permit No. --�r3,�� DESCRIPTION OF WORK HEATING or PO R PI.AN1'S—�Steam, Hot Water, arm_Ai�--No. � Trade Name % � �>'S �� Size No.��%�,� Capacity Sq. Ft. E.D.R. � �� BTIT H,P, �- f �i � �� G , Total Connected Load_;" �'� Kind of Fue '� BURNER — Trade Name G�J` �� Size No. �� ' Capacity Sq. Ft. E.D.ft. ,d��C'� �� BTU Ii,p, (REMARKS OV�B�,.� �42 ��AY I�I. W ELTER H EAT� N 6 C C� . Signe �6'3,rE`1 FF6.�d.A evE By Vi 7. MINNE�OT�► Business Phone No. �� `� "'" • �-�5-�%-�� City of Fridley, Minn. �jo 10 0 41 BUILDING PERMIT Date: _.._...._.._..._....._Nov�.26 z_1968__.._._.___..__.__.._._ Owner: __.__.._....._..I3.c�.r..t..�2�G�.rsll�.r._.._.._.._._ Builder _.___._Sa.m�e__.....__._.......-•---_..._.__..__..._......._..._._.._._._.._._... Address _.__.._.._:..._. �51 ._ E l.y__St.... 1V_.... E.. ...._.._..._..._.._.._ Address _.___.___ Same _._.___._...__.__....._. _.__.._.._.�..__._...� LOCATION OF BUILDING 251 E 1 S t. N. E. .. . Part of Lot -----_...._....____..___._.—..�_ No. .---------------��----�--- street _.._ ............._........�_..__._...__.._._.__.......__.__....._.......----�-�----�--- - Lot .---.__13... &....14 Block _.._......._.14_........_..._..---------- Addition or Sub-Division ..----•-•...._.��a2�lilg....R�.s].ok....E.a.7r.k..___.._..._._ Corner Lot ...__ ............._....... Inside Lot ------•---X------•------,--------- Setback ...._......_._._.. 35'.._ Sideyard ..._.15 �._.._...__.._._:...___._._......,...... Sewer Elevatian ----._......_.848;_88__...._......_...._.__..__......._. _.._ _ ...._.._.$5.L.8$__ Top of Footin� DESCRIPTION OF BUILDING To be Used as: Dwelling.__....._.____ Front _3_� �_..._. DePth .....34..'...._. Height .24..'......._.. Sq. F't ._.�......9.SQ Cu. FL _L9..,.fiDD _.._.._........_........_.._...._......__......_ Front _____...._..__ Depth ...-•--•.._.......__ Height ._.-------....__ Sq. Ft. _.._..._...._.. Cu. F� _._._._..._— Zj�pe of Construction _..._..__Frame----_..__..-----•---.. Est. Cost _...._$17_,_000 _.......---...... To be Completed _..._...__.�_._.._.____._._. � SEWER LOCATION - 9.5' East of Manhole � TOP OF �OOTING - 20.7' East of Manhole In consideration of the issuance to me of a permit to construct the building described above, I agree to do th� proposed work in accordance with the description above set forth and in compliance with all pravisions of c�rdinances of the city of Fridley. .<�.s��N�. � �-��"KcT�!!��' $100.00 Sewer Connection Char�e 30.00 . Robert DeGardner In c�sfdera.tion of the payment of a fee of �._._..__..�...._._....._.., pernut is hereby granted to_.._.. � ...._�.........__.._._.._.....__.:_.�.._...__, 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 hfs agents, employees and workmen, ia all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinanc�e� � Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buil�g within the city Iimits and Uus permit may be revoked a t ar�y time upan violation of any of the provisions of sa�d ordinances. NOTICE: ?hL p�emil doa not �over Nu eon�ruefku, fnsfallNtan for wirtno, piumbing, gu h�Mia4, t�wK or walk. B� sun to tN 1h� Buildiag Insp�e for s�paraN p�rmih for ih�a fNms. e h i '� APPLICATIOPT �'OR BUII�TNC PF�IIT U TTY OF FR IDLEY , I�LTNNESOTA owr� �s ru��,e,E3��Pr i�_ oE ti"�,✓�-,�Q BuTLn� .._.. a��s a.s'�� ? � �xESs � LCCATION OF BUILDII�TG NC� e � s , / STREET �'� /� • �• � V / LOT %3 f 1�BLOCK /c/ A�DITION OR SUBDIVISION - �.e,� /�a-v�e, COa?'�'�i LC�'I' IN ;IDE LOT ✓ SETBA�:Ir 3S ^ SIDEX.ARD /S " SE4��t EL,EVATIOPi TOP OF FOCTING Applic�.nt aitach to thie form. Two Certificatee of Survey of Lot and pro�oseci building locatior� dr�,r�n on thes•:: Ce�tificatese DESGR.SFTION OF BLTILDTNG To Be U�ed Ae: > � , / Front •� Depth � � � HeigY�t � � Square feet �0 � Cubic FeAt � �� Fro.nt Depth Height Square �Eet �80 Cubio Feet Type of Con�truction �� ,...� �a..�,Estimated Cost f� p BO �/��- To Be Completed_��,vc� / � j�_ (Tq The undersigned hexeby ma.kes application for a permit for the work he�:.�i.n epecified, agreeing to do all work in strict accordance with the City of Fridley Ordinancas and ruZings of th�: Department of Buildixiga, �.nd he�eby declarea that alI the facts and iL:�;zeAer.tations stated in this �.ppli�ation are true �nc! c;orrecto DATE �f� : a7 � /9� � SiGNATURE �s�E�s�i�- � (Schedule of Fee Costs can be fourid o.n the Reveree Sidea) /f �1 - � .�� . ��o�t� ,� � �- _'3 �� f � r �%�s ��/ �''�� r �� s. . � BIIILDING PF�tNlIT FEE SCHEDULE SECTION 2o The Inspector of Buildings sha,ll, before iasuing perciits for the erection of any building or atructure, or for �.ny addition to any exieting atructure or building, or for any alteration or repe►ira to Rny existi.ng building or structure9 upon appZication therefor�, �equ�ire the paymex�t by the applicant for such permit of fees to the amount herein below eet forth and in the ma.nner herein provided to-wit: IIniform Building Codes Type 1y 2, & 4-�1075 for each one thousazid cubia feet, or fraction thereof, in such ct�bical cnntents. Type 3� 5- �1.50 fox each one thouaand cubic feet. _ _ . _.. . .� w_ . _._._.�. �.- .�...... ...�.... _. e .. _ For the pu�rpose of computi.ng feea for building permits, the cubical contex�te of any building or addition to a uniform height throughout by multi�lying the ground area covered from a point eix (6) inches below t he f loor line o f the basement or the cellax to the average height of the upper aurface or to the average height of the roof surface of the ma.in gsble of a pitched roof. Fox re�a,ixs or alteration$ to an existing structure, the fee ehall be at the ra�te of �3.00 per each f'ive hundred dollars (;500.00) or frac�i.on thereof in the cost of all proposed worke In no case shall the �ee cha.rged for any permit �,e set forth in Section 2 be 1e�s tha.r� $5000� NSSSD Connection Cfiarges based on location - Area 1 or 2. � � E. . _ # � �� City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date• Au�ust 4.L 1972 Owner: _._...E�.�x.i..C�..r�._..B�,ti.�.7�.._�....._.._._____..._._....:_.: Builder �._.._ Same Address 25.1....E1�....5.�.��.�t._�L:E.._._------�___._._�_---_..-•---..:. Address _..._.___._�_ Same ' �1579� ��. LOCATION OF BUILDING No. ...._251_-.--------_.... Street ---.--------.---Ely--Street_N•E�.__.._._..__..r Part of Lot 13 & 14 14 Spring Brookic Park Addn Lot ------•------------------------__ Block •-------.-----.--•---.--•---------------------...---... Addition or Sub-Division --------------_4.�_________ Corner Lot ..._._........---.•---•----- Inside Lot __�...---------_.____..._.... Setback _..._...__.______._.._ Sideyard Sewer Elevation ..----•----._...-----------.-.--------_.._:.___.__........------------._...:... Foundation Elevation __ DESCRIPTION OF BUILbING To be Used as: Garage 24' 22' . �0' �528 5,280 ___....._-----...------------------------------ Front ______�.__ Depth _ Height �. F Cu. Ft .____._...._ ._ _...._._...___.. S _.___.-------...--_..------•-------------- Front .---_._...__._ Depth Height .._.._.....__._. q. F't. Cu. Ft. ------}.973 _..._...--•---- • S _..._.____.� Type of Construction ._WqQc�:__�?rame._._._..__.. Es� Cost �._._1.,500_.00.___,___ To be Completed V. Au�ust, � (2,391.84) Provide a hard surface driveway In consideration of the issuance to me o# a permit to construct the building described above, I agree to do 'khe proposed work in accordance with the description above set forth and in compliance with all provisions oP Ordinances of the city of Fridiey. ._.._.. C?'.�r��` /��Z.u.Pis1 � — 1.19 State St�rchsrae In consideration of the payment of a fee of $__�_10. 00 ^� pexmit is hereby granted to Patrick J. _�au2r.,.__..______.___._..__.______.______ to construct the building or addition as described above. This permit is granted upori the express condition that the person to whom it is granted and his agents, employees and worl�nen, ia all woTk done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances Of �"ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of built3ings }yithin the city ]imits and this permit may be revoked at an time upon violation of any of the provisions of said o�cdinances. � � BuildiY►S Inspector (:T.ARRNCE BELISLE NOTICE: This permif does not eover the construction, installation for wiring, plumbing, gas heating, sewer or waler. Bs sun to sN t6s Building Inspeeto� fo� sepawfe permits for these items. A AFp��Ax�ON FOR R�SIDENTIA�, ALT�R-AT�ON, OR Allll�TION BUILD�NG P�RMIT CITY OF FRIDLEY, MINN�SOTA OW1q�R�S NAME: .P, �T.t'/E.F: �1..t:1�11F�.1P$LJILDER:�-,�vi E' • i a� � � .Ann�ss : 02�'/— E'.z-� S�r- ,ll. C . an�ss : �S•Pmt • �� No ; . a�/ sTREET : �i� �, •�'n .r� �, �.o�r: /3 �i� BzocK: �' >� �� r,r� �,c°va/�>° � ' , ^ ADDITIONt ! ��T/pol CORNER LOT: INSIDE LOT:_�_SETBACK: SIDEX,AR.A;�� ,�ppl.icant attach to this form �o Certificates of Survey of Lot and pxopoasd building location drawn on these Certificates. DESCRIPTION OF BUILDING Tp Be Used As: �' Front : a�l�Depth : '?.2 � Height • J� r � Square Feet : 5��, g Cubic Feet : �� v , , , ' Front: Depth: Height; Square Feet; Cubic Feet: '.L�►pe of Construction: %��-s-� �i'�� Estimated Cost: /.�oc�°-� To Be C leted /9 � �� '3g � / �P .L��=, 7 v The underaigned hereby makea applicativn for a pes�nit for tt�e .wp�k ��7c��,�p spec�.f�,ed, agreeiag to do all work in sttict accordance with the G�,ty q� Ffii,dley Osdinances and rulinga of the Department of Buildings, aad '�e�eb�► deGla�es that all the facts and repreaentations stated ia thia appl�,g�k�o�p, are tzue and correct. � �T$: �- �t'- %�. SIGNATIJRE• , (�ee Reverae Side For Additioaal Information.) - � ��, %� � ,�2�-�'�-m�r�✓ � � (�` � . j. I � .�/�•�� . �TYPICAL SLAB DETAIL i �„ io Grade 6s x 10�0 wire m e s h 0 0 .I 4.�:,�,. C � g v n . 2- 4 Re— Ba�s c - �c - � � _ � iD s 45° —�t 12�� Min. 8�� M�n. i � . The above is a substitute design for frost footings, ha��ever, it is not qet accepted by the State 3s an amendment to the Uniform Building Co3e, Section 2905,a. Therefore upon using this method of construction, I agree to hold the City of Fridley harmless of any possible claim for founda.tion failure or structural damage caused by foundation failure. Q:��!.�-Cl�o Witness Pro rty Owner �v�� -�Ly S� �C„ . ��e Address of Property/Legal Desc. . . .,• . . t„ :..�. , � � , 9 E sue�ecr PERMI . City of Fridley ° 13'724 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' r ; � REC N � � _��_ COMMUNITY DEVELOPMENT DIV. �� G r � v� � PROTECTIVE INSPECTION SEC. � � 1 � 1 � �'�'1 � CITY HALL FRIDLE� 55432 NUMBEf± REV. DATE PAGE OF APPROVED BY � ""�' ,�� 612-560-3450 910-F15 8/26/76 � / JOB ADDRESS 251 - Ely Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED �ESCR. 13,14 14 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Patrick J. Bauer Sr. 251 Ely Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE �ICENSE NO. Same 4 ARCkITECT OR DESIGNER MAlL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 7'6" & 10' 7" � 8' & 4' Porch Addition 9 CHANGEOFUSEFROM TO STIPULATIONS Provide more complete drawings before capping additi.on. SEPERaTE PERMITS REQUiREa FOR i�tiRlhlG, NEATtI�G, PLUMBIN� AND SlGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD SEPARATE PERMITSARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCI FL'dAl@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GARAGES AND KNOW THE SAME TO SE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED y4`$SO $. SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $%, SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE �`8. 0� � SI UREOFCO TRACTORO AUTHORIZEDAGENT (DATEI EN O EFi VALIDATED THIS IS YOUR PERMIT ` �-- �6 - ?( � �.? F 6 � , -�"�iiGNATURE OF OW IIF OWN R BUILDERI IDATEI B�DG INSP ATE . CE�iI�l�ATE O� SU�tVEY MILNER W. CARLEY & ASSOClATE� CONSULTING CIViL ENGINEERS LA[�!D SURVEYORS 50b W. HWY. 96 314 QAK ST. 18 4TH AV�. S.E. ST, PAUL 12, MlNN. SAUK CENTRE, MINN. ST. CLOUQ, MINN. 4843301 3523664 . 251-7752 I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that 1 am a dvly Registered Land Surveyor under the laws of the State of Minnesofa. t • • Reg. No.7725_Dare_June 18, 1968 ; , �� P H i C. L�O Gc�T/J/! !l/J/ff� ✓�iy � � /9�z _ ; ,� ,... � �`1 \t ; � � � �,:�, ^ } . � j . �y '. .. � ` . . , _ i �; -\-� �1 ��: I 1 � {� �. . .' � . .. - I D � / / `-�' � . -� M� . � � . � � . . ' . . 1 S j"-4G, ts 13 and 1�4, Slock 14 RIi�IG SROQK PARK RD�JITION, oka County, Minn. - , _.._.,___ ,. _ _ _.. .,._.__..�-_ �_. � j`� / / t'"_ � • �aq saq �Cauedn��0 3a •panss� i�s pue :Panes� , ou �tgu8 ain��nt�s p• o asn a�t� °� � a dn��o io pasn a� � $�us ;o l��uedn��o I uo��g�"'�Zdd� z�un p � axn��nia � xo� . a��i3��xa�_g��uzv'i'�nq e �l�'�uM xo3,c�.�edn��p �o 'a��'�3'��a . CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATTON, ADDITION, OR REPRIR BUILDING PERMIT ,� ,---.� - ,--,/ OWD?ER' S NAZ�iE : /��/G �I. /</iit/�%� � BUILD�R : f'�.� � �- /.fJ�il�� - ADDI2�SS : o��/"� o�r.�'�t% � L`. ADDR�SS :� 3% —�GL,� •�i • it/�G , N0: :IS / STRL'ET: ��y �%��`?c�T � LOT : � 3 �'�i � BLOCK: / 5� ADDITI01�' : S /d'(�� /'Gv�f2� CORNER LOT: INSIDE LOT: SETBACK:' SIDEYARD: Applicant atiach to this form �ao Certi.ficates of SurveY of Lot and proposed building location drawn on these Certificates, r UFSCRIPTION OF BUILDING To Be Used As: 4/�? f/ Front: %G�g /Q��`' Depth: �rs� S� � Heibht: �O � (, �� . , , � Square Feet : l� �� Cubic Feet : /O %�- Sl Front: Depth: Hei�ht: Squaxe Feet; Cubic I'eet: �pe of Construction: L/C,�/T Estimated Cost: S �.50-� . To Se Completed: � � /j�� Ttie undersigned hereby makes applic.ati�n for a permit for the work herein specified, agreeing to do all �aork in st`rict accordance with the City of Fridley Ordinances and rulings of the Depar.tm.ent of Buildin�s, and hereUy declares that all the facts and representations stated in this appl.ication are true and corz•ect. I DATE : — °�C� - �L STGNATURE : �'�C�� '- / c-/�� (See Reverse Side For Additional Iniorm.tion.� � '' : , .� STt'�� f}-r� a�-+� s ; - � ; , .7 .._�,��. ..m..--n ,..r,�._- r .�.�._.:x. .,..� F'D / ?iv�t Of� �o�� C'v�u,� E � �---------- � �a .�i¢u.S �.�1"�-S � � E�daG"� G C�1�O/��'�..�._ �; ��-��-� . ' � ��-d° � ��.� 4� _� � � i �,%�. . ,_ . , ; �� , � ,�� , . ___ _ / ___. _ _ �c�,— ->' /�" 0.4. �"rry � �PlaFr�,�2 SuPl9oRTs ; pn�ik: ----�- �...---�_�_.�_,_ + .7�;"'1 „ �, ,�%r� t�e � �k i• �t'oo�,NC -f�. �y;�� _ r. '� ±�Fi62y { � �_�5 �=- /' � .�..�///�� . � w�� ^IG�� (Ls� �_.... 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'� jjurvEwA�{ � -- � --� �---7 �. � ;�� . . a,r./ �'a SruoS �`� _ /�"a.C. 4 \. ' , � „ - ,...�' � r� 8"s� �'xi6" i�JfJ;..,��..t`Tc )�CDB� , �0 � K , l{} � � ) C h \ � \ j ,�° cu�c 1 txrrarorL Ptywoo� � � � � � i \ �. 21�� $oLC ;;,, � � 7 � �h u a�Kj��.�� o�az.�l'.a.+C. e.a- `�aa,,n," F v-aE'.e.�> ' Lt�. �}�t 5.�,re� � �'`, �� r��,�, 'J\ � Qic(,'' /e�%" Laaa Arin�NcYJ Tn }�ouaC e'F�OC,rL � � .. �; � f /(.� _�', _i. __ _ 8',r8'� ror,c e� :c' L,ii � rc�<oee. ,'� � ; �bVfi , �f� L ! a 1�/ �4 � � ��r � � � aoU� 1 �! ( , ��t� l , , � , �. ,; � i l ' �, i �� i i + � � : .4 c� ��i._. ` , , } _ -- ' : j,�� j •__,: _ ..__.��__ -_._ - - ` � � -- �.. � . .� �, g 1= � �tC /(n� /•. QoNC.a�rt l��otr4 mu �j�"' �ONC4�rC FodN D4 �,ou ^ J� ,� SUBJEC7 . PER City of Fridley 2 2� AT THE �OP OF THE TWINS g � i L D I N G P E R M I T � � RE NO. � � � ; L .__._ COMMUNITY DEVELOPMENT pIV. ��l � � �� PFOTECTIVE INSPECTION SEC. jv� � � �"�'1 � CfTY HALL FRI�LEv 55432 NUMBER REV. pATE PAGE OF APPROVED BV �""�'� ��' 612-571-3450 910-F15 9j20/93 / / JOB ADDRESS 251 Ely Street NE t IEGAL �OT N0. BLOCK TFiACT OR ADDITION SEE ATTACHED oESCR. 13, 14 14 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDR£SS 21P PHONE Patrick J Bauer 251 Ely Street NE 784-2851 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL AODRESS ZtP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Re s iden ti al 7 CLAS3 OF WORK O NEW ❑ ADDITION � ALTERATION [� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroo� HQUS.e (_18 Squares) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roa�ing can be the 2nd layer but not the 3rd. Install adequate attic ventilation. Pxovide smoke detectors as per UBC 1210 adjacent to a11 sleeping areas and in the basement. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCY�OAD SEPARATE PERMITS ARE REOUIRED FOR ELECTNICAL, PLUMBING, HEATING, VENT{LATING OR AIR CONDI7iONING. THIS PEAMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OA IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERI00 OF 120 DAYS AT ANY TIME AFTEF WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICASION �' STALIS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF IAWS VALUATION SUFiTAX AND OROINANCES GOVERNiNG THIS TYPE OF WORK WILL BE COMPLIED $1,440 S� 72 WITH WHE7HER SPECIFIED HEREIN OR NOT. THE GRAN7ING Of A PERMIT 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. $3S.00 Fire SC $1.40 PLAN CHECKFEE TOTALFEE $37.12 NATUREOF N�AACT ORAUTHORIZED GENt IOATE� WHEN RLY V IDA7E0 THIS IS YOUR PERMIT SiGNnTUAEOF NEV7UF WNERBU�lOERi �D�1 � �BLD ��NSP � �FTE NEW ADDN .ALTF�It t� Il � Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ��—��T,ti�� L�gal Description: � � i3 f `i� _ ��.,�i� -7� Effective Sl26/93 Owner Name 8c Address: �r�/C'/G ��f�7� Tel. #��51 ��'s I Contractor: ��p f/� MN LICENSE # Address: LIVING AREA: Length GARAGE AREA: Length DECK ARF'A: I,ength OTHER: Attach ta this application, a Certificate of Survey of the lot, with the propc�sed construction drawn oa it to scaie. DESCRIPTIUN OF IMPROVEMENT Width Width Width =� — ��JV �r Height Height HgtlGrounci , ., Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ j Inside Lot ] Ft. Yd Setback Side Yazd Setbacks Type of Conshvctian: �. ' Estimated Cast: $ jff ��> =✓ `� l'>�%��--Lr�S I' Approx. Complet�ion Date: (CosE on Back) Driveway Cwrb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ � � // DATE: �' APPLICANT: �GC :. ' , �� Tel. # %�Y " ��/ Permit Fee Fire Surcharge State Surcharge 5AC Gharge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Chazge TOTAL S �S.DU � - �0 $ . '�� $ $ � $ S � � .� '%, /� f � Fee Schedule on Reverse Side .Qill of Permit Valuation (IllOrh%) $.SO/$1,OOU Valuation $?50 per SAC Unit $5.00 {State Lice� Residential C.ontractors) Alt. "A" or Alt. "B" Above Consen+ation Plan Review $450.00 Fee Det,ermined by Engineering Agreement Necessary [ ] Not Necessazy ( ) STIPULATiONS: � _ _. � s�e�ecr PERMIT NO. City of Fridley � � � � � AT THE TOP OF THE TWINS g U I L D I N G P E R M i T „ , � RECEIPT NO. � ` ��_ COMMUNITY DEVELOPMENT DIV. r � V PROTECTIVE INSPECTION SEC. , _. 3� , _ � 1 �"'\ � CITY HALL FRIDLEv 55432 NUMBER REV OATE PAGE UF APPqOVEO B� �""'�" �'' 612-571-3450 910-F15 8/7/96 / � 108 ADDRESS 251 Ely Street 1 LEGA� LOT NO. BLOCK TRACT OR AODITION SEE ATTACHEp DESCR. 13,14 14 Spring Brook Park SHEET 2 PROPERTY OWNER MA1L ADDRESS ZIP PHQNE Patrick/Virginia Bauer 251 Ely Street NE 784-2851 3 CONTRACTOR MAIL ADDRESS ZIP PMONE IICENSE NO Douglas Builders & Remodelers Inc 11960 Chisago Blvd, Chisago Cit , MN 55013 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 464-7140 1928 5 ENGINEER MAII ADDRESS ZIP PHONE UCENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK O NEW � ADDITION O ALTERATION ❑ REPAIR p MOVE O REMOVE 8 OESCRIBE WORK Construct a 23'6" x 18' Addition 9 CHANGE QF USE FROM TO STIPULA710NS See notations on plan. �� Before diggi�g ca!I for al{ utility focations 454-0002 REQUIRED �Y Lo�',�( SE�''ARATE PERMITS REQUIRED FOR �ViR1NG, HEATtNG, PLUNtBlNG AND S1Gl'� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO SEPARATE PEAMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILA7ING OF AIR GONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT�ON ZONING SQ. F7. CU. FT. AUTHORIZEO IS N07 COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOFK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKWG I HEREBY CERTIFY THAT I HAVE READ ANQ EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF I.AWS VA�UATiON SUR7AX AND OROINANCES GOVERNING 7HIS TYPE OF WORK WILI BE COMPLIED WITH WNETHER SPEClFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �26,056 �13.03 DOES NOT PRESUME TO GIVE AUTHORI7Y TO VIQLATE OR CANCEL 7HE pERM1T FEE SAC CHARGE PFOVISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING coN- �367.75 Fire SC �26.OG STRUCTIO OR THE PERFOFMA CE OF CONS7RUCTION. PLAN GHECK FEE TOTAL FEE � License SC $5.00 $411.84 s�cNnTUAeofc - acTfa9,paq�THOa�zEOa�en,T ionTe� WHEN PROPERLY VAL 7ED THiS iS vOUR PERMiT `�.i1�C � — /_� ^ �/ .r �.,��'!�Y � � �,C� -' ; :% � ` i- SiGNATURE OF OWNER�iF OWNER BUILDERi IDATE� BLDG � SP �1F7E NEW ADDN ALTER �l [� L] ConstructionAddre Legal Description: Effective 3/ 1 /96 CITY OF FRIDLEY 5INGLE FAMII.Y AND DUPLEXES R-1 AND R-2 Building Permit Application Owner Name & Address: }�-��,�� \/' ( �-,� N � p� ��,'?�_ Tel. # `7 gG� - Z��4 Contractar: �� )�-, L,�`� j'��'' j Lp� �-�� C�,j�i[��L _.��,? +),�.1��. MN LICENSE #�'X`�,� j�2,�S Address : 1 � � (t C� � �-� 1�1`-�� ---V'_� �'�{--I k�AC-� C i i�`f dM � �`�� '7 Tel. # ��s^ � �� Attach to this application, a Certificate of Survey of the �� `��'�-`"�' lot, with the proposed construction drawn on it to scale. LNING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT ► Length `L��-�c Width �C� Height , �j Length Width Height Length Width HgtiGround Sq. Ft. �� C ', `f'C) Sq. Ft. - ��,U�`,S� Sq. Ft. Corner Lot [] Inside Lot � Ft. Yd Setback Side Yard Setbacks Type of Constniction: � �� . �t� Estimated Cost: $ 'L�? i ��'�'� , ��'? , `��, l�, SC Approx. Completion Date: � - ?�� - ��-, (Cost on Back) Driveway Curb C�.it Width Needed: Ft. + 6 Ft = Ft x$. DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control . Park Fee Sewer Main Charge il��ll�T�l�J STIPULATIONS: $ % n � ��,�� /3, a3 $ � �� d° $ $ $ $ $ �. CITY USE or�Y Fee Schedule on Reverse Side _$ Tel. # .001 of Permit Valuation (1/lOth%} $.50/$1,000 Valuation $900 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 [ ] , - 4� , , � � d ' i , , � �_ . ��_ ._ . . . � . ,, , .. __ _�_ _ �__._ _ -- -- . _ . , - __ _ _ - - , , , _ _ _ . ! 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I• �O� I G �o. � �u'iU �� -rF-E �. . � ,► -�-- � �1 w/ � t -- I - - �J � �� I I _ � �x� �3 P�M� ��ra _ ,�uwM. Fi�x� ' y�N?�! :_ G;��,-r7' . _ _ __ I f � l�ii�{/i� 'v' . .1 .. . _.. . . _ �_ �' "� �t -- ��'.�t fATID L'3i2. ' a �-� I3� Gi�l , w �f,i , I'� �;' , ; � �� A\ •� v x N� � , � f ;' � 2A48 2-I x3-II��. _ o ''� �� =x�5'i: .. .�X15T, . � . �tN,.tzM� _ . . : t�tT�t�! _ _--:- - �-,��,�� '%� �' � .�L L �'�/�r.' �S � ,�`,t,�,��-'� %� -� /i;J /'��- SL.�r'�' ,C��-��'�'-5. � � i �! I I I `,,,��. � �� 'i'jw�,� 24��OG, oi�-� 2X� �-. �a�r� t� ��m,�, �-Vau�-r� �, � a2��t(� ��.7 �� .k!/l�-u-�f�'? .-, �L.T � IGE G►1/ __ :._ ._ ._... 37131.� VINl1.. L,p�P g�DIIVG _ � ��nL''��,f,�,f 7/lC." WI��F.-�,P.� �'-..�ItT� - _ -n�u�/ �', l',� _ _ 2Xl� -1(o"O•G� _ � ... _. . ! y ��,�� v� ,., .,�,F� � ,�J � � 2x4it��D 1�. .�`'�� r�L �` �'4" T�� -�c.u�1� �NAU.� CjIL,I., �;��,�. 1 V�`';J �r�, 2x8- I(v �' D.G. .!`"-.�'t�.� �,a ; ��} ^C ��fyCk�.S - �i � O, G� � . G�I�. � . _ . . ...._ .. . � ( 2 �� GCi�iG... �3L.�--- =-�-- --- �., 2d X 8�Tlo i W�2 -�q- (� Mlt... ��G GRGJND 6� F�! GG�T '� 2uRIpG� �`1��: . C ��t qJ �T, �,1�., � , . . ., :. _ _ �._�. .. _ ..._ _ ��c8 _ . . _ 3X�c I ' . _ .. ; � i� .._ �G ( C�fJ � � ! � �t a,� fJ �� (� _ -- -- � /.�� . , -.,, _ _ _ _ . _ � � _ ' ' -__,. , . . _ . , 1�8= _- . -. . _.. _ __. :� CITY OF FRIDl.EYlNSPECTlON plV. 6431 University Ave NE Fridley, MN 55432 572— 3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 APPL•ICATION FOR PLUMBING AND GAS F1TfING PERMIT MARK NIJMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR , .:.::;::::. ::::>: ;.., 8�th : '.; ; Wash E?�(nk� Floor ��t�}�:::;: Auto, Urinal Tu(z':. .; Shower S:ink :: Tray �aU��;�:<'<::`` Orain �a�tn;:;::: Washer PLUMBING FIXTURE FiATES: NO, RATE TOTAL New Fixtures '-� $ 7.00 �f �� Old Opening, New Fixture $ 4,00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7,00 Sump/Receiving Tank $ 7,pp Water Tre�ting Appliance $10,00 Water Heater —Electric $ 7,00 Water Heater — Gas** $10,00 Gas Range** $10,00 Gas pryer** $10.00 Back Flow Preventer Required ()Yes () tVo Type $15,00 Reinspectfon Fee $42,00/Hr •� ALL OTHERS AND/OR REPAIRS AND A�TERATIONS 1.5°� of Value of Fixture or Appliance 3 5tate Surcharge $ ,50 TOTAL FEE $ �� S� � Effective On March 1, 1996 Gas � MisC' ! Water Heater Range �ixt ; Gas Elec JOB ADDRESS �J` � �! The undersigned hereby makes application for a permft for the work herein specified agreeing t� 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. �� , 1996 Owner� �-�f �! Q� % � �' f - iZ $� s' / Buildfng�Used As__ �,� r, �,q Estimated Cost S�. � pEAMIT NO. /��3 �� PLUMBING COMPANY SIGNED BY �.� C�' Approved By � TEL N0. Rough—In Date Final Date PLUS THE $.50 STA7E SURCHARGE **COMBUSiION AIR SHALL BE PROVIDED PER UMC S�CTiON 504(A) AND TABLE 6—A. MINIMUM SIZE 9 S� INCHES. CITY QF FRIDLEY INSPECTION DIV, Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 �4PPLICATIOfV FOH PaWER PLANTS AND HEATI�dG, COOLIWG, VEN7ILATION, 572-3604 . REFRIGERATION AND AIR CONDITIONING SYSTEMS A�V�A DEVIG�ES RATE SCHEnULE Rasidentiai Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Ne@ded w)th new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK} 1% of Value of Appliance or Work Commorcial/i ndustrial 1.25% of Value of Appliance or Work Rat� TOTAL $ 30,00 $ $ 10,00 $ $10.00 $ $ 10,00 $ $ 25.00 $ $ �� J`U $ State Surcharge 70TAL FEE .50 �� *Air Conditfoners can not be piaced in a �ide yard without written permission from adjoining property owner. JOB �4DDFIESu ` � �L � The undErsign�d hereby makes �pplication for a p�rmit for tfie work herein specified agreoin� to do all work in strict accordance with the City Codes and rulings of the Buiiding Division, and hereby declares that all the facts and representation� stat�d (n this application are true and correct. _� `"�l ,1996 .-, ' � i � �i — BUILDING USED AS �� ESTIMAT�D COST � S� _ PERMIT NO.�� ,F CRI�T�ON OF FI��E ANC7 O�j, BURNER No, of Heating Units Gircie Ono (Steam) (Hot Water) (Warm Air) Trad�► Name Size No, BTU HP EDR Fuel Totai Connected �oad Burner 7rade Name Size No, BTU HP EDR HEA7ING COMPANY Sign�d � Tel No. 6��5'' �%'i�% � Approved By Rough—In Oate Final Date FILL OUT E3ACK SID� F R STACK VERIFIGATION ON REPLACEMENT FURNACE C�IlVINEY AND STACB 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 O No O 3. Has no foreign objects lodged within Yes O No O 4. Is securely supported Yes O No O 5. Meets all current Code requirements for size and total BTU's connected Yes O No O 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes O No O 8. Has combusrion air been provided for water heater Yes O No O Remarks: . List ALTERATIONS Being Done: /L�G< -t' � Pa � .-� `�1.��'P S CL st � �/ ` r H S �� HEATING CO: Signed By: Date: 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 DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Pi ing (Needed with new furnace) � /� �e� � �/�'-�' Gas Range : � C,[.. �fl� � Gas Dryer *Air Conditioning'— All Sizes All Othersl�epai�s & Afterations (LIST ON BACK) 1% of Va1ue of Appliance or Work , . Commercial/I nd�strial 1.25% of Value of Appliance or Work ' Rate TOTAL $ 30.00 $ .� $10.00 $� e , 0 0 $10.00 $ $10,00 $ $ 25.00 $ $ $ State Surcharge TOTAL FEE $ .50 � -'=" as..-.so MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 1998 JOB ADDRESS �Z � � � f..� S� The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true an correct. 3 � ,1998- OWNER ��. � �cs.ve.� BUILDING USED AS ��'"�4 � a,.s ESTIMATED COST Z a Q�'T PERMIT NO. �`� �' DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name 1'Hr,t,�cs •c Size No. � V 1� � C�N BTU 30y otrp HP EDR � Fuel �S u�...� Total Connected Laad Burner Trade Name BTU HEATING MP� Signed B Approved By � FILLOUT BACK SIDE FOR ST REPLACEMENT FURNACE Size No. HP EDR_ � � . �1..�..,.-_� Rough—In Date VERIFICATION ON Tel No. 7�� 7 i% Final Date `�' 2 '`�� CHIlVINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined � Yes O No O 2. Is free from rust or deterioration Yes O No O 3. Has no foreign objects lodged within Yes O No O 4. Is securely supported Yes () No () 5. Meets all cunent Code requirements for size - and total BTU's connected Yes O No O 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No () 8. Has combustion air been provided for water heater Yes () No () Remarks: List ALTERATIONS Bein Done: � St�' �i :jcc UQ w 7`- �� v�-- � HEATING CO: Signed By: Date: � '�/��v3 �� E� i�� tl�.�% �a1,aJ��b�2.s` �� r�Ii� S,��GS . y � ��,� �� Ju::�u�} i, �� Cs,iY OF'FRIDLEY INSPECTION DIViSION ��lA��/� ��/�% �� `� �'��'�� m'6° ��`' ��/' `ri'431 University Ave NE Fridley, MN 55432 APPUCATION FOR POWER PLANTS AND HEATtNG, COOLING, VENTILATION, (763) 572-3604 _ REFRiGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 � RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace = (Side Vent - FiII 0ut Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range � Gas Dryer Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 *Air Conditioning -All Sizes $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) .: 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of.Appliance or Work - State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDI710NING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. c a TOTAL $� ,. $ . $ : $ $ $ $ $ .50 $�� JOB ADDRESS o�� Z � �'Ti�c' � Ni.�-z OWNER �l nc6/ Nl A �A�cl� BUILDING USED AS�� `��-Y-1 N� ESTIMATED COST �� PERMIT N0. �� - DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_� Circle One (Steam) (Hot Water) arm Air ' Trade Name G�Q2�� Size No. �SS��.A-oq BTU g� �� HP EDR Fuel ��i l� Total Connected Load Burner Trade Nam BTU Size No. HP EDR The undersigned hereby makes application for a permit for the work herein -spec+fied agreeing to do aIV work in strict accordance wi�h 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. SUPERIOR CON7RACTORS INC DATE �D�-� ~ �� 6121 42ND AVENUE NO. CRYSTAL, MN 55422 H EATI S'sgned FAX # . r-° Approved By� Rough•In Date TEL # %Cs�—��%��Q/ c� Final Date � 1 Z%�- FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNiNG APPLIANCES OR THE APPLICATION WILL BE RETURNED ��•► I ► l ► •►► �: S►� �u: •► ! : : L •► When � �n acin0 an pYistin0 f �r� anr_p, the undersigned hereby venfies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes �No O The venting system is plastidPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows ancl termination. Yes () No (� The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The PY��t�na comh�,st�on air is "sized and installed to meet the cuRent codes and manufacturers specifications. When required to in�ta�� a new ceme�s+�en a�r�it will be sized and installed to meet the current codes and manufacturer's specifications. 1Nh,en iostallin� a new ventinQyVC�, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes (.�No ( ) YesONo(� Yes �No ( Yes (�No ( ) Yes �}'No ( ) �.. .. .- ... .��.� -� ... -� ...- . . ..��. .� Appliance #1 Type ��N A�� BTU Input g�� an Assiste �or Nat Appliance #2 Type G�-/!�- BTU Input �o � Fan Assisted o Nat Appliance #3 Type _ BTU Input . Fan Assisted or at Total Appliances � Total Btu Input �' o�� Common Vent Type ��-�S S.tg Vent Height /� \ Diameter � inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type __ � l� �! Z c� C°O[�-t K p w '� cfi�''� T� � `I HEATING CO: Signed By: c��- Date : /o�—�`� 3 SUPERIOR CONTRACTORS INC 6121 42ND AVENUE NO. CRYSTAL, MN 55422 � _ CITYOE FRtDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 April 13, 2004 Ms. Virginia Bauer 251 Ely Street NE Fridley, MN 55432 Re: Final Inspection at 251 Ely Street NE Contractor: Superior Contractors Inc. Dear Ms. Bauer: A mechanical permit was issued in December, 2003 to install a furnace at your address. On December 12, 2003 a final inspection noted the following corrections that need to be completed before we can final the permit: 1) Size and type vent connectors per manufacturer's installation instructions. 2) Maintain minimum 12 inches from grade to combustion air inlet. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permits open for another 30 days and if we do not hear from you within this time to set up the inspections, we will mark the permit "no inspection called for by homeowner after notiiication and the permits will be expired. To set up the inspections or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh Building Inspections 763-572-3604 DATE / /'at /� � SITE ADDRESS ��( F THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS � OWNER ADDRESS: CITY PHONE: STATE LICENSE � PHONE J�n -�i �" � /L GCl C �"!(7 l / ti ' 7�/ �� EXPDA � 5 2�' �J.TJ� CITY_ 3a3� Fax" �"1� Sr�CIGLE FAMILY/NEW CONSTRUCTII TWO FAMILY/NEW CONSTRUCTION ❑ BASEMENT FINISH ❑ DECK C DESCRIBE WORK BEING SIZE OF IMPROVEMENT NUMBER OF SQUARES � GARAGES PROPOSED SIZE: PROPOSED HEIGHT: ❑ GARAGE/SHED ❑ WINDOWS OF ❑ DRAIN TILE SIDING ❑ OTHER ❑ SWIMMING POOL AIR ❑ Permit No.: � �C� ' — � � Received By: Date Rec'd: �' � �'" �� LENGTH WIDTH HEIGHT O HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ATE ZIP ATF/�'`ZIP�C!%( BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor pian 3. List of structural members to be used Ft. SIDING FOR NEW CONSTRUCTION [NCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: 0 Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ p0 %, OCCUPANCY TYPE __ — Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due $ $ �.8 i $ /. �?O $ s.�, $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( Make checks pavable to: City of Fridlev THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED Attach Stipulations 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 without a permit; that the work will be in accordance ith the approved plan in the case of all work whi u' s review an a of plans. SIGNATURE OF APPLICANT PRINT NAME 1-1 �✓� � 4' "�r ATE a Buildir�g PL�7MBING Perinit rto: � ' ... Inspections R,ESIDENTIAL APPLICATION Recezved By: x 763-572-3604 � CITY OF FRIDLEY �� 6 2Q0� DATE YOUR E-MAIL ADDRESS STl'E ADDRESS Sawtt_ a� �.,,�w�,�/ THIS APPLICANT IS: ❑ OWNER �OIVTRACTO Virginia Bauer PRUPERTY N,y�: 251 Ely Street Northeast OwNERJ �D�s: Fridley, MN 55432 STATE z� TENANT 7637842851 PHONE: CONTRACTOR N�: � SUBMIT A COPY OF STA'£E LICENSE #��`% EXP DATE YOUR STATE ADDRESS• _�f�i I CITY �' /t STATE,�LIP SSYO� LICENSE WITH , pHONE 7— y033 FAX — APPLICATION � - � ' PERMTT TYPE �SINGLE FAbfILY ❑ TWO FAtv17LY 0 TOWNHOUSE TYPE OF WORK: ❑ �w . ��.ACE3vfENT DETAILED DESCRIPTION OF WORK PER MS I6B.665 the permit fee is a minimum of $i5,00 or 5% of the tota! cost up to $500.00; whichever is greater, for the _ impro�ement, installation or replacement of a residential fixture, excluding the fixtures. (This.shouldrEflect only_the cost of labor ) Labor cost under $300 =$15.D0. Labor cost betweea $300 #o $500 = cost of labor x.OS = � FL?R:�'R�JIEGTS WHERE i.FiBOR EXCEEDS�$300; FEES ARE BASED ON $10.00 PER FIXTUR�, EXCEF?'�:V✓f�RE N�:T�Et�:RIXTi�S:__,(1I3DICATE'f4T.AL NUMBEit OP EACH BELOV� BATH SINK/LAV FLOOR DRARvS SHOWER WATER PIPTNG BATHTUB GAS PIPING pv�crrrr�c�vsE) SWIMMING POOL i WATER SOFTNER (S35) ~CIATHES WASHEI2 KITCHEN SINK WATER CLOSET �BACKFLOW PREV. ($1� DISHWASHER =_LAUNDRY TRAY LWATER I�ATER (S35) i FOR IItR]GAT10N _ WATER METER _ OTF�.,R Permit Fee $ Number of fixtures � S 10.00 x$ I0.00 =$ Surchar e .50 � Number of fixtures (n; $I5.00 x$1S:D0 =$ TOTAL DUE $ Number of fixtures @$35.00 _� x$35.00 =$ 3S.Oo State Surcharge = $ .50 " Total = $ THIS IS AN APPLICATION FOR A PERMiT-1dOT 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 confarmance with the ordinances and cades of the City of Fridley and with ihe Minnesota Cons�ction Codes; that I understand this is not a permit but onty an appli or a permit and work is not to start without a permit; that the work �!ill be in accordance with the approved plan in the case of w " h s view and approval of plans. SIGNATURE OF APPLICANT PRINT NAME �� NOj�D/ON�I DATE� �` _� � ` City of Frid�ey Buildi�g Inspections Department 6431 University Avenue NE, Fridley, MN 55432 7��-5�2-3604