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AF - 41617� sue�ecr PERMIT N _ = _ e City of Fridley .�,.12,�� ,; AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � CEIPT � . � � `L _ _._ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �Q I 1 = � � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �----� � �'� 612-560-3450 910-F15 9/4/74 � � JOB ADDRESS 600 Ely Street N.E. • l0T NO. BLOCK TRACT OR ADDITION 1 LEGAL SEE ATTACHED DESCR. 41-44 V Riverview Heights Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Dale A. Dickson 265 Northdale Boulevard, Coon Rapids, Minna '$',� � y�) 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Martin Homes 6901 West Old Shakopee Road, Bloomington, Mn. 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASSOPWORK � N� ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK �nstruct a SQ' x 28' & 27' Dwelling and a 27' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. See attached waterproofing and flood plain elevations. SEWER & WATER LOCATION: 48.9' from Manhole (Broad & Ely) to lot line with sewer 10' west. (2nd Service) 60.5' From above with sewer 11' west. Garage wali sill 2.47� + above bench mark in street. SEPERATE PERM�TS REQi1fRED FOR �UtRIiVG, H�ATING PLU�IBING AND I TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, �ood Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING Sa. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R 1 1354 & 1330 26, 888 OR WORK IS SUSPEWDED 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 BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $29�6�2 14.5� WITH"WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $C,O.00 S3OO.O0 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE �,�� $364.8� SIGNATUREOFCONT CTORORAUTHORIZEDAGENT IDATEI W EN PR PE Y ALI TED THIS IS YOUR PERMIT ��•� A' � o � � ' P8 /^ � SIGNATUREOF WNEfl11FOWNERBUILDERI IDATEI BLDG INSP �ATE �� ' - I �vi�LiArwo,.CARLSO�,PRES. , CE�TI�ICAiE O� �U���1( 2324 WEST 1104h STREET , � � � � � � � � 888•2�34 5E431 ' ' � ,"„��`� � ��S30y SAFETY CONTROL ZONE" �i�J PJOT PLARIT OR PLACE ANY- " ili�i4G IPI 7HIS ARFF1 WITHOUT AP- LAND SURVEY(?RS'l'�vy~L OF, TWE CITY OF FRIDLEY. Sl1FtVEY FOR: �����sed� �nsured d� �o�dsd DALE D ICKSON � 9p.9 " . . ���'r 1 y.? I`o5S J,��c� S� s _ Q ��'' ,- . 3° ',� 9g.7 , /Io.O 30 � �,, , r 2 5 1` �. /Nc 30 � 9g.9� a �y . � 1°; \ .a � . 'r°" �' ' � 30 . o �. 5� ,��,-� i 99•� A �, ��►d � � �' � �r�'�� 5 e �, � Q � �: o.� � � ,�c II��'J R, � r D ` �,,�� 3 �. . `30 ` m � 3° � \ y° , t�i� �p. � �c � � 94 � ` G��i � ', ` � "1 . � �� . . . � i.,. ,.• 1 r� � 1 / < � � � �� �}.; , . Qy.3 � l � r ` �a � �rC� %� !' ` , � . � gq.6� 1 �° \ . �, xy , ��o.o' � . zy . � 98.6 L�GAL DESCRIPTION: LOTS �� �42'4'3 AND ��� B�OCK V� R�dE�V��� H�B�t���° �IE F4ERESY CERTI FY THAT TH I S 1 S A TRUE AND CORRECT REPRESENTATI O�! p�' � SURVEY OF THE BOUPiDAR1ES OF THE LAND ABOVE DESCRiBED AND OF T�� LOCAT i ORl OF ALL BV 1 L.D ��GOR ON SA i D LAND �o1�S SURVEYED�BY � USE �NCROACHP.�ENTSo IF �4NY' FRO THIS �BTH DAY OF AUGUST� �97.4w A �_ E � r ..v n_ �9 / , . � - • '. - . ,, , . , , . �, . _� - 564—$....._. RA I NN. REG. NOa . . °�,/1�,� +i . � AP.PLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION B�ILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:��4LE As �IcJ�goN BIIILDER: %�%!�'fi�� e�`����� � BSNo�e.rN/�,�}L,� �LVA 6q�A UIi:��' OGD SHAiKOl��� (�0, ADDRESS : Cdpi� l�.4�Id� ,M� ��3,� ADDRESS : 3�ool�l,y�,��tJ�. MN .�3 y3� NO : . C OD ? STREET : �L � LOT :�// YZ 5�3 Y'/ BLOCK : I/ ADDITION s R d VER [/lEW bi�l ���".� CORNEIt LOT: � INSIDE LOT: SETBACR: SIDEYARD: Applicant attach to this form Two Certificates of Surve9 of Lot aad proposed building location drawn on these Certificates. - i � � � '� `�� `` �� i � . . _�, ; �^,�` `� ,� � �� � � , � ; . � ,. � ( � , �a ; _. � � 1�.. . . � I; / ,i�P p�fi, ._� {^"F _,-- !� °""� . �' ' . �� k? _ � _ ,..� _� � �:'. . � . .�.. HESCRIPTION OF BUI�LLING -'� `��'� .��� -� � � ' '� To Be IIsed As s � S/�GL� FAP9/�- A��'ront : .�0� Depth : � S �� <-�` � Height : �� ,� -.. . . , ,1.. �„ A ' !' s- Square Feet:_ �_35��, �-' �Cubic��Feet: � � __ �� � �� � Front: � Dspth: Height: Square Feet; � � � Cubic Feet: �pe of Construction: I_-UaaD___i'-2t�1'�r Estimatecl Cost: ,����C3f� � To Be Completed: ��J�%5 The undersigned hereby makes applicativn for a permit for the wosk herei:n specified, agreeing to do all work in st.=ict accordance with the City of Fridley Oxdinances and rulings of the Department of Buildings, and herebg � declares that all the facts and representations stated in this application are true and correct. U • �� : SIGNAT[JRE • �' � ` . (See Reverse Side For Additiona.l Information.) � ��� `� �' - , _�, _ � :`+ _ * �°�'�-°� . - ,: LvaR K �' �/ ' �0 6 / Cx i 8Sy8 � �A i ) � '-�� �, ,�, �. ,�- yoM� is7- �ysl . r-�. �� ,� � , � y� @. � � . � � � �' � _ � w , _.� - � �� �' - � ; :� �UILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pexmits for the erection•of any building or structure,. or for any addition to any existing . buildi.ng or structure, or for any alteration or.repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount t�erein below set forth and in the ma.nner herein pravided to-wit: tJNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5�- $1e85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point si.x (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average:� �height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost af aZl proposed work. In no ca.se sha11 the fee charged for any permit as set forth ia Section 2 be Iess than ,fi5.00. . VERIFICATTON OF FOUNDATION NOTE: Permits for construction 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 eonstruction site. A Certified Survey of the lot, showing the location of the foundation, once it has heen constructed, will be required before proceeding with the =raming. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for wtlich a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. ._ .� `9`-. �� �, � tA � � ti � tL .r,� � M . ►i . 1� • p •�i • o i 4 � • ti : .. : , � : � � � ' : � 1 � � � . � . � � � n � � i � � r � y� � g a � H � A � d (� G E ■• � w x � � J � ,c�� 3 �� ►� � �n " � � � � � m � M� c A y �� H � � � � M a � �`J � r. � �a � � � � m � � C� � � � C [ � O J y � �b �� ��� : $�.: � a � � w � : . � . � . • oo � �� : � a 52 °° . ., °•° Z5 . � . . : : : ' � � ' : : : . . . . . • . . � • . . . . . . . . .� � � O . . � � O H il 1t M k x X x x k ,�i � ,t�� 50 ua w � � � .►�' � 70 S o�ia . 8 ..�� � �' g �n � g S � . � � �� N � � � a W � . . � O � � K.� � � � � I n I � � � 0 Q x . � m � a � � �� a J � � � J Q ^ ^ V �-� r �� �� ;�.: � v �� �� � � �.�'� � � � � Q � �C � t�;� . � � r � —��0 � � � _ � C r m ..��� • � ....' . : ����' . ■■■�� . 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JAN-30-2001 � a m cu (�i z � o � � � n 1 i�► ,� � O � N 1 Z H =� m o � � � � V �, � o o � o �� � Y �' �' � GQ � � Q` 1 �� 'p p1 CD y � a O A i � � � � � � 0 c � o �I � rn� -�-� �� � �W ?' m � -n �rn a� -� o z � C v � 0 G G. m 0 � w � � 0 � � � � � 4 QA \ \ 9.J 12�12 FROM 'o � 3 N � ? 3 c m�3 O d � Z '�''� ��� a n�� :�i .� CZT ��a �I -� >OZ '�z�t% �• � Q y0 � � 3� � `.+ N rn z ;�� a �O z v� OQ � a _ m � z � c� O h , � � CITY �F FRIDLE4 �.d � � � �� o � < °' d � �D i�. c �� n �. a� � r � � Q O f O � � T m m N � �o � C n S � � a � = 0*4 O o � <� d � � � °, d a �,� �� �� A `� w O A � O � H f r [J� �"� O Z � � � � � � 0 � o � � -� v� --I a � m � � � o � ��C'�p °c�', � � �' o � ;? y��a � �- � � @ � o � nv � �'po� � � � 3 No�� n+�°N ��a�� °.:a� � . �y � � � � � Q o � a' � � m ��oa � � � n c+ � � m � � �v = H � w O a �. � 3 O� 't' -+� 4 �' q � � � � \ '�+v n� O� `'C O N � � d �' N Q- � �. � 7 C C � e� -. -�i' � � � � � � _ � � � � 0 m � � 0 � O � a va T+ Nro N TO 6512810358 G� G) L7 n c F r�i! N I�A N � 0 �D °U � � m eQ-b � � v��n� c�n � ��o:� ��, A Q�i �C A� S G � A � � � � � � � � � a� ` .�+ o. m � ?'I � v VI � �.�� � � 01 � � Gl � m m � � t�9 p C ��� � � v � v � � � (D 1 � � � c,�'n o 0 o °o °o � � 0 0 � � 0 0 � � � � � C "-�-� � o � C � ' a � o �� d 0 � � e C � �- �� � � _� �� � �� � o �O � �0 �r ''� � o. �, o � r n+ ivz� � o � 0 � .��. � e° �� � w � � � � o o � o n a, r m � � � m v n O � � O1 0 O -o rn z � _-� Z Q � � . v,�, 00 c rr � � � c � rn v o � c� O Z � n � � Q �Z � � � � � �v � �l � P.02i0� �� � �� A �a, (a� �. � -�G � �c O ` c „ w���-n d,�m � � �� m u,, a -< N ro N �� rnrn c� � O Z v_ � D � � z � � �� �O � Z �� a� � 9���, z� � a � �` a —J �z nN vZ -i �' Om z A �Z N� H � � � O �� � � v< �m � � c� � �' o Z � ro � � O � � m � c d �C N O O V JAN-30-20�1 12�12 FROM CITY OF FRIDLEY TO 6512810358 P.03iO3 �3 .e _ l COMMON VENT�VENT CONNECTOR _AND COMBUSTION AIR VERIFICATION ° When replacinq an existir�p furance, the undersigned hereby venfies that the venting has been examin�d and is free from rust, deterioration, obstructions, and is securely supported and firestopped where r�equired. � Yes (�tj No () The venting system is plastirJPVC and meets all current codes and manufacturer specifications including sizing, length, nurttiber of elbaws and termina#ion. Yes () Np � The undersigned afso verifies that the replacement unit is a listed assembEy and meets the current codes and manufacturers specifications_ This does include AGA-GAMA Categcry I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sized and installed to meet the current codes and manufacturer's specificatlons, When required to insiai6 a new combustion air, it will l=e sized and installed to meet the cur�ent codes and manufac�urers sgecifications. Yes �(� No ( ) Yes (yj No ( ) Yes (�r7 No ( ) When installins� a new ventin4 system, the undersigned hereby verifies that it is a listed assembly and mEets the w�rent todes and manufacture�'s specific2tions. This does, in�ude AGA-GAMA Category I Gentral Fuma�e Venting Tabl�s for fan assisted and natural draft applian��. Yes () No () ls the common vent and vent connectors sized and installed correctly after an apptiance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) BTU {n ut TS. ��° Fan Assisted or Na:� "" '�""-- Appliance #1 Type 1�'o7wl�L - P — - Appliance #2 Type BTU (nput � Fan Assisted or Nat !„�. Appliance #3 Type �, ___ BTU ln�ut _ Fan Assisted or Na# Total Appliances T_ Total 6tu Input .___ Common Vent Type Vent Height _ Diameter _— inches Appliance #1 Vent Cornector H�ight ft Length ft Diame#er in Typ� Applianc� #2 Vent ConnectoF Height ft Length ft Diam�ter in 7ype Applianc� #3 Vent Connector Height , ft Length ft Diameter in Type ALTERATIONS: Describe HEATINC CO: Signed By: TOTAL P.03 _ CITYOF FR[DL�Y FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 8, 2002 Dale Dickson 600 Ely Street NE Fridley, MN 55432 Re: Final Inspection at 600 Ely Street NE Contractors: Bonfe's Plumbing & Heating Services, Inc. Dear Mr. Dickson: A mechanical pemut was issued on February 2, 2Q01, to install a furnace at your address. According to the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your pemut open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the pemut "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/ls .� � v 1 C�.,�-��er�-�cJ�i ,�-/—� l-G(� _���yi,c'.P!4%!�J -- - _ � � � ,� � � �-- - -- --- -- -- ---.-- _ ------ --- � _ /,1��.e� C � Gl'ZR, ��-� (;',�?2� � ' ,�; �.� ° . c''lg.J � - --�,�!���� ��.. � � �.� � - - - � � �� 6 � ^ � � _ . � `-�- �_ , ___'_ . - � _� , �_ . . . .. . . __ _ .. -- � -� � - � `� �, - L_� __ � ___ \ , � ADDRESS PIN LEGAL DESC PERMTT TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (763) 571-1287 : 600 ELY ST NE : 033024320107 : UNAVAII.,ABLE : LOT BLOCK : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING PERMIT N .: 20��00790 DATE ISSUED: 05/27/2004 VALUATION : $ 14,296.00 NOTE: PER R703, 2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATI�R RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THI5 PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WI�N TI� SIDING IS AN APPROVED WEATI�R BARRIER VINYL SIDING IS NOT A WEATI�RPROOF COVERING UNLE5S TI� MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. REROOF HOUSE & GARAGE; RESIDE HOUSE & GARAGE. STATE LICENSED CONTRACTOR APPLICANT WEST'LTRN ROOFING/SIDING (20155566) 9700 13 AVE N 2ND FL PLYMOUTH, MN 55441- � ./� � DICKSON DALE A& SHARON L 600 ELY ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construcrion authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this applicarion and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating cons chon or the pe rmance of construction. Ann .,��� Date��/o� Bldg Insp_ SEPARATE PERNIITS REQUIRED BUII,DING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 13948 WORK OTI�R THAN DESCRIBED ABOVE. m 251.25 14.30 7.15 5.00 277.70 NEW [] ADDN [ ] ALTER [ ] CITY OF FRIDLEY ����°� Effeative 4/1Y1004 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION �f I� �, �, z1 s C`le' � j G� � / r Construction Address: � � � ��1� �j - Legal Description: Ovmer Name 8� Address: S«�,P,�� � c��to � Tei. # 2��- ��'� 49�� Contra�tor. �� sT �i'' MN UCENSE # ���a�i ��-� � Address: �'�O v j� f� ��rt .�`� Tel. # 7� �- S¢� -��� LNING �AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Wdth Hgt/Ground Sq. Ft T' ., Construction Type: C av G ,fi;di i" Estimated Cost: $��� 9� �° Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: ��,,� APPLICANT: Tel. # Call (763) 572�604 for Pertnit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge .-- � a�� Od ��S � $ /� , C� $ '�� �=S $ .� � � ���,� $ � � $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $ 4 ����. � � STIPULATIONS: � BUII.DING PERMIT FEE SCH�DULE The Chief Building Official shall, before issuing permits for the erection of any build.ing 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 $5� $501 to $2,� $2,�1 to $25,� $25,OOlto $50,000 $SO,ODl to $100,000 $100,001 to $5�,0� $500,001 to $1,000,0� $1,�0,001 and up FEES $23.50 $23.50 for�first $5� plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,�0 plus $14.00 for each additional $1,�0 or fraction thereof, to and including $25,�0 $391.25 for first $25,0� plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,0� plus $7.00 for each additional $1,�0 or fraction thereof, to and including $100,000 $993.75 for first $1�,�0 plus $5.60 for each additional $1,� or fraction thereof, to and including $500,000 $3,233.75 for the first $5�,�0 plus $4.75 for each additional $1,000 or fracdon thereof, to and including $1,0�,� $5,608.75 for the first $1,�,000 plus $3.15 for each additional $1,0� or fraction thereof CURB CUT ESCROW (Concrete Ci�rb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined ra.te Permits for constcvction 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. VERIFICATION OF FOUNDATION A Certificate of Si�rvey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv oa � � r r O C -� a c� � � v m � O � � n � < m � � a -� � Z 0 � � m 'D n m m z --� � c � a � m a 'o v 0 rn a � � 0 � � ? � v � m � � � O � m^ -,, o D w n 0 `o' n. � =► ; o ma � m o �' a � m � � � o � � a. � � m ,o � °' o� � Q' o � n N � � v �. � ? 0 C � � m � m v � 0 v � m z � v m � 0 z -n m rn � � 0 0 � x O c � o � v � tD � � m � � N � � � �� o ��!? _ a�a � m � N � 0 � °Q � � � � � d � � � e 1 � � � E' �• � c ° � O � m � � c � � � o D o°v 0 0�' � o � � o � ° oi �' � � a � � � � �° � A 7 � rN_-r, � O � v � > > v � a a � m m c -_+i � v � Q � � N � (�!1 � �: m m�a ► =*• � • a � = c� o � � i °� o � a °`i °_' 3 . g n� � <_; o m � �, � � � -' � � �, _ v � � �i � a � � o� � � o � �D o 0 � � , � a oai °' m � -o c � m � � � w N rt '+ -�, o. � � � o °* m � � � n � ,,�-. ? � o � a � � a � c��n N m � 3 � ►-� n v � � — O � � � �D3�� � °� -• � � c � ���� •+ m o � ?�'a� N �, cn � o � � oi D � o � ° �.� � o 0 m N.�� m a o N m � � � o' � � °—' o � o � o � � �- � x- � o �. -� �o S N rN�r � O � � tJl O 0 b o - � 0�0 W c� co , � m a m Z a� m _ � �� m m � o I � D � 0 � a 0 � � oa D � m � � v � � m � a� � ,c�» o °o o° � � � � W � � m � a � m = z� � �' �� � � � c� a o � � = o o �° � � � � � �, � � � 3 0 � _ a o m N r. ����' ov � � 3 D 1 � o� N � � � m � 0 b 0 � � � � � N N � � � o � �n v' � n caD '�7 � � � � Z � � � m 3 — � � v � � a � � v � � � � � � c� � � o m � v � � � � � N � � m � � � o c�''�i, o °o � � � � 3 � m 0 C� 0 � � 0 -o m � � =i Z O W c a 3 oa c � a z � m � c� _ v I� � � ° � ` O � a v v � � � i � � A � a � � � N N � 3 0 w� z � -n tn u►, '71 � � � � .� N�° � z � m � rn � �`' C � � r �' v N 00 � � � m �"� O � D z '�i "'�o � r � D m ,� � — � Z Z O a� z -o vo D � � m � 0 � Z � v � �� oa Z Z �v 2 � � � z m � � � Z O � � v z G � C m m � � � O z � A r, < c� \ N 0 0 A � � _` 1 � �1�1 � FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMQN VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION � When replacin� an existinct furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the cuRent codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existin combustion air is sized and installed to meet the current codes and manufacturer's specifications. � When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) When installinca a new ventinA svstem, the undersigned hereby verifies that it is a listed assembly and meets the cuRent codes and manufacture�'s spec�cations. This does include AGA-GAMA Category I Central Furnace Yenting Tables for fan assisted and natural draft appliances. Yes () 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. No ( ) Yes ( ) No ( ) Appliance Tvpe and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Ap�liances ___ _Total Btu I�ut _ ______ _ __ ___ Common Vent Type � Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliancs #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describe) � - � tI/! � .i� �� � HEATING CO���,�l� ��g� � /�S'�e���'/�1.1� � s�v,3 z.- Signed By: �d ,�� /' Date : �- f� � .. Bu�lding BUILDING Permit No.: ' —0 � Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 763-502-4977 FAX CITY OF FRIDLEY vate xec'd: EFFECTIVE 1-1-08 DATE S/ZD /O � YOUR E-MAIL ADDRESS i a�► s C the de�-k s� �� •%l C�/ SITEADDRESS �oo �1 � sf: �O.E: F� IDLEY, � � ���a THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY OWNER/ Np�: Sl� a r-nn�S �n TENANT pDDRESS: �QQ� �( y ,s� /�%� CITY F/`� �, STATE:�%� ZIPS3'y3�. PHONE: 7�0 .3 �� % S4 — OTT B N�: e CO. C CONTRACTOR ADDRESS:� DO �,S/ ST � 5�U/T1� / D U CITY STATE,�/ZIP,SSi -� SUBMIT A COPY OF pHONE q,�?`�f 3Z-/BQ$ X/�.3 FA7c 9SL -� 3Z -�oy D YOUR STATE LICENSE STATE LICENSE # S'�oS� EXP DATE 3 3� �OD % PROPERTY TYPE �SINGLE FAMII.Y/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE � �DTI'ION ❑ GARAGE/SHED ❑ wn�tnows ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE �ECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: � NEW HOME CONSTRUCTION �ADDITION ❑ MAINTENANCE/REPAIR � REMODELING DESCRIBE WORK BEING DONE: N fi� EC K R@ t� /� U� SIZE OF IMPROVEMINT J O� X � LENGTH �D � WIDTH / Z� HEIGHT / 0� �� SQ FT �Z � FT ROOFiNG ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: � DETACHED GARAGE 3. List of structucal membeis to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vin I ADDITIONS. & PORCHES SUBMIT: Y ❑Soffit 1. Site Plan/Surve showin the e�tistin structures � Alnminum ❑ Trim 3' g g ❑ Other ❑ Fascia and proposed project. 2. Two sets of construcrion plans WINDOWS 3. EnergyCalculations IN EXISTING OPENINGS OYes �No LOCATION OF WINDOWS OR FOR NEW OPENIATGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ♦ r 7 LTcL�o • nr. �s . c'�r. r � t�a�L1LLUA1\L' Lt1UL`L Vl\ ♦tfLVtil1V1\�11\I.LULII�IV 111L' I.VJl VC LAIfUj(t�1rLNjt�jJJj(jAL,: _ , _(USING THE 199'�riT��EF,,.iSCAEDULE) TOTAL JOB VALUATION Permit Fee Plan Review Fire Stucharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ $ $ $ . _, OCCUPANCY See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuarion Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 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 payable to: City of Fridle_y Attach IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building pemut and I aclmowledge 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; thaY I understand this is not a pernvt but only an application for a permit and work is not to start without a permit on site; that the work will be in accordanc with the appmved plan in the case of all work which requires review and approval of plans. SIGNATURE PLICAN PRINT NAME ��//L! cS�L L/N��2.. DATE � (J APPROVED BY � DAT���' � PLEASE NOTE: SEPARe�TE P�,RMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK Q � � � � � l �' The Deck & Door Compan� 69001515` Sireet W. Suite 100, Apple Valley, MN 55124 952-432-1888;952-498-2311 E-Mail info@thedeckstore.net August 20, 2008 City of Fridley Building Pernuts & Inspections 6431 University Ave NE Fridley, MN 55432 To: Building Permits Department I am enclosing an application for a deck permit at 600 Ely Street NE. If you have any questions, please call me. Thank you, Jan Sellinger AutoCAD Designer 952-432-1888 ext. 103 ians C�thedeckstore.net The Deck Store/ The Deck & Door Company a O IO h �- � � w a� N �, � �v � o � � �� �� y �'9 � o � �� o'�. 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