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AF - 41633.��. ..w � �, �� City of Fridley, Mi.nn. BUILDING PERMIT Date: 'r � c � Ovvner: Builder Addresa � Address �� N° 6998 ,r � � LO ! N O BUILDING No. �� 5 ,� , tr�et ^ �..—.... Part LPt Lot ��J��Block Addition or Sub-Div3sion � Corner Lot _ Inside Lot r. �� Setback �"��- Sideyard ` Sewer IIevation � I � � � � IIevation � � ° % �'�+f� eQ� �'�i0T�N6 DESCRIPTION OF BUILDING T Used : � � F`ront �� Depth Height � 84. Ft -;�� Cu. ra i�� Front �� Depth FT�tght � S�l• F� -;�=e�--'� �. F't. ��G�� 7,�►�e of ct4on F�t. Cost �a�.-�� ' 1 'rTo be Completed In con�ideration of the issuance to me of a permit to construct the building described above, I agree to do ths ProPosed work fn acc�rdance with the description above set forth in compliance with all provla�tons of ctrrlinances oE the dty of Fri�Iley. - In consideration of the payment of a fee of $�5�,%—� , p�t is hereby granted to to canstruct the buflding or addition as d�cribed above. Thiape rmit 3s granted uPon the exPress condition that thep�so n to whom it is grented and hia agents, emPloyees and workmen, in all work done in, around and upon said building, or ar►Ypart thereof, shall conforna 3n all �eapects to the orainanc� oP Frldley, Minnesota reg location, construction, alteration� maintenance, repair and mcviaS of bufldinga ordinances. dty lfmita aa� permit may be revoked at anY t�e uPon� olati�of any of the ProvYsions of said / 1 su9lding Inapector NOTICEs T6b psemt! deu aot emroe t6s ceuatroeHee, Im�aqdion ter �rbtag, pMm6tng, en 6�aNae, �w�e or water. B� suro to as Na Buildie0 lesputoe for aparab p�rmits foe 1h� h�ms. � ,-..-+ ,�;� _��"n�:.�. .';'� �'��,y�t��+�+�t °-�:�a,t,, �4�T,. 3� '°�i�,kx�"y�� ua�s 4�� r,9.. ,, � �. ' �- - � . ,�' � r.� = z �° . �` f'.� A � . a, ♦ � _ _ . . e ` � . 1 � ,. . . :. � .. � • r �A*; . . . . ... . . . . . . . . . � ,. '" � ♦ . .. ... ."� . � . 1- . . . . - , . . . , . .. �� . � � F�' T f �' � C�T E 4 �' : t.� F�'�`l�: "�' :.,_-t .� h > 'c'� � .. . � . � � .. . � . . � k aw:.,� .i� ".. � � � �aMES �. KuR-r� . . � � � �.� �� t..l4Nt� stJRVE1�4� . ��f N - _ , . �<_ � � , ` 4Z�C►t : t�lC rs�.'^� s'�c: - . Cou�+KO��A �ItICsM't'� S�'.F�tZI 'T�•RQO4 �` �, . S �' '°, i NtRf��:CEilT1FY TMAT TMii �URN�Y� lLAM1. OR R[lORT W/1a MliJ'A/�D �Y Mi �t �R MY OFRECT i{Ifi1lVli�ON �"` ANO T'M�A'!" i AM' A Ot1i.Y IR<fi1ST�1liD #.#M� WRViY+OR Yl+t�iR 7Mt LAINi OF TI� iTAtC OF MfNN[�OTA. �, } � �.x s ' - ° MtNN. F'tEC. lYt�- `�'��'�. �_ _ � r g�� ►.:;�o' - \ DATE�i� �1�. �qc.a �` �� . , �� _ �'� , i � :-�-' ` ' X �. � , , � ' � �.: - �,�� , t � \ ,,�4 �, . �' � ,,.. Y - ��. � �.�-! � � � ��, �� ` ' � °� � � �� = - � � ��' � � � � � �` �� -� � o. �A , , � „ ` � ��. , --� � ° � � �� , �.� - �� . �-, � , � , - � � � . Q r' - � ,• �- jy . � . { � • � . :�4� �� , - ,a � �. , _ � .�,1, ;;', � �—�..:+° ~� �� a� ,, � . . �,.►!'' �. � ; . � _. � � �' . $��' � �� , , �• � � �. ��: �: � �4� �� 1 �f, r �. . . � �.,r . ��" �,�.. � } . �„� , � �' �,s., . �; ' �+!� �.. � � ' �, �, C.i ;,/'�' � �,: � �.-^' :' �' �.r� _ , . t � - ;s� �.--'�" �° / � _ �.� �� k � } _.1�..o-c'� 12.�,i`3 �iQ� . , t��oc�t, "V.. � , �� := i��V��e�� +c�+�� , A�ax�, Ca. , M�N�. �� , � �, ��, ; � , � � � � � � � . . .. �>::� �. ,, . , :� � �. _ � � �:. � .:� � Y _ ._ , ,� , ; ��F �t �� . . 1 � � � .� ,n` �'�; _ .y.;. . . �' �k �� , -.. ..r�` ' .N 9 �. - �`. �' '� .. � ' ' ` � �� C. � } is `'..� � ... ._ . .a — ' �.il� -`�,.'RC^,Y�e'::it, a;. . ui%.�P« .3w: '.Aa`5`.af - - i4'�''}' SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � � � � ; y __.__ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � � �""1 � CITY HALL FRIDLE� 55432 NuMBER aEV. �'""� � �'' 612-571-3450 910-Ft 5 J08 ADDRESS 655 Ely Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION oesca. 12,13,1 U Rivervi.e�t Heigh.ts 2 PROPERTY OWNER MAIL ADDRESS Jean Wernex 655 Ely 5tr�t N.E. 3 CONTRACTOR MAILADDRESS Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 8 USE OF BUILRINO Residential 7 CLASS OF WORK ❑ NEW O ADDITION � ALTERATION 8 DESCRIBE WORK RL'xOOf DWP.�.�.l.I1CJ 9 CHANOEOFUSEFR'OM TO DATE 85 ZIP ZIP PAGE OF / / _18195 f ��a � APPROVED BY SEE ATTACHED SHEET PHONE 786-2514 PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. ❑ REPAIR ❑ MOVE ❑ REMOVE STIPULATIONS g�of ca,n be the 2nd layex' but not ths 3rd. Tnstall ridged galvanized valleys, TYPE OF CON57. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 80 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. UN I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION �- AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GFiANTING OF A PERMIT $54Q DOES NOT PFESUME TO GiVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 1rJ.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. +� TURE OF � AGENT IDATE� t,. � . _ � iDATEi STALLS GROUP OCCUPANCYLOAO CU. FT. OFFSTREET PARKING GARAGES SURTAX $.50 $15.50 � H�� ] ADDt+. [ j Q1,TER. [ ] Construction Addr� Legal Description City of Fridley Effective 4/1/8�+ _. _ R-1 IIAD R-2 ( Building PermiL Application Owner Name i Address: � � Tel . # �� O -��Y Contractor: J /�� Tel. # Address• LIVINC AAEA: GARAGE AREA: DECR AREA: OTHER: Attach to this application, a Certificate of Survey of Lhe lot, with the proposed construction dravn on it to scale. DESCRIPTIOA OF IMPROVEMENT Length ilidth Height Sq. Ft. Length Width Height Sq. Ft. Lengtfi� -� iiidth �_ Hgt/Cround Sq. Ft. Corner Lot [] Inside Lot ) Ft. Yd. Setback Side Yard Setback Type of Construction: � ' Estimated Cost: � ��4 Approx. Ccmpletion Date: Alt. A Alt B Proposed Drivexa�• �iidth If Ner� Opening Is Desired: � � See Back Page for Explanation DATE: � Perc►it Fee Plan Check State Surcharge SAC Charge Park Fee- Sever Nain Charge E%�L STIPULATIONS• APPLICANT: ��-2- Tel. � ~ �� . �j C D5E � ONLY � ��5 •�� Fee Schedule on Reverse Side � 25x of Building Permit Fee a �� .50/�1,000 Yaluation � a425 per SAC Unit a Fee Determined by Engineering � Agreement Necessary [ ] Hot Necessary [ ] � o /.� �� BO�.DING PER!!IT FEE SCAEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure� or !'or any addition to any existing Duilding or structure� or for an}• alteration or repair to any existing buildir� 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 manner herein provided to-Wit: _ ?otal Yaluation =1.00 to =500.00 �501.00 to �2�000.00 Fees =10.00 (Minimum Fee is �15.00) 0 �10.00 for the first �500 plus �1.50 for each additional �100 or fraction Lhereof, to and including �2,000. �2�001.00 to �25�000.00 �32•50 for the first �2�000 plus �6.00 for each additional �1,000 or fraction thereof, to and including �25�000. �25�001.00 to �50,000.00 �170.50 for the first �25�000 plus �4.50 for,each additional �1,000 or fraction thereof� to and including �50,000. �50�001.00 to �100.000.00 �100,001.00 and up =2E39A0 for the first additional � 1 , 000 or including �100�000. �50,000 plus �3.00 for each fraction thereof� to and ��+33.00 for the first �100,000 plus �2.50 for each additional �1�000 or fraction thereof. DRIVEYA7 DEPRESSION ESCROY (Concrete Curt Streets Only) Alternate "A": Removal and replacement of cnrb and gutter only - Drive�ay width plus 6 feet times �13•50 Alternate "B": Aeaoval and replacement of curb and gutter and install a 3 foot wide approach With 6 inch depth - DriveNay xidth plus 6!'eet times �15.75 YERIFICATION OF FOUNDATION Peraits for construction Will be issued a minimum of 24 hours from the time of aF�plication to allou for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, shoving the location of the 4'ound�tion once it has been oonstructed �rill be required �efore prec�eding vlth the framing. s _ f � sue�ecr P . City of Fridley o 18 4 6 5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � � � COMMUNITY DEVELOPMENT DIV. ; �� - -- � a ��.� r � � PROTECTIVE INSPECTION SEC. 1 ; � � � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE Of APPROVED BV �.__.11.' '•� 612-571-3450 910-F15 6/2/86 � � JOB ADDRESS 655 Ely Street N. E. 1 LEGAI ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ].2 � 13 � 1.4 U Riverview Heights SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Jean Werner 655 Ely St�;eet N.E. 786-2514 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDAESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Construct a 14' x 12' Deck 9 CHANaE OF USE FROM TO STIPULATIONS r ��+� �'�+� E�� '�,+� SEPARATE PERMITS REQUIRED FOR �F(1�� '��`��d� , �'ii�lN�, hIEAiING, �LUM�ING AN� ��, �'�b � �'•�� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 ANV TIME AFTER WORK IS COMMENCED. NO. OWLG. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ]. OSO $.53 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 1. OO PLAN CHECKFEE TOTALFEE $24.28 SiG � TuA OFCONTR MORIZEDAGENT ATEI WHEN PROPERLY ALIDATED THIS IS VOUR PERMIT � SIGNATUREO O NER11 R UI D RI IDATEI `� LOG W P DAT NEVJ [ ] ADD17. [ ] ALTER. [ ] Construction Address: Legal Description: %� Owner Name & Address: Contractor: Address• LIVING AREA: GARAGE AREA: DECR AREA: OTHER: City of Fridley R-1 AND R-2 j Building Permit Application Attach to this application� a Certificate of Survey of the lot, With the proposed construction draxn on it to scale. Length DESCRIPTION OF IMPROVEMENT Effective u/1/8G Tel. � �:.�s�=�� . � Width Height Sq. Ft. Length Width Height Sq. Ft. Length / Width f,� � L Hgt/Groun�� Sq. Ft .�� CJ . I- � r��r � � � ��, �_�v �-- c n�--- Corner Lot [] Inside Lot [] Ft. Yd. Setback Type of Construction: �C�,�-� �✓y� ° Approx. Completion Date: Side Yard Setback � _� Estimated Cost: $ <5 � I�� Alt. A Alt B Proposed Driveuay Width If Neu Opening Is Desired: $ � � See Back Page for Explanation DATE: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sexer Main Charge TOTAI. STIPULATIONS• APPLICAfiT: Tel. �l �� '� a�� CITY IISE ONLY g '7a�% Fee Schedule on Reverse Side g Y�_ 25� of Building Permit Fee y ��_ $.50/$1,000 Valuation $ $475 per SAC Unit � Fee Determined by Engineering � ,�° � � � Agreement Necessary [ ] Not Necessery [ ] � .n �O � � � � �� ,� 1.� � HOII.DING PERMIT FEE SCHEDIILE 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�pay�ent by the applicant for such permit of fees to the amount herein belou set forth and in the manner herein provided to-Wit: Total Valuation �1.00 to �500.00 �501.00 to $2�000.00 Fees $10.00 (Minimum Fee is �15.00) $10.00 for the first $500 plus $1.50 for each additional �v100 or fraction thereof, to and including �2�000. $2,001.00 to S25,000.00 332•50 for the first $2,000 plus $6.00 for each additional �1,000 or fraction thereof. to and including �25�000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for eaeh additional �1�000 or fraction thereof, to and including �50,000. 350�001.00 to 5100,000.00 $100,001.00 and up $283.00 for the first additional �1,000 or including $100,000. $50,000 plus $3.00 for each fraction thereof� to and g�+33.00 for the first $100,OOd plus $2.50 for each additional g1,000 or fraction thereof. DRI11EiiAY DEPRESSION ESCROIi (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Re�ov21 and replacement of curb and gutter 2nd in�tall a 3 foot wide approach With 6 inch depth - Driveway �ridth plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Peraits for construction r�ill be issued a mir,imum of 24 hours from the time of application to allow for proper reviex of the proposed structure and of the construction site. A Certificate of Survey of the lot, shouing the location of the foundation once it has been eonstructed will be required before proceeding Hith the framing. � _ s �i� � � � l� � � � � .:, �� r, 0,,7'•a �i'x�O ,��Q,,,,,,�. : a x � ,., �� - �x� � � . �, cK . I p i ��C' . � � � 4 J�� si ' � ��NGEes �� x�- �,�-�- a u � ��4 �� - ► x �, �e�r'��ffNs jPR ! 4 - �X6 /� 0• G" �.,�, a x y$ PA�t a2 �1�L . � • �. �/ w n �� .. .. _ . ♦ - ��L �x6_I� � �x6 � _ �x� , � ��' � 70 qiu M M� � w rt � m 0 � � �� rt � K W a n r• � x y � C o � � � � n �' m �� rt r°* o ° c�.o a rp o. b � M � E � a � �O w 4'• 'J ,; r'4 � � � ro � n � o � a � a � rt � M � � rr m � � R N ro� az �H �� O hJ H� �� C�+9 H c�i ro � � H � � r 0 0 0 ' ) � � � � � � 1'� � -� � � � � r w � �� . � ro o a � m P '� �] � � o � c � � o �° M � ro n r~r rt N � � 0 � w x N � � ro . 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NID�d�. '� t�AT LOSS CJl1�CtJ1A710t�S Q/e�tberatr'tps . Conatr+�ctioa %io. � " lasulatioa Guide WM�,� poor� Rcicresa , Out. WaU lat. Watl Ce�ine Roof Floor �� M' APPI� ' 'e�— o I° a— 0 19__ _ __.- . . - ;- - . _ F�.� ` :" Room. L"snRtb - �t�+; • Heiuthl - - ; � Fl.�� `` =- Room �'L.engi� Y::�;. .- Widtk. ----_- - He�el►t _ . �;� Q'indow, an� Door�--C►ack�Re and i►rea �indow� ano T)oor►—�Crackagc and Ana ' .�v I w�e�p N.�re� r;o..t ��..i u. w... �v�a�A M�un� wc. �t Wwt t�. �•n� ; ` No. N o�w� •f �aw. � ure�� d rnet � �o. tt. ►i�. •f M� N Mw� U�AU •f e►�ek w. ft. :,, . �� :� � t ��m �.� ' � � I o � 6 �- �L � � �y ; L Z L Coef: Bw Coet. Btu lniJtratioo , Iabltration �au I �cp. wall . Net c�P• w�►11 lnl. wall Ccil�ng � � � F'loor ' _----- Toml B�u � � - - •- Required �q fc E.D R or%aq int• R-'A. L.cadcr ares � � � FI.� ., Room j l.�o��h •- Widih H��shc' I •Winoowi ana Door*--��i��+R� and Area - Wlal� I'„•�r�� I Hc ot I L�n.�11t. wr.a - i f:o. ot pan• ot wn• 11s�� -. o! cnck �I �C• t`• � ei� I l��c.! Coef. In6lvatwa � ( � 3 � � Glass � ' � Fsp. wau � �iCt tZp. W�u � a int. wau ,� Cciling � F,�t I /l� I � iotal Bcu. Required �q. f4 ED.R. ot sG. ina. R%A L.eaoer area F1. Room (l.entrtn Nidt}: . Riindows and Doo»—Crac�agc aad Area SVIO�A li�l�b� No. ot Le�al tt. An• . Na ot wn• os yae. 11►ht� o( eraelc K. tt. �nfi�tration � C,.�ass Fsp. w,l) lvet ezp. wall Int. wall Ceiling Floor Total Bsu. ___Rcouired-iq: -fti fi� al� _� P �1 � v Coaf.� . $tu , � � 1 � I �au �cD• wall tvct csp. wall int. w+�� [celing , . ' ` • � loor . • t Toul B�u. ` ' . Required sq. ft. E.D.R. or sq. ina. VdA. Leaccr area �,� Room I Length V�%idth \L%inoo�.n and Doors—.r.raelcagc and Aten j �e�r. M•�fn� Ac. ot L�n..1 ti. wre. f:c. 1 OI Dan� I oS am ' hCpu I o! er�tr �C. tl. � � � �i � � — j 1` I I 1 1� ' Iafiltration • � � Gi,a �p. wall • Itet ezp• wall � , � LAt Wi�� - . . I } � Ceiiing � � F�t I I Total Bcu. ' R��;T�d ,5. ft. �D.R. o: sq.� iu:. Q.�A Leader area � �,� Ftoomm 1 I..en�tk Gidth - f Wiamws aad Door�—Craeicage and Area WfOtn 7i•llpl Ka ot Llaul t� wr�� Ne. et pan� e2 oan� I� Itsp� � ot eraek �c. tL I . . � • � . I lnfilr. atioa Giau Exp. wall .. T�et esp. wall Int. wall Ceiiintg �loor — iotal Btu. +�R eou— ' _�_— 1-iciei�t Hei�6t d[I.1 DCY _ . �_ . . . _. ,�_---:-�W.. . or :tG: -�tis: ��A �Le.aoeY� afea =T' ;_ : -_ _ 0 CITY OF FRi M.EY APPLICATION FOR HEATING REPI.ACEIAENT CHI�4NEY AND�STACK VERIFICATION THIS fORM MUST ACCO��PA�JY ST�tJD4R0 APPLICATIOl� FOR IIEATING PERMIT fORtt. LOCAT I ON � ,� � °9 �7 � � �- DATE �� OWNER° ADORESS � � �� - lD" ��v The undersigned l�ereby merifies th.at the existing chimney or stack: 1. Has Ceen carefully examined � 2. Is free from rust or deterioration 3. ��o foreian objects are lodaed Nithin ✓ 4. Ttat it is securely supported � 5. 7hat it �reets all current Code requirements for size and total BTU connected 6. Total Heating e7U All Other 6?U TOTAL REMARKS � �� y� a� � � �o v � !� ✓ y � , �� r � �f.� � HEATItiG PERMI7 1 SIGNED censce by _ 11 � � 7n .f��[�_ Add�ess �//� �� ` Tel ephone �/�-� -� � �-�� Fridley City License 0 1 HOUSE HEATING TEST RECORD ��; � � �f�- �<;� ; `�' � � ADDRESS °� = � ° .�� APT. FLOOR CITY SUBURB u�"��'�� `�r : OCCUPANT � F'z � � � ��"^`' �`� r'`�` OWNER � HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Eleehical Work By Gaa Line By TYPE OF HEAT GA FA � HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE ��?1�+`�' �.��r�� '�u��;��' ��"�' MAKE OF BURNER Model �1,��°[ "A� i �`? Model Serial �` �% a� ' �' � ' �` ` � �J��4� Max. BTU Rating INPUT ��F�a �'�='� MAKE OF FURNACE Model �J,� 1 CONTROLS --- - THERMOSTAT dE �� ' Heat Plug � ' �� Vsnt Size � ,, - - - - - Valve �'p�� "��• KIND OF LINER �% � SIZE � NONE Limit aba`�° DroftHood Rsgularor Limit Setting �� ' �A � Fi Iters Sizs ��r' n�' �' B I��lumber � Fan Setting Chimney Loeation Inside `%` Outaide Pilot Type �r'�- Chimney Construetion �' /F�� ; � Pilot Make Pilot Model Smoke Bomb � Wiring Pilot Timing Draft �j� �- �'�� Test Tag �'° L.W. Cut Off Door Prossuro Lighting Inat. � , � �-°14 Date Tested - �� ? � o Preasure '��-� Pereent CO 2 Input CFH �i �� Pereent O� �•�� Company Testing ��>�''�"�, �� `a��:�• r Staek Temp. °� a�—Pereent CO �7 Name of Tester `` � �� .�-r � �., 4,._ a?��°�z�� Fum 235 " May 29,1998 To Whom it May Concern, My name�is Bill Wagner and I reside in Fridley at 681 Ely Street. My wife and I have resided�� here since 1979 and do not plan to move. My neighbor Tim Kuensting, who resides at 655 Ely Sh�eet, he has requested my permission to widen his driveway to the boundary stakes between our property's. I have given Tim pernrission to extend his driveway if your office has no problems with it. mcerel , �� Bill Wagaer � s�e�FtT � PE . c�ty of Fridle� 3 � � � 2 AT THE TOP OF THE 71NINS �� L D i N� P E R M I T � , No. � � COMMUNITY QEVELOPNIENT OIV. �� m� � � r � V � PROTECTIVE INSPECTION SEC. �0 � � � � � /"�'1 � CITY MALL FRIDLE� SS�Ji NUMBER � pEV OATB PAGE OF ApCROVEO B� �� '' 612-57�-3450 s�aF�s 4/27/01 / / J08 ADDRESS 655 Ely Street NE - t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED oesca. 12-14 U Riverview Heights SMEET 2 PROPERTY OWNER MAIL AOORES$ Z�P PMONE Tim Kuensting 655 Ely Street NE 763-783-8670 3 CONTRACTOR MAIL AODRESS IIP PMONE LICENSE NO Sam.e 4 ARCHITECT OR DESIGNER MAIL ADDRES5 ' ZIP PMONE UCENSE NO. 5 ENGINEER MAII ADORESS ZIP PNONE IICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION � ALTERATION C� REPAIR O MOVE O REMOVE 8 DESCRIBE WOi;K Reroof House (20 Sq) Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. " TYp� CF CONST. OCCUPANCY GROUP OCCUPANCY IOAD SEPARATE PERMITS ARE REOUIRED fOfi ELECTFICAL. PLUMBING, HEATIN(3, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WQRK ON CONSTRUCTION tONING SO. FT CU FT. AUTHOR12ED IS NOT COMMENCED V�11TNIN 80 DAYS. OF IF CONStqUCTION OR WORK IS SUSPENDEO OR ABANDONEO FOp A PEHIOD OF 12Q DAY$ AT Y ANY TIME AFTER WORK IS COMMENCED ' NO OWIG. UNITS OFFSTREET PARKING I HEREBY CERTIfV THAT I MAYE AEAD ANO EXAMINEO TMIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE THUE AND CORFECT. ALL PROVISIQNS OF LAW$ VALUATION SURTAX ANO ORDINANCES GOVERNING TNIS TVPE OF WPRK WIL4 B� CpMP4�E� @ $ WITH WNETNER SPECIFIEO HEREIN OR NOT. TME GRANTING OF A PERMIT WZ fO4'S T 1.O2 DOES NOT PRESUME TO GIVE AUTHOiiITY TO VIOLATE OR CAMCEL THE pEqMIT FEE SAC CMARGE PRO ISIONS OF ANY HER STATE OR LOCAL lAW REGULA7ING CON- ST CTION OR THE PE fORMANC OF CONSTRUCTION �83.25: Fire SC �Z.OS P�AN GNECK FE TOTAL FEE $ .32 S�GNATUpE 0� C N'AACTOp OA AUTMOp�ZEO GENT IDATEi ME PRO E OATE MIS IS V P MIT �� V S�GNATUQE O� OWNEA��F OWNEp BWIDEp� iO�TE� . ' � L ��HSp � � � fj6TE Effective 1 /1 /2001 N� � � CITY OF FRIDLEY (763) 572-3604 Bldg Insp ADDN � � SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ALTER I l g�ILDING PERMIT APPLICATION ,� Construction Address: = ��. �v � Legal Description: -l� Owner Name &Address: �1��'1S� } n Tel. #�6�"7� � Contractor: � � � E MN UCENSE # �''�� 1�� `��-��y Address: c�7 � h"� Tel. # 5�4� �- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LNING AREA: Length Width _ Height _ Sq• Ft. GARAGE AREA: Length Width Height __ Sq• Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: G D �t� Construction Type: ��' �� Estimated Cost: � �� P Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �ATE: -��% -O 1 APPLICANT: Tel. # �� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ „ — Fee Schedule on Reverse Side � �,, 6�— .001 of Permit Valuation (1/10th%) $ / p Z $.50/$1,000 Valuation � $1150 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 [ ] ��Y BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pernuts 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 $25,000 $25,001 to $50,0� $50,001 to $100,000 $100,001 to $500,000 $SQ0,001 to $1,000,000 $1,0�,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each addidonal $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,OQ0 or fraction thereof, to and including $50,� $643.75 for first $50,� plus $7.00 for each additional $1, 0(}0 or fraction thereof, to and including $100, 000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,Q00 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. Altemate "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 $23.25. VERIFICATION OF FOUNDATION Pernvts for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundadon once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv sue�ecT PE City of Fridley 33763 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � � `� R � ; v_��_ COMMUNITY DEVEIOPMENT DIV. / j�J r � � PIiOTECTIVE INSPECTION SEC C� � _ � � /'�'1 � CITY NALL FRIDLE� SS�SP NUMBER pEV OATE VAGE Oi APPROVEO BY �"'"� � ��' 763-571-3450 et 0-F t 5 8/ 4/ 0 3 � � JOB ADDRESS 655 Ely Stree.t NE 1 IEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACNED DESCR. I2, 13, 14 U Riverview lieights SMEET 2 PiiOPERTY OWNER MAIL ADDFES$ ZIp PNONE Tim Ruensting, 655 Ely St NE, Fridley, MN 55432 763-783-8670 3 CONTRACTOR MAIL AOORESS ZIP PHONE IICENSE NO Same as above 4 AiiCHITECT OR OESIGNER MAII ADDRESS ZIP PMONE LICENSE NO 5 ENGINEER MAIL ADDiiESS 2�P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK �] NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Remove old sidi.ng; stucco 8 CHANGE OF USE FROM TO STIPULATIONS �� v�cc� �-e��w �� c.�ii � 5 �.�� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD SEPARATE PERMITSARE REOUIRED FOFi EIECTRICAL, PLUMBING. HEATING. VENTILATING OR AIR CONOITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU fT AUTHORIZED IS NOT COMMENCED WITMIN BO OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED fOii A PERIOO OF 120 DAYS AT ANY TIME AF7ER WORK IS COMMENCEO. NO DWLG. UNITS OfFSTREET PARKtNG I MEREBY CERTIFY THAT I HAVE READ ANO EXAMINEO THIS APPlICA710N STAILS GARAGES AND KNOW THE SAME TO BE TiiUE AND CORRECT. ALl PROVISIONS OF LAWS yp�VATION SUii7AX AND OROINANCES GOVEFiNING THIS TVPE OF WORK WILI BE COMPLIED WITM WHETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT $4,500.00 �Z.ZS DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE PqOVIS10NS Of ANY OTHER S7ATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERfOFiMANCE Of CONSTRUCTION ��111.2.5 Fire .SCi ��F.S� PLAN CMECK FEE TOTAL FEE �118.�� + �GN4TUpE F CO ��AACTO � 4UTMOA�2ED 4GENT IOATE� WHEN PROPERLV VALIDATED TMIS IS VOUR PEpMIT � �� d S�GNATUaE O� Q��F O NE BU�LDEp� IO�TE� g� INS� f��1E � M NEW A�orv ALTER Il I] [I Construction Address: Legal Description: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ,�, Effective 1h/2003 (763) 572-3604 Bldg Insp � ��} � ^ (763) 571-1287 Fax �'�° � � e �� N � �� : �"�. e�- ��,y ,r . n �- � -'` ' Owner Name & Address: � l �M � U��nSt �n� � �' °' '-y�'� 'v `° i ei. � � �� l fi� o�o �� Contractor. � � � _ MN UCENSE # Address: �'�� `�. �`�% �' � Tel. # LIVING AREA: GARAGE AREA: DECK AREA: Attach to this application, a Ce�tificate of Survey of the lot, with the proposed cons4ruction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. _ Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. OTHER: �`� �� "`�"`� Construction T e: ��-%u � �� Estimated Cost: $ � �� ° � YP Driveway Curb Cut Width Needed: Ft. + s Ft = Ft x$ _$ DATE: �s � �' �� APPLICANT�l�1'1 �JP� 1�1�''I�t5�11�t� Tel. # 1 �� Call (763) 572-3604 for Permit 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 Fire Surcharge State 8urcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 11��s $ � � o s� $ �.as $ $ $ $ $ $ $ � I �,�� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ J Not Necessary [] �r�m�r.�� • _�. BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pemuts 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 pernut 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 $25,000 $25,001 to $50,000 $50,001 to $1�,000 $100,�1 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,�0 $643.75 for first $50,000 plus $7.00 for each additional $1,OOU or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,Q00 or fraction thereof, to and including $5�,000 $3,233.75 for the first $SOO,Q00 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. 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 construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the lacation of the existing foundation will be required before proceeding with the framing. New Houses Onlv ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE . CONSTRUCTION TYPE . CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 N'AX: 655 ELY ST NE 033024320178 UNAVAILABLE LOT BLOCK BUII.,DING RESIDENTIAL ADDITION/ALTERATION 571-1"Li3 % PERMIT � O.: 2004-00481 , �� _- ------ � , DATE ISSiTED: 04/12/2004 Q � � � 6� VALUATION : $ 1,500.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. I PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TF� DWELLING PER R317 OF THE I 2000 INTERNATIONAL RESIDENTIAL CODE. REMOVE AND REPLACE BATHROOM SHEETROCK AROUND TUB. APPLICANT KUENSTING TIMOTHY J 655 ELY ST NE FRIDLEY, MN 55432 OWNER KUENSTING TIMOTHY J 655 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 cerrify 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 c�ncel the prov�sions �any other state or local law re�ulatins,�nsiructi4� qf the p�rmance of constrgq�tion, Bldg BUILDING PERNIIT FEE PLAN CHECK FEE FIRE 5URCHARGE STATE SURCHARGE, VALUE TOTAL PAID WITH CHECK # 7064 � _ SEPARATE PERNIITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 54.00 35.10 1.50 0.75 91.35 NEW [ ] ADDN [] ALTER [ ] Construction Address: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION S�cJ �rl `, �— 1 v Legal Description: Owner Name & Address � Contractor. LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Effective 4/1/2004 (763) 572-3604 Bidg Insp (763) 571-1287 Fax ��(� ( Ci�� , � � �� Tel.# � ��' �� MN LICENSE # Tel.# � �� (o� � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft Length Width- � Hgt/Ground Sq. Ft i�1A � N 1— e-v' �. I�� ' ��i o nr, Construction Type: Estimated Cost: $ �� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ . DATE: � '° � � ' � "f APPUCANT• � e �� ln �i Tel. # � �� ' � 6 �v Call (763) 572-3604 for Permft Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for car9d 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 TOTAL $ ��7� �� Fee Schedule on Reverse Side $ ��. <0 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 [ ] $ ,�3 � STIPULATIONS: 0 BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addidon 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 $2,000 $2,�1 to $25,�0 $25,(�1 to $50,0� $50,001 to $100,0(M? $100,001 to $5�,000 $5�,�1 to $1,000,�0 $1,000,001 and up FEES $23.50 $23.50 for first $50() plus $3.05 for each additional $100 or fraction thereof, to and including $2,OQ0 $69.25 for first $2,� plus $14.� for each additional $1,0� or fraction thereof, to and including $25,000 $391.25 for first $25,�0 plus $10.10 for ea.ch additional$1,� or fraction thereof, to and including $50,�0 $643.75 for first $50,0� plus $7.00 for ea.ch additional $1,000 or fraction thereof, to and including $100, �0 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,0OO,OQO $5,608.75 for the first $1,(�0,000 plus $3.15 for each additional $1,000 or fra.ction thereof CURB CUT ESCROW (Concrete C�rb Sireets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate 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 consiruction site. VERIFICATION OF FOUNDATION A Certificate of S�trvey of the lot, showing the location of the existing foundation will be required. before proceeding with the framing. New Houses Onlv /vl /N /,5 ��, �— I r �� e� � �1�0�� 'o l� (��-� �✓ll �� P �� ---�. f�,�-�- - ��► — r��(� f �A _ � 1�11�1 r •, � Q � � G � . ��.C� in -��R A � ��-� �� sm� � r��, �� G� (�� ( �� r "_� • 'sc �''� REI�IEWED ;� � F R CODE �.J�� i ': �� !A1�CE �/ �� C� �� Y� � r c� �' e. L ��'�1'e.,� r0 � l� � nd � i� � � � l�l� b �" v�, �►n� � �, �rn`e-n� a � r� � � � 1� c� w �r� �-��,� � �tiro �r�� IaGe� �' � ` ��.r1-��,r�'o� � ,��, �ew ��°) � � ��,rnav� �`� � � 1r � � n� ('� � �1 �'�, i l �,`� � �e. rn o � � (� h � � � � � G� � o l�Z � ., ��I� W ��-�, `��w. :�'�� m� I�c�� oi `� 01d loor � � .r� � nfi�.�- fic� p � �n� b �� 1 U,� � �-l� n �,� o�� . O � C -��i Z .Z1 � D r r � m -o � O v m v v m � C � n � m � Z � 0 .p. .-. D Z v D W r m rn ,D � � m � � o ? 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INSTALL IRRIGATION BACKFLOW PREVENTER # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 0 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 # WATER TRMT APPLIANCES 0 APPLICANT PLBG PERNIIT NIINIMUM FEE 15.00 KUENSTING TIMOTHY J PLBG FIXTURES (NEW OPENINGS) 0.00 655 ELY ST NE PLBG FIXTURES (EXIST OPENINGS) 0.00 FRIDLEY, MN 55432 WATER TREATMENT APPLIANCE 0.00 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 0.00 GAS RANGE FEE 0.00 OWNER GAS DRYER FEE 0.00 KUENSTING TIMOTHY J PLBG REPAIR/ALTERATIONS 0.00 655 ELY ST NE STATE SURCHARGE, PLBG FLAT 0.50 FRIDLEY, MN 55432 TOTAL 15.50 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction 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 application and l�ow the same to be true and correct. All provisions of laws and ordinances governing tius type of work will be complied with whether specified herein or not. The granting of permit does no pres e to give authority to violate or cel the pro ' i of er state or lo l law regulating c� uctio � e perfo ce of co c on. Applic Da � B1dg Insp D � � 6 SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE.