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AF - 47199� � Village of Fridley, Minn. BUII.DING PERMIT N° 944 Office of INSPECTOR OF BUII.DINGS Builder �:: _ `__ I � . Frid!ey. \Iina., .'�./ , 19_ � LOCATION OF BUILDING ' Street � � � �- � - r - Part of Lot Block � Addition or Sub-Division � ' � � ` =- A' ' �-� � -��}� DESCRIPTION OF BUILDING Front � ' Depth � Height Stories_ °` �� Manner oP Construction � To be used as � -' To be completed Estimated Cost �iJ�,. ! � . . . . .. _ �%� _ " , r<2 e :i. �-� : � ,i_�_,l^c �_Y ' r _ � Permit is hereby granted to � - � to � the building �-- described in the above statement. This permit ie granted upon the expreas condition that the person to whom it is graated, and his agents, employees and workmen, Sn all the work done in, around and upon said building, or any part thereof, ahall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alterstion, maintenance, repair and moving of buildings within the clty ]imlta, and thia permit may be revoked at any time upon violation of any of the proviatons of said ordinances. . ' Inspector of Buildings. AGREEMENT ANDSWORATSTATEMENT In consideration of the issue and delivery to me by the Inepector of Bttildings of Pridle,y of the above permit, I hereby agree to do the propo�ed woi•k in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. t a- - �'' - Subscribed and sworn to before me at Fridley, Miime�ota�his �`"l'-='� day of � A.D. 19_. —_--.. • _ l � . _. ,�.�...�-'�--�--- c i , / , . c. i ; - • • 52-s�-s915.5� City of Fridley Application for P'lumbing cmd Gas Fitting Permit Dep2. of Bidgs. Phone SU 4-7470 DESCRIPTION OF WORK 6SCiL H'LCkOY'y St Number, Kind and Location of Fi�ctures Location � � (�'� WATER HTR. �' � � W W z • s '� F� �=N i� x> zz �8°`z �z ox � c� z V1 I �� n ;� �O � "� V � <3 (�9� �U' Sn (�90 f N--GAS ELEC. $ase lst � al �,S 2nd 3rd 4th _ • Fuiurs Coattectfoa Opeaings * New Fixiure, Old Opesungs PARTIAL RATE SCHEDULE $ewer � ca�p�i n PLIIMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... ... .. . . . ..... .. x $1.50 $— Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin .... . ..................... x 3.25 $ Water Heater (Up to 200,000 BTin ...... x 2.00 $ New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $ GAS FITTING FEE$: NO. RATE TOTAL lst 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU . .. . . ... . .. . .. x 2.00 � Gas Log 1 2• 00 REPAIRS 8c ALTEAATIONS—Refer fo Code Description ................................................$ TOTAL FEE $ 2• � City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, Minn. 9-21-66 , ls..� Owner wi11i-an► Tomas Kind of Building frame Used as reS To be completed about 9-2�3—�d — Estimated Cost, $ 10.00 Old—ATew. Building Permit No Permit Na' �� . .. 5' • � •' '�.' � $y • Business Phone No ROUGH FINAL dx y'*`,_`� ''� / r . ,,,� � , � _ . %:`�; �yPPliccition �or Power �an�s and He�ating ' g ' efrige�artion and ��► Cool�n , Yent�'tahon. R ,^,'` �;;cv�� ' Air Conditioning Systems and Devices .��t �, ��` ��' - PA-RTIAL RATE SCHEDULE y` - \��y .,_ �tAY.ITY'iNARM l�R:;' RATE TOTAL � r��>-� . -�-:� \j i�aeg'Siie11,_ Auct Work ........................... 8.00 $ _� � �� Replac`ement of Furnace . ..... .. . .......... ....... ... 5.00 � Repairs & Alterations—up to $500.60 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . : . . . . . . 2.50 $ �ECx. WARM AIR Furnace Shell & Duct Work to 12+0,000 BT[T . . . . . . . . . . . . each add. 60,000 BTU ....................... Replacement oP Furnace ............................. Repairs & Aiterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . ... . . .. .. . . . . 8.00 $ 2.00 ; 5.00 � �,�04 5.00 $ 2.50 $ 3TEAM or HOT WATER $YSTEM Fumace Shell & Lines—to 4U0 sq. ft. EDft Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURIVER—to 3 gal. per hour .. . . .. .. . .. .. ... :... . . 5.00 $ over 3 gal. per hour—See Fee Schedule GAS $URNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . 5.00 $ � � GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures . . . . . . . . . . . . . �_ x $1.50 $ ,,� Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . . x 2.00 $ AIR CONDITIONING � FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM a_ ALTERATIONS & AEPAIRS TOTAL FEE a�i j� L:ZGL ROUGH FINAL Dept. of Bldqs. Phone 560_3450 �..s.:.... �' �i� �— ,�� l ��t � City of F�idley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, lvtinn- ((� �� /D , 1 s GG ✓Q Owner �� A -P-D�C-r� = - ) / �l1 Kind of Building _ ��_1��— Used as To be ca s� r Estimated Cost, $ . � "� Old New. Building Permit No. � ��- : Permit No �`–� , DESCRIPTION OF WORK HEATING or PO P7�ANTS--�Steam, Hot Water az —No. � Trade Nam Size No �� '�"� Capacity Sq. Fk E.D.R BTLT � H,p, Total Connected Load Kind of Fue BURNER — Trade Name • Size No. Capacity Sq. Ft. E.D.R BTCT H,p, (REMARKS—OVER) �42 � •.� - . '��.: � � � --=< ��-� ' �s �ii%' � ✓// >%�1!"/�'� ��_ ��. � s � Y 1' � 1 I 1' 1 � � s�e�ecT PEAMiT Nf3.-:-., City of Fridley � �:� � �.; � ; BU ILDING PERMIT -�- AT THE TOP OF TME TWINS � ._ ; � RECEIPT NO. � COMMUNITY DEVELOPMENT OIV. ' ; �" _ p,� l r � � PROTECTIVE INSPECTION SEC �� 1 � i �' � /'��1 � CITY HALL FRIDLE� 55432 NUMBEH REV DATE PAGE OF APPROVED B� `��il �.J 612-571-3450 910-F15 6/21/96 � / JOB ADDRESS 6802 Hickory Street NE 1 IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. ( 1 Ostmans First SMEET 2 PROPERTY OWNEF MAIL ADDRESS 21P PHONE Michelle/Eric Swendsrud 6802 Hickory Street NE 571-7353 3 CONTFACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADORESS 21P PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW `p ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X B DESCRIBE WORK Construct an 18' x 23' Gara e Addition 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. See notations on plan. �� A��'��t � catl for Befaie digB�ng tions a41 uty1�� 1o�'a � sE1�ARai'.E PERMITS REQUIREt� F`Oi� 454-D �Y � � R,�Q��R� WtRfNG, HEATING, P�UMBIN� AND �;�N�, ?YPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAO SEPARATE PERMITS ARE REQUIRED FOfi ELECTRICAL, PLUM8ING, HEATING, VENTILATING OR AIR CONDITIONING. THI5 PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOii A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAILS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUR7AX AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED @��OOO �3.SO WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT W 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 OF THE PERFORMANCE OF CONSTRUCTION y+12�F. %S F e SC �7.00 PLAN CHECK FEE T L FEE $135.25 S� TURE O: 'RAC70 7H iZED AGEN7 /P' IDATE ROP VALI A THIS IS Y/QoUR PERMIT ��L/ ` � �5�� `� � � � , �� riaiE SiGNATUAE OF pWNEP i1i OWNER BU�IDEAI 1 AiEI �NSP NEW ADDN ALTER I� [l �� ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application �, I L �� Effective 3/1/96 �� a-/ Owner Name & Address: m� ��/�,Q�,,�Q � l� r�CC � �('I�,( � (�� 1 Tel. # ,-�j �'(• � �� Contractor: �l � MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length � Width �_ Height �� Sq. Ft. - 1 DECK AREA: Length Width HgtiGround Sq. Ft. OTHER: Comer Lot bc] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Tyge of Construction: W�C�� ynr_ Estimated Cost: $ �p00. oV --� Approx. Completion Date: (Cost on Back) Driveway C rb Ci�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �y '6 APPLICANT: f'�; �. S�„J��,,,� Tel. # ,�7/ - �353 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � 1 . ,�"' � 7, p v � 3 , s� $ $ $ $ $ $ � �3s� ZS_ CITY USE DNLY Fee Schedule on Reverse Side .001 of Permit Valuarion (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 [ ] s , STIPULATIONS: sue�ecT ERMIT NO. City of Fridley � �� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. �j j`T/ �j� , / ' ; L'�'��', /VGJ lI r � � PROTECTIVE INSPECTION SEC � � � ' � r'��1 � CITY HALL FRIDLE� 55432 NUMBER �7EV DATE PAGE Of APPROVED 8� �""'�"� �'� 612-571-3450 910-F15 10/9/96 � � JOB ADDRESS 6802 Hickory Street t LEGAL �OT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. () 1 Ostman's First Addition SHEET 2 PFOPEFTY OWNER MAII ADDRESS ZIP PHONE Eric Swendsrud, 6802 Hickory St., Fridley, MN 55432 571-7353 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. JMR Construction, 6870 164th Lane NW, Ramsey, MN 55303 753-0928 9227 d ARCHITECT OR DESIGNER MAII ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE IICENSE NO. 6 USE OF BUILDING Residence 7 CLASS OF WORK O NEW � ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORKIriteY101 & windows, exterior soffits & fascia 9 CHANGEOFUSEFROM TO STIPU�A710NS TYPE OP CONST. OCCUPANCY GROUP OCCUPANCY �OAO SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERM17 BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STA��S GARAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1�} OOO.00 tate SC �7.00 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE PROVISIONS OF ANY OTHEF; STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF NSTRUCTION. 2],2,2,rj � 2�14.00 PLAN CHECK F AL FEE � r -'�-/ Licen e ee .00 238.25 SIG TUREOFCON'RACT0�70RAUTMOA�2EDAGENT IDATEI N P R�Y V �I D THIS IS VOUR PERMIT •• • ,� � I SiGNATUREOFOWNEFlUFOWNEABUILDEFlI �DATEi LDG �NSP � DFTE NEW ADDN ALTER [l L] [l CTTY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R 2 Building Permit Application ConstructionAddress: � � `� a �� c1�o � y' Legal Description: Effective 3/1/96 Owner Name & Address: �R��C S we�.o�s �c'N� Tel. # S7�- ? 3,�" 3 Contractor: ��(' C v^� S T'�v c T'/� °+� MN I.ICENSE 1� 9a -? % Address: !� 8'7a ld ��Ss✓ �v� �v /%o»ns'�y �w• S"-�"�a 3 Tel. # ? S3 � O r.� d� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIV�NG AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Sq. Ft. Sq. Ft. Sq. �t. Comer Lot [ J Inside Lot [] Ft. Yd Setback Side Yard Setbacks TyRe of Construction: Estimated Cost: $�,�� _ Approx. Completion Date: � � (Cost on Back) Driveway Curb G�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. # Permit Fee Fire 5urcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge � CITY USE ONLY $�o?.�. Fe� Schedule on Reverse Side $ 1�00 .001 of Permit Valuation (1/lOth%) $ %, Od $.50/$1,000 Valuation � $ $900 per SAC Unit $�. d v $5.00 (State Licensed Residenrial Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] TOTAL �I i�J - o�� STIPULATIONS: � r ��NG— ��j� /QNl% �/�Zd�� !�'T, / E=�� .L�=�/�`�.P�a5�4��i'3�/"i Gt�./�tlDA�✓� Tb /�l��" �� ' � . CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 . R_ . r - Effective On March 1, 1996 �4PPLICATIOf� F�OR POWER PLANTS AND H�ATINC, COOLING, VEN7ILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS A�VD DEVICES . D 2 77-�c ,� r� � �� <<% �� s a��nESS T � Residentiai Fu�nace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnacE) Gas Range Gas�ryer *Air Conditioning - All Sizes All Others/Repafrs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Vatue of Appliance or Work Rate TOTAL $ 30.00 $ �0 •OC� $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ State Surcharge 70TAL FEE The undersigned hereby makes application for a p�rmit for the �aork herein specified agreeing to c�o all work in striat �ccordance with the City Codes ar�d rulings of the Building Division, �nd horeby cleclares that all the facts and representations stat�d in this �pplication are true and correct. _ __ _ __/`�-'��v-' �1996 OWNEFI � i.cy-e �S �l� c� � �Y'c � � l -iC c �eC�� BUILqING USED AS �� % � '73 S�3 ,.;I-;�? ESTIMATED C�OS7 �o�CX�. CX� PERMIT N0, �-' -, Q�SCRIP'TION OF FURNACE ANC1 OR BURNER $ No. of Heating Units� Circle One (Steam) (Hot Water) rm Ai Trad� Name �/E�G- Size No. BTU �S�D HP EDR $ ,50 � �O. s7� MINIMUM FEE FOR ANY HEtiTING(C(30LIP1�NTILATION REFRIGERATION/AIR CONDITIONIIVG PERMIT IS $25.00 PI.US iHE $.50 STATE BURCHARGE REINSPEC710N FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permisslon from adjoining property owner. Fuel Total Connected Load Burner 7rade Name Size No. BTU HP EDR HEAYING CUMP NY /�-/to� /"�eC �h �� J �CS - Cb • Signed 8y % ��''�' Tel No. `�o�� 5O� Cr%cJ�21�/Z. Approved By Rough-In Date Final Date FILL OUT BACK SIDE OR STACK VERIFICATION ON REPLACEMENT FUR ACE w .r SuBJECr City of Fridley AT THE TOP OF TME TWINS g U I L D I N G P E R M I T i ♦ � � . COMMUNITY DEVELOPMENi D1V. ' j L'�"�� , r � � PROTECTIVE INSPECTION SEC. � . `-•-.�; �"'1�'� CITV HAIL FRIDLE� SS1�2 NUMBEp i 612-571-3450 9t0-F15 JOB ADORESS 6802 Hickor Street 1 LEGAL �OT NO. BLOCK TRACT Oq AODITION DE5CR. ( 1 Ostman's Fir: 2 PROPERTY OWNER MAII ADDRESS Mi.chelle F� Eric Swendsrud 3 CONTRACTOR MAII AOOFiESS Owner � ARCNITECT OR OESIGNEFi MAIL AOORESS 5 ENGINEER MAIL ADORESS 6 USE OF BUIIDING Residential T CIASS OF WORK AEv TE PAGE OF 8/12/99 / / 1T NO. �30048 �. 5/03 •PVnOVEO Br SEE ATTACh1E0 SHEET J/1—/JJJ ZIP PHONE UCENSE NO ZIP PHONE LICENSE NO. ZIP PHONE LICENSE NO O NEW ❑ ADDITION �c ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WOi;K Remodel room (20' x 11'1 9 CHANGE OF USE FROM STIPUTATIONS TO ��'� PERM�3 REQI�tREO �p'�► � HEATlH�, PLUMBIN� A�ja � f�; . TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV IOA� SEPARATE PERMITS AqE RE�UIREO FOR ELECTfiICAL, PLUMBING. HEATING. VENTI�ATING OF AIF CONDITIONING THIS PENMIT BECOMES NULI AND VOIO IF WORK OR CONS7fiUCTION ZpNING SO. FT CU FT. AUTHORIZEO IS NOT COMMENCEO WITMIN 60 DAYS. OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOp A PEpIOD OF /20 OAYS AT ANV 71ME AFTER WOAK IS COMMENCED. NO. DWLG. UN175 OFFSTqEE7 PARKING I IiEREBY CERTIFY THAT 1 MAVE REAO ANO EXAMiNED TMIS APP�ICATION STA�LS IGARAGES ANO KNOW TME SAME TO BE TRUE AND CORiiECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING TMIS TVPE Of WpqK WILL BE COMRLIED WITH WMETHER SPECIFIED MEiiEIN Op NOT. TME GRANTING OF A PERMIT �ZOOO OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL 7ME pEqM17 FEE PROVISIONS Of ANY OTHEf; STATE OA LOCA� �AW REGUTATING GON- STRUCTION OR THE PERyQFiMANCE OF CONSTWUCTION $69.25 SiGN R iD�iE� i� 1.00 C C►+nAGE ire C '2.00 TAL E 7 5 f S IS � PEQ1�j� T �_ r �.�/ /�r N�W [ � ADDN [ ALTER Construction Address: Legal Description: Effective 5/10/99 CITY OF FRIDLEY SINGLE FAMII,Y AND DUPLE�S R-1 AND R-2 BUILDING PERMIT APFLICATION ei� - ■ �N� � a �� b � � Owner Name & Address: ICI'1e� 1� � �(C . � (�1��l�it-(j� Tel. # ��' �' ��3 Contractor: : . MN LICENSE # ,.. Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: Attach to this application, a Certificate of Survey of the lot, with the praposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length �Zy Width /( Height � Sq. Ft. z iU Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. __... ___... Construction Type: ,(�,tr,.� ►2.z�o �� Estimated Cost: $ ��—°�`� �` Driveway Curb C�t �Vidth Needed: Ft. + 6 Ft = Ft x$. _$ DATE. . +� APPLICANT: �1 Ci�el � �� r �-� rV'� Tel. # �� w�./� �- �rldS`_ CITY USE ONLY y Pernut Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ .a� $ :� o c�-� $ (� � $ $ $ $ $ $ � a,aS Fee Schedule on Reverse Side .001 of Pernut Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential.<Gontraetors) a �_� . Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] , � �� , � �� C�S X � �. ; �v �n J � � � � � �� V � `� ( � , 'J l � � � � � ��- o �. � �� ,,, � � � � � �� . �� , , y -�;. + � � �' � �� .�. \`N�_ ��`� ° �' ° \� � b�.l.S �. . � ' v � I...�.� . � �y 4 .� - �Ke • {�` � : L� ��. ��, L � �; � .;. �c' '. ... ;� � , : �, c:� . _ i�"h ^� ' � . � -+' � v � 9� � � � � � �� ..� � �-, ,� t ��t ��v �` i r`� z ��e . . } , ..t: .. .. . 1�� . �' :,. f � 3 � �� '� oc 3 CITY OF FRIDLEY INSPECTION 6431 University Ave NE �ridley, MN 55432 572-3604 RATE SCHEDULE DIViSION '� � J�� APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES ! Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Rate TOTAL $ 30.00 $ $ 10.00 $ 10.00 Gas Dryer $ 10.00 Air Conditioning - All Sizes � • $ 25.00 = D o�«F ue� � � � �D,.�� All Others/Repairs & Alterations (LIST ON BACK) laJo of Value of Appliance or Work Commercial/Industrial 1.25�'Jo of Va1ue of Appliance or Work '..��QCR. P�c S�"�=� dM c� c.� � ft- I�� i d►-� � �, r��'� State Surcharge �Q � s� �.a��i�iar°.0 b � o TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION R��RIGERATION/AIR CONDITIONING PERMIT IS 525.00 P TH RCHARG . REINSPECTION FEE $47.00/Hr �Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ Effective On May 10, 1999 JOB ADDRESS � ��Z �"lj �° �i J � � ; 1 r�� a /� n ► OWNER ��1C— �� c11SC'�-c D( s BUILDING USED AS ��-� t o �.-�'�� j ESTIMATED COST PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. t— BTU HP EDR $ �� Fuel Total Connected Load � �; O6 $ $ .50 � �D.SO Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that a!I the facts and representations stated in this application are�true and correct. HEATING CO � CITY OF FRIDLEY INSPECTION DIV 6431 University Ave NE Fridley, MN 55432 572-3604 `� o " . �i � � I APPLtCATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: IVew Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas"" Gas Range'" NO. RATE TOTAL Gas Dryer*" . Back Flow Preventer Required ()Yes () No Type � $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ �.00 $ 7.00 $10.00 � 7.�� $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE .�/ OO �� $ � /� SZ� JOB ADDRESS U�Q� �lC,I�d �E Y S l/ 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 and correct. � Q�r a 6 �`y , 2oaa Owner � 1 C� � P� L. L. P s u%� /U S/^ l.(!� • v ■r-� BuiWing Used As Estimated Cost PERMIT N0. `� / L��. PLUMBING COMPANY LJ��SdN PL-�l �n b�N9 - � SIGNED BY TEL N0. �d� `�2 ' � (�'D Approved By . Rough-In Date Final Date � ��u�� u �� w� � uv w� � u�w�uwi� � w w�.w��. •w �ww ww �� COMBUSTION AIR SHALL BE PROV{DED PER UMC SECTION 504(A) AND TABLE 6-A. � COMMON VENT INFO ON BACK SIDE _ _ �� F FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 1, 2002 Ms. Michelle Swensrud 6802 Hickory St NE Fridley, MN 55432 Ke: Final Inspection at 6802 Hickory NE Contractor: Larson Plumbing Dear Ms. Swensrud: A plumbing permit was issued on October 25, 2000 to install three fixtures at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date, no final inspection has been called for. The pernut fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit 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 permit "no inspection called for" and take no further acrion. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, �NSEN Inspector DJ/mh