AF - 46889n
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Ci.ty of Fridley, inn
BUILDING PERMIT
��; Feb . 19. 1969
p�r: A. L. Williams �� Same
� 947 86th Ave. N. E. Ad� Same
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N° 10101
LOCATION OF BUILDING
No. 5 28 Street Ironton St . 1V . E. p� oE Lot
� 53 & 54 _ Bl� G Addition or Sub-Divi�tan __._Riverview Heights
Coraer Lot — 7naide Lot _._. X Setback 35 � Sq�y,�d 10 �
Sewer IIevation � 845 .96 848.96
Top of Footings
DESCRIPTION OF BUILDING
To be Used as:
Dwelling �t 26' Depth 38 � Height 20' �. � ��
Front Depth fTeight Sq. Ft Cu. F't.
Type of Consiruction Frame ��_$14, 000. 00 To be Completed
Sewer Location (Lot 52)- 123' East of Manhole
WATER LOCATION ( Lot 53� -� 10' East of Sewer
Check elevations carefully before construction.
In consideration of the issuance to me of a permit to construct the building described above Y agree to do
th� P�P�d work in accardance with the description above set forth and in compliance with e�l Pra�lsions of
or8inaa� of the citq of Fridley. __.��/ "�� , �
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$100.00 Sewer Connection Char�e
In consideration of the payment of a fee oP $ 30. 00 ��t � g��y �� � A. L. Williams ,
to construct the bnflding or addition as described above. This �rmit is grant�ed u�n
the express conditfon that the peraon to whom it is granted and hia agente, employees and worlanen, fn all work
daae fn, around and ugon said building, or any part thereof, shall conform in all respects to the ordinancee of
FridleY. M3nnesota regarding lacat3on, construction, alteration, maintenance, repair and moving oP buildinge
within the dty lim�its and this permit may be revoked at a�y tjme upon violation of any of the provisiona of safd
ordinaacea
Official
Henry F. Muhich 8�� �
NOTIC�
1'his permit doei eof eever ths eonslrocHoe, instaO�Hon fee WUine, phr�bfeg, ea heaHoB, tew�r or waMr. 8� sun fo �
tha Bnitding Inspseto� hr ieparm parmh� Po� �6as It�m�,
�.� —
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APPLICATION FOR BIIIIu�ING PERMIT
CITY OF FHIDLEiC, MINNFSOTA
OYNSi'S NAME
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LOCATION OF BIIII�UING
N0. � STHEQI' � f%�`d a!l %�lJ 41� ��
�-���� -� ,�[�.BI+�K ADDITION 08 SIIHDIQIS ION/�1 !/ �-�"iP 1/ � L Gl 1}�/�T,.1'
COR"gi LOT INSIDE LOT � SETAA!`��SIDEYgRD�_
. �_
3Ef�lII� ELEVATION TOP OF FOCTING
gpplicsesit attach to this for� Two �srtificates of SurvQy of Lot and
propoeed buildiag location drs,wn or� th�ea Ce�tifice.tese
DFSCR.IFTION OF BIIILDING
To Be IIsed Aee
/� � Front ,� � Depth � � Height �
Square feet_ ' ,d' � Cubic Feet � '�/ � (� d
Front Depth Height
S9nare feet Cubic Feet
Type of Coastruction ���� Eetima.ted Coet /� Q�' d
To Be Completed
The undersigned hereby makes application for a permit for the work
herein epecified, agreeing to do all work in etrict accordance with the
City of Fridley Ordinancee and rulinga of the Department of Buildings,
and hereby d.eclares that all the facts and i�:�,r�eentations etat�d in
thie application are true and correcta
DATE_� /� ��� SiGrTATORE Lr7' �%/A������
,
_`¢1�S�hedule of Fee Coets aan be fourid on the Reverse Sideo)
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BIIILDING PE'RMIT k'EE SC�UI,�
SECTION 2o The Inspecto�e of Buildinge ahall, before iasuirig pernita
for the erection of any building or atructure, or for �.ny addition to any
exieting structure or building9 or for any alteration or repe,ire to auy
eaieting buildiug� or structure, upon application therefore, require the
payment by the applicant for such permit of fees �o the amount herein
below aet forth and in the ma.nner herein provided to-wit:
IIniform Buildi_n� Codes Type 1y 2, & 4-�1,75 for each one thousand
cubia feet, or fraction thereof, in such c�bical anntente. Type 3& 5-
;1050 fo� each one thoueand cubia fee'te
For the purpose of computing feee for building permite, the cubical
aontente of any building or addition to a uniform height throughout by
multiplying the ground area covered from a point aix (6) inches below
the �'loor line of the ba.sement or the cellar to the average height of
the upper eurface or to the avera.ge hei�ht of the rooi surface of the
maixl gable of a pitched roof .
k'or re�a,irs or alteration.s to an existix� structure, the fee ehall be
at the rate of $3.00 per each iive hundred dollars (=500.00) or
fraction thereof in the coet of all proposed worko
In no case shall the fee chaxged for any permit ae eet forth in Section
2 be le�a than $5000�
NS�SD Connection Char$es based on loeation - Area 1 or 2.
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CERTIF�GATE OF' SURVEY
J/AMES L. KURTH
, LAND SURVEYOR
4207 N.E. STN S'T'REET
COLUMBIA HEIGNTS 55421 . 788-50n4
1 HERHBY GERTIFY THAT TH18 SURYEY. P4AN, OR REPORT WAS PREPARED BY. ME OR UNDER MY DIRECT SUPERVt�ION
AND THAT I AM A DULY, REC318TERE0 I.AND SURVEYOR UNDER THE LAWS OF THE STATE OR MINNESOTA.
'',� � � oATE t�=� ►�c�4
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� ��+�� �- SCALE 1,' = 30 ,
MINNESqTA REGISTRATION NO. 5332 o=1RON MONUMENT
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STATE OF MINNESOTA
DBPARTMBNT OF NUMAN SBRVICE8
44a LAFAYETTE ROAD
�?�� Q' (� ST. PAUL. MINNESOTA Ssf01
—� o . fo
Date
� -
Zon g Authority
� `{ � I C�-�...� � .
� Street Address
rl'� i� � � S '�l ��
City State Zip Code
RE: ZONING NOTIFIGATI9AT 4� A���A���I�3 FOR LICEA�SURE
Subject:
�' � %��5�-,.
Name of Day Care Home Applicant
��- g .�l- tl n'� � .
Street Address
� A� , l�i �, S 5`S 3 a--
City State Zip Code
� � '►, ' . i
�
D8S-2722 (9-85)
PZ-02722-02
Type of License:
Family Day Care
Group Family Day Care
�-�-��
�
Licensed Capacity � �
Phone No . '� $ � - � � � �
This is to inform you that we are in receipt
licensure under Minnesota Rules, parts 9502.0300
Rule 2), Family Day Care and Group Family Day Care
this license is subject to compliance with the
Statutes, Sections 245.781 to 245.812 and 252.28,
the Public Welfare Licensing Act and the rules of
Services.
of an application for
to 9502.0445 (formerly
Standards. Issuance of
provisions of Minnesota
subdivision 2, known as
the Department of Human
You should note that under Minnesota Statutes, Section 245.812, Subvision
3, a licensed day care facility serving 12 or fewer persons shall be
considered a permitted single family residential use of property for the
purposes of zoning. Subdivision 4 of the same section indicates that a
licensed day care facility serving from 13 through 16 persons shall be
considered a permitted multi-family residential use of property for
purposes of zoning.
If we do not hear from you within
will consider the above-mentioned
your local zoning code.
Sincerely,
Licensing Wor er
Street Address
30 days after receipt of this letter, we
day care home to be in compliance with
CO�M�d�UiV��i'f ;�� rta_ ���a t': ; c^��:�AL
SER1/ICES D`���f�,;C't`�J i
COUNTY OF ANOKA
COURTHOUSE, FOURTH FLOOR
ANOKA, MINNESOTA 55303
Name of Agency/Organization
City State Zip Code
AN EDUAL OPPORTUNITY EMPLOYER
ADDRESS .
PIN .
LEGAL DESC .
PERMTT TYPE .
PROPERTY TYPE ,
CONSTRUCTION TYPE .
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
s�z-36u4 r��:
528 IRONTON ST NE
033024230064
RIVERVIEW HEIGHTS
LOT 53 BLOCK G
HEATING
RESIDENTIAL
ADDITION/ALTERATION
s�i-izs�
PERMIT NO.: 2004-00161 '
DATE ISSUED: 02/05/2004 �. � � �
�-
VALUATION .
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERNIISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A
REPLACE FURNACE (WARM AIIt, LENNOX, 66,000 BTin AND AIR CONDITIONER
# A/C iJNITS 1 VALUE OF APPL OR WORK
#FURNACES
# GAS RANGES
APPLICANT
RESIDENTIAL HEATING & AIR
1815E41 STSTEA
MINNEAPOLIS, MN 55407-3425
(612)724-1899
OWNER
MCGRATH,DONNA
528 IRONTON ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or consiruction
authorized is not commenced witin 60 days or if constntction
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 know the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
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
reg�4etmg�onstruction or the performance of construction.
Ap licant � � Date �
Bldg
1 # GAS DRYERS
0
FURNACE SHELL/DUCT WORK
GAS RANGE FEE
GAS DRYER FEE
AIR CONDITIONING FEE
HEATING REPAIRS/ALTERATIONS
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 15806
SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE.
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THE BELOW MUST BE FlLLED IN WHEN REP�-p►CING FUEL BURNiNG APPLIANCES OR THE
APPL,tCAT10N WILL BE REfURNED
•��i�•► 1 ► I i� �►� •: !►� •u= ��� '-: I : � ! �•►
Wtten rE �p.rcioy a�..�••� �•� �e undersign� hereby verifies that the
venting has t�en examined and is iree f�m n�st, deteria�ation, obstrudions,
and is securefy supported and firestcipped whefe require�t. Yes (' � No (
The verrting system is piastic/PVC artd meets aN a�rrent codes and manufacturer
speaffcations induding sizing� length, number of elbows and termination. Yes ( No ()
The undersigned also verifies that the replacement un� is a listed assembiy
and m�ts the current codes and manufac�urers specifcations. This does
indude AGA-GAMA Category i Central Fumace Venting Tables for ian
assisted and natural draft appliances.
The ���p cemt��a�en �ir �s sized attd insta0ed to meet the Cu�Terlt codes
and manufadurers specifications.
WhBri �Ulf@d t0 ins4all a n�w c_emh��etien ai' it WII� b@ SI'G8d 3t1d iftSidll@d
to m�t the current c�es and manufacturer's speci�cations.
Yes �o ( )
Yes (�o ( )
Yes (�No ( )
� the �tdersignexi hereby ver'�'ies that
it is a 6sted assembly and tr�ts the cument c�les and manufadurers "
sp�ifications. This d�s indude AGA-GAMA Category I Central F'wT�ace
Vent�tg Tabtes for fan ass�sted and natural draft appGancps. Yes (�IVo ()
Is the common vent and vent cor�nectors s�zed and instaUed correcUy after
an appGance has been removed from the common vent and vented
separately as per c.ument codes. Yes (�,yKio ()
! • • . / ry' /�i' . � • �► ].. .• 11 fl • � " � .. � � ' � � l 1 ��M • IIY� �11 , 1 • �
Appli�tce #1 Type -�i� 2,.� � �e- BTU Input 6 6, o � v Fan � ✓
qppGanoe #2 Type BTU lnput Fan Assist� or Nat
Applianc� #3 Type BTU input Fan Assisted or Nat
T�fal App�'�ces To�! E�a lnPut �
Common Vent Type Vent Height Diameter inches
Appliaartce #1 Ver�t Conn�tor Height ft Length ft D'rameter in Type
Appliartce #2 Vent Connedor Height R Length ft Diamet�r in Type
App�iance #3 Vent Connector Height ft Length ft Dramet� in Type —
� � r . ► .�- . .,-
HEATfNG CO:
Signed By:
Date :
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FILL IN COMPLET�LY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
� COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacina 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 inciuding sizing, length, number of elbows and termination. Yes ()
The undersigned also verifies that the replacement unit 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. Yes ()
The existina combustion air isJsized and installed to meet the current codes
and manufacture�'s specifications. Yes ( )
When required to install a new combustion air. it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes ()
When installina a new ventina svstem, 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 1 Central Fumace
Venting 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 ( )
No ( )
No ( )
No ( )
No ( )
Yes ( ) No ( )
Aqpliance Tvae 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 Appliances Total Btu Input ___
Common Vent Type 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
ALTERATIONS• (Describe)
HEATING CO:
Signed By: Date :
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 ITNIVERSITY AVENUE NE
FRIDLEY, MN 55432
163) 572-3604 FAX: (763) 571-1287
: 528 IRONTON ST NE
: 033024230064
: RIVERVIEW HEIGHTS
: LOT 53 BLOCK G
: PLUMBING
: RESIDENTIAL
: ADDITION/ALTERATION
._�,
PERNIIT NO.: 004-00957 �'' �
„t
DATE ISSUED: 06/21/2004
VALUATION : $ 400.00
NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER
HEATER.
# ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0
# NEW FIXTURES (EXIST OPENINGS)
# GAS DRYERS
# OF NEW FIXTURES
APPLICANT
NORBLOM PLUMBING CO
2905 GARFIELD AVE S
MINNEAPOLIS, MN 55408-2173
(612)827-4033
OWNER
MCGRATH,DONNA
528 IRONTON ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This pernut 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 exa.mined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. T'he
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulatin co vction or the performance of construction.
Applicant ' Date � ,
Bldg Insp
0 # GAS WATER HEATERS
0 # GAS RANGES
0 # WATER TRMT APPLIANCES
PLBG PERMIT MINIMUM FEE
PLBG FIXTURES (NEW OPENINGS)
PLBG FIXTURES (EXIST OPENINGS)
WATER TREATMENT APPLIANCE
WATER HEATER - ELEC
WATER HEATER - GAS
GAS RANGE FEE
GAS DRYER FEE
PLBG REPAIR/ALTERATIONS
STATE SURCHARGE, PLBG FLAT
TOTAL
PAID WITH CHECK # 28495
SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE.
�
0
0
0.00
0.00
0.00
0.00
0.00
35.00
0.00
0.00
0.00
0.50
35.50
e
2 - '7��
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.spection�s
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C;� +C)� Fit�A��Y .
YOUR E�fAIE. AADRESS
. C� �V��
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(p 5��- 3
�emni.t NQ.:,
Received BY:��
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T[i1S TS AN .A�L�ICA7T0'l� FOR A PERMIT NOT VA1.ID UNi71- PROG6S55D
I herebY aPP�Y for a b�uiIdio�g per�nit and � a�cknowledge t�at �e information above is annplete �d a� �� a►ork wlll be m
confo:me�ce wfth tha � and codes of the City 4f £ri�dle�y a�ad with the Mmonesota CAn�on Codes; tl�at I w�d�nd this i� not a
pernc►it but an'fy an epplica�on foz a pexmit mad wurk is not to start without a�ermi� ttm t�e worlc will be in acaordar►ce wi� tb�e spproved
plan in t�e casc af all �vozk w�t �w�approvai of p�ans- --� � �� �/ ��j/
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SIGNATUitE OF APPLiCAN1'