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AF - 47583560-3J50 �' -f --� �-�� . . � , � _�a�,frV: t' �� °�� t - °� � � ��o � a _. : <;;�;� - (� 4i;'�� S.tiY' ^� r..r..r.� k ��...�� . . : E...: _.-�'�i_1:,. . . . . .�.�.. ` ;7 � ANOKA COUNTY ' ►; � 6431 UN(VERSI7Y AVENUE NE October 9, 1974 FRiDLEY, MINNESOTa ;i543� Minneapolis Post Office Department . Superintendent of Aeli,vexy IsC & M�rquette Avenue rlinneapolis, Minnesol:a 55402 � " . , Re: Change of �ddress . � . . City of Fridley . Gent le.^�en : We are listing the following change of address in the City of Fridl.ey; _ . NAME: Mr. & Mrs. Don Kuuisto . :FROM: 615 Janesville Street N.E., Fridley, Minnesota . T0: 585 Janesville Street N.E., Fridley, Minnesota , LEGAL DESCRIPTTON: . We have notified the occupant of this change and we would appreciate it very ruuch if you �aould change your reeords accordingly. _ • •. . Sincexely, DAP.REL G . CLARK Community Development Adm. DGC /mh ' CC : City L+later Billi.n� Dept . . City Assessing Depaxtment Minneapolis Gas Company - 8rooklyn Park Office Northexn States Yower Company Noxthwestern Bell Telephone City Voters Registration �Homeo��ner : 560-3450 ��t � ��'C��e � � ANOKA COUNTY 6d31 U�VIVERSITY AVENUE NE October 9, 1974 _ FRtDLEY, MINNE507A 55421 Mr. & Mrs. Aon Kuuisto 615 Janesville Street N.E. ' Fridley, Minnesota 55432 . Re: Change of House Numbers � Dear Mr. & Mrs. Don Kuuisto: _ It has been necessary for this office to change the address of your house FROM 61�J�,�s r�,�„' le Street T� 585 Janesville Street N.E. LEGAL DESCItIPTION ��s 31,34, B1,Qck E, Riverview Heiqhts . We have notified the Post Office Department, Minneapolis Gas Corngany, Northern States Power Company, Nortiiwestern Bell TeZephon� Company and various departments in City hall of this change. Sincerel.y, AARREL G. CLARK Conmunity Development Adm. DGC f mh sue�ECT P City of Fridley � 15919 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ; � CEIPT N � • COMMUNITY DEVELOPMENT DIV. � � r � y � PROTECTIVE INSPECTION SEC. � ; 1 � /"�'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED 9V � ----�•' ,'' 612-571-3450 910-F� 5 9/8/80 / / 108 ADDRESS SSS aTdIlESV1.�.�.2 Street N. E. 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED �ESCa. 31,32 E Riverview Heights sHeer 2 PROPERTYOWNER MAILADORESS ZIP PHOtJE Dona.ld Kuusisto 585 .7anesville Street N.E. 786-584 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE UCEN$E NO. 6 USE OF BUILDING Resident�al 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE x 8 DESCRIBE WORK Construct a 22' x 2' 9 CHANGEQFUSEFROM TO S.TIPULATIONS Provide a hard surface driveHray. ��RNlN� ��`�' d��,�a �� ,,�� ;t;� PHUNE • �tEC7�fC - GAS ��, JCEG�V�RED gY ��, SEPERATE P�RMITS REt�UtftED F{�� HEATiNG, Pl,tlMqI1V6 AND SICNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PEFMITS 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 PERIQO 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 WOFK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5, Q39. $2. SZ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCA� LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �S`22, $$ P�AN CHECK FEE TOTAL FEE $25.40 ATUREOFCONTRACTORO 7HOq12EDAGENT IDATEI HEN PROPERLY V IDATEO THIS IS VOUR PERMIT ��,...�'�-.�.� �--,�..� � � � , cP.� e� SiGNATUF7E OF OWNER IIF OWNER BUILDERI � IDATEI BL�G INSP ATE r� � CIiY OF Fi?If?L.EY ARPLI�/1TIO�d Fi?�: RESiUE.��'rlt�i_ 6UILDI��G ��Z•�TTS � (tdet�a§ A7ter�a�:i�ns, Adui�ions, or Repairs) ' �D�sT'.��: � �I - •��'� � � __ ��__ _at�r��Ei• ,--.��.�,,�� d . �v v s-.___.�s�o auz�oE� : ��r= � � ADDRCSS: ��'� � ��% � � � ��/�'s > � � � ADDRfSS: ,�-�f. � 1'i:L N0: � ��fo ' _.L��.� � TEL �l0: .._�� 4� �� Construction Location STitEE�' NUc � - � STP.EET: �i��IL:�S 1�,/� LOT: � l - � � BLOCK: _ L..� ABDITIOI�T : �� ' � Corner Lot: Inside Lot: _�� Setback; Sideyards: Applicant attach 4o this fo�m two Ceztificates of Surv�y O� 1.0'r and pra�osed building locaticn drawn on certific�tes i:o scale. DCSCRIPTIQ�d OF CONSTRl1C"fION � �' / T Front: ��C�_� Depth: � iieight: � � Squa�e.Feet_��_�� Cubic Feet: �� Fron�: Depth: Height: . Squax'e� Fcet: Cubic Feet: ,--, . � � • po� T�pe oi Constr.uction :��_,t�,N��-� � . Estimated Cost: $� Ta Ile Cbm�Ieted: � �,��.`"_ . �j(iill !%s� A1t. A A1.i:. 3 ��¢c sF.v� . Pr.o�sed Dziveway Width Ii New Opening Is Desired: ��*� $� $ 5v��I17'�VEP,SE SIDr. OF SH�T 7.�e undersigned hereby makes �pplication for a perni� iar the work herein specifi_ed, ag.ree3:ng to clo all wark in strict accordance Raith the City of Fridley Ordiraances and rulinqs of the D�pariment of IIuilc?i:nys, ana hereby decla�es that all the facts and xe�z'ese.it:a.tions state3 in trzis application aze true and corr ct. 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L ' -�-- � ` � � � ( -- --- -__ � _ _ ,I , yA _ T � --- ;__ � i_ _-, �-- - -�; _ ,- � , f _. _.r I � ; - -- _ __ _-L _ C�_ �. �; _ , _�_� �__ __ _ � ,-- -�--- - __ . � . , _ __ � � . _ { � a �� __ �1_ _i _ � �- —�- _ �— �-� _� � - ---i- - — ; � � ��! -� ; _ _. , ; i i i � �'� � � � . _ _ _ _ _�.-- —�--_ _� _ i _ � _ .' __ — — - ---I�--- — �' -- --�— - 3� _ i � � , ..� i + ; � i i �---- ,-, - , � ; _ , t� � . � r ��---- ,- - -� -- -�� - `� � I - �""' S� � 7+�' � "�1 - - - --�--- � _ � � - - - - -_ "`. -1 � � � � � � � i �_ �! � � I ' �; C;_o : ; __ ( _ _ _--.-- � ---- -- -- -- -- � � ; ; � i� � � - I _ , , � - -�--- -- -- - - -._. � _ _1 ___ � - �; ' -- - - _.� t _ _ . _ : -,; � ��,�c� ; __ _ _ ; , .. , --- _ _ _- - — --- — — -- - .,� ; �, ; — - . ra . r�, � _ _._. ( _ �' _ __ -- —� --- -- - - — - — - s �, - . I _ , � , _ 1. *� � --- � __ ___. __ __ _ -- --- -_ ___ - -- - - -- - - - -- '`� �� F 1�� _ ___ _.� . __ - . I � . � , , ._ f � __ � . `i �,' ._�__ i � , _. ___ __. ____. _- -- -- -_ _.. . _ ; , � � � __ � � _r _ ; ! + ��; � , __ i ��;�,., � .�___._- ---. _____._ __ __._C _. _____� _ .__- �. -.____. �1 ._ � \I , _ i � __ -- - - . � - _ I �, I _ � � _ , _ � , t .___ - - -- — _- - - - _ __ _ __ __ _- -- - --- - - -- 1 i� _ _ _ _ �; . t (. � _ _ _ , C;+C � � . � ;_ . _-t-- _ _ _.�__ . --- ----- - __ _ � !_ , _ _ . ! _�.__ __ ___ ---- .__ _ , � . _; � _.� , 1 a � _ _ _ -- - _ __ _ . --- _ _ .___ �_. , , , , 1--_._.. __ . , __ _ . _. i , � . , ,� , � , . � �� , , C- i � � , _ _ _ � � ; � _ , , , __ . _ ,_ _ _ _ ; , ; , __ � - i ; : ' , ; ' � ) � , ; i __� � ; . ,� - - - � : i , , � � I � ' � ' � , � , ; � , � ;:,. _ CITYOF FRIDLEY CIV1C CENTER • 6331 UNIVERS(TY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 Suly 7, 1986 Mr. Donald Kuusisto 585 Janesville Street N.E. Fridley, NIId 55432 Re: Placement of Storage Shed on Lot Dear Mr. Kuusist�o: An inspection on July 7, 1986 of your property has determined that your shed is located too close to the side prop erty line. The City Zoning Code states that all detached, accessory buildings must be located a minimum of 3 feet, from any side or back property lines, or off frcen any easement. You must relocate the shed to meet the Code setback requiremen t. A reinspection will be conducted on September 1, 1986 to determine compliance with this letter. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, . CLARK Chief Building Official DGC/mh � � c��nroF F'RIDLEY � � � q� Jan��1�- CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 May 23, 1990 Segundino & Janet Martin 580 Kimball St., N.E. Fridley, MN 55432 SUBJECT: Drainage Concerns Dear Mr. and Martin: FW90-139 Mr. John Kuusisto, of 585 Janesville, contacted me last Friday, May 18, 1990, regarding the drainage coming from your property onto his. Mr. Kuusisto explained to me that it appeared you had placed a splash block at the end of the drain pipe, but that this was not alleviatING the flood problems he is experiencing. I have not had the time to personally view the improvement you have made. Attached is a sketch of an inexpensive alternative that cauld be made that would alleviate a good portion of the water that is running down to Mr. Kuusisto's hvuse by allowing the water a chance to spread out and soak into the ground. When I first met with Mr. Kuusisto, he offered to help in the labor to do any fix that would stop this problem. Mr. Kuusisto's home phone number is 786-5849. I think it is important that either yourselves or Mr. Kuusisto make an effort to get together on this problem. I am afraid that if something is not done to settle this problem, civil action may be brought by one or another of the parties. As I have o€fered earlier, I would be available to meet with you at your convenience. , Sincerely, ��- G�l.�----�- Ma k A. Winson, P.E. Assistant Public tiorks Director MAW/ts CC: Mr. John Kuusisto 585 Janesville Fridley, MN 55432 . ,� , , �� ELK RIVER CONCRETE PROOUCTS • 7575 GOlOEN VALLEY ROAD • SURE 395 • MINNEAPOLIS, MN 55427 (6f2) 545-PIPE • INWARO WATS--800 + 552•1158 • FAX (612� 545-8399 ,�#, : t PROJECT ��'/ �l ��-�'t �!'�o D� F/Coy770rJ - DATE s Z3 4� r� ,� �� I I � � I I I � ! L � � � � �, �� '�� Y � ZO �. l� � T�.� � \ �/ � \ � * ^� `� \ ' � � � ' ' I 1 ' ,' � . �^ ` • V - J � b \ D � � � � p �� N R + � � � s � ` �� ]� � a �� t ._ ��` � � R, � i �1 N 0� N 1 _ UTYOF FRt DLEY FR[DLEY MUNIC[PAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MNS5432 •(612) 57t-3450 • FAX (6l2) 571-1287 June 25, 1992 John Kuusisto 585 Janesville Street N.E. Fridley, MN 55432 RE: Drainage Issue between 585 Janesville Street N.E. and 590 Kimball Street N.E. Dear Mr. Kuusisto: Recently I spoke to yau regarding the drainage situation between the above referenced properties. It is my understanding that storm water runoff has created a problem on the northerly portion of the property at 585 Janesville Street N.E. The City's Public Works Department has inspected this site and determined a recommended course of action for addressing this situation. Enclosed is a copy of a drawing indicating that the problem could be resolved by both property owners creating swales � at the rear of your respective properties. In addition, the property owner at 590 Kimball Street N.E. should remove small boards placed at the base of chain link fence along the easterly portion of his property and the property owner at 585 Janesville Street N.E. should remove all dirt placed along the south side of the fence separating the two properties. It is anticipated that this drainage problem would be substantially eliminated by following the recommendations as indicated in this letter and the accompanying drawing. Please call me at 572-3595 if you have�questions or wish to discuss this further. Thanks for your cooperation. Sincerely, Steven Barg Planning Assistant SB:ls . _ CtTYOF FRIDLEY FR[DLEY MUNIC[PAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN.55432 •(612) 571-3450 • FAX (612) 571-1287 June 25, 1992 Donald.and Constance Kuusisto 585 Janesvil,le Street N.E. Fridiey, NII�1 55432 RE: Drainage Issue between 585 Janesville Street N.E. and 590 Kimball Street N.E. Dear Mr. and Mrs. Kuusisto: Recently I spoke to you regarding the drainage situation between the above referenced properties. It is my understanding that storm . water runoff has created a problem on the northerly portion of the property at 585 Janesville Street N.E. The City's Public Works Department has inspected this site and determined a recommended course of action for addressing this situation. EncTosed is a copy of a drawing indicating that the problem could be resolved by both property owriers creating swales at the rear of your respective properties. In addition, the property owner at 590 Kimball Street N.E. should remove small boards placed at the base of chain link fence along the easterly portion of his_property and the property owner at 585 Janesville Street N.E. should remove all dirt placed along the south side of the fence separating the two properties. It is anticipated that this drainage problem would be substantially eliminated by following the recommendations as indicated in this letter and the accompanying drawing. . Please call me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation. Sincerely, Steven B�rg Planning Assistant SB:ls �+e�/��+' �� ^ � �.. �1 .�/ �I� � n_1 MEMORANDUM DEVELOPMENT DIRECTOR DATE: October 2, 1996 TO: William Bums, City Manager FROM: �Barbara Dacy, Community Development Director SUBJECT: C nci�mPmber `��r�wson's Request Regarding Tax Forfeit Lot Adjacent The tax forfeit lat in question is legally described as Lots 29 and 30, Block E, Riverview Heights. The lot is 50' x 110'. Mr. Kuusisto resides to the west of the subject property at 585 Janesville Street N.E. Wayne and Jody Wojack live on the east side of the tax forfeit property at 569 Janesville Street N.E. To answer Councilmember Jorgenson's questions, I contacted Gene Rafferty �t Anoka County. • Mr. Rafferty stated that he spoke to Mr. Kuusisto on July 23, 1996. The tax forfeit lot will not be available for sale until June 12, 1997. It will be placed in a"private land sale" to abutting owners. A private land saie means that Anoka County will contact the immediate abutting land owners for a bid pracess. If the abutting ov�mers want to split the lot (1/2 to both adjoining properties), the two owners will need to agree as to which owner will place a bid on the entire lot. Anoka County will not split the lot to two separate owners. The owners will then need to agree on splitting the lot. If one of the abutting property owners is successful in acquiring the lot from Anoka County, they will need to contact the City Assessor's office to obtain a"division" form to divide the tax forfeit lot into two parcel identification numbers and then file a"combination" of the new lot with their existing lot. New parcel identification numbers would then be assigned. If the property owner has further questions, he/she should contact Gene Rafferty at 323-5427. Questions about the City's division/combination process should be directed to Ed Henrin or Mary Smith in our Assessing Department. BD/dw M-96-452 cc: Ed Hervin Mary Smith _ _ UZYOF FWDLE.Y FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 May 6, 2002 Donald & Constance Kuusisto 585 Jansville Street NE Fridley MN 55432 Re: Paved Driveways Dear Mr. & Mrs. Kuusisto: In 1997, the City Council adopted an ordinance declaring gravel driveways a public nuisance. They were declared a public nuisance for a number of reasons, such as: they can cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the City's storm sewers and detention ponds. When gravel driveways were declared a public nuisance, the City Council gave property owners five years to have their gravel driveways paved. The five-year deadline is quickly approaching, which means ail gravel driveways within the City of Fridley must be paved with approved conc�ete or asphalt by December 31, 2002. If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at the Anoka County Courthouse. A misdemeanor citation is a criminal offense and is punishable by up to 90 days in jail and/or a$700 fine. If you've already paved your driveways, Thank you! Please call me at 763-572-3595, so I can update our files. For your convenience, a brochure on the City's loan p�ogram has been enclosed. You can use this loan program to acquire financing for your driveway improvement proje�t. Please call Jim Hesnik at 612-335-2651, if you have any questions regarding this program. Thank you for your cooperation! As you successfully complete your driveway improvement project, please call me at 763-572-3595, so I can do an inspection of your property and update our files. If you have any other questions, please feel free to call me,at the above number. Sincerely, Stacy St mberg Planner C-02-53 _ _ C[TYOF FRiDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 July 2, 2002 Donald & Constance Kuusisto 585 Jansville Street NE Fridley MN 55432 Subject: Paved Driveway Reminder Dear Mr. & Mrs. Kuusisto: This letter is a friendly reminder that all driveways within the City of Fridley need to be paved by December 31, 2002*. As you are aware, the City Council adopted an o�dinance declaring gravel driveways a public nuisance. They were declared a public nuisance for a number of reasons, such as: they can cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the City's storm sewers and detention ponds. When gravel driveways we�e declared a public nuisance, the City Council gave property owners five years to have their gravel driveways paved. The five-year deadline is quickly approaching, which means all gravel driveways within the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002*. If you've already paved your driveways, thank you! Please call me at 763-572-3595, so I can update our files. For your convenience, a brochure on the City's loan program has been enclosed. You can use this loan program to acquire financing for your driveway improvement project. Please call Jim Hesnik at 612-335-2651, if you have any questions regarding this program. Thank you for your cooperation! As you successfully complete your driveway improvement project, please call me at 763-572-3595, so I can do an inspection of your property and update our files. If you have any other questions, please feel free to call me at the above number. Sincerely, Stacy St mberg Planner 'If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at the Moka County Courthouse. A misdemeanor citaGon is a criminal offense and is punishable by up to 90 days in jail and/or a$700 fine. C-02-83 Ciiy of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE � �� Fridley MN 55432 41� �� tJ Mechan�cal Permit# Residential Application City of Fridley See Back Side For F3�,quired Information �UU7 Site The applicant is: (cirlce one Property Owner: Address: � n City: . .i " Phone: - ' Contractor Information Company Name:_ZA�� Contact Person: % C�y:��,� Y�f.a.vn-c�_ Phone:�� 3,��.,�i7 ' �� Email: Type of Work (circle one): Detailed Description of work: Cell: Cell: New Zip: Fax: Zip: �i� Fax: MN Bond# & Exp Date_____ AlteratioNRemodel Equipment lnstalled: MFG: Model: MFG: Model: MFG: Model: Please check all that apply: _Fireplace (gas) $15.00 _A/C $25.00 _Fireplace (wood) $35.00 _Airto Air exchanger $15.00 _Furnace $35.00 _�oiler $35.00 _Gas Dryer $10.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee Surcharge Total Due Size/BTU: Size/BTU: Size/BTU: New Gas Grill $10.00 Gas Unit HTR $10.00 _Pool Heater $35.00 Ventilator $15.00 $ � - (Total from above-Minimum fee $35.00) � � o. � �� s �< $ �� — Make check paya to City ridley i 's is an application for a permit- not valid until pr ssed I hereby apply for a m it and I acknowledge that mation above is completa and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is nat to start without a permit; that the work will be in accordance with the approved plan in case of all work which requires review and approval of plans. Signature of Applicant: Date: l' Q V� Approval Inspector Signature: Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 � � M REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IlvIC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations ��'� 1Vl.L(.;HA1V .��:t '�-. �� :� % � ��J Building Ck-� 1(,:AL ` v`.."` ' .`".. Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: G I-c� DATE I�-�� YOUR E-MAIL ADDRESS SITE ADDRESS �� 4rtt' S U � „� � � . iU�'.. TMS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERNIIT TYPE TYPE OF WORK: ❑ OWNER �CONTRACTOR PHONE: �b3-�$C.,^��y� COMPANY NAME' •••" �••`.' .. __. _ _------ - CONTACT PERSON: 30ANH ZINK@i STATE LICENSE # pDDttESS: 13562 CENTRAL AVE NE CITY ANOKA STATE MNziP 55304 PHONE 763-�57-6202 F,v; 763-757-6701 EXP DATE 'ATE„�Q,�ZIP�,�, �1 SINGLE FAMILY O TWO FAMILY ❑ NEW �Q�EPLACEMENT . /` DETAILED DESCRIPTION OF WORK . ❑ TOWNHOUSE ❑ ALTERATION/REMODEL �, .n� .�. � � t � r �n � r+ � PER MS 168.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.00, whichever is greater, for the improvement, installation or replacement of a residential fixtwe, excluding the fixtures. (This should reflect only the cost of labor ) La.bor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS 5500, FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (II`1DICATE TOTAL NUMBER OF EACH BELOV+� /^� . � O� Equipment Installed , MFG: l� � r r� E Y MODEL: 5� �� %�'S `�— d� S��T� � MFG: MODEL: SIZFJBTU MFG: MODEL: SIZE/BTU A/C S25.00 FtREPLACE (GAS) S15.00 _GAS RANGFJOVEN 510.00 _AIR TO AIR EXCHANGEER S15 FIREPLACE (WOOD) 535.00 NEW GAS GRILL S10.00 BOILER 535.00 �FURNACE $35.00 GAS 11NIT H1'R 510.00 CHIMNEY LINER SI0.00 _,GAS DRYER 510.00 _POOL HEP.TER 535.00 ^DUCT WORK S10.00 GAS PIPING 510.00 VENTII.ATOR S15.00 — � �...�...�r=—�r�� a '„^ `" ...�y'l�',l�s�• �ar�Y. .�..' . �....,w_—n�—.._�-, -.,.«�. �,�.,._�. �. , .__.._ .._ .._ ... . -.:.,..W,.. . . _ .. Permit Fee $ Number of fixtures @$10.00 x$10.00 = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ 'TOTAL DLJE $ Number of fixtures (a3 $25.00 x $25.00 = $ Number of fixtures @$35.00 �_ x$35.00 = S 35 � EA State Surcharge = $ .50 Tota1= $_ySS � SC� THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in confonnance with the ordinances and codes of the City of Fridley and with the Minnesota �Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. S1GNA'fURE OF APPLI� -��• � PRINT NAME ROGER HOFFHEIN DATE ` v� 1�' a� �, _ . �, ,. _ ,. � � __. , : . . _ .. ..� . : , .. . �. ..,_ , , .� ... ,. .. . - City of Fridley � _ Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION tJEEDED TO PROCESS PERMIT RESIDENT(AL PERMIT APPLICATION HVAC ❑ NEW HOMESlADDITIONS �EXfSTiNG HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES l. Combustion Air (See note below) . �. Oil or solid fuel IMC Chanter 7 with NIN Amendments b. Natural Cas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amend.ments 3. Venting a. Gas appliances I��iC Chapter 5 with MN Amendments ' � b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooli.ng load per room � a. Required on new coush-uction IMC 1346.0312 5. Ventilation . a, Per M1�T Energy Code 7670 or 7f72 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D , NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for comb�ustion and make up air calculations . ._ i