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AF - 47748� Date: Owner City of Fridley, Minn. BUILDING PERMIT N� s s 9 7 ��z �9i,� �.....� _.°r _.�..� �-- � _� __._..._..___._.___ : _..._.C�,.�.-•• _ . _ Builder ... _ ._..___..__....___.... �_._...._.._��...........__ Adclx'ess __._.._._....._......._._...._...._ _._......_._.._.___........_..____._ Address � �`� LOCATIO OF ILDING No. _____.......__.�._.... Street ..,� . .._. _,...._. .__:-�:,��.. :.. �:�� of Lot _.__ ._._._.. __._... ._._._....� Lot ....._...�.J--•.....-._ Block ._.—,� -.._...______._._ Addition or Sub-Division •. _. �. � -.._ � Corner Lot ____..._.__.._ Inside Lot ....--•----i'J.._ Setback ._.��..._.�.�. `° _�_.._ Sideyard •.�...Y___��e.._.r.._.. _.._._ Sewer Elevation �6�� b'_Y.____._..._.__._._..�...._......______._� Elevation _.. b' 6_Y� �.� �coi' aFFoeTINb DESCRIPTION OF BUILDING , v . /j / .. .__ �._. .._.. Fro�t _.�� Depth aF.��._�..._ Height �� Sq. F� ��? Cu. Ft �.� _...... �.._.. Front .,�� Depth _...�'� eight _.�. � _ Sq. Ft. �. �r Cu. FL ��QQ . .� � �... � � 1�ne of nstruction _..:�.��... Es� Cost ._...,�...�.. .{'`�.�.1�_-- --... To be Completed _.._....._... .�. In consideration of the issuance to me of a permit to c� th� proposed work in accordattce with the description above a�dinances of the city of Frfdley. l above, I agree to do with all provisions of In cou�sideration of the payment of a fee of �..�isL__...__._.., permit is hereby granted to._._.. to construct the building or addition as descrlbed above. This permit is granted up� the express condition that the peraon to whom it is granted and his agenta, einployees and worl�nen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this perxnit may be revoked at ax�y time upam viola.tion of any of the provisions of said ordinancea �� Building Inspecta� • NOTICE: ihis p�mdt doa not eowr th� eonslruefioe. te�hll�fion foe wirtn�, .p�lua�bbip� oa Ma�6p, »w� or wNar. M swr to s» fM Bnildiae In�p�ctor for ap�nh p�emits for flna Il�nn. ` , . APPLICATION FOR BtTILDING PEI'SIIT CITY OF FItIDLEY, MINNESOTA OWNER' S NAI� BUILDER -�I�t"',�O ADDRESS ,ADDRI3SS � � � LOCATION 4 BUiLDING No. � 7 D Street �art of Lot 4 f � �_ �.,, � /' m , -.—� Lot �_B1ock � Additio or Subdivisi j�a�'�v ��--- --.- . - Corner Lot Iaside Lot��Setback � J Side-Yard�.:. SEWER ELEVATION d L7/.� FOUNDATION ELBVATION �,� �� . Applicant attach to thi,s form Taio Certi�icates of Survey of Lot and proposed bufld- ing location drawn on thes�e Certificates. ,' DESCQIPTION OF BUILDING To be used as: � j % � `' Front �vj.�th 'Y`'� Height Sq. P't . Cu . Fx . �� • � � ''�' Front Dapth �"%''� fleight � Sq, Ft. Cu. Ft. Type of Construction � `� Estimated Cost � � � -- -- - To be C leted � f � ^' _ ��y.�. ��./' The undersigned herebp makes epplication for a permit for the work herein specified, egreeing to do all work in strict accordance with the Citq of Fridley Ordinances and rulings of ehe Department of Buildings, and hereby lares that ell the facts and xepresentations stated in this applicatioa are t nd correct, ;�`' DATE / ._ (L� ,� SIGNATURB / �(Schedule of Fee Costs caa be fouad an the Reverse Side). ,,. � . • » . . � � .. d� . � City of Fridley Application for P'lumbing and Gas Fitting Pern�it Dept, of Bldgs. Phoae SU 4-7470 DESCRIPTION OF WORK -� � Number, Kind and Lxa3ion of Fixiures Loeatio �,..T��T�� < 3 I � I� � I � I Z I7 � I� p vi I j d IS � lO 7 I�Z a4�� Z�( Ic ? I F I N I GASTER ELEC. 3 u 7 YI 3 H 0 LL 4 � �� (� ` (� 6' (� Q Base (h' dj' lst � 2nd 3rd 4th • Future Conaection Openings * New Fixture, Old Openiags PARTIAL RATE SCHEDULE City of Eiidley: J � 1,, v r i �i�'r 3 ?f � 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 bhat all the fact and representations stated in this applicatio -are true and correct. Fridley, Minn , 19� Owner �-�� Kind of Building Sewer � Used as Cesspool n PLIIMBING FIRTURE RATES: NO. RA'I"E T�OTAL Number F`ixtures . . . . . . . . . . . . . . . . . . . . . .� x $1.50 �a '� v Future Fixture Opening ................ � x 1.20 $�� New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTiT) ...... x 2AU $�� v U i New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures .......................... x $1.50 $ ,� � � Additional Fixtures .................... x .50 � , Gas Raage to 200,000 BTU . ............. x 2.00 � REPAIRS 8c ALTERATIONS—Refer !o Code Description ....................................... � TOTAL FEE $ To be completed about Estimated Cost, $ Old ew.� ilding Perxnit �w ' v�---"" ROUGH � '7 � � I FINAL .: By vc�. Business Phone _.: r ; r. Application �or Power Plants and Heafing. Cooling, Yentilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL `` Furnace Shell & Duct Work . . . . . . . . . . . . . . . . $ ' G�'� .......... s.oa fteplacement oi Furnace ............................. 5.00 � Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. �500.00 ............... 2.50 $ MECH. WARM AIR ' Furnace Shell & Duct Work to 120,004 BTCT . . . . . . . . . . . , each add. 60,000 BTU ....................... Replacement of �i�rnace ............................. Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alteratfons each add. $501?.00 . . . . .. . .. . .. . . 8.00 $ 2.00 � 5.00 $ 5.00 $ 2.50 $ STEAM o: HOT WATER SYSTEM Fumace Shell & Lines—to 400 sq. !t. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 aq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. 1t. EDft Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BLJRNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . .. . . . . 5.00 $ over 3 gai. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $� GAS FITTING FEES: lst 3 Fixtures ...................... Additional Fixtures ................. Gas Range to 200,000 BTU . . . . . . . . . . . AIR CONDITIONING FAN HEATING SYSTEM VEMTILATIMG SYSTEM ALTERATIONS & REPAIRS ROUC3H �xn� \ NO RATE TOTAL _ x $1.50 $�c�� _ x .50 $ _ x z.oa $ See Fee Schedule �� TOTAL FEE $ l�� ! , ��.� Dept. of BIdgs. Phoae SU 4-7470 Location �__T � (y,,_�/��.G�P� City of Fridley: The undersigned hereby makes application for a permit ior the work herein specified, agreeing to do all work in strici 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. � Fridrey, Minn �� , 19 b� Owner L� Kind of Building �,�,tl �- - ° Used as 0.. L�'�,c�ct�L�"�!�! To be completed about Estimated Cost, $ C �d �� . c Old Ne . Building Permit No. Permit No DESCRIPTIONiOF WORR HEATING or PO � R PLANTS�team; Hot Water, Warm Air—No. Trade Name � Size No ��'a l D' Capacity Sq. F't. E.D.R. BTU H.P. Total Connected Load_�—� y 2._ Kind of Fuet �r � BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R BT[7 H.P. (REMARKS-OVER) / _�-. � / �. _ _��. gy , . . �,��ri ;� n i, J t ETAL �.z zM $uSi��Jl� DR(YE AUNNEA�OLIS 32, MINIVESOTA i�� / n•ss .. _,. a 2 MEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weathustrips A.S.H.V.E. Construction No. Insnlation Guide 'ndows ors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied es No I es No 1� FI.� '-- Room � Length Width Height FI.� , Z Room Length � Width /� � Height � Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area tVidth Helght No. ot Lineal ft. Area Width Helght No, ot Lineal it. Aeea � No. ot pane of pane lighta o[ crack ea. tt. No. o[ pane o[ pane IfBhts of crick aQ. tt. . /. �oZ � . . 1% -ti i _ ... _ . l,� ._ l A � w ., .� lnfiltration � � c�ass "9.a �3 i Exp. wall t exp. wall / , � Int. wall Ceiling �+ � li Floor Total Btu. C Required sq. ft. E.D.R. or aq. ins. W.A. l.eader area Fl•� ,`T �i y, e.Room � Length o7� ` Width � Height �`� Windows and Doors—Crackage and Area Wldth Helght No. ot Lineat tt. Area No. of pane o[ Dane llshts ot crack sq. ft. �- � �� ! ��. .� : � i � �� , Coef. Btu In6ltration � r Glasa J y – Exp. wall Net exp. wall �, �� Int. wall Ceiling CJ' D �'' Floor . Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. Leader area FI. Room � Length ' Width /�' Height �' Windows and Doora—Crackage and Area Wldth Helght No. ot Llneal ft. Area No. o[ pans ot psne Ilghts ot crack �q. [t. � �3 �/ � a. , Coef. Btu In6ltration Giaaa � Exp. wal! Net exp. wall 3, 31 Int. wall Ceiling Floor♦ Tbtal Btu. Reqaired aq. ft. E.D.R. or sq. ins. W.A. l.ea�r area Infiltration Glass Eap. wall 1Vet eap. wall Int. wall Ceiling F'loor I Total 6tu. Required sq. ft. E.D.R. or aq. ina. W.A. Leader area � FI.I ,�'•c� Room ( Length ' Width 1 Windows and Doore—Crackage and Area Wldth Helght No. of Llneal It. Area No. ot pane ot Dgne lirht� ot crack sa. ft. Infiltration Glaaa Exp. wall Net exp. wall Int. walt Ceiling Ftoor BtU � !�'Y/ .2 �� 7'otal Btu. Required aq. k. E.D.R. oc aq. uie. W.A. L.eader ares F7.� Room I Length � Width ! Height � Windowa and Doors—Ctac�age and Area Width Hef�ht No. ol L1nea1 ft. Area No. ot D�ne ot paae Il�ht� ot cracic p. !t, �- / f�' . �� 1_/_ � ,P:d In6ltration Glasa Exp. waii Net exp. wall Int. wall Ceiling J Btu Floor Total Btu. �� Required �. h. E.D.R. or aq. ina. QIA. Leader area --� i • • � Y Caty of Fridley, Minn. BUILDING PERMIT nate: ��e 19� N° '7715 �� owner: T�s� ..4m ti h�_ suiiaer _.7a. .W.�mn�ls�n...._._._..�.._ Aaa�s .�].Q Kenn�t�osa Dr�y.�...�T�.._1�:., ._ Aaa�s _..��.E... Bi v� ��.....E.. LOCATION OF BUILDING xa _6310 ...� street Kenusston Drive Ai. E._�.._._.._..�._ part ot Lot — Lot .._._ 5�._..___ Block _ 3.__�.._� Addition or Sub-Div�isfion .��O�lande � 2x�d. dition Corner Lot .__..._._..____ Inside Lot ___._._�.�. Setback ._._.._.._......_�.__ Sideyard Sewer IIevation —.._____�_..._ ._._ Foundation Elevation DESCRIPTION OF BUILDING To be Uaed as: ��S ...._ F`roa►t � Depth ._.._ Height �_.�....._.. Sq. E'k Front Depth _..�.._� Height � Sq. Ft. Tj�pe of Construction _..FTE�11�'t_ __ . F�st Cost .�a�.��.QQ.________ To be Ca�pleted (:u. �'t Cu. F't Storm Damage Repair In cwnsideration oP the issuance to me of a permit to constru b' 'bed abave I agree to do th� Prol�osed work in acaordance with the d�scrlption above set mp ' ce a�l pro!vidons � ordinancea o! the city of Fridley. G�tisctcc� Ea cansiderati� of the payment of a fee o! � 1_ ��_.._._._., perinit ia hereby granted to I++► �: �e�On to c:aa�struct the building or addition as described above. This pernait ia granted upaa the express condition that the person to whom it fs granted and his agents, employees and workmen, in all work do�e in� around snd upo� said building, or any �art thereof, shall conform in all respects to the ordinancee c� Frldley, Minnesota regsrrling location, constructiari, alteration, maintenance, repair and mo�ving of buil�ng� within the dty limits and this perinit may be revoked at aqy tinae upau violation of any of the Provisions o� sa�d ordinanc�es. A�,�e� Jena�n Building Iaspeeto� NOTICE: 76b p�emb doa �ot eewr tlw �, t�1lMien fer rvi�0. P�O. Y� �Y. sww er wa1�r. d� sora 1e s» fla luildi� �sp�dor hr npu+t'� p�rahs fer 11iu� i�m. ► . - . � _ � �i�-� , � � �� APP'LICATION FOR BUILDING PBRI�IT CiTY OF . FRIDLEY, MINIQS5bTA � . __ .. OWNBR'S NAMB �,eo 5��. ._.�., BU1�,DI3R T+. ll�.�'.r:'� �.�.�. . ADDRRSS _6?l� Kenna,gton Drive ADDRESS 78�� F_ Ri y��•' Read , � � . LOCAT�O� . OF BUILDIIQG � � ' � . � ` � = _ _ ��,- No. 6710 . � ,�,�Stre�t�g,4d��# . Parti'of Lo`� LOT '�� .$I.bCR ADDITtbN dR 3U�DIVt3I0 _� _ �. °�'�-�:�o�t� : Corner Lot�Inside LOT_�_Setback S�de=Yard � " S�WER BLBVATZON ; � FOUNDATIO� ELgVATI�N . Applicant�gCtach to this iorm Two CerCificates of Surveq of Lot and propoeed building loCation drawn Qn theae Certificates. - =� DESCRIPTI�J OI� BUI�DING '' • - To be used as ; � �• .• � . _ Dwellia� � Front Depth �fleigh`t � Sq. Ft. Cu. Ft. .. � ...�,: . . _ Frant ` Dept �_..�.«�_.� �eig�t . Sq. Ft. 'Cn."..Ft; , , . Type of C�atrucCion �.,, �^�n„�„ �,,,,�_ Bstimated Coet ,��' ss��,�„_ To be completed e,� ■ _IL;,�_�, .�a h��'_.... _____-__ .. , _ � � The undersigned -hereby ma�kes applicatian for a�permit for ti�� w�ork her�fii °'�pacified, agreeing to do alI work in strict accordance with the City of Fridley Ordinances ' and rulings of the Department of Buildings, and heret�y�d clar haC'a�i ths facte aad representations sCated ia this application a tru and o ect. � , ' DAT$ '�une 1, 1965 � SIGNAT[PRE ' • � , (Schedule of Fee Coats can be found on the Reverse Side), . �,-y • • ., -. �'une 1� 1965 �83 �,� Le►o Suii th �iQ K�rnn�ston �z�i4e 1�5r�.dieg,' Minne sa�s Wcrk ta lb� rlona� RocPi.ng� Remove �hingles and r�eshingle-2a �qu�rea Sidings Rem�ove and rep2aee ver�icle insulite aiding-l3 aquarea aheathings Rep�ir �rhero neceasary Facia: �?amvFe and replace� i88 L. F. :�otYit: Repa3.r aining Room: Replace 48z49 dining room window i►ith !�4 �.i.�ing Roaas Replace 4 L. R. aash �indo�s: R�eplaca 8 322 sa�h and sa�eens Replace I S3t') �ash and a�aresn Garage: Replaee aervice doc�r Repair �►�1 Bathrooa: Replaca: F�tcls, anci regroute earamic tile = l�e�v paper 3�o18er tar �� ;=: � � � Repair �lI ar�r� repaper ��,� �_,� `� � ��. _ Basementr Regla�e sash Regroute c�ancre�e blocks �nstall 3 pilasters-front v�all Ac3 just door Ceiliug�s Reinsulate � �e�r Bedi�4omt aepalr ceilin� raFters, pl�rood! and ,arh�eetrack Refinish flaor Front Bedre�m: Repaip �rall ? �nd g�tch . . Clean interiar and s�cterior walls an� v�ood�rork � Pa�in� inside �ralls and ceiling�t as necess�ry -- � � -� Revarniah �vodwork ss necaasary K3.t�heas Rems�ve �e►r�s� replace Iinoleum Remave and replacae cafe doo�� • s � � Y i�or�s Re�lace fr��t d�or �n� stor� do�r Re�v� repair d�bria O�r�er to dc, alI c�utside p�inting }, .. � � LJ sue�ecT PERM O. c�ty of Fridley � 16 6 4 9 AT THE TOP OF THE TWINS g � I L D I N G P E R M i T r � � � � O. + • COMMUiJITY DEVE�OPMENT DIV. � �y----�--� r � � PROTECTIVE INSPECTION SEC. � �� 1 � � � A� r'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV-. � DATE PAGE OF APPROVED BV. � ` ��"J \iI �.J . 612-571-3450 910-F15 6/28/82 � � JOB AODRESS 6710 Kennas.t�n Drive 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �t, 5 3 M�aC�OWl SHEET 2 PROPERTY OWNER MA{l ADDRESS ZIP PHONE L o P. Smith 6710 Kennaston Drive 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. 4 AFCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDINCa residential 7 CLASS OF WORK ❑ NEW C� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK 12 x 14 glassed in porch 9 CHANGE QF USE FROM TO STIPULATIONS . v��' �� . �� ; ,. �� ,��.'. S-��'�� P� s ` �►�'� e,,��► -��Q� ��' . �� : �;a TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTIa`ICAL, PLUMBIN(',, HEATING, VENTILATING OR AIR CONDIT,�ONING. WpOC� fYdIl1Q THIS PERMIT BECOMES NUIL' 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 ABANDONEO FOR A PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEFiEBY CERTIFY THAT V HAVE READ AND EXAMINED THI& 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 COMPIIED WITH WHETHER SPEGFIED HEREIN OR NOT. THE GRANTING OF A PEfiMIT 2� %SO ;_yi`]..3$ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE �` 7!�`CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 38. rJO PLAN CFiECK FEE TOTAL FEE .�.� 9.63 X$$X� 49.51 SIGNATU �OF GON'FACT R OR AU OR12ED AGENT IDATEI EN PROPERLY VA IDA�S IS ��Y.O A P�IT � �� r� .� --SiG ATUREOFOWNERII N BUIL'DER� 1 TEI ` BLDG INSP �1ATE � � CITY 0� FRIDLEY Effective Aug. 1, 1981 APPLICI1TIa.'J FOft R�SIUEi�TIII� t3UILDIi1G PCFL`1ITS (Weti•r, Alter.atians, AcidiLions, or Repairs) 0tilN�R: � �o �/� � ,�, � �'Gj [3UILDER: ��.:.c-Q � AODRESS: � r//D �e�g��h ,�� ADDRCSS: TEL N0: S9/ - c/ yl/.z TEL F�O: Construction Location STRP�T NO: C� // U STREET: �,��c��rt'�?�,p•r� �� ^ ��IA7.': SLOQC : ADDZTION : ] Corner Lot: Insicie Lot: �_ SetbacY.: Sideyards: Ap�licant attach to tliis form two Certificates of S�rvey of lot and proposed building �ocation drawn on certificates to scale. DESCRIPTIOj� OF COtJSTP.UCTIO�� r Front: De�ttl : Height: Square. Feeta �� `z >�!1- Qibic Feet: _ Front: Squar.e� Fept: Cubic F'eet: ��p� �( 11 = Type of Construction: r Zb Be Oc�r.�pleted: Depth: Height: � _ o� %J� Estimated Cost: $ �— Alt. A Alt. B Proposed Drive�vay Width If New Openinq Is Desired: $� $ . , SE� i�VERSE SIDE OF SHEET . T'iie undersicned hereby make� application for a permit for the �•�or1:� herein specified, ac�reeing to c?o.all work in strict accordance with the City of Pridley Ordinances and rulings of tl�e Department of Buildings, and hereby declares that all the facts and representatiens stated :n this �cpplication a true and correct. D.ST�: � SIGNATUItE: - ` Stipul 1:ions : / �� - s�► �. �3 P.� ..�.. �r�0 JY l �%O�/ /i RESIDEIuTIAL CITY OF FRIDLEY Effective Date Maq 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COULING, VENTILATION, REFRIGERATION AND AIR CONDITIONING $YSTEMS AND DEVICES FATE SCHEDULE ` RATE TOTAL Furnace Shell and Duct Work, Burner (Also replac�ent furnace) Gas Pipinq (piping needed with nea furnace) Gas Range Gas Dryer * Air Conditioninq (all sizes� All Others/Repairs and Alterations li of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1$ of Value of Appliance or Work s Zo. oa $ � v . �u $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ S State Surch�irge T03AL !'EE Reinspection Fee ($15.00) Rouqh Insp. Date Final Insp. Date Approval for Permit !�'�j.� 0 MINIMUM FEE FOR ANY HEATING PEItNlIT IS s15.00 � PLUS $.50 STATE SURCHARGE +Air Conditioners can not be placed in side yard without written pexmission fram adjoining neiqhbor. $ .50 S `aD•SO S Job Address _�,Q / � � KQn(��n �e` � V Q Department of Buildinga, 6A31 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. M571-3450 The undersiqned hereby makea application for a permit for the work herein specified agreeinq to do all work in strict accordance wfth the City Ccrdes and rulings of the Department of Buildinqs, and hereby declarea that all the facts and representations stated in this application are true and correct. Fridley, Minn. 1�-\� , 19� t� OWNER �(?p Ji'�1��-- KIND OF BUILDING �(*�MQ USED AS ��CSI�Qf��1 c'1I TO BE OOMPLETED ABOUT �C� "_;y,C"�� ESTIMATED COST l� OC� �/ OLD - NEW BUILDING PERMIT NO. PERMIT NO. /D�OS V DESCR,:PTION OF FURNACE/BURNER HEATING or POi�TER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name �a(�t`�Q� Size No. ��J�J�� Capacity _ :;q. Ft. EDR BTU ��j HP �T�- Total Conc►ected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP � �%i � �J! , .l�►__�l�� , _�� i _ ; Fill out back sidp for stack verification on replacement furnaces RESIDENTIAL CITY OF FRIDLEY Effective Date May l, 1988 APPLICATION FOR POWER PLANTS AND HEATIN6, COOLING, VENTILATION, REFRIGf_RA7ION AND AIR CONDITIONING $YSTEMS AND DEVICES RATE SCNEDULE � Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizesl All Others/Repairs and Alterations 18 of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work RATE TOTAL $ 2U.00 $ $ 10 . 0 0 $ ♦ b�/ $ 10.U0 $ $ 10.00 $ $ 10.00 $ State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit -�� MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00� PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission fran adjoining neiqhbor. $ $ $ .50 $�� sl �5� Job Address (�J / �t/ �� /v f� 14 S %O /�� Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. Q G % 1rO , 19�� ER G�� S � I T-�-� KIND OF BUILDING � T,r-�'�i '� USED AS 5 i ti a G� �= •'� � l' L�' TO BE COMPLETED ABOUT D G'% �� 7 O� cm 'G ESTIMATED COST � C-•' � �~ OLD - NEW BUILDING PERMIT NO. PERMIT NO. � U '' DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name ��I�2./� 1�� Size No. �i S� rs Q� � Capacity Sq. Ft. EDR BTU % •• HP Total Connected Load Kind of Fuel ^� �T �s.r/�-S BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company f' P-� T��- �s 4C � S Signed By � �"' Tel. No. �� O � � fill out back side for stack verification on replacement furnaces SUBJECT _ • `^t City of Fridley 2 5 914 , , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T R T NO. r � � COMMUNITY DEVELOPMENT DIV. / / _ /� r ��' � PROTECTIVE INSPECTION SEC. «j y � � � ( ��'1 � CITY HALL FRIDLEV � 55A32 NUMBER pEV. DATE PAGE Of APPAOVED BY �""'�� ,�� 612-571-3450 910-F15 4/8I98 � � JOB AODRESS 6710 Kennaston Drive 13E t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. S 3 Meadowlands 2nd Addition SNEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PMONE Leo Smith 6710 Kennaston Drive NE 571-4412 3 CONTRACTOR MAIL ADDRESS 2�P PHONE LICENSE NO. Panelcraft of MN 3118 Snellin Ave S M ls MN 55406 721-6628 2179 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION [�. REPAIR O MOVE ❑ REMOVE n 8 OESCRIBE WORK Reside House• Soffit & Fascia• Trim 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and call for inspection of same. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOii EIECTRICAL, PLUMBING, HEATING. VENTII.ATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK Ofi CONSTRUCTION 20NING SO. FT. CIf. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OFi IF CONSTRUCTION OR WORK iS SUSPENDED Ofi ABANOONED FOR A PERI00 Of 120 DAYS AT ANY TIME AFTER WOFK IS COMMENCED. NO. OWLG. UN1TS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STA��S GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HENEIN OR NOT. THE GRANTING OF A PERMIT �14s7OO �%.3S DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCNARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FEGULATING CON- STRUCTION OR FHE PERFORMANCE OF CONSTRUCTION. �224.%5 Fire SC $14.6� PLAN CHECK FEE TOTAL FEE License C $5.00 $2 .70 SIGNATUAE OF CON'RACTOA Op AUTMOARED AGEN1 IDATEI N OP� Y ALIDATED TH IS YOUR ERMIT � t � � ZG- S�GNATUAEO:OWNEA��FOWNERBUILDEAI IDATEI BL �NSP � f�6TE r , +, s iJi:�, nDDN n�. ri.iz Cansl�vcliun A�l�lress: Le�al {�eticri�tic�n: C1'1'Y O1� [�ItillL�Y SlNGL� I�AMILY ANll DUI'LCXI:S R-1 AND R-2 13uilclin�; Pcrtnil AP�lic.ition ' V�v rVE l�,lit.t.11�� l� Ir��l ��N a5 ��b � O�vnc:r Nainc &/lciclress: L.�-Q��1-7'/) ._ Tel. �/��! _ yy/� Cc�ntracic�t•: _��-i_�� __��7� __�� MN L(CIsNSC 1l /? /.S� - y�/_.S-8� y.3Z Aciclress: � � �4 �%"1Q:!__/r� "�G'1 �( �`P s� Tel. �l �2- / —�o G Z-�' LIVING AR�I�: GARAGC ARCA: UCCK AR�A: OTI-II:R: Attach to this a�plication, a Cerlificate of Survey of tlie lot, witl� tlie �rol�osecl consU-ucticm drawn on it to scale. D�SCRIPTION OP IMPROV.LMCN1' Lengd� Wiclth I Ieight L�ngth Wicllh Height Length Width Hbt/Ground Corner Lot ( � Insicle Lot ( � 'I'yPe ol� Cc�nscruction: n AJ�i�rox. ComPlcticm Date: !- rt. Yd Setback Side Yard Setbacks s�. rt. s�. rt: Sq. rt. Estimated Cost: $ � � � �"' a '�� LJ � �(Q I • � �-( , �OD. GY� (Cost on l3ack J u��.�y c��-t� c�� w;�i�i� rv��i��i: rc. -�- � l�l = l�t x$ --- —� � �----- llA`I'C: ,� � APPLICANT: Tel. �/ %a- I �D�OZ��„ � Pcrmit �ee l�ire Surch�irge �iatc Surchargc Sn(; Char};e Liccrtsc Surchart,;e Urive�vay rsc�-c�w I3rc�sion Control Park F�ee Scwcr Main Char�;�. '1'07'A i� STIPULATIONS: C1'I'Y tlS� ONLY SO� # O�-lS�} $��'�%v %� rec Scl�eclule c�n Iteverse Side � $__��/U b�001 of Permil Valuation (1/101hl) $—_-��, $.50/$1,000 Valu,tlion � ��oo ,��- snc un�c $_____�,.� J $5.00 (Statc Liccnsed Rcsiclential Contractors) �p_ __ Alt. "A" or tAlt. "B" Above $ , $4�50.00 Conservation Plan Revietv $ _ ___ __ __ __ _ ree Determinecl by Cnbineerin�; �, _.------------------ A�rccmcnt Neccssaiy 1 I N��t Ncccssary I I � a �, �v � • ,, _ - �j(� i ►'1 SUF � r -�" � �� Sc� g t- ' �' t ��V'_ � J� � N� SuBJECT • City of Fridley 2 62 2 3 AT 7HE 70P OF THE TWINS g � I L D I N G P E R M I T r � • . � � � � COMMUNITY DEVELOPMENT DIV. �� / � PROTECTIVE INSPECTION SEC. � -�_. r ; �; � i , � /'��1 �� CITY HAIL FRIDLE� 55432 NUMBER REV OATE PAGE Of APPROVEO BY �""� � �'' 612-571-3450 810-F15 6/17/98 / / JOB ADORESS 5710 Kennaston Drive NE 1 LEGA� LOT NO. BLOCK TRAC1 OR ADDITION SEE ATTACMED DESCR. rj 3 Meadowlands 2nd Addition sMeer 2 PROPERTY OWNER MAIL ADDRES$ ZIP PMONE Leo Smith 6710 Kennaston Drive NE 571-4412 3 CONTRACTOR MAII ADDRESS Z�P PHONE LICENSE NO. Panelcraft of MN 3118 Snelling Ave S, Minneapolis, MN 55406 721-6628 2179 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE IICENSENO, 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW D ADDITION O ALTERATION 4� REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage, Tear-off; Install windows 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comp�y with the State Building Code. Replacement bedroom windows can not reduce the clear openable area to be less than what was existing or 5.7 square feet. TYPE OF CONST. OCCUPANCY GflOUP OCCUPANCV IOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINCa, VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTqUCTION ZpNING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONEO POR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES ANO KNOW THE SAME TO 8E TRUE AND CORREC7. ALL PROViSIONS OF LAWS VA�UATION SURTAX AND ORDINANCES GOVEpNING THIS TVPE OF WORK WI�L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GqANTING OF A pERM1T �3 � 571 �1 • 7$ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE pEqMITFEE SACCHARGE PROVtS10NS OF AfVY OTHER S7A7E OR lOCAL LAW REGULATING CON- @ • STRUCTION OR THE PERfORMANCE OF CONSTRUCTION. �pH7.2S Fire SC �3.57 PLAN CHECKFEE TOTALFEE License SC $5.00 $97.60 S�GNATUAE OF CON'RACTOA OA AUTMOR�ZEO AGENT iDaiE� WHEN PROPER VALIOATED THIS IS V H PERMIT /` l l S�GNATUAE OF OWNEA i�F OWNEA BUILDEAi IDA�E Bl �NSP �1�TE yj , _ ,� iV L "� nDI�?��. ni. r��z Ccm1lructicm /�ciclresti: Lc�;al De;scri�tio►�: CI"I'Y OI� f�ItIDL�Y SINGI.I� I�AMILY AN17 DUPI_CXL:S R-I AND R-2 13uilclin� I'crmit AP�licafion L'l1�CUVC 1i 1/)�} �� (� �' 6 � � �� N� Owner Naine & nciclretiti: ��Q_ �%%%___L.�l� Tel. �l S��– �`7 �� Cc�ntrac;lc�►•: -- - ��/�_�i��LSts.��_ �-- — / v , MN LICLNSC !I__o2��%G�---.-- Aticlress: ---s�1� ��P / i►f7� ..�V� �O. Tel. !t �o� I —��o Z� LIYING AIZ�l�: (iARAGC ARCA: DCCK ARI:A: OTI-IrR: Altach to this a�plication, a Cerliiicate of Survey oi'the lot, with the �roi�osed c�ns�-uc;lion �Iriwn on it to scale. DCSC2IPTIOI�i Or IMPROVLMLNT Lengdi Wictth I Ieight Length Wiclth Heibl�t Length Widtl� Hbt/Ground Corner Lot ( � Insicle Lot � � 'I'y�e ol� Cc�nstructic�n: n��irox. Co�n�lction Datc;: ? s�. rt. Sy. rt: sy. rc. rt. Ycl Selback Side Yard Selbacks _ �stimatecl Cost: $ Jr �% � • �� (Cost on .t3ack J Urive�v��y c��-i� c�� w;<<t�, N��a: rc. -ti- � rt = l�t x$ _$ r ------_._ llA`I'L: _� � AI'PLICANI': --- _ Tel. �l �/�-a 8�� .. �� np Ci"I'Y US� QNLY �� # �yo 3 Permit I�ee I�ire Surchar�;e Siatc Surcharge SAC (;har};c Liccnsc Succhsr��c L?riveway rscrow �rosion Control Park F�ee Scwcr Main Cl�a�•�;c. '1'OTA1.. STIPULATIONS: � gZa 5 �_—_ 3. s� � � . �g � --- ----- $ S• O'� � $ $ �' � _-- -- -- -------��- �� rec Scl�cclule c>n Reverse Sidc e'��a\ ,�rs' .001 01� Permil Valuation (1/lOth%) °Z / 7 $.50/$1,Q00 Valuation . ��F; �--�g `' $S00 per SAC Unit (,(�/�/7d0��lJZS �/ $5.00 (State Licensecl Resiclentia( Conlractors) !\lt. "A" or Alt. "B" Above $450.QQ Cunservation Plan Revie�v ree Dcterminecl by �n�;ineering 11�;reemcnt Necc�sarY I I N��t NecessarY f I� ,�, , . . sue�ecT P . - City of Fridley i 5 6 9 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r ; ` N � ; y __��_ COMMUNITV OEVEIOPMENT DIV. �J� r � PR07ECTIVE INSPECTION SEC. �, � � � _ �"'1 � CITY MALL FRIOIE� 55132 NUMBER pEV O�iE P�GE Oi APVROVED B� �""�� '� 612-571-3450 9i0•F15 11/16/00 / / JOB AO�fiESS 6710 Kerinaston Drive NE 1 LEGAL �OT NO. BLOCK TF;ACT OR AOOITION SEE ATTACHEO oescR. 5 3 Meadowlands 2nd Addition sHEET 2 PROPERTY OWNER MAII AODRESS ZIP PHONE Leo Smith 6710 Kennaston Drive NE 763-571-4412 3 CONTRACTOR MAIL AOOfiESS 21P pMONE UCENSE NO Panelcraft of MN Inc 3118 Snellin Ave S M ls. MN 55406 612-721-6628 a ARCMITECT OR DESIGNER MAIL ADORESS ZIP PMONE IICENSE NO. 2179 5 ENGINEER MAIL AODiiESS 21P PHONE LICENSE NO 8 USE OF BUILDING i�% Residential 7 CLASS OP WORK ❑ NEW O ADDITION O ALTERATION � REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Replace 5 windows 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. TYPE Of CONST. OCCUPANCY GROUP OCCUPANCY LOAO SEPARA7E PERMITS ARE FiEOUIREO FOR ELECTfiICAL, PLUMBING. HEATING. VENTILATING OR AIR CONDITIONING THIS PEFMIT BECOMES NULL ANO VOIO If WORK OF CONSTRUCTION ZONING SO. FT CU fT. AUTMORIZEO IS NOT COMMENCED WITHIN 60 DAYS. Op If CONSTRUCTION Ofi WORK IS SUSPENOED OR ABANDONEO FOR A PERI00 OF 120 OAVS AT ANV 71ME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfPSTREET PARKING 1 MEREBY CERTIFV THAT I HAVE READ AND EXAMINEO TMIS APPLICA710N 1 STAILS GARAGES AND KNOW TME SAME TO BE TRUE AND COpRECT. ALL PfiOVIS10NS Of LAWS yA�UATION SURTqX AND ORDINANCES GOVEqNING 7MIS TVPE OF WORK WILL BE COMPLIED WITM WHETMER SPECIFIEO MEREIN Op NOT. TME GRANTtNG OF A PERMIT �3 � 9OO � 1. 9S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pEqMIT FEE SAC CNARGE PROVISIONS OF ANY OTHER STATE Op LOCAI LAW REGULATING CON- STRUCTION OR THE PERfORMANCE OF CONSTRUCTION $97 . ZS Fire SC �3.90 �+�D PLAN CNECK FEE TOTA� f EE " Licens SC $5. 0 108.10 S�GNRT EO�CON'RACTOp RAUTMOQ�2ED�GEN1 iO�rE� MEN PROPE ALIpATE THt$ IS VOUR PERM�T S�GNA1UqE O� OWNEp�� OWNFp 9U�LDEAi �OATE� �� `� BlD � �h5o ��atE .� 13 � �U � 7d''�' �%�d�, o0 N� I l Effective 1/1/2000 ADDN [ j CITY OF FRIDLEY 612�72,3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ' BUILDING PERMIT APPLICATION .. , � . _. � �j � : . _ 1 �t . � 1�'P� ��10 Construction Address �ll 7/ 0 � h r� q 5 7 e�-r U r. /iJE Legal Description: Owner Name & Address: �ev .Sm,'f�i, �7io /(ennASfo->► Or. NE Tel. # 7(03 -�7/- y�//�. Contractor: ��,� �Crq`f e�' /1�f/1J �,,A MN LICENSE# -2� 7 9 Address: �3 //8 sn e��i�n q�} v�. S. %1'1,,� /S /Y� qJ 55 �f D�Tel. # fo/a -'7 �/- 6 6 a g n LNING AREA: GARAGE AREA: DECK AREA: OTHER: 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 HgUGround Sq. Ft Construction Type:_✓�i"�/ac e�, � f a✓� n a�o r,�s Estimated Cost: $ J� 9 O U • Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: /�'/�a�CIC) APPUCANT: Tel. # CITY USE ONLY - Call (612) 572-3604 for Permit fees if mailing in application Permit Fee $ �9 7 a s Fee Schedule on Reverse Side Fire Surcharge $ 3. 90 .001 of Permit Valuation (1/10th%) State Surcharge $ /. 9 s' $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ S, � o $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation P1an Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] No# Necessary [] • TOTAL STIPULATIONS: $ l0 �, /� ';