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AF - 47751Date: Owner City of Fridley, Minn. BUILDING PERMIT �v� s o o�. __..�- _-�--..�-_____�a-..�. ___._ . _.W.........._. .__ Builder _..�_ ......_..._���.�... ;�._._._...._.� Address .._._._.__..__..._..._._.. __ ._._.______.._.....�._......_._ Address LOCA ION BU DING No. .._.�..� .. Street �!!�._.�./._.�/ Part of Lot ._._..___.._ � Lot ....._.._ _......_._ Block ___...�.._.....___._..._ Addition or Sub-Divisi �,_.. t � Corner Lcrt .__�^_:.:_...._ Inside Lot _.._.._.._._...._......_..... Setback ._.._...�..�_.__._. Sideyau�d .__.,� _ Sewer Elevation __.._._.---_._.__�_.._.._..._._..�.__...._..____ Foundation Elevation t DESCRIPTION OP BUILDING To sea r � Front _ Depth � Height .._.� &1. F't. ��..� Cu' _._.. Fron __ Depth �. Height ._...�� _ Sq. F� ...�..� Cu. Type of Co ction _.._� w����.. Est. Cost .�.� ti,�..•.� r[�.�o be Carnpleted _..�.._._ Ft, � F't. � In cansideration of the issuance to me of a permit to construct tt�e building described above, I agree to do th� proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. � In co�sfderation of fhe payment of a fee of �.� ., pernait is hereby granted to...._- ' to construct the building or addition as described above. This permit is granted up� the �express condition that the person to whom it is granted and his agents, employees and worlunen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildin�s within the dty ]imits and this permit xnay be revoked at anyt�e upam vio1�es�o f any of the provisioas of said ordinances. � 1 � I! / l ' B��S �P�� NOTICE: This p�rmh doa nof eowr Ih� eendroelion, inshll�Non fe� wG4ao. P�wrbinW Ys h�afino, awvK � wabr. B� wn fo aN th� BuiWiog la�eror for ap�rat� p�nnils for fhu� Ihms. � . Y .w � F�,.� v� �Y APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEX, �NNESOTA � / __�. , _ �-. Owner `s Name \ �! � ', �: S-- Builder f.�� /� �.� _ � �fi c_ —r�+ ":�' =�-------- � Address Addre,ss No Lot LOCATIO�T OF BUI7LDING . _ - ` � . , reet �,�,���i�;� _��; Part of Lot l�J��,� a�� L-�-,�c��'�� �- - ock_____�;�� ,_ Addition or ��division� �. Corner Lot �� Inside Lot Setback `�Sic1e-Yard� � 7 � FOUNDATIOI�T SLEtTATION � _ SEU�tER ELEVATION r � . � 1 Applicant attach to th is form Certificate of Survey of Z,ot and proposed building location. DESCRIPTIO .-OF BUILDZNG � � To be usecl �as o ��'��� ���i�z�-�� � � � � � Front� epth Height Type of Construction To be Completed_ Sq. Ft. Cu. Ft. Front Depth � eight Ft. Cu. Ft. 7���`�� Estimated Cost Tlze undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling og the Department of Build- ings, and hereby declares that all the facts and rep $entations stat�d in this,'ppl ation are true and corr �-- ' �� �1 DATE C' 'L' :1 C �' � SIGNATURE ` '�' ' �� ��' � i._ (Schedule of Fee Costs can be found on the Reverse Side). .. . _ . _ � � .�..� . _ City of Fridley Application for P'lumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Lxatioa of Fixlures y N � � z ° 3c� ? �� � ? 3� o° � g� 5� <3 �g �� �o N Base 4� �. lst 2nd 3rd 4th • Futurs Connection Openings I ��ecYed ariih * New Fixluse, Old Openinga PARTIAL RATE SCHEDULE PLIIMBING FI%TURE RATES: Number Fixtures ....... .............. Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin .... ............. ... Water Heater (Up to 200,000 BTiT) . . . . . . New Ground Run Old Bldg. . . . . . . . . . . . . WATER NTR. • • F N GAS ELEC. 3ewer � Cesspool ('j NO. RA'1"E TOTAi. — x $1.50 $ — x 1.20 $ — x 1.00 $ — x 3.25 $ — x 2.00 $ — x 3.25 $ �AS FITTING FEEB: NO. RATE TOTAL lst 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .5U $ Gas Range to 200,000 BTiJ . ..... ........ x 2.00 $ REPAIRS 8c ALTERATIONS—Refer !o Code 4 Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL FEE $ $-� � 4 � City of Fridley: .� t 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 oP Buildings, and hereby declares that all the fact and representations stated in this applicati are true and correct. Fridley, Minn. � , 19�? 'L- Owner � � � Kind of Building �`-'� _ Used as �"" � To be completed about Estimated Cost, Old New ild ROUC3H lJ ���'�G rj/ FINAL a: ZM Applic.ation for Powe� Plants and Heating, Coofing, Yentilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . 8.00 � Replacement of Furnace ............................. 5.00 � Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. �500.OQ ............... 2.50 $ bIECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTIJ , . . . . . . . . . . . each add. 60,000 BTU ....................... Replacement of Fiunace ............................. Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . STEAM o: HOT WATEA BYSTEM �rnace Shell & Lines—to 40Q sq. ft. FDR Steam .... . Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . "Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . � OII. BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . i over 3 gal, per hour—See Fee Schedule 8.00 $ � O� 2.00 � 5.00 $ 8.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 2.50 $ 5.00 $ c� D GAS BURNER (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 20Q,000 BTU . . , . . . . . . . , x 2.00 $ AIR CONDITIONING � � FAN HEATING SYSTEM 3ee Feo Schedule VENTILATING SYSTEM j ALTERATIONS 8c REPAIRS TOTAL FEE $ L;�47.SL ROUC3H FINAL Depi. of Bldga. Phoae $U 4-7470 � / �f.� ._/ �� `�. � � City ot Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to da 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. F�idley, Minn._1! � Z-3 , 19 �L� Owner �� �i� � Kind of Used as To be co Estimated Cost, $ Old– e r� Building Permit No. � + Permit No. °�`– v �v DE8CRIPTION OF WORK HEATING or POWER PI.ANTS-�Steam, Hot Water,��m A–No.� i Trade Name�_�_.�,� ,!-d�✓� Size No. ����� � Capacity Sq. F't. E.D.R. BTtJ H.P. Total Connected Load Kind of Fue � � BURNER — Trade Name Size Na ,, ��l% a Capacity Sq. Ft. E.D.R. �% BTLT H.P. S�BUi�t�i�ii ii�r,l��ia & �t�:tj iri:.i.'-�, :41� CENiER DftiN� N. E. Signed MINNEAFOLIS 21. MINM� � gy �� /' _ /./� / �:� 4 � :M Business Phone No- ���` �,�a � � (REMARKS-OVER) -- as6 , >_aZ 3/�,S � v HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS ERtDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof F1oor Kind How Applied —No I � No 19.c� y -! Fl ` Room � Length / Width �,3/ Height � Fl.� Room Length ,,( Wid Z� Heigh / Windows d Doors—Crackage and Area Windows and Doors--Crackage and Area �Vidth Helght No. o( Llneal [t. Area Width Helght No. ot Lfoeal tt. � Araa No. of vane o[ pane lighta of crack ea. [t. No. ot Dane o[ pane lights ot erack W. tt. O Z 7� 2�'. Z " � �,O " ! � ,O , Coef. Bcu Coef. Btn Infiltration '� � Glaas -� Exp. wall Net exp. wall �pp p lnt. wall Ceiling 2 � Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F7. oom ( Length / WidyK` , j% Height / Windows and Doors—Crackage and Area Width Helght No. ot Lineal tt. Area No. o[ pana ot Dane llehts ot crack �Q. ft. 2 ?� �— 1-� 2 'i 3, , 7J�`' � '� S'� � a Coef. Btu In6ltration y Glaaa �. S � z�3 �/ Exp. wall '� Net exp. wall �� lD Int. wall Ceiling J�j � � Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area Fl. oom � Length � Width ��� Windows and Doora—Crackage and Area Wldth Helght No. ot Lfneal tt. Area No. ot pane ot Dane Iighta ot crack sq. ft. % 2 / z /3.3 Z In6ltration �/,3, � Glasa s'� Exp. wall p Nec exp. wall �2 �; Int. wall Ceiling ,� �� Floor Tbtal Btu. Required aq. ft. E.D.R. or sq. ins. W.A. L.eader arca �I :..1.• A / I In6ltration Glasa Fsp. wall Nec e:p. wall Int. wall Ceiling Floor Total Btu. Required aq. ft. E.D.R. or aq. ins. W.A. Leader area FI.I . Windows and I Wldth H No. ot pane ot Infiltration Glass Exp. wall Net ezp. wall Int. wall Ceiling Floor Totai Btu. Room I Length /c�l/ Width wra—Crackage and Area ;ht No. ot Lineal It. Area �ne llehts ot crack se. tt. , Z Required sq. k. E.D.R. or sq. ina. W.A. Leader area F7. Room I Length i Width � Windowa and Doors—Crackage and Arca Width Hsisht No. of Llnea! [t. Area No. ot psne ot pane IIBht� of crack p. tt. Btu �!e fO Infiltration ��Z Glasa E�p. wall � Nec exp. wall Int. wall 7� Ceiling � Floor 7 ?otal Btu. _ Required aq. ft. E.D.R. or aq. ias. WA. Leader area �Z i Heightf�/ � Height � Btu ` � • Date: •�:,�.� �t� 23, 1965 nor�n co�.ss City of Fridley, Minn. BUILDING PERMIT Builder CURTIS REIIkiO?�+D A� 6719 genaastoa Dr. aaa�ess ._.. � Fri.dle3►, Minnesota LOCATION OF BUI4DING No. b719 .._.�... Str+eet �NhSTON DRIVE ____�._.._.....__.._...__.. part ot Lot _ Lot �_.��__ Block _ .A _._.__ Additiaai or Sub-Divisi� ._._.._ Corner Lot ___�..____ Inside Lot _�_.� Setback ._.__._._ Sideyard �. Sewer IIevati� Foundation Elevation -:� 7 �/ `�' j' N° 8256 DESCRIPTION OF BUILDING To be vaea as: ...._ F�oa►t _._.. Depth Height .� Sq. F't. �� �._._._ Front _._. Depth I�eight ....._.. Sq. F't. —._.._ Type of Construction �__ Ee� Cost $1fi��00.00 .._.._ To be Ca�npleted C:�. Ft G�1. F� REBt3SI�D DUE �0 STCRM D�GE In consideratfon of the issuance to me of a permit to construct the building described above, i agree to � the P�P�d work in accordance with the d�scriptiun above set forth and in ' ce with all pravisions o! ordiaances of the city of Friciley. ('`.1�.�✓J ' � In comsiderati� o! the payment of a fee of � 10•00 ._._., permit is hereby Srsnted to—DOIW.D EiOPP`S.S3 to c�struct the building or addition as deecxibed above. This permit is granted upan the express c�ditfart that thepe rson to whom it is granted and his agents, employees and workmen, in all wo�rk done in, around snd upon esid building, or any part thereof, shall conform in all respects to the ordinaaces o� Fridley, Minnesota regarrling location, construction, alterati�, maintenance, repair aad moving of buildu'� wiO�n� dty limits and this permft may be revoked at aqy tune upoa violation of any► of the PT�visiana o! sa�d ALI„FN G. JENSEN 8�s � NOTIC� '!Ms p�esit dea no� sowe tb� eo�eualioe, in�alldien ier vririip. P��w Yas 6�Nip, s�ww or watK. !� suh !e s� f6� luiWieo IurpKlsr for np�rst� p�hs for fba� ibe�s. .. + APFLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � `_ !� j � / / ' .� OWNER'S NA1�lE � �1 �/F' ��i/� �BUILDER ( " '��/. � L'�! � � ADDRI:S5 AnDRESS . I�4CATIOAT dF' BUILD�NG ,r ► NO,� SfiREET ./� . , -� � PART. OE LOT } , . LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LbT SET$ACR SIDE-YARD SEWER ELEVATZON FOUNDATION ELEVATIUft Applicant attach to this form Two Certificates of Survey of Lot and proposed � building location drawa �on these Certificates. _. " �DBSCRIPTION OF BUILDING � � � : � To be used as• � / � � � . � .�� �.�- � Front Depth Height Sq. Ft. Cu. Ft. Front Depth Aeight Sq. Ft. . � Cu. Ft. .�.��. : . 4O Type of Construction /� �j�� �Estimated Co ��p,�_j �.� To be completed The undersigned hereby makes application for a permit for the work herein � specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby � declares that all the facts and representations stated in this application are true and correct. . � DATE '� � SIGNATURE �JI�J�✓� � � � (Schedule of Fee Costs can be found on the Reverse Side). - w � .+ • e ,� r , • '. . V� d V . � . s.. � .._ �. � . � �.. I R :..1 � . > � Lond Plonning 6B7S-N� KS ,V.E. ,La�d Scrveyii,� Mi�oPn/s 2/, .��'sks'�9 EN G I NEER i N G� I N C. `�°'° Ci►nl b M�ecipal .f6hsrf �-6066 � f�y%� -- En9ineers � Surveyors -�— . . cerrtz�zcate o� sutve �o: ERG0,11�G. T . _. - . �30 �. � �'�� . L3•� ' � / _ . � i--.,�� f f, 1. �. t... l � r � � i � �....,. v�''"� .H , ,-� � i �� l . :�.-1- � . � � �,` � � � � y � _ �"i � � '� . s � � � . i� e, � �.r9 � 0. . a `� 0 j . � i , � �,.:.. s �. ,,...,.,, � ; , � . � �•K""1� .. . - . � . . . � � . . . .-�'� i . �;� 3 5 :. , � ; % " � ; I � --� � , . ..9 ' '�' �� ` � � � -I . � .�� , z 5•� - - , . � : �� � ---- o,�,`'` •.�f "' ,r..,. � �ob " O _ 2 �.' i, _ . �-• �� „' � �p4t' � . i...l , j 't : 1 � • � �� � � � \�� ����ly -..� : , , 1 ' �� .� � a 1 � �i� . '� �� , �,, �J � Y t�� f; . . - , z �o� a, ��� . ;� M.�a��ti�! ar�� � ��:� �-�v :T��}� . � � , . . .:r., � . SCALE . 1" _ "30' / hu�eby ctrfi�'y � fhis n o!rw ax/ mntcf nprL�senfofian o�'o su^vttf y�'1hr bbwido�s �'�Sbr a6�e,r a�cn►b�r/ la�, ind �/Y� lawfinn qt'oN da�rd�s, tk�eer�, erd d/ ris'rd✓e axrbarhmarfs ,��'a y, �vn a- er�.fo►d la�ad. As .wrnryed 6rJ m� 11�5 5'n a6� ��u4� � A�0'� SUBURBAN ENG/NEERING, INC. � , , , r y E/1P�►/1�lIOV'S fr .itN' , d . . a , �� ,� � ,..,�', •'�E r.... . . . � ►• • , ,,.., L - �s ,,� �, � City of Fridiey Appliccrtion for Plumbing ond Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Lxafion of Fixtures � F � Z = � Y Z � �� _ � } Z� � I3 � ��F � uZ—i 3� o� Base lst 2nd 3rd 4th _ • Futuze Connsc3foa Opeaings * New iix3ure, Old Opetti:►gs (� WATER HTR. � � � _ � = u i • • � = u? o � in � a tS �< i (�'� °j �� � O i N GAS EIEC. I . :�. • • �`ta: •� / � City of Fridley: 53-$!�-s9i5.51 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 Jul�r .21}� 1970 , 19_ owner ponald Coppess — Kind of Building f r�ne Sewer � Used as residence Cesspool n PARTIAL RATE SCHEDULE PLIIMBING FI]CTURE RATE3: NO. RA'1'E TOTAL Number Fixtures ...................... Future E`ixture Opening ................ New Fixture Old Opening .............. Catch Basin .... . ................. ... x $2.00 x $1.50 x $1.50 x $3.25 $ $ $ $ Water Heater (Up to 99,000 B1iA . . . . . . x $3.00 $ New Ground Run Old Bldg. . . . . . . . .. . . . x $3.2b $ Electric Water Heater : $2.pp a GAS FITTING FEEB: NO. RA'P� TOTAL lst 3 Fixtures . . . . . . . . . . . . . . . . . . . . . . . . . . 2 x $2.00 � 2.00 Additional PYxtures . . . . . . . . . . . . . . . . . . . . x $ .75 � Gas Range to 199,000 BTLT . .. . ... ... . . . . x $5.00 � install (1) gas grill &(1) lite 6.00 REPAIRS & ALTERATIONS—Aefer !o Code Description ................................................� TOTAI. FEE � 8• � To be completed about J�3t 29 s 1970 _ Estimated Cost, $ 20 O1dXNew. Building Permit No. Per t No. ' 1 ti ,� f By . 'i3'usiness Phune N ROUGH FINAL � � � � � v �42 sus�ECr PERM . City of Fridley _ 16 4 6 2 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � � � • • COMMUNITY DEVELOPMENT DIV. ���Q � ��.: --_._ , r � � PROTECTIVE INSPECTION SEC. 1 � � � � /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVEO B� �"""�� ,�� 612-571-3450 910-F15 / / 11/17/81 10B ADDRESS 6�19 Kennaston Drive N.E. 1 LEGAL LOT NO. BLOCK TFACT OR ADDITION SEE ATTACHED DESCR. 8 2 Meadawlands 2nd Addition SHEET 2 PROPERTYOWNEFi MAILADDRESS ZIP PHONE Donald/Ph. llis Co ess 6719 Kennaston Drive N E 1- 3 CONTRACTOR MAIL ADpRESS Z�P PHONE IICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 1 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S DESCRiBEWORK 9 CHANGEOFUSEFROM TO STIPULATIONS WAR�t�G Before digging cail lncal utiliti�s TELEPHONE - ELECTRIC - GAS �tc• R�QUiRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOfi ELECTFICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMiT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3-� �-OQ S. 55 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $�-g•O� PLAN CHECK FEE TOTAL FEE $19.55 SIGNATUREOfCONiRACTORORAUTHORIZEQ�IGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PEFMIT �C� ���.�a � �nPg'�3� � i - t % -�'' � E,Uths� �'�} -l� l SiGNATU OF OWNERIIF pWNE B ILDERI IDATEI B�DG INSP TE CITY 0� FRIDLCY Effective Aug. 1, 1981 APPLICII7IO.J FOft RL"SIDLi�TIl1� QUILDIiiG PEfL`'ITS (Ne�•r, Alterations, Additions, or Repairs) Utlt�ER: 0 �11�� �-. dv�. ��1 ��� . ��.0 QUILDER: �a�Ud � L� ��I�-� � ADDRESS: rp�1 ���eiw�d�'Tb� ��l �� 11DDRESS: (� 7 l� �1 �� Gv� � TEL nf0: �`2� —� J(� TEL I�JO: v`—�l —3/6 a Construction Location • STItF�T NO: iU ! 1 STItEET: ��re GU ylI �� �'� � V�- L07.': � BLOCK: � ADAITION: % `e� ! �!l � �iy� �1 �d C[( �� CJy�, Corner Lot: � Insicle Lot: SetbacY.: Sideyards: Ap�licant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOid OF COt1STP.UCTIOPJ , I'ront: Depth : Height: Square. �'eet: GZibic Feet: . Front: Depth: Neight: Squar.e� FePt: Gvbic I'eet: �ipe of Cor�struction : �� {,0 Estimated Cost: $ �! / � � T Rb Be O�r,�pleted: � �P L � ��, . Alt. A Alt. B Proposed Drive��ay Width If New Opening Is Desixed: $� $ , . SE� F�VERSE SIDE OF SHEET . 13ie undersigned hereby make� application for a permit fcr the t•aork� herein specified, agreeing to @o.all work in strict accordance ��ith the City of I'ridley Ordinances and rulii�g� of tl�e De�k�rtment of Buildings, and hereby declares that all the facts and represent�ltions stated +n this application are true and correct. D.�T�: Il ` �� �� SIGNI1TUItE: Stipulations: � /q UU ; S"S �% (�=SS� , _ . � 1 CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PEAMIT '� u �' • Nater o a w � � a.� w � u � w °� Heater y+,wf�YCe � M O � J� � R n +1 � � O � �.i � � � n W � v�i u � a� u� vi 3� Q� � w u n� a� 3� � t� o s lec lst a�a 3rd 4th (R) � Future Oonnection Openinq Oonnectad with Sevrer (*) = New Fiuture. Old Openinq �8t�' RATE SCHEDULE PLUh�ING FIXTURE RATBS: N0. RATE TOTAL tteM �ixtuses luture lixtures Old Opsninq, t1eN ri:tura Beer Dispeneez Blow Off Baain Catch Basin Rain Nater Leader 6ydranlic Vaive 8u�p or Receiving Tank Mater Treatinq llppliance Not Mater 8saier Gas Ranqe Gas Dryer ' S 5.OQ g 3.50 ,�v $ l. 50 S 4.00 S 5.00 $ 5.00 S 5.00 $ 5.00 S 5.00 g 7.00 $ 5.00 � 10.00 $ 10.00 S $ 8 � G' 8 $ S S $ $ $ S S S ALL OTHERS AND/OR RSPAIR3 AND ALTERATIONS is of Valua of Fixtnre or 1lppliance $ State Surcharqe S .50 Reinspection 1►ee $ ($15.00) TOTAL FBE $ ✓G� � a�a���� c .�.y• zi ��v� Job Addres s � � �'� / \ �' .L��ti� /� � 7""d �fs' �_ Departaient of Huildinqa City of Fridley Tel. N571-3450 The undersiqned hereby eakea application for a persit for the work herein epecified aqreeing to do all work in strict accorclance with the City Codes and rulinqa of the Departa�ent of Buildinge, and hereby declares that all the facts and representationa stated in this application are true and c,prrect Fzidley. Mn. ����, ig� a�R �`i., �/ �'S � p,('�f 1CIND OP BUILDING USBD AS L-�.1-�� T�'�9 � TO HS QOl�I,ETED ABOUT ESTIMATBD COST OLD - NE11 SUILDING PLtt�llT 1i0. PERMIT 170. g!�� ROU(�t INSP. oa.t�,► �c � 1 0� i Signed By G ^, ,/ r Tei. po. `7 L 7 r � Date FINAL INSP. / � �' � �� � Date APPRdVAL FOR PERMIT �� .... .. . � IHUM FEE FOR ANY PLUMBING PERMIT IS $10.0 PLUS THE $.50 ST�ITE SURCHARGE CITY OF FRIDLEY • APPIICATION FOR PWMBING AND �AS FITTING PEI�NIT a >+ a 'a u � uU water u °� �-~i � mp ��.ci a 1~a � m a6 w � w Heater M a�9 a ..i � �� 1� u M .0 +Ci O.��C R U � U usi c�i � oa u� a"�i � c u. sn g v ai � 3 v � c�i o lec lat 2nd 3rd 4th (It) • Fbture Oonnection Opsninq ��ctad with Sewer (") � New Fiutura. Old Openiog Water PLli1�ING FIXTURE RATBS: RATE SCHEDULE N0. eter Pi:tures � lutura li:tures Old Openiaq, N�M �iYtur• Beer Dispanser Blov Oft Basin Catch Basin Ra1n Water Lead�s eydraulic Valve Susp or Recaiving Tae►k Matmr Treating 1►pplianaa Bot Mater Beater Ga� Aanqs Gas Dryer Y � ItATE $ 5.00 g 3.50 S l. 50 s a.00 g 5.00 $ 5.00 S 5.00 S 5.00 8 5.00 g 7.00 g 5.00 g 10.00 g 10.00 TOTAL 8 S a S S S S S 8� S S S ALL OTHERS 11ND/OR RBPAIRS lIND ALTSRATIONS lt oi Value of !i=tura or 11pp1iaACe g • Reina State Surcharga $ .SO pection re� a �_ ($15.00) TO?AL F8B �-�-�--"�c.'---- /Qs'-a , 0 attect�ve Aug. t,.lytll Job Address ' / _���� [Y--`I A'✓ ) Department of Buildings City of Fridley Tel. N571-3450 The underafgned hereby sakes application tor a psrsit for the wrk herein apecified aqreeing to do all work in strict accor8ance with the City Codea and rulings of the Department of Buildings, and hereby declarea that all the facts and representations stated in thie a�pplication are true and correct PridleY. btr�. c , 19� ONNER �"-� `-'�� C. KIND OP BUZLDING w • USED AS TO BE COl�LETEO AHOOT BSTIM�TSD OOST OLD - llEii BUILDING PEi�IIT NO. PElWiT NO. pp�.�p oc.psnY ���� . � t'/'�c�� _ ; '� Signed Hy � � '� � .c� ��. �. 7 ��� t�oucx it�. nate +- v FIN11L INSP. tf� ��� oate 11PPRON7►L FpR PBRMIT '��� i HINIHUM FEE F'OR ANY PLUMHING PERMIT IS 510.00 PLUS THE $.50 3TATE SURCHARGE sue�ECr PERMIT NO. City of Fridley � 18274 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. r ; y ------. $ ��� � � PROTECTIVE INSPECTION SEC. � � , 1 � � � /'�'1 CITY HALI FRIDLEY 55432 NUMBER REV. OATE PAGE OF APPROVED BV . �.---�•' ,•� 612--571-3450 9t0-F15 10/30/85 � � 108 ADDRESS 6719 Kennaston Drive N.E, t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 8 2 NIed.C�04VZaIIC�.S 2Xld AdC�7.;'tlOri SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P pHONE Donald Coppess 6719 Kennast,on Drive N.E, 571�3160 3 CONTRACTOFi MAIL ADDRESS ZIP PHONE UCENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP pHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WOFiK O NEW ❑ ADDITION ❑ ALTERATION �1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE QF USE FROM TO STIPULATIONS g�of can l�e the 2nd layer but not the 3xd. Tnstall ridged galvanized valleys. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTI�ATING OR AIR CONDITIONING. F1b0r�J�..dSS 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 WOFK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARK4NG I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATtON 1 STAILS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $� r.J(� WiTH WHET1iER SPECIFIED NEREIN OR NOT. THE GRANTING OF A PERMIT $650 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON- ].S.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � AN CHECK FEE TOTAL FEE $15.50 SiG UREOFCONTRACTOROA�+UTH RIZEDAGENT ionrE� WHEN PROPERLV VA TED THIS S YOUR PERMIT 4, � � SiGNATURE OF OWNER iIF OW �R BUILOE i IDATEI BL G�NSP O TE NEW [ ] ADDN. ( ] pLTER. [ ] Construction Addre Legal Description: City of Fridley Effective 4/1/84 I� R-1 AND R-2 � Building Permit Application Owner Name & Address : � �� Tel .# — j!� Q� Contractor: �.iiv� , Tel. # Address: [O%l ,��i �I � LIVING AREA: GARAGE AREA: DECR AREA: OTHER: Attaeh to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Length l�idth Length � Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setbaek Type of Construction: '��s�� Estimated Cost: $�.���. 0�j Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: U'3 �� APPLICANT: G�� ol Tel. ��/ ���� Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Ma.in Charge ��� STIPULATIONS: CITY IISE ONLY $ /�W � $ .S� $ $ � $ l�".S� 0 Fee Schedule on Reverse Side 25� of Building Permit Fee �.50/$1,000 Valuation $�125 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � .. � ., e , � . . sue�ecr PERMIT c�ty of Fridley 0 6 21 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i • RECEIPT NO. � � � `y __.._ COMMUNITY DEVELOPMENT OIV. �� r � � PROTECTIVE INSPECTION SEC. � � i � � /"'1 � CITY HALL FRIDLEv SS43P NUMBEF REV. DATE PAGE OF APPROVEO BV �'""'� � ,'� 612-571-3450 910-Ft5 10/10/�0 � / J08 ADDRESS 6719 Kennaston Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 Meadowlands 2nd Addition SHEET 2 PROPERTY OWNER MAIL AODRESS ZIP PHONE Don/Phyliss Copess 6719 K�ennaston Drive N.E. 571-316Q 3 CONTRACTOR MAIL ADDRESS ZIP PMONE UCENSE NO. �niescot Construction 85 E. County Road "B�", Little Canada, MN 55117 488-1984 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASS OF WORK _D NEW 8 DESCRIBE WORK Construct a 9 CHANGE OF USE FROM MAII ADDRESS � ADDITION ' x �,�1 � Addition ZIP PHONE LICENSE NO. ❑. ALTERATION O REPAIR ❑ MOVE ❑ REMOVE ro STIPULA7tONS S:ee notations on plaz�, Provide snloke detectors on hoth.levels of house. SEPARATE RERMlT� REQ�_I9f��D F�� WIRING, HEATIi�G, �Lt�C����vG Ar�u �i��l�. On a{1 new roofs or tear-offs and repiacement roofs, State Code requires that 2 layers of 15 Ib. felt, mop�ed together, be insta(!ed to a point 24 inches up fro� ex#erior waU l�ne, or the use of other approved underlayment membrane. �������l� Beiore digging call for all utility bcations 454•0002 REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. AUTHOR12E0 IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OF ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNiTS I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT $18pQa� DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISI ANY OTHER STATE OR LOCAL LAW REGULATING CON- ,STRU ION O TFyE PERFORMANCE OF_CONSTRUCTION. $I.HO.O.:Q SIGNATUdE Of CONTRACTOR OR AUTMORI2ED AGENT RE OF OWNER ��F OWNER BU IDATE�� � IDATE� �C $17.OQ GROUP OCCUPANCYLOA CU. FT. OFFSTREET PARKING IGARAGES .�'.��� TOTALFEE $2Q5.50 0 THIS IS.VOUR � -, •�� I�� �- "� - • - Oonstruction Addres.s: �� R-1 AND R-2 Buildi.r�q PiernLit Applicatioai �ivnl/�tc?�.) Fffective 8/16/90 I�egal Description: a�r rr� & �S: �N '°� �7 u11ts� iv�� �t. -3! a coritractor: u%✓GO� ����/LEJ�iTCr.b°�% �1• # � � � �S• t• Attach to this applicatioaz, a Dertificate of S�vey of the lort, with the prq�osed oo�stxucti� c7rawn ori it to scale. D�CRIPTIaId �' II�OVII�fl' L1vaiG AREA: Le�lgth - Width oi 1 iieic�it Sq. Ft. ��� C� ARF��: Iea�gth Width H�eight Sq. Ft. DDCR AREA: Lerx�th Width Hgt/Grau�d Sq. Ft. OTi�R: 33� �C� . = / ,GI � � Cbrner Ipt � Inside LL�tt [] Ft. Yd Setbaak o� Side YaYd Setbacks �� Type of Construction: Fstimated Cost: $ Approx. Cca��pletion Date: t��%. ��� l°la(� ��� p pd Pro�osed Driveway Width If New Openir�g Is Desired: Ft. $ $ /, Width + 6' See Back Page L!'�1G: e��A�� OL7Cr•��\L11�1: ,^`�G� m..l • JL r ���� 1C1 'R �t F� $ I�.� Fire Surrharge $ 17 , C�d State Stiarchan�e $ , J (� SAC Charge $ Driveway Escmow $ Park Fee $ se�ner Main Ct�u�ge $ TO►I'AL �� ,�-J' $ CI7.'Y tJBE �Y Fee Shcedule aai Reverse Side .00l x P�mit valuatioa� (1/lath �) $.50/$1,000 Valuation $600 per' SAC Unit Alt. "A" or Alt. "B" Abave Fee Determi.ned by �c'lir�erit�cl A�e�nt NeoessaxY I l � �S�Y [ ] sru�r�z�: �h.�u-�� ��� "%� 7�'J '/ioa� � oo w �,0� I � X� 13� �gd , /L>_� � -� � �i � (� �A f� � "���L'l..^�Z/'/a/ / ✓ Zt��i � Q ,� ., /��ir��� � ��c �� � ._ 7� �' ��� . f�%e ��e �-�-� _ � ��.� rz�r� �,�'� ���-� ,�- �` 21 x� c� Y,.�-�- �/ X/'� �� �l'i /��Z-C�is ' j��1-��-Q �• Y ��G�� �Q (�(�,Q'c'` /� /� � c�'�� -� U��i l � /-' ��� ,` � � ���� �r�c2� �� ���z,�-� C�� ��� ' ..y�,� C-C%��-e�.-� � . � 1� i,' t;f� z- %L f.�,. �_'�?i_„�. - � � J �(i y�� . � �� �1 _/',�=�;' � �� L i���`'"LS''-C"-��� 1�% � � , �� �� t � � ���,�� � � SS�3� � . �`� � — �o� � CITY OF FRIDLEY EEfective Date January l, 1991 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRiGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES MTE SCHEDULE 4ESIDF.I�TI11L Furnace Shell and Duct Work, Burner (1►l�o r�placa��nt furnece) Gas Pipinq (pipinq n��ded vith n�r furnace) Gas Range Gas Dryer • Air Conditioninq (all size�) Al1 Others/Repairs and Alterations 1� of Value oi Appliance or �Tork COMMERCIALfINDUSTRIAL lt ot Value of Appliance or Work REINSPECTION FEE 530.00: Rouqh Insp. Date Final Inap. � � V Date Approval for Permit RATE S 20.00 $ 10.00 S 10.00 $ 10..00 S io.00 State Surcharge m �rnr. s �D� S�� Job Address �O 1� i Yl � Yi 1"1 (�.��(� � ��,� V� Building Inspection Div. 6431 University Ave NE Fridley MN 55432 Tel. No. 572-3604 � Tha undersigned hereby makes app�ication for a permit Lor th� work hereln specified agreeing to do all vork in strict accordance vith th� City Codes S and rulings of the Department of Buildings, and hereby declares thet all the � facts and representations staud in this application ar� true and oorrect. $�(�v 1 � I �'I . ie� OWNER S iuwn o USED A $ $ .50 S�� S MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT IS 515.00 PLU9 T8E 5.50 STATE SURCHARGE •�ir Conditioners can not be placed in side yard without writtan peaiiasion fra� adjofnirg neighbor. TO BE COl�LETED ABOUT � ESTIMATED COST -'7' OLD - NE1�i BUILDING PERMIT NO. PERMIT NO. D�/ DESCRIPTION Oi' FURNACE/HURDIER HEATING or POWER PLANTS, Steam, NoC Water, Ware Air No. , Trade Name _��� ��_ Size No. ""1 � t Gpacity Sq. Ft. @DR B'N 45c cx�HP 'ibtal Co�nected Ioad Kind of Puel BUf�lER - 7Yade Name Si u No. Gpacity Sq. Ft. EDR � B'N HP. Company `y -; 1 �i f'� Sfqned By Tel. No. Fill o� back side for stack verification on replacenent furnaces �w CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING� COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.00 $ °� 0 �C�O $10.00 $ $ 10.00 $ $ 10.00 $ "Air Conditioning - Ail Sizes $ 10.00 � All Others/Repairs & Alterations (LIST ON BACK) 1�/o of Value of Appliance or Work � $ CommerciaUlndustrial 1�/o of Value of Appliance or Work State Surcharge TOTAL FEE � $ .50 $ a�-�� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE 5.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permissian from adjoining property owner. JOB ADDRESS C�'� � � eCl /=1S�v� ��%ve The undersigned hereby makes application for a permit for the work herein specified agreeing to do ali work in strict acco�dance with the city codes and ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ���/� ,1991 OWNER �'� U ��'1 �/ I �i��� C "b�0�'JL�S_ BUILDING USED AS r�S� C1C�1 a�/�- l ESTIMATED COST ��� C%C� PERMIT NO. f C% rI ��L� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating- its � Circle One (Steam) (Hot Wate (Warm Air) Trade Name �L.C-� Size No. BTU HP EDR Fuel � ��1 Total Connected Load �S DL� Burner Trade Name Size No. BTU HP EDR HEATING COMPANY �� �, C%C�/'1C-, /�;!' LL�/'l�� C Signed By ����' No. ��� ����� Approved By ��� Rough-In Date Final Date� �/ g-�� FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE sue�ecT P T N0. `� City of Fridley � �� � � AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T � r � � , � RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. ' j V'�-���'� , /�fn/`7 r � � PROTECTIVE INSPECTION SEC. �/,�l�; •��Y � , , t - � �'��1 � CITY HALL fRIDLE� 55432 NUMBEP pEV DATE PAGE OF APPROVED B� �'"'"�" ,�' 612-571-3450 9�0-F�5 / / 12/29/95 )OB ADDRESS 6719 Kennaston Drive NE t LEGAL LOT NO. BLOCK THACT OR ADDITION SEE ATTACHED DESCR. 8 2 Meadowlands 2nd Addition SHEET 2 PROPERTV OWNER MAIL ADORES$ 21P PMONE Donald/Ph llis Co ess 6719 Kennaston Drive NE 571-3160 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO Same d ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION �7 ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Install basement bathroom 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE P��"��T� RF�� �4�'FD FOR WIRING, HEAT�i�G, ��Lv��s��t�G Ai�D SfGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV IOAD SEPARATE PERMITS ARE HEQUIRED FOF ELECTRICAL, PLUMBING, NEATING, VENTILATING OR Alii CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTHORIZED !S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTpUCTVON OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WOfiK IS COMMENCED. NO. DWLG. UNI7S OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAfiAGES 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 SPECIFIEO NEREIN OR NOT. THE GRANTING OF A PERMIT ��F�OOO �Z.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CHARGE PROVISIOfVS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOAMANCE OF CONSTRUCTION. �H7. ZS Fire SC �4.00 PLAN CHECKfEE TOTALFEE ,� $ 93 . 25 SIGNATURE OF CON'RACTOR OA AUTMORIZEO AGENT IDATEI ��� WH� PiiOPE 'Y VALID D THIS IS VOUR PERMIT � � I� C � � `. � Si NAT REOF�OWNEA�IFO�N BU�LDE I IOATE 1NSP �1�iE �---- I _ _ _ I � i � �, �; �, �, �, �� �, �; �; �; �, �, �, �, �, �; �, ,, �, �, i i i i i i ;, �, �� � �, � , �� �� �� ,� � �,� � �� �� �� ,� �, �, �, �, �, � ' 2x4 PT base �' � LAUND Y 3' 11— I� 2668 L 9' ������i������������������������i � r 1 /2" Durock board o - r _ 4' _ M ,.�ramic � � Tile � � .� Shower � � � ; ��V : _ 1/2" MR board for ceiling �� � M � BATH � ��^p X � , N 00 \� .__ o x ,� � . e ... � , ,. �� . �� � , . �� , , � ,� ,; . � � /i � � �' '%1�i'!%;�� �'�`�'` �1 � � , / /,_ - �.� � � , % .�► / ` • = ' , /�''' / % , � � � : �. _ % y I ,. � � � • . � • i , . � � _ '' dr j / � / � � � _ �i. � / C .r . •. � • • • • � � -- ' i- � ; �' CU i I � , ; ; % a � � � I3 � ' � ��__� d' �� � LAUNDR -- � �� 3' � � -- 3 I �� ' FAMILY � --------------------------------------------- - � -- -- � p�7 - Prepared By: 01-Jan-95 Papa's Building Solutions ...., .,,. ,.. Electricai Plan 1/1/96 i� . �-�2_�9 Kennaston Drive _ Fric�il�y; , � � 61�-�71-315Q � I ( � � : � L � ! 4 -��--� / \i � i i I � i t �: � ..� . .... . . � � � � .. . . . . .. ... .�..:: '.�� � ::.�.. ..... � .... .. .. . . . . -. �. : � :'�. � � . . . � � � 1 ` �� � � �� �� � ��. , /. � i � i ��— �--�—� , __.� , . --�-_ s_ _-_ '� i '� 1 ------- � ; � Prepared by PAPA'S 8U/C�fNG SOIUtlONS 2_Jan: �E�---------� � I r / �� NEW ( ) Gffective 8/1/95 ADDN ( ] CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ��� ? (� ConstructionAddress: k�7 L � ��U N �j1� �Q . �;'� , . — Legal Description: Owner Name & Address: �OfU��1� L�- t�i��C.(.lS � C����SS Tel. #�`� —�/%� � MN LICENSE # ---" Address: ) � c� � Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DESCRIPTION OF IMPROVEMENT Length Width Length Width Height Height Sq. Ft. Sq• Fi- DECK AREA: Length �dth Hgt/Cmund Sq. Ft. OTHER: �'���'�IG►�1 �_T� — Corner Lot� Inside Lot [] Ft. Yd Setback Side Yard S�tbacks Type of Construction: Eskimated Cost: � �%�G(,55 f� ti�� Approx. Compietion Date: Driveway Curb C�.it Width Needed: DATE: — �Y ` � APPLICA Permit Fee Fire Surcharge State Surcharge ,SAC Charge �.,icense Surcharge Driveway Escrow �fOS10II COIItr01 fark Fee �ewer Main Charge TOTAL STIPULATIONS: $ , �S $ 6U $ 02 . DD $ $ $ $ $ $ $ 3•.l� {Cost on Back) Ft. + 6 Ft = Ft x$ ����'���i�� _$ Tel. # Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) � $.SO!$1,000 Valuation $850 per SAC Unit $5.00 (State Licensed Resid�tial Contractors) Al� "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee D� by Engineering Agreement Necessary [ j Not Necessary [] , � � .z 0 r-" � �-- i i i i � � i � � ' � � i i . � � � i I( � � � i� i i ` ` ' I - � � I � � I � I � � � ' �. � � LAUNI�RY � �, �, �, Scale: 7/1 �" = 1 �, �, �, �, {, � �, � I � I � I � II �IC J � � -�._ � ��, �� �� ._ � ----- Prep�redBy: --------------- -------------------FAMILY Papa's Building Solutions Phillis Coppes 6719 Kenna�ton Dr. Fridlev, Mn., 55432 (612) 571-3160 24-Dec-95 r-- � \ Z ti � � h .� Z. A � � >, �� � y ? j o.0. � I � '� ' , � a 0. N � I ; � _ _. _.. ._ _ �\ _.___ .. ___.__ ___. .._ __._ � 898Z � �' � � � � � � w` � . � v ,�-� .� � � �9 �� v 1 � � � �� � � �.� , x �-�� � �, N _ � �, � � � 1� �� � . z � .� � � �� � N � � � � � - � .� • _ � �-a--J� >> � `�' ) � = s � �� - :' S� � �s v s�s � . /. r i - - I/'J��////j/J/�j���/j , , �, , ,� �� I � � I � I � � �, , �, �, � ' � LAUNDRY �, i i �, , �, — , �, �, ',, �; , �` � �, �, i � , � �. � � 5�� -------- �._ __.. ___ 2468 7'10 � ( ._� � shower ��� � c� 36x48 3' 1 � � 3'3 ` i ti ,l ;, �� ; "---, ; , , , � ' BATH ���� _ �, ___, „�1 � ; _ t_ _ _ _ ___ _ _. _ _ _.___ . ___ � m - x, ,N � , '' �, E � � 3 ��; 13 _� �i � 2868 � c� � N � 0 � � , � : � � � i � , r . _ _ ---..._ � � r�)�� � �� � Phillis Co es , �o pp � � • 6719 Kenhaston Dr. � Fridlev., Mn., 55432 , _ , ��� 71�316b n �� t��n �V �� (612) 5 P�a p . . � Pre ared �y: --------�----------------------------- .---- Q- p � AMILY � d`� 24-Dec-95 Papa's Building Solutions F � � � � � . „_ S m .� F' ' "s Coppes 6719 a�ton Drive Fridley, Mn.. �32 612=571-3160 '� � � �� _ � � _ p p s 8v►ca�HC sot�r►onrs CIIY OF FR{DLEY INSPECTtON DlV. 6431 Univers'rty Ave NE Fridley, MN 55432 572-3fiO4 Staries easement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBfNG FIX7URE RATES: Effective On August 1, 1995 APPUCA710N FOR PLUMBING ANQ C,AS FiTTING PERMIT K NUM6�R OF FIXTt�iES TQ 8E INST ` r ,; : Wash �!�� ; ;?'.'' Fioor , � , Show�er NO. RATE TOTAL New Fixtuses Old Open�ng, New Fixture � Beer Di�pe�ser Blow Oft Basin Catch 6asin Rain Water Leader Sump/Receiving Tank Water Treating Appliar�ce ' Water Heater —Electric Watef Heate�r — Gas** �T Gas Range** � ; Gas Dryer** Back Flow Preventer Required ()Yes () No Type $ 7.00 $4.00 /2..ao $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ �.00 $10.00 $ 7.00 $10:00 /O�pO $10.00 $t0.00 $15.OQ EACH FIOOR Auto, �� Gas Washer Ai����' ' Ran� JOB ADDRESS ��� 9"� T�� h c�a. s�o� � r� ve Water Heater Gas Elec 7he undersigned fi�ereby makes appiication for a permit fo� the work herein specified agreeing to do ali wor{c tn strict accardance with the city codes and nalings of the Building Division, and hereby declar�s that ail the facts and representations stated in this application are true and currect. � _ � / 9 9�Milf� � Owner � � 5 � e sS 7- 3�6 0 Buitding Used As �Sr�q�e.,cL Estimated Cost '��� � PERM#T lVO, i I��� P�UMBING COMPAIdY /i� �� a�aC /�k/G /�� Reinspectian Fee $42.00Mr SICNED � ALL OTHERS ANDIOR REPAIRS AND ALTERATiONS 1.5% of Value of Fixture or flppli�nce Approved By State Surcharge TOTAL FEE .50 °�- �� No. �/a � - z 3 z� Rough—!n Date Final Date $��d PLUS L!� S _5Q_STATE SURCHARGE **CONl6USTION AtR SHALL SE PROVIDED PER UMC SECTION 504(A� AND TABLE 6—A. MINIMUM SlZE 9 SQ INCHES. sue�ecr P I City of Fridley � 2� 6 8 31 �� AT THE TOP OF THE TWINS B���� I N G P E R M I T f ; �, RECEIPT NO. � 1 L_ COMMUNITY DEVELOPMENT DIV. i/ r � � PROTECTIVE INSPECTION SEC. C j/n l� � � r �v � � �"'1 � CITY HALL FRIDIEV 55�32 NUMBER REV OATE PAGE Oc AvvRpvEO Br �.'_.�' `.' 612-571-3450 910-F15 7/27/98 � � JOB ADDRESS 6719 Kenniston 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. S 2 Meadowlands 2nd A d'ti ri SNEET 2 PROPERTY OWNEA MAIL ADORESS ZIP PHONE Ph llis & Don Co ess - 3 CONTRACTOR MAIL AODRESS Z�P PHONE LICENSE NO. Panelcraft of MN - 4 ARCHI7ECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW D ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Sidin offi 9 CHANGE OF USE FROM TO STIPUTATIONS Call for building wrap inspection before covering. Install smoke detectors to meet the State Building Code - in each sleepin room and on each level of house. TVPE OF CONST. OCCUPANCV GqOUP OCCUPANCV lOAO SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, FIEATING, VENTILATING OR AIR CONDITIONING. • THIS PERMIT BECOMES NUII ANO YOIO IF WORK OR GONSTRUCTIOIV 20NING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 OAYS. OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PAqK�NG I HEREBY CERTIfV TNAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GAHAGES AND KNOW THE SAME TO 8E TRUE ANO CORREC7. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GpANTING Of A PEFMIT $9607 ��F.HO OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHARGE PFOVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 162.25 Fire SC�R. GO P�AN CNECKFEE TOTAL E Licen 5.00 1.65 SIGNA7UAEOFCON'RACTOAORAUTHOA�IEDAGENT IDATEI p p ALIDAT IS IS YOUR PERMIT r s i SiGN4TURE OF OWNEA ��: pWNER BU4DERi iDATEi BLD NSP qaTE i� i� �V nDDN ni�r�:�t Cc�nsli-uctic�n Acicl►•css: Cl'I'Y O� [�RIDL�Y SINGLI: 1�AM1LY ANll llUP1.�XI:S R-1 AND R-2 I3uilclin�; Pcrmit APPlic.ilion 0 LII�CI�VC 1/ 1/%�} � 3 �- � .n, y ��� ���, � � , Lc�;al Descri�tic�n: --------- - — — - — O�vncr Nainc & A�lclrc;titi: ���!!5 �_�Q `! C. � �i� •e � S Tel. �l s %/ " 3%� � Ct�nlruc:lc�r: _-- �Q��C'�'9� G�_ %��.__ MN LICLNSG 11`_ 2�%�--.--- . na�����:__3/�l�- .5��� �% S. l �i�/ ss�� ,b T�;i. �r �7a � - �� a � LIVING ARCI�: GARAGC ARCA: UCCK ARrA: .OTI-I r R: Attacli io this aPplicalion, a Cerlificate of Survey of the lot, with the ProPosecl cons�-uclion drawn on it to scale. Lengdi Length Length DCSCRIPTION OP IMPROVLMCN`I' Joz3:x� /�1a7 Wicttl� Ileight Sy. Ct. Wiclth Heibht Sy. rt: Widtli HbtJGround Sq. rt. Corner Lot ( � Insic�e Lot ( � rt. Yd Selback Side Yard Selbacks 'I'y�e ot� Cc>nstruclian: S,a�n< fo��t 9 Lid� � fr�.�-� �- Estimated Cost: $ �� p 7 o v _ �� � ,etP/ w;n do w� A����rox. ComPlclion Date: _ � (Cost on .i3�ck J Drivc�vay Curh Cul Wicith Ncalcd: Pt. -I- G l�C = }�t x$ _- -$ _- -_--- llATC: �/3�qg' AI'PLICANI': Tel. �l 7� / " � �� � ['ermit I�ee l�ire Surcharge Sialc SttrCharge Sn(; Cha►�J,e Liccnsc; Surcl�ar�;e iariveway rscrow �rc�sion Control P.irk Pce Scwcr Main Cha���;c. 1'OTA1� x____llv��-as �----- `�� �---� �'o � - -- ------ � __ ,�o 0 S �. � � �. _ -- - -- -- ----------- � 1�� C1"rY I.rSL ONLY l�ec Scl�edule on ltevcrse Sicic � ��� .001 oi� Permil Valuation (1/IOlhl) � y�G �� y�, $.50/$1,Q00 Va(u�tlion $800 per SAC Unit $5.00 (Statc Licensccl Rcsiclential C�ntractors) /11t. "A" or Alt. "I3" Above $450.Q0 Conservation Plan Revie�v ree Determine�l by Cnbineerin� A�;rccincnl Ncc:cssary I I Nut Neccsti�uy I I STIPULATIONS: «. - . . � ,. �!"�fi� ���� sue�ecr � MIT Qt City of Fridley 7 31 1 ' , AT THE TOP Of THE TWINS B U I L D I N G P E R M I T NO. � � � � `y _.___ COMMUNITY DEVELOPMENT DIV. r � •� PROTECTIVE INSPECTION SEC. � . � � � /'��1 � CITY NALL FRIDLEV SS4$2 NUMBER pEV DATE VAGE OF AVPROVED BY �"""�'� �'� 612-571-3450 9t0-Ft5 � � 8/19/98 JOB ADDRESS 6719 Kennaston Drive NE t IEGAL , �OT NO. BLOCK TRACT OA ADDIT{ON SEE ATTACMED DESCR. 8 2 Meadowlands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDpESS ZIP PNONE Donald Coppess 571-3160 3 CONTRACTOR MAIL ADDRESS Z�P PMONE LICENSE NO. Renewal by Andersen 350 73rd Ave 13E Fridle MN 5 432 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAi� AODRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ AODITION ❑ ALTERATION � REPAIR O MOVE O FiEMOVE 8 DESCRIBE WORK Replace 4 windows in home with ocket insert windows 9 CHANGE OF USE FROM TO STIPUTATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE fiEOUIREO FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION 20NING SO. fT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WORK IS SUSP�NDED OR ABANDONED fOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV TNAT I HAVE READ AND EXAMINEO THIS APPLICATION STAILS GARAGES ANO KNOW THE SAME TO BE TRUE AND COFiRECT. A�L PROVISIONS Of �AWS VAlUAT10N SUATAX ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHEA SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT $3740 �1.87 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMAFGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OA THE PERfORMANCE Of CONSTRUCTION. �$].Zrj Fire .SC �3.7�F PLAN CHECK FEE TOTAL F E Lice S 5.00 97 6 SIGNATUAE OF CON'AACTOA OA AUTHORIZED AGENT IOATEi NJ P PE LIDATE �� �S i; PERMIT SiGNATUREOFpWNERUfOWNERBUILDERi IDATEI .BIOG S� p6TE NEW ADDN ALTER �� � �� Effective 1 / 1/98 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,� �� BUILDING PERMIT APPLICATION �J � 3 _ _:. �'�.. ConstructionAddress: � � q I(� S � Legal Description: _ � Owner Name & Address:`�-,�,� � d���/ �-� �� ��n,��,�n ��. Tel. # S"� l" 31 �C� Contractor: �,Q ���j� ( �� �P�� MN LICENSE #_ o�L�--i(�lp3o Address: 3�"��� .� � �'YlCit��� S���d Tel. # �-�-{'Z'�"7 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. � DESCRiP'T30N OF iNYPR£ii�Ei�IE�1'i' LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Width Length Width Length Width .-� , .. , Height ^ Sq. Ft. _ Height Sq. Ft. _ Hgt/Ground Sq. Ft. _ . � Construction Type: Estimated Cost: $� ��� �-� (Fee Schedule on Back) �. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � 3 �t APPLICANT: Tel. # c�,'� "�o�g�-/ CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $�i • o?'�" Fee Schedule on Reverse Side ,� $ 3- `�y .Odl of Permit Valuati�n (1/IOth%) —�!r�� $ � �$% $.50/$1,000 Valuation ,,� �� �� � $ $1000 per SAC Unit $ �- oo $5.00 (State Licensed Residential Contractors) " " $ Alt. "A" or Alt. "B" Above $ $450.00 Conservadon Plan Review $ . Fee Determined by Engineering . � . �� � ; .. _ $ Agreement Necessary. [ ] Not Necessary [ ] � % . �� � � � � : ���� � ,• J/ I� 0 �, sue�ecT PER . • � City of Fridley � AT THE TOP OF THE TWINS g U I L D i N G P E R M I T 8� 4 6 ; � T NO. � `�__ _._ COMMUNITY OEVELOPMENT OIV. ��D� r � � PROTECTIVE INSPECTION SEC. i � � /"'1 � CITY MALL fRIDLE� SSIJZ NUMBEN REV O�TE VAGE OF AVPROVED B� �""'�"� �'' 612-571-3450 9t0.Ft5 12/14/98 / / JOB ADDRESS 6719 Kennaston Drive NE t CEGAL �OT NO. BLOCK TfiACT OF ADOITION SEE ATTACNEO oesca. g 2 Meadowlands 2nd Addi ' on SHEET 2 PiiOPERTY OWNER MAIL AOORESS 21P PMONE Donald Co ess 3 CON7RACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Town & Countr Roofin - � ARCMITECT OR DESIGNEfi MAIL AO�RESS ZIP PMONE IICENSE NO. 5 ENGINEER MAII AODiiESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATIAN � REPAIR O MOVE O REMOVE B OESCRIBE WOf1K Reroof house and ara e 38 S Tear-off 9 CHANGE Of USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOFCONST. OCCUPANCVGROUP OCCUPANCV�OAD SEPARA7E PERMITS ARE REOUIHED FOR ELECTRICAL. PIUMBING. MEATING. VEN7ILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK Ofi CONSTRUCTION ZONING S�. fT CU FT. AUTHORIZEO IS NOT COMMENCED NJITHIN 60 DAYS. OR IF CONS7pUCT10N OR WORK IS SUSPENDEO OR ABANDONED FOR A PER100 OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCEO. ' NO DWLG. UNITS OFfSTREET PARKING I MEREBY CERTIfV THAT I HAVE READ ANO EXAMIN�O 7H1S APPLICATION STA�L$ GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECi. ALL PROVISIONS Of �AWS VALUATION SUpTAX ANO OROINANCES GOVERNING THIS TVPE Of WOAK WILL QE COMP�IEO WITM WMETMER SPECIFIEO MEREIN OR NOT. TME GRAN7ING OF A PEpM1T $2999 1. SO DOES NOT PRESUME TO GIVE AU7MORITV TO VIOLATE OR GANCEL THE pEqMIT FEE SAC CHARGE PfiOVISIONS OF ANY OTMEFi STATE OR LOCA� LAW REGULATING CON- STpUCTION OR THE PERFORMANCE OF CONSTRUCTION ]�}.75 Fire SCi 3.�� PLAN CNECK FEE TOiAL FEE License SC 5.00 84.25 S�GN�ru �C QACTOQOpAUTMOQ�2ED�GENT iO�rE� WMEN PROPERL ALIOATED THIS IS VOUR PEQMIT � / 1y--9�? S�GN4TUAE O� OWNEp��� OwHEaBU�IDEQ� �OATE� . , BlD �NSP � r�ciE M Dec-14-98 09:29A P_04 N�w � � Efticctive lll/98 AbDN [ ] CITY OF FRIDLEY ALTER j J SING�.E FAM[LY AND DUPLFXES R-1 ANn �t-2 ,1'p BUILDING PERMIi' APPLICATION ��'C � �� ConstructionAddress: n ��, � �� Lc�eal Description: Owner Name & Address: Contractor: / � ;,� Address:7�/ I i� /.,:� �''h LN1NG AREA: CAItA�E AREA: DECK AREA: OTIiER: � 'rel . � ,S7 / — ,3 ! Co r� MN I,ICENSE i��� �%/�„ 8� `i a •� ,r��. � s y s - �ra � � Attach to this application, a Cer[ificate of Survey of the lot, with the proposed c�nstruccion dr�wn on it t.o scale. DESCRIPTYON OF 111�PRUVENI�NT Length Widch Height Length Wid[h Height Length Width Hgt/Ground Sq. Ft. Sq. F[. Sq. Ft. � L , Construccion Type: �,�_ ����'� Estimated Cost: $� �] 3�, 2-�-- (Fee Schedule on Back) I)riveway Curb Cut Width Needed: Ft, + 6 Fc = l��t x$ _$ .''�� � � llATE: / SI �g ApPL[CANT: ���� Tel. � �/ `- �I�2 3 " Permit Pee Firc Surcharge State Surc:harge SAC Charge i.icense Surcharge llriveway Escrow Frosion Control Park Fce Sewer Main Charge TOTAZ, STIPUT.ATIONS: $����� $ 3.� $ /. �'U $ $ �� $ $ $ $ $ y, Zs C1TY USE ONLY Fee Schedule on Reverse Side .QO1 of Permit Valuation (1/lOth%) $.SO/$1,000 Valuacion $1000 per SAC Uni� $5.00 (S[ate i,icensed Residential C�ntractors) Alt. '.A" or Alt. "g" Above $450.00 Coa�ervation Plan Review Fee Detcrmined by Lngincerin� Agrcement Necessary [ ] Not Necessary ( ] C lTY 0�� FRIDI�Y IN5PEC710N DIViSI�M �`� '�� �'j�31 Unive�sity Ave NE `,:�ri�ley, MN 55432 APPLICATION fOR POWER PI.ANTS AND HEATING, COOLING, VENTII.ATION, "3�72•3604 AEfRIGERATiON AND AIR CONDITIONING SYSTEMS AND DEVICES a. I) JOB ADDRESS ��I �� fC�QY�IV � S�0 Y� 2— OWNER � 1 G� �-1'(Z� Cp �� E�- -- Etfective On May ]0, 1999 � RATE SCHEDULE � �'t�esidential Furnace Shell and Duct Work, B�rner - Also Replacement Furnace / (Side Vent • Fill Out 6ack) ` Gas Piping (Needed with new lurnace, � but not replacement) Gas Range 0 ~ Gas Dryer Rate $ 30.00 $ 10.04 $ 10.00 $ 10.00 �Air Conditioning • All Sizes R"`-`'`�p $ 25.00 uArn g o a�f 3Az All Others/Repairs & Alte�ations (tIST ON BACK) 1� of Value ol Appliance or Work ti � � ;omr�rercial/I�dusirial � 1.25y� of Value of Appliance or aVork � 0 � �, State Surcharge TOTALfEE 0 � MI IMU{tq FEE FOR ANY HEATINQlCQOLING/VENTILATIOPI � REFRIGERATI�K/AIR CONDtTIQ411NG P RMIIT IS � 5.00 •• PLUS THE 5.50 STATE SURCHARGE � �, REIIVSPECTION FEE $47.00/Hr � �, �Air Con�itioners can not be placed in a side yard wlthaat � writlen p�rnission froir adjoining praperty owner. � TOTAL BUILDING USED AS � t.� ��..LL � ►'U � $ ESTIMATEO COST i%oU �� o PERMIT N0. �� $ $ � $� 0 0 $ $ $ .50 $ � s. so � ; � ► • : � . � • ' :�► x: No. 01 Heating Units Circle O�e (Steam) (Ho# Water) (Wa�m Air) Trade Name Size Plo. BTU NP EOR fue{ Total Connected Load Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes a�plication tor a permit for the work herein specified agreeing to do aH work in slrict accordance with the Gity Cod�s an rulings ol the Building Oivision, and hereby declares tha! all the facts and re�resen�ations s��c� '����R�e��i�`e�a�t,t�tulCand carrect. 9928 Bluebird St. N.W. Coon Rapids, MN 55433 HEAT I NG CO (6��.7�_ � 49 F�,Y r� � �� 7�..ZQO� -- Signed _ �i.� AD DATE . �%%va �l � �� Appro�ed By Rough•In Date final Dat r',f.�' `.., �� '' _ _ CfIYOF FRiDLEY FRIDLEY MUNICIPAL CENTER • 6431 UMVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 23, 2001 Richard Coppess 6719 Kennaston Drive NE Fridley, MN 55432 Re: Final lnspection at 6719 Kennaston Drive NE Contractor: River City Sheet Metal Inc. Dear Mr. Coppess: A mechanical permit was issued on August 3, 1999 for the installation of an air conditioner at your address. According to Section 305(a) of the 1991 Uniform Mechanical Code, a final inspection shal( be performed on the mechanical permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector's time to check to make sure the appliance was installed correctly. We also need to check for the installation of combustion air, vent and connector sizing. If you would like the installation inspected, please contact us within 30 days to arrange the inspection. If we do not hear from you we will expire the permit and note that no inspection were called for. Any questions can be addressed to myself at (763) 572-3603. �Y, Builc�yfig Inspector DJ/mh CI7Y OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: Urinai MARK Shower Effective On Jan 1, 2002 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT OF FIXTURES TO BE INSTALLED ON EACH FLOOR W h <>::::> F r as ��:..::.:1�:::::<::; .... loo ::;;<??: A . .: :,. .. ;� .::::::::::,;;;>:. . . .... :�'i� ......:::.:... ��t��:;:.:.. uto ��a�::::>:::::<::::� Gas �4Ai�>`><::::::>:: Water Heater Tra <'>:<::: Drain ::>::>:< Wa her' :�>:::::>::��:::::»::>:;;: Ra e�":'�.,:::>:<:>:::::: ;: »::>::»::::::>::>:: � ,: Y �r�un'�< :...... ��ir�>:..... s _ At�t3�.......... n4 ....t�c�.. ....... Gas Elec NO. RATE TOTAL New 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"` Gas Dryer"" Back Flow Preventer Required (l�j�es O No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type,�-e�C9�.a 7�v5 $15.Q0 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE .50 $�p,.57� JOB � r� 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. Ovmer �—G� Ie2 , 20(�3 Building Used As f�l�OY�/e T °� L Estimated Cost �� ` PERMIT NO. � PLUMBtNG COMPANY SIGNED BY FAX # � Approved Rough-In Date Final Date � �3 Q� MINIMUM FEE FOR ANY PLUMBINGIGAS PERMIT IS $20.00 PLUS THE 5.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. � COMMON VENT INFO ON BACK SIDE