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.
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� 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). -
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,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
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f�y%� -- En9ineers � Surveyors -�— .
.
cerrtz�zcate o� sutve �o: ERG0,11�G.
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/ 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. �
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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
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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 . �;'�
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Legal Description:
Owner Name & Address: �OfU��1� L�- t�i��C.(.lS � C����SS Tel. #�`� —�/%�
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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
$
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$ 3•.l�
{Cost on Back)
Ft. + 6 Ft = Ft x$
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.001 of Permit Valuation (1/lOth%)
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$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 []
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-------------------FAMILY
Papa's Building Solutions
Phillis Coppes
6719 Kenna�ton Dr.
Fridlev, Mn., 55432
(612) 571-3160
24-Dec-95
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p � AMILY � d`� 24-Dec-95
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6719 a�ton Drive
Fridley, Mn.. �32
612=571-3160
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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�
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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
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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/%�}
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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�
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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:
«. - . .
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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 _
_:.
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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