AF - 47753� . . . �
City of Fridley, Minn.
BUILDING PERMIT N� 6 6 5 7
� � � ii�
Date: _..�'--.1_�- �____ �
Ovasner: ../� __�.������_ Builder _.1�._...._ �%�.��_�%._.�,t..._..�...._._.__ _
�
Addt'ess
Address
LOCAT O U I G
No. .(�.�_ �. Street � .�._ . ._ _ .... art of Lot _.._ ._...._
Lot _.__. ..._.____._.__ Block _.�._._..� ..__.._..._._. Addition or Sub-Divisio���� j�L�tl:y�-���=!N� ���L�
� �/ /�,/
Corner Lot ___.....__..__.._ Inside Lot ._.._..�..._..... Setback ._(,,�...J`_......._..._..._.. Sideyard _._..:� .__Cl.....
_ !._.___.. .._._
Sewer Elevation �.___._.._.._...____......._.._...�._.._____......_____._ Foundation IIevation
DESCRIPTION OF BUILDING
T Used �
._._.�._ Front _. .� /I�epth .�.,� Height .�� Sq. F� ��� Cu. FL !�����
.. .. .
/ ��JQ
._ .._�...._. Front �,�.,� Depth __._ H'e'�ht _...,���Sq. F��� Cu. F't.��=...-"--�
j ....
Z'ype Conatruction }���QG���__ F�t ,�(0.�..�_.�....��be Coanpleted _.�..
b
In consideration of the issuance to me of a permit to c
th� proposed work in accordance with the d�scription above
ordinances of the city of Fridley. I
in co�sideratioa� of tt►e payment of a fee of
above, I agree to do
ritt� all pravisions of
permit is hereby granted to�
to c�nstruct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all wark
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, ma.intenance, repair and moving of bufldings
within the dty lirnits and this permit may be revoked at any�� ppn vi'o�a�ivi{ of any of the provisions oi said
ordinance& // / /
Buildin8 Inspectoc
• NOTICE:
1hk p�nnit dwr nef eowr fiw eonshue�ks, Hah1l�Non /a wkiao, phnnbino. Ya h�ny, »w�r or wabr. M wn to sN
1h� avildin8 intp�elor for ap�nt� p�nnils fer fh�n itNns. _,-�
OWPT�It' S NAME
APPLICATION FOR BUILDING PERMIT
CITY OF FRYDLEY, MINNESOTA
�� ✓/,LJ
ADDRESS ADDRE
z3�i �,��j�
LOCATiON OF UILDING
No. ��� Street Part of Lot
Lot Block �_Additioa o Subdivisiop/'�Lrst��sr�i�-_ �..
Corner Lot Insidg Lot � Setback��%� Side Yard <�
SEWER ELEVATION ,/�� FOUNDATION ELEVATION
Applicant attach to this�form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificatea.
DESCRIPTION OF BUILDING
To be used as:
�� Front �)f Depth Y� Height
Sq. Ft. Cu. Pt.
2 Front / Depth !�� Height
� Sq. Ft. Cu. Ft.
Type of Construction
To be Completed
��
Estimated Cost
The undersigned hereby makes application for a pern►it for Che 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 facta and
representatio stated in this application are true a orrect.
DATE 7 � / � � SIGNATL
(Sch�dule of Fee Costs can be found on tlie Reverse Side).
., . � ..
� • �•<4
Applicution �o� Power Planfis and Heating. Cooling. Yentilation. Refrigeration and
Air Conditioning Systems ond Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work ...........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . .
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . .
�
Dept. of Bldgs. Phoae SU 4-7470
RATE TOTAL Locaiio T� � //�-/',�ty.�a.?l.��
s.oa �� .•
5.00 � City of Fridley:
The undersigned hereby makes application for a permit for the work herein
5.00 $ specified, agreeing to da all work in strict accordance with the City Ordinances
2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU . . . . . . . . . . . .
each add. 60,000 BTIT . . ......... .. ....... . . .
Replacement o! Furnace .............................
Repairs & Alt+erations--up to $500.00 . . . . . . . . . . . . . . . . .
Repairs & Alterations each add. $50Q.00 ..............
O
8.00 $_�c '�
2.00 ;
5.00 $
5.00 $
2.50 $
STEAM or HOT WATER BYSTEM
Ftixrnace Shell & Lines—to 400 sq. ft. EDEt Steam ...... 8.b0 $
� Furnace Shell & Line--to 640 sq. ft. EDR Hot Water ... 8.00 $
� Each add. 200 sq. Pt. EDA Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $
� Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $
OIL BURNER—to 3 gal. per hour . . . . . . .. . . . . . . . . . . . . . . 5.00 $
over 3 gal. per hour—See Fee Schedule
d0
GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $� c�'
GAS FITTING FEES: NO RATE TOTAL
lst 3 Fixtures ...................... x$1.50 $ � v
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU . . . . . . . . . . . x 2.d0 $
AIR CONDITIONING �
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYBTEM �
ALTERATIONS & REPAIRS TOTAL FEE �-,e�yCs.J /1
ROUGH �
FINAL
Owner
Kind of Building
,
Used as
� � �� �
To be completed a ut ''
Estimated Cost, $ c �� U
Old' ew. Building Permit No. �` Permit No. ��-��
HEATING or
Trade
O
WORR
Hot Water, Warm
Size No����d 7
Capacity v Sq. Ft. E.D.R._ ��T.�� BTIJ H.P.
Total Connected Load --3 ���— Kind of F�e
BURNER — Trade Name Size No.
Capacity.
(REMARKS—OVER)
�az 2M
Sq. Ft. E.D.R BTLJ H.P,
� Signe � I -
"�� �i�i �����"?.u_ u C�i`� ._
By �f, ��... `� J��� lill��i�di:�itl �
Busi��+e No � .
n,ss . =:-,._,z � �l ��3
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS PRIDLEY, MINN.
Weatherstrips A.S.H.V.E, Construction No. Insulation
Guide
Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof F7oor Kind How Applied
Yes—No Yes—No 19_
FL� Room � Length Width j Height �' FL � Length Qlidth � Height �' �
Windows and Doors—Crackage and Area Windows and Door rackage and Area
�Vidth Helght No. ot Lineat ft. Area Wldth Height No. ot Lineal !t. A�ea
No. ot pane o[ Dane lighta ot crack eq. [t. No. o[ pane ot Dane Iights o[ crack sQ tt.
� �S. f �/ i I�' ..
� /� �G ! d.�/>/
In6ltration �` - < � �
Glass �5.3 S
Exp. wall
Net exp. wall ld
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI.� Room � Length / Width �t, Height
Windows and Doors—Crackage and Area
Wldth Helght No. ot Lineal ft. Area
No. of pane ot pane Ilghts o[ crack sq. ft.
� �1 el � .� G / � � � !In �f
Co�f. B
Infiltration
Giasa 2
- Exp. wall
E,;;Net exp. wall �
�' Int. wall
Ceiling - –
Floor •
. 7'otal Btu.
Required sq, ft. E.D.R. or sq. ins. W.A. l.eader area
FI. Room � Length /,� Width Height /
Win ows an Doora—Crackage and Area
Wldth Helght No. o[ Llneal tt. Area
No. of pane ot pane I1Bhts .ot crack sq. tt. .
! 12 �%' I /�-z� �
Coef. Btu
In6ltration , Z
Glaas , _ •
Exp. wall
Nec eap. wall
Int. wall
Ceiling 0
Floor
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Infiltration
Glaaa
Eap. wall
Net ezp. wall
Int. wall
Ceiling
Floor
Total Btu.
ld
Bcu
Required aq. ft. E.D.R. or aq. ins. WA. L.eader area � `
[ F7.� �,I,,ength / y Q/idth
Wendows and oors rackage and Area
Width Helght No. ot Ltneal tt. Area
No. ot,yane of Dene Ilihts ot crack sp. [t.
o�. °L� � /_ � .1 �� �% �li. i
�
Infiltration
Glaaa
Exp. wall
Nec exp. wall
Int. wall
Ceiling
Floor
'fotal Btu.
�
1
Required sq. ft. E.D.R. or aq. ina. W.A. Leader area
' FI.) ' q�• m I Length °�, / Width
Windowa and Doora—Crackage and Area
Wtdth Helsht No. o[ Linsal [t. Are�
No. ot pane ot p�ne flght� o crack p. tt.
� ' !
. � _ ,'S/.. L/G/ � � aln w
�
Infiltration
Glasa
Facp. wall
Nec exp. wall
Int. wall
Ceiling
oor
7'otal Btu.
?.'
ised :q. ft. E.D.R. or aq. ins. Q/A. Leader area
�_ f
Btu
City of Fridley
App�ic�tion for P'h�mbing ond Gas Fitting Permit
Dept. of Bldgs. Phoae SU 4-�
DESCRIPTION OF WORK G �� �
Number, Kind and Locatian of Fixtures Location,� '
u� U' � WATER HTR.
N
y1 y� � v� � 2 • •
W N S N � ) Z Z K �? V Z O i , Ci Z
;C � �� � ? �� O� u=i �a S� t3 �°t �'aS �p R N GAS ELEC.
. _ ,1�� �ri� ����������
' �� � ■■■■■■ ■
' ■■ ■■■■ ■ -
■ s �
.
. . = ■
■
PARTIAL RATE SCHEDULE
PLIIMBING FIXTURE RATES: � NO. RA'i"E T�Y'��
Number Fixtures . . . . . . . . . . . . . . . . . . . . . . � x $1.50 � '�
) U
Future Fixture Opening . . . . . . . . . . . . . . . . "'�x 1.20 $ °�- �
New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $
Catch Basin .... . ...................'. x 3.25 $
Water Heater (Up to 200,000 BTLn . . . . . . —� x 2.00 $� � �
New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $
GAS FITTING FEEB: NO. RATE TOTAL
lst 3 Fixtures ..........................� $1.5Q $ � ,�`ZJ
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU . . . . . . . . . . . . . . x 2.00 �
REPAIRS & ALTERATIONS—Refes !o Code
Description ................................................
TOTAI, FEE $ �
City of Fridley:
The undersigned hereby makes application for a permit for the work herei.
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares bhat all the facl
and representations stated in this application are true and correct.
Fridley, Minn , 19 �
Owner 51�' ��
Kind of Building
Used as
To be completed about
Estimated Cost, $
Ol New ' ding Permit
ROUC3H
FINAL
az ZM
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- . it_ /i /� /L � a!
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City of Fridley, Minn. N° '7895
BUILDING PERMIT
Date: ._._.._ _June 15� 1965
Keith ftelson Erco, Inc.
Owner: 6720 Kennaston B��r -��r�en�ra].�'Ave..�'.:�.: _.�
Address _ _...�._..._...._. _____ Address ..._..
LOCATION OF BUILDING
6720 Kennaston
No. _.._.._.......�.�.._. Street _._..._.._..__..._ _._.._...__..._..__..—.. Part of Lot _
t.ot 4....._..�__.._.__ B1ock _ 3 _._,. ._._.._. Addit�� or Sub-D�visi� Meadowlands 2nd Add .
Corner Lot ____.._..,.._ Inside Lot _..._..__. Setback _....�.._ Sideyard
Sewer IIevatiaat �._. —...._ Foundatioai Etevation _
DESCRIPTfON OF BUILDING
To be Used as:
Frant �.. Depth Height ._._.. Sq. E't.
._._.._..._...._.._.....�._....._._......_ Front ....__ Depth _.._ I�eiglst ._._. Sq. Ft. ..—..._...
Type of Construction _.._. Est Cost _....._..____......____.M._...__ To be Canpleted
Cu. F't
Cu. Ft.
�
Repair 5t0rm Damage
In co�sideration of the issuance to me of a permit to co�st
the proposed work fn accordance with the d�scrlption above set
ordinattces o! the dty of Fridley. ,
l aba�e, I agree to do
with all proaiis�ons ot
In caosideratfon of the payment of a fee of � 10. 00 ��t � b�� �� �rco, Inc .
to ca�struct the buflding or addition as described above. Tt�ia permit ia granted upan
the expree�ss 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 anypar� thereof, shall conform fn all resperts to the ordinauces o�
FridleY� Minnesota rEgarding lacation, consfiruct�on, alterati�, maiatenance, repair and ma'vin8 of buildings
within the dty limf ts and this permit nnay be revoked a t any t�me upoa violation of aay of the provisioas o� said
ordinances.
Allen Jensen B�� �
NOTICE:
7fik p�emN deN eet eewr fh� sonaroelio�, (mhO�Non ter wtds0. P�+�Y. Y�s M�1Gp, �w�r or wN�r. � a� fo sN j
fh� luiWinY �n�qe� for s�pwN PM+�ils fer t6a� ibms. .. ;. ,• I
APPLICATION FOR BUTLDING PERMIT
CI1''Y OF FRIDLEY, MII�INESOTA
OWN�R' S NAME O/� BUTLDER �–�
ADDRESS � ..i� DRESS �i
LbCATION OF BUILDING
No. �� Lo Street� ,r� �,�+� Part of Lot------�
LOT�� BLOCK � ADDITION OR SUBDIVISION%?1t�t,c °�- Cl.e�l -
�
Corner Lot�_Iaside LOTl�Setback Side-+Xard
SBWER ELEVATION FOUNDATIOR"ELEVATION
Applicant aCtach to this form Two Certificates of Survey of Lot and proposed
building locatian dYawn on these Certificakes.
DESCRIPTION aF BUILDING
��
To be used as; . '� �_ r„L� .
. � ..t-1- � �. y
:�
►y.
Front Depth Height
Sq. Ft. Cu. Ft.
Frant Depth T_He3gRC
Sq. Ft. Cu. Ft.
Type of Coustruction EsCimated Cos 9� � G O
To be campleted_ _ �_ /�.�6
s'-
.-._.._-_..—
The undersigned hereby makes application foz a permit ior the work herein specified,
agreeing to do all work i�► strict accordance with the City of Fridley Ordiaences
and rulings of the DeparCment of Buildings, and hereby declares that a11 th� facta
and representations stated in this application are t and correct.
` �
DATE / /b � SIGNATURE
(3chedule ot Fee Costs can be found on the Reverse Sfde).
� •
►k � • . T
9? ' —Ls16051.
0
�
CITY OF FRIDLEY
APPLICATION FOR PWMBING ANA GAS FITTING PERMIT
' y, a. y �ro u . �C d 47ater
ol o, � 'A s�0+ c�.�+ w A � a w F Heater
.°a a b � e m H.�x � a� u .c a� w Q' w`� N
s+ C� u! c .e •�I ,c c a 3 8 U•� O.c � U• al
vf U a � W t�i1 3 O 4�. t�i1 4� U Pro1 Q 3 C9 ,� (7 O dS 'lEC
1st ri 1
2nd
3rd
4 ;h
(R) d Fliture Connection Opening Connected with Sewer
(•) � New Fixture, Old Opening Water
PARTIAL RATE SCNEDULE � �
PLUDBING FIXTUR� RATES: N0. RATE TOTAL
Nu.�her Fixtures
FUture F:xture Openinq
New Fixture, Old Openinq
Catch Basin
Water 8eater - to 99,000 STU
100,000 BT[1 to 199,000 BTU
water Softener
New Grouad 13in Old Building
Electric Water Heater
GAS FITTII�G FEES:
lst 3 fixtures
Additional Fixturea
Gas Ranqe to 199,000 BTU
x S3.00
x $2.00
x $2.00
x $5.00
x $5.00
x $10.00
x $7.00
x $5.00
x $5.00
x $3.00
x S1.00
x $7:0.00
S
$
9 -^
$
$
S
$
$
S
S
S
S
REPaIRS F� ALTERATIONS '
Fizst 5100.00 55.04 $
each add. 5100.00 or fraction $2.00 $
State Surcharga $ ,50
' TOT71L FGC $ 8 _ I�O
REINSPECTION FEE
. ($10.00)
Job Address 6720 Kennaston Drive
Department of Suildings _
City of Fridley
Tel. #571-3450
The undersi.gned hereby makes application Por a pezmit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
tho fact:� u�id repra�ontations statod in this applicution aro true and rnrrect
Fridley, Mn. 6-8-79 , lg
OWNER Lindquist
KIND OF BUII.�ING ' frame
USED AS Y'68.
TO BE COMPLETED ABOUT 6—lrj—'%9
ESTIMATED COST �O�OO
OLD - NEW BUILDING PERMIT N0. ERldIT N0. �
O'�� .
Company . MI�+����G11$
ROUGIi INSP.
Date
Signed By
Tel. No.
FINAL INSP.
Date
APPROVAL FOR PERMIT ����
MINIMUM FEE FOR ANY PLUN.SZNG PERMZT IS 57.50 pwS 5.50 STATE SURC�iARLE
sue�ECT PER
City of Fridley 2�. 4 61
' , AT THE TOP OF THE TWINS g � I L D{ N G P E R M I T ECEIPT .
r
� � COMMUNITY OEVELOPMENT OIV.
� ' yy �� �
~ PFOTECTIVE INSPEC710N SEC.
, � ..._ ,
1 , ;
� � �
� � �/"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV .
�'"'"� � ,'' 612-571-3450 9t0-F15 7/27/92 / /
108 ADORESS 6720 Kennaston Drive NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITiON SEE ATTACHED
DESCR. 4 3 Meadowlands 2riC1 SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
Marilyn Lindquist 6720 Kennaston Drive 571-7226
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LlCENSE NO.
D& D Home Improvement Inc, 7401 Central Ave NE, Fridley MN 55432 784-7543 4840
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSENO.
6 USE OF BUILDING
Res�.dential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION �] REPAIR ❑ MOVE O REM01lE
8 DESCRIBE WORK
Rero4� House & Garage (14 Squares) Tear--o�f
9 CHANGE QF USE FROM TO
STIPULATIONS
Undexlayznent must caiuply with State Huilding Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVlOAO
SEPARATE PERMI7S ARE REQUIRED FOR ELECTFICAL, PLUMBING, HEATING,
VENTI�ATlNG OR AIR GONDITION{NG.
THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONItJG SO. fT. CU. FT.
AUTHdR12E� IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING
I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINEO THIS APP�ICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORREC7. ALL PROVISIONS OF LAWS VA�UATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $'][�2 $, SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS F ANY OTHER STATE OF LOCAL LAW REGULATING CON- $21.00 Fire SC $. %�
STRUCTIO R THE PERFORM CE OF CONSTRUCTION.
PLAN CHECKFEE TOTALFEE
Li.cense SC $S.OD $27.24
SI NATUAE OF CONTRACTOA OA AUTMORIZED AGENT IDATEI NE R RL YA IO O THIS IS YOU�RMiT q
G/
iSGNaTUREOFOWNER��cOWNERBU�IDEfi� �DATEti �'ri BLDG INSP Oa7E
NEW [ J
ADDN [ J
ALTER [ ]
Consavction Address:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
i;
Effective 311/92
Legal Description: �� i `%, J.��' 3,�� � 1�� �c.j�-/a-rU� S�� �
Owner Name & Address: �/���7����(���//, r% Tel. ��%� 7Z��o
ConGractor: D b D Home Improvement, Inc. MN I.ICENSE � 4840
Address; 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543
At�ch to this application, a Ceitificate of Survey of the
lot, with the proposed consdruction drawn on it to scale.
LiVING AREA:
t�ARA(3B ARBA:
DBCK ARBA:
01'HER:
DESCRIP'TION OF IMPROVEMSNT
Le�tgth 'Width Height
Length Width Height
L,ength Widt6 HgVCiround
Sq. Ft.
Sq. P't.
Sq. Ft.
�a�mer Lat [) Inside Lot I) Ft. .Yd Setback Side Yard Sdbacks
1`ype of Carsm�ction: ��'�` � /'e �s%iir� /� {�,,�timat�cd Cost: � � �.�
Appma. Comptetion Da�te: /�� . /99 _ G��'� /(�
� st on Back)
Dciveway Cutb Cut Width Needed: Ft. + 6 Ft -- Ft x S = S
�
DA1'E: APPLICANT: �- Tel. !�
_- Nermit Fee S � I. D v
Fire Surcharge � � rT
StaLe 5urchacge � . ��
SAC Cl�arge $
License Surcharge S �.�
� Driveway Escrow �
� Park Fee �
Sewer Main Charge $
TOTAL
STIPULATIONS:
� "=' '�L
...._.
� ��
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth96)
5.50/�1,000 Valuation ',
5700 per SAC Unit ; -
$5.00 (State Licensed Residentiai Conttactors)
Alt. "A" or Alt. "B" Above, .
Fee Determined by Engineering
Agceement Ne��ssary [ l Not�-'Necessa�'Y [ l
.
_ ,- -� r
�
CITY,OF FRIDLEY INSPECTION DIVSION
6431 University Ave NE
r c� �'��
� �{�.
�
Fridley, MN 55432 APPLICATtON FOR POWER PLANTS AND HEATING, COOLtNG, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Sheil and Duct Work, Bumer —
Also Replacement Furnace
(Side Verrt — Fill Out Back)
Gas Piping (Needed with new fumace,
but not re�lacemer�t)
Gas Range
Gas Dryer
*Air Conditioning — All Sizes
All Others/Repairs & Alterations (LIST ON BACI�
1°� of Value of Appliance or Work
Commercial/Industrial �
1.25�0 of Value of Appliance or Work
Rate
$ 30.00 $.
$10.00 $
Effective On January 1, 1999
JOBADDRESS Ca�(�.� �2NNfl5��n�R.�.�.. �6�ti���
�
The undersigned hereby makes application for a permit for the work herein
TOTAL specified agreeing to do all work in strict accardance 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.
3� a � ,�s�s
$10.� $
$10.00 $
$ 25.00 $ � S • DU
$
$
State Surcharge
TOTAL FEE
$ .50
$�S.SO
MINIMUM FEE FOR ANY HEATING/COOLJNGIVENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT !S $25.00
PLUS THE $.50 STATE SURCHARGE
REINSP�CTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
x. ;:;
OWNER � A � l u,� L� � d��; st
BUILDING USED AS � w.e. �,� � (1�
ESTIMATED COST ��}.O �, 0(� PEAMIT NO.� ^�� `
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Wate� (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
HEATINGCOMPANY � G� � A1121�AL �G
°l°t a� P5 �e,b , a.�. rv �,u� Cc n r(�.�.,� �'i'n � 5 S't 33
5�9�� � %�h i� „ /�/1�/� Tel No. �15 � '� J I �
. gi-.,�r.��.
Approved By Rough—In Date Final Date �-dr
_
_
CIZYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 (JNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
March 23, 2001
Marilyn Lindquist
6720 Kennaston Drive NE
Fridley, MN 55432
Re: Final Inspection at 6720 Kennaston Drive NE
Contractor: River City Sheet Metal Inc.
Dear Ms. Lindquist:
A mechanical permit was issued on March 26, 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 shall 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 instatlation of
combustion air, vent and connector sizing.
— I# 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.
Sincerely,
:NSEN
Inspector
DJ/mh
sue�ec* PE
City of Fridley 2 9 0 8 6
AT THE TOP OF TME TWINS g � I L D I N G P E R M I T
r
� . NO.
� �
� ; v ___._ COMMUNITV OEVEIOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. /� 7�
� . ,
� � �"'1 � CITY HALL fRIOLE� 55�32 NUMBEA REV D�TE P�GE Of �VVROVEO Sv
�'""�" �'� 612-571-3450 910-Ft5 3/26/99 / /
�oe nooaess
6720 Kennaston Drive NE
t LEGAL LOT NO. 9LOCK TRACT OR AODITION SEE ATTACMED
oesca. 4 3 Meadowlands 2nd Addition SHEET
2 PROPERTV OWNER MAIL AOOR�S$ ZIP PMONE
Maril n Lind uist 6720 Kennaston Drive NE 571-7226
3 CONTRACTOR MAIL ADORESS ZIP PMONE UCENSE NO
William Mattson Construction 11274 198 Ave NW Elk River MN 55330 441-4788
� AiiCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
3354
5 ENGINEER MAIL AODRESS 21P PHONE LICENSE NO
6 USE OF BUILOING
Residential
7 CIASS OF WORK �
O NEW O ADDITION � ALTERATION ❑ REPAIR O MOVE O REMOVE
X
8 OESCRIBE WORK
Reroof House & Gara e 19 S Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
TYPLOFCONST. OCCUPANCVGROUP OCCUPANCVLOAO
SEPARA7E PERMITS ARE FiEOUIRED fOR ELECTRICA�, PLUMBING. HEATING.
VENTILATING Oi; AIR CONOITIONING
TMIS PERMIT BECOMES NULI AND VOID IF WORK Oii GONS7RUCTION ZpNING SQ. FT CU FT
AUTHORIZED IS NOT COMMENCEO N/ITNIN 60 OAYS. OR IF CONSTqUCTION
OR WORK IS SUSPENDEO OR ABANOONED fOFi A PERIOD OF 120 OAYS A7 '
ANV TIME AfTEii WORK IS COMMENCED. NO DWIG. UNITS OfFSTREET PARKING
I HEREBY CERTIFV TMAT I MAVE REAO AND EXAMINEO TMIS APP�,ICA710N 1 STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. A�L PRpVISIONS Of LAWS VA�UATION SUR7AX
ANO ORDINANCES GOVERNING TMIS TVPE OF WpRK WILL �E COMP�IEO
WITH WMETMER SPECIFIED MEREIN OFi NOT. THE GRANTING OF A PERMIT � 1� 62H �• 81
DOES NOT PRESUME TO GIVE AUTHOfiITV TO VIOIATE OR CAMCEL THE pERMIT f EE SAC CMARGE
PAOVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- @
�TRUCTION OR THE PERfORMANCE OF CONSTFiUCTION �S�F.00 Fire .SC, y�1.63
PLAN CMECK FEE TOTA� fEE
L'cense SC $5.00 $61.44
S�GN4TUAE O� CON'i7pCTOA Op AUTMOA�IEO �GENT iO�iE� WNEN PROPERL �LID TED TMIS IS �R �RMIT
i /
S�GN41UqE O� OWNEQ��F OwtiEQBw�DEAi � �O�iEi . � � � � � Bt0 wSo - � � qctE
�
NEW [ ] Effective 1/1/99
ADDN [ J CITY OF FRIDiEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 !��D
BUILDING PERMIT APPLICATION ��� � ���
�' �
ConstructionAddress: � ��O l��n-•+� �'�`'�
Legal Description:
Owner Name & Address: 1YJt}�Z, ��� ��,^-� 4�c�,-S 7` Tel. ���� �-2��
Contractor: � c.` !(,� � nt ,� 7'7�e-� C� o-ws 7�a ���� c� � MN LICENSE # 3�'-�y
Address:
���- ��8''`'.� � ��- sv .� �< <r � v6� yn•� SS 33Q Tel. # �/�//- 5/ ���
��� ?�/ Attach to this application, a Certificate of Survey of the
� lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTI�R: ,��,��' � �s�- 9��A��►G�� %�'lsQ ?`�� 4�F _
Construction Type: Estimated Cost: $ �� °?v
(Fee Schedule on Back)
Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: �3 � � - z� APPLICANT: � :� �—� Tel. � `��l `�?'B' �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License 5urcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ S , va
$ l. �3
$ �%
$
$ S- e�
$
$
$
$
$ �. �
�ITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
r ` � �
sue�ecT PE,B�-fi�IQ �: _.,
City of Fridley f- :"-� �8"3 � 0
;� 572-360� THE TWINS g � I L D 1 N G P E R M I T REC o.
r
� ; y_ _ COMMUNITY DEV�IOPMENT OIV.
r � � PROTECTIVE INSPECTION SEC. �`� �
`_-_-�,��"' �•; CITY HALL f RIDLE� SS�32 NUMBEN pEV O�TE v�GE Of �VVqO�EO Br
i 612-571-3450 9t0-F15 10 22 98 / /
�oe nooaess
6720 Kennaston Drive NE
t IEGAI �07 NO. BLOCK TRACT OR AODITION SEE ATTACMED
DESCR. j+ 3 Meadowlands 2nd Addition SHEET
2 PROPERTY OWNER MAIL AODRESS 21P PNONE
Maril n Lind uist 571-7226
3 CONTRACTOR MAIL ADDRESS 21P PMONE LICENSE NO
Panelcraft of MN 3118 -
4 ARCHITECT OR DESIGNER MAIL AOORESS 21P PNONE IICENSE NO.
5 ENGINEER MAIL ADDRESS 21P PMONE LICENSE NO
6 USE OF BUILDING
Residential
7 CIASS OF WOHK � qEpAIR O MOVE O REMOVE
O NEW O ADDITtON O ALTERATION
8 DESCRIBE WORK
Sidin • Soffit and fascia
9 CHANGEOFUSEfROM TO
STIPULATIONS
Call for building wrap inspection before covering.
Install soffit ventillation to meet the State Building Code.
TYPE OF CONST. OCCUPANCY GpOUP OCCUPANCY LOAD
SEPARATE PEFMITS ARE fiEOUIqEO FOR EIECTRICAI, P�UMBING, NEATING.
VEN71lATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL ANO VOID If WORK OR CONSTRUCTION 2pNING SO. fT CU FT
AUTHORI2ED IS NOT COMMENCED V�IITNIN 60 OAYS, OR If CONSTqUCTtON
OR WORK IS SUSPENOED OR ABANDONEO FOii A PER100 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARNING
1 MEREBY CEf±TIFV TMAT I MAVE REAO ANO EXAMINEO TMIS APP�ICATION STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS Of I.AWS VALUATION SUFiTAX
ANO ORDINANCES GOVERNING THIS TVPE OP WORK WILL BE COMPIIED ,
WITN WHETHER SPEC�FIED HEQEIN OR NOT. TME GRANTING OF A PERMIT 12 6.3],
DOES NOT PRESUME TO GIVE AUTMORI7V TO VIOIATE OA CANCEI TME pEpMl7 FEE SAC CMApGE
PHOVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING GON-
STRUCTION OR TME PERfOpMANCE OF CONSTFUCTION Flie SC 12. C)3
P�AN CMECK FEE TOTA� f EE
.6
$�GNATUpEO�CON'AA(;�OQOA�UT�+ORiZEO�GENT �D�iE� WMEN PROPERLV V IDATED THIS IS �OUp PERMIT
S�GasiUaE O� OwaEa��a OWNEABw�DER� iD�TE� � �r � c �� �� �
B�D �n5� � ��tiE
1�1L\V R I I Lil�clivu 1! I/J�}
nDDN � � CI'I'Y OI� E�121DL�Y 4� �f �'7
�l.l�l'I:R � � SINGLI: I�AMILY ANll llUPI.CXI:S R-1 AND R-2
Builclin�; Pcrmit AP�lic�ilion ,`Q b
�3 ��2-
•ltilructic�n /�ciclress: _�� �-� � — -- � ----.-----
Lc�;al Deticri�tion: -----_----- - ---- -- - —
O�vnc�� Nainc & Aciclress:
Cunt
Aciclress: �5�/
LIVING ARCh:
GARAGC ARGA_
llCCK ARrA:
OTI-IrR:
Tel. It
MN LICLNSC 1/
Altach to this a�plication, a Cerlitic�ite of Survey oi' die
lot, witii U1e Prc��oscct cons�-uction drawn on it to scale.
Tel. /!
DCSCRIPTION Or IMPROVLM�NT
Lengd� Wiclth I-Ieight Sq. �t.
Length Wiclth Heibht Sy. rt:
Length Widtli HbdGrouncl Sq. rt.
Corner Lot ( � Inside Lot O Pt. Yd Setback Sicie Yard Setbacks
'I'y�e ol' ConsUruclic�n: �,�� SoF�� ��a.Estimated Cost: $/�, lv �/.
,�•ox. ComPlelion Date: _ ?
(Cost on .Z3ack)
llrive;�vay Curh Cul Wicith rvcccicd: rc. -�- G i�t = }�t x$ _._ _$
llAT�: � APPLICANT: ,� � Tel. �E
Pcrmit I�ce
Pire Surcharge
�iatc �urcharbe
S/1C (:l�ar};e
Liccnsc S�archart,;c
Qr;ve�vay rscrow
f3rosion Cc�ntrol
Park Pee
Scwc�• Main Char�;�.
il'OTA1..
S'1'1PULATIONS:
C1TY 11SL; QNLY
$� �,,s� I�ec Scl�cdule on Revcrse Sicic d
$_1,?. l3 .001 of Permil Valuation (1/ 101h l)
$_� �� $.50/$1,000 Valuation
$ �- $800 per Sr1C Unit
$___�., �v $5.00 (State Licensect Resiclentia( C�nlractors)
� /11t. "A" or t\lt. "B" Above
$ $4�SO.QO Conservation Plan Revie�v
� Fee Determinecl by Cn�;ineerin�
�; A�;rccmcnl NeccssarY I I Nut Ncccss�uy I I
� � fi
��3� � 9
5 7/— `7��6
� � � � ---
7�/-6 6 �$'
�
CI7Y OF FRIDLEY INSPECTiON DIV.
6431 University Ave NE
Fridley, MN 55432
(763)572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective Un Jan 1, `LG02
PLUMBING FIXTURE RATES:
New Fi�ures
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 ()Yes () Nc
Type
Reinspection Fee $47.00/Hr
NO. RATE
�
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
• ' �' '��' � ..�� �� ��� . r ,� .�. I
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.
�
Owner
. �, � `�
� �_ , . ,
�� Building Used As `
Estimated Cost PERMIT NO. 1 J�"' ��
$15.00 PLUMBINGCOMPANY � �A;� �C�D��.
SIGNED BY � ^�_,_��;��_� TEL NO.CRY�Lo�. �%�
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS FAX # -
1.5% of Value of Fixture or �4ppliance .�
• Approved By Rough-ln Date Final D
State Surcharge .50 � (`��C�
MINIMUM FEE ANY PLUMBING/GAS PERMIT IS 20.00
TOTAL FEE $��'�� PLUS THE E.50 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A: COMMON VENT INFO ON BACK SIDE
THE BELOW MUST BF FILLEQ IN WHEN R�E?j P.GI!�� F!!EL 9!!��!!!VG �'�PLiAiJ�ES OR THE
APPUCATION WILL BE RETURNED
C(�MMnN VFNT� VFNT CnNNECTOR AND CnMBIiSTInN AIR �/ RIFI _ATlnl`
When rP IacinQ an pxis+inQ f�rance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is secureiy supported and frrestopped where required. Yes,(�No O
The venting system is plastiGPVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and tennination. Yes� No O
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances. Yes�No O
The pY�p cemh�stien air is sized and installed to meet the current codes
and manufacturers specifications.
When required to in�ta�� a new ceme��en air�,it will be sized and installed
to meet the cuRent codes and manufacturer's specifications.
Wh@t1 inc allin� a new ventin,a�,��� pm, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for ian assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per cuRent codes.
Yes�No ( )
Yes�No ( )
Yes No ( )
Yes� No ( )
! • • . � • ' . � • ' • 11 11 • � ' / . � • " � • � � ' y • � • �If . • f
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
� C�ommon Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
HEATING CO:
Signed By: Date :
_,