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AF - 47666� • • � . . . • City of Fridley, Minn. BUILDING PERMIT NA 6 3 8 2 Da�: _._...� —_.1�. — �. `�.__ . Ov►►ner: _.__..�1i��._--�5��.. Buflder _.�._...:.___.____...��iQ._..._......._...._.._._. Address____._,._......._.__.__._.. _.._._._....._.<_.___.._.._..._.._.._ Address _.__...___.._......___.N_._..__._.._.._.._. LOCATION F BUILDING No. ICt... ��...,,� .. Street .,,/.1��=�.._�..ar...��'�r_. P of Lot _.__.__._._ � Lot _..._:..�__._...__ Block _�..�._____.._.._._._ Addition or Sub-Division . _ I �_ Corner Lot ____._.� Inside Lot _._...:.� .___ Setback _�„�.___.___._ Sideyard __._�__�..._..�. Sewer E1e�vation .r.._�_ ......_.._....��._.._..___._ Foundation Elevation DESCRIPTION OF BUILDING To vsed / _. F'ront ___/_ � Depth a� S�?._ Height ._.�.�. Sq. F't. �!1-�.l Cu. FLd�L..�d ..r_..__ F�o t� i,.l___ Depth ��._ H'eight ._�� _ Sq. F't. �.�lL Cu. F'� �� __ /J� � e � Type o Construction _.__ _.._. �E..-'..__.. Es� C o��.._ .�i�...�.._.-'.'iro be Completed _....._ In consideration of the issuance to me of a permit to cons e described above, I agree to do the proposed work in accordance with the description above set qa°E$ compliance with all provisions of o:dinanc�es of the dty of FridleY• // isi� A. DU V In ca�sideration of the payment of a fee of �...2�"� ___.., permit is hereby granted to._._ to co�struct the buflding or addition as described above. This permit is Sranted up� the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances a� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildin�s �� dty limits and this permit may be revoked a t ar�y� upo� viol�n of aay of the provisiana of seud /" l Buildin8 Inspector NOTICE: 'llds p�rmR do�s not eowr fiu eons�euafioe, i�allNton M� wletn�. P��Y. Ya h�afi�y, aw�r er wabr. M wn M sM fh� buildia� Imp�elor for s�p�rah p�nnils fer fha� ihms. ., ♦ . r v / APPLICATION FOR BUILDiNG PERMIT CITY OF FRIDLEY, MINNSSOTA J .�� Owner`a Name Builder �� Co /L� . �� I �r�� I �Iw�� Address Address �Z 3 / �� °�- _.__. �..._...._...,..,.._...._ � .. LACATION OF BUZLDINC3 No. � �'% �Street,�� part of Lot � ------7--- � � Lot_,,,_____��, Block ��- _ Addition or S s on �• Corner Lot Inside Lot �✓� Setback�r`_,,,,'�_Side-Yax�d �S SEFiaER ELEVATI4N� ,�� FOUNDATSON �LEVATION"�' % Z . � ,_.. ._.._.�.._.... % Applicant attach to this form Certificate of Survey oi Lot and proposed building location. DESQtIPTION OF BUILDING To be used asa G�� Front__��_Depth � Height Sq. Ft. Cu. Ft. �-----^ Front_ �� _Depth eight ,%�,�� _ S . Ft . Cu . Type of Construction - ��`�'z�,------: Estimated _.._.�_ To be Cocnpleted - ��.��,/� � Ft. Cost The undersigned hereb�makes application for a permit for the work herein specified, agreeing to do al.l work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Build- ings, and hereby declares that all the facts and repreaentationa stated in thia application are true and correct. �x� � '� �.3 sic�TU� (Schedule of Fee Costs can be found on the Revers�- ide). _ < - � � � . . . � «�� . . V City of Fridley Application for P'lumbing and Gas Fitting Pern�it Dept. of Bldgs. Phone $U 4-7470 DESCRIPTION OF WORK � � � � Number, Kind and Loca3ion of Fixiures Location (� (. y N � Z WATER HTR. 4/ 6' � i� y F� 1/1 C Z S Z W W � � i.,' �� x �',� � Z z d Q uy o � c� z � �"� y`� ��y � ; "o� <~ <� ~� �°q �ZZ�( �Z"' F N GAS ELEC. � 3� � �� m N 3 F- C LL � LL O u ad < 3 (� ` Ci K U� O Base Ot' I � % lst 2nd 3rd 4th • Futu:e Connqofion Openi:►gs * New iixturs, Old Ope�fags PARTIAL RATE SCHEDULE Sewer � Cesspool n PLIIMBING FIXTVAE RATES: NO. RATE TOTAL Number Fixtures ....... ...............� x $1.50 $.��' �� Future Fixture Opening ................ ' eL� x 1.20 $ °2 '�� New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin .... . ..................... x 3.25 $ Water Heater (Up to 200,000 BT� ......--� x 2.00 $� - Q v New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25 $ GAS FITTING FEEB: NO. RATE TOTAL lst 3 Fixtures ..........................� $1.50 $�� Additional Fixtures .............:...... x .50 � , Gas Range to 200,000 BTU . . . . . . . . . . . . . . x 2.00 � REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE %��d 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 that all the fact and representations stated in this applicatio are true and correct. Fridley, Minn� , 19� Owner ��G � Kind of Used as To be cc„�,Y«��u ar,�vu� Estimate Cost, $ O —New i ding Permit ROUC3Fi FINAL aa 4M By wi_ . Business Phune � .� . i �t �"�i7�!�i.'�: ,/ i / I _i / /i c � Application for Power Plants and Heating. Cooling, Yentilation. Refrigeration and - Air Conditioning Systems ond Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAI. Furnace Shell & Duct Work . . . . . . . . . . . . . . ... . . . . . . . . . . 8.00 a Replacement of Furnace . . . . . . . . . ..... . . ... . ... .. . . . . 5.00 � Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. �50U.00 . . . . . . . . . . . . . . . 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU . . . . . . . . . . . . each add. 60,000 BTU ....................... Replacement o4 Ftirnace ............................. Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 8.00 $ J ' � 2.00 � 5.00 $ 5.00 $ 2.50 $ S�'EAM or HOT WATER SYBTEM � Furnace Shell & Lines—to 400 sq. ft. FDR Steam .... 8.00 $ � Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR 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 GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00� $ "�L'—= GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures ..................... � x $1.50 $ �• _5� Additional Fixtures ....:............ x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . , x 2.OU $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL � See Fee Schedula � �---� TOTAL FEE a-L�� _ SU Dept. of Bldgs. Phone SU 4-7470 LoCBtion /�� /',�..e.- City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do 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. Fridley, Minn.— ��r�� , 19 � Owner � - �� %'�� Kind of Building Used as To be completed abou� �_� v Estimated Cost, $�b �' Q ' �� , Old—New. Building Permit No. � ��ermit No. ��. � . � -� -�— DESCRIPTtON OF WORK HEATING or POWER F'I.ANTS—Steam, Hot Water, Warm Air—No. Trade Name � � Size No. � lG � Capacity Sq. Ft. E.D.R. �� 1 m ��✓ BTiJ H.P. Total Connected Load �� Kind oi Ftiet �� BURNER — Trade Name Size No Capacity (REMARKS—OVER) @�c.'y'°k�,o o z 4M Sq. Ft. E.D.R B7'U H.P. SUBURBAN HEATf°?c; � S�y�rT (�cT,�L 8419 CENTEft D;�; y'� _ M1NNE�,P011S 32, �i;i;;:��LSUTr�;` Signe B� - (O ��!r._G��a.�- Business Phone No J � � �� n-ss , <. =,; 4 Z HEAT LOSS CALCULATIONS Weatherstrips A•S.H.V.E. Construction r Guide Windows � Doors Reference Out. Wall Int..Wall Ceiling Yes No Yes No 19�. � � _� Fl.� y Room Length Width l� ` Height � Windows and Doors—Crackage and Area �Vidth Helght No. ot Lineal ft. Area No. ot pane o[ Dane tighte ot crack sa. ft. � / .o . .D a '`/ � �- 3 . �/, d �' " / �o Coef. Btu lnfiltration p Glass p v S"' d D Exp. wall / , Net exp. wall � � �, lnt. wall Ceiling J� G Floor Total Btu. �'" � Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area i F7.� ` m � Length �` Width � Height �' Windows and Doors--Crackage and Area Wid'th Hetght No. o[ Llaeat ft. Area No. of pane o[ Dane Ilehts ot crack �q. tt. , � v 3,6 l" y " , / � i /r Coef. Btu Infilttation ` � p jC� � Glasa � Exp. wall Net exp. wall Int. wall Ceiling d,( j0 D 6'l] Floor Total Btu. ��' I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area v % FI. Room � Length / Width >� � Height �'' Windows and Doora—Crackage and Area Wldth He3ght No. ot Lineal tt. Area _No. ot pans ot pane Ilghb ot crack w. tt. I >�%�� c °,��o ��`, DEPARTMENT OF BUILDINGS �T l� �RF IDL�YJ MINN. In6ltration �� % �- � Glaas Exp. wall Net exp. wall lnt, wal! Ceiling �'6' }� loor Tbtal Bm. Required sq. ft. E.D.R. or sq. ins. W.A. l.eader area fo. Roof Floor Kind r / -- Fl.� „�� Room 1 Windows and Doors--Cr Wldth Helght No, No. ot pane ol pane lis: � O < � In6ltration Glass Fsp. wall Nec e:p. wall Int. wall Ceiling Floor Total Btu. Inaulation How Appli / � Width /� ' and Area neal tt. Area ' cracic q. ft. .,,;. d_ . �� Btu 9.� Requned sq. ft. E.D.R. or aq. ins. w.t�. �.eaaer area FI.I Room I Length � Width � Height ' 1�/indows and Doors—Crackage and Area Wldth Ae16ht No. of Llneal tt. Area . No. ot pane ot pane 11[hb ot crack sQ. tL o �- �� 1 ; < In6ltration 1 Glaaa � Exp. wall Net ezp. wal! Int. wall Ceiling •� Fioor Total Btu. Required aq. k. ED.R. or aq. ins. W.A. l.eader ares Fl.� Room I Length � Width - Windowa and Doora—�Crackage aad Area Wldth Hslsht No. ot Llneal ft. Ares No. ol pane ot Dane 11[ht� ot crack W tt. i �� G � 1�7 �9' Btu � In6ltration '-��_ Glaaa Exp. waU i//,6 Nec exp. wall Int. wall �_ Ceiling Floor ? 'I Total Btu. -' Required sq. k. E.D.R. or sq. ins.. Q/A. Leader area jr'O � Heighc Btu � � • � City of Fridley, Minn. BUILDING PERMIT Date: ._._ SEPTEMBER 8, 1965 N� 8436 � J� � 6� S� Ovvner: __ � VIR.GII, AAKRE Builder �_._._.�Q�....S�C.OB�PDR�iTF,I�_ Address .._ 6739 KENNASTQ DR�..V� _____.___.._._ Address ...__.�323L...iCentral-A FRIDLEY 32, MZNNESOTA MINNEAPOLIS, N�ftNESOTA LOCATION OF BUILDING No. _..._6739� Street RENNASTON DRi�---._.._._..._._.__ Part of Lot Lot ....._...._6.__...._._..__ Block _ Corner Lot ---_._.._.,_... Inaide Lot Sewer Elevati� Additiott or Sub-Divisi� ___._ 1vIF.AnnGlr.Apn� 9nA ern��s+�rvQ Setback ..— __—_ Sideyard Foundatiou Elevatian DESCRIPTION OF BUILDING To be Used as: .r.._._..r ._.. Fro�nt _.._ Depth ____ Height .._._.. Sq. Ft Cu. FL Frant ._.� Depth ...� Height � Sq. Ft � Gi. F't. Type of Construction �.�.....Y.,_._..�._.. Es� Cost .�.$.1.�.,.Q.QD..O.d........ To be Completed ._._ REBUILD HOUSE APD GARAGE - STORM DAMAGE In consideration of the issuance to me of a permit to constxuct th� propoaed work in accordance with the d�scription above set f ordinanoea o! the city of Fridley. � '. abowe I agree to do with a�l provisions ot In cansideratioa of the payment of a fee of � Y0.00 � pernait is heFeby granted to��-,T_�..- to construct the buiiding or addition as described above. This permit is granted upan the express co�►dition that the person to whom it is graated and his agents, employees and worl�men� in all wozk. daae in. around and upon said buildin8, ��►Y P� thereof, shall conform in all respecta to the ordinances o� Fridley, Minnesota reB�B location, construction, alterahon, tnaintenanc:e, repair and mavin8 of bufldir►gs within the dty limits and this permit may be revoked at any tune upon violation of aay of the provisio�s o� 8sid ordinancea ALLEN G. JENSEIV g�g � NOtICE: ibit pami� �a nef sewr f6� eonskuelioe, imtaqNien fe� widnY. P�W Ya 6Ntie�, s�ww er wN�r. !� s�rn M sN iM boiWiey letpKlor fer a�p�rM� p�hs for f`�a It�ns. � APPLICATION FOR BUILDING PERMIT CITY OF FRIIiLEY, MINN$SOTA OWNER' S NANiE / __ BUILDER � ��"`� ADDRESS " � ADDRESS ��3 � � LOCATIOAT OF BUILDING N0, STREET PART OF LOT LOT � BLOCK v� ADDITION OR SUBDIVISION g � CORNER LOT INSZDE LOT SETBACK SIDE-YARD � SEWER ELEVATION FOUNDATION ELSVATIQA Applicant attach to this form Two Certificate� of Survey of Lot tlnd propo�ed buiYding location drawa on these Certificates. D$S�RIE''TION OF BUILDING To be used as; � � � ,�j � / �� v-e� ��, � Front �t/ Depth "7�`� Height �- '� Sq. Ft. Cu. Ft. �rt�t�c-�- .�� Front /� ' Depth y � Height ` Sq. Ft. Cu. Ft. Type of Construction �� Estimated Cost i�-/� �, � , To be completed // - / � �,' s' The undersigned hereby makes application for a permit for the work herein specified, agreeing to do a11 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 representationa stated in this application. are true and correct. DATE l G, � SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). � � � . .. � e ' • ' . � SUBJECT City of Fridley 2 � � 3 2 � AT THE TOP OP TME TWINS g � I L D I N C P E R M I T � � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. r � ~ � PROTECTIVE INSPECTION SEC. /OD i � i . � � � r"'1 � CITY HALL FRIOLE� 55�32 NUMBER REV OATE PAGE OF APPROVED BY �°"�" �'' b12-571-3450 910-F15 8/12/98 � � J08 ADDRESS 673 Kennaston Dr NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oesca. 6 2 Meadowlands Znd Addition SMEET 2 PROPEHTY OWNER MAIL ADORESS 21P PHONE ' S ark 571-9418 3 CONTRACTOR MAIL ADORESS 21P PHONE LICENSE NO. - 1 O1 8780 4 AIiCHITECT OR DESIGNER MAIL AD�RESS ZIP PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO. 6 USE OF BUILDING 7 CIASSOF WORK O NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e 22 S Tear-off 9 CHANGEOFUSEfROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING. VENTI�ATING OR Alq CONDITIONING. THIS PERMIT BECOMES NUIL AND VOID IF WOFK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION OR WOAK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTFiEET PARKING I HERE9V CERTIFY TMAT I HAVE REAO AND EXAMINED THIS APPLICATION STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. AL� PROVISIONS OF LAWS VALUATION SURTAX ANO OROINANCES GOVERNING THIS TYPE OF WOflK WILL BE COMPLIED WITH WHETHEfi SPECIFIED HEREIN OR NOT. TME GRANTING Of A PERMIT 1834. HO • 92 DOES NOT PRE ME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISVONS ANY OTM E OF LOCAL LAW REGULATING CON- STRUCTI THE� R AN E OF CONSTRUCTION. M 59.5� F' �re �JCi �1.83 �� — PLAN CHECK FEE T L FEE i S 5. 67.25 IGNATUREOFCON�RACT0�70R UTH0�7�ZEDAGEN� IOA7E1 N P OP VALI THIS ISy�QUR P = � �� S�GNATUAEOFOWNER��FOWNEABU0.0EA� �DAtE� BLO �NSP � qaTE ,;__,,, I � Effective 1/1/98 : _�; J:�T [ ] CITY OF FRIDLEY "_'::<< [ j SINGLE FAMILY�AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � �J � �i � � �U � � ';;�;:,tructionAddress: �%�' �P,�✓) l'� A�5-�'1r-'ri l�✓'�.� � ' :_ _,:.1 Drscription: . „ _..: Name & Address: � ��,� �� %� f�Pr�n,¢sfrrLl�r Tel. #�J'%/ ""9�� g '_.._....,:tor: ��,ry��,.rs l��a�'� �lP�-��<�� „� . LLC. MN LICENSE# - _ �.. c �S : . �7 �� t� [ U' ?X� [ � �G /i/� �r � ci �-rc.� Tel. � ��J � 9Y'l d Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. ._.; �r�.'�� AREr�.: �..��, A.I�A: �: �: �:> A1ZEA: ;�':'�i�;lZ: DESCRIPTION OF IMPROVEMENT Lengih ' ' Width Height Length Width Height Length Width � Hgt/Ground� Sq. Ft. Sq. Ft. Sq. Ft. . i ,,..,., ,,.�tioci `1' �• ,r � �olr.r_�o_ oe � Estimated Cost: $ 1 D 3� �' 0 - YP' '��L1eJ , (Fee Schedule on Back)� .,.„::y� Ci�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ 1 -- - - �'�: �� APPLICANT: Tel. � 'J�"�� _....., i��e __ _ ., _:rcharge .;;:::� 5urcharge :�:';_�: Charge Li:;ense Surcharge _�:i�;c.��ay Escrow �rusion Control ,� - -- -- � ee _; � , ; � : iviain Charge '1'OTAL _, �'!:-ULATIONS: CITY USE ONLY $ �� . S� O Fee Schedule on Reverse Side $ � , .`b� :001� of Fermit Valuation (1/lOth%) $ , �l '�- ' $.50/$1,000 Valuation $ $1000 per SAC Unit " $ �, o o $5.00 '(State Licensed Residential Contractors) $ ` Alt. "A" ar Alt. "B" Above $ ,$450.00 Conservation Plan Review $ Fee Determined by Engineering � $ � Agreement Necessary [ ] Not Necessary [ ] i $ � � , ZS � ., � . ,, _. E,�_; , City of Fridley AT THE TOP OF TME TWINS g� I L D I N G P E R M I T ;, � � � • COMMUNITV DE�EIOPMENT OIV. r � � � PROTECTIVE INSPECTION SEC. � . . l•__.�; �"' �.� CITY HALL f RIOIE� SSIJ2 NuMBEN pFV O��E i 612-571-3450 910-Ft5 10/20/� �oe Aooaess 6739 Kennaston Drive NE t LEGAI �OT NO. BLOCK TRACT OR ADOITION OESCR. 6 2 Meadowlands 2nd Addition 2 PiiOPERTY OWNER MAIL ADOiiES$ Z�P Earl Stark 6739 Kennaston Drive NE 3 CONTRACTOR MAIL ADORES$ Z�p Same 4 ARCHITECT OR DESIGNER MAIL AOORESS Z�P 5 ENGINEER MAIL ADDfiESS IIP v�GE OF � � 'E�MfT NO. �3 i 5 0 4 � IECEIP �6�� 6PROYED Sv SEE ATTACMED SMEET PMONE 763-571-9418 PMONE IICENSE NO PHONE LICENSE NO. PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CIASS OF WORK O NEW O ADDITtON �7 ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Basement Bathroom Remodel 9 CHANGE OF USE FROM STIPULATIONS See notations on plan. TO SEPARATE PERMiTS REQUIRED FOR: PLUMBING� �D S�(`1s TVPE OF CONST. SEPARATE PERMITS ARE REOUIRED FOR ELECTii1CA�, PLUMBING, MEATING. VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULI AND VOIO IF WORK OR CONSTRUCTION 20NING AUTHOR12ED IS NOT COMMENCEO NJITMIN 60 OAYS. Oii IF CONSTRUCTION OR WORK IS SUSPENOE� OR ABANOONEO fOR A PERIOD OF 120 DAVS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBV CERTIFV TNAT I NAVE READ AND EXAMINEO TMIS APPLICATION 1 AND KNOW TME SAME TO BE TRUE ANO CORpECT. ALL PROVISIONS Of �AWS yp�UATION AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILI BE COMP�IEO WITM WME7MER SPECIFIEO MEREIN Ofi NOT. THE GRANTING OF A PERMIT �1sOOO DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEI TME PERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $38. JS STRUCTION OR TME PERFORMANCE OF CONSTFUCTION � AiU�7E •GENt iO�TE� G� �OV � vV �D�iE� SO. STAI�S P OCCUPANCYLpAD CU f T G/►RAGES $.50 iAC CMARGE Fir SG $1.00 OT EE .25 `THiS iS `VOUp PEpM � ! � �� r�crE NEW I � ADDN (] ALTER [ ] �� Construction Address: �i � J� CITY GF �RIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �NN"�5��1 IJ%� - Effective 1 /1 /2000 �763) 572-3604 Bldg Insp � �� Legal Description: � Owner Name & Address: �� R' ��X __ �M E Te�. #1('3- S? 1"�y�� Contractor: �� __ � MN LICENSE # Address: Tel. # LIVING AREA GARAGE AREA: DECK AREA: � 07HER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMEN7 Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. / yp Q�N�UDf,�. (�A�fnm �r�-I� �j �'� Construction T e: stimated Cost: $�� • ' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ = g �DATE: �� PPLICAN . S/� 9 l� Tel. # 7 � CITY USE ONLY - Call (763) 572-3604 for Permit Fees �f mailing in application Permit Fee $ �S Fee Schedul� on Reverse Side F�re �ur�h�rge � % .Bd .��1 of °�� VGfuat�on {„ � �tF%} State Surcharge $ , S'� $.50/$1,n00 Valuation SAC Charge $, $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: �, :� � � � $450.00 Conservation Pian Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � � � K. ROYALINE MANUFACTURING QUALITY SINCE 19G0 MODEL P4832R/L RIGHT HAND PLUMBING ILLISTRATED SPECIFlCAT/ONS Three Piece 48"W X 32"D X 81-1/8"H is� es�� r-� STANDARD FEA'TURES Six year limited warranty Textured floor Exclusive double wall construction Premium gelcoat surface 33% thicke Meets and exceeds ANSI-124-1 �t igh OR - 1 /4" OPTIONS MD4832 dome/light Shower/steam door Steam equipment Premium colors Extra reinforcementlgrab bars Royaline Industries Inc. P.O. Box 607 Forest Lk, MN 55025 PH. 612-464-1070 Fax 612-464-1013 ��v�� ((SilvG 5�ti��(� �4ti'►� ��' �Ar� �a�M A-�2 �� . �� Sf)f-�-r- %�,� �N S�ACC. ��tP�1� /��Fi2(�l� !�ti' �XT�(��U/� w A��, axq 't,QAM� �� D �� sflvw�,2 �r�tu . l ��,� ��,�fiw� s�ni(�5 i3� rl iN ,� � �di��T tr2�-� (NSvi��lT� �xt��io2 G✓stGL . j/v�i�L� /U� w1 L l �n�7S �1N D �X�Au157" �� V � LJ jW i TC tJ �.5 i� ti' � � t� v c17C � l . �VC� �QCf� ��l��'f' �cz� tN7'/�� 1Ttl %Za�M . �nrSl�g�L /u �� i� � ��.��H 1�/ �Td��'T . .� P�l��ll M�i� ��C�i� �.�7' 1/AL�f � � j��, eo � � �.�� --_... --- � t s � T � , :�.. ^ � �.;, � � � ,� � 1� � ,,; °� �.; `•,..� "'� � � �� +_ � � j b � �+,. ,�3 �_ � _ (,� _ � _ �' J, � � �� , s� ��J w�� j � � � 1 �� i R� i \ . � ; � � � � � ` � � ..--- \ � \ � M y i � � � . �� i . � �J '� � � i � �i � I i � � ` I I � � '� W _� � �,' �'' � � � � � � �� W � �� I� � � "� � � �� 1� � � � �. � � �' `�` \ . � W � c�, � C �._-- --- _ � _.,......_ ___—.__�____..�._...�.�-� — EI`fY C)F FRIDLEY INSPECTION DIV. S"t8"�� /mD��- �� ' C�� Effective On Jan 1, 2000 6431 University Ave NE fRNA� ��(d ` Fridley, MN 55432 � a OI �� APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 j l MARK NUMBER OF FIXTURES TO BE fNSTALLED ON EACH FLOOR PLUM8ING �IXTURE RATES: NO. RATE TOTAL ,iOB ADDRESS (9'I3� 9—�CN'/� R�I� �� . 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 ()Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ �.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% oi Value of Fixture or Appliance State Surcharge TOTAL FEE � 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. 1 �1 � .� U cT a0 , Zo 00 owner � t}"� L �'J�A"�� Building Used As Estimated Cost JQ� -� PERMIT NO. �� PLUMBING SIGNED BY Approved By COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. � S�c.� �� TEL NO S7I -GI �l� C-Il�,ov. �' `.� Rough-In Date � Final Date <"_,�-�� NY PLUMBING/GAS PERMIT IS �20_OA� l. �� COMMON VENT INFO ON BACK SIDE _ _ C[7YOF FRIDLE,Y FRIDLEY MUNICIPAL CEN'TER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 11, 2002 Mr. Earl Stark 6739 Kennaston Dr NE Fridley, MN 55432 Re: Final Inspection at 6739 Kennaston Dr NE Contractor: Owner Dear Mr. Stark: A plumbing permit was issued on October 20, 2000 to install two fixtures and a water softener at your address. According to Section 4715.2800 of the State Plumbing Code, a ftnal inspection shall be conducted on the work authorized by this permit. As of this date, no final inspection has been called for. We also need to inspect the smoke detectors to final the building permit for the bath alteration. The perrnit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely �� DAVE �EI�SEN Buildin_ In�pect DJ/mh '�S� ��S_ Building MECHANICAL Permit Ivo:�ocr7—��35 Inspections RESIDENTIAL APPLICATION Received By�_ 763-572-3604 CITY OF FRIDLEY Date Rec'd: � 2� DATE I �� D� YOUR E-MAIL ADDRESS SITE ADDRESS (�% 3� f�'e� n G'�S� •`� �'� THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY NAME: Gl..✓ i � N a� 5-%a� � OWNER/ �DRESS: �� G'I K-2.Y1 ✓�Ct n�' CTfY T' �G STAT�N ZIP SS 32 TENANT PHONE: CONTRACTOR COMPANY NAME: " � SUBMIT A COPY OF CONTACT PERSON: � V@. YOUR STATE STATE LICENSE # LICENSE WITH �DRESS: STATE ZIP APPLICATION PHONE FAX PERMIT TYPE �! SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW J�REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK %L�� (� c� � V rl Q C.L r1 �� _ PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for tlie improvement, installation or replacement of a residential fixture, excluding tlie fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost af labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIX'I'URE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) � " "" � O pp0 'QTlti Equipment Installed MFG: �1 n bx MODEL: S M � 6(3a 7 d SIZE/BTU � MFG: l�� _ MODEL: 13 �Z ' SIZEBTU Z T6 N MFG: MODEL: SIZFJBTU � A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $IS _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _BOILER $35.00 >C FURNACE $35.00 _GAS iJNIT H'TR $10.00 _CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $1Q.Q0 VENTILP,TOR$15.00 .�z� a � �� . . � , . ,. . � .., , .. , ..a, , , . . . � . Permit Fee $ ! _. - " Number of fixtures @ $10.00 x $10.00 = $ Surchazge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @$25.00 � x$25.00 =$ 2 s�� Number of fixtures @$35.00 ( x$35.00 =$ 3S • o° State Surcharge = $ .50 Totai =$ 6 0• S t� THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the cas of all work which re�e ires review and approval of plans. SIGNATURE OF APPLICANT /� `�J� PRINT NAME GYInGl.S p' Q� V�IC�gATE l 23 b� t, City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 SEDGWICK HEATING & AIR CONDITIONING CO. HEATING ,10B NO.� � 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS u/ ` � � �� R/ ��S �� OCCUPANT � SOLD BY � �/� MAKE �/`� �� SERIAL NO. THERMOSTAT ��/ VALVE �^�� LIMIT � � �p •�' LIMIT SETTIfVG �,�t6 � �i, FAN SETTING ��- �. PILOT TYPE �f� �' IGNITION MODEL PILOT TIMING !SG-�^--� ��/ ��PRESSURE -�a � � Z- - PERCENT CO2 ,r, INPUT CFH Cl �f � PERCENT OZ �� STACK TEMP. ��(�/ �� PERCENT CO t,L,l��- — FORM 235 (REV. 11/89) CITY % L\ �i 1 ' 7 OWNER �' `�� INSTALLED BY MODEL �, .��/// /! r,�fJ� • � INPUT �G,n� � VENT SIZE �'�y� TYPE OF LtNER �!J�/� �� - / l� LINER SIZE �/- FILTERS: SIZE�"/ DO NUMBER � WIRING �G �7 �+ +"� +`� TEST TAG � LIGHTING INST. � DATE TESTED / COMPANY TESTING � NAME OF TEST FORM DIST IB ON: W TE COPV - JOB FILE YELLOW COPY - CITY