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AF - 47732� Cit of Fridle , Minn. � Y Y BUILDING PER.MIT No � x��% Date: ... .�..........._-.....--.v..�.�..--....`.....�.✓......._.! .........--� . .... ................... Owner: Address 43'73 Builder ....._�/'y�.� ...... .................._...- � ---............_�-r-..:!� Address. ..... .................................................�---........_..--�---...--�---••------••------..__... LOCATION F BUILDING No. ..��!/_�... ... Street ....� .......................... �- � � ...........��1`�...... Part of Lot - ................-�--��---.... ...........................�•--��---...--�--/•-� Lot . .. .�-. G�....... ....._ Block /` . _....._ .............. Addition or Sub-Division � _ ... _._... ._. �. ...... �-��!L/..?wt :�.c------..l.... — „b s � �i Corner Lot __.. --x----.._..._.. Inside Lot .._ ......................_.......... Setback .�_" y b"� � ...... Side ard ... .......... . ........... � � ��- � � �� _........... Sewer Elevation ...... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: /D �� W.. ...... ..._........._..... -- - .-....... Front -Y1.... ��. 4 Depth � ._��. _ ` Height ..�_��" � ySq. Ft. � Cu. F't.��.t..7. � �1.� _......_._.._._.. Front ao- UA Depth °��_.. �fHeight ��%-�: Sq. Ft. .T.....��. Cu. Ft. ..../.......OD a ... `.� !A� Type of Construction ........_ ..............__..._............_......_.... Est. Cost.._/ /i.y.��.. ....---To be Completed .........._........----.......__.._._----......... M . � � In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed wark in accordance with the description above s�t fortky� in co�' �e with all provisions of ordinances of the city of Fridley. �-'� s � In consideration of the ayment of a fee of � P $-�1:-� -, Aermit is hereby granted to.... - .... ....._ ............................_.. ....._ .................................................................... to construct the building or addition as described above. This pe is granted upon 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 of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. . �—� Building Inspector NOTICE: This permit does not cover fhe wnsfrucfion, inafallafion for wiring, plumbing, gas heaiing, sewer or waler. Be wn fo as the Building Inspector for separate permils for these items. 4 �� .� � App�icatian fio�r Pawer Ptants and He�ating. Co�oling. Venti�otio�. Refrig�eration c�d Air Canditianing Syste�r� and Device�s PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 � Replacement of Furnace ............................. 5.00 $ ftepairs & Alterations--up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each a@d. $500.00 . . . . . . . . . . . . . . . 2.50 � MECH. WARM AIA F�rnace Shell & Duct Work to 1?A,000 BTU . . . . . . . . . . . . each add. 60,000 BTLT .... ......... . ....... . . Fteplacement of Furnace ............................. Repairs & Alterations—up to �500.00 . . . . . . . . . . . . .. . . . Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 8.00 � � � 2.00 $ 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER 8YSTEM �Zrnace Shell & Lines—to 400 sq. ft. EDft 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. �DR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURNER—to 3 gal. Per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 � over 3 gal. per hour—See Fee Schedule GAS BUANEA <up to 400,000 BT[T) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ � </ GAS PIPING (Up to 3 FixturesJ . . . . . . . . . . . . . . . . . . . . . . . . . . 1.50 $ (Add 50c each over S) �1TR CONDITIONING ¢ FAN HEATING SYSTEM 3ee Fee Schedule �F.I�iTILATING SYSTE� ALTEAATION$ & REP11IR8 TOTAL FEE � �� Anss: ► �,� ; � ��o - � Dept. of Bldgs. Phoae SU 4-7470 Locslion 0 !l� c� – /� -2�yC.. � L/ � � � t� � �; �° City of Fi�idley: 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 applicatior�e true and correct. Owner Fridley, Minn. �'v ' �, 19bO.�2 �� P�Y}-j_ –� a-�.t/ IZ C'./ . 195— Kind of Building °` � �- t� ., /) . Used as � ��- To be completed about ' a� �� O� Estimat Cast, $ Old New. uilding Permit o. �� %7`� 195_ DESCRIPI'ION OF WORB HEATING or R PLANTS—Ste m, Hot Wate Warm —No ` Trade Name� ��-P� --� _% �� C''� Size No / c1-zi Capacity Sq. Ft. E.D.R V�� BTU H.P. < Total Connected Loac� � �� Kind o! Fue � BT.TRNER — Trade Name Size No Capacity Sq. E't. E.D.R BTCT H.P. 11 pOST � M-8-58 RAY N. WELTER HEATING CC $�$IIPC� __�'.3'�'L7'R gy MINNEAPQLIS 7, MINNESOTA Bueiness Phone No- � `l� � ��O � i� r - �.� �3 , j � q �` .. ��`,y�y��___-.��,4�h�, .. . ' �R�C�`�� ,pN �,2 �9�0 .. _ � �� -� �� R�n��y'�� , � L � 1�\ < . � . � . .. 4.,, : . . � .• � . � � _ : -� `.. .. . . . . . . '. `.. )t.. . ... � ,,� .. ..� .. . . ... -� �. . . � . . j _~ _ +. � -.. . . . � . '.... �.. ... . .. . ., � ... . - . .. . . ��i.Y .. . . . . . , � . � � "yH � C� . " .� . .. . . . . SUBJECT P City of Fridley 16 5 6 9 AT THE TOP OF 7HE 7WINS g U I L D i N G P E R M I T �� ' ' REC � � • � • COMMUNITY DEVELOPMENT DIY. �A- / ' � �: ----- � CG/!O' r � � PROTECTIVE INSPECTION SEC. � � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �""""� � ,�� 612-571-3450 910-F15 SI�O�HZ � � 108 ADDRESS g60 Kennaston 7 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �9 2 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHOIJE Lorretta Pastwa 860 Kennaston Drive 571-2775 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 AFCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO. 6 USE OF BUI�DING residential 7 CLASS OF WORK ❑ NEW C� AbDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK construct a 11'x14' screen house 9 CHANGE OF USE FROM TO STIPULATIONS � O� ��,�� .� � ��.Q�tR �� . ,��A�� P�R �,N� p�p, � � s� .��, ��.� � TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMI7S ARE AEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, r VENTILATING OR AIR CONDITIONING. 1 Y�aITIG THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORtZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOFi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE CO�P�j �,694 .�rJ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A E�iNI1T DOES NOT PRESUME ?O GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 28, OO STRUCTION OR THE PERFORMANCE OF CONSTfiUCT10N. PLAN CHEGK FEE TOTAL FEE 7.00 35.85 TUREOFCONTRA RO. AUTH RIZEDAGENT IDATEI PROPERLY DATED THIS IS YOU PERMIT � „ ` i a/yL� SiGNATUFE OF OWHEii ii O NE BU40ERi � TEi BLDG �NSP DnTE � CITY nF FRIDLCY Effective Aug. 1, 1981 Af'PLIC/1TI0:�t FOft RCSIDLi�TI/IL [3U1LD1ilG PEFL'�ITS (t�c�t, Alterations, Additions, or Repairs) ONlI�ER: � �3UI LDER : � ADDRESS: � Kr1/VA�!'�1I ADDRCSS: TEL N0: TEL t�0: - STJtI�T NO: Construction Location STI2EET: IAT: �� BLOQC: _�_ ADnITION: Qfj„ps�� '��1 ,�i.�� Corner Lot: Insic3e Lots , Setback: - 5ideyards: Ap�licant attach to tliis foz�a two Certificates of S�rvey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOi� OF COtlSTP.UCTIO�i �'�L Front: � Depth: � Heiqht: T�Z -�_ Square F��et: Qibic Feet: -- � SK _ Front: Depth: H�ight: _ Squar.e� Fept: Gvbic reet: l J� � -- 4ype of Cor,struction: �e�££�v ��.�'� Zb Be O�r.�pleted: 3�,.,�v� �. l�9 � �� Estimated Costs S Alt. A Alt. B Proposed Drive��ay Width If New Openinq Is Desired: $� S , . SE� Rr^.VERSE SIDE OF SHEET _ • � RSie unde�csigned hereby maz;e� application for a permit for the »ork� herein specified, agreeing to c� ,all work ir, strict accor�:�ncc ��ith the City of I'ridley Ordinances and ruling� of tl�e Departm�nt. of Builc3ings, and hereby declares that all U�e facts and xepres�tatiens stated in this zpplication a true and correc w D.�T�: / � SIGNATUI�: .. Stipulation : (� . � a� °d . pC �rv� � � ,�� , � S�� r • from the desk of . . . KARL D. STO� �� Y � t ti m � �� `L�� i ti , � , . � r �v � �, 2� 2 , CITY OF FFi��LEY INSPECTION DIV. Effective On January 1, 1991 6431 Univers�ty Ave NE Fridiey, MN 55432 APPLICATION F4R POWER PLANTS AND HEATING� COOLING� VENTILATION� 572-3604 REFRIGERATIOiV AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 0 co D f 1 E l� � f�J / d'v �� l��'"1 � RATE SCHEDULE Residential Fumace Shell and Ouct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate $ 20.00 The unde�signed hereby makes application for a permit for the work TOTAL herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Buiiding Division� and hereby dedares a a?0 •� that all the facts and representations stated in this appli tion ,/ true and cor�ect. ��' � �� 7" a �o.00 � s , o.00 a � 10.00 � 'Air Conditioning - AIf Sizes a 10.00 S All Others/Repairs 8� Alterations (LIST ON BACK) 1�Yo of Value of Appliance or Work � S CommerciaUlndustrial 19�0 of Value of Appliance or Worlc State Surcharge TOTAL FEE a � ,50 a o. � MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS a15.00 PLUS THE 5.50 STATE SURCHARGE REINSPECTION FEE a30.00 OWNER LD �E�/l P�� BUILDING USED AS R�l ��JLI.�P� _ ESTIMATED COST �� PERMlT NO. : �� DESCRIPTION OF FURNACE Al�b �R BURNER �r � No. of Heating Units Circle One (Steail�} (Hot Water) arm Air Trade Name Si�Vo. .� '-�"�C� BTU '�o�f D ll� HP EDR Fue��Q� C�5 Total Connected Load 53` � Bumer Trade Name Size No. BTU HP EDR HEATING COMPANY Signed By � � Approved �,��•�� 4�1� Tel No. %5 /" �oO�� Rough-In Date Final Date � "Air Conditioners can not be piaced in a side yard without` � written permissian from adjoining property owner. FILL OUT BACK SI�E FOR STACK VERIFICATION ON REPLACEMENT FURNACE ! r' � ��. r.��' =_1�� ' .>. � The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (�j No () 2. Is free from rust or deterioration Yes (� No () 3. Has no foreign objects lodged within Yes (�j No () 4. Is securely supported Yes (�() No () 5. Meets all current Code requirements for size and total BTU's connected 6. Has total heatinq BTU's of All other BTU's TOTAL BTU's Remarks Yes (�) No ( ) .� �ist Aiterations Beinc Don� - BLAINE HTG1, A/C & El.=CT. I�!C. � 13562 CENTRAL AV�. N.E. HEATING COMPANY ANOKA� MN 6650�4 Signed By Date 9f (a f q� 6��HEATING HOUSE HEATING TEST RECORD AIR CONDITIONING AND EI.ECTRIC, INC. r �.�, _�� ADDRESS � t,,,,,t b r APT. FLOOR CITY SUBURB QCCUPANT �- ` ttl OWNER S� m!� HEAT LOSS ATE HTG. INST. -� SOLD BY P INSTALLED BY +� Eleetrical Work By Gas Line By " TYPE OF HEAT GA FA HW STEAM SPACE NTR. UNIT NTR. OTHER GAS DESIGN CONVERSION MAKE %� MAKE OF BURNER "' Model � Model Serial Max. BTU Rating INPUT !a MAKE OF FURNACE THERMOSTAT Valve ._fd. limtt � Limit Seiting _ Fan Setting _ Piict Type _ AAodel ' ' Vatrt Size ��J . KIND OF UNER g�� 't NONE ' Onri Hood ln r1' Regulator " Filtera Size Numbar / Ch(mney Locatlon Insfda Outside Chimney Construction Pi1W Make �`�, Pilot Modei Smoke Bomb Widng L/ '" Pilot Timing Draft Tast Tag L. W. Cut Off Door Pressure ��9��9 ��• , Pressuro Percant CO, Date Tested � Q Input CFH fd �"� b Percent Os .{ Company Tasting � Stack Temp. �� 8 Percent CO Name ot Testar Form 235 �,i i r Vt' �'t1�ULCT IIV.7t'Cli I IVIV UIV. 6431 University Ave NE Fridley, MN 55432 572-3604 tttective �n �anuary �, t yy3 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES 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 GasRange NO. RATE � Gas Dryer _ Back Flow Preventer Required ()Yes () No Type $ 7,00 $ 4.00 $ 5,00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appiiance State Surcharge TOTAL FEE TOTAL JOB ADDRESS D �Q � �e �Kc�sT4� � � The undersigned hereby makes application for a permft 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. � ,199- Owner � B YC'.�'y ��' -..5' TCA�'� jG', C� Building Used As /"!v Sv� e- Estimated Cost c..�� PERMIT NO. %�� PLUMBING C�OMPANY SIGNED TEL N0. 7 �� j � � % Approved y Rough—In Date Final Date 3� $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15,00 $ IS,�U PLUS THE $.50 STATE SURCHARGE SUBJECT P City of Fridley 26 5 5 0 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � � ` RECEIPT NO. � ; y_�� COMMUNITV DEVELOPMEN7 OIV. �/�� r � � PROTECTIVE INSPECTION SEC. � ' �"'1 • CITY HALL FRIDLEw SS432 NUMBER pEV OATE PAGE OF APVROVED BV �""'�" �'' 612-571-3450 9t0-Ft5 7-13-98 / / JOB ADDRESS g60 Kennaston Dr. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. 19 2 Brookview Terrace SNEET 2 PROPERTV OWNER MAIL ADORESS 21P PHONE Richard Pastwa 571-2775 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO. Northern Crest, 8245 Polk St NE, Spring Lake Park, 55432, 792-9364, 20098415 4 ARCHITECT OR DESIGNEii MAIL ADORESS 21P PNONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW O ADOfTION O ALTERATION .�k7 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Overlay roof — 2nd layer (23 Sq) 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with State Building Code. ' TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, NEATING, VENTIIATING OR AIFi CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. fT. CU. fT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCEO. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV TNAT I HAVE READ AND EXAMINED THIS APPLICATION � STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIE� WI7H WHE7HER SPECIFIED HEREIN OFi iV07. THE GRANTING OF A PERMIT $�,441 �• 72 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING CON- lre SC $ I.�F4 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $�FH . SO �\ /� ��, I � PLAN CHECK FEE T L FEE / 1/ / I �I�rt ti� 1 �C/� � ��J.Or� Li se SC .00 �� $55.66 s�d con�TRACTOR OR AUTMOA�2ED AGENT I�ATEI EN R VALI D THIS IS UR PE IT - � � S�GNnTUFE OF OwNEA iiF OWNER BU�IDER� �DATEi BLO �NSP �i`TE NEW [ ] Effective 1/1/98 ADDN [ ] CTTY OF FRIDLEY ALTER [] SINGLE FAMILY -AND DUPLEXES R-1 AND R-2 � BUILDING PERMIT APPLTCATION � �� ConstructionAddress: � � � ��2'rI R 4 ,S� �� - Legal Description: Owner Name & Address: � Contractor G ��^h Address: . � �: y 5 � 1 �� LIVING AREA: GARAGE AREA: ` ' DECK AREA: � �/`eS �' S�� N� Tel. # � %1 � �'? r1 �" MN LICENSE � �Oo Y'g �y� S" `� Tel. # �� .�'6 y ' Attach to this application, a Certificate of Survey of the lot, with the proposed eonstruction drawn on it to scale. . DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width �� Hgt/Ground Sq. Ft. OTHER: v � �d �� '/ / .� �onstruction Type: (�} (16� �ay �� f s� Estimated Cost: $ ��`7 l � . -=. . � (Fee Schedule, on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ . - ��'��$ � L�''�� Tel. # - ! Q�� 5,� DATE. ! APtLICANT: Permit Fee Fire Surchazge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Pazk Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ ��.�G� Fee Schedule on Reverse Side $ < < .001 of Permit Valuation (1/lOth�) $ � $.50/$1,000 Valuation $ $1000 per SAC Unit � �$ __�� $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 [ ] $ �Y�- �� _ ;