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AF - 47866SUBJECT PE R M I c�ty of Fridley . 13631 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � t . � • COMMUNITY DEVEIOPMENT OIV. � ; L ------, g�!"11 r � ; PROTECTIVE INSPECTION SEC. 14 � /"�l � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY """� � ,'� 612-560-3450 910-F15 7/7/76 � � JOB ADDRESS 1420 Kerry Circle N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Heather FI].�.ZS 2nd Addition SHEET 2 PROPERTY OWNER MAI� ADDRESS ZlP PHONE Commercial Erectors, Inc. 5298 Filmore Street N.E., Fridley 332-7343 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING R2SICZP.Tlt13�. 7 CLASS OF WORK l� NEW O ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK �� Construct a 48' x 28' Dwelling and a 21.5' x 26' Garage e ore igging ca oca u a� N - �IECT�i� - C�1S �tG 9 CHANGE OF USE FROM TO REQUIR�C7 �� +�% STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Application submitted before energy calculations were required. � S�� • �S -- � b1�76 ��`��'RA1'� PERMITS REQUiREU �-U#� 1�1IR1�IGp --IMP� N7�- �t►'��i'�CV�, p�.t�MBiN� AiVt� ��iGN�. NOTIFY THE FRII?L�Y ��C'�. DIVIStON aE�+R�� UR� THE CITY OF FltIDLEY DOES NOT GUARANTEE THE R�MOVAL AN� R��-A��j �CCURACY OF UTILiTY LOCATI4NS AND ELEVATlCi•'.. pT DRIVEINAY 0��"� 7;1iS DATA 1S �`OR INFORMA'flON PUFPOSES OPtLY AN� PERSONS U9iNG R SHOULL� VERIF7 THE INFORM�►TION 1TE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCI FL'dIIIE.' 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 R 1 1344 �' rJ�Jg 21,640 + 4472 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GfiANTING OF A PERMIT $3F)� 24O �S`ZH.12 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT f EE SAC CHARGE PROVISIONS OF ANY OTHER STA LOCAL LAW REGULATING CON- STR T N OR E PERF A E CONSTRUCTION. Lj$.3O S3SO.00 % PLAN CHECK FEE TOTAL FEE � �i 416.42 I EOF q�yapCi0a0 AUTHOHIZEDAGENT IDnTE� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT + / 1�' .� lc��J �Y n�_JlJ � '� —^�SiGNATUREOFOWNERtlFOWNERBUILDEF! (DATEI BLDG iNSP qA ��. - � (� ( ��C� �i -C� _'>(� AI'PI�ICliTION i3OR RESIDENTInL, AL'I'L:�'.ATION, .�,' ��-�-�-��=> �-��"� C�1 OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, A4INNLSOTA `�_ �� , � r OWNER'S NAME: � `� BUILDER: °�� ADU�2ESS • �O ADDRESS :��i�� T?0 � I��r STREET • � T�OT: BLOCK: ( ADDSTION: r��ti'�� 7��' `� ��L��""�. CORNER I.OT: INSIDE LOT: � SETBACK: �l% f SIDEYARD: -. - _. Applicant atta.rh.':o thi.s form Two_Certificates of SurveY of Lot and pragosed building location drawn on these Certificates. � D�SCRIPTION OF BUILDING To Be Used As: � � FronC : Q1Q Depth : 2� Height : ! Square Feet :��Cubic Fee� : � � , � � � �C)C.i2 ��pg� Fron�: 2j,s Depth: 2(� Height: g Square Feet ; S��-1, Cubic Feet : �� i Z Type of Construction: �6L'Ps�M� Estimated Cast: $� 2.� .� � To Be Completed: The undersigned hereby makes applicatinn for a permit for the work herein- soecified, agxeeing to do all work in stxict accordance with �he City of Fridley Oxdinances and rulings of the Depaxtment of Bui.ldings, and hexeby declares ttrat all the facts and representations stated in this applicati.on . are true and coxrect. . � C.�i le� �`��7 DATE: ��o� ! �� SIGNATU�: � (See Revexse S9.de For Additional Tnformation.) ��ti� 4��30 � � g � 1'�- SA�e, 3� , a b �,;,,s�►� � � � .� �T" i°L��Js �o ��s O� �2o��DE i'��'� 5 l�� t �' � � � v�� ,� f} C�; iZ� ��r �� p,�� oC p `•asj� � � �s� � ��l _ � ./' . . _.. .. . . . .. .. . .. .. .�. .. . .. . .... . . . . . . . . �a i o- � . rt �Q�i'v�l, �,C�l7RA. �v4Z Vi�n � UPPc'v`ct i,�,�xz.,�, ' ' ; � i ;' . , � f � v'�-° �� rL/`� � `�.,�wJIJLXa6 2�,�aX Z� = iv�� ° f)C 8� S� � 2 Ce�,J�, `011. j x' 2- (a � `�SG X � � �-1 �'? 'L � � `+ � x �� = �� c 12 = Ic,, �a� �� •, �- , , 5s4, x s,00 = a��ra',00 �, %4�( x�,j� z �I (� c� , S v �: �`3�� X 22.t�o � 30,3�`�. �� !; �3� 2.0 �,�'fo ov 3f�,aso x,�o ficx.►d �lg.i 2 i; � �. �, � �' 'SS� 2 i'. ; i I to 12 8 ;' 2�,`9� j 4,y�z ;, (:, 2�v ,� � 2- x(. 8� ��oo� z � ;i ';', �r�2w►�r 4-Q.3d �, r i� � `� �g��Z �' SA� . ��'�. t�a I 4�6, �2 �, ;. ,; , �� ; 1'! - _ ; �� ; �� ; r, . � . /� �f .c�;� o�, �O - �� . '�' '�; '..,.QA.3a `° �': O Q' } I� � o . �� i , i � � , � 6 F �. � �.,� a DRAlNAGE EASEMENTS „'—___ 1420 KERRY CIRCLE I _ ��',� ao �s , �.. o � ,� ----- ____ 1 �;°� �' � - ' `eg � ` 1 � — — o ,�� , �� ; : -, � � � � ��_..� � � � � - � �` l-...! � . � .� 1 �, � ��o � , s�.: v • �'N F�, Q a� • � I � _ �� - � °� � °o ��`'` � � �: , ,N i Q8 . _�� 2 6 � --122.14 - � �``� p6. -c�� . ' . . _ ; p =-2 16 3a �_ _�. � � _ _ S 88 •�-� � s'�p � . . , ,� � . - `= �� ' "` 50.Ot _ � , . . . ,��1 e ' S � � , . _--- ` 26 59 33 � Z , - � �� _ . •� ��,�. D.��A2 � \\ �"`R : 32� � G��NO p 3y�� ' \�3 � � � ;�j p7 24}' . �}N�p �� 't .� �,1 \�G �� 26Q 9 33�� Q ti D A .2 '�.��; 86. 94 � 6A"'�` 99�p2� G R= o L= 2 ` .. g. 6'� 8�'� Q=�,�' �p 2��/ �' ; �o ; �� , � , � �� , _--__ _ �___ ,,� . . � �,� 4, fs'° o �� O �a�,,�9�2 UNDER ROUND � : .�.. '.'• . � � r� � . 6 D TILiTY EASEM�NT : � � � . �° N 6� .��. , � o � =,r� ,` � 6�-�6 1, �d 6 � . ' • . � � g o �- o _ , � cv� � • : � :. o o c�o � z , . ... • . , -. -� _ _ .� � . ` -� � � \; • • ' �; ) cn o � c� o � � � �'i N ��' - � g v o uWi s. �� v r- `� `r' ° ti o N z a �� .• - �l. 't� ., i � a p r $' — � � w j\S.� � ` , . 24j� '' = y ` - i � �� 1 Z N �� i � �;�A` � \ Z DRAINAGE 1 10 �� ' � EASEMENT ' � � L= 58 . g8 �� - _ \ � � 'o �� 56°19-'2.� � � � � ; . 66.69�– � ` 10 � � � � _ �-t _ � o Y : / � � '�6 6 N ; r31.6g `° � �A�, �� . w . 8°3 ' „ '�, ca 'h c°�y, �� r, � � 30�, -�`` ��•. `� .� __�.; 0 O� �� co ni �'� d, � -, � 4� ' �� i� � � tn �', ;, . � � I o � ap� o�'�� //a� NAGE EASEMENT f �6 0 � I � !;�---,, '�S, �` a �' ,{►��? o� � —z�5.00 ----�-- - a�oo--� � � �'' . , �• � � , � --- 46532 143.32 � �a - ,. – » _ : .___ N 88 46� 34"�'W ` _ . _ _ .. ._i _ � '; , •�2 / � :` •• a02� ` �:� � �; � -:: , O DENO ALL 8E� � SCR�E . • ,' .. _ CITY OF FRIDLEY APPLICATIQN FOR PUlMBING AND GAS FITTING PERMIT N � N '� � . X � Water A � �„�i y p �y�i p� .[�y C HeatEY uaq.i .Ni � N F•.� �a s� N r f�+ p, . •.� u r, e y x L v � t c � v a w� �+ sa U;n C .0 •� X .0 G C 3 O U•� O�. U � •.i JJ N G N •�-I 7 O O 11 Vl J.7 N� N F11 N .0 � -� s� �s ro •a ro�+ o � ro ro ��c ro N �a " as lec fn U � c0 tA v i 3 0 G.� u) G�, U a� Q 3 C7 � t7 O / / / C� ! lst Znd 3rd 4 li t (R) = fl�ture Coruiection Opening Connected with Sewer (*) = 21e�a Fir.ture, Old Opening Water PARTIAL RATE SCHEDULE PLUti1BING FIXTURE RATES: N0. RATE h`w:.5er Fixtures / x S3. QO ---y�_. Fliture FiYture Opening _� x $2.00 hew Fixture, OId Opening x $2.00 CatCh BaSiR X $5.00 Water Heater - to 99,000 BTU _� x $5.00 100,000 BTU to 199,000 BTU x S10.00 Water Softener x $7.00 Ne�r Grourd lain Old Building x $5.00 Electric water Heater x $5.00 GAS FITTI\G FEES: lst 3 fixtures _� x $3.00 Additional Fixtures x 51.00 Gas Ranqe to 199,000 BTU x$7:0.00 REPAIRS $ ALTERATIONS First 5100.00 55.00 each add. 5100.00 or fraction 52.00 State Surcharqe TOTAL FEE TOTAL s a2/, aG s �/, a D $ S , S _� O Q S S $ S $ 3 c� a S S S $ $ .50 S .S—� Job Address /��d°' C�� ♦ Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true aad correct Fridley, N'�. . =9� OWNER � / v ��5� A D�i ��. KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST O - NEW ILDING PERMIT N0. � PERMIT NO. l� ��' y Company � Signed By T01. NO. ROUGH INSP. Date FINAL INSP. Date APPROVAL I'OR PERMIT � MINIMUM FEE FOR ANY PLUMBZNG PERMIT IS $7.50 I REINSPECTION FEE � � .5 � , ($10.00) � ' �_ � _. .,_._._ CITY OF FRIDLEY APPLICATI�N FOR Pow�� PLANTS AND HEA7TNG, COOLING, VENTI�A7ION, REFRIGERATION AND AIR �ONDITIONING SYS7EMS AND DEVICES PARTIAL ^nATE SCNEDULE GR�:'ITY iiaR.�l �IR: ^�rr.acz 5 ;ell b Dact tioric ;.e�l:.c�.:.c::t of cL•rr.ace �a?aizs 6 :,ltera:icns-LO to 5500.00 :eoairs s A::.erations each add. 5500.00 �fcCH.aXICaL t:aR�I :1IR: Fs^:ace S'�eil & Duct �+ork to 100,000 BTC eac:^. ad�. 50.GOD B:J : 2_ �3Cc'..:.2at o: : urr.ace � � : @r.dl_S & n:.L2=r1L10II5-UD t0 $50�. CD � : e: �irs S;,iteratioas eacn add. 5500. CO STca.�? 0: H�T {ti:aTi:.R S�'S'i •.':�1: 3oiler 's :.ines �� to 100,Cu0 3TJ ea�.. ac�:i. 5�, OGO oT� Eoiier cr.ly ap Lo lOJ,0v0 bTU ea�h a3:n. 50,0�0 bTU OIL BUR\ER- to 3 gal. per hour eac:� a83. 3 qal. per hour RA'I'E TOT:1L $12.00 $ 7.00 $ 7.00 $ 4.00 $ � $12.00 S �� 4.00 .S 7.00 $ 7.00 $ 4.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 S_ GA$ �LR\�:- =rca 100,000 3':J to 199,999 BTU (over 199,.99 3:J see Fee Schedulc3 $10.00 l0. 00 $10.00 $ ' S $ _jQQ--U. �_ S GaS FITT:\G FcES: �,� lst 3 Fixtuzes x" $ 3.00 S`� A33i�icr.a2 Fixtures x $ 1.00 $ Gas �r.^,e to 199,000 BTU • x$10.00 S O p :;z� co��zrTox:�c �� s.%�- F:.� H�::TIXG SYS:i:�,S See Fea schedule $ 1'�XTILai'I\G S`.'STi�?S S �LTE�.aTIO\S F� REP�i RS _ � S State Surcharge � TOTAL FEE ^r,.^.UGY ZtiSF. Date P�IA: I�SP. D.�Le ia?P:i;.Va;:. FOR PSr::ZT �� F.EI�SPEC'I'ION FEE ' {.S10. 00) :SI\Z�:u:3 F^tE :YJtZ ATr'Y HEA2'ING PER�:IT IS S7.50 � . Job Address / / � � Departmant ef IIuildings City of F'ridley Tel. �F571-3450 The undersigned hereby makes application for a permit :or t?�e work hezF:.z specified agreeing to do all work in strict accordance wit:� t�e Cit/ Cc�es and rulings of the Depart:�cnt of Buildiags, ar.d here�y declares t:at all tize facts and representations stated iz t:.is application are true a;d correct. � � Fridley, Minn. � � � � � =9�� OW.IER J /(�L/ KIND OF BUILDZNG USED AS ^�L TO BE COMPLETED ESTIMATED COST �O� ��D � e OLD NE BUILDING PERMIT :v0. PcRdIT NO. l�.l � � c�GO-N Gt,�v1 �C.a r',-z'' -- DESCRIPTIG:J OF £U.Z'JACE/BGR3ER H�ATING or PO4 ER PL7INTS, Steam, Hot 47ateY, rm Air- o. � Trade Name li��2"� ` �% Size I:o. ��<-+�^� /��% � Ca�acity Sq. Ft. EDR 8:'�1 Y? _�`/`,L' Total Connected IAad Kind of Fuel ��` �� SUItNER - Trade Name _��Z�� Size No. �-3 �. O� � CupaCity Sq. Ft. EDR STU �,_ HP �_ � Companf � � r ' � Signed By • . Tel. No. ! � _�� ,L� • ° �� t �� , ��._�._ . --�_._. f ,,�' ,��_�.�`� �`�� ;!�!��f :1� , . i April 12, 1977 GI'T'Y OF �R�C�LEY 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 812)571-3450 Mr . Mike O' Bannon Commercial Erectors, Inc. 814 - 9th Street South Minneapolis, Mn. 55404 Re: Final Inspection at 1420 Kerzy Circle N.E. Dear Mr. O'Bannon: A final inspection was made on April 12, 1977 0� 1420 Kerry Circle N.E. and the following items were noted which must be completed before the structure can be fi:naled out; 2. Provide house nuznbers on structure by April 21, 1977. 2. Provide a hard surfaced driveway by June 20, 1977. 3. Provide sod in the front and side yards by June 20, 1977. 4. Provide a handrail on the garage steps by April 21, 1977. 5. Render sliding glass door inoperative or install deck by April 21, 1977. We will expect the above items to be completed by the scheduled dates when reinspections will be conducted to determine compliance. Please feel free to contact me if you have any questions on these items. Sincere RQ HOLDEN Bui].ding Inspector RH/mh CC: Homeaaner � � ,; 9'�-8L :'879001 GIIY Ur rK�ll�r � APPLICATION FOR PWMBING AND �AS FI7TING PERMIT . � � N '� u . � tl Wator f M „ M ;° . � .�, ,� � �q �� w � Haater M � p • G • iJ N -C {�9 �./ � � O � H �J N Rg q N � ° ., w a � v"�i � i w � w c� �� z 3 �s t� o as ltc vi % u � oa _. ist ' 2ad . ( 3zd . . 4N• • (R� • Plitus� Conn�otion Openiny Conn�ot�d with Sowor (•) � Now Pixtur�� Old Opaninq Nater �PARTIAI RATE SCHEDULE � � PLU�IBIKG FIXTURE RATES: N0. RATH TOTAL t�lL.Sar Fixtur�s � � ili:ure Fixtuza Openi� � l�ow Fixtuse, Old Opaniny Cateh essin � Hat�r Heater • to 99,000 B1V, � 100; 000 Si1! to 199, 000 ST�1 Natas Sottensr tia+ Gsoucd� 10�t► Old Duildls�q Electsia Water Haat�s � G.�S FITTI�G FEES: � � ist 7 LixCwcas u3diela�al lixtur�s .Gas Aanqa to 199, 000 BTtJ REPAIRS b ALTBMTIONS tisst 5100.00 �aeh add. 5100.00 or traotion x 53.00 •� �� x �2.00 _� x SZ.00 x 85.00 � x SS.00 �_ x 510.00 ' x 31. p0 �� x SS.00 x 55.00 x 53.Oa �� x 83.00 x 810.�0 as.00 :z.00 Stat� sureha�cq• rar�t raa • � A6INSP�CTSON !�d - _ 1�) 0. QO) � • S S __,. S s �.. 8 _�_ S�� 8 _�_ s ._,_ a _,._, a �. � �� S�_ _ _.� a� 8 _?o 0�. 0 Job J►ddrsa■ �20- KERRY CIRCLE ,� Dapartment o! euilding� ' � '` City o! Pridl�y � Tel. 1571-3450 The und.raiqa�d hersby maks� applioation lor.a permit tor ths work ner� speaitied aqreeing•to do all work in striet accordaaca with tl�e City Co� and rulinqs ot tha Departmont o! euildinqs, and hsreby declare• ehat ali th� laets and s�pr�santations seat�d in ehis appliestion ar� tive ar.d co, � �'ridlsy, Ma. �-26-77 , 19 r M OWNER KARL K FTFF� � KINO OP B�iLDiNG f ramC - usso �►s res. ' To ss oo�r.�o �►ao�rr 5-3=77 '• ' . ESTIM7ITED OOST 1Q OO OLD - liSW SUILDINC PEAMIIT N0. IT N0. ``�' � OomPsaY �'�" � �_ �''v��" . ' . MMIN�C�r(�0 . 8iqn�d By � T�1. No. , �IOt1GH INSP. Dats � FINJ�L INSP. Dat9 �PPROV71t, FOR P81WIT 1�L.C.�rs.G . � • MINIlWM �Et t0R J1NY 8LtlMSiNG PEIWZT IS i7. SO �lass "A�� Surch;arge .50� � • � • � sue�ecT • PE c�ty of Fridley n �, � �-3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � � • COMMUNITY DEVEIOPMENT OIV. ' � �.------ � j� %� G� r � � pRO7ECTIVE INSPECTION SEC. ODv/�/ � � � i � � - /��1 CITY HALL FRIDLE� SS432 NUMBER AEV DMTE PAGE O� APPROVEO B� �'""�� ,�� 612-571-3450 910-F15 9/15/94 / � JOB ADDRESS 1420 Kerry Circle NE 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHEO DESCR. ] 1 Heather Hills 2nd Addition SHEET 2 PiiOPERTY OWNER MAII ADDRESS ZIP PHONE Karl Kreter 1420 Kerry Circle NE 571-6141 3 CONTFACTOR MAIL ADDHESS Z�P PHONE LICENSE NO. Al1 Systems Roofing 2325 Endicott St, St Paul, MN 55114 646-3533 8963 4 ARCHITECT OR DESIGNEF MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK CI NEW ❑ ADDITION ❑ ALTERATION �] REPAIR ❑ MOVE O REMOVE 8 DESCR�BE WOFK Reroof House (19 Squares) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 5tate Building Code. TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVIOAD SEPARATE PERMITS AFE RE�UIRED FOR ELECTHICAL, PLUMBING, HEATING, VENTILATING OR AIR 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 SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED TNIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE GOMP�IED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �1s425 �.JL DOES NOT PRESUME TO THORI7V TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAFGE PROVISIONS OF A Y HER STA E CAL LAW REGULATING cor,- �35.0� Fire .SC �1.�13 ST OR E O C NSTRUCTION. °� � PLAN CHECK FEE TOTAL FEE ' - ( � � � License SC $5.00 $42.14 SIGNAiU�7EOF�CON'FFACTORO U7HORiZEDnGEN IDATE� WHEN PROPEALY LIOATED THIS IS VOUR PERM17 �U ��/ S�GNATUAE OF OWNEA iIF OWNEA BUILDEA� �DATE� BID� f14TE NEW ADDN ALTER [l i� [l ConstructionAddress: Legai Description: Owner Name & Address: Contractor: � � � �' Address: LIVING AREA: GARAGE A.REA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application �� ,''r �i /L �./� -��. - i ��-� � tN . . 57' . i "n t�, L, Effective 1 / i /94 Ci2C Tel. �# 5�% � — �D 1 � / MN LICENSE # � g �.3 Tel. # � y (� � .�� Attach to dus appGcation, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT S�, Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. �Ft. Corner Lot [] Inside Lo� ] Ft. Yd Setback Side Yard Setbacks � Type of Construction: /�,C oF�' ��,C�� Estimated Cost: $ - Approx. Completion Date: / �� S. `�� (Cost on Back) Driveway Curb Cut Width Needed: t Ft x$ =$ DATE: _ ��-1 � APPLICAN : ---� Tel. # �.,�� 3 3 � � w,, , � /�►tir� � CITY USE ONLX Permit Fee Fire Swcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULAT'IONS: $ �s . C�O Fee Schedule on Reverse Side $ 1• � .U01 of Permit Valuation (1/lUth%) $ % 7 ( $.50/$1,000 Valuation $ $800 per SAC Unit $ ,� . DU $S.�Q {State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Abc�ve $ $450.00 Conservation Pian Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ .��./� CITY OF FRIDLEY INSPECTION DIV. 6431 Universiry Ave NE Fridiey, MN 55432 572-3604 RATE SCHEQULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING-SYSTEMS AND DEVICES Residential Furnace S d Duct Work, Burner – Also Re lacement Furnace (Side Vent – Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer - (�2�I Yl �� Air Conditioning – Ali Sizes � Z�Z�. All Others/Repairs & Afterations (LIST ON BACK} 1% of Value of Appliance or Work Commerciai/I ndustrial 1,25% of Value of Appliance or Work Rate TOTAL $ 30.00 $�-�� $10.00 $ /� ` � $10.U0 $ $10.00 $ � � $ 25.00 $ �` � State Surcharge 70TAL �EE � Effective On January 1, 1997 JOB ADDRESS . �� . ,' � The undersigned hereby makes application for a permit forthe work herein specified agreeing to do all work in, strict accordance with the Ciry Codes and rulings of the Building D,ivision, and hereby declares that all the facts and representations stated in this appiication are true and corr OCT �� .1997 ,1 ss7 OWNER� i�1 1��/�v� ��' �� BUItDING USED AS_ ��C�.� � i �� ESTIMATED COST _�,��D�(� PERMIT NO.� � 9/ DESCRIPTION OF FURNACE AND OR BURNER $ Na of Heating Units � Circle One (Steam) (Hot Water) arm Air Trade Name Size No. Cj�(0.�.3"7 BTU �� HP � EDR $ Fuel Total Connected Load $ .50 8urner Trade Name Size Na �y � BTU ., HP EDR �"— � �RIC�flVIOND & SONt3 ELEC. �. MINIMUM FE� FOR ANY HEATING/COOLINGNENTILATION REFRIG�RATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner, HEATING COMPANY Signed By Approved FILL OUT BACK SIDE REPLACEMEIVT FUR� � �R �v��B o�� AY � T`el No. Rough–In Date Final Date STACK VERIFICATION ON CHIMNEY AND STACB VERIFiCATION The undersigned hereby verifies that the -existing chimney or stack: 1. Has been carefiilly examineci ; Yes (�,,�o O ,� 2. Is fiee from n�st or d�rioration Yes (�No O �3. Has no foreign objects lodged wid�in Yes F-'� o{) 4. is secnrely supported Yes �No O 5. Meets all current Code requirements for size and totai BTU's connected Yes �No (.�� 6' Has total heating BT[J's of (`� �� All other BTU's � TOTAL BTU's � ��V " � 7. Has a liner baen provided for water heater Yes O No O 8. Has combustion air been provided for water heater Yes {) No () Remarks: . List ALTER.ATIONS Being Done: HEATING Signedi� Date. � %�=�� acx�orrn � s�r� �.��. ��. � --�� -�-�b�e � b182 �Y.�S'�' f' c:.,CD�-+i:�"v �AY OCT - 6 � y 6�� s�;.