AF - 47916�� i , •
PERMIT for Power Plants and Heat�ng, Cool-
ing. Ventilation, Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of � Heuting Plants �� � 1� to instad ltered—repaired
Make � •�D , Sixe �c/o - Q 3- �/ D ;
Oil fired ; Coal fired ; Gas fired ; Gas Authorixation No.
Remarks �.Q--� �- � l.l�� - C� 0.,¢. �uh�4 L—
Approved by.
Final �nspection
19_
Inspector
P�t No
F� �1�'ov '
�� � � �
4824
O�ce of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. , 19�%d
Owner „� �YZ-�n � � � )rg� �
Location ��e�`�Z��LteR.Q,..,r—
Kind of Building���(L_� Q--
How Occupied�l-� /pi�'!
Work to be Commenced ,19_
To be Completed ,��.r � ,19�
Estimated Cost, $ ��• ed
Old- w, uilding Permit No.
Permission is hereby granted t 7 j to install-�rect—use the material and devices described in the
above statement. Tkis permit is granted upon the express condition that tlze person to wkom it is granted, and icis agents, employees and workmen, in all ihe work
done and materials used under this permit, and in ihe opeiation of the devices herein mentioned shall conform in all respects to the ordinances of tlae City of Fridley
relating to or govern.ing the work to be done and the operation of the devices herein named, and to the specificatio set orth in the approved application for this
permit on file in the of)`ice of the Inspector of Buildings. . -
, Inspector of Buildings
4Z sM »-� v
4
City of Fridley, Minn.
BUILDING PERM�T
.p3���_,
�_ - _
� 10$66 �,
��_. _
�
Date: ....�October 211, 1970 Y�
pwner; .,,�'Ir. & Mrs. Larry_ Morford guiider _.._.._Briarwood Homes Inc. y
. _._.. _ .___ __.._._._._. ..
Address ...�2�5._.Kerry_.Lane N.E. 780-lOth Street N.W., New Brighton
� �....._..._....._..._..__.__.._..._._.._..._.__ Address _.�_____._____._........_..._._._..____._._.._...__ _._._�
LOCATION OF BUILDING
No. �.�6235Street _.�Kerry._Lane1N.E. ^..__._._........_. . Part of Lot .._.._._..._.
Lot ._..�...�8_._.___..._..._ Block _.—._._...._._....._.�..___.._._. Addition or Sub-Division __.__Heather Hills Addition
Corner Lat
Sewer Elevation
Inside Lot .__.._...�._.._._..._.._ Setback .__._.__._._.__........_ Sideyard
_._.......---____..�_.._._.._._.__...._.._____ Foundation Elevation _..__�
DESCRIPTlON OF BUILDING
To t� v�a a8:
...j�l�lli.n,g,...,._...._�_ Front __.48 �._.. DePth _. 4'.0 �.._ Height ....._�� �— Scl• Ft. 1090' Cu. Ft 21s 800 �
...�a�a,ge..._.........._._._..__ Front _._2� Depth _.._.�.�...�._ fTeight .....__10 �__ Sq. F't. _.. E.�.$ � Cu. F'k �.$0 �
Zj�pe of Construction ....._.F.ram�_...__._.........�__.. Es� Cost ._.......�.�Ei.,.�QO...U4._.... To be Coinpleted _�_�.�...�..?-270
Provide Hard Surface Driveway - Verify Foundation with Survey.
WATER LOCATION: ) Obtain From Comstock and Davis, Inc.
SEWER LOCATION: )
No Sewer ox Water Permits issued until approved by the City Engineer.
In consideration of the issuance to me of a permit to construct the buiiding described above, I agree to do
th� propoaed work in accordance with the description above set and in oompliance all pro!visiona of
ordinanoes of the city of Fridley.
(�"'
In ca¢�sfderatiott of the payment of a fee of $....._51_..�.00_ _���t is hereby granted to Briarwood Homes, Inc.
�._�.......__.........._.._._�:...,_....._.._.._ to coastruct the buildiag or addition as described above. This Permit is granted upoa
the express c:ondition that the person to whom it is granted and his agents, employees and worlunen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Frldley, Minnesota regardic►g location, construction, alteration, maintenance, repair and moving of bufl�
within the dty limits and this permit may be revoked at any time upo� violation of a�y of the provisians of said
ordinanaca
NOTICE:
1Ms p�emh doa rrot eovn fh� eoa�troetion, fa�hllNien for wklny. P��Y. Ya� I��aIM�. s�wK er waM. M wn h sw
th� Bvildio0 In�p�efoe fer ap�rat� p�noHs for fh�n tfMne.
e
� � �
APLICATION FOR RESIDENTIAL, ALTERATION,
OR AllllITiON BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
owr�x � s ru�r� : �i� 4� /�'I�. LAiP�� �Q%��UILDER : _ �if1-�Pcvo � �M�.s r,
annxESS : f� Z��' /�e,�rs�.�.[�� ADDRESS : 1�0 lo� �f. �U�v, � G,�r,yl,,,�on
NO : . �d,_2�,� � S TREET : _ %�--c .P � V h�• � i,� �-CC
LOT: g BLOCK: 3 ADDITION:����jpr �j/�s+
CORNER LOT: INSIDE LOT:� ✓ SETBACK: SIDEYARD:
Applicant attach to this form ltao Certificates of Suxvey of Lot and proposed
building location drawn on these Certificates.
HESCRIPTION OF BUILDING
To Be Used As:
KQS/C�'P�fLI Front • � � Depth • 0 � Height : �-- 2. �'
: Square Feet: D C� Cubic Feet: �.. /,� 0 O
, Front: "2 �f Depth: � .1- Height: � v
. Square Feet; � Cubic Feet: (',`? d
Z�pe of Construction: Estimated Cost: $ 3�',�.5'_ 00 °—_
; To Be Completed: /(%D(/ /�j'� .
The undersigned hereby makes applicativn for a permit for the work herein
specified, agxeeing to do all work in stiict accordance with the City of
Fridley Ordinances and rulings of the Department of ldings, and hereby
declares that all the facts and representations st e in this�lication
are true and correct.
DiATE : /D� �%Q' S IGNAT[1RE :
,
(See Reverae Side For Additional Inform,atio .)
��, � .
_� ; ,
.. _ � • r
n •
�� Permit for UMBING AND GAS F ING
N.B. When work covered by thie permit is ready, the Plumbing Ordinance requires that request for
inspection shall be phoned in to the plumbing Inapector, 560-3450 giving number of thie permit.,
m
.StOT1Q$ 4
3
Basement
lst J
2nd
, 3rd _
4th
Z � r m I �
rc
7 m F � m
Connected
�
DESCRIPTION OF VNOR$
Number, Biad aad Location of Fixtures
x} Z z � o z
N �
3 r�- o� N � o
� �
z �
�
4 O
K J
� WATER HTR.
.J
V, < � a 6A3 �ELEC.
Gas Fiping for Openings
�
Permission is Tcereby granted � to do the plumbing and
gas fitting in the building described in t staterrr.ent hereto attached, upo tlae express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in the pZumbing
or gas fitting of said building sh.all confvrm in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the uiolation of any of tke provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection
7nspector.
Finallnspection Date
�
N° 523'7
� �39�
P�t �Fee $ �7 U�
C'ity of Fridley lip-�p� ��� %.� , 19�
i
• r , . �� � _ _ i�� r! •. _..,1 6 •
Location ��o� 3 � � � h � �
Kind of BuiZding •.��h--4�✓n-S? , .�
Used as
To be Completed Z�1��,..t� � , 19�
Estimated Cost $ %a+�� v v
Old� Building Permit
Date
inspector. Inspector ot Buildings.
•2 IM-6-69• V
{—_-- —
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_ _ _,
City of Fridley
�PP�iccfiior� f�,c� I'�urr��ir�g and �c;s �i4�ir�g P�c�a»�t
�� _�E3CRIPTION QF Wp�K . Dept. o( Bldp�. Phon• S60.3450
Numb<:. Kiad and Location o1 Fixturea / �
-�!'�'1 � r ��� — � . �II ilOn . _ / �1 � �
� i���
�
O i G - -- 7 v '. �� � �? u z O T j • • "'��to I.TN
�. ✓, '" _ _ 1 z . ,c� � 1� �7 .7 7�, 77 7z -----
� �'
��m <s u� na u� • N c�� ucc.
Ldsc `
� 5t
r �
2nd
3rd
4 :h ---.
' Fiuuss G.�.r;::cn Ope- -;s onnoc wa
• Nea F`i:.'n:e. �ld Oya�;s 3ewaz �
Cesspoo! �
P��TIAL RATE SCF-iEDULE
�.m�:: ihv T'..T.. �c:E Rn��:
'7'D. AATE TOT L
. __._,_ ':xtures � �_�
F`.:.__ T:z:.:re C; "--�� —� x $1.,�0.
��.
=��' .. -�c O?d -_ning
x $1.50 ;
C.-�_: __-.�
x 33.25 5._—
+r�="" --e:"r tU� :. 99.W0 BTTin �
-----�--_ X a�.00 a b a
'�er �-- :-3 �U- _ : � B�ag. . �
L'�sc�� ; `'e�er H�se.r _.�_ X $3.25 3 --------
GAS �T'.:•; � rT';.3: `--- = 32.00 E___—_____._
*��• RATE TOTAL
:s: - '.�'.ses
. . . —•-----�-- a 32.00 t � �
Ac�::--a: F;xture_ ........�... � ----.._.-- x 3 .76
C,3! °.1:=� t0 l�.'��? $�... �
... ...... a 55.00 a------_
REPAIR9 R I�:TER1►TIOfi�—R�f�: !o Cod•
y'C:^� � �!� . . �V.. . � .
� _ _- -- - - _ � � . . . . . . . . . . . . . . . ...., . . . . . . . . . . .a-
TO'I'AL !'EE j�
i�lty Oi �'I(jiCy:
� . . • .�
m
Thc undcrsi�;ncd hrrrby makc�s nN�;��ration fur a p��rn�it for tl�c wurk hc•rci
SP�citir�� a�ri�c�in� to dq all work in strict accurdance wi2h tl;e (:ity Orclinance
and rulinl: uf lhc Dcpar�n��•nt of f3uildin�;s, and hcrc.F,v ucclarrs ;hat all thc fact
and representatioiis statai in Uiis appl�catiun are true ;,nd correct
- Friri]n� n,iinn
�. r
Owncr
Kind of Buil�iing �j��n.,tio —
USC(� 8; �_ � �i.l . �.. %� I/ r w �
To bc complcted abuut
� — ��
�?
Fstimated Co;t, S
Old Pdcw I3uilding i'crrnit T,o J,! ��
Porm;t No.���
���r�h 1 _ _ 1�I ' —
Signcci_— ' "ti' ���� �{.`
BS'--- -- —_� �
Businrss �hune No_____� � � ' j � �
u---- — �
ROUG
FINAL �{'�'
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" CITY OF FRIDLEY INSPECTION DIViSION
"6431 University Ave NE
Fridley, MN 55432 APPLICATIDN FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also e lacement Furnace
(Side Vent • ill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1 Jo of Value of Appliance or Work
Commercial/Industrial
1.25qo of Value of Appliance or Work
Rate TOTAL
$ 30.00 $s,���
$ 10.00 $
$ 10.00 $
$ 10.00 $
$ 25.00 $
$
$
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25 00
PLUS THE $ 50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
$ .50
., ��, �
JOB ADDRESS lP 2� '`'�J
Effective On January 1, 2000
•" ' L�L: _ . �[1��i7 � � i LL :�r'��.-.r: e
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DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units�_ Circle One (Steam) (Hot Water) (Warm— A��
Trade Name_��,ZZ�,QC1R.pR°!(l3.�Size Np.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size Na
BTU __ HP EDR
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 an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and c�rrect.
DATE �' Z� — C9t7
HEATI NG CO C�o /'2 B���qir�,8
Signe TEL # QSZ ��2.U—�sDO
� �V
Approved By Rough-In Date Final Date �� �i=-%
HOUSE HEATING
ADDRESS
OCCUPANT
HEAT LOSS ��(p � DATE HTG. INST. �" 14" '��
ELECTRICAL WORK BY f,�j���.� ,
PERMIT# .T��-"�'�
TEST RECORD
� �
• �' , ii.
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TYPE OF HEAT GA �S FA _ HW _ STEAM SPACE HTR. UNTf HTR OTHER
GAS DESIGN
. ,. `
• � ! �o �:fi � ' I ��f+ L. ��I
CONTROIS
KIND OF LINER � S1ZE __�,Q__— NONE
FII.TERS SIZE �� X, Z�x � NUMBER �
PRESSURE .� ,�� PERCENT CO2 �
INPUT CFH PERCEnN'I-'\ 02
INPUT � � � ��l i W �,
• I��11. I�r1L►�
� • .� � � �� ���
, � _ �.�
3uilding
:nspec�ions
763-572-3604
�a�� � - � i — r� r�L
>ITE ADDRESS �o Z � � ���2�
"HIS APPLICANT IS: O
PROPERTY OWNER/
TENANT
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
NAIvIE: .V�x.•i � c� \-�� SG�
ADDRESS: �02- �� ��O r r�.1 CTfY
PHONE: 7�'� - so Z� C�fS 3�i
Permit No.:
Received By:
Date Rec'd:
�//
ATFI�AItIP�� Z
CONTRACTOR N,yME; 5; l v�r 5 c�.�✓ T—r.� •
SUBMIT A COPY OF STATE LICENSE # Z �`S // 5/S � EXP DATE - - 4'%
YOUR STATE LICENSE ADDRESS: i'�u S(o�'<<^- �v� �� CITY �t �� �.�1 STA7'E�IP_�� Z.
WITH APPLICATTON PHONE �o � Z-�l i�C- S 05 Z� FAX ?6 �^ S 7�- 7��3,�
PROPERTY TYPE
PERMIT TYPE
❑ BASEMENT FINISH ❑ ROOF O DRAIN TILE
�DECK ❑ SIDING O OTHER
❑ SWWIMING POOL
TYPE OF WORK:
DESCRIBE WORK BEING DONE: N-c...� S� c. �C.
SIZE OF IIvIPROVEMENT LENGTH f� WIDTH � Z HEIGHT � Sq. Ft ��
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SID1NG
❑ Vinyl
❑ Aluminum
❑ Othcr
WINDOWS
W E3QSTING OPENINGS OYes �Tlo
OR FOR NEW OPENMGS-DESCRIBE SIZE OF
OPENING CHANGES 8c
TYPE OF WINDOW TO BE INS'tALLED
O HOUSE & GARAGE
❑ ATTACHED GARAGE
O DETACHED GARAGE
�Soffit
❑ Trim
❑ Fascia
LACATION OF WINDOWS
NUMBER OF WIIdI
BASE1vIENT REMODELING SUBI�II7':
I . Existing Floor Plan
2. Proposed floor plan
3. List of sUucwral manbas to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS_ & PORCHES SUBMIT:
1. Site P1an/Survey showing the acisting structures
and proposed projed.
2. Two sets of construction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCIiEDULE)
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Chazge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Chazge
Total Due
$
$
$
$
$
$
$
�
$
$ �� a
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuaiion
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$I550 per SAC Unit (Plans to MWCC for determination)
ft+6ft- ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks aavable to: City of Fridley Attac6
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNT[L PROCESSED
I hereby apply for a building permit and I aclaiowledge that the informarion 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 case of all work which requires review and approval of plans.
SIGNATURE OF APPLlCANT PRIN'f NAME /il/i'7' �!�r' DATE ����� 0�
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� SiiverSaw Inc. . Decks
� 1385 64th Ave. NE, Fridley, MN 55432
phone:612-418-5052 - fax: 763-571-7735 - license #20059999
BUILDING SPECIFICATIONS FOR PERMIT
CUSTOMER NAME: �r,.�/ : �. 1� ei�S�� PHONE:J(p3-- $C�2" (o�' � �
ADDRESS: �csZ3� ��'�"� �-�
CITY, ZiPCODE: -}-r; �Q�,Q,� j�`�� �5�3� APftX. S7ART DATE: �-- j—p(o
FOOTINGS SUPPORT POS7S •� SUPPORT BEAMS
number. y� materia�: -i' r e�..�,�,Q. �`re.. material: T r e�,T� pr.•e.,
depth: Lt Z�` --. length: G� ` span: � 2.�
.,--°-�°�.. .
diamet : 1� be�� "� �� size: Co X tc 4x4, 4 4x10 4x12
LEDGER JOISTS DECKING
material: Tre�.rec.� p��- material: '�'rc�.�z� P`�`�' material: CecQwr
�
span: �'Z� span: �(a � Z �� length: ��-�
siding t�pe: �-��-�✓ 2x4, 2x8, 2x10, 2x12 attem: e��a�a e�a ka�s�
DECK SIZE STAIRS RAILINGS
length: ��c � material: "�"�'���e..� P�'�e- material: Cec�v.�
�
width: � 2 rise: '7 �� height: ��^��
y'
hei ht: b' run: �� O�` s acin :�-�Sy ��"`^" +
ADD-ONS & EXTRAS
benches: planters: arbor, treNis:
dimensions: dimensions: dimensions:
style: style: slyle:
finish under deck:
obstructions:
SPE� IAL INSfRU TI�� i c(��� ��,� W�j` �� �. ���5 ��, ���� v n•
..- `.`,A n I�CC.� 1 �V� ` v'
�.o ��E �vnus� �11s�►i��c. , �o�s�r �t�Nc�s A��d �.owuEC�s �
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