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AF - 47918� City of Fridley, Minn.. BUILDING PERMIT Date: _.._..Februar__�r._ 2_4� 1971___� pwner; __Russell Alber� ��___ g��r _�ERco�Inc. __ �_ _ Addr�s ....._1130_Cessha Drive _,_ _�_ ____ 3231 Central Avenue : . . .. Address _— �_._._v___._._..._._.._.._._ L ss-� 3 . 109 LOCATION OF BUILDING No. __ 6236 .._._._ Street ..� Kerr�'... Lane._N -E �_..._...___....._..._...._._......_._. Part of Lot _.____...._ Lot _.._.. �._.__....._..._ Block _._.__�_.._.._........_.._.........._. Addition or Sub-Division ._. Heather�Hills Addition Corner Lot ---_?�_.....---__.. Inside Lot ------.._..---._.._.._...------ Setback _._.._.._35.� _---.-- SideYard --._10 � & 36 � _.._ � Elevatian �._..__...�_-----...._._.__._._.___.._..------------- -. 944 4� Tov of Footin� DESCRIPTION OF BUILDING To be Use@ as: 29 2 23 2 _-D��el7..i.�a.g.._......____ Front ___.22.'_.. DePth _.._.2�� Height .._ 2� �._.. Sq. F� �� Cu. FL ?�.s:.�80 � Garage � 24' 23� 10 470 4700 + 940 CF _.__._._ ._._.._..._. Front _.__..._._ Depth _____._..._ Height _..__....._.� Sq. FL � Gia. F� Type of Construction _..._.....Frame.._..__.____.. Es� Cost _...._�24.:_000_._.._.._........ To be Co:npleted .—.A�ri1� 1971 Provide Hard Surfac� Driveway. Verify Location of basement with survey. Mi.nimum Grade: 18" above centerline of street. Engineeri.ng to establish grade. Provide Hub. SEWER LOCATION: 17.8' North of Stop Box WATER LOCATION: 24.2' North of Hydrant 21.5' Southeast of Tree Top of Curb (A) Center of Lot as Elev. Elev. 939 948.40 In consideration of the issuance to me of a permit to c the proposed work in acaordance with the description abc� ordinances of the city oP Fridley. (� the b'' described above, I agree to do h and pliance wlth all pravisions of .-. � e . In co�sfderation of the payment of a fee of �_��._..._._.., permit fs hereby granted to�Ereo� Inc. . to construct the building or addition as described above. This permit is granted 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 up� said building, or any part thereof, shall conform in all respects to the ordinancea o� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and. moving of buildings within the city limits and this permit may be revoked at ar�y time upon violation of any of the provisioas of safd ordinauces. �...—� ,e�� `� Buildin8 Inspecto� Hank Muhich NOTICE: TMs p�radf doa nof eovK tiN eonsMueHo�, iushllNion foe wMino, plumbino. Yu h�afia�, � or wat�r. d� swr fo sN th� Buildieg Intp�eMr for s�p��at� p�nnils for fh� iNms. .M' � � � � . 1 APLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME :��SSEL L�L /S=� fZL�� BUILDER : 2� � - � -�'U �- , anDxESS : � l 3 � �5 S`�!� i%(Z an�ss • 3 2 3 r �iC/7�ie� .�--- . NO : . r .� �' �'? STREET : �-,�J✓ � LOT : � BLOCK : � ADDITION : /7��',st�,,c-�. �1�-�i� ��CJ�. CORNER LOT: 'X INSIDE LOT:� SETBACK: �� SIDEYARD: �� 3 b Appli�ant attach to this form TYao Certificates of Survey of Lot and proposed building location drawn on these Certificat,(�es. S�P KJ �r — / `�� S. � �O Y �G o f .I ��bp /J v ,� -- ��P (f -- % 3 � rr %a� — � y. 2� /V o r�h c� f�y o�r a.•�� -1 � � Sa � �-�c,s� o� TYc,� HESCRIPTION OF BUILDING To Be Used As: ,� r Z �j2 23 Z . �- Front : 2 2 �p� : Z S Height : � C� ` Square Feet; �02 Cubic Feet: Z�� X 13 ��. �t I��°�Q c v �` "�� F nt : Depth • 2 3 � Height • f d Square Feet; 75 Cubic Feet: �%l �'t-py0 C(� �'� z Type of Construction: Estimated Cost: $ To Be Completed: / ' % /a,� D c�. y� � �P �n r�PY � f .c a t�►s �' �'�� 9�'d.', �o °/' f /�o �mc�� f �'�„r /r'li �► ��'PV �- 9�yi, f� a The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the De artment of B ildi d h b i� 23 Z ,� � 4 4 � /? . �x �--_ Z � � �� 7 � X 5 23i Z t� y ° r� � p u ngs, an ere y I,Z � y declares that all the facts and representations ted in this application � are true and correct. � Zy�&� ' \ a D DiATE: I� f �' �' SIGNA 29;l�� , y � (See. Revex �,S�de For Additio�' 1 Infor,�ation� )� ,;� �� ( � Y o � r - (� „�.._ �� { � ,�� ...� 3 3 G ' g �� ,.i � � , � t, �� ii-°� � � � . Z9 S � �' , Z3 Go � b' , � �f � , ,/, �, w�, % ;.: i� r�,' � t� � y • 7 0 �� M � � L� C' 7 f - / � � ` f � .�/ �P � � �' �%'r"�� ;�' 1 . ( A V s � - , �,t �, � r ,,.+,d ! i <r �j ,�% " � � 'b° e5 <� '°� l`'T • �r E c� �'" /�"� j/ Q /� y� , .. r � ✓' !� � _ � ;r . _ i S t✓ �Y� �i . _, Fw" ,� . � . ` �y � � / �'" ? � J f �� ..i .1 }W' �P• '� � i� �:a r�:� � 4.• � `� ! '' � � �` y� APLIC�TION FOR RESIDENTIAL, ALTERATION, OR AllllITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � � ' � ^.. � �, �� ,i�� . �� . � , . � ;, .. /� OWNER' S NAME : � �'SS[: % � 17Z- /i � /` �/ BUILDER : �� ,.• _ �> c ADDRES S : � I 7 � ' �j S �.f :/� /� � ADDRES S : � 2' � / �/L!� %/� /'f-- �,- NO:.C�•,�� ' � STREET: ;'��!2/�� - �-✓V �-�� LOT : ? BLOCK: 2` ADDITION : /�< �z..� `�'�._ ��-C�-�°�. CORNER LOT: �� INSIDE LOT:� SETBACK: �� SIDEYARD: 1� �� _ Applicant attach to this form Ztao Certificates of Survev of Lot and pxoposed � building location drawn on these Certificates. $ aQ,�,,�", 1 �.. g � �12�n'� � � �"J� �� r � � �3� ' 2 3 Z ----... _. , °w� - ��. z ' ��`� �►�� ' � °� �"S� �ESCRIPTION 0 ILDING 3--�-- , C ..f i � � :{e �,,, ,� ., -.�, � � C .:�• ° � !r'± W �, 5 i � � l o � 5� � �� '+� � 4 4 % To Be Used As : � � ;, r;, ,. p�j � ,� ��_ � � r1: f d 3 y ; � ? � � �X - ,` .c. � �.�----� Front : Z Z Depth : 7- � Height : �C� �_ ` Z ,� Square Feet: �02� Cubic Feet: Z��C� Z __---•--- �. /.�- • � � � � `i'L-=�"`"� ��— Front : C�O Depth • 2 3 7 Height : � �' . �" ��'� k Square Feet;�a Cubic Feet:_ �r ��(% G� -f' �l�O,�,r_r� g y� � � l � , �pe of Construction: °Z�C��t�'� Estimated .Cost: � �� 3 � � To $e Completed: �/ f'7 / , �f 2 3-y �'j3 P O c= e u �g � C9-w�., � � «c.o � c.. � cl . �4-� . � . / �_ . P a� �� n�oPr;� m �,v C�r�..v � � � � q�q�lo y � �a The undersigned hereby makes application for a permit for the work herein -✓� specified, agreeing to do all work in sttict accordance with ttce City of �.�� Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the £acts and representations tated in this application �� are true and correct. � . Zy �� / \ / `� � ( 7C; ' � DATE:� �� ! �' SIGNATiJ�� '_�-�"�-`� T" --'` 'Zg5 �c ti-- � / �r } - f � o (See Reverse Side For Additional InfoxYnation. ) ��( %� o � r ? , ; a' '� f �' � -- (,x �, . . �'� 3 3 � 4 � � � Sv'> f�C �' %��'��'��' 29�� _ . : , ,� ,;� , 3 �� a � ; . 7 f (' � t" � / ,l ` �` y .y� � L� i�' � t�' (� � �l • 7 L / + ., , . %'� � ti'1( tit+ � iy t � -r_ �, �i -� — j G �' :a ', �i/ � � � � � -��r!'r: �!"- T ` , �: � �� . "; j`".F�} t D�r .�.� � .� •� � �' � �' % � �i �'' «c �;•� i 1 �. 4 t� � t' /"� +� �� • �,� �n f` ; , � , -� r, � ,s d Q;�� S c� 4.� �t,tl� !i s.. �a , y �' l�l� t. �j -,; -�y, � i� , , . � , ., _ + • � : Y ` _ _ _ � - ._. . . r_,. , . F . • .1 . . . . . � . _ . .- . ._ __ . � � Application �or Pows� Ptaets and N�ating. Cooli�, Yeneikrtion� Re�iqe�n and Air Condi�ioning ��rst�ms and DeYic�s PAR'�t�iL RATE SCHEDULE GRAVITY WARM AIA: RA'1'� TOTAL Furnace ShelI & Duci �R`ork . . . . : . . . . . . . . . . . . . . . . . . . . . $10.00 � Replacement of �rnaee ........................._... 6.00 : Repairs & Alteraiions—up to a500.00 . . . . . . . . . . . . . . . . 6.00 � -- Repairs Ec Alterations each add. #500.00 . . . . . . : : . . . . . . 3.00 ¢ �iECH. W1►RM AIA Furnace Shell Ea Duct Work to 1'0,000 BTU . . . . . . . . . . . . $10.00 a eact, add 80,00a aTV . . ...... .. . . . .. . .. . . . . . 3.0o x Replacement of F�rnace . . .. . . . . . . . . . . . . . . . .. . . : .. . . : 6.00 � Repairs & Alterations—up to j500.00 . . . . . . . . . . . . . . . . 6.00 E Repairs & Alterations each add. =50Q.00 . . . . . . . . . . . . . . 3.00 s STEAM or HOT WXTEA SYSTE�t Furnace She�l & Lines—to 400 sq. it. EDA Steam .... $10.00 $ Fiirnace Shell & Line—to 640 sq. ft. EDR Hot Water .. I0.00 $ Each add. 200 aq. ft. EDFt Stesm . . . . . . . . . . . . : . ... . . : 3.00 $ Each add. 320 sq. !t. EDR. Hot Water . . . . . . . . . . . . . . 3.00 � OIL BIIRD'iER—to 3 gal. Per haur . . . `. .' . . . . . . . . . . . . 6.00 $ over 3 gal. per hoar—See Fee Schedvle GAS BURNER (up to 199,000 BTU) . . . . . . . . . . . . . . : . . . . . : . . 8.00 a over 199,004 BTU See Fef Sch�dul� GAS FITTING FEEB: PiQ RATE TOTAL lst 3 Fixtures . . . . . . . .. . . . . . .... . . x� 2.00 3 l Additional P'ixtures . ....... ........ x .76 � Gas Range to 199,f1Q� . . . . . . . . . . ` xE' &0� _ AIR COIlDITIOI��Il�i � FAN HEATIIi�i SYSTElE � SM � F� $chdals . VENTILX?IIiG SYS?E1K . � ALTERATfOl�iB � RBPAIAB TOT1lL PES � ROU(3H FINAL � ' � �` %` n«pt. of s��... �on. sea-sa5o I. k:t � ,1�� . ., City ot Fridtey: � � –'f° The undersigned herebp makes application for a permit ior the work hereir. specified, agreeing to do all work in strict secordance with the City Ordinances and ruling of the Department oi BwiTdings, and hereby declares that aTl the facts and representations stated in this application are true and correct. .�, Fridley, Minn �' �� , 1t1�.� Owner Kind of Building Use� as �'o be completed about Estimated Cost, $—�� • Oid ew Building Permit No. Permit No. DffiCRlPTIOI�i OF NtORB HEATI1�iG a� FOWEii tesm, iiot Water, Warm Air—No Trade Nam_— � Size Aio 'l� Capacity Sq. Ft. E.D.R BTU � Ii.P. Total Connected Load��e� �� Rind of Fue BURNER — Trade Name Size N� CBDacity S9. Fk E.DR BTU IiP. (REMARKS-OYER) Sl.'BURBAN AIR �p S DRIVE ININNEAPOUg � � � P� N�+- �ity of f-ridley - Applic�rtion for Mwnbisq a�d C,os � hn�ir D�pt. of Bldq�. Pkon� 960-3490 DESCHIPTIOfi OF iNOA1C Mumb�r. Kind aad Loealion oi Fixluns � � �1 ( N (! • . WATEII MII. Q z " 3� � Z� � �� Si 2� �2 �� v� I N GAS ELEC. _� Base f � � / lrt 2nd 3rd �th • Fulur� Cosn�etloa Oy�d�s t ll�w Fixtur�. Old Oy�aia�s PARTIAL RAT� SCHEDULE � � PLVMSIIfG FIZTURE RATE8: IfO. RATE TOTAL Number PYxtures . . . . . . . . . . . . . . . � x a200 s . � l� � �.L P1�ture Fixture O�ening . . . . . . . . . . . � x E1.50 = _"t! New Fixture Old Opening . . . . . . . . . . x ;1,50 a�_ Catch Basin . . . . . . . . . . . . . . . . . . . . x s3.25 i Water Heater :Up to 99.000 BTU� .•.• �_ x=8.00 ; 3 0 C Nea Ground Run Old Bidg. . . . . . . . . x :3.25 s El�ctrie Wst� iLabr . . . . . . . . . . . . . . : =2.00 i GAS FITTIIfG FEES: NO. R11?E TOTAL lat 3 Fixtutes . . . . . . . . . . . . . . . . . �_ : �2,pp ; �• 00 Additioaal �'iztura . ... . ... ..... . . . . . x = .Tb = Gae Ran�e to 198.000 BTU .. . ... . .. . . ... a =5.00 i REPAIRS � 11LTEA11TI0lIb—R�i�s to Cod� `�t �� Dacriptlon . . . . . . . . . . .. . . .. . .... . .... . . . ..... . .. . ... . ... . �"�� 1'O�PAL !'EEE � CItY Oi �i�ly: i k,-, C;.�J�`' ; r�� ,� �� The undersi�aed hereby makes application for a permit tor the �sorlc herei speci�ed, a�e�ng to do all work in sMct accordance with the Cit� �dinance and niling oi the Department of Buildings. and hereby declares that ali the tact and representatione stated ia tbis appHcation are true and yorrect lYidleY. Owner l � C �� Kind of Building Used as To be completed about �-� —, �s 7/ Estimated Cost, S Old—New. Building Permit No. P�smit No. �°�" a� Signed ,'�� il� c�s✓` w> i' �` ��li��__ gy �,�.�v�.� Business Phune No 7-�'—' `� � y�` ROUGH F'INAL S'� ? — 7 � sue�ecT PERMIT City of Fridley 2 O 5 3 4 AT THE TOP OF THE TWINS g � i L D I N G P E R M I T i � RECEIPT NO. � �• COMMUNITY OEVELOPMENT DtV. � /'/ _ r � v � PROTECTIVE INSPECTION SEC. S i0 ( � �"'1 � CITY HALL FRIDIE� 55432 NUMBER REV. DATE PAGE OF APVHOVEO BY �.---'�'• •'' 612-571-3450 9t0-F15 8/'28/90 / / JOB ADDRESS 6236 Kerry Lane N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 7 2 Iieath.er H111S Addi.tion SHEET 2 PROPEATY OWNER MAIL ADDRESS ZIP PHONE Mike Russinik 6236 Kerry Lane N.E. 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO. M.W. [nlest Builders 15415 Drexel Way, Apply Valley, MN 55124 423-3772 4 ARCHITECT OR DESIGNEH MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CI.ASS OF WOHK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WOAK Construct a 14' x 15� Porch Addition 9 CHANGEQFUSEFROM TO STIPULATIONS See notations on plan, SEPARATE PERMITS REQUlRED FOR n ail new roofs or tear-offs and replacement roofs, WIRIN�, H�.ATIi��, PLl�N7�1tVG RND SIGNS. tate Code requires that 2 layers of 15 fb. felt, �� cpped together, be installed to a point 24 inC�es p from ev.terior walf line, or thc use af other Before diggirg call for pproved underlayment membrane. all utility I��ations 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOF ELECTRICAL, 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 SUSPENDEA OR ABANDONED FOR 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 �^ STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUHTAX AND OiiDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPUEO $�Q,6cJQ $5�33 WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GtVE AUTHORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY 07HER STATE OR LOCAL LAW REGULATING CON- $126�00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE i.re 1Q.65 1.�8 SIGNATUREOFCONTRAC?ORORAUTMORIZEDAGENT IDATE� y{JH PROPERLY T D S� S YOUR PERMIT � SiGNATURE OF OWNEP iiF OWNER BUILDER� �DATE� SP � nAT � NEW [ ] Effective 8/16/90 ADDN j�] R-1 AND R-2 ALTER [ � Buildir�g Permit Applicati� OorLStzuction Address : I�gal De.saiption: GoT 7, `1 /o � C 2 owner rrame &�aare.ss: /%i �e �Q U 5 s r r� � I� �v Z 3� k e��,� �. # (bntractor: �% lr/ - G�J e� 7` /3 U�/d ei 5 Te7.. # 5� z 3- 3 �? z l�ddress:. /S�IiS l,�r Px P l � a,� ,dQ�,d/e �/a //e� Attach tA this applicatio�, a dertificate of S�vey of the lat, with the prq�osed vonstn�cti� drawn ori it to scale. � � D�:SC�tIPTI�TsOF Il��'RO�Nt' � �: � �. w�� t i2 ' �. �. �r a �a �,RA� A�A: Iength wiatn xeic�t sq. Ft. D�CR AREF,: Lerigth width Hgt/Grau�d Sq. P't. O�R: � lo XS�•b�' = 10,�36� tbrner Lat [] Inside Iot [] Ft. Yd Setback Side Yaiti Setbacks � of ��: �o« h � dd. �� : $ i .�pprox. Cxenpletiari Date: fsc� /, yG /b, 6�C�141� o� I V� �.1� 5-s. lo � 4�.5� Prop� Drive�ray Width If New Is Desired: Ft. $ $ Width + 6' See BacJc Page np,�: ?- 2/- q'o �r�c.Atar: / � Te1. # yz 3� 3 7 7Z F+ermit Fee $ � Z.la� Fire s'��rh,ai�ge $ 10. bT state surcharge S �.33 SAC Ct�arge $ Driveway Escrvw $ Park Fee $ s�w�x rlain Ci�qe $ �.,Y: _ ��5: � 1� ,98 �sG 3s,aa ��98 [� 4 y'��t=i' ��+ �'� Fee Sd�eciule aal Reverse Side .OQi x P�ermit Valuatioa'i (1/lOth $) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determisied by F�gineerir�g �� N�Y [ 7 Not Neoe.ssazY [ ] N��A A pP�i ��'► c9u� , . lo,��o '�-c� � -- �S� o c� 9� g� . � G 2.�0 �� CITY OF FRIDLEY INSRECTION DIV. 6431 University Ave NE Fridley, MN 55432 572— 3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effedive On January 1, 1999 PLUMBING FIXTURE RATES: NO. RATE New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appiiance Water Heater —Electric Water Heater — Gas** �as Range** Das Dryer** Back F1ow Preventer Required ()Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ �.00 $10.00 $10.00 $10.00 TOTAL JOB ADDRESS 6�as 6 K��,� ln � The undersigned hereby makes appiication for a permit for the work herein specified agreeing to do all work in strict accordance with the ciry codes and rulings ot the Building Dlvlsion, and hereby declares that a!! the tacts and rep�esentations stated in this application are true and cor�ect. � �' /� , 1999 Owner i"�((L,�� P �s�n�c� Buiiding Used As ��J�� Estimated Cost PEflMIT NO. � � � , $15.00 PLUMBING COMPANY„�! �''1 -s L�2 u�'-�� T y v�6i t�t5 �•— Retnspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATION8 1.596 of Value of Fixture or Appliance State Surcharge TOTAL FEE SIGNED BY Approved By .50 O �/�� TEL N0. 4��- 4�-3�-J FS Rough—!n Date Final Date �� I� $�3� PLUS THE 5.50 STATE SURCHARGE *�'COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MIN�MUM SI2E 9 SC] INCHES. CITY OF FRIDLEY INSPECTION DIV. 6431 Unive�rssity Ave NE � � � e Fridle�, MN 5-�432' � � ` 572-3�v'� APPLICATION FOR PLUMBING AND GAS FITTINCa PERMIT MAr�K�NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLODR Effective On May 10, 1999 PLUMBING FIXTURE RATES: NO. RATE New Fixtures Old Opening, New Fixture Bee� Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receivi�g Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas'"` 1 Gas Range*" 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 $15.00 TOTAL JOB 1 2 �.r �. �4 l� The undersigned hereby makes appiication 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 thi � application are true and correct. � ��s , �sss Owner _ �. �v S S � nS K Building Used As� � S . w j� r -'' Estimated Cost 5�a' PERMIT N0. I �.� .,.. PLUMBING COMF3�IJY � A r�o � l� S o�i °� � a� Reinspection Fee $47.00/Hr SIGNED r-+ti.d�a-r✓ TEL N0. �.-� 3- 8� 3� ALL OTHERS AND/OR REPAIRS AND ALT�RATtONS t 1.5% of Value of Fixture or Appliance �. � � Approved By Rough-fn Date Final Date� � ��' '' ; State Surcharge $ _50 TOTAL FEE $ � e .SQ "*COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. � � �� OF FRtDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 16, 2001 Michael Russinik 6236 Kerry Lane NE Fridley, MN 55432 Re: Final Inspection at 6236 Kerry Lane NE Contractor: R A Johnson & Son Dear Mr. Russinik: ti A plumbing permit was issued on December 30, 1999 to install a water heater at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The pemut fee paid covers the inspector's time to make sure the appliance was install�i correctly. We also check to matce sure combustion air has been installed and that the vent and vent connectors have been sized properly. If 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 inspections were called for. Any questions can be addressed to me at (763) 572-3603. QinrPrPiv Building Inspections 763-572-3604 DATE y LZ OIO SITE ADDRESS �� THIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: Received By: Date Rec'd: YOUR E-MAIL ADDRESS (� 1,Q C'I�d71('�P �(Yb��F �inC��'1S�1. ��M ❑ OWNER �NTRACTOR � � �,� \..I.. : r �. � PROPERTYOWNER/ Np,�: j�-(�k� RuSS��1� TENANT ,�DRESS: �23(0 �-e(-�� ,s�• CiTY—fil`; l� STATE��ZIP�� PHONE:��b�' J`�I � — �3Z.� CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: STATE LICENSE # 2d3I `12 � v EXP DATE 3°J l ADDRESS: �{5 11 � �• 6�1� CIT' PHONE� (��'J'0Yl �^�1 b�1 FAX '�l (�^ Z('�^' �2 0� R�`SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES _ O BASEMENT FMISH ❑ ROOF � DRAIN TILE ❑ DECK ❑ SIDING O OTHER D SWIMMWG POOL !J n�uz�SS`(L� DESCRIBE WORK BEING DONE: ?��ll � �,-� ��,cro��,�- �,��,n�v � �' er� � `s�s� SIZE OF IMPROVEMENT NUMBER OF SQUARES _ GARAG PROPOSED SIZE: PROPOSED HEIGHT: SIDIIVG O Vinyl ❑ Aluminum ❑ Other _ ❑ HOUSE & GARAGE O ATTACI�D GAR.AGE O DETACI�D GARAGE OSoffit ❑ Trim ❑ Fascia WIDTH HEIGHT IN EXISTING OPENINGS �Yes QNo LOCATION OF WINDOWS �� OR FOR NEW OPENMGS-DESCRIBE SIZE OF 2FS3!'i X�l.�S �� OPENING CHANGES & t TYPE OF WII�iDOW TO BE INSTALLED C8?SQ�1P►'[{ NUMBER OF WMDOWS 1 BASEMENT REMODELING SUBIvIIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of strucwral members to be used FOR NEW CONSTRUC770N INCLUDING DECKS, A9DITIONS. 8c PORCHES SUBNIIT: 1. Site Pian/Survey showing the vcisting strucWres and proposed project 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�j.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S��5�.� • OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ � See Back Page for Fee Schedule $ 65% of Building Permit Fee $ 01 _�g .001 times the total job valuation $ ,;L 9 .0005 x Permit Valuation Minimum $.50 $ ,Q'� $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ °1 _/� Make checks uayable to: City of Fridley Attach 7'HIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge 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 w ich requ' es rev' w and approval of plans. SIGNATURE OF APPLICANT �� PRIN? NAME��211� d T61A��_DATE �!�2- � b6 , • CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 6236 KERRY LN NE PIN : 133024430027 LEGAL DESC : HEATHER HILLS : LOT '7 BLOCK 2 PERMtT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : BASEMENT FINISH VALUATION : $ 11,955.00 NOTE: H/0:763-571-8321 CONT:763-574-9769 FiNISH BASEMENT, CREATE BEAUTY SALON STATE LICENSED CONTRACTOR? APPLICANT CUSTOM HOME REMODELING INC 4517 STH ST NE COLUMBIA HEIGHTS, MN 55421-2230 (763) 574-9769 BC20317269 OWNER RUSSINIK MICHAEL D 8c SUSAN 623b KERRY LN NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authoriry to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date 1 PERMIT NO.: 2006-01290 DATE ISSUED: 07/13/2006 $UILDING PERMIT FEE PLAN CHECK FEE STATE SURCHARGE, BLDG VALUE FIRE SURCHARGE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 6311 ''�i � ��°Y SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 209.25 136.01 5.98 11.96 5.00 368.20 Build.i�g Inspe�t�ions nnTp � <2 p i,•rn A��Anc�SS � 1�5 AYNLIC.AN7' l5: TENANT �UILDING No.. I2,F►�Il)�I�tTIAL APPLICATIO�T �.��i�� y:_ "—'. CIT� OF I'+"RIDLEY 17�te Rec'd: � _, _. Y()t3lt F�MAIL AUDRESS _�S'�'(j ^ � r/j�s n . �n �j �--_ . .. _.. _�._ .. ... ......... _._. . C] QWtdF,R [8C.i51V fItAC1'UR � ,.� ?� � i'��e v�s 1 n; k ADDIt�SS:_ �2,�_ PHONE: � I73 - 5'�1 ( - — _......, ._ . __ C'i'I'Y (` r � . ._... STA7'E�ZIi��$�Z _.__-- NAMC:. .ldS fi e m._ �i�'X�� --.... .....__ .. ,_._ SUBMIT A COPY OF $TA't'G LICENSh � 2 d31 �12 b�P .._.. . E� uA��; 3 3 t� p'7 YOUR 3TATE LICENSB ADDItE55:_ .�L.S,i�I S'� �'? , i+.�'� c;rl'YCO� N4k�..._ �S7'A7'R�IP�2,1 wi� ��r.,icA�rtoN NHC�►vn � 63- s�u- 9'7 b9 -- Fn�c � b3 -, 208 l2oS . ,YMHW PERMIT yrt'sns�t�vTrnalsi[ ❑ KcxyN 0 �� Ct SIDING _ _ a swn�� TYPE OF 17 D1tAM'I'ILki D tYrHN.R DESC.RIBE WURK BEIN�i DONE: C('Z�_ `� ! . S2�edl __ '"-�-�... .. . ..__. SIZE UF 111�'RC]V�MLN'f i,ENC'TH �- WIDThT � t7 l-IIitGH'!' $,� �'�"' '' ❑ . ortt.Y NUMBER QF SQUAt2�S ,,,,, .. � HOUSE 8t GARA(}G �,,4CML'•NT RCMQt�I IN[; S �e �T� � C1 A3TACFi�D OARACfi 1, Existing I1oor Plen PROI'OSBD SIZB: p UB'E'A(.'HIID GARAG� 2, k'ropos�d floor plan PROFOS�D i•IEIQHT: 3. Lisl uf alnwlural mentbcrs to he t�ed �iiD1Nt: C7 Vinyi ❑ Numinum [7 Uthor wnvr�ows IN EXI3TIN(i l7PENINCS ❑Yee �lo UR FUR NEW OPENIIVQS-DCSCRIFi$ $V!i (�F OPENINQ C1•L4Nf3ES $c CSM�t ❑ Tritn O Favcia LOCATTCIN! C1T W NI]OWS 2 ��l�t X �S �/y_ , �ST �►.i/r411 �� E�5�D OlY VALUATION, INCUilDING TIfE CUST OF J S S (USII�iG THE 1997 U.� C FEG SCHEpU�.E) TOTAL JOB VALUATIUN $ �t;Upqry�. Permit F�ee � " ^ Plaq Review Fire Surcharge Surch�be Lioense Sutcharge SAC Charge Curb Cut Esaow �i'srosian Contral patk l�ee Sowor Main Ghar�e '�'ota! Due PpK N�sW (:i}NSTRUCT{9N QJCLUDlIVt� Uli�.:KS, i. SitG Plan/$wve�+sfwwing the axiating gtnwq�rea � P� proJecG 2. '1'wo sots of canstruction plat�s 3. �ncrgy Celculatioiffi TERIALS: $_.� c�'"! ,��_ Sco Back Page foc Fee Schedule ��"'�""" � -i 3 t� 1 6S% af Bui ldin� l�ermit Fee $ (/ ��a .OU 1 times the total job val�,atien a $ _ _ �i' � .00Q5 x �'ermtc Yaiwstion Minimum 5.50 � .c� $5.06 (State Licensed ltesidential ContraGtors) � $1550 per SAG Unit (Placzs to MWCC for de�terminaticrn) � ft*6ft= ftx$Z1=� � �45U Cons�rvalion Alttr� Review � Fc�; Determined by Engineering � Agreement necesssry ( ) Nan Necessery ( } . �_.. �6 �'- , Mal4e checks payable to: Citv of Fridlev Attae 7'l�qS tS AN APPLICATlON FUR A FERMIT�NOT VAl.[L711N'1'tl, PRt)C:ESSED I hereby apply for a building pprmit smd I aclrnowledge that the information �bove is camplete and aceurate; that th� work will be in conformance with the ordinanees and cad�s of ihe City of Fridley and wrirh tha Mitu�esota Const�vction Codes; thac 1 undet�tand this is not a permit but only an application for o permit �nd work is not to sta�t without s permit; that the work will be in accordan,ce with the approved plan in the cese of al! work w ich r�+qui iew approval �f plans. S(GNATL11�6 ON AW'L1CAN'f .,, PitINT AiAME �'Pnli!P�� U� )�l� P!L pA7'8 ��Z � I� Ed WdSZ:�6 9@0Z TI 'Iflt LBZtiTLS�9L: 'ON Xd.� haIPTa� fo h�ta' 4�1� Custa�m Home Remodeling, Inc. �� 45 � 7 Sth Street Northeast Columbia Heights, MN 55421 Phone # 763-574-9769 Name / Address Aaran & Victoria Kriz 6236 Kerry Ln. Fridley, MN 55432 Description Proposal Date Number 6/12/2006 6020 Total Basement: Create salon in lower level of home to include the following: Insulate ezterior walls to r-b.5 with Thermaz or equivalent rigid insulation board, seal rim. Frame for egterior walls, around beam, ducts, water meter and product showcase with shelves. Run two supply ducts and one return air to salon. Install ezhaust fan vented to ezterior. Wire for wall outlets to code, hair drying station, recessed can lighting (8), recessed eyeballs (3), smoke detector, hallway light on 3-way switch, ca61e and phone. Run plumbing for hair washing station to include water, waste and venting. Cover wall and ceiling area with drywall, tape, mud, sand, prime and paint wa1Ls and ceiling (customer to supply finish coat paint). Provide and install 34" raised panel door. Trim around door and window opening's, install 6aseboard molding. Stain and seal new wood. Install customer supplied fiztures. Windows: Provide and install one e ress compliant white vinyl window manufactured by Lindsay Window and Door co. with ow-e argon high performance glass and Lifetime warranty. Includes egcavation, cutting of block opening, treated frame sealed to opening, setting of window, metal egress well, cedar trim boards around ezterior of window and 12" pea gravel drainage base in bottom of well. Total $Q.00 Signature: �.S � 2 — � � .� r �_� � � S or C � � � , � � � �f ��1 f� � � � � � � � �% J cN �� __� l � � � � � � � � ,�0;6 -- � (.� �`` � � �. � -- � � ��. - �� -x. �� ' 1�_ � , � ,��. �1`� � � v� � � 4�-- �` � � �� _ �~�..`�� \ �'�,.--� c, � �� .� : � _ � � ''d�J . , t0 �j ., X �%� � `v � � b � .. O � �> ., - C�D � �J p� � i �� 'p�'4� N � �(� N� ,-� u� 1�1 � 5'— ��J � �►1 � � � �.! � � � � c1 ` M �3� �� a � � U� 3 , , 2 -8„ X � , 3„ �._�� 5, 8„ 0 _� � 4 . O ,� N „6 ; � �v� r w � -� C� � � � � � � �� U �i\c,-- 2�� `-� --� �� W w O � t�tJ O J � � � O d O � _� o� 0 o�' `� ►.. O V a� cz N C '� � J m � ,, � •, 2 r � rr X �/ � � �� , � O � Building PLUMBING Permit No.� �' `- �'' � `� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: �'l �� DATE �% ,�` Y�U �j YOUR E-MAIL ADDRESS f�� f;��.-4 ; rc'� � 9�c'] �. CA� S�� -�36 _ .�� f � � r_ � ��-' THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR � ADDRESS: CITY STATE ZIP PHONE: ......._ _ .,_ �._: J. �� SUBMIT A COPY OF STATE LICENSE #� �'�PZ/ � EXP DATE O 7–� YOUR STATE ADDRESS: �1��7Ib I%��i� D,PI 1 I;�� CITY� � STATE�ZIP S�Y LICENSE WITH pHONE � I Z S�I �S `�� FAX ��%G� �4%� 9 APPLICATION PERMTT TYPE TYPE OF WORK: I ��W FAMILY O TWO FAMILY ❑ TOWNHOUSE ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK iv��l ��5�,cw `.�;•�,h ;n ,�.�c'.-+'�t�•�' PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost ep to �54t1:(16;_whichever is greater, for the I improvement, installation or replacement of a residential fixture, excluding the fixtures: �{�tis�h�uldreflect only the cost of labor j Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = , �Oit•EKE3JEGTS VVHER� i:�E$f3�£3CCEEI)S $300, FEES ARE BASED ON $i�:4(f:PEK:Ff3fT•E}f�;� - . _ FiX�'43i�ES: -�1?JDICA'L£ _�'f�1 NUMBER OF EACH BELOV� BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING pv�cirrt�cErvsE) SWIMMING POOL WATER SOFTNER (S35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. (S15) DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER � OTHER Permit Fee TOTAL DUE $ ��.SL Number of fixtures @ $10.00 x $10.00 = $ .50 Number of fixtures @ $15.00 x $15.00 = $ $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMTf-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 case of al ork which requires review and approval of plans. —" ..� a� SIGNATURE OF APPLICANT �,�i( �'— PRINT NAME �aln.w � 1a .r�v� DATE � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Pennit rto.: �:t;:�c:'�-- �_ a L� Inspections RESIDENTIAL APPLICATION Received By: - 763-572-3604 CITY �F FRIDLEY Date Rec'd: �1 ."�l �= DATE / � /Xa S.ITE ADDRESS _ TFIIS APPLICANT IS: PROPERTY OWNER/ TENANT C E-MAIL ADDRESS A l; V►v i tct�►�., x vn COMPANY NAME: 11 �" SUBMIT A COPY OF CONTAC'I' PERSON• B�l k`LCM't YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ,e,DD�g; � CITY PI� E1/ STATE�ZIP� APPLICATION PHp� -Q FAX PERNIIT TYPE TYPE OF WORK: I � ��'�' FAMILY ❑ TWO FAMILY � TOWNEiOUSE ❑ REPLACEN�NT ,� ALTF•RATION(REMODEL DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% oi the total cost np to $500.00, whichever is greater, for the irnprovement, installation or replacement of a residential fixture, excluding the fixtures. (This shauld reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS VJI�RE LABOR EXCEEDS $500, FEES ARE BASED ON S10.00 PER FIXTURE, EXCEPT WHFiRE NOTED. FIXTURES: (lNDICATE TOTAL NUMBER OF EACH BELOV� Equipment Instaped , MFG: MODEL: S��'� MFG: MODEL: SIZFIBTU MFG: MODEL: S1ZElBTU AJC $25.00 _FIREYLACE (GAS) $13.00 GAS RANGFJUVEN S10.00 AIR TO AJR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL S1U.00 lBOILER $35.00 _FURNACE $35.00 �CAS UMT HTR 510.00 �,p-CHIMNEY LINER 510.00 GAS DRYER $10.00 POOL HEAT'BR 535.� X DUCT WORK S10.00 _GAS PIPII3G 510.00 VENTILATOR S1i.00 - - - — — .�.�� Permit Fee $ Number of fixtures @$10.00 � x$10.00 =$ lc�1.CI�l Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixt�ues @$25.00 x$25.00 =$ � Number of fixtures @$35.OU x 535.00 = S State Surcharge = $ 50 � Total = $� THIS IS Ald APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City o Fridley and with the Minnesota�Constxuction Codes; that I undarstand this is not a permit but only an application r a it and w is not to start without a permit; that the work will be in accordance with the approved plan in the case all wor hi equires re w and approval of pl . � SIGNANR.E OF APPLICANT PRINT NAME DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATiON NEEDED TO PROCESS PERMIT RESIDENTIAL PERMlT APPLICATION HVAC ❑ NEW HOMESIADDITIONS EXtSTlNG HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTtNG HOMES 1. Combustion Air (See note below) • a. Oi.l or solid fuel IMC Chapter 7 with NiN Amendmen.ts b. Natural Gas or.Propane/IE"GC Chapter 3 with MI� Am.endments 2. Make-up Air (5e� note below) � a. IMC Chapter 5 with NiN Amendments 3. Venting � a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IlvIC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load. per room a, Required on new consfxuction IMC 1346.0312 5. V entilation . a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D � NOTE: Centerpoint Energy Mechanical Code Guidelines sofiware may be used for combus�ion and make up air calculations