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AF - 47928Caty of Fridley, Min.n. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT �,�: May 12, 1972 �� Edward Clard �� 6251 Kerry Lane Erco, Inc, Builder ..._.. _._. Address __._.—.. 3231 Central I (� r � / I LOCATION OF BUILDING Na 6251 S�t �Kerry Lane _�_______.._._ .._____....-.._._•------_ Part of Lot _ Lot 6 giock 3 ..._.._...._ Additian or Sub-Divisian . Healther Hills Corner Lot .r.._ Tnside Lot R __ Setback _.�.__—�.__.._._ Sideyard �� 60' S. of M.H. $ewer Elevatian Foundation Elevation _ ._. _ Tnfye eva on`�"'3+�''-+'�" - Tnn nf Fnnt;ng 9_b_34 (Ay��rox�� Water Location -70 5 S of M H 10.5'� S of Sewer Servic6 DESCRIPTION OF BUILDING - To be vsed as: � Dwelling Garage , TyPe of Construction � � � Front 45 Depth 2$ Height ��_ �. F� 126 0 Front ._._ 2 0' Depth 26' Heightl ��__..._.._ Sq. Ft. __ 5 20 Frame 23 838.60 —•-.-.– Es� C�t .�....... '.__......__...�__:... To be Completed 25,200 Gu. Ft ..r.. � k.t, 5 , 260 5/1/72 Frovide verification survey and hard surface driveway In consideration of the issuance to me o# a permit to 'We proposed work in accordance with the descaription abo C�dinances o1 the city of Fridley. described above, I agree to do npliance with all provisio� o! In consideration of the payment of a fee of $ 5 7. 00 �t is hereb Erco, Inc .. --•, Pe Y S7'anted to��__.. to construct the building or addition as described above. This permit is anted the express condition that the person to whom it is granted and his agents, employees and workmen�in all wor�k $one in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances oi Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of building7t �� city lixnits and this permit may be revoked at any time upon violation of any oi the provisians of said �� , _�__. uilding Inspectaa� Clarence Belisle INOitCE: ' This permit does nof cover the wnstrudion, installation for wiring, ptumbing, 8as heafing, sewer or wafet. d� sun to tN ' ths BuiWing Inspector foe separate permifs for tfiese items. I I � � r �� aPPLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME :��4/,d�� GL,�t2'.�� BUILDER: �� -��'r/ C---' ADDRESS : ADDRESS :��t I�..r , NO:. STREET: LOT: BLOCK: ,. :��a.� CORNER LOT: INSIDE LOT:�SETBACK: SIDEYARD: ",._._'�,,..T^ Applicant attach to this form ltao Certificates of Suxvey of Lot and propoaed building location drawn on these Certificates. � IiESCRIPTION UF BUILDING To Be Used As: ( �i � ,,, C�- Fxont : ��_Depth : � Height : o�- 6 � Square Feet : �- � d Cubic Feet : � rj � �-�� , , Front: � Depth: �� Height• Square Feet; S�' Q Cubic Feet• �j� �� pe of Construction: �i�� ~ Estimated Cost: $ , T To Be Completed: ,(s�(lS--.t-- I % y` %"2�--. .�. � �` � � � �',�' .. J • The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in st*ict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hexeby declares that all the facts and representations stated in this application are true and correct. t DATE : � � �i' S IGNAT[IRE : (See Reverse Side For Additional Information.) � -�' �`�." � �j �.•' �k'�'' '� "" �' � �. `:`"" ,� � ' � �' . � � � , � , � � t � � .......«.....�..�,.o�.•.�.+«w";..m,,.,�� -.. �. . �`. � `' � � �. � . '....' . ' ` ✓' . � ' 4/r' '.y1 � A / e�► � ��d�ey ��'��a�� - Drpt. o! B1dP. Phon� �34� DESCAIPI'ION OF WOA� � � �--� Y�lumb�r. Kiad aud Localfos oi Ftxtures ' ' r�''� L'�— �'� r � • � w�tE� �n. �s�� i� � � I�� Si �; �� n� . N c�s ncc. , I . I �Z .�V��V-�� ■��.' • �� ' ■.�■■■' ■■■.■■I . . .. PARTIAL RA7E SCHEDULE ) S�nt � � PtOMSII'IG FIZTUAE AATES: . . • • • . . • � � i2A� : %� TAL Number Fiatures . . . . . . . . ' °v PUWre Fixture Opening . . . . : . . . . . . 3 a f1.b0 S_ �.'.-� New Fixture Old Opening . . . . . . . . . . . x =1.50 i Catch Baain . . . . . . . . . . . . . . . . . . x :3.25 : Water Heater :Up to 99,000 HTU► •••• _�_ x f3.00 = 3 v v New Ground Run Old Bldg. ........ x i3.25 s Ebct�e Wst�r iiwt� . . . . . . . . . . . . . . s �,00 i CA� FITTTMG FEEB: NO. R11TE TOT11L lst 8 Fixtura • . . • • • . • • • • • • . . . • ...�— x �.00 : � u`� Additional lnstuew . . . . . . . ... . . . . . x i .Tb = aa. Raase �o i�.000 B�rv . . ,.. . . . . ... : �s.00 � State Surcharge $_ •5� R�?11llts � ALTEAA?IOIfb—R�l�s is Ced� - ��W� •��••��.�I•.••.��A�.\.••��.�.�•�.��.��I.��w T� TOTAL TiY� �..�r1L - Cib of �Yidlry: The undersigned F►ereby maices apylication tor a permit [or the work 6erei speciflcd, agreeing to do alI �vork in strict accordance with the Cits Orctinance and ruling oi the Depertment oi BuildinSs. and hereby declares that at1 the fact and representatlons stated 1n this application are true and correct G�p�'l ,1973- r�;a�n•, xioa_ i owner ��- �G . Kind of Build in� � w��- �� 1 Used as To be completed about Estimated Cost, _ Old—New. i3uilding Permit ROWH i'INAL � � � � - 7 y � Signed Business P•rmlt S S -- � �►pp�calion I�or �owtr PfaMs and Htat�g, Cooling. Yentilatioe. Rft�ig�r�ioe aad Air C:�indi�ioning S�s a�d D��ric�s PARTIAL RATE SCHEDULE tiAAV*TY WARI�t AIA: �� T��, lh�rnace She1l dc Durt Worlc . . . . . . . . . . . . . . . . . . �10.00 i Replacement oi F1�rnace . . . .. .. . . . 6.00 � Repairs & Alterations—qp to =SOO.UO g.pp ��__ _ __^ Repairs d� Alterations each add. :500.00 , g.pp S^_ __ MECH. W11A1t AIA �itrnace 36e11 dz Duct Worh to 1�0,000 BTU . . . . . . . . . 510.00 =,_�_ euh add. Q0�000 BTU .. ........... .. ..... .. 3.W i RePLcrment of F�rnace . . . . . 6.00 ; Repain d� Alterations—up Eo ;500.00 6.00 = Repairs dc Alterations each add. :500.00 g_pp : STEAl�i or HOT WATER SYaTE�I Fwrnace Shell & Lines—to 400 sq. tt. ED$ $team P�u�nace Shell & Line—to 640 eq. ft. EDR Hot Water Each add. 200 aq. tt. EDR Stearn Each add. 320 sq. it. EDR Hot Water SI0.00 S ---- 20.00 a_ A.(Nl �_— -- -- 3.00 ; OIL BZJRNER—to 3 gal. per hour g,pp � _ over 3 gal, per hour�ee Fee Schedule _ GAS BIIRI�EA (up to 199,000 HTU) 6.00 '__ X over 199,000 BTtI 8e� FN seludul� GAS FITTING FEEB: NO RATE TOTAL lst 3 l�xtures . ... xE Zo0 i �s-- Additional P9�cttu�es x .76 i Gas Range b 199A00 .. si b.0� i 1►IR COUOITiOMII�i F1U� HSJ1TIl�d S?s?E1! v�rn.nru�a svsra�� AL�e�u►riors � n��as ROLTOH FINlII, L . � � PN se6�du1� � To�ru. raa ;�> 7, • � d (SURCFIARGE $_.5�) i��S� n.�. of �aq.. r�.�. �ea�o ��/Q �"" � L�.�---�,--1'�� j�('o„� L �� City oi IMdley: The undersigned hereby makes application for a permit for the work hereir specified, agreeing to do all work in strict accordance with the City Ordiaance: and ruling ot the Department of Buildings, and hereby declares that aIl the fact� and representations stated in this application are true and correct. FridleY. Mian^___(rt ` �� lg ,� Owaer �e �i Kind vf Building .�_�._..,�,�� Use� as _ . _��4�- — - ` - �iL � -�.a1.0 � To be completed about __. 7�T`7,_�,� Estimated Cost, a___._._��^_._ Old—New. Building Permit No. P•zmit No. �c�� DEBCAIPTIOIf OF WORt HEATING or POWZii PLANT�$teAtq Aot Water� Wum No� Trade lvame L�•t/it/ � J� g� Na �/ , CapacitY 3q. Fk E.DR BTU HP Total Connected Loacb�� .�'i Rind oi lhie BURNEIi — Trade Na*�+p g� � CaWdb� 3q. �'!. E.D.R g� i�! (RFMARKS-OYER) � -�„ . � ' � �� / � sudnas Peaoe �- _ C� 1 1 �F FRlDLEY FRIDLEY MUNiCIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN SS4_�2 •(612) 571-3450 • FAX (612) 571-1287 April 26, 1996 Edward Ciark 6251 Kerry Lane N.E. Fridley, MN 55432 RE: First Notice of Noncompiia�ce at 6251 Kerry Lane N.E. Dear Mr. Clark: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 6251 Kerry Lane N.E. revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Discontinue improper outside storage of a boat located in the front yard area. (Storage of boats is permitted in the side and rear yards. ) Your prompt attention in correcting this situation would greatly assist=us in helping make Fridley a better place to live. An inspedion will be conducted on or shortly after May 11, 1996, to determine compliance. If you have questions or would like to discuss this violation, please contaet me at 572- 3595. Thank you for your cooperation! Sincerely, Kurt Jensen-Schneider Code Enforcement Officer KJS:ts C E-96-134 sue�ECr P • - City of Fridley 2 5 9 61 ' , AT THE TOP Of THE TWINS g � I L D I N G P E R M I T RE t � � COMMUNITY DEVELOPMENT DIV. �Y� J r �~ � PROTEC7IVE INSPECTION SEC. � Kj 1 � �"'1 � CITY HAL� FRIDLE� SS�.32 NUMBER REV OA1E PAGE OF APGROVED BY �----�• •'' 612-571-3450 910-Ft5 /22J98 � � �oe nooaess6251 Kerry Lane t LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. 6 3 Heather Hills Addition SHEET 2 PROPERTY OWNER MAII ADDRESS IIP PNONE Joan Clark, 6251 Kerry Lane, Fridley 55432 571-9092 3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO. Joan Clark (same as above) a ARCHITECT OR DESIGNER MAI� ADDRESS ZIP PMONE UCENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CIASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE Xf] REMOVE B DESCRIBE WORK Remove existing deck - future service door garage: Construct a 28' x 15' Deck & 9 CHANGE OF USE FROM TO STIPULATIONS �� See notations on plans. Before diggin8 ca11 for all utitity tocations 454-0002 REQUIRED BY LAW SEPARAtE P�R�;qITS REQU�RED F WtRING� HEA3'J1�G, PLU�YI�IN� A�D St . Gli� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD SEPARATE PEfiMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, HEATING, VENTILATING OFi AIR CONDITIONING. TMIS PERMIT BECOMES NULI AND VOID IF WOqK OR CONSTRUCTION ZONING SO. fT. CU. fT. AUTNORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOFK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY T�ME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PAi�KING I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SUFTAX AND ORDINANCES GOVERNING THIS TVPE OF WOHK WIIL BE COMPIIED WITH WNETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �4 � 197.96 �2. lO DOES NOT PRESUME TO GIVE AUTHORITY TQ VIQIATE OR CANCEI THE pERMITFEE SACCIiARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON• ST TION OR THE PERFORMANCE OF CONSTRUCTION. �99. ]S �4. 20 Fire SC � � PLAN CHECK FEE TOTAL FEE _ � . � ��-'�� ---2�- � �% $106 . OS S�GNATUfiEOFCO ��:ACTOAORAUTMOA�ZEDAGEN� �DATEt WHEN PpOPERLV �IDATED THIS IS VOUR /P�ERMIT e ,WJ Y, S�GNATUREOFOWNEAUFOWNEABURDEAi IOATEI 8L0 �NSP � qiTE NEW ADDN ALTER [) [] [�l ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 �P�+��v� , ° W i�� ;� � Legal Description: � ��T G� ,�� UG /� 3 �� /� �Tf� � /� /-� i C. L S �� T'/ �'7 Owner Name & Address: (��7,� /(,� �_ � L r� It K Tel. #� 7/ -- %� � Z Contractor: ,,(�� MN LICENSE # Address: �� ",✓Z ,.5,� /r r �� c� �j/ /►/ � Tel. # � %�— '�J 0 9 2 r LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. � Length Width Height _� Sq. Ft. . Length � Width �� Hgt/Ground � Sq. Ft. �G'wn ,�vG � ✓.�t .. ii: �Fr [i :�.r ..-#�'. -�-�w.;.� � � St-v�.i � o n�, � `r% �� E Construction Type:��,��r- 4� ��'�er� -�r'�t� Estimated Cost: $ _�1'/, %l� '�f �� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: —�% t L� APPLICANT: � f Z � Tel. #_ j%� � Z Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL �'TIPULATIONS: i $ , $ ,� $ / $ $ $ $ $ $ $� , o � CITY USE ONLY Fee Schedule on Reverse Side .QQ1 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 [ ] 0 < �' • I I 1 I 1 J. Clark ��►' 6251 Kerry Lane NE Iv�nneapolis, MN 55432 i . � :i�- .., �I , � � r � � ,� � �� , i l� ' � •i �r- � 1 � r' ;`� N � :�r � t'�il � A. "-Y S �.�r� • � .. . .. .. . • C.6�,J � Y/ i , � � �. ,` << � �c. . .�, - l� , g �� 2 � .�� , � �� K � t� C � � X / �: ��wr..�w��Awfi�ls#� � � � ' . �� 1 � f � �� ... _ .. � � � ; � i ' _ ,� ; � � N) ; :�}eC4; � �, , � � + � _� r� ; ; �� Sl � ' ' � � / I I n,�� i ' (l � i . 1 i � �r--. __... i —""'_'_ � � _�1 J r� �.� . � .� � �� ___' � � �� , 1 J ` r � � �' o � .� _ � �-�a �°� s � � � � , � �� s u ` � �, � � — � � � -- �c �� x --� � �, �c ° �' �, _ � �� /'� � � _ _ _ ~ �ci—'��aL ° x x �" � --�' � . �, �„ �, a `� �C 1� .� c� ,c;, '� \ y �. J -� -�- � � � ' � � � ,.r �.�-? o � o s -� _� � 'Q � � —� �' .1 � �- � �� -1 ,� � �_. , ' 11. �� -� _ �� . �� _ 3 --� � �.-� <1 - j�- � � � �. ■ � w v � 1 � - � c � —� � 1 �r � � � � d . y � ,p o �.,a( �J �X d v 7- � � i �_ � `� . � _x tl�_---��_ ...r� �' _ c� ` Q ''� '',, --T- � ! , � � � ,_ � � -,Q, o `2 �d � �°—� � ,;; , -� u' .� 1 � �� a c,� '('\ \\ � ` � 1 .� 1 �,X� ` '`� ��.1� :�� _ � -'' � • , , � . � � � �� I ' � ' � � V �r � �� / � �' � / / / i � �o � �:� lD� ��2 % ' r� � � � , g / / � � � -1 �.�'l/ • - � // \\ • � \r /' ` � /�n , ,�/ � � /�i�� " � �� I . / / / s� /, � _ l � " �� / �� /�5�� c�;� � a �� ,�-�il � l - _ CtTYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 February 8,2001 Mr. George Whittenberger Anderson Heating 4347 Central Ave NE Columbia Heights MN 55421 Re: Failure to Apply for Heating Permits • ✓ On February 7, 2001, while doing inspections at 6251 Kerry Lane and 6060 2"d street, I noted that air conditioning and a furnace had been installed respectively without the required permits. I was informed that your company had completed these installations. Please check your files to see if you did complete work at these addresses. Permits are required and inspections called for, per Section 301(a) of the Uniform Mechanical Code, and Chapter 206 of the City Code. Work completed without first obtaining the�necessary permits will be required to pay the permit fee plus an investigation fee. The city has the authority to deny licensing to contractor's who fail to comply with the State and city codes. If you have any questions, I can be contacted at (763) 572-3603 or in writing at 6431 University Ave NE. Sincerely, Builc�i�(g Inspector CITY O� FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572— 3604 ' Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 APPLICATION FOR PLUMBING AND GAS FITTINpERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLC� B�th Wash nrrnk ; Floor Catch Auto. Urinal Tuk� Shower Smk Tray F,QUnt. ; Drain Basin ; Wash PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7,00 Water Heater — Gas** � $10.00 _ 1 Gas Range** $10.00 Gas Dryer** $10.00 Back �low Preventer Required ( )Yes ( ) No Type $15.00 Effedive On January 1, 1997 Gas <M[sc Water Heater Range �ixt ! Gas Elec , JOB ADDRESS � vZS�� ,�,��`f'�"�_ The undersigned hereby makes ablication for a permit forthe work herein specified agreeing to do all work i �i� accordance with the city codes and rulings of the Building Divisio and hereby decfares that all the facts and representations stated in this plication are true and correct. Owner �p rs.,,,f[��,: Building Used As Estimated Cost J `�� W PLUMBING COMPANY 2� �bs. _.o/�, PERMIT NO. � � (_„�� Reinspection Fee $42.00/Hr � ALL OTHERS AND/OR REPAIRS AND ALTERA�'IONS SIGNED BY . � TEL N0, �� "� 1.5°� of Value of Fixture or Appliance �L,� __ Approved By Rouqh—I pnte Final Date '` �,? �-O J State Surcharge $ .50 MINIMUM FEE F ANY P U g� GAS PERMIT I8 20.00 TOTAL FEE $��'� PLUS THE .5o STATE **COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM E � SQ INCHES. CITY OF FRIDLEY INSPECT{ON D1ViSI0N 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763•572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill 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% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 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. TOTAL $� $ Effective On January 1, 2001 JOB ADDRESS ��s/ /l�n�yG�•�� li� OWN ER ��0�¢�y C�G�iQIG . BUILDlNG USED AS.— l(CS/Ot�yT/�� 2 ., � ESTIMATED COS ✓, % �� PERMIT N0. '�� DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units�_ Circle One (Steam) (Hot Water) ( arm Air $ Trade Name_ /rl�,�r� Size No,,��07�U BTU �S� avU HP EDR $ Fuel �s4-� Total Connected Load $ $ $ .50 $30�� Burner firade Name �5l�o i Size No. 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 correct. HEATING CO Signed Approved Rough•ln Date DATE � � � � Final Date � - '� C SIDE MUST BE FILLED IN ON VENT SIZE, VENT CONNECTORS COMBUSTION AIR VERIFICATION COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When repiacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes S,/� No ( The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sized and installed to meet the current codes and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed to meet the cuRent codes and manufacturer's specifications. Yes � No ( ) Yes ( ) No ( ) Yes�No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer"s spe�cations. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per cuRent codes. Yes �No () Appliance Tvpe and Size/Common Vent and Vent Connector Information Appliance #1 Type„fA�'��ik� BTU Input ' S�L an Assist or Nat Appliance #2 Type BTU Input an ssisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type �'✓p�/ � Vent Height Diamete� �� inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ;'�GS�.C� � t/E�f � 6 � �d�ziy'� G�1�Z- d�?��fi�-'�t.'. �r��t�K �a G°�iafi� �E(r�ii2�s HEATING CO: It/ ( �` ` Signed By: UCS �/C Date : /�°G $' �0�% _,___.� sue�ECr MIT NO. City of Fridley 3 i 6� 3 AT THE TOP OF TME TWINS g � I L D I N G P E R M I T ! � RECEIPT NO. � • COMMUNITY DEVEIOPMENT OIV. �� (� (� r � y •• � PFiOTECTIVE INSPECTtON SEC. � d 1 i � � �"'1 � CITY NAIL FRIDLE� 55132 NUMBEP REV 0�7E PAGE O� APPROVED Br �""'�"� �'' 612-571-3450 9t0-F/5 3/15/O1 / / J08 ADDRESS 6251 Kerry Lane NE t LEGAI L07 NO. BLOCK TRACT OR ACDITION SEE ATTACHEO oescR. 6 3 Heather Hi11s Addition SNEET 2 PROPERTYQWNER MAILAQORESS ZIP PNONE Clark 6351 Kerry Lane NE 3 CONTqACTOR MAIL AODRESS ZIP PHONE IICENSE NO Citywide Home Improvement 1005 W Broadwa , M ls., MN 55411-2503 612-529-2489 l ARCHITECT OR DESIGNER MAIL ADDFESS ZIP PMONE LICENSE NO. 3013 5 ENGINEER MAII ADORESS ZIP PHONE LICENSE NO 8 USE OF BUIL�ING Residential 7 CLASS Of WORK O NEW O ADDITION O ALTERATION C� REPAIR O MOVE O REMOVE B DESCRIBE WORK Aluminum soffit & fascia 9 CHANGE Of USE FROM TO STIPULATIONS Install soffit ventilation to meet the State Building Code. Permit inspection Cards Will Be �lail�d To Nomeaw�er To Fost SEPARATE PERMITS ARE REOU�RED fOR ELEC7RICAL, PLUMBING, MEATING, tYPE Of CONST. OCCUPANCY GROUP OCCUPANCV LOAp VENTI�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OA CONS7RUCTION 20NING SO. fT CU fT AUTNOR12E0 IS NOT COMMENCED V�1ITHIN 60 OAYS. OR IF CONS7pUCTION OR WORK IS SUSPENDED OR ABANDONEO FOA A PERIOO OF 120 DAYS AT ANV TIME AF7ER WORK IS COMMENCEO. NO OWIG. UNITS OfFSTREET PARK�NG I HEREBV CERTIfV THAT I MAVE READ ANO EXAMINEO 7NIS APPLICA710N 1 STA�LS GARAGES ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROV1S10N5 OF LAWS VA�UA710N SURTAX ANO ORDINANCES GOVERNING TMIS TY�E OF WORK WILL BE COMPLIED WITM WMETHER SPECIFIEO MEREIN Ofi NOT. THE GRANTING OF A PERMIT �2fOOO ' �1.00 DOES NOT VRESUME TO GIVE AU7MORITV TO VIOLATE OR CANCEL TNE pEqMIT f EE SAC CNAiiGE PROVISION$ OF ANY OTHER STATE OR LOCAI lAW REGULATING corv- �69.ZS F1T SC �Z.00 STRUCTION OR THE PERFORMANCE Of CONSTRUCTION PLAN CMECK fEE TOT FEE License $5.00 $ 7.25 S�GNATUAEO�CON'FACTQFOQ�U�tiOA�ZED�GENI �O�rE� EN ROP A�IOA f Tf�1515 UR PERMtT .� -/�s =�l S�Grvn�UAEO�OWNEAi�fOWNEpBUI�OEA� �OATE� Bl �hSP � �i��E . .1* -- NEVV [ ] ADDN [] ALTER [ j Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Legal Description: � v Owner Name & Address: Contract� Address: � , LNING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # 8�� Effective 1/1/2000 612�72�604 Bidg Insp �._(�- � �� MN LICENSE # �l �_ �s?�3 Te�. # l� (2�52��j Attach to this application, a Certificate of Survey of the lot, with the proposed constcuction drawn on it to scale. DESCRtPTiON OF Ii1NPROVEMENT Length Width Height Sq. Ft length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. _� Construction Type��r�_u_nM..-., �� Estimated Cost: $ �� P Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _$ DATE: �� a � APPLICANT: Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (612) 572-3604 for Permit Fees if mailing in application $��Fee Schedule on Reverse Side $ .Q01 of Permit Valuation (1/1Oth%) $ � � $.50!$1,000 Valuation $ 1 � $1100 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 [ ) � 1 �J 3 isr 6 � . - . -� Building Inspections 763-572-3604 763-502-4977 FAX DATE � 1 SITE ADDRESS � THIS APPLICANT [S: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 YOUR E-MAIL ADDRESS ❑ OWNER �ONTRACTOR �CC/Y'./ L� N� CITY 1— RvS !l// Permit No.: Received By: Date�c�: F 'ATE %%.t�ZIP S � PHONE (Q��'7o Jn` D�a� F� / � �! STATE LICENSE # O�G� Sp �a% EXP DATE �� G PROPERTY TYPE �3 SINGLE FAMILYlNEW CONSTRUCTION ❑ TWO FAMILY/NEW CONSTRUCTION PERMIT TYPE � �DITION ❑ GARAGE/SHED ❑ BASEMENT FINISH ❑ R0�7F , ❑ DECK ��DING ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION �'r ❑ MAINTENANCE/REPAIR MOl DESCRIBE WORK BEING SIZE OF [MPROVEMENT ROOFING NUMBER OF SQUARES ` GARAGES PROPOSED SIZE: PROPOSED HEIGHT: ❑ Aluminum ❑ Other WINDOWS iN EX[STING OPENiNGS ❑Yes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES 8c TYPE OF WINDOW TO SE INSTALLED ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE SIZE ❑ w�rtDOws ❑ DRAIN TILE L7 OTHER 'ATElIZI�ZIP.��a3 F"C BASEMENT REMODE(,ING SUBWUT: I. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDMG DECKS, ❑�offit ADDITIONS, & PORCHES SiJ�MIT: , l. Site PIanJSurvey showing the e�cisting structures � Trim and proposed project. ❑ Fascia 2. Two sets of construction plans 3. Energy Calculations LOCATiON OF WINDOWS NUMBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: q(J (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $�%DG�'/ _ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License 5urcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ �� S' See Back Page for Fee Schedule $ � 65% of Building Permit Fee $ ��''j .001 times the total job valuation $ � i. 5� .0005 x Permit Valuation Minimum $.50 $ �� } $5.00 (State Licensed Residential Contractors) $ $1825 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 payable to: City of Fridley Attach THIS IS Al�I APPLICATION FOR A PERMIT-NOT VALID UI�tTIL 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 1 understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accorda e with the approved plan in the case of all work which requires review and ap roval of plans. SIGNATURE OF APPLICANT PRINT NAME , i��t" DATE� �/G% APPROVED BY DATE ' Building BUILDING Permit No.:"° , Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date 20 DATE �?�- a��i - �� YouxE-�LaDD�ss �nv �f��'.LvFs��P�"lf�°'C • C'fli�v� siTE nDV�ss f�? �l �f'Lv £ .(i, �. % rr:bT THIS APPLICANT IS: ❑ OWNER �ONTRACTOR PROPERTY OWNER/ N�: TENANT �DRESS: £!2!� /U ;�_CTI'Y � %1� �� S/ STATF.�iIP 5�.5 �/3 Z rxo�: ?�.� - 5?l - gfl 7_ C's�.�/ . 7!03 - ySfr -�S F� 3 CONTRACTOR N�: t S S Si3BNIlT A COPY OF STATE LICENSE # � EXP DATE J�'� I O _ _ YOUR STATE LICENSE ADDRESS: J D%O I �L.� _�• �U! �L � CTCY �. d£ STATE/=l�iP -S�,S'�6 �/' WITH APPLICATTON pHONE - S�- O FAX % - S' D� PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION StZE ❑ TWO FAMILY(NEW CONSTRUCTION STORIES PERMIT TYPE ❑ �DITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FI23ISH �ROOF � DRAIN TILE ❑ DECK O SIDING ❑ OTf�R ❑ SWIMNNIIIIG POOL �rE oF wo�: ❑ �w ❑ ADDTfION ,�MAINTENANCF/REPAIIt ❑ REMODELING DESCRIBE WORK BEING DONE: - C t � SIZE OF IMI'ROVEMENT LENGTH WIDTH HEIGHT . F� ROOFING L � HOUSE ONLY NUMBER OF SQUARES �� IOUSE & GARAGE BASEMENT REMODELING SUBMTf: GARAGES ❑ ATTACHED GARAGE l. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan PROPOSED HEIGHT: 3. List of siructural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl OSoffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim l. Site PIan/Survey showiog the.existu►g structunes Q Other O Fascia and ProPo� ProJ�- WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS DYes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE STZE OF OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLED NUMBEROF WIIdDOWS ALL N'1�.'L�'� AKL�' SASL�'D U1V VALUA'1'lU1V� 11V(;LUll11Vli lHE l;U,l Vr LAISVK APIL MA11�.KIALJ: (USING_THE 1997 U.B.0 FEE SCHEDULE) TOTAL 30B V. Permit Fee Plan Review Fire Surchazge Surcharge License Surchazge SAG Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ L g�;�.� See Back Page for Fee Schedule $' 65% of Building Permit Fee $ .001 times the total job valuation S .0005 x Permit Valuation Mini�mum $.50 $ � � p�� $5.00 (State Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ lJ Make checks oavable to: Citv of Fridley Attac � THIS IS AN APPLICATION FQR A PERMIT-NOT VALID UNTII, PROCESSED I hereby apply for a building pernut and I acknowledge Wat the information above is complete and accurate; that the work will be in conformance with the ordinances d the ity of Fridley and with the Minnesota Construction Codes; that I understand this is not a pernut but only an application a it d ork is not to start without a permit; that the work will be in accordance with the approved plan in the case of a11 work w 'res r vi and approval of plans. /�� l��, S� L/ ! SIGNATURE OF APPLICANT PRINT NAME L DATE