Loading...
AF - 47933Caity of Fridley, Mi.n.n.. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT �{�: _ November 13� 1972 Ownex: --Er�o,�_ Incosp,o�ated Builder �._.._�u1Q � 3231 Cent�al Avenue Address .._.��mQ _._.. - G3l��i `11800 LOCATION OF BUlLDING Na 6259 S�t � Kerr�,_Lane N.E. .._..__..�_ Part of Lot i+ot - ..� Biock 3 Y..._ Addition or Sub-Division Heather Hills ��lditiQ.n Corner Lot ._.._.,.. Inside Lot ___.X. _.. Setback .._.__._..35_�_.�. Sideyard ___.__5 �& 7 n� 1��Iv�r Etevatian ..�23.�82__ �'b�(c�a�4F�/��tyld�al 9 Z 7. O� �Li_n i nn �m � �eLv__� ToQ, o f Fn i n,g DESCRIPTION OF BUlLDING To be vsea as: u �!d � 1. i31g Front �_ Depth � 3�Height _..24. �._._ Sq. Fk _....1.1.3.a. � Cu. Ft .._2Z�.4� 0� - � Front ..�.Q' neptn _.2..�'_.. Height _.�.Q.� sq. F t. 4.45?.�.. cu. Ft. ._.�,_4Q9' � o� ���� Wood Frame �� �t �,�21�024, 68 _ To be completed _. �rch, 1973 _ Stipulations: Provide a verifying survey before capping. Provide a 1� rd surface driveway. WATER LOCATION: 26` S. of Sewer Service SEWER LOCATION: 7' N.W. of Manhole (N. Inv. 923.84) In consideration of the issuance to me ot a permit to constru the ui g described above, I agree � dp � proposed work in, accordance with the description above o mpliance with all provisions ot ar'di�nances of tt►e city of Fridley. 10.52 State Su arge w�~ .. In consideration of the payment of a fee of $ 50.00 .� permit 3s hereby gTanted to._.._ ec�_ Tnc _ to construct the building or addition as described above. This pernut is granted upoal, the express condition that the person to whom it is granted and his agents, employees and workmen, in all work $one ui, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances oi I�`ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiIIg� Wi�,thui'�� city limits and this permit may be revoked a t any time upon violation of any of the provisions of said r CL�R.3NCE BELISLE NOTICE: ' . Thfs permit does nof cover the consfruction, installation for wiring, plumbing, gas heafing, ssw�r or water. B� sun to iN fh� Building Inspeato� fo� separate psrmits for fhese hems. , APP��C�TI�� F�� RE�IA�NT�A�, A�T�P,ATIaN, A� �D�IT�O� ��ILpING P�RMT� �ITY AF FRIA��Y, M�NN�SOTA i?WNP.�' S Nl1�E : BUIL�EIt : -'%�Ga �' � ADDRES S : ,Ap�S g ; �`Z-� ( �it.� � �� . � � 5�,y �: $�� � � � ����� � �l 6�- �-�s ��R LQ't: �N$� LOT:,,�,,,_,,,, S$TBACRt 3� SIDEYj►RD:��,. V_,,,_j� ��.i,s�a�ptt ��ar� �a �h� �+paa��o Certificates of Suxve� of La� and propp�ed ba�i.i+��ag ��cati,or! dr�s �a t#ase Cartif�.cates, ^ A����IPT�(JN OF BUILDING '�a � 13�� A& : /� `���{ .� Cr--- B�v�3_,,,.,._„��,�„�'#�: � G 3�" �..�.. .�iei�ht : �- Ca S�ua�e �'�e�; l f �s r° Cubi� F�et3 � , ;-�' ' Depth ; 1- � Hei�ht ; � �-- �rc�� �t , �qua�'s �'eet �.-.,..`�...._...�bic Feet i �� � � �w�.. r ■ ► �� O� �,'i033t9�1"LLC��.Q�3# 1 ��YL'�L�1 Fi1S��$tEt� COB�: S � I. � '� � � t1' � a .,�. � +A� i -- �c� � ��. � ,i_ ; ( � ,� . �ha u�ct,er��igxted hereby a�ce.� ap�I�+eatirnt €or, a pe3�mi.t �a� the wpsk baret� �P����s aSZee�n� t+a da a�.1, i�us'k in sttict accordanee with the G�ty o� �'�cl.dl� t�xt�.aa�,ces �d �u�� �f t� �Par4uen� Qf Bui�din��, a�ad %exeby ��a�e� � all �h�t �acts a�d� r��resemta�i.ona stated ��his eppl�,cat�aa �� �Lru� aa$ cvxrect„ , . � �i1T�, 6 `�? �iGNA ��4s R+��� B#�d� FoE' Add��,onal Infa�atiau..) � S t/ ``� �` •�'s �� ��",� � � `�.�. �' ��",�. �'� � � E w � � ,� � W . �'� � � r��, �`= , C j �pt r '.a �� '� .:a �• ,4, �';,, i..: FS�' � �. 1 � _ ,7.na,tn-,e«.�xzernsa.c� �.:.c•:-�a�«�, x�.,. � 4 Q.:, �-- `�� ���� .,����°� � � �' , �d H CoAl�ng, �Yenh'l�ia�. R .��� ��ieio��g ��tMns e�nd Q:ric� P���: ��:�, �'��'� �����>�a�.� -�ltAY!TY tlVAIW AIR: gBJ�e1� °lfpTlE,I, �rnace Shei1 � Doct '�'a��k . . . g1o.00 i R�eplacement oY Planec� 6.00 �--- �epairs & f►Iterations---._;+ xr, �?!�y�SF.r?tp 6!� �+-_ _ . . .— ��:pair� 8z Al4rraUons �::,�eY� s�. �60(�.f3� . �i tii1� �� _ _ _. _---- ;",;��ii. 1N�lt�[ Alll �'urnace Siiell � Duct Wor% 40 1l0,000 HT[J . .. E1G.�ti �� e�e.'h add. b0.000 BTU . . ....... .... . . . .. 3.W ; R.eplac�erneat of F1�rnace �3.00 � �iepairs dc Alterationa--up to fS00.00 8.00 ; liepairs b Ahentlons each add. :500.00 5.00 = •��l[ � HOT rI1�TER liYSTEit �:rnace Sheu d� Liaes-4o 400 sq. tt. LDR Stetm �20.00 3------ F�xrnace Sheil dr Line--to 640 aq. ft. EDR Hot Water 10.00 :_. Each add. 300 sq. tt. EDR Stesm 4.Aft =... _____ L►ach add. 320 sq. !t. EDR Hot Water 3.00 �__ AIL BIIANER—to 3 gal. per hour over 3 pl. per hour-�ee 1�'ee 3chtdule GJlB EIIR1f�R �up to 199�000 BTU) over 199,000 BTII � FN 8elwdul� 6.00 i — 40t1 �Q�. G]►� FI'n'IIIG FEE�: 110 RAtE TOT1U. ��e s inxtu� . 1.L x= 20o s.--.�%� e12 Additional llututss = ,� _ Gas Ranee to 199.00� ��OD i AIR CO�DYt1011IM0 !]ll� HE11TIlIa iT/?EN �a►rn�a s�rsZaw AL'1'tAJlTtOlfs t IIEP�IM ROiJGN FDtu. /-�.3 - ZS� � N� !� fe� � ! -.- ra�rai. ra �. /M� ;S;.' .�. "'^� $ .5°,?1 0 �t. oc a�aq.. r�►a.,. 9eo-�o � I ��, / ,,� �� V �, „ ,� , (%�� � L� Cd �I l�(��,��� � .. et�- .�..,._.___�___..�_.. City os hidley: The az�sciersag�ed hereby ma�es application ic+; a permit ��.^ x,E ��, speciSied, ��reei¢�a� to do a!I �ua�rk in s4rict A€c�ance wat�a �.- y a" aad :ul�n� o} tire Departmcnt ot Buildinas, and her��y aie^°p�,. <�: _.. _ and re�resentations stated in 4his application are true �� z��r;g. Fridley, Minn._�-�y-�-�----___..._. j, �;� %� Owmer -- � Kind of Buildin` ___ _ J �_i7-�2 �� __ U�ed a• . _ _. � f _ _ ___. To be completed about ---. .-- � � __.�___� Estimated Cost, ;.. ____--g _ ��--- -- --- .�._. __.__.�_ O New BttildiR� Plerrtlt No. _ P�smit No. ��U__- a�rrrar or woar _....�. . HL�ATING oe POWEB Hot Water. Wum Air}-No�_____._ 1'frade Name g�e xs_ �/�/,� �- I1 !i L` Capacity.__ 3a. !'t, E.D gPU gp To41 Connected I�o�d �-IT�IS ^ Q lUnd et lwe BURNER — 'hade N�m� Size �_ . Ca�db 3q. �'t. E.DR BTU i�P! , �i'ailRBAN AIR CQNDITIONINlG p0, 84i9 CENTER �RIVE � NpI�NEIlF'OLl�� 1NINN�3t?TA 55433 _ � s�ar �- 7 $ 4- _l.m / � � 1![MA�Kf-OVER► \�� ^) V � � � .e° a 3 a� � � � � m _ .� �t � '� � V � •as � � �g ifw � � 4 �� � �, ' � � ; a i�a &3 ,y;; �, ak � �+ ^ � )'; �� � � .� � �� j1 � �j ci �y � A �•e e;c �rJ li a� Kq � P� %�''S � y� i� i C �� � �� � a C�+ �, 6. i� �� �' � �t�, 1'� Nr, � 1K} � r J �� � F 3 � '� � � t � � � �� ta �c; :� .� �°�� � , ���� .�. � � �` �' .,, � �� �• � ,� � �, .�: .;a � ��� ` li i F � 3 �' � s �°.�-.—,� - � , i � ; �t 3 �., � ` �` . - ` ,_ �'_ � a � M � O � $ � � � O� � � � � F� � �� � � � � � s ; 9 J k � � � �> 3� � � �; � ` 9 I � � , .� � �I �a 6 ,� ;�; � �, � � °� � � � +� s � r . �, 4�W� ` � i � y — ���, � ^_� �� ._� �._ � ;�;y � a.M, r_.r� � � �, �� `� : i m � e t � 5av `e� .. .�_,,._. �� a 8r� 31 . �'�� � .: �_a... N �sC k 1�' . � Y� ...�_... � . . . . �, �e. Y � {• � ____.- � _T.,,...... � ' U� � � ��;� `§. .. � . _i �.�'2CS°sY. ` _.. 1 ��.�.. ��..>._-� __ � .�:.r. ( ��.. � ..�_� �� "".� _ aYVa� ` ' � 4'Rf p y t �_ ,, a s�*� rr � �r � u� �r ` ~ u �.� .z � ��� � � ; r a PS �9 d a i � n` � ? � � `� � w �y �� � � 'i d n '`;: t �: $ ,. � �' i � ._.t � p ,.� r s ;�, � �� � i Y d ¢ YI', � c ; � � � . c 1s � .{ Y � � � f ;� # � F �. � �. ` � � E � �,ii � �� W � � � ` � � F'� � ��„ �� i � / � 1 a ^ ���` a � ' 4 1 s C �. � f �J � � � � � a � � r c � '3 a 3 v i 0 � G �� I � � �� w r► w � �i»» K K x �� • a • . • . • • � . � c � � g 2 trx , � � � � � � °° � o � � � v .� �i Pi K � � i� .� ; ir V � � z �' z l0 � � �� � � . � a7 ri (r .� .► M w vs A � ."� �i °� � » i�i , � �i : �] • ^J k� M M N k N 1t = � d � � � . : CI . • • • . • � • . • . . . . . � . • . . • • � • . . . . • . � : . . . . M � o fA . . . : t� $ . • Q �Q • • • � ii � � � . . . f4 a�i . �O . . Q V� . : ° o� . $ ' . :� a� : � • � . ac � '" F = � =% G � t� � �" S � � s, � � � w � "' � � '�, �' S M' .,�. �i r. W V v � '� � • � 4 � X � � ' r U � Z � � � � a � i� � 1. � . •, w .� t'1 I f "st � i lst . �� , � z,a ����c r— 1 < cri 97-8l.� —875�001 h 1a� • aNi .+ ' F � M � . �C� � � � rt ' N .��. , 4 A q �.1 U D q q V! APPLfCATION FOk PUJMHiNG AN�J GA3 FITTING PERMIT � � �, p "� � . ►� u Wetux Job Addreee �i2�i�, 9 K�„r�rvr an�„_, h.� � u � n a w � w � lioator �, , x„ m u ,c c� u a . -►� ,� nepartment o! 8uildinga � � � � $ ,� � ,� � � � r� • ' City of Fridiey 1 x A w u�i w c� r� �'c �� � t� O n s � l e c To �.. N 5 7 1- 9 4 5 0 � .. ' ' ���■� ��r���ee ������ (R) � fliture Co nnactSon Opening (•) � 11nv Fixture, Old Opening The undnraiqned hereby make� appll.cation lor.a perroit tor the wrk t epecitied egrening�to do all work in atrict accordance with tho City c , and r�lings o! the Dapnrtmont ot $uildinge, nnd heraby doclara� thsC � , the feot9 and rapreeentationa �tnCad in thie epplication ara tcva ar,d • Fridlay, M.�►. a-31-77 � 19_ , pwN�R �u�ene Buialski. ' KIND OF DUILOSNG fral� ' � __.�..�,.� ._ Connected with Sewor , Watar USED AS res. �. , , . TO 8E COhtP'LETED ABOUT g^T-7T ___ � PAR7IAl. RATE SCHEDULE � EST2MATED C05T 10«00 PLU>(81�G FIX'fURE R.ATES; N0, RATH TOTAL oco - NEW HUTL�2NG PERMIT N0. ��„ Pel�IT No. �%� /� t.lL.`�rx Flscture• ` x 53.00 S �' • iV:ure F!.xcure enin •� K 5��00 $ � Company"�,_� oP � �M�N ?:av Fixture, Old Oponing • x 5�.00 S , Signed Sy' ' MInNEr,q$CO CO Catch eaaln • x 55.00 S � ' � Water Heater - to 99,000 8'1T.l, � �_ x S5.00 S 2e1. No. � 100;G00 �ZV Co 199,000 BTU 510.00 Nater Soltener • x $?.QO lt�v Grour.d� ia�n Old Buildinq wT� x 55.00 �leccrlc Nater Heater � _,�_ x $5,00 C,�S FI?TI\G FEES; � • . � ' ' lst ] lixtures x �3.00 3.dditio�al Fixtus�• ��� x 51.00 .Gs, Range to 199,000 9TU ' x 510.00 REP�IRS 6 AL?EAATIONS , ' tirst S1oo.oQ each add. 5100.04 or irsction State Surchnrge TOT)lL FEE 1iF.T1JSqD/`mTnu t+oo S S S S S 9 9 SS.00 $ $1.00 $ S .SO � .�$a.YS2 AOUGN YNSP. ' Date � ' , FIN�I. iNSP. !� '�L- % 9 . �t� APPROVJ�L T�'OR AGRMIT �C�=� . . MINIMUM FEE FOR ANY PLUMHING PERMIT S9 3�.5Q 0 sua�ECr PER City of Fridley 19039 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T , r ; � R EIPT NO. ( ` _ COMMUNITY DEVELOPMENT DIV. � �/ o r � y � PROTECTIVE INSPECTION SEC. �� 1 . � I i-._• � ��"��;.; CITY HALL FRIDLEv 55432 NUMBER . REV. DRTE PAGE Of APPROVEO BV i �� 612-571-3450 9�0-F15 6 29/87 � � JOB ADDRESS 6259 Kerry Lane N. E. 1 LEGAL �OT NO. BIOCK TRACT OR ADOITION SB£ ATtACHED DESCR. 5 3 Heather Hills AdC�lltlOri SHEET 2 PROPERTYOWNEF MAILADDRESS ZIP PHONE Ral h Menard 6259 Kerry Lane N.E. 571-2618 3 CONTRACTOR MAIL ADDRESS Z�P PNONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO. 5 ENGINEEF MAtt AQDRESS ZIP PHONE LiCENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW X ADDITION 0 ALTERATION O REPAIR � MOVE O REMOVE B DESCRBE WORK Canstruct a 14' x 14' 7."hree Seas:on Porch 9 CHANGE OF USE FROM TO STIPULATIONS See plans for notations *h � Y 4 . ��'�� ������ �. B�tore digging catl la�a(':��' TEt�N� - �L.EG��C,•�iA�� S�PARATE PER1UfifS REQUIRED FOR' REC�UIRED ��� �-�►� WiRilVG, HEATI[�G, PLUMBlN� ���} St�NS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. F7. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK tS SUSPENDED OR ABANDONED FOR A PEFIOD OF t20 DAYS A7 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 ANO COfiREC7. ALL PFOVIStONS OF LAWS VA�UATION SUR7AX AND ,ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2 �7�Q $1.35 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TFiE PERFORMANCE OF CONSTRUCTION, $3H. SO PLAN CHECKFEE TOTALFEE 9. 63 $4� . 48 7UREOFCON ACTORORAUTHORIZED ErvT IDATEI , HE1� PROPERLY V ATED THIS IS YpUR PE MIT � �CX a V SiGNATUREOFpWN il OWNERBUILDERi iDATEi BIDG �NSP qA7 N� �� City of Fridley Effective 4/1/86 �\ ADDN. [ R-1 AND R-2 �� � � AI,TER. I � Building Permit Application ��� Construetion Address: o�s % Y�`� L� n'Q- Legal Description: L a � � LoGI� 3 l-� eCcTh�er �-i � � i� Owner Name & Address: r Goa � Tel. � 5��-a��8' • Tel. # -- Contractor• r Address: LIVING AREA: GARAGE AREA: DECg AREA: OTHER: �.so �.! Corner Lot [ ] Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROYEMENT Length Width �� Height ______— Length ,__ Width ��. Height �._.. Length ______ Width _ _ Hgt/Ground ., r l �� l � T 1- -- - o., �. c.. r, ,r. n v!' .� l l b Sq. Ft. _____— Sq. Ft. � -- Sq . Ft . _,___— ��� � �3�� �c�y� z a���.s�— Inside Lot [] Ft. Yd. Setback __ Side Yard Setback _ Type af Construction: Wo� � �'��m �- Approx. Completion Date: / ��n'�%� Estimated Cost: $ '� a� �. d� Alt. A Alt B proposed Driveway Width If New Opening Is Desired: — see Back Page for ExPlanation DATE: S�� APPLICANT: Tel . # ^ � � Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY IISE ONLY $ �.� $ ��4(`� $ 1 ,'��� $ � $ .�" � � $ y�t ,�-P Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [] Not Necessary [ 7 0`�700 aaGc� 3?•� I �G G � ..� ?j�. J� , 1 y�X l y� :;; ��eee se.�a s o,, �o�c ff �a �� y� G`� c.� �+, � K�� ��"�, � � �: X ly'� ,;:L��;�.�Te� r _ � ; �� � ;:; , t}ECK RAIIING VR4tred cF:L;n� �,; �6" MlN. HElGHT a x ia ��de�s 6" MAX. SPACENG � ' ' . ,j � i I � � { L�%�l5 %/!t� De�%-� � �tOuu� V�l4E �/ x `�, �G= f �,�e��c�G 0��- � �, , pec k n�,a r��; � L ' �aGL ��2.F�+ T�eA�T� ` � :iX /O �0/ST I��� c7C' `- � xio c�,'.�, ��� r�ac�e�' TO /f Q 45�..�� X!O �ois1 HA � � j„�c CT ' c�I�PP� T�,arPa/ d pCYwovo� ��uQo� -fo To�sT � E 1�rJT � r.�x - - _ _ {;; _ ... r_--. �.� .._– _ _ � -� �� a x�o ra� s r e�,�r. a ove�e � �x S c�/,o�. I3PAfi � , .� dd� � tN �-t.. Ro o'� �l NTC,G'�'�y' �J - aX6 �;� ���TF�;- /�"o�. 'i/ C�/XLOfr'�d �%,c;�'"��J,�'G � � �S ��. `eCT a yo � F��P�y��s :�;;�,iP; : -T— ---- - -. o�L� ��� ��Tr,��;Al, axy Look ovr.s � y'' ce ,,,� � xd s�r6 �'� : c %� ��) X$ Ce�.t� �Rsc :� ��/. � x� ��,��e r,�;.� , !, � � � ������ ��;Ya,a�l �: w�►i� �Ate�'�PLs a�y Sr��s r�'' ��. 3 y�� iA � I'n.s �C�vT•'� �� � d��GTRiTe JF!'�Ar,r.i�,. l iz�� �dA� S�d,� _ �X $` eed'.4,F Be�.� r • � � � , ����f��'� : �^:�ti����f 1� i�N'Q'Q'!' �aSTS �. y'x y��� ���T �,,�P ,_ _� - -�� �7-i���s S' 7`orpC �� I F taWOO�J �S 12''0� C.�S Fac:� Aot�h iT vr►uSs '� SoiF�.'+� G c..�3►S �i�.L � �.93.� �71 c�si $ I�r Qr �ti�d+� �� •� dE� �t�.00ti __ �. YYi � 1�F� +�� � � � � '�,� �K�� � �c K �� �., �� � � j��l_���JD � ` ClTY OF FRIDLEY INSPECTION OtV. 6431 University Ave NE Frid(ey, MN 55432 . 572-3804 �� f? v, D�. �zp'Y� ��t..S: �oec-� i`%i�_ APPLICA?lON EOR PLU MARK NUMBER OF FlXTURES 70 BE °., :..„.,,,.:�:, -:.:.. �.�:�� :�: Wash �Driel Stories :CioseC:',>: tJrinat T�iti`:�'� Showa ..<:... ::..: .:•::..: Basement "<:�;:..�>;::�' �'�:�: ��'". :��...; : ::�;;..�.>�;<:.: ,.:.� ::.�:: C FlCCi 1 .>:..;�: s•,,,�,,.. ;y.,. :x.;. :, :3s'c . Floor 2 ��Si�%� �� ':/.•�}.A'.: t�:��. "��.�" .+'•:"" � ..Y: i:y +. {{. �00� 3 ;�:�.swt'rc �w: ,�s..�. :?,��.��,: , Floor 4 '.:��:�w::� `:�:���:`:> PLUMBiNG FUCTURE RATES: NO. RATE TOTAL New Fixtures S 7.00 Old Opening, New Fixture S 4.00 � Beer Dispensu S 5.00 Biow Off Basin . S 7.00 Catch Basin S 7.00 Rain Water Leader S 7.00 Sump/Receiving Tank . � .S 7.00 Water Treaa�g Apptiance S7 0.00 Water Heater —Eledric S 7.00 Water Heater — Gas•• � 510.0� Gas Ranqe" ' S1 Q.O� � Gas Dryer'• 510.00 Back Flow Preventer Requved ()Yes () No Type St 5.00 Reinspection Fee 542.0o/Hr ALL OTFiERS AND/OFi REPAlRS AND ALTERA?IONS 1.59G of Vatue of FnRure or Appiiance State Surcharge TOTAL FEE s .so s �.50 JOB AI The un specifii and rul and rej + Owner r 1 • Effec6ve On .lanuary 1.1997 FIT7ING PEf�M1T EACH FLOOR '' • a'� �. .. x�x.�..:: t��. ':; Auto. �Ga�w;;.';. Gas :Misc�'�; Water Heater s.; Washer App�''��.�..,..< Ftange :�'cdC���``�: Gas Etec {�� :� 7 i �-� ��r .�--i v� i v � ., �_ . :by makes apptication tor a perm� io�the work haein do ali work in striet accordance with the city codes Idin9 Division, and haeby deciares that atl ths fads �ated in this appliestion are true and correcL � � �� '� . 199# % �: �� ., Estimaf ti�. c3 °� PERMITNO. ��S J� - --- - . I�i. P�u nn s� Mnr 62Sp N�U5t�11 lIVE. K 1tt4 RI,�%�r'1 �oo SiGN F': � TEL N0. �L /"' �`�O . �,�p�� ' �� Approv Rough—In Date Final Date ••COMBUS?10N AtR SHALL BE PROVI�ED PER UMC SECl10N 504(� ,� . , MINIMUM S1ZE 9 SG INCHES. _ _ CIIYOF FRlDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 October 9, 2000 Raymond Zelinski 6259 Kerry Lane NE Fridley, MN 55432 Re: Final Inspection at 6259 Kerry Lane NE Contractor: Mr. Rooter of Anoka Co. Dear Mr. Zelinski: A plumbing permit was issued on April 16, 1999, for the above noted address, to install a gas water heater. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this i�stallation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAVE JENSEN Building Inspector � � `"1 � Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FR�DLEY Date r�e�'d: DATE �" ,� �� YOUR E-MAIL ADDRESS SITE ADDRESS ' *�,. � .: THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY N,�: L ' TNA T ADDRESS:_�� �=—�.=jl`� CITY �'`���� STATE�ZIP�Z PHONE: CONTRACTOR N,v�: �Y,,, /�.C� ��°�,^��',o� C� ��ry° STATE LICENSE # � `%cv � EXP DATE / 7 — 3 � — O � SUBMIT A COPY OF � YOUR STATE �D�SS� Z�y ������ CITY %�7Yt S� � STATEPy��lZIPc�3u 3 LICENSE WITH PHONE � � ��%�/ F� APPLICATION PERMIT TYPE �GLE FAMILY ❑ TWO FAMILY � TOWNHOUSE TYPE OF WORK: � ��''' ���+CEMENT � DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should 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 WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WI��RE NOTED. FIXTURES: (INDtCATE TOTAL NUMBER OF EACH BELOV� BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING BATH'fUB GAS PIPING (n�EEO CmuCF.NS�j SWIMIvIING POOL � WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SIT1K WATER CLOSET _ BACKFLOW PREV. ($15) DtSHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION — WATER Iv1ETER _ OTHER �. w . � �». � ��. , ,.._ , „� � n. � � � � Permit Fee $ .Q Number of fixtures @$10.00 x$10.00 =$ Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $� Number of fixtures @$35.00 x$35.00 =$ State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMIT-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 Construcrion 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 re ' es review and approval of plans. SIGNATURE OF APPLICANT / ---''�r N� �"`- v �� DA� ` ( _ �� � � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977