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PRE 2010 DOCSSUBJECT PE City of Fridley 88160 AT THE TOP OF THE TWINS BUILDING PERMIT � REC COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 ` � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910415 8/14/85 JOB ADDRESS 7640 Lakeside Road N. E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 1 Blomberg Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Garjac Inc. 481 - 206th.Avenue N.E., Cedar, MN 55011 434-7096 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK CI NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 39.' x 24' Dwelling and a 20' x 221 Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards. Provide City with_ ocpy of verifying survey before capping. "Y" Elev: 894.05 MINIMUM FOOTING: 897.05 WATER LOCATION: Check with Engineering Department SEWER LOCATION: Check with Engineering Department 10' S. of Water Stop Box Paid a Driveway Escrow of $297.00 for 22' of driveway. SEWER SERVICE IS FULL OF SEALANT - Call City to clean out when sewer hook-up is made. WARNHEIG Before digging call local utilities SEPARATE PERMITS REQUIRED FOR TELEPHONE - ELECTRIC - GAS Etc. WRIHGs HEATING, PLUMBING AND SIGNS REQUIRED BY LAW 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 SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $60,800 $30.40 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $3.16.00 $425.00 S UCTIO N THE PERFORMANCE Of ONSTRUCTION. PLAN CHECK FEE TOTAL FEE $79.00 $850.40 SIGNATURE OF CONTR CTOR OR AUTH RIZED AGENT (DATE) WHEN PROPERLY ^LI DATED THIS IS YOUR PERMIT BLDG r1fTE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI Surveyor's Certificate COMSTOCK & DAVIS, INC. Consulting Engineers and Land Surverm 1446 County Road J, Minneapolis, MN 55432, (612) 7844-9346 SURVEY FOR: B & G Investments 961 Hillwind Road Fridley, Minnesota 55432 Lot 19, Block 1, Blomberg Estates, City of Fridley, Anoka County, Minnesota. SCALE: 1" = 40 O Denotes 1/2" diameter iron pipe monument set and capped No. 10832. ® Denotes found iron monument. I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. - Q. 10832 Nov. 17, 1980 4278 Reg. No. Date Job No. 0 9 Book No. N 88° 59' 53"W - 136.8q ' - c3 I aP 3 vid . �Iv d .. 0 d /0 I �° 00' d /p. a O lit O h 0 a LOT 9 0I sr LI O J _ 33' 3 89° or Oq" E Lot 19, Block 1, Blomberg Estates, City of Fridley, Anoka County, Minnesota. SCALE: 1" = 40 O Denotes 1/2" diameter iron pipe monument set and capped No. 10832. ® Denotes found iron monument. I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. - Q. 10832 Nov. 17, 1980 4278 Reg. No. Date Job No. 0 9 Book No. q., o5 -F6 o T 7( 5 (= w e /2 10 �a. ./ I,v�f�FI2 NEW [ ADDN. [ ] ALTER. [ ) City of Fridley �R-1 AND R-2 Building Permit Application Effective 4/1/84 Construction Address: /C YO 1-.4%f 5r L>e _ Legal Description: I -©T. 61--1 'Sl -';(Mbc�n SQA% Owner Name & Address: Tel. # Contractor: f /VC' Tel. # y3y' 70 Address: Y$ a .Z4- e9ve- /V /:-- c SS- l Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length 3 9 ht Width a y Height Sq. Ft. GARAGE AREA: Length b Width 2 Height �_ Sq. Ft. y G DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [y) Ft. Yd. Setback 3r Side Yard Setback ?//S - Type of Construction: rg4/1.0 Estimated Cost: $ (P©,<9<)(!) Approx. Completion Date: n C 2 /S- �'✓ Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation �f C DATE: / 2 ` '�� APPLICANT: Tel. # CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS• i f � c e�11111 F 1111111 Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] FA SUBJECT PERMIT N City of Fridley 18 849 AT THE TOP OF THE TWINS BUILDING PERMIT RE . • COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. d— � ` L r---1 CITY HALL FRIDLEY 55432 ".j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/2/87 JOB ADDRESS 7640 Lakeside Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 1 Blomberg Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bonnie Pontious 7640 Lakeside Road N.E. 780-4124 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 19" x 1319" Deck 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS REQUIRED WAR ING FOR WIRING, HEATING, PLUMBING AND SIGNS.TELE Befog:: digging call local Utilities -GAS C , E -ELECTRIC REQUIRED BY LAW 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 SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1, 800 $. 9O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE .38 $37.78 * w SIGNATURE OFCO&7RACTORO THORIZE AGENT (DATE) _ �1�JHNROPR DAT THIS IS YOUR PERMIT tj V / 01 BLDG )NSP DATE S ATURE OF OWNER IIF O NER BUILDER) IDATEI FA NEW [ ] ADDN. (�'] ALTER. [ ] Construction Address: Legal Description: Owner Name & Address: Contractor Address City of Fridley �R-1 AND R-2 Building Permit Application Effective 4/1/86 Tel. # L/f Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length U Width l� x Hgt/Ground e� Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: U I VV -) Estimated Cost: Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation 0 DATE: "� - - APPLICANT: /�7OI Ayoa a Tel. # '7 CITY USE ONLY Permit Fee $ a(4', Fee Schedule on Reverse Side Plan Check $ `%�25% of Building Permit Fee State Surcharge $ 490 $.50/$1,000 Valuation SAC Charge $ $ 525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ - Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: go(i 1 3,C1 3 h � (p vo fo _ N .O � Q 7 T O ® i 'was l0 O r N M CINOF FRIDLEY CIVIC CENTER • (-)431 UNIVERSITY AVE. N.E. FRIDLEY. NIINNESOTA 55432 • PHONE (612) 571 Oso May 16, 1986 Mr. Gary D'Aigle Garjac Inc. 481 - 206th Avenue N.E. Cedar, MN 55011 Re: Final Reinspection at 7640 Lakeside Road N.E., Fridley Dear Mr. D'Aigle: O A reinspection was conducted on May 16, 1986 of the above address to determine compliance with our letter of October 10, 1985, and the following items were noted which must be completed before the structure can be finaled: 1. Provide sod in the front and side yards by June 1, 1986. 2. Provide and secure a sump basket cover by June 1, 1986. 3. Provide a diagonal brace on the garage gable by June 1, 1986. We will expect the above items to be completed by the scheduled date when a reinspection will again be conducted to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, CLARK Chief Building Official DGC/mh CC: 7640 Lakeside Road N.E. FRIDOF LEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 October 10, 1985 Mr. Gary D'Aigle Garjac Inc. 481 - 206th Avenue N.E. Cedar, MN 55011 Re: Final Inspection at 7640 Lakeside Road N.E., Fridley Dear Mr. D'Aigle: A final inspection was conducted on October 7, 1985 of the above address and the following items were noted which must be completed before the structure can be finaled out: 1. Provide a copy of the verifying survey to the City. 2. Provide sod in the front and side yards. 3. Raise grade on the south side of the foundation. 4. Provide and secure a sump basket cover. 5. Sheetrock lower level. 6. Provide a diagonal brace on the garage gable. We will expect the above items to be completed by October 21, 1985, except for the sod which must be completed by June 1, 1986. A reinspection will•be conducted on or about the scheduled dates to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, - 1�Sl D G. CLARK Chief Building Official DGC/mh CITY OF FRIDLEY Effective Date January 1, 1991 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE iESIDEl�TL#L RATE TOTAL Job Address Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 S Building Inspection Div. 6431 University Ave NE Fridley MN 55432 Tel. No. 572-3604 Gas Piping $ 10.00 $ (piping needed with am furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true Pad correct. • Air Conditioning (all sizes) $ 10.00 19 All Others/Repairs and Alterations e� ONNER p) ►o. o ®/V / f /'�-e IC - It of Value of Appliance or Work $ y J fNG 1Z-4��& KIND OF BUIrLDDI®1���%Q COMMERCIAL/INDUSTRIAL USED AS a�Srf(/PA✓G It of Value of Appliance or Work S �- Ta BE COMPLETED ABOUT t ESTIMATED COS? / � O `�l State Surcharge $ .50 _ OLD - NEW BUILDING PERMIT N0. PCANIT NO. REINSPECTION FEE $30.00: $ DESCRIPTION OF FURNACE/BURMEA Rough Inap. Date Final Iasp. '�/^ Date Approval for Permit MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. HEATING or POWER PLANTS, Steam, Not Water, Warm Air- No. Trade Naw Sim No. Capacity I Sq. Ft. EDR BTU UP Total Connected Load BURNER - Trade Name Kind of Fuel Capacity _ Sq. Ft. EDR BTU up Company Signed By p� W Tel. No.�lC Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; I. Has been carefully examined Yes (,) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Remarks Company Signed By Date CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 2000 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( qo JOB ADDRESS_J6 RATE SCHEDULE � OWNER e-- 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 BUILDING USED AS ESTIMATED COST ����� PERMIT N0. ���? DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units l Circle One (Steam) (Hot Water)ar ir) $ Trade Name P rull J1 Size No.3�/7 Lnag d BTU HP EDR $ Fuel A.), 6 • Total Connected Load Burner Trade Name 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 $ .50 rulings of the Building Division, and hereby declares that -all the facts and representations stated in this application are true and correct. BLAINE HTG. A98Tk- r_ '. Ali 13562 UENTRAL. AVE. N.E. HEATIN0 ANOKA, MN 55304 • i r Signed TEL # 5 7 Approved By Rough -In Date Final Date COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing 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" No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. YesWNo ( ) 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 Furnace Venting Tables for fan assisted and natural draft appliances. Yes ) No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes No( ) When required to install a new combustion air, it will be sized and installed � To meet the current codes and manufacturer's specifications. 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 specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes 0 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 current codes. Yes No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type _ & fi,Tjq[LUTU Input d � Fan Assisted or Nat ' Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter 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 BLAINE HTC;, AUC ELECT., INC. 13562 CENTRAL AVE. N.E. HEATING CO: AN®KA, N 55304 Signed By:J�M Date : Q �� U CITY OF FRIDLEY INSPECTION DIViSION Effective On May 10, 1999 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 7 JOB ADDRESS J(J!J.v t U RATE SCHEDULE // i OWNER r tr64IAtt Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) ESTIMATED COST PERMICO--'3:: Gas Piping (Needed with new furnace, $ 10.00 $ but not re lacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range Yjj jai (3. Q� $ 10.00 $ 2/00.cc)C) No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP ED *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work 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. $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are'true and correct. $ S� Rough -In Date 0 CHIlVINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: L Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and i total BTU's connected Yes ( ) No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: