Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PRE 2010 DOCS
City of Fridley, Minae N° 10452 BUILDING PERMIT Date: Oct. 14, 1969 owner: William G— Linton Builder Same Address 39 Logan Parkway Address Same LOCATION OF BUILDING No. 39 Street Logan Parkway part of Lot Lot 2 Block - 7 Addition or Sub -Division Q ak C r i-- e k A ddn Corner Lot _ Inside Lot —. X Setback —_ Sideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Adddd-UonFront -1861 � Depth 26 Height 24' Sq. Ft. 491 Cu. Ft. 11 , S44 G a r a g e Front �2 6 1_ Depth ? 6L' Height 10 Sq. Ft. 676 cu. Ft. _6760 Type of Construction Frame Fst. Cost _ . 9,,QD-0 &0- To be completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. � . . In consideration of the payment of a fee of $ _ _ 2 8 012 _., permit is hereby granted to Wi 11 i an G _ Linton to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and. moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. i240 Building Inspector NOTICE: This permh does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be euro to we the Building Inspector for separate permits for these hoom OWNER 'S NAME APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING NO. 3 STREET L L LOT .� BLOCK ADDITION OR SUBDIVISION(Gl CORNER LOT INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: /F 6 Front Depth e,2 f Height �- Square feet —*1F/_ LCubic Feet Front o? fp Depth 2 Height 1() Square feet 4� 744,p h4Cubic Feet /4_;76 V (Ut_ a Type of Constructiox� Estimated Costes-� To Be Compl G The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE (- 14 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side.) d,0, U) r COMBINING THE RECORDS OF HARVEY A. COUNTY SURVEYS J. E. HILL, CIVIL ENGINEER ANOKA COUNTY SURVEYS MSNN COUNTY SURVEYS TABLISHED 1898[MINNEAPOLIS . SURVEYS LAND SU IGv S C.SF. SANDHOFF • 8410 PALM STREET N. W. REGISTERED UNDER LAWS OF STATE 0 CIVIL ENGINEER F MINNESOTA ESTABLISHED 1908 • SUNSET 4-7655 LICENSED SY'ORDINANCE OF CITY OF MINNEAPOLIS OWNER JAMES NELSON 328 PLYMOUTH BUILDING FEDERAL B-8721 SURVEYOR INDUSTRIAL — JUDICIAL HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA ESTABLISHED 1922 BUSINESS — TOPOGRAPHICAL��lrfae �Or'� pert{ftLdle METROPOLITAN LAND CITY LOTS — PLATTING ` SURVEYORS, ESTABLISHED 1951 I'h LL I A'•. G. L I NTON 459--26 �ttou JR-----____ 1 iI x q C J Y :HEREBY CE :T I FY THAT TH I Sz I'D A TRUE AND CORRECT PL�,T C�F A SURVEY ,.;ADE --Y ;.lE CF THE SOU;'DA21 t ES --)F LOT 2, BLOCK OAK Ci -EEK ADD I TI vvUi-:TY j is I NN ESOTA • AS SURVEYED BY ME THIS 10TH SAY• OF GCTIJJE ;, 1: 69D ` SIGNED R'..fa'••mr€�k''..ew Z�.•"'.;..,aP..L.:,:�d+:r,-^ CAPTWRIGHT AND OLSON �— F 3a12 aL i �i iI x q C J Y :HEREBY CE :T I FY THAT TH I Sz I'D A TRUE AND CORRECT PL�,T C�F A SURVEY ,.;ADE --Y ;.lE CF THE SOU;'DA21 t ES --)F LOT 2, BLOCK OAK Ci -EEK ADD I TI vvUi-:TY j is I NN ESOTA • AS SURVEYED BY ME THIS 10TH SAY• OF GCTIJJE ;, 1: 69D ` SIGNED R'..fa'••mr€�k''..ew Z�.•"'.;..,aP..L.:,:�d+:r,-^ CAPTWRIGHT AND OLSON �— City of Fridley - Application for Phoddag and Gas Fitting Pinak Dept. of Bldgs. Phone 360-3490 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ GD Future Fixture Opening ............ x $1.50 $ _ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to 89,000 BTU) . • .. x $3.00 $ New Ground Run Old Bldg. ....... . Electric Water Heater .............. GAS FITTING FEES: 1st 3 Fixtures . Additional b Ixtures ................. . Gas Range to 190.000 BTU .............. REPAIRS R ALTERATIONS—Rotor to Code _ x $3.25 $ _ _ $2.00 $ NO. RATE TOTAL z $2.00 ; x$.75 ; x $5.00 Description ............... f TOTAL FEE 0 0 City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that alt the fact and representations stated in this application are true and correct Fridley, Owner Kind of Building Used as To be completed about Estimated Cost, $ Old New. Building Permit No. Permit No. u Signed -� ROUGH � FINAL ---!j - ' 9R - 7 / By----- Business Phone No % 'I- �•'�� HI's lip ii ;Qa�4S�5gNGAs �iSS N y¢(y�JyLu�• V o V Z g 8 V WATER MTA. ELEC. Base 1st 2nd 3rd EE E 4th d - • FT. Con -action Openings * Fixture. Old Openings Connected with BawerNew Cgapool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ GD Future Fixture Opening ............ x $1.50 $ _ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to 89,000 BTU) . • .. x $3.00 $ New Ground Run Old Bldg. ....... . Electric Water Heater .............. GAS FITTING FEES: 1st 3 Fixtures . Additional b Ixtures ................. . Gas Range to 190.000 BTU .............. REPAIRS R ALTERATIONS—Rotor to Code _ x $3.25 $ _ _ $2.00 $ NO. RATE TOTAL z $2.00 ; x$.75 ; x $5.00 Description ............... f TOTAL FEE 0 0 City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that alt the fact and representations stated in this application are true and correct Fridley, Owner Kind of Building Used as To be completed about Estimated Cost, $ Old New. Building Permit No. Permit No. u Signed -� ROUGH � FINAL ---!j - ' 9R - 7 / By----- Business Phone No % 'I- �•'�� Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shen & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR e o Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ a each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ Dept. of Bldgs. Phone SU 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn ^�•� 19 o Owner Kind of Building Used as(� STEAM or HOT WATER SYSTEM To be completed about @( / F✓' loco Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Estimated Cost, $- Ca 400 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ .�eo to Old—New. Building Permit No. Permit No. Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ DESCRIPTION OF WORK OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule oO GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ � �^ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ C21 Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $�7_ ROUGH FINAL /-2-13-71 HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade Name �� rem Size No_ 4% —Aat � Capacity Sq. Ft. E.D.R�a_—BTU H.P. Total Connected Load �O� "1 Kind of Fue BURNER — Trade Name Size No Capacity. Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) f. ; /a 06 .QJ -42 2M Business Phone No - Appleatfon for Pourer Phuft and Haalb% Cooffage VentRalkne Res 1w -n ®nd Air Conditfoning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WAREN AIR: RATE TOTAL Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations --up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam . .. .$10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 ' $. Each add. 320 sq. ft. IDR Hot Water ... . ........... 3.00 $ OIL BURNER—to 3 gal. per hour ..... 6.00 $ over 3 gal. per hour -wee Fee Schedule GAS BURNER (up to 199,000 BTU) .............. I......... 6.00 $ over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 9.00 $ Additional Fixtures x .76 $ Gas Range to 199,000 ........... is 800 $ AM CONDITIONING oAte, RT FAHEATING ST See Fee $ekedab VENTILATING SYSTEM �— ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL J;__ - �/ Dept. of BIdgz. Phone -OW -348D City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinance. and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn -�/ ,. i97A Owner Kind of Building Used as To be completed about Estimated Cost, $ N A 60 -New. Building Permit No. Permit Pio. DESCRIPTION OF WORK HEATING or POWER PI ANTS—Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D R- BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No- Capacity Sq. FL E.D.R- BTU HJP (RMARKS-OYER) Ori&d PERMIT for Power Plants and Heating. Cool. ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of / Heating Plants to be installed—altered—repaired Make Oil fired ; Coal fired BB ; Gas fired 1Z ; Gas Authorization No. Remarks %1-� p -a a E 4J.t.c� U-)&-", — Approved Final Inspection Date , 19_ Inspector Permit N° 4662 Fee $ Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. FE$ 6 , 192-0 Owner & u- L- A3 i b A) Location 99 Loa,9A) )0/<w s/ Kind of Building FR�1 m How Occupied .6Uj =Lj_, tj C� Work to be Commenced—, 19— To be Completed r6s a .P 19 in Estimated Cost, $ > -2 0 0.1' Old -New, Building Permit No. Permission is hereby granted to FJL&� to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition thad the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specififftions set forth in the approved application for this permit on file in the office j'ice of the Inspector of Buildings. , , Inspector of Buildings 42 2M 11-67 V N? 5232 Origin Permit for PLUMBING AND GAS F INIG s `¢ �- 3 N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Fee Pr$*tA0V permit., inspection shall be. phoned in to the plumbing Inspector, 560-3450 giving number of this DESCRIPTION OF WORK Number, Bind and Location of Fixtures Stories II-- F p J Z F m fa Y N Y z: m >r a z V z Zi V J O WATER HTR. m a J U a D m F tp Q m z 10 a 3 F O o W o I U) o J LL a r m QQ Q U m rc m x m y Q O Q d M J f z a Q 6A8 ELEC. Basement f / let 2nd 3rd Ah Connected with Gas Piping for Openings Permission is hereby granted to do the plumbing and gas fitting in the building described the statement hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. 42 IM-41�9-v City of Fridley �'�1Y1�� 7 ,19�?a Owner - iUz4Q M L1AJ% 0A) Kind of Building—FKOMI,- Used as --AW al -A /y % To be Completed '19— Estimated 19_ Estimated Cost $ 54-5"b• 00 Old -New. Building Permit No. OC Inspector of Buildings. �A 1 PERMIT for Power Plants and Heating. Cool. ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Pleating Plants to be installed—altered—repaired Make ,Size ; Oil f •fired , _Cj*l fired ; Gas fired ; Gas Authorization Remarks Approved Final Inspection Date , 19_. Inspector S"3 Permit N° 4798 Fee $ /V ®C Office of the Inspector of Building City of Fridley City of Fridley, Minn. � ,192 Owner t j—j-L�� L�L Location 42 Co m 94 Kind of Building How OccupiedLt)AL-'&. Work to be Commenced—,19— To ommenced ,19_To be Completed ,19!90 Estimated Cost, (Old New, Building Permit N Permission is hereby grantedy to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that tk person o whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specificatio set rth in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector of Buildings 42 2MIWv N? 516'7 Original Permit for PNOMBING AND GAS FITTING F 93 N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for permit inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit.. Plumber, Sind and Location of Fixtures Stories F F p J Z € 0 x m Y Z j f0 3 O Z u Z z 6 U WATER HTR. < J 3 < m < Z a K K O S OJ K ~a 6 .1 6 0 m x Q LL a s GAS U 7 m F m tll ; F O LL y LL D U m E J F ILL 0 6 O LL' ELEC. Basement 1st 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted Ul,, n J to do the plumbing and gas fitting in the building described in the statement hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date , Inspector. �p�_e.s9-v City of Fridley 0gz&Jed Owner�Lp�.t� oi! Kind of 1 0-4-y Used as To be Completed , 19_ Estimated Cost ONew. Building Permit No. Date Inspector of Buildings. City of Fridley Application for Phmddag and Gas Fitting Pm* Dept. of Bldoe. Phone 380-3490 DESCRIPTION OF WORK Number, Kind and Location of Fixtures O •�Fs< c 2 N u1 N I N WATER W". I GAS ELK. Base 1st 2nd 3rd 44th_ • Fwhoa Connectins Openinps * New Fixture, Old Openings Connected with Sewer Cesspool ❑❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $� Future Fixture Opening ........... x $1.50 New Fixture Old Opening .......... . x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) - ... x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Wager heater .............. z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL lot 3 Fixtures x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ............... x $5.00 6 REPAIRS & ALTERATIONS--Refier to Code Description ............................-................ TOTAL FEE $ . 10_1 Q. City of Fridley: Nl The undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct / Fridley, Nines Owner L ���e��7, Kind of Building Used as L -P To be completed about Estimated Cost, $ �JG. e, O Old—New. Building Permit No. Permit No. S Signed 'e, z47'r_' ROUGH FINAL By - Business Phune No F� SUBJECT PE T NO. City of Fridley ® 13450BUILDING AT THE TOP OF THE TWINS PERMIT RE COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 4/12/76 JOB ADDRESS 39 Logan Parkway N.E. 1 LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR. 2 1 Oak Creek Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE WILLIAM G. LIMON 39 Logan Parkway 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 X 8 DESCRIBE WORK Alter a window in livin room 9 CHANGE QF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING.. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $200.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 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- $5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $5.50 ' IGNATUREOFCO'NT/RRA�CTOR RAUTHORIZEDAGENI ATE WHEN PROPERLY LIDATED THIS IS YOUR PERMIT BLDG. INSP meq, /n r DATE SI NATUREOF OWNER(IFrOWNER BUILDER) ( ATE) F� APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA I OWNER'S NAME : C (/� �J� 2 �YL BUILDER : S� �=- n ADDRESS•'--7� - " ADDRESS: t f NO • . 1>q S TREET : 40 G A LOT: 2 BLOCK: I ADDITION: (3,o l c Q ie c cse . CORNER LOT: INSIDE LOT:_ _SETBACK: SIDEYARD: Applicant attach -to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: • % " L Re d rt Axrfr AFront: 1,1-j AJ 10924--d /N I,4I NG Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: $ e'7_00 100 To Be Completed: _ / 14ON '_j_4. The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordxnances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: `,-� &7 SIGNATURE (See Reverse Side For Additional Information.) G� . !�_v S.��4j SUBJECT City of Fridley 10816 AT THE TOP OF THE TWINS BUILDING PERMIT 'r , IPT COMMUNITY DEVELOPMENT DIV. � r _-- r L PROTECTIVE INSPECTION SEC. e h-1_� 11� NUMBER REV. DATE PAGE OF APPROVED BY � /"'1 � CITY HALL FRIDLEY 55432 "'j 612-571-3450 910-F15 5/10/91 JOB ADDRESS 39 Logan Parkway 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Oak Creek SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bill Linton 39 Logan Parkway NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Contr. 6331 Riverview Terrace NE, Fridley 574-9966 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION .0 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (25 Squares) 2nd layer. 9 CHANGE QF USE FROM TO STIPULATIONS Roofing can be.2nd layer but not 3rd, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1300 r $ 165 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $31.00 Fire SC $1.30 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $32.95 SIGNATURE OF CONTRACTOR OR AI ORIZED AGENT I ATEI WHENROPERL V I E HIS IS YOUR PERMIT INSP BATE ' SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/91 ADEN [ ] R-1 AMID R-2 AIT [ ] Building Permit Application Construction Address: 3 % Z 0 A A/ ti� ��� s✓ M.. .—« RUMMM Owner Name. & Address: 3 L Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DBSM3Ffn T of IIKE 11' VFHCM LIVa1C AREA: Length,, Width Height Sq. Ft. � AREA: length Width Height Sq. Ft. ,DECK AREA: length Width Hgt/Gro u d Sq. Ft. Corner lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Cbmstruction: "K c` Z! u o F Estimated Cost: $ 13c, D . ®-,\ Approx. Completion Date: -51,?& / as- '51 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page / APPLICANT: Tel. # J ? �� Permit Fee $ _ - 0e) Fire Surcharge State urge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPULATIONS: Fee Sciyedule on Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Ercji nseri2'Ig Agreement Necessary [ ] Not Necessary [ ] SUBJECT PERMIT City of Fridley 7 3 AT THE TOP OF THE TWINS AT BUILDING P E R M I T Ir? L'------COMMUNITY DEVELOPMENT DIV. 1 I PROTECTIVE INSPECTION SEC. / 7 - ' CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 9/19/91 JOB ADDRESS 39 Logan Parkway NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Oak Creek Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William G. Linton 39 Logan Parkway NE 571-7306 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Leif Henriksen Contr. 6434 Riverview Terr NE, Fridley 55432 571-2776 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Ij ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 1W x 22` Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING REQUIRED FOR PER PERM Q Before digging call for WIRING, HEATING, PLUMBING AND SIGN& all Utility locations REQUIRED°By LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $22,400 $11.20 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $267.60 SIGNATURE OF CO ACTOR R AUTHORIZED AGENT IDATEI HEN Y LI DATED THIS IS YOUR PERMIT 12—� % e DATE SIGNATURE OF OWNER (IFOWNER BUILDERI IDATEI BLDG INSP NF1 [ ] Effective 1,/1,/91 ADM 1-1 AMID R'-2 A= [ ] Building Permit Application Construction Address: 3 !` © G 4 U A R K A I/, � R I D l C-�`�/ , M legal nesc-T 3cn: �C) 'Z e LOC.k OA -K 69EEK ADDITION , A NDk4 000AIT Owner Name & Address: MR � MRS w I k Ll 4 M 6. k / kl TD ill Tel. # S -71-1-50(o nnn[-Tar ltcr: L E i F I-� E N R\ K s C�J Tel. # 5-71 - Address: 6 4 3 4 R t y E 2 U le� vv �� R 2 t= (� l e 1. FY Attach to this application, a Certificate of Survey of the lot, with the anx tructian drawn an it to scale. »BC3tIP1ZQd OF D� LTV= AM: length ® Width Helot sq. Ft. �, j GNOM AM: length Width Height sq. Ft. ME= ASA: ImVth Width Hgt/Ground Sq. Ft. OMM: Cerner Lot [ ] Inside Lot M Ft. Yd Setback Side Yard Setbacks Zjrpe of Constn:cticn: Ind o o P F R A m e Estimated Oust: $ Q a,'4©y Approx. Cczpleticn Date: ) A" l 1t9 Z PrCpoeed Driveway Width If New Opening Is Desired: Ft. $ $. Width + 6' See Back Page DAM APPLICANT: Tel. # Permit Fee ® U Fire S1ui arge State Sur .arge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main auuW $ $ � C') 66 srUCNS: Flee Schedule on Reverse Side , .001 x Permit Valuation (1/10th:$). $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" ar Alt. "B" Above Flee Determined by Fl�rri tori rrl it Necessary [] Not Necessary[] 4 00, ;(,®c+O- 4zi®d a►�9 �il�ri : lr(% ��� �q � c� (� �. a� a. �r , �a �.v oe,.,� aa�a�cS� �,,�„�, .T.,.e.,l 9�..��, (1.7a SCO -,„.r �.7` s7� 7sa6 j/ r �-K� Iry �%�..,,�.. . CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 iO.c 00 that all the facts and representations stated in this application are true and correct. — ,1991 Effective On January 1, 1991 Gas Piping (Needed with new furnace) $10.00 $ OWNER GLS' Gas Range $ 10.00 $ BUILDING USED AS -C/l Gas Dryer • $10.00 $ "Air Conditioning -All Sizes $10.00 $01 _06 ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON 1 % of Value of Appliance or Work BACK) $ No. of Heating nits Circle One (Steam) (Hot Water)arum Trade Name Size No. 7 C'7'� Commercial/Industrial BTU HP EDR 1 % of Value of Appliance or Work $ Fuel M Aj ,( C�&S Total Connected Load 4/. State Surcharge TOTAL FEE $ .50__ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. BTU HP EDR r HEATING COMPAN' Signed By C 1j, Tel Na � 7 Approved By (/ Rough -In Date Final Date 17-- 3 _ (?/ FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. 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's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTUs Remarks List Alterations Being Done: HEATING COMPANY Signed By Date SUBJECT P MIT NO. City of Fridley 31217 AT THE TOP OF THE TWINS BUILDING PERMIT a' RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. /�®�r l� PROTECTIVE I � NUMBER REv DATE vAGE OF AVPROvED Br ` �•� CITY HALL FRIDLEY 55432 --__�;"' L 612-571-3450 910415 7/18/00 JOB ADDRESS 39 Logan Parkway I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Oak Creek SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bill Linton 39 Logan Parkway 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings 6331 Riverview Terrace, Fridley, HN 55432 574-9966 4051 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential XRKJfXMXNMXYJIEMXXXKNMaEXKKRXIKMXKXXXXXX4 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION d3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Tear off and Reroof House and Garage 27 Squares 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must moi: comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 $2, 360.00 $1.18 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT L FEE Licen§zjC $ . $91.79 SIGN TUAE OF CON'RACTOR OR AUTHORIZED AGENT IDATEi EN ROP C VALID THIS IS R �j SS-GNATURE OF OWNER��F �O.NIFIERi ATEI G INS r)Ait NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Tel. # Contractor:MN LICENSE # Address: 6 3 3 / --roll Tel. # S Z P4;�- 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 Width Hgt/Ground Sq. Ft OTHER: 2- 7 �1.. Construction Type: Estimated Cost: $� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ -=$ DATE: 1e oda APPLICANT: �d/���- Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees If mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ C 6 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: r CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On August 1, 1995 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES �A'Rk Residential Rate TOTAL Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $ 10.00 $ ip, 00 Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning — All Sizes $ 25.00 $_Z11, 00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Commercial/industrial 1.25% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ Z.s'. std MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner:. JOB ADDRESS 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 and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ,199' OWNER BUILDING USED AS ESTIMATED COST -Va • 0 u PERMIT NO � • • i . � • .i _ i - No. of Heating Units ( Circle One (Steam) (Hot Water) a�A:lr Trade Name Size No. BTU a m HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR: a§t,'C'P RD HfURNGMIDAIR CON ITIGhiltiva 410 %','EST LAKE STREET HEATING COMPANY MNEAPous,MN 5%%2988 640 824 ago Signed By ,yam, Tel No. Approved By 16 Rough—In Date Final bate FILL OUTBACK SIDE FSTACK VERIFICATION ON REPLACEMENT FURNA E Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes O No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes O No ( ) 5. Meets all current Code requirements for size and 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: 410 W. LAKE ST. 1072 PAYNE AVE. MINNEAPOLIS, MN 55408-2998 ST. PAUL, MN 55101-3892 612/824-26 EATIRGANDAIRCONDITIONING 612/772-2449 sow'rmrwmerre,Sam loir ORSAT TEST RECORD ADDRESS cc "' CITY_ OCCUPANT ' ll,OWNER DATE HTG. INST. GAS LINE BY INSTALLED BY TYPE OF HEAT: GA FAe!!� HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER MODEL��. G ®� C�. MODEL SERIAL -J ® ¢ MAX. BTU RATING INPUT,rvo-a MAKE OF F CE CONTROLS THERMOSTAT HEAT PLUG Srd ®,=-42�% �AENT SIZE 7 IV y6 VALVE— KIND OF LINER -- SIZE NONE LIMIT_ /����- DRAFT HOOD REGULATOR LIMIT SETTING /R7® CHIMNEY CONSTRUCTION FAN SETTING t DRAFT CA %-AEST TAC PILOT TYPES LIGHTING INST.(j� & -oolg PILOT MAKE_ PILOT MODEL PILOT TIMING PRESSURE 5— PERCENT CO - DATE TESTED INPUT CFH® PERCENT 02 STACK TEMP.06 PERCENT CO NAME OF TESTEP. CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2002 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 JOB ADDRESS d ,agger, '?o,4G,./a.�y° RATE SCHEDULE IV OWNER AA //`�-. 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 (,:,_i =^s ce�— *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25/0 of Value of Appliance or Work Rate TOTAL $ 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. ro de C -,I` e r eta J� Co, BUILDING USED AS 2c�•��,` ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Ci le One (Steam) (Hot Water) (Warm Air) Trade Name -4e,— _ c,Sr Size No. BTU HP EDR Fuel__ �1 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. / DATE HEATING CO Signed%mit TEL # FAX # Approved By Rough -In Date Final Date -07o-®,?, THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED WhenlPlaronn an PArdinq .ran _ , 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 plastictPVC 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 Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The pY�t—ng cnmhtie_tinn air is sized and installed to meet the current codes and manufacturers specifications. Yes( No ( ) When required to install a new cnmhustien airy it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When l'OStalfinn a now v _n ing 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( ) 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 #1 Type _ Appliance #2 Type _ Appliance #3 Type _ Total Appliances _ BTU Input BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat 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 HEATING CO: Signed By: Date: City of Fridley SUBJECT 33395 AT THE TOP OF THE TWINS BUILDING PERMIT � COMMUNITY DEVELOPMENT DIV. REJCEIPT NO. �y---- r 1 � PROTECTIVE INSPECTION SEC. p` 1 REV GATE PAGE Of APPROVED BY 1 +---1 CITY HALL FRIOLEY 55432NUMBER 763-571-3450 910415 3/26/03 JOB ADDRESS 39 ,Logan Parkway NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 1 Oak Creek Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bill Linton 39 Logan Parkway NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings Co -6331 Riverview Ter NE, Fridley, MN 55432 574-9966 4051 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house gable ends and dormers; soffit & fascia 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAO VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN BO 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 @ $3.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,000 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- Fire SC $6.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $125.25 PLAN CHECK FEE TOTAL FEE ® ice se SC $5.00 $139.25 SIGNATURE OF CON'RACTOR OR UJTHORIZED AGENT IDATEi HEN PROPERLY VALIDATED THIS IS YOUR n ERMIT W S-GNATURE OF OVVNER.IF OWNER BUILDER. IDATEI LDG INSP TIATE 01 NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: S9 L o 5.4,f/ 1"21< W t/ Legal Description: Owner Name & Address: BLL L: M/ -D w Tel. # Contractor: �A R D /-I` A!0-, A(CS MN LICENSE # -,2S-/ Address: 4 3� I R C—,ey) L Tel. # X 7 41 ~ ���•�C— 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 IMPROVEMENT Length Width Height Sq. Ft. Length Length FAalL4L s 5'� Fre Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. fv of <}- A Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ A.k DATE:. 2 c/o APPLICANT: -(Z� Tel. #-5- I Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ /3 / • C�ls'r- CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] MINNESOTA DEPARTMENT OF HEALTH Minnesota Well and Boring WELL OR BORING LOCATION Sealing No. H " WELL AND BORING SEALING RECORD County Name Minnesota Unique Well No. (L-. blank 6 not I—) Anoka Minnesota Statutes, Chapter 1031 or W -series No. �1 Mile Township Name Township No. Range No. Section No. Fraction (sm. — Ig.) Date Sealed Date Well or Boring Constructed Diameter Depth Set In oversize hole? Annular sp,,,.ajjjce Initially grouted? 1 — in. from_ to 77-- ��ce / -n ft. ❑ Yes 1Po ❑ Yes ❑ Unknown Frid 1 30 I 24 1 15 1 SW, NE,yS W 9/16/08 Unknown WEL§ EER'S NAMEICOMPANY NAME Latitude degrees— minutes_ seconds GPS Depth Before Sealing - 30 ft. Original Depth 30 ft. Well owner's mailing address If different than property owner's address indicated above LOCATION: Longitude_ degrees_ minutes_ seconds FE S) STATIC WATER LEVEL ❑ Rods/Drop Pipe ❑ Check Valve(s) ❑ Debris ❑ Fill too Obstruction Numerical Street Address or Fire Number and City of Well or Boring Location Ingle Aquifer ❑ MultiaquifervI sured ❑Estimated Date Measured 09/16/08 ORING HARDNESS OR FORMATION 6412 Ashton Ave (�✓ PUMP Typeemoved If not known, Indicate estimated formation log from nearby well or boring. atsr-Supply Well ❑ Monit. Well 0 Show exact id with of well or boring Sketch map of well or bray sh d in section grid with "X" Iin�tiroads, gs ❑ Env. Bore Hole ❑ Other 29 slow ❑ above land surface anbull N t_ CASING TYPE(S) eel ❑ Plastic [-] Tile ❑ Other i F-- F l{ WELLHEAD COMPLETION IN ET D ❑ I 4„ Outside: Well House E]At Grade Inside: ?DBasement 410 1h Mile ,�►J ❑ Pit ess Adapter/Unit ❑ Buried ❑ Well Pit ❑ Burled M won ax — s ❑ Other �1 Mile ❑ Other PROPER( OWNER'S NAMEICOMPANY NAME William Linton CASING(S) Diameter Depth Set In oversize hole? Annular sp,,,.ajjjce Initially grouted? 1 — in. from_ to 77-- ��ce / -n ft. ❑ Yes 1Po ❑ Yes ❑ Unknown Property owner' s mailing address if different than well location address Indicated 39 Logan Parkway Fridley, MN 55432 hem to n. ❑Yes El No ❑Yes ❑ No E] Unknown In. from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown WEL§ EER'S NAMEICOMPANY NAME SCREEWOPEN HOLE Screen from 27 to 30 fl Open Hole from t0 ft. Well owner's mailing address If different than property owner's address indicated above OBSTRUCTIONS r ❑ Rods/Drop Pipe ❑ Check Valve(s) ❑ Debris ❑ Fill too Obstruction ObstructionsType of Obsctions (Describe) Obstructions removed? ❑ Yes ❑ No Describe GEOLOGICAL MATERIAL COLOR HARDNESS OR FORMATION FROM TO PUMP Typeemoved If not known, Indicate estimated formation log from nearby well or boring. Pit 0 4 ❑ Not Present ❑ Other Sand 4 30 ETHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: o Annular Space Exists ❑ Annular Space Grouted with Tremie Pipe ❑ Casing Perforation/Removal (( In. from to ft. E] Perforated E] Removed Sand 30 56 Shale & Sandr ck 56 p 68 In. from to fL ❑ Perforated ❑ Removed Type of Perforator Sandrock w bearing 80 -6& ❑ Other GROUTING MATERIAL(S) (One bag of cement = 941bs., one bag of bentontte = 50 lbs.) Neat Grout 0 30 1/2 Grouting Materiel from to ft_ yards bags from to ft yards bags from to ft. yards bags _ I ` C ;. OTHER WELLS AND BORINGS Other unsealed and unused well or boring on property? ❑ Yes o How many? REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING LICENSED OR REGISTERED CONTRACTOR CERTIFICATION 4 This well or boring was sealed In accordance with Minnesota Rules, Chapter 4725. The information contained in this report Geology From: 6430 East River Rd Is true to the best of my knowledge. Water Level in Above Well: 22' E.H. Renner & Sons, Inc. 1431 Date Water Level Taken: 05/04/1970 LicBnsB B` BS a License or Registration No. Drilled by Mork Well °� 9/17/08 Unique# 206681 Certified Representative Signature CertNled Rep. No. Date Kevin Scheiterlein LOCAL COPY H273523 Name Person Sawing Well Boring of or HE -01434-10 IC# 140-0423 5/078 This is a copy of the Sealing Record for the attached property. This record is being given to the state, the homeowner and this copy is for the city or twp. Please keep it with any paperwork for this address as in the future the homeowner might need to pull information on their property. This record has been sent to the state also! ! Thank you, Katie Renner, E. H. Renner & Sons, Inc. 763-427-6100 7- , y ry k `a n This is a copy of the Sealing Record for the attached property. This record is being given to the state, the homeowner and this copy is for the city or twp. Please keep it with any paperwork for this address as in the future the homeowner might need to pull information on their property. This record has been sent to the state also! ! Thank you, Katie Renner, E. H. Renner & Sons, Inc. 763-427-6100 Building MECHANICAL Permit NoY)� bll MAL— Inspections RESIDENTIAL APPLICATION Received By:, 763-572-3604 CITY OF FRIDLEY Da DdNOV 2 4 291 DATE C 4 Y E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ 0 R CO PROPERTY NAME: OWNER/ ADDRESS:_ CITY ST ZI TENANT -., 9--, ^/ CONTRACTOR COMPANY NAME; CONTACT PERSC ; XELWl ; Lim. 410 WEST LAKF SUBMIT A COPY OF }, MN 55408 YOUR STATE STATE LICENSE# • 24• LICENSE WITH ADDRESS: STATE ZIP APPLICATION PHONE FAX PERNIIT •TYPE'` X"GLE FAMILY 0 TWO FAMILY TYPE OF WORK: I NEW REPLACEMENT DETAILED DESCRIPTION OF WORK ❑ TOWNHOUSE ❑ ALTERATION/REMODEL PER MS 16B.665 the permit fee is a minimam of $15.00 or 5% of the total cost up to $500.00, whichever is greater, fox the improvement, installation or replacement of a residential, fixture, excluding .rite nes...(This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to MO=' cos of -labor X OS FOR PROJECTS WHERE LABOR EXCEEDS $500, ARE BASED N •$10.00 PER FIXTURE,. EXCEPT WHERE NOTED. FMVRBS: (INDICATE TOTAL NUMBER OF EACH BELOW) SIZFATU . 8 . o C) Equipmenthutalled MFG: _ MODEL _ MFG: MODEL- MF ODELMF 0: MODEL. SIZESIU A/C x.5.00FIREPLACE (GAS) $15.00 GAS RANGE(OVEN $10.00 AIR TO AIR EXCHANGEER $ IS FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 ACE $35.00 GAS UNIT HTR $10.00 CHUAI�EY LINER $10.00 GASRYER 510.00 POOL HEAY1dt 535.00 DUCT WORK $1000 GAS PIPING $10.00 VENTII,ATOR;15.00 Fee $ Number of fixtures @ $10.00 x $10.UU = $ .50 Number of fixtures U $15.00 x $15.00= $ $ Number of f xftm @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $____-50 Total = $,�Q Surcharge TOTAL DUE THIS IS AN APPLICATION FOR A PERW NOT VALID UNTIL PROCESSED wledge that the information above is complete and accurate; that the work will be it e City of Fridley and with the Minnesota Construedon Codas; that I understand this L- and and work is not to start without a permit; that the work will be inee with th( res review and approval of uhm �__.....l AIr PAA 4a/Kt l 1 791 leY, I hereby apply for a building permit and conformance with the ordinances not a permit but y for approved plan ' the e 1 w rk City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-0977