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BUILDING PERMIT Village of Fridley, Minn. N? 2083 f, a„ Date ........ f.i3.... . Owner.. {� ....... Builder ........................................... Address ....... ........................................... • �,• • ,�,, • Address LOCATItN OF UILDING No. .. .... Street n (� U� .... Part of Lot ....................... Lot ,.�W. ledtl• /• Block ....... ....... Addition or Sub -Division ... 0-4. ";� Corner Lot ... ...... Inside Lot ............ Setback ............ Sideyard .......................... DESCRIPTION OF BUILDING To be Used as: Front Depth ... ,°°y, Height .. . Front ....... Type of Construction Sq. Ft......... Cu. Ft, ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft........ . Est. Cost .... ......... To be Completed . ...... 6' v � \ 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 village of Fridley. i .....i ' ��►;,�,q.............. In consideration of thea ent of a fee of P Yin $. �.�. , permit is hereby granted to ... ..... . • • • . • • • • • ...... . , to construct the buil "or addition as described above. Thi e" t '�s' anted on the express condition that the person to wham it is granted and his agents, employees and workmen, in all ork 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 with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. I Inspector NOTICE: ' f This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 G U - N DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ z aa'' 1.00 $ O ,J uU' Z Water Heater (Up to 200,000 BTU) ...... x WATER HTR. $ New Ground Run Old Bldg. ............ 3 —0sx < $ `� � y<, z �y z Q Jv y a y`Z� � yd � <Z � a Ci O R N GAS rur_ 3' Lf 0d N 3 F- C LL LL C U m S� C/ G Ci K Base 1st 2nd _ 3rd 4th • Future Connection Openings Connected with I Sewer � New Fixture. Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ 3 —0sx 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code 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, Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Permit No.Zo Signed G BIF y�=� Business Phone No ROUGH FINAL Description ................................................ $—� TOTAL FEE $ nz 2M 7-59 196 City of Fridley Application for Plimbing and Gas Fitting Peril DESCRIPTION OF WORK Number. Kind and Location of Fixtures 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 Water Heater .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ........... • .. • ... x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU... ,........... x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .........................................,.. D P1 TOTAL FEE S -' (SURCHARGE $ _.50) Dept. of B1dge..Phone NO -3490 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 all the fact and representations stated in this application are true and correct yy�� Fridley, Minn. Owner Kind of Building�� Pl A , Used as To be completed about ��%.�` `s /57� Z6-0 Estimated Cost, $ Old—New. Building Permit No. Permit No. �7 Signe By��-� Business Phone No 7-3 ROUGH FINAL d4 ' ■ 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 Water Heater .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ........... • .. • ... x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU... ,........... x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .........................................,.. D P1 TOTAL FEE S -' (SURCHARGE $ _.50) Dept. of B1dge..Phone NO -3490 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 all the fact and representations stated in this application are true and correct yy�� Fridley, Minn. Owner Kind of Building�� Pl A , Used as To be completed about ��%.�` `s /57� Z6-0 Estimated Cost, $ Old—New. Building Permit No. Permit No. �7 Signe By��-� Business Phone No 7-3 ROUGH FINAL d4 ' -r CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer JOB ADDRESS 9-00 ,J q 9 h l y N The undersigned hereby makes application for a permit for the work Rate TOTAL herein specified agreeing to do all work in strict accordance with the �0 city codes and ruling of the Building Division, and hereby declares $ 20.00 $_ that all the facts and representations stated in this fpplicepon are true and corr i 11-3 ,1991 $ 10.00 $ OWNERPIA � d h A 11\ $ 10.00 $- $10.00 $10.00 $ "Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work $ CommerciaVlndustrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 v TOTAL FEE $ 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. BUILDING USED AS LW1,111liq ESTIMATED COST 110 ® PERMIT NO. % /- S DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Wate arm Ai Trade Name e S Size No. BTU_ 0111fto—HP_ EDR Fuel Total Connected Load —4--2 (61D Burner Trade Name S `"'~ Size No. 7� BTU 7 �� 60 O HP EDR HEATING COMPANY Rnm TON HEATING &C00UNG 4120 - 65TH AVENUE N. Signed By gROOKI YN-PARK. Mlttb . HONE 424-3333 Approved By alRough-In Date Final Date , i nd'( 'r, , / 7V 1" 9 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE r CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (if 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 %y All other BTU's 90L 0 00 TOTAL BTU's J-/! b o Remarks List Alterations Being Dones HEATING COMPANY _ A Signed By Date HEATING & COOLING 4120 - 85TH AVENUE N. Iff BROOKiyN PARK MN 55443 ME 4^-3333 4' s �# HOUSE HEATING TEST RECORD ADDRESS OCCUPANT HEAT LOSS DATE HTG. INST. SDLD RY Electrical Werk' By APT. OWNER FLOOR CITY SUBURB INSTALLED BY Gas Line By _ TYPE OF HEAT GA FA HW STEAM SPACE HTR. _ GAS DESIGN MAKE MAKE OF BURNER _ Model Model Serial L Max. BTU Rating — INPUT MAKE OF FURNACE Model UNIT HTR. OTHER CONVERSION CONTROLS THERMOSTAT Heat Plug Vent Size Valve KIND OF LINER SIZE '" NONE�� Limit Draft Hood Regularor Limit Setting Filters Size Number Fan Setting Chimney Location Inside Outside Pilot Type N Chimney Construction Pilot Make Pilot Model Smoke Bomb Wiring Pilot Timing Draft Test Tog L.W. Cut Off Door Pressure Lighting Inst.''+ Pressure n - Percent CO2 y Date Tested Input CFH Percent 02 Company Testing Stock Temp. Percent CO Name of Tester Form 235 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR nth.... Floor Wash ,:[i:C�ttk�::;• Auto, Urinal `Tilt'?' Shower 3Cif Tray Ie3i: Drain(:` We 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.p0 Water Heater – Gas** $10.00_ Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42,00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $�&40 Effective On March 1, 1996 Gas (VI(3c;' Water Heater e ter Range t.. ... Gas Elec JOB ADDRESS idJ® 6. 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. Owner Building Used AsA®- I?';I1 1- '1996 S�7`i- I• Estimated Cost_ CQ �; � '. PERMIT NO. 1 i � PLUMBING COMPANYc �f ' —��f� SIGNED BY,�� TEL NO 7i^ Approved By A 1.4 Rough–In Date Final Date **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6–A. MINIMUM SIZE 9 SQ INCHES. SUBJECT efilaMTT NO. City of Fridley 29965 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. 16 COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r I PROTECTIVE 1 . � NUMBER REV DATE PAGE OF APPROVED BY ` ; /"' �.� CITY HALL FRIDLEY 55432 L -__• J` 612-571-3450 91aF15 7/30/99 JOB ADDRESS 200 Loan Parkway NE 1 LEGAL L07 NO. BLOCK 1 TRACT OR ADDITION SEE ATTACHED DESCR. Pt. of 19 Parcel 50011 Oak Creek SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Patrick Keenan229-2730 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Suburban Exteriors 9SRI-8232 4789 4 ARCHITECT OR DESIGNER MAIL ADDRESS IIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION 6C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (20 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State BuildingCode. SEPARATE PERMITS ARE REOUIREO 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 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1748 $.87 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- ST UCTION R THE PERFORMANCE OF CONSTRUCTION 63.15 Fire 1.75 _ PLAN CHECK FEE TOTAL . 4 a &Licen 5.00 7 S� ATURE OF CO 7RACfb OR AUTMOR�2E0 AGENT iOATE� EN ROP Y ALIDATE IS IS UR PERMIT i V/..c1cl G'!! & S-GNATURE Of OWNER,1F OWNER BUILDERI iDATE, 8 G iNSP MATE NEW [- ] - ADDN [ l ALTER Construction Address: Legal Description: Effective 5/10/99 CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 s BUILDING PERMIT APPLICATION -4�Al'r' P�Ljv a� Owner Name & Address: I" Qb-,.PA � ekm vh Tel. # -R a F Contractor: -,� AjJ-e-'-� MN LICENSE # L� a 9 Address: G io .ju� C(/•,,e- .-g_ A-;ta /0 Tel. #�l �F-a 3 a Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EM PROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Driveway Curb Cut Width Needed: Estimated Cost: $ a O % n"1" o Ft. + 6 Ft = Ft x $ DATE: �/ -aR -q 9 APPLICANT: -� A -5� Tel. # a 81- �a 3 Permit Fee $ (D3. t,5 - Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ S-.60 Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ ��•22 STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 JFAX: (763)571-1287 ADDRESS : 200 LOGAN PKY NE PIN : 103024420028 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING PE T NO.: 2004-00756 DATE ISSUED: 05/21/2004 VALUATION $ 9,320.00 NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL 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 OR TAKE PICTURES. RESIDE HOUSE & GARAGE. STATE LICENSED CONTRACTOR 1 APPLICANT WILLS GREG EXTERIORS (20037840) 4246 ROYCE ST NE MINNEAPOLIS, MN 55421 - OWNER KEENAN PATRICK A 200 LOGAN PKY NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to e or cancel the provision,S,�in other state or local law egulat co ctionor e eance of construction. Annlicant ��4L �f1/ Date . I Bldg SEPARATE PERMITS BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 8478 FOR WORK OTHER THAN DESCRIBED ABOVE. 181.25 9.32 4.66 5.00 200.23 NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor. Address: 11gL16 i ��e-3 q Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax �W q — _ MN LICENSE # SyV,,; %Tel. # 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 OTHER: Width Hgt/Ground Sq. Ft E t 6 E - - i Construction Type: i/Jl�!✓ AbFEstimated Cost: $ �- Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x DATE: APPLICANT: Tel. # 7le-7- 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 Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - CU ds- $ c200.45),3 Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] STIPULATIONS: CITY OF FRIDLEY PERMIT NO.: 2004-01472 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 572-36U4 VAX: (763) 571-1287 ADDRESS : 200 LOGAN PKY NE PIN : 103024420028 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER KEENAN PATRICK A 200 LOGAN PKY NE FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp. Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCKIBED ABOVE. CITY OF FRIDLEY INSPECTION DIViSION 5431 University Ave NE -ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, ;763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 RATE SCHEDULE 3esidential 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 Effective January 1, 2003 JOB ADDRESS LGA OWNER Rate TOTAL BUILDING USED AS re5Sd042- $ 30.00 $ ESTIMATED COST ��CR�ck7 PERMIT NO.— $10.00 0.$10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $2LJI� Fuel Total Connected Load State Surcharge TOTAL FEE VIINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 3LUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr {Air Conditioners can not be placed in a side yard without ,vritten permission from adjoining property owner. C/ri�-- $ .50 MUM 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 6--� lJ CenterPoint Energy Minnegasco HEATING C013562 Central Ave NE, Anoka, MN 55304 SignedCM eio- - i't�763--757= FAX # 763-757-6701 Approved By Rough -In c pP _ Date Final Dad k THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When , the undersigned .hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Yes (x) No ( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer Yes X1 No ( ) specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and entralfFumuace VentingcTables forThis fandoes include AGA-GAMA Category I C Yes (x) No ( ) assisted and natural draft appliances. .�_.. ,.,,.,�,ti�,�tinn ar_r is sized and installed to meet the current codes The Pl�,e:----- - - ---- Yes No ( ) and manufacturers specifications. When required to Instal I a n wmQ bUatinn air- it will be sized and installed Yes �) No( ) to meet the current codes and manufacturer's specifications. When iostallin , the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Yes {r) No( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors slzed2 as been removed from the common vent installed alnd vented tiy after an appliance h Yes (A) No ( ) separately as per current codes. Ari nrp- Tyne nd Sim /C on Vont and Vent Cnnnpctnr I damnation PI Appliance #1 Type BTU Input BTU Input Fan Assisted or Nat Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height _ft Length ft Length _ft Diameter in Type ft Diameter in Type Appliance #2 Vent Connector Height #3 Vent Connector Height _ft Length _ft Diameter in Type Appliance HEATING CO: CenterPoint 13562 Central Ave NE, Anoka, MN 55304 Signed By: �` d Date CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 May 11, 2004 Ms. Rebecca Keenan 200 Logan Parkway NE Fridley, MN 55432 Re: Final Inspection at 200 Logan Parkway NE Contractor: CenterPoint Energy/Minnegasco Dear Ms. Keenan: A mechanical permit was issued on July 7, 2003 to install an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and the permit will be expired. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh DEC -2-2005 05:28P FROM: Building Inspections 7.63572-3604 MECHANICAL A";�Zt) 71128 70:76357 permit No.:s RESIDENTIAL APPLICATION CITY OF FRIDLEY P:2/ Racdved By:.. Date Rtee'd: PERMS 168.665 the permit fee is a milrimusm of $X5.00 or 5% of the tol cost up s •00, whichever is V*ff, for the should flea o of labor ) improvement, b stallat'son or replacement of a residential fixture., excludingthe fixtures (This �Y Labor cost under $300 = $15.00. Labor cost between 5300 to $500 = cost of labor x .05 = — FOR PROJgM WIME LABOR EXCEEDS $500, FEES AM EASED ON S I0.0D PER FDtTT3RE, EXCEVI, WHERE NOTED. FllCi JM: MMICATE TOTAL NUMBER OF EACH BELOW) MODEL: y f SIZFlB7V c� EWip=t InSM119d MODW. — SM BTU MFG: Lb�� MEG: MODEL: SD.FJBTU _ '�;11;R EACH {GAS) $15.00 .,GAS RANGW0VEN $10.00 AIC S2S.00 � PJACF (WOOD) $35.00 I� GAS GRILL 510.00 AIR TO AIR S3CCiiANGEFR Si5 FLMNACB 535.00 GAS —=LM IU SI0.00 I30nsk W5.00 GAS DRYER 510.00 POOL HEATER 535.00 _CupqEY LINER 510.00 DUCT WORK 510,00 OAS I+IPINt3 $10.00 ! VEN7 BATOR S15.00 ff2 Penlit Fee $ Number 0ffixh=s@Sl0.00—�Lx$10.UUW$- Surcharge $ .50 Number of factures 0 $15.00—Z x $15.00 = $ TOTAL DUE Nmnber of fixtum Q. 325.00 x $25.00 = $ . Number c f 5xWM @ $35.00. x $35.00 - $ State Surcharge = $� Total = $ � THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNM PRO=ED I hereby apply for a building permit and I aclmowledge. that she information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley attd with the MinnesotaCOWnction Codes; that I understand this is not a permit but only an application for a permit and work is not to Start without a pew that the work will be in accordance with the approved plan in the case all w which requires review and approval of S. l ' SIGNATURE OF City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, NN 55432 763-572-3$44 FAX: 763-502-4977 YotIRE ADDP= ? SM ADDRESS Tms APPLICANT IS: O OWNER CONTRACTOR PROPERTY HAMS. STATE ZIP .3�] OWNEWADbRFSS: _ cnY TENANT PHONE: e0NTJ ACTOR COMPANYNAME:,^ Kline COrp• CONTACT PERSON: - DBA: Practical SYstems SUamrr A COPY OF YOtM STATE STATE I ICVSE 0— 43428 Shady Oak Road STATE LICENSE WrM ADDREss: Hopkins, MN 55343 —— APPLICATION PHON£! 952-933-1868 'pIUNGLE FAMILY ❑ TWO FAMILY 0 TOWMOUSE PER1V! lT TYPE o NEW G REPLACEMENT ;KALTERATIONIRINIODEL TYPE OF WORK: DETAILED DESg ISM +ON �„ >» WORK PERMS 168.665 the permit fee is a milrimusm of $X5.00 or 5% of the tol cost up s •00, whichever is V*ff, for the should flea o of labor ) improvement, b stallat'son or replacement of a residential fixture., excludingthe fixtures (This �Y Labor cost under $300 = $15.00. Labor cost between 5300 to $500 = cost of labor x .05 = — FOR PROJgM WIME LABOR EXCEEDS $500, FEES AM EASED ON S I0.0D PER FDtTT3RE, EXCEVI, WHERE NOTED. FllCi JM: MMICATE TOTAL NUMBER OF EACH BELOW) MODEL: y f SIZFlB7V c� EWip=t InSM119d MODW. — SM BTU MFG: Lb�� MEG: MODEL: SD.FJBTU _ '�;11;R EACH {GAS) $15.00 .,GAS RANGW0VEN $10.00 AIC S2S.00 � PJACF (WOOD) $35.00 I� GAS GRILL 510.00 AIR TO AIR S3CCiiANGEFR Si5 FLMNACB 535.00 GAS —=LM IU SI0.00 I30nsk W5.00 GAS DRYER 510.00 POOL HEATER 535.00 _CupqEY LINER 510.00 DUCT WORK 510,00 OAS I+IPINt3 $10.00 ! VEN7 BATOR S15.00 ff2 Penlit Fee $ Number 0ffixh=s@Sl0.00—�Lx$10.UUW$- Surcharge $ .50 Number of factures 0 $15.00—Z x $15.00 = $ TOTAL DUE Nmnber of fixtum Q. 325.00 x $25.00 = $ . Number c f 5xWM @ $35.00. x $35.00 - $ State Surcharge = $� Total = $ � THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNM PRO=ED I hereby apply for a building permit and I aclmowledge. that she information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley attd with the MinnesotaCOWnction Codes; that I understand this is not a permit but only an application for a permit and work is not to Start without a pew that the work will be in accordance with the approved plan in the case all w which requires review and approval of S. l ' SIGNATURE OF City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, NN 55432 763-572-3$44 FAX: 763-502-4977 Building PLUMBING Permit No.: c7 �7 Inspections RESIDENTIAL APPLICA'T`ION Received By: 763-572-3604 CITY OF FRIDLEY DUE � 2 DATE May 25, 2007 YOUR E-MAIL ADDRESS wnelsan[ail!larsonplumbina.com SITE ADDRESS 200 Lown Pkwy NE THIS APPLICANT IS: 0 OWNER ®CONTRACTOR PROPERTY NAME: Rebecca Keenan ADDRESS: 200 Lown Pkwy NE CITY Fridley sTATEMNzIP 55432 OWNER/ TENANT PHONE: 763,574-9598 CONTRACTOR NAME: Larson Plumbing Inc. STATE LICENSE # 3341 PM EXP DATE 12/31/2006 SUBMIT A COPY OF YOUR STATE ADDRESS: 3095 -162nd Lane NW CITY Andover sTATEMN zip 55304 LICENSE WITH PHONE 763/427-7680 FAX 763/427-9448 APPLICATION PERMIT TYPE Ig SINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: O NES''' C1 REPLACEMENT DETAILED DESCRIPTION OF WORK Water Heater Replacement PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.00, 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.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS —SHOWER—WATER PIPING _ —FLOOR OAS PIPING cn7am +so _ SWIMMING POOL ` WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) DISHWASHER LAUNDRY TRAY X WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER . •yC<'` ' ACii•�i.`.7t' Jf'Sl1TS� Permit Fee. $ . Q0 Number of fixtures @ $10.00 x $10.00 = $ _35_ Surchar •e .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ 35.50 State Surcharge m $ .50 Total = $ 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 Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the f all wor w requires review and approval of plans. SIGNATURE OFAPPLICPRINTNAME Mike Malinoski DATE May 25, 2007 .ua..:...wo->....v�•v..v.:.::..::.:Sa':<r:.A'a`•:YA':.XxiV:a.»i::'+\%r''::i!ivV':i!w':}Y.X9�+ii!.ii'ti�`4KY3r.:5�:':e�;'::. ..;..,-- 1 1 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit Fee Permit No.: ��17 Ingpections Plan Review RESIDENTIAL APPLICATION Received By: 763-572-3604 $ - CITY OF FRIDLEY Date1: AU G 04 200 763-5,012-4977 FAX .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ EFFECTIVE 1-1-08 Curb Cut Escrow $ DATE cu", �i ecoqr- YOUR E-MAIL ADDRESS 1'T Erosion Control SITE ADDRESS -apt- $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge THIS APPLICANT IS: ❑ OWNER yCONT'RACTOR Agreement necessary ( ) Non Necessary ( ) PROPERTY OWNER/ NAME: C Make checks payable to: City of Fridley Attach Sti ulations L �LTYr ,�Q`( STATE TENANT ADDRESS: t PHONE: — :�:%7 ` !?�ed- NAME: a L ADDRESS: 153 1( (co 4L&S� CITY �% t'e H STATE�Y�IP_f52F' t1 CONTRACTOR SUBMIT A COPY OF PHONE `Ile - des �C9 S FAX 74' 3 " YOUR STATE LICENSE STATE LICENSE # @i©� "T (p ( a '--> EXP DATE 'M OSP" L 3k 6 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ,MOTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: N0&..)t: skCXnQ 14 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan. PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit I . Site Plan/Survey showing the existing structures ❑ Aluminum ❑Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUFAINCY rYr>r; Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ - .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Sti ulations 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 Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance ith the appro n the case of all work which requires review and approval f plans. SIGNATURE OF APPLICANT i�'(G PRINT NAME/ i�I s�� 1 I c DATEt APPROVED BY DATE License lookup 'TA DEPA RTMENT OF Construction Codes I Building Codes I Electricity I Plumbing I Boilers/HPP I Residential Contractors License Detail Here are the details for the license you are currently looking for: search for Page 1 of 1 License name: CLASSIC EXPRESSIONS CONCRETE AND MASONRY INC License doing business as: License address: 12537 60TH STREET City state zip: PRINCETON, MN 55371 License number: 20576127 License type: RESIDENTIAL BUILDING CONTR Company structure: CORPORATION License status: ISSUED License original issue date: 4/21/2006 License expiration date: 3/31/2009 License print date: 3/28/2008 Qualifying person: MARVIN D. HILL Continuing education hours required to renew license: 7 Contractor's phone number: 763-3899655 Enforcement action: No 7 Arathe�r Lcu�kup? https://secure.doli.state.mn.us/licensing/licensing.aspx 8/4/2008