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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° ` 506'7 LOCA F UIL , G No. Street , r Part of t i Lot Block Addition or Sub -Division %"f. -� ► Corner Lot _ _ Inside Lot Setback Sideyard _ 74 Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To Used r f/ .�° ° l'+ $ Front Depth Height , � ;,y1 Sq. Ft. Cu. Ft ' Depth Height - –sem_ _ � � Sq. Ft Cu. Ft. Type of Construction Est. Cost ----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 $a~, permit is hereby granted to 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. Building Inspector NOTICE: Ibis porn* does net cover the constwction, installation for wiring, piumbi ng, gas beating, sewer or water, Be sure to we the Building bmgm ter for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MIPDWOTA Owner's Name "~ / /cam SG Builder 0 / N c Address Address �– % LOCATION OF BUILDING' No. Lot Corner Lot Inside Lot Setback .3 Sides -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as. - '3 f Front_,7 / Depth Height Sq. Ft. 571.2— Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction + Estimated Cost To be Completed�✓��� _.... 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 int application are �true and correct. DATE /� _ `/ G SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) BUILDING PERMIT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing build- ing or, structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire- proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical. contents. 2.2. For any such permit for the erection of any fireproof garage, warehouse, factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. 2.3. For any such permit for the erection of any non -fireproof building other than a garage,,warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2./+. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 for each Five Hundred Dollars ($500.00), or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. Date: JULY 27, 1966 REUBEN M. RICE City of Fridley, Minn. BUILDING PERMIT Builder SAME Address 437 LONGFELLOW AVENUE N.E. Address FRIDLEY$ MINNESOTA 55432 LOCATION OF BUILDING No. 437 Street LONGFELLOW AVENUE N.E. part of Lot Lot 12 & 13 __ Block 7 Addition or Sub-DivisionROOK P Corner Lot _ Inside Lot — % Setback — Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING N° 8943 To be Used as: % .2-2- DET. GARAGEFront Dept � 10 Height Sq. Ft. �Cu. Ft p Front Depth Height Sq. Ft Cu. Ft Type of Construction FRAME last. Cost— $900.00 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 Incompliance with 21 provisions of ordinances of the sits of Fridley. � � � 4�'"'� In consideration of the payment of a fee of $ 4.00 , permit is hereby granted to 0 1 NUNN0 _ RMEN M_ RICE to construct the building or addition as described above. This permit U- granted upon the express condition that theSIw to hom it is granter done in,around aad upon saiing, or any terhall conform in aII respects to the ordinance�sno�f Fridley, Minnesota r�agardiagn, be t mat any upono anti n of anydof tmhoe piovieiona of said wltbin the sits ]itdts aad this ordinanoss. CLARENCE BELISLE Building Inqmtor NOTICE M po mb don net ena tho wadmedon, hutelletien for Vd1h1& pWmbM9, on bating, awn or water. B• sun to ne the Building I "eftr for apmte pwmhs for then hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME�Q_ BUILDER ADDRESS 6/37- LA) Z6.a 4�,E. ADDRESS y3 7 - L oS e//..9 44 LOCATION OF BUILDING N0,__ y3 7 STREET S &14 Id PART OF LOT jeaR LOQ_ ) BLOCK ADDITION OR SUBDIVISIONS A-- CORNER CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be, ed as �.Qi�Ara Front 2 b Depth a B Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction)!!AA.� Estimated Cost d 0 To be completed 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 -77 � f�� SIGNATURE ��- (Schedule of Fee Costs can be found on the Reverse Side). 90 City of Fridley Application for Plumbing and Gas Fitting Pemdt Dept. of Bldgs. Phone SII 4-1 DESCRIPTION OF WORK Number. Kind and Location of Fixtures Ft r a >Z=g o� y z 9WATER W 0o F • N HTR. GAS ELEG r ' Base L 1st 2nd _ 3rd — 4th • Future Connection Openings Connected with Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUdMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures6 .............. x $1.50 $—L--- 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 $ 46 G New Ground Run Old Bldg. ............ x 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 Description ................................................$ TOTAL FEE $...% 2 S d 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 9tre true and correct. Owner Kind of Building —� Used as To be completed about Estimated Cost, $ Old ew uilding Permit No ROUGH aC - $ 6 1 FINAL .QEW42 2M 7-59 Business Phone N 19-k-6 •i 6lk< Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & 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 Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 8,00 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 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ..................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 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 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ REMARKS: 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 �–�-�� 196�.,L Owner _�426� 195— Kind of Building Used as 195— To be completed about Estimated Cost, $ -:r/f2 Old- Building Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air-No— Trade Namp �� � Size No.-'E91EX/® 0 Capacity. Sq. Ft. E.D.R-�Q ®eT a ® BTU H.P. Total Connected Load �4 0[e Kind of Fue BURNER — Trade Name Size No F� tel® C7 Capacity Sq. Ft. E.D.R l� BTU H.P. SHUMAN HEATING & SHEET METAL 5419 CENTER DRIVE N. Ee Signed MINNEAPOLIS 21, MINN. By 40 11 POST IM -12-58 Business Phone No. Ddb az HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof No ( —No 19-.� / -1- 7, _ ,F— Floor / FI.1 Room I Length /4/. Width L2 / Height j / II RI_I Windows and ;ors—Crackage and Area `. Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. Lineal ft. Area of crack sq. ft. -2- dr 2, 2, Coef. Btu coefil Btu Infiltration r p Glass Coef.1 Btu Infiltration Exp. wall , p Net exp. wall Seo O O Int. wall Exp. wall Ceiling y p O Floor z z 1 otal 13tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Lenitth // Width /L/ Heiitht 9 - Windows and Doors—Crackage and Area `. Width Height No. of No. of Dane of pane lights Lineal ft. Area of crack sq. ft. 2-- dr 2, 2, Coef. Btu Coef.1 Btu Infiltration 2 .O Ceiling Coef.1 Btu Infiltration a , p Glass Net exp. wall / 171.1 / o Room I Lenitth /� / Width 417/ 163 3 y Exp. wall O Ceiling Net exp. wall �® z z Int. wall Ceiling a O Floor Total Btu. k 2 - Required Required sq. ft. E.D.R. or sq. ins. W.A. Leader area t L1 I .lJ // o— It ---.L mk-31.1 - - o- Windows and Doors—Crackage and Area `. �-�-• Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Glass dr Exp. wall O Coef. Btu Coef.1 Btu Infiltration 2 .O Ceiling Glass Floor a Exp. wall Op p Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Net exp. wall / 171.1 / o Room I Lenitth /� / Width 417/ Heiaht P / Int. wall O Ceiling �® Floor Tbtal Btu. ft. E.D.R. or so. ins. W.A. Leader area J/ FRIDLEY, MINN. Insulation Kind _ How Applied Room Windows and Doors—Crackage and Area Width Height No. of Lineal ft. / No. of Dane of pane lights of crack IN Coef. Btu Infiltration O Z Glass dr Exp. wall O Coef. Btu Net exp. wall /O Btu Int. wall .10 Ceiling IS60 Floor a Total Btu. p Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /O O 1-'o / 171.1 / o Room I Lenitth /� / Width 417/ Heiaht P / Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack is ft. ?,d' Z Coef. Btu Infiltration �27, Btu Glass /o .10 Exp. wall y Glass Exp. wall 5-41 Net exp. wall a Int. wall p Ceiling O /O O 1-'o Floor Total Btu. 131PI O Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / FI.1 Room I L.enath 9i Width �;'/ HeiithtS'i Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pans lights of crack sq. it. Coef. Btu Infiltration / .10 Glass Exp. wall 5-41 self p Net exp. wall p Int. wall Ceiling 3 O Floor 1 otal litu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 1 16 SUBJECT E E City of Fridley ®� 3 AT THE TOP OF THE TWINS BUILDING PERMIT f 1 � RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. I - PROTECTIVE INSPECTION SEC. r I � ""CCv I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/31/94 JOB ADDRESS 437 Longfellow Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12,13 7 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathleen Morriss 437 Longfellow St NE 786-9131 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. J & J Total Construction 6870 164 In NW, Ramsey 753-6558 9227 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 O MOVE ❑ REMOVE 8 DESCRIBE WORK Repair roofing & siding, replace windows, repair doors 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement. Replacement bedroom windows must meet the State egress code. SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $15,000 $7.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $162.00 PLAN CHECK FEE TOTALFEE License SC $5.00 $189.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PROPER VALIDATED THIS IS YOUR PERMIT a BLDG fNSP DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application r (� ConstcuctionAddre.: y 7 4 ass9 -4 l/o a s Legal Description: Owner Name & Address: Tel. # 7 ,? 6 ` �/,) Contractor: 7-0 ,rpql �r��eS'T'�u e �'�®� MN LICENSE # U2 7 Address: & 8'7 ® 16 q L */ e 4,zi s- Tel. # 7f� 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: A04,iT sip,'.vg av'warowS v�ir:.yaZ �e�AiR dooRS Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ ,3-000,(,V Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft- F x $ = $ DATE: �o- 3 / i y APPLICANT: Tel. # 75 - (e.5 S J' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ TOTAL STIPULATIONS: Fee Schedule on Reverse Side ..001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Alcove $450.00 Conservation Pian Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary ( ] s 1.1 I T lJt• t'111ULCT IIVAt'CI.IIUN UIV. 5431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES Enective un uanuary 1, 1 y9 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR al >7 u Wash Trav . ax3.FIo0 Auto Washer PREUri a nae Water Heater Gas I Elec NO. RATE TOTAL JOB ADDRESS V S7 AJ , New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas hl— Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance State Surcharge TOTAL FEE 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 12-a O,OG� Building Used As rI Estimated Cost PERMIT NO. A-�� PLUMBING COMPANY G �v SIGNED BY � ­tt� ��{c (/ TEL N0. Approved B Rough—In Date _ Final Date $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 $ �� PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) 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% of Value of Appliance or Work Effective On January 1, 1993 JOB ADDRESS ,43-7 LC)/ 6rnr Lou) S ?7. f//Z` The undersigned hereby makes application for a permit for the work herein Rate TOTAL 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 $ 20.00 $ ��. OU representations stated in this application are true and correct. /.p -- / (9_ 994 $10.00 $ OWNERyy�_ Q.ldl / � i0 rrl'5 $ 10.00 $ BUILDING USEDAS feS;def1C (f-' $10.00 $ ' _ ESTIMATED COST I �® PERMIT NO. l Gr $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units i Circle One (Steam) (Hot Water) 06arm ' ) Trade Name /L Size No. BTU HP EDR $ Fuel Total Connected Load State Surcharge $ .50 TOTAL FEE S')e), S MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.SO 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 HEATING C %20 / s/P-�iX i/CS• co 4 .Signed B Approved y Rough—in Date Final Date A964* FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE NOTE: #1 through #8 required when using a side vent furnace. All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: HEATING CO: Signed By: Date: Yes CHIMNEY AND STACK VERIFICATION ( } Yes (9C) The undersigned hereby verifies that the existing chimney or stack: I . Has been carefully examined Yes (�c) No { ) 2. Is free from rust or deterioration Yes (�4 No ( ) 3. Has no foreign objects lodged within Yes} No ( } 4. Is securely supported Yes (Y-) No ( ) S. Meets all current Code requirements for size and total BTU's connected Yes (%.k) No ( } 6 Has total heating BTU's of !7.5—( 0 � All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: HEATING CO: Signed By: Date: Yes No ( } Yes (9C) No ( ) A"&, f%efi. huts. Ca /d -ls-94 CITY OF FRIDLEY PERMIT o.: 2�OdS4-1--"',' 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 06/04/2004 572-3604 FAX: (763) 571-1287 ADDRESS : 437 LONGFELLOW ST NE PIN : 033024310064 LEGAL DESC : SPRING BROOK PARK : LOT 12 BLOCK 7 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING VALUATION : $ 1,500.00 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 GARAGE. APPLICANT KATHLEEN & ROBERT, CAGLE 437 LONGFELLOW ST NE FRIDLEY, MN 55432 OWNER KATHLEEN & ROBERT, CAGLE 437 LONGFELLOW ST NE FRIDLEY, MN 55432 BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE TOTAL 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 c the p}��s of any other state or local law reEWat' co ctiotL6rih erfo mance of construction. Bldg Insp. a SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 54.00 1.50 0.75 56.25 NEW [ l CITY OF FRIDLEY 14-j5D'7`7 Effective 4/1/2004 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: 1,37 z)&6 6wc) c--) S% Aja' Legal Description: Owner Name & Address: /o� `� A i( -n --,j -,+c,1=—Tel. # 78 Contractor. et MN LICENSE # Address: 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 Width Hgt/Ground Sq. Ft QTHER: c i ? aj4 Cr [=- Construction Estimated Cost: $ k) O a CD Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ = $ DATE: 6— q—©'' APPLICANT: 921 62 a -t Cq61 Tel. # 756 -71 3( 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. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ 04 %.0 OD 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 [ ] TOTAL $ - �S STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 S72 -36U4 YAX: ( 763) 571-1287 ADDRESS : 437 LONGFELLOW ST NE PIN : 033024310064 LEGAL DESC : SPRING BROOK PARK : LOT 12 BLOCK 7 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING PERMIT O.: 2004-00922 DATE ISSUED: 06/16/2004 VALUATION : $ 2,000.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF GARAGE; SOFFIT & FASCIA ON GARAGE. STATE LICENSED CONTRACTOR 1 APPLICANT PTL CONTRACTING INC (5294) 18630 HWY 47 ANOKA, MN 55303 OWNER KATHLEEN & ROBERT, CAGLE 437 LONGFELLOW ST 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 violate or canc 1 the provisions of any other state or local law co tion or the performance of construction. Applicant Date Bldg Insp Dat T BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL Permit Inspeeti Will Ben Car % Vit° a Mailed �n®°Wner ro P®St SEPARATE PERMITS REO D FOR WORK OTHER THAN DESCRIBED ABOVE. 69.25 2.00 1.00 5.00 77.25 JUN -16-2004 12:00 PM NEW I ] ADDN [ ] ALTER [ ] Construction Address: Legal Description: Owner Name & 9 Contractor: P.01 CITY OF FRIDLEY Effective 1/112003 6431 University Ave NE, Fridley, MN 55432 (763) 672-3604 Bldg Inap SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571.1287 Fax BUILDING PERMIT APPLICATION 11011 MN LICENSE Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVSMENT LIVING AREA: Length Width Height ._ Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length �— Width Hgt/Ground Sq. Ft. OTHER: Goy► t �+ �y Construction Type: �Cf__ Estimat d Cost: 6 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _=$ a �f DATE: AA__!ey_ APPLICANT: 77 ZCVeAdgAeTell. 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. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ TOTAL $-112, Fee Schedule on Reverse Side .001 of Permit Valuation (1110th%) $.50151,000 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 [ ]