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BUELDIlNG PERMIT Village ®f Fridley, Minn. N° 2529 Date6 ..� . tN .'5+�! ......................... Owner1�...,�s .................. Builde ......................... Addressl7 I s .............. Address ......................................... LOCATION OF BUILDING No... ,r'• .... Street.. 'fid' ..�+tiG' .. ............. Part of Lot ..... ............... . AJL Lot ......�......... Block,,fic-1467104 l. ,. � �Additln o'r Sub -Division r;..��:�'. •,�?°;tc�m.. � ;� ...... . Corner Lot ............ Inside Lot ............ Setback rj `.� #j.`� Sideyard .1419.1 el& ........... DESCRIPTION OF BUILDING To be Used as: � .... Front !.. Depth air -%e Height ... Sq. Ft. /0.#.4 Cu. Ft........ . .. Front .7,j... Depth#1A. T ... Height ......... Sq. Ft.'yam, Cu. Ft........ . 5092-rrr,,���rr«�r Type of Construction';-4�ysaf.. Est. Cos ..t5. (:r. ....... To be Completed 6--f4?w-&4 . 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. 0-. I 15 in co ideration of the payment of a fee of $.. permit is hereby granted to ... i .. to construct the building or -addition as described above. This edition 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 with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. -#•% ...... Building Inspector NOTICE: 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. lli City of Fridley, Minn. BUILDING PERMIT N® 4292 Date: ... - 1.(,d ....'......... 1 .............. .F...._............._................. Owner: .............. .................................................. ................................... ..................... Builder -,,/'� Address Address LOCATI N OF BUILDING No.-1�..U.i-. Street . --tX—��ls' - -+P Fart o Lot ....._..... ----------------- ------ - - ._.... ... Lot .._........,�_................. Block ............__...................................... Addition or Sub -Division . �ZoCPs�L ......i���� CornerLot ................................... Inside Lot .._X ................. _........ Setback ..... ....................................... Sideyard ..... _.............. ........................................... Sewer Elevation _......._.._....... --- - ..............-........... - ........... .. ._..._-..... Foundation Elevation .-.................------._----------------------- DESCRIPTION OF BUILDING iTo be Used as: //``�� r �T�!✓l.�30 .......-. Front l...7..'.:. 0` Depth .:_~Height ./.....' 4 Sq. Ft..._ Cu. Ft...�. ---................................... Front .........----------- .Depth ..._..............._.. Height .......... Sq. Ft....................... Cu. Ft. ......... - ............. Type of Construction .___ __ ......................... Est. Cost?' m" ... To be Completed ._................. ............. ........ -........ In consideration of the issuance to me of a permit to construct the buildin described above, I agree to do the proposed work in accordance with the description above set rth din mpli ce with all provisions of ordinances of the city of Fridley. pppppp .. ......... ...1.. ........_..... . .......... . .. .... ._..._..--................._.............. In consideration of the payment of a fee of$.. ..................... 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. i Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 City of Fridley r AT TME TOP OP TME TWINS rL"-'-"COMMUNITY DEVELOPMENT QIV, 1 MOTECTIVE IMOftCTION OPT, l i 01. . CITY HALL PIUMV OME i..-•.J`.� `.J Ni-Of0.3N0 53-84-s-915.51 (p4S3 ilm,JEGT PLUMBING PERMIT APPLICATIO14 Job Address -aft IuI Ll to s I 1 1 1 . BUU 6600 Lucia Ln. ner Address Phone June H. Johnson Same Contractor Minnegasco Kind of Building Frame Completion Date 1/3/74 ".I" invN ian �171vM I I I x.14 /4-9 ` 3- 73 rM 0 0 w 733 Marquetter Ave se Res. 10.00 I1 I Plumbing Fixture Rates: NO. RATE TOTAL J x $2.00 .$ I' Future Fixtures I' x $1.50 New Fixture -Old Open. W $1.50 — -!; x W I Water Heater -99,000 BTU I x 0 Ground Run Old Bldg. x aoNval Elec. Water Heater I $2.00 Gas Fitting Fees: eve � I i 1 '1ddvl eve XIA1 h� � I I I �I •Saab 'MNIVaI I I I I it y SNISVSI i MH31V7j lO C VNIVAIC I ( I I I 3 q a aoo1Ai� O .0 1983MOHSI I I I I 0. 1Nno�I Ilato I I HNINQ SAVN.L A HsvM I SUN-- I I [Tli x ".I" invN ian �171vM I I I x.14 /4-9 ` 3- 73 rM 0 0 w 733 Marquetter Ave se Res. 10.00 Plumbing Fixture Rates: NO. RATE TOTAL �! Number Fixtures x $2.00 .$ I' Future Fixtures I' x $1.50 New Fixture -Old Open. x $1.50 Catch Bastn � x $3.25 I Water Heater -99,000 BTU I x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures 1 x $2.00 2.00 I - Additional Fixtures x $ .75 I Instill (1) Gas' 3.00 Gas Range -199,000 BTU x $5.00 i Repairs & Alterations 5O� Seevtthat�e ' i Description: Gass State Surcharge .50 ( TOTAL FEE $ 5.50 I !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 Tulin of the Department of Buildings$ and hereby declare that all'the facts and representations stated in this application are true and correct. 'Signature ' GAB" -Date. L AVVTT WARN AM: RATE TOTAL Shen a Dqad v%rh l$10.00 $ Replacement o4 Pwmace ... &00 � Repairs & Alterations --up to _,k5oo.oe 6.00 $---- Repairs & Alteratlons each r-eA. 0®M 3.09 --- -- -- wnace Shell & Duct Work to 120,000 BTU.. .. . ..$10.00 $_ neh ad 6110 VIV ............... .... . 3.(l0 6 rpeplamnent of &00 tee— R & Alterationrt--up to $M.00 &00 $ Repairs & Alterations each add. SM.00 &00 $ 17'Lnsace Shell & Lines—to 400 sq. ft. ZDR Steam $10.00 $ Vknmace Shell & Line—to 640 sq. ft. EDR Hot Mater 10.00 Eaeh add. 200 sq. ft. ZDR Steam 33.00 Each add. 320 sq. ft. ZDR Hot Water 3.00 >� _ OIL BURNER—to 3 gal. per hour 6M S _ over 3 gal. per hour—fie Fee Schedule G" B (up to IK006 B'I'1JD ILOD--- ovor 199,000 aria Be* Fee SdodWe (SAS FITTING FEES. NO RATE TOTAL 1st 3 Fixtures x$ 7.00 $ O� Additional P'Ixtuaes z ,75 $ Gas Range to 191.00® s$ 6 Qp $ AIR CONDITIOAING $ FAN HEATING STSTaf[ See pee edwduba VENTn.ATING SYSTM $ ALTERATIONS & REPAIM TOTAL. FEE,$ % . *NOVO- �u 41 City of Miller The undersigned hereby mates application for a permit fog the work heresy, specified, agreeing to do all work in striat mee with the City ChlHameft and ruling of the Department of Buildings, and hereby de Glazes that an M -g- fn and representations stated in this application are tme and Wit. Fridley. � f — J Kind of Building.. �--� Used as.. To be completed Es ' ated Cost, $_. A&CK) --�- — — Meet. Building PnwM No. Permit No._ J "/o)_ .. ., .r 04 Oil Capacity-- Sq. F't, iD.It gTU 1� Total Connected KhM of BURNER — Trade Naate size No._..._._ _ Gpadty sq. R E.D A- BTU Mr. (R�ARaf—OYIR) Wd HEAT L'bSS CALCULATIONS DEPARTMENT OF INSPECTION r JNNEAPOLIS. MIMV Weatherstrips A.S.H.V.E. Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19____ -� F1.1 1Zj-Y,'11,VARoom I Length /. Width 1/4 Height II '9 FU .o - NAeem I Lenath /ol Width 41e Height P Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. / "P- Y / .R / 20 AI 8 & ad / 00 7- / tF .3 t / 2,0 J 7i Coef-I Btu Infiltration 31r 13 F 9-21 Exp. wall Ceiling p Floor Glass Net exp. wall 1.30 &'D s�o O Exp. wall x 331 Ceiling W0 X // Net exp. wall Floor�'� / �%Q /p ®li Int. wall Ceiling v Floor .31 X d 11®® v o0 0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1:1 1 . R....... I r a. —th ZIA 14/ A&L // 7.Je:..1.► 1> Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 3z .R / 20 AI 8 & ad / 00 Coef.1 Btu Infiltration Coef. Btu Infiltration Glass Btu J&4 64 31r 13 F 9-21 Exp. wall Ceiling Floor Glass Net exp. wall /0 U t( 0 Int. wall Exp. wall D,[/ Ceiling W0 X // /;- Floor�'� / �%Q /o ®li Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Sy_� F1.1 Room I Lensrth Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. l ® -2-1p Z 0 / elP- 361 & ad / 00 Coef.1 Btu Infiltration Glass Exp. wall Btu Net exp. wall Int. wall Ceiling Floor Glass Total Btu. ft. E.D.R. or so. ins. W.A. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. l ® -2-1p Z 0 / elP- 361 & ad / 00 / 3--0 Infiltration Glass Coef. Btu Infiltration Int. wall Ceiling Floor Glass Exp. wall D,[/ Net exp. wall 3A .3efD Int. wall 'Ceiling Floor G j/o 11®® v o0 0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Heisrht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area F1.1 Room I Length Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct.Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) RATE TOTAL Job Address $12.00 $ 7.00 $ 7.00 $ Department of Buildings 4.00 $ City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes _ 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ % ridley, Minn. �� , 19� 1 OWNER $12.00 $ •4.00 $ 7.00 $ 6.00 $ $10:00 $ 10.00 $ $10.00 $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 „Range to 199,000 BTU x $10.00 AIR CONDITIONING A HEATI V EMS see Fee Schedule VENTILATING SYSTEMS .ALTERATIONS 4 REPAIRS State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. Date APPROVAL FOR PERMIT A)4 oQ S KIND OF BDILD3X� USED AS TO BE COMPLETED ABOUT p ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. /COQ I I DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP C� Company ]j Signed By Tel. No.� MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE City of Fridley SUBJECT P ; O 1539 4 AT AT THE TOP OF THE TWINS BUILDING PERMIT r � 11 Lu COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 7 `/7/,7r NUMBER 910-F15 REV. DATE 8/13/79 PAGE OF APPROVED BY JOB ADDRESS 6600 Lucia Lane N.E. 1 LEGAL DESCR. LOT NO. ] BLOCK TRACT OR ADDITION SEE ATTACHED Lucia Lane Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE June Johnson 6600 Lucia Lane N.E. 571-5881 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. All City Roofing 3357 - 36th Avenue South 722-9985 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 Reroof structure 9 CHANGE QF USE FROM TO STIPULATIONS Roof can be second but not third roof. Install ridged galvanized valleys. SEPERATE PERMITS REQUIRED FOR MA HEATING, PLUMBING, AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $1,345 SURTAX $.67 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- TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $9.00 PLAN CHECK FEE TOTAL FEE 2^% �j $9.67 7 WHEN PROPERLY ALIDATED THI IS YOUR PERMIT BLDG )NSP ATE SIGNATUAE OF CONTRACTOR OR AUTHORIZED AGENT (DAT) . SIGNATUREOF OWNER OF OWNER BUILDER) (DATE) CITY OF FRIDL5Y APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: �,%C�/� c� �./ ���Z'. BUILDER: �L- r C�e,� ADDRESS: �, mac=-Cee�� ADDRESS: -53 a 57 3 TEL NO: 7/ , TEL NO: 7�Z,�z -- Construction Location STREET NO: STREET: AI L x, �— LOT: BLOCK: ADDITION: Lr A Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square. Feet_ Cubic Feet: Front: Depth: Height: Square - Feet: Cubic. Feet: Type of Construction: 12—a- C� Estimated Cost: $ G� To Be Completed: � � � 7 - Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ - SEE REVERSE SIDE OF SHEET 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 re true and correct DATE: ` % ! SIGNATURE: Stipulations: 0� CO 9: SUBJECT City of Fridley 28727 AT THE TOP OF THE TWINS BUILDING PERMIT + J /J � t DEVELOPMENT DIV. --------COMMUNITY r PROTECTIVE INSPECTION SEC. I NUMBER REV DATE PAGE OR APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 12/8/98 JOB ADDRESS 6600 Lucia Lane I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 1 I Lucia Lae d SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Johnson571-5881 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ea leview Const. Inc. - 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 O NEW O ADDITION O ALTERATION JaK REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (22 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 1885 $.94 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $59.50 Fire SC $1.88 PLAN CHECK FEE TOTAL FEE ( P � License SC $5.00 67.32 GNATURE'OF CONTRACTOR OR AUTHORIZED AGENT fiDAIE, WHEN PROPERLY V I ATED THIS IS YOU PERMIT S,GNATURE Of OWNERof OWNER BUiLDERI (DATE, LOG JNSP f1ATE NEW - [ J Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION f � lI �f ConstructionAddress: 6 Legal Description Owner Name & Address: Tel. # 57/- SSS/ Contractor: MN LICENSE # w6 7 e -D cI3 Address: Tel. # Ste'& 9 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: Construction Type: Z ,.,*- Z�� ,2gLj!!�— Estimated Cost: $ 16 V (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Z �' �� APPLICANT: 1z' Tel. # CITY USE ONLY Permit Fee $ 9 S-0 Fee Schedule on Reverse Side Fire Surcharge $ y G State Surcharge $ e9 41 SAC Charge $ License Surcharge $. �0 Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] SuBJECTE R M City of Fridley 28840 AT THE TOP OF THE TWINS BUILDING PERMIT 572-_3604 R COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r i PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV DATE F APPROVED BY L J\ 612-571-3450 9,10-F15 1/15/99Fr� JOB ADDRESS 6600 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 1 1 Lucia LaNE Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Johnson 6600 Lucia Lane 571-5881 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Allied Fireside 2700 N Fairview Ave Roseville MN 55113 633-2561 20090911 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 O ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a Quadra Wood Burning Stove Model 31005 (UL 1482.83(UM) 84-HUD 9 CHANGE OF USE FROM TO STIPULATIONS Install per testing agency specifications (found on back of stove). SEPARATE PERMITS ARE REOUIRED 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 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 $3,000 $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF A Y OTHER STATE OR LOCAL LAW REGULATING CON. STRUCTIO OR PERFO E OF CONSTRUCTION $74.75 1 FiAe SC $3.00 * PLAN CHECK FEE TOT FEE Licens C $5,1 4.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI E PR VALID E HIS IS Y R PE MIT B G IN A gAtE S,GNATURE OF OWNERJF OWNER BUILDERI DATE, NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �t ConstructionAddress: 6 6� Legal Description: Owner Name & Address: �r.�a`5 �,� �� �,`� EZ) Tel. # &,x Contractor:MN LICENSE #�� Address:,�C°t� ,Lp� i��a ,� �`e� �' !�r'�. Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width H Ground Sq. Ft OTHER: G� � ` <<� e -4-a F- = L / 3 a r) All, -Ot IJ6 6 '�-) c Construction Type:Estimated Cost: $ cw �t�_ ego (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: r Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge MOW., 10 STIPULATIONS: Soo 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 INSPECTION DIV. 6431 University Ave NE Fddley, MN 55432 572-3604 <I�ULI fs790W-11111N]z1;107zl1ILI]J,Lr7,1►19ZCT_F4_9k-1-11IM444-ft,ilfll MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: 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** Gas Range'" NO. RATE 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 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL JOB ADDRESS 6 6 0 0 Z_ L-( c, 'I- /_ N E 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. 20 © 0 Owner 1)`n1AJy -To HJ50J Building Used As 14°'M '4 - Estimated Cost` 5,0 PERMIT NO. /12 PLUMBING COMPANY SIGNED BY TEL N0. Approved By Rough -In Date Final Date 9.U"D $ .50 6 m11M1mUm rCG MjK ANY ELUMMI UIVA, MKNll1 i0 TOTAL FEE $ �b �� PLUS ,THE $.SO STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. 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 existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : I UIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 September 11, 2000 Denny Johnson 6600 Lucia Lane NE Fridley, MN 55432 Re: Final Reinspection at 6600 Lucia Lane NE Contractor: Terry Overacker Plumbing Dear Mr. Johnson: A plumbing final was conducted on May 22, 2000 for the gas water heater installation and it was noted that combustion air had not been installed as required by State Code. We need to reinspect to verify that the combustion air has been installed. Please call to set-up an inspection to reinspect the correction. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to me at (763) 572-3603.