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PRE 2010 DOCS-# ge X07 City of Fridley, Minn. N9 9609 BUILDING PERMIT Date: Feb. 6, 1968 Owner: Slieldon Benlamiinson Builder Robyn Lemancik Address _____1255 Gardena Address 8470 Eastwood Drive Moundsview, Minnesota LOCATION OF BUILDING No. 6547— Street _ McKinley S t . V. E. ___ part of Lot Lot 4 Block l — Addition or Sub -Division — Clark's Addn. Corner Lot _ Inside Lot x Setback 37' —_ Sideyard — Sewer Elevation ___ 882.00 _ 885.00 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 36Depth 28' Height 20' Sq. Ft, 1008 CU. Ft. 20,160 Gare Front 20' Depth 26' Height — 10 1 Sq. Ft. ____ 520 Cu. Ft. 5200 Type of Construction — Frame Est. Cost _ $22, 000.00 To be Completed SEWER LOCATION - 45' South of Manhole WATER LOCATION 12' North of Sewer 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// anpliance with a'll provisions of ordinances of the city of Fridley. A In consideration of the payment of a fee of $ 38.00., permit is hereby granted to Robyn Lemancik to construct the building or addition as described above. This permit is granted upon WL express condition that the person to whom it is granted and his agents, employees and workmen, ffi aII work e� in, ar�do d urn said building, or any part thereof, shall conform in all respects to the ordinauc�s of withinythe dty limits andth s 1permit may be revoked t arty atm unpon ovi �the prpo bu gds ordinances:. / b� i1/ Official wilding NOTICE: " permit doss not cover the construction, Installation for whing, plumbing, gas besting, sewer or water. Be son to sso the Building Inspector for separate permits for those hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ,B17TI-DER ADDRESS�� ADDRESS �'( > LOCATION OF BUIL MN0 , NO. f / STREET � 1 LOT BLOCK ADDITI OR SUBDIVISION CORI.ZR LOT INSIDE LOT SEB ACI{ 07" . SIDEYARD�_ . SEVER ELEVATION R &'�'` TOP OF FOOTING U 6-`` Applicant attach to this form Two Certificates of Survey of Lot -and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING Used As: VA" Front `U Dept Height Square feet Qg_Cubic Feet Front 12 M .Death Heisht /0 U Square feet JZ -.2 (3 Cubic Feet 1_1� Cy 0 Type of Construction Estimated CostA2 21®afee low 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. SICN.ATURE _ (Schedule of Fee Costs can be found on the Reverse Side). v ` 'Pr I v City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Location— 0 5 q Number, Kind and Location of Fixtures O�<z'�n NO. RATE TOTAL ( Number Fixtures ....... ....... x $2.00 $ Is -j w 2 • F • N WATER HTR. GAS FIEC- x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2.00 $ O GAS FITTING FEES: NO. RATE TOTAL Base 1st 3 Fixtures .......................... x $2.00 f Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 1st 2nd 3rd 4th • Future Connection Openings Connected with +x New Fixture, Old Openings I Sewer E] Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ( Number Fixtures ....... ....... x $2.00 $ Future Fixture Opening ................ x $1.50 $ D New Fixture Old Opening .............. x $1.60 $ 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 a $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 ................................................$ TOTAL FEE $ 1 , 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. Fridley, Minn- 19 cin , Owner Kind of Building Used as To be completed about Estimated Cost, $ 01 ew. Building Permit No 0 Permit No. Signed ROUGH FINAL d2 By _ Business Phone No 42 -"217 el 3 i u t ; � Ay . w _ 3 L y is 3 ` R« !'Y dF., yti}' i 5'�e. r , t ", z - r- » " i� a x > Z c; , o- I.. a } t+y t v +,. . 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Ft . 9 ��?? $ ��)�y �� �9 4 9 i� 1 N y i d 4 I a r , f.,a r r d, ,r,r ray � dS _ t tf N � *�F , ': F3- �iy p f s '-„ Yi f N y t IY _, c 34. ,x, :; '3 ) 'f - r%* '�l J :! r. 3' ¢ `t { k. :'� 'l h:�n C4 }Fe'r` 4 r• * nR `!'[� .kM.s +9' '" "`' a"F - '- _ i t t ffy r �„ .� k rash c$' i v v5' 'E,11 e,:-, Application for Power Plants and Heading. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM 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 $ MECH. WARM AIR Furnace Shell & Duct Work to 170,000 BTU ............ $10.00 $ `sf 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. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ ,AIR CONDITIONING FAN HEATING SYSTEM v VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL $ See Fee Schedule TOTAL FEE $ Dept. of Bldgs. Phone M-3480 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, I.. Owner _,� �,t � 4 A - 19� Kind of Building Used as To be completed about Estimated Cost, $ Old-4N�uilding Permit No. Permit No. DESCRIPTION OF WORK HEATING or PO x -r WAR. PLANTS --.Steam, Hot Water Warm Air No Trade Size No - Capacity Sq. Ft. E.D.R � L ° BTU H.P Total Connected Load - . �� Kind of Fuel 4tL' d BURNER — Trade Name' !� �' Size No. I�Z `=' Capacity Sq. Ft. E.D.R- �� ,' r BTU H.P. (REMARKS—OVER) RAY N. WELTER HEATING Cc). Signed 637 CHICAGO AVE. By WINNEAR01 in ax Business Phone No— HEAT LOSS CALCULATIONS ®r' BUILDINGS 'S Z- 7 Weatherstrips A`S'H'V' Construction No. Insulation Guide Windows Doors Deference Out. Wall Int. Mall Ceiling Roof Floor Bind How Applied e Y. i Ye -No 19_ _u d 7 G R C'4. c' I ,e in R.. I.mnoth fi 5 Width //f I$eiaht,�' - II FU/i L �u� Room Length:p "Width f 3 -Height OL Windows and Doors-Craclrage and Area 3 Q Width Height No. of pane of pane No. of lights Linea! ft. Area of crack say. it. No. of lights Lineal ft. Area of crack eq. it. O 2 3 '7 7. Coef. Btu Infiltratioae 7 Coef. Btu Infiltration 3 r 31 e, 7 9 Class Exp. wall > Net exp. wall Int. wall O s e Ceiling COAL Btu Floor Net exp. wall '7 �! Total Btu. L( Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Exp. wall .2"',75 k F1.1 , e C Rooirl j Length n ` Width / a might Windows and Doors--Craclrage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights or crack sq. ft. Im Infiltration /C 4 t Class /1-( 7 Exp. wa jV V 1! Net exp. wall Int. wall Ceiling Floor �Lb 2 ro Total Btu. Required sq. ft. E.D.R. or sq. ins. VIA. leader area I e 71 I3.. I Lenttth // - Width // Heiraht Windows and Doors-Crachage and Area 3 Q No. Width of pens Height of pane No. of lights Lineal ft. Area of crack eq. it. 2 3 '7 7. Coef. Btu Infiltratioae 7 �� Class S -v O Exp. wall COAL Btu Infiltration ( Net exp. wall '7 �! Glass :", 0 740 Exp. wall .2"',75 k �u Net emp. wall ( o Exp. waD 't -- Int. wall 3Z-� 0- Ceiling e a( Flet exp> wall ? �- Floor" J_ 7 'focal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area G.D. 218 Windows and Doors--Crachage and Area -2- No. Width of panne -110!911, of V,..lights bKo. of L/neal IL of crack Area sq. ft. & Coef. Btu Infiltratioae 7 �� Class S -v O Exp. wall Coef. Coef. Btu Infiltration Net exp. wall G Milli Exp. wall v S Glass �u Int. wall Exp. waD 't -- Ceiling - 3Z-� 0- Floor Flet exp> wall 7'+ 6 ff2 T - Int. wall Ceiling Floor Y % d Total Btu. 7 - Required sq. ft. E.D.R. or sq. ins, W.A. Leader area P)1 ,-/ "_ Ram I Umthi2 ` Width // Heisht P Windows andDoors-Cra and Area i t Width eight NO. of Lineal ft. Na of pane Ot pane Is to of crack Area eq. ft. N& of lighto --uncal it. of crack Area sq. ft. & Coef. Btu Infiltratioae 7 �� Class S -v O Exp. wall Coef. Btu Infiltration / c Net exp. wall _ 51 t-- --Mi4O Milli Exp. wall v L7 may" Int. wall �u Int. wall Ceiling 2 Ceiling - 3Z-� 0- Floor Floor ff2 T - Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. leader area 71 R.. I I.�mth 5�:L ' Width Windows and Dara--,Craclrage and Area i t Width NO. of pan* Ra ht of pano N& of lighto --uncal it. of crack Area sq. ft. & Coef. Btu Infiltration / c _ 51 t-- --Mi4O Milli Exp. wall v L7 may" Net exp. wall �u Int. wall Ceiling - G 0 0- Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 6 52-84-895.51 City of Fridley Application for Plumbing cmd Gas RMng Permit Dept. of Bldgs. Phone 560-34M DESCRIPTION OF WORK 6547 N E McKinley St Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... .................... Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg . ............ Electric Water Heater GAS FITTING FEES: NO. 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. 1 REPAIRS & ALTERATIONS—Refer to Code x $2.00 $ X $1.50 $ x $1.50 a $ x $3.25 $ x $3.00 $ x $3.25 $ $2.00 y ti H °u�f w 2 �0 • F • N WATER HTR. GAS ELEG Base 1st �. 2nd 3rd 4th • Future Connection Openings e New Fixture, Old Openings I Connected with Sewer E] Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... .................... Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg . ............ Electric Water Heater GAS FITTING FEES: NO. 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. 1 REPAIRS & ALTERATIONS—Refer to Code x $2.00 $ X $1.50 $ x $1.50 a $ x $3.25 $ x $3.00 $ x $3.25 $ $2.00 $ RATE TOTAL x $2.00 $— x $ .75 x$.75 $ x $5.00 $s 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. Fridley, Minn 4-11.-68 19_ Owner Smith & Anderson Kind of Building frame res Used as To be completed about 4-16-68 Estimated Cost, $ 10.00 Old—New. Building Permit Pop #It No. Signe By Business Phone No ROUGH FINAL Description ................................................$ TOTAL FEE Q10.42 3 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE ec+eTnch:mrw r - Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer • Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work RATE $ 20.00 $ 10.00 $ 10.00 $ 10.00 $ 10.00 State Surcharge K,1V: §1M Reinspection Fee ($15.00) Rough Insp. Date Final Insp. !L �Zo — 81 Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE nE eccive Aug. 1, 1981 TOTAL Job Address $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley $ Tel. #571-3450 $ 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 Department of Buildings, and hereby declares that all the _ facts and representations stated in this application are true and correct. co Fridley, Minn. �� , 1 OWNER %SGS h� j /r��'�av ,.� �✓ $ KIND OF BUILDING %--o�"y, --,,r G� USED AS $ TO BE COMPLETED ABOUT ESTIMATED COST /�®� $ .50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. $ DESCRIPTION OF FURNACE/BURNER Attach stack verification form with replacement furnace permits *Air Conditioners can nom be-piaced in side yard w tFi(J6 written permission from adjo-inung-nei�g%bor.-- BEATING or POWER PIANTS, Steam, Hot Water, Warm. Air- No. Trade Name . i� e C- Size No. (=-" 915�F'� Capacity Sq. Ft. EDR Total Connected Load BURNER - Trade Name BTU HP Kind of Fuel Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By� Tel. No. City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT oIr? 19693 � • _ ____ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. /-"i CITY HALL FRIDLEY 55432 %.J 612-571-3450 ECEIPT 3,7,7r NUMBER 910-F15 REV. DATE 9/30/88 PAGE OF APPROVED BY 10B ADDRESS 6547 McKinley Street N.E. 1 LEGAL DESCR. LOT NO. 4 BLOCK 1 TRACTOR ADDITION SEE ATTACHED Clark's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dora Benjaminson/Brockman 6547 McKinley Street N.E. 571-3006 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 9' Deck in Front Yard 9 CHANGE OF USE FROM TO STIPULATIONS See notationson plan 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 SO. 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 OFFS REET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS 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 x250 SURT X $.63 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. PERMIT FEE $31.00 SAC CHARGE PLAN CHECK FEE TOTA FEE $31.63 SIGNATURE OF CONTRACTOR OR THORIZED AGENT pIDATEI WHEN PROPERLY V IDATED THI IS YOUR PERMIT T!? SIGNATURE OF OWNER IIF OWNER BUILDERI ID EI NEW ADDN ALTER [ ] Oonstruction Address City of Fridley R-1 AND R-2 Building Permit Application . 14:7 5/1/88 Legal Description: H®T .4ei!'r'r�-tem 5'.-f-' Owner Name & Address: ,�a,tP�} ��NT6��°'!!F[Sd/� �,� ,�3, �mcKr�,g,P Tel. #5-7/.3�� Contractor: Tel. # Address: bS'.-tE- Attach to this application, a Certificate of Survey of the lot, with the proposoedd construction drawn on it to scale. LIV WI ARFA a Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DEM AREA: Length 10Width 9 Bgt/Gromdo7 � cr Sq. Ft.�'L Gbrner Lot [ ] Inside ,LI(] Ft. d Setbe Type of Construction: -�rA- aFf rev L -)c ->P Approx. Completion Date: Side Yard Setbacks ad Estimated Cost: Proposed Driveway Width If New Opening Is Desired: $. Width + 6' Permit Flee $ State Surcharge $ SAC Charge $ Driveway Escrow $ Park Piee $ Sewer Main Q=ge $ TOTAL $2a STIPULATIONS: 1 CITY USE ONLY Alt. A Alt. B See Back Page Tel. # 5'P - 3,6w - Flee Schedule on Reverse Side $.50/$1,000 Valuation $550 per SAC Unit Alt. 8A" or Alt. 'B" Above Fee Determined by Engineering Agreement Necessary I I Not Necessary I I (2s -'o Sb #: 1.1..0:% 31.0 [] C Y u U Z J L � i 1 ` 0 `r v � e `a = 1 O } � a _ ri f i i Lond Plonnin9 (475-1/i9hmy f6S vE Laid Surveyi7y Minnropolis37 P So,/s reslin9 ENGINEERING, INC. Minx�ofo Civil fr Municipal SUnsef 44066 Enpeeriny .: — En yinee rs Sur veyors certificate of sstRve for N 0 R 7' Fi SCALE 1 2, 30' NOTES IRON Secy Y5 " tv40 1zIf L DT• � �3•,G OC1f - /J pi 77- 8�5 . / hagby cerhiry fled Ibis is a hie and oorred repre-wia ion of a survey elbe boa *ries ,l'* o6oir o6c,4 d 1w, and grhiir lacvfiolru e# 6v lda�s , hrew, , and adl risible awwchniinh , tjro,y. filen or *7 Aad land. AS surveyed by nae Ai _ ably A.v. SUB URBAN ENGINEERING, INC. " En"nerRr-S fr 5Ureyors ,- � SUBJECT IT NO. City of Fridley' J 2 9 9 2 0 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT . COMMUNITY DEVELOPMENT DIV. -71' r 1 PROTECTIVE INSPECTION SEC. ` "_t CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY -_--� .1 L 612-571-3450 910-F15 7/21/99 JOB ADDRESS 6547 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 1 Clark's Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kim Zelinsk 571-1957 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Home Remedy Inc. 26516 Vickers - 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 )U ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 12' deck and a second 141 x 151611 deck 9 CHANGEOFUSEFROM TO STIPULATIONS See stipulations on plan WARRININfile Before digging call for all utility locations 4.54-0002 REQUIRED BY LAIN 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 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 DOES NOT PRESUMEGIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE ACCHARGE P VISIONS OF OTHE TAT OR LOCAL LAW REGULATING CON- ST TION O HE PERF AN OF CON UCTION $195.25 Fire .S 10.73 �� PLAN CHECK FEE TOTAL F Lice 5 2 .38 SIGNATURE OF CONTRACTOR OR AUTHORiZEO AGENT IOATE, ENOOPROP ALIOAT I$ I$ iRPAM IT .40 OG .NSA DAIt SIGNATURE OF OWNER,iF OWNER BUILDER) iDATE, NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY N A ALTER [ ] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 lJ BUILDING PERMIT APPLICATION Construction Address: Legal Description: _ Owner Name & Addr( Contractor: Address: ,7 /, le '�;- 4/7 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Tel. # 121 -AY -7 LICENSE # 2®4&a1 Tel. # 2f� LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length �=�P Width /,Z ` Hgt/Ground Sq. Ft. OTHER: _,,Zo�f Construction Type:��'� SC Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: 7/#— APPLICANT: T . # CITY USE ONLY Permit Fee $ �. . d Fee Schedule on Reverse Side Fire Surcharge $ , s7 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $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: +j r SUBJECT R City of Fridley 32524 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ✓J�/� r PROTECTIVE INSPECTION SEC. 1 . i l _ ; ���� �•� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY .--. L j\ 612-571-3450 910415 4/22/02 r JOB ADDRESS 6547 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Clark's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gregory/Sharon Hall 6547 McKinley Street NE 763-572-3966 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO MN Rusco Inc 5558 Smetana Dr, Minnetonka, MN 55343 952-935-9669 2173 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 R REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace 1 patio door and 1 window within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Permit Inspection Cards Will Be Mailed To Homeowner To Post SEPARATE PERMITS ARE REQUIRED 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 $3 146 $1.57 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE T AL FEE Licen $5. $106.97 SIGN A TUBE OF CON TRACTOR OR AUTHORIZED AGENT IRATE, HE FOR Y VA D ED THIS IS Y PERMIT S.GNATURE 09 OWNER,IF OWNER BUILDER, DATE" Sif A IE YAW APR IJEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & A Contractor. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft Width Height Sq. Ft Width HgVGround Sq. Ft. • i.� � '��._..w��iT_�/llTlf.��il Cost: $ 3 , /#* . 00 Driveway Curb Cut Width Needed: Ft + 6 Ft= Ft x $ = $ /W DATE: OZ APPLICANT: d ii�Vrl Tel. # ! S L Call (763) 572-3604 for Permit Fees If mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. 106-9q 11,11-d Z CITY USE ONLY - Permit Fee $ ��r� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1200 per SAC Unit License Surcharge $ $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: 106-9q 11,11-d Z SUBJECT IT NO. City of Fridley 3256 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. `- _ _ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. 1 . � ItCITY HALL FRIDLEY 55432 NUMBEp I�Ev DATE PAGE OF APPROVED By ----��;'� L 612-571-3450 910-F15 5/3/02 JOB ADDRESS 6547 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Clark's Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Gregg Hall 6547 McKinley Street NE 763-572-3966 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ashton Construction Inc 64 Quehl Ave N, Lakeland, MN 55043 612-961-5017 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20061746 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 20 Garage Addition; Reroof existing garage on separate permit 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on XXXX plan. 011111. Before dig9in all call °r SEPARATE PERMITS 4U0o, ations REQUIRED FOR: 0 Z HEATING BYLAW Y LA �LUWONR��� 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 $8,188 $4.10 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI S O ANY R LOCAL LAW REGULATING CON. $167.25 Fire SC $8.19 TRUCTI N O THE POF CONSTRUCTION MRM J Sr�A J"3��c� PLAN CHECK FEE Licens $5.00 TOTAL F $18 .54 SIGNATURE OF CONTRACTOR O ORIZEO AGENT IOATE, EN OPE ALIDATED T IS IS YOUR PERMIT Bl0 iNSP ' QATE SSGNATURE OF OWNER,IF OWNER SURDERI IDATEI NEW [ J CITY OF FRIDLEY Effective 1/12002 ADDN Dd 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �'d Construction Address: WS Legal Description: Owner Name & Address:�� 4�d\ Tel. # AW 5-7,2 -- �d Contractor. / aMN LICENSE # PLVla 17#1. Address: toll 0. ek.Q- Ae /1, kJe6,A ffin. s -0N.3 Tel. # (0a 961- 50 d 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 .20 Width a6 Height ' Sq. Ft 900 DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: q;K Estimated Cost: $ 9Z C� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: Qq- 0 9-C) a- APPLICANT: P,zv, &shag Tel. # G/d - %k '5W7 Call (763) 572-3604 for Permit Fees if mailing in application or 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 Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] 14 TOTAL $ /6 Y-11 STIPULATIONS: SUBJECT PE City of Fridley 2640 AT THE TOP OF THE TWINS BUILDING PERMIT r? i � NO, � 1 v __�___ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r F F (^Je] NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/28/02 JOB ADDRESS 6547 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Clark's Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Gregg Hall 6547 McKinley Street NE 763-572-3966 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ashton Construction Inc 64 Quehl Ave N, Lakeland, MN 55043 612-961-5017 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20061746 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 52 REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroof House & Existing Garage (14 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ` NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,501 $.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AjJTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION§1 OF ANY OT ER S ATE OR LOCAL LAW REGULATING CON- $ 57.05 Fire S('i $1.50 ST TIO OR T E R OR NCE OF CONSTRUCTION ��� PLAN CHECK FEE Lice S $5.0 TOTAL FEE 64.30 SIGN TUBE OF ON•R; OR OR AUT.ORIZE D AGENT IDATEI ENROP ALIDAT THIS IS YOUR PERMIT Avr S-GNATURE OF OWNER,1F OWNER BUILDERI IDATEI BLD IN-SP NEW [ J CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 6,LiZ M, ),n I eel S Legal Description: Owner Name & Address:(-->Djt-ct� t i Tel. # 743- s 7 0 - 3 %9 4 Contractor. MN LICENSE # 6100 b 17� Address: Y ge ( y\- Tel. #. Q2 gA L 5-0 1-7 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 I Width Height Sq. Ft GARAGE AREA: Length Width Height DECK AREA: Length Width d -a.... OTHER: e Rde4- �.rBaA-Q&- Sq. Ft Sq. Ft Construction Type: W ocq � � Estimated Cost: $ Al / Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: �' o�� �� APPLICANT: Tel. # 7 Call (763) 572-3604 for Permit Fees if mailing in application or 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 Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ j STIPULATIONS: NO. 0 SUBJECT City of Fridley T33T1 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. F • COMMUNITY DEVELOPMENT DIV. _ _ r PROTECTIVE INSPECTION SEC. ��-36 f 1 . ! NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 9/23/02 JOB ADDRESS 6547 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Clark's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gregory Hall 6547 McKinleyStreet NE 763-572-3966 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 ("%S OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WORK Insulate Garage 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. 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 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 L 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 $700 $•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. $29.60 Fire C $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION .70 PLAN CHECK FE TOTALF E $30.80 S,GNA UR OF CO 'FACTO�rRIZEDAGENT !DATE! EN P OP R V LIDATE T $ IS YO � � S,GNAT OPO NEROF OWNER BUILDEpi -,DATE, BLDG SF' FlATE NO. 0 NEW [ J CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: _ Legal Description: /V Owner Name & Address: Tel.# 763 57 2,2 35Ce Contractor.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: Lei � idth HgdGround Sq. Ft OTHER: /�,LLf,I Sly' Construction Type: Uddal & A&V Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ 63 DATE; O APPLICANT::az Tel. #?5J 7 Call (763) 572-3604 for Permit Fees if mailing in application or 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 Driveway Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ j TOTAL $ a STIPULATIONS: CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, ASN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE 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 M, Rate TOTAL $ 30.00 $ $ 10.00 ` $ Gas Dryer $ 10.00 $ *Air Conditioning - All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK)N LL 1% o(Value of Appliance or Work ( $ :ommercial/Industrial 4 5, 000 'i3`T LA_ 1.25%, of Value of Appliance or Work $ State Surcharge TOTAL FEE It. Z• i 1 l •10 J • �• 1. i • l � .II. • 1 _ _iSLI 1 0NSPECTiON FEE $47.00/Hr Air Conditioners can not be placed in a side yard without mitten permission from adjoining property owner. JOB Effective On January 1, 2002 BUILDING USED A - J Ca ESTIMATED COST y®O, OCA PERMIT NO. No. of Heating Units Circle One (Stearn) (Hot Water) (Warm Air) - Trade Name Size No. 8TU HP EDR Fuel- 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. River City Sheet Metal, Inc. DATE to _ ►7_ 0.)-- 9928 .)--9928 Bluebird St. N.W. 4 HEATifto Rapids, MN 55453 '743 - 754-2199 Signed�` �c;.z'2�� TEL # - FAX # Approved By Rough -in Date' Final Date I CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: ( 763) 571-1287 ADDRESS : 6547 MCKINLEY ST NE PIN : 133024140004 LEGAL DESC : CLARKS ADD : LOT 4 BLOCK 1 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE VALUATION NOTE: GAS PIPING FOR FIREPLACE (KOZY HEAT, 35,000 BTUS) APPLICANT DJ'S HEATING & AIR COND 6060 LABEAUX AVE NE ALBERTVILLE, MN 55301- (763)497-2661 OWNER GREG HALL 6547 MCKINLEY 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 wort 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. Bldg PERMITO.: 2004-00992 DATE ISSUED: 0 /24/2004 - HEATING PERMIT MINIMUM FEE 15.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 15.50 PAID WITH CHECK # 5344 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-5711287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Fur ce, Fireplace, I ert) Gas Range Gas Dryer fa,* ,�� Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Sy7 Fee Total Ownerr✓£�� $35.00 $ Building Used As Rx5 $10.00 $ `©� ESTIMATED CO PERMIT NO L QD`7 ` �Q 9 $10.00 $ 5 � ,-zP187cC_ DESCRIPTION OF FURNACE AND BURNER $10.00 $ *Air Conditioning - All Sizes $25.00 $ All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Minimum Fee $15.00 for Rpsidential or 5% of cost of Improvement whichever is greater on work less than $300.00 # of Heating Units ! Circle One (Steam) (Hot Water) (Warm Air Trade Name azv 1-/0.�� Size No. BTUHP EDR S�'�' Fuel <tic�i� Total Connected Load Burner Trade Name BTU HP Size No. EDR The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct State Surcharge $ _ 50 HEATING CO %D T's�2��'v� TOTAL FEE $. 1-5' Signe %�P_� Tel # 7G3-- i��CGI REINSPECTION FEE $50.00/HOUR FAX # Date__��,?�i`��� *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE ��Approved by� Rough -in Date Final Date 7 FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 s ALTERATIONS: (Describe HEATING CO: Signed By: Date:. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 F63) 572-3604 FAX: (763) 571-1287 ADDRESS : 6547 MCKINLEY ST NE PIN : 133024140004 LEGAL DESC : CLARKS ADD : LOT 4 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PE NO.:2004-01852 DATE ISSUED: 10/11/2004 VALUATION : $ 300.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. INSTALL THREE WINDOWS WITHIN EXISTING OPENINGS. APPLICANT GREG HALL 6547 MCKINLEY ST NE FRIDLEY, MN 55432 OWNER GREG HALL 6547 MCKINLEY 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 wort 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 regul mg c tru on or the performance of construct on. Applicant Date Bldg BUILDING PERMIT FEE 23.50 FIRE SURCHARGE 0.30 STATE SURCHARGE, VALUE 0.50 TOTAL 24.30 PAID WITH CHECK # 6088 SEPARATE PERMITS REQUIRED FOR WOP:K..OTIJER THAN DESCRIBED ABOVE. NEW [) CITY OF FRIDLEY X15313 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: 9"2 sy Al Z— Legal Description: �� el Owner Name & Address:601 i r' . # 7G3 57� ��i' Contractor. 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. GARAGE AREA: Length Width Height Sq. DECK AREA: Length Width Hgt/Ground Sq. F OTHER: Construction Type: 41101aW5 Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ DATE: 0 APPLICANT: —Tell. # 70 57,1 V'4'e Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if usingrelit 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 TOTAL 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 Con ractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Revie Fee Determined by Engineering Agreement Necessary[ ] Not N STIPULATIONS: Building $ BUILDING Plan Review ermit r1o.: - / Inspections Fire Surcharge RESIDENTIAL APPLICATION f _ (Jo .001 times the total job valuation eceived By: 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ ate : - C� ~- $1675 per SAC Unit (Plans to MWCC for deteoration) DATE / / YOU E-MAIL ADDRESS ft + 6 ft = ft x $21 =$ 7 SITE ADDRESS !✓i. , ,_ $450 Conservation Plan Review THIS APPLICANT IS: OWNER ❑CONTRACTOR Fee Determined by Engineering PROPERTY OWNER/ NAME: c--:%zJJ-A Agreement necessary ( ) Non Necessary ( ) TENANT ADDRESS: 1(4 -r CITY 7 Cf k t STATFJ 32 Make checks payable to: City of Fridley Attach Stipulations PHONE: G 7 ¢/ `o - CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE EYSrNGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ° ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF O_PRAIN TILE ❑ DECK ❑ SIDING ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: L✓ t to c ' c✓ S S12E OF IMPROVEMENT LENGTH WIDTH HE GHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. . Exi ' g Flowr Plan PROPOSED S12E. ❑ DETACHED GARAGE 2. pro floor plan PROPOSED HEIGHT: 3. List o structural members to be used SIDING FOR NEW CON UCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit D ONS & RCHFS SUBMvMIT- ❑ Aluminum ❑ Trim I . Site Pi urvey showing the existing structures ❑ Other 13Fascia and P P P%1ect. WWDOWS 2. Two sots of construction plans IN EXLSTING OPENINGS ox [7No LOCATION OF WINDOWS 3. En Calculations OR FOR NEW OPENINGS- F.SCRIBE SIZE OF J 'cd 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 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ S See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ f _ (Jo .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for deteoration) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ 7 Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ o Make checks payable to: City of Fridley Attach Stipulations 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 ac conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Coo permit but only an application for a per and work is not to start without a permit; that the work will be plan in the case of all work which requir review and approval of plans. /� SIGNATURE OF APPLICANT / PRINT NAME G ate; that the work will be in ; that I understand this is not a accordance with the approved -7- 9 -o �&V Building BUILDING 1997 U.B.0 FEE SCHEDULE) P rmit No.: 11'1 Inspections TYPE RESIDENTIAL APPLICATIO ` $ R ceived By:Sef 4; 763-572-3604 $ 65% of Building Permit Fee CITY OF FRIDLEY $ D t 'd: 763-502-4977 FAX $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) EFFECTIVE 1-I-04 $ $2000 per SAC Unit (Plans to MWCC for determination) DATE YOUR E-MAIL ADDRESS $ SITE ADDRESS Erosion Control c THIS APPLICANT IS: ❑ OWNER NTRACTOR $ PROPERTY OWNER/ NAME: $ TENANT "r $ Make checks psynble to: Citylof Fridle Attach ADDRESS: USW\ C Cf l STATE IP THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED PHONE: CONTRACTOR NAI%E; G SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # DATE AND CERTIFICATE OF ADDRESS:9�?n C f9 ei Q 0 RL -30/% 0 CITY STATE P INSURANCE p FAX % PROPERTY TYPE CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION S S PERMIT TYPE ❑ ADDITION � ❑ GARAGEISHEDWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION vti ❑ ANC IR ❑ WODYLING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WID HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASOW—NT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim .1. Site Plan/Survey showing the existing structures ❑ Other ❑Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS Y ❑No LOCATION OF WINDOWS OR FOR NEW OPENING - CRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALIDATION, INCLUDING THE COST OF LABOR AND MATERIALS: 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $A.—.2QOCCUPANC TYPE Permit Fee $ 15'=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 $ $2000 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 psynble to: Citylof Fridle Attach 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 Fri ey and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicaf ape it and work is n o st without a permit on site; that the work will be in accordance with the approved plan in the case fall wori requires revie and roval of plans. SIGNATURE OF APPLICA RINT NAME6�1 ATE W