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PRE 2010 DOCS01 O Village of Fridley, Minn. BUILDING PERM" N° 877 Office of MPEOMB OF BUHMINGS Owner , Fridley, Minn. "- •, '� 19`4 Architect Builder LOCATION OF BUI> DING ,+/ No. a streets � - �Part of Lot Lot Sloe Addition or sub -Division ESCRIPTION OF BUILDING r" Front h �'+ Depth Height Y Stories -L" "-L"'--manner of Construction, +�,.,.�� t %.r>� ,;.z To be used as,"To r ,�_� s' ,,rein_ be completed Estimated Cosi Permit is hereby granted to the bull din " =' = described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon s d building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the 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. -:� �Insoector of Buildings. AGRE14MMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby a to do the proposed work in accordance with the description above set forth and .according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to beforeme at Fridley, Minnespt�, this-, . day o +- €_,__ r rA.D. ,F 19 �- r = ----- 01 0 V1111age of Fridley, Minn. I U " HMING PERM 986 Office f INSPEMB OF BURMINGS No. ; ; Lot A-, 0-, Front_ Depth ---------- To be used ag Fridley, Minn 19 LOCATION, -OF BVMDING Addition or Sub -Division of Lot EPTION OF MIMING stories manner of Construction 17 To be completed Estimated Cost Permit to hereby granted the builldin- described 1n the above statement. This permit is granted upon the express condition that the person to whom It is granted, and his agents, employees and workmen, in all the work done in, around and upon sail building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the 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 " 'inspector of Buildings. In consideration of the issue the above permit, I hereby agre above set forth and according to sworn, I hereby state and say th true as therein stated. Subscribed and sworn to day of 0 WENT AND SWORN STATE MINT nd delivery to me by the Inspector of Buildings of Fridley of to do the proposed work in accordance with the description he provisions of the ordinances of Fridley, and, being first duly t the facts stated by me and contained in the above permit are me at Fridley, Minnesota, this City of Fridley, Minn. -N° 1071 BUILDING PERMIT Date: June 23, 1970 per: Jamds Junkert Builder Milton tton L. Johnson Ca Address 6611 McKinley N.E. Address 2513 Central N E LOCATION OF BUILDING No. 6611 Street McKinley N.E. Part of Lot Lot 4 Block - 2 Addition or Sub -Division Hoore Lake Park 2nd Add i ti nn Corner Lot _._ Inside Lot —.. X Setback —_ Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Remodel_ or Repain•`ront Depth Height Sq. Ft. Cu. Ft. Siding Only Front Depth Height Sq. Ft. Cu. Ft. Type of ConstructionAlum. Siding & Fst, Cost _�2, 875 .00 To be Completed 9/23/70 Trim 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 a'll provisions of ordinances of the city of Fridley. C ^ . ,---- --� l / In consideration of the payment of a fee of $1$=00 , permit is hereby granted to Nil ton- T. _ Johnson Co. 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 reg 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. / 41'a g Building Inspector HANK MUHICH NOTICE: TIS permit doss not cover the constrution, lm ftWon for wiring, plumbing, an heating, sewer or water. Be sure to we the Building kqm ter for separate permits for these items. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: JAM fs � Le ,v Y847- BUILDER: _ � � 00r,) ADDRESS : Ca b - I ' I C I�` n1 /�% ADDRESS: ®Z S 13 CC a "I ey- IU, t� NO: STREET LOT: 41 BLOCK:- / ADDITION:_RdorP CORNER LOT: INSIDE LOT:SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ems- ,ode/' dr ' Front: Depth: Height: T Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: A lU S 1' 0; A-) Estimated Cost:_ $ 607,5`. 0 a To Be Completed: 0 P a4 S C As jo The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: d ` 76 SIGNATURE:. ee Reverse Side For Additional Information.) SUBJECT ER M I City of Fridley 13'718 AT THE TOP OF THE TWINS BUILDING PERMIT r RE IPT NO. `L •_____ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � � 1 � = 1 o—n CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L"••� � ,`� 812-580-3450 910-F15 JOB ADDRESS 6611 McKinley Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 1 Moore Lake Park 2nd Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Epha Junkert 6611 McKinley Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Roger Young 36 - 37th Avenue N.E. M ls. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. Same 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING residential -7—CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S 8 DESCRIBE WORK Room addition 38' x 16' 9 CHANGE OF USE FROM TO STIPULATIONS 1. Footing Permit only 2. Provide truss: design before capping and issuing total permit SEPERATE PERMITS REQUIRED FOR W RINGI I HEATM, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION SQ. 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 608 6,080 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 6.000 3.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISOANY OTHER STATE OR LOCAL LAV REGULATING CON- STRUCTION O THE PERFORMAN F CONSTRU ION. PLAN CHECK FEE TOTALFEE sIGWAr EOFCONTR RORAUTHORIZE AG r (DATE) HEN PROPE LY VALI TED THIS I YOUR MIT s - BL G INSP nAl E �� SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CJTY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNERS WIRE • (K 2 v I BUILDER: Aer 10a 1.11 ADDRESS:CZ ADDRESS: �i �` � /�v � /yd Al S NO:. / � STREET • - � ,� ��� LOT: BLOCK: ADDITION: 1"&O�� Avg 2- � ��`� CORNER LOT: INSIDE LOT:SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING T��o�� Be Used As: // /' 0 ( 77 o A) Front: 38 Depth: Height: _ Square Feet: Ad 6 Cubic Feet: 41 6 5 4) Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: WVV0 VVl1�4--Estimated Cost: $ t,�"a To Be Completed: 7 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: 8/02 SIGNATURE: (See Rev se S de For Additional Informa .44. aw 41..40.6 / 0 Z • 33• y /.1 d 9,04C 0 cAAA-md 0;, 3.� 7e7W c Pta iT P"e" � 1.145u r'd �_ SUBJECT - , City of Fridley FULL PERMIT ®13'73'7 AT THE TOP OF THE TWINS PERM t BUILDING IT(j RECEIPTNO. • COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. 1 i � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ,'J ""'JAI 612-560-3450 910-F15 9/2/76 JOB ADDRESS 6611 MTa1C3CX McKinley Street N.E. 1 LEGAL LOT NO. 4 BLOCK 2 TRACT OR ADDITION SEE ATTACHED Moore Lake Park 2nd Addition DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Epha Junkert 6611 McKinley Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Roger Young 36 - 37th Avenue N.E., Mpls. 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 7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Room Addition 38' x 16' 9 CHANGE OF USE FROM TO STIPULATIONS Foundation Permit issued 8/24/76 (Permit #13,718) TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 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 PAID DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVI ANY OTHER STATE LOCAL LAW REGULATING CON. S' N THE PERFORMANCE F CONSTRUCTION. PATD p PLAN CHECK FEE TOTAL FEE Z l (// - 1 PAID SIGNATU EOFCONTRACTORO A THORIZEDAGEN (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT i l , BLDG 11SP DATE " SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 9� T��► Tim r.. �(• , 1 r 1 { , a EXTERIOR EflNVELOPE • AVERAGE "U" ,C41Pt1TATION ; OWNER r .� • ��' -� SITE ADDRESS c, ,:�;/ CONTRACTOR;; . 1 ATC HONE . Detemine 'Working square footage +af pach R1 1. Total exposed°wall area.17 . G 2• Total rod fJcef ling a0ea :..°.`.. q. ft: x .05 �o Total' exposed, W411 area above floor a. Total wall window0-4 b. Total door aria :'.... ....................:......., -� c 'Total slidi glass ss door area .........,.!}....:� d,'Totai fireplace wall area R ' e.�w totaI l l frarnin9 ,gree (� vera' . ...'" °--�— f. totaI net; well are abdve, floor t , r��.�..,: g!'lotal`rim Joist area 0.........� N. Total'exposed fopndetion area h ('total , f ouOdatl.on wipdo�. area...'b. r M'lQ i. 1'08nst fouodation area aboverRdG$ �j s• 'i °•y .! i ! aC. '!•.} ri * i ✓ �,;. ,;,; ' 4, ° ° 4br .' it i ES.+ �,& ° ` 1 Deipm ne 11011 value of eaCl�. Md�� '` f , n a (v�c, XStuff, A b • ; 1!11V11 1 n -Via.^'""• ,,a •-ja.yc,.` h 11 ++"" C.Z ii U s Ste. as 2 k ' IIItM 4f �. e� J��. 1111V11 �/fi .�..��i�r11i.�.MY. �,i S r�i+�w�.a.• 11.�. M ,p ,�°�•. � . �� .. V /lf 111 � ; � � r , i,. I 8 ° f z' �9►f. a4 r . i teM N3 i s` the. low S_0 `oar It" thi� tt" A .1, . hltve ' S86. 6006tc) axt the intent •V�,..ii°p'(,' �., 99 <',+• (�'. �i., G.. ,..�FrN,� •.��ri . r'.P ! � "i .`r9.e �F, i'd'{:.F�...k4T•i'x`4,4�"w� Sr.i 1 , _ t '�. - Ali V 1 -,LLS SrLL CALF� Peripheral �' '"•' FOUNDATION WALL 1. Interior air film.............0.68� 2 . 43 4.Nov 5. .a 6. Exterior air film.............0.17 Total . I. Interior air film.............0.68 2. 3. � 4 w �hL 5'i-Ihc. .VCo .---� 5. 6. Exterior air film.............0.17 Total Interior aux film....... ...0.68 • cf ' • '�� 2. C 3 pity6..J •�� .~��,�• 4. Exterior air film.............0.17 i 1 ,j _ . ROOF/CEILING Total /4U 1 . ROOF/CEnZ,G 3 4 ••tea::' NCN-VEN= Hear flow up Ht s /R Construction R -VALUE 1. Interior air film............ .0.61 3. Tns.i1 4. Exterior air f31m (stillL_0.61 Total �y.•2�f� .05L U -1/R Construction R -VALUE 1. Inside,'air film...............0.61 2. 3. Ihau 4l e�tlr�rl -. ��rr 0 J r Total U=l/R City of Fridley SUBJECT PERMIT NO. ® 14852 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 = � NUMBER REV. DATE PAGE OF APPROVED BY o ---1 CITY HALL FRIDLEY 55432 IL L---- ,'J 612-660-3450 910-F15 8/1578 JOB ADDRESS 6611 McKinley Street N.E. 1 LEGAL LOT NO. 4 BLOCK TRACT OR ADDITION SEE ATTACHED Moore Lake Park #2 DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE linger Young 6611 McKinley Strut N.E. 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 Res idential 7 CLASS OF WORK j7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 26' x 24' Garage 9 CHANGEQFUSEFROM TO STIPULATIONS Provide a hard surface driveway. AR� �� ti Before digging call local Utilities C''I TELEPHONE - ELECTRIC - GAS Etc. % A REQUIRED BY LAW vNet, 416 MONS p fR�NG SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 5760 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 576 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. $4,170 $208 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- $23.04 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 1 $25.12 SIGN TIJ OFCONTRACTOROR TH IZ AGENT (DATE) SIGN WHEN PROPERLY VALIDATED THIS IS YOUR )PERMIT BLDG. )NSP Ur OWNER IIF O ER BUILDER) IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWtiER: AJ& BUILDER - 11 --�/ Address : `�� L.Address: No. LOT: CORNER LOT: Tel. Ngo . : Street: Al A K i Mir BLOCK: ADDITION: INSIDE LOT: >C. SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: .r Front: �. ` Depth: Height: SY aw-4 Square Feet: p Cubic Feet: L76 d r-wo'. Front: Depth: Height: Square Feet: Cubic Feet: q r%Q& Type of Construction: Q=n. am Estimated Cost: $ 7b Be Completed: Proposed Driveway Width If New Opening Is Desired Alt. A Alt. B (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 are true and correct. See reverse sideoVT9additional infou-"gtion. DATE: SIGNATURE: Stipulations: Oro 0 4 a.o � v suBIECT PERMI. City of Fridley W16227 AT THE TOP OF THE TWINS BUILDING PERMIT r RE • _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � � CITY HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 6/4/81 % JOB ADDRESS 6611 McKinley Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Moore Lake Park Second Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Roger Young Jr. 6611 McKinley Street N.E. 571-9029 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Countryside Pool & Patio Route #1, Maple Lake, MN 963-3667 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 C NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 18' x 36' In-ground Swimming Pool 9 CHANGE OF USE FROM TO STIPULATIONS See letter dated June 5, 1981 .from Environmental. Officer for stipulations. SEPERATE PERMITS REQUIRED FOR WONG. wHEATING, PLUMBING AND SIGNS. 106, utllifiies 11161198M$ tali ELECTRIC'I-GAS Etch. TELEPHONE - REQUIRED 8 LA 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 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. pWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 11 STALLS IGARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $9,800 $4.90 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- $60.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $64.90 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT fe BLDG IN5P OATEE SiG ATURE OF OWN IIF OWN ALDERI S. iDATEI v CITY OF FRIDLEY APPLICATION FOR RESIDi-NTIAL BUILDING PERIMS (New, Alterations, Additions, or Repairs) OWNER: eco• N c J� . ADDRESS: TEL NO: `7/ - �02� BUILDER: (� �u.�/— S!%Cfi�d,4 ADDRESS: TEL I•10: T Construction Location STREET .NO : t1l �/ STREET: LOT: BLOCK: ADDITION: 1jQl(� �K. �K, 5L etj'��. 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 119-7 Front: %S' Depth: �� Iieight: Square. Feet: Cubic Feet: Front: Square -Feet: Depth: Height: Cubic Feet: v v Type of Construction: ------= r__,S7_&-& L Estimated Cost: $ To Be Oompleted: ` Alt A Alt B Proposed Driveway width If New Opening Is Desired: SEE REVERSE SIDE OF SHEET Ilia undersigned hereby makes application for a permit for the %cork- herein specified, agreeing to c3o,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 c r ect. DATE: / z5e SIGNATUITE: Stipulations: : 17/ 90 r 0 ROBGR& 1). E? RGGR 480 Madison Avenue, New York, NY 10022 Telephone: 217-1154 j I W 5 ,'e„4 '*\A\ 230B(2a) 230B(2b) 230B(4) I ml y h-( i ,Z-,) o Aj Pt Alma- . t - �4tfe g63- 3C�7// 45 70��K / -Ic Xew Y Ir � P4 4La 14t-- 3/,/ 4 P a ";L ss .art• 4rvo �y Pm foo L �D(K�r►�S��0 L Size Sx 3( cr c��a o v nR r ® otov F, 4is O c j"/ � r 1P5 aLl P B r-� (A a o0 C e •� G� t- �� � rji i i w% � t s� ! x 6 21a�.✓ co c Opp do* 4a^ ,.►a lLs t 2o4B(s) 228D GORING & HOWE It 752 Orange Street Rochester, NY 14617 t I I # i 1 I f ! t i i 1 t ! i 1 1 } i t . i i ___I — —_,....----- --- — .. — ---------r.—._,._._—._._._----------------------_.._. _.._._---------- tear here—I 1 -------------------------------------- --------------------------------------- . i I 1 I I 1 1 1 a # t i d° i 1 # 1 L LOO L AN 'MSO k mGN 'enuany 44!zl 0505CD i auiz'aBOX puanaaA& iZZ (Z)9681 (086LL S { CITY OF F O L L Y 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 �a June 5, 1981 y. 9 J, Countryside Pool & Patio Route #1 Maple Lake, MN 55358 Re: Swimming Pool Construction at 6611 McKinley Street N.E. Dear Sirs: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, two (-2) inlets of approved design for fresh. anVor repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. of be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6 - 8 burs. 5. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 6. The diving area will be acceptable provided there is no overhead- obstruction. verheadobstruction. 7. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. 8. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. Countryside Pool & Patio June 5, 1981 Re: 6611 McKinley Street N.E. Page 2 10. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 11. The pool fill spout must be protected by a vacuum breaker or air -gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1� times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely , S OL ON R. S. Enviro amental Of f icer SJO/mh CC: Mr. Roger Young Jr. 6611 McKinley Street N.E. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 f June 5, 1981 3>� Countryside Pool Route #1 ,o' Maple Lake, NN 55358 & Patio Re: Swimming Pool Construction at 6611 McKinley Street N.E. Dear Sirs: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, two C2) inlets of approved design for fresh_ and/or repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. of be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6 - 8 lours. 5. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be- provided eprovided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 6. The diving area will be acceptable provided there is no overhead- obstruction. verheadobstruction. 7. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (.d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. 8. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. Countryside Pool & Pat i.o June 5, 1981 Re: 6611 14cKinley Street N.E. Page 2 10. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 11. The pool fill spout must be protected by a vacuum breaker or air -gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1� times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all'times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, i S J. OLSON, R.S. Environmental Officer SJO/mh CC: Mr. Roger Young Jr. 6611 McKinley Street N.E. r 230B(2a) 230B(2b) 230B(4) rlo[3L rzi � [3c�r1vL rl 480 Madison Avenue. New York, NY 10022 Telephone: 2 �)17-1154 a, hl e R W 3/,/.4 P A, a q .ft- .4er--O qY C P07 S/Ze V18X 3� Ci if., �Pa e v SA S _ goo Yl P. do yNlc SCI go Day 13 ew d LLS co hcr4e- -4�o-f•"'�` Q'� c 1/ v Poo C. 1Nd,4N� w +Si'• (__ t!S'{L11+. �!S'{r4-4,- p,isri ra CIO 0 9 917 oQ O --S -7W aA -V Ltf IV rio •008$ rlQ 9 d 1I 00 OA, 0 C' U �� A.. o00 CW* S-200 Series O© S-200 Ser System 11 L 75) 1 ---11 D "( ':�� RM ]' ) A high performance totally corrosion -proof filter series that combine superior filtration and features with ease of operation. Designed with the pool owner in mind, the S-200 and S-240 filters produce clear, sparkling water with only the very least attention and care. From "see- thru" dome and maintenance - free construction to convenient, easy-to-use control valve, the S-200 Filter Series is the ulti- mate in high rate sand filtration. FEATURES OF THE 5-200 SERIES �. MANUAL AIR RELIEF for easy, safe manual *rev lease of air from system. FULL VIEW LEXAN° DOME. Clear 6" threaded Inspection dome lets you see operation of filter and provides convenient access to top of filter. TOP DIFFUSER. Assures even distribution of water over the top of the sand media bed. All internal pip- ing is 2" to give smooth, free-flowing performance. AUTOMATIC AIR RELIEF. Automatically purges filter of any entrapped air during operation of the filter system. CORROSION -PROOF, HEAVY-DUTY FILTER TANK. Injection molded of tough, durable Cycoia& for dependable all-weather performance with only minimum care. BOLTED CENTER FLANGE. Provides extra strength and securely and safely fastens tank top and bottom together. Allows for future service ac- cess to all filter components without disturbing piping and connections. 6 -POSITION HAYWARD VARI-FLO CONTROL VALDE with easy-to-use lever action handle to let you "dial' any of the 6 valve/filter functions. FIL- TER, WASTE, BACKWASH, RINSE, CLOSED or RECIRCULATE. UNION LOCKNUTS make assembly or disassem- bly of the control valve easy. EFFICIENT MULTI -LATERAL UNDERARAIN AS- SEMBLY. These precision engineered, corrosion - free, self-cleaning laterals give totally balanced flow, even when backwashing. Laterals Individu- ally thread into center collector hub to assure positive sealing, and allow for fast, easy servicing. SUPPORT SKIRT. Rugged and attractively styled to provide strong, stable support for the filter as- sembly. Totally corrosion -proof, too. DRAIN PIPE ASSEMBLY allows for total draining of filter for winter or service. 3/4" garden hose con- nection thread for easy hose attachment. Drain assembly is replaceable from outside of filter. ALL FILTER COMPONENTS are serviceable using only a screwdriver and wrench. The S-200 and S-240 High Rate Sand Filters are available with two base options: 1. Standard pump mounting base. 2. Deluxe pump/filter platform base. The System I I Series is furnished complete with Hayward UL Super Pump and clear Lexan union. All components factory assembled on deluxe platform base. System I I Series available with %, 1, 1% and 2 HP pumps. Your dealer will recommend the model with the pump horsepower that will provide optimum performance, at the lowest operating cost. * System II separate components system also available with choice of Super or Max -Flo pumps, '% thru 2 HP. MAlV1 WAPn 1RnZfi7nA14"FArT"P1Nn COMPANY, INC. 900 FAIRMOUNT AVENUE, ELIZABETH, NEW JERSEY 07207 / Phone: (201) 351-5400 Printed in U.S.A. CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 66 %t Me- 1C `A' I 'Ly S RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner -�, a 2 0 city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace .$20.00 $ that all the facts and representations stated in this application are true and correct. Z ,199. Gas Piping (Needed with new furnace) $ 10.00 $ OWNER � S' �%� K� � A R., Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ Lf,l,u o R I-� s�Zz - 3 &C-1 ESTIMATED COST ' % 0 PERMIT NO. ,/ l *Air Conditioning - All Sizes $10.00 $_±�_. DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) >- 1 % of Value of Appliance or Work $ No. of Heating Units_ Circle One (Steam) (Hot Water),<Warm Air) Trade Name 1-fti Al :, x Size No. Commercial/Industrial BTU a0AA HP EDR 1% of Value of Appliance or Work $ Fuel • Al. ^s Total Connected Load State Surcharge $ .50— Burner Trade Name Size No. 3� BTU HP EDR TOTAL FEE $ HEATING COMPANY I/ 0!5+ S �/ MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 12r. �_Fas REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed By T Tel No. PLUS THE $.50 STATE SURCHARGE (-� LTG � 2 �f REINSPECTION FEE $30.00 (�� Approved By ('�Rough-in Date Final Date 7'�ff *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( j 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current•Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date 6129291764 -T F4 r -93 W ED 1 4S FEED 'v r G T e: 00 C$IMNE ANb CC! RTFICATYON The undersigned hereby verity' -es t`lat the existing chimney or stack: 1. Has been carefully examined Yes ,( go rC ) 2. Is free from rust or deterioration Yes No ) 3. Has no foreign objects ledged within Yes Jef No ( ) 4. Is securely supported Yes �(.sj NO ( ) 5- Meets all current Code requirements for size and total BTU's connected Yes No ( � 6- Has total heating BTU's of' `�D (In All other BTU's TOTAL BTU"s L C; Remarks t-"y� °"I��i/�, 1 l+�i'-^•+�'1,�++ ��' � e F'{ �+�'!'1'�'1�r ha.L,tt7•!. � 1n'w1 7 ,r I Sd 1�� ist Alterations Beitq Done: VOGT HEATING do AER CONDITIONING ST. LOUIS PARK, MN 55426 HEATING--OMPANY SALES 929-5767 SERVICE 9294011 Signed B Date / .-;Lt- C17YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 September 26, 1995 Rodger Young Jr. 6611 McKinley St. N.E. Fridley, MN 55432 RE: Written Notice of a Hazardous Tree Located at 6611 McKinley St. N.E. Dear Mr. Young: A recent inspection by the City Forester has revealed a hazardous tree located at your address. For your safety and the safety of others, you must make arrangements to remove the diseased/dead tree located on the above referenced property. Please be advised that Fridley City Code requires any tree that endangers the safety or health of the public, to be removed within thirty days of receiving written notice. This letter will serve as written notice. The City Code also provides three options for private property tree removal. They are: The property owner can remove the tree within thirty days from the date of notice, and be entirely responsible for the cost. 2. The property owner can request the City to remove the tree. The property owner is then billed, and required to pay the full amount within thirty days of receipt of the billing. 3. The property owner can request the City to remove the tree, and assess the cost plus interest, and a $25 administrative charge to the property. This special assessment will be spread over a five year period. Included with this letter is a copy of the City of Fridley tree removal reply form. Please respond with the next 30 days using the diseased tree reply form. Ifyou have any questions, or need further clarification on this issue, please call me at 572-3595. Sincerely, Kurt Schneider Code Enforcement Officer KSfje Encl. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO. RATE TOTAL ��re� .•„,� ��. �.vrviucn yr rin I Unca I U Dt INZU IALLtU UN EAQH FLOOR Blow Off Basin $ 7.00 6 .... $ 7.00 Rain Water Leader $ 7.00 Wash $ 7.00 Water Treating Appliance .. 0 • �:::>: Auto. I:3 Gas ;..::>. Water Heater ter Stories s Eftsement I Vii. Urinal >� ":': Shower inf:<> .............. Trayut1t;<:::; .................. Drain ::Bae :;;::::::: � Was her Rang® Gas �Elec :.::.':..i�.l>:<:: ;l`ikt><I Floor 1 I Fo r 0 2 Floor 3 Floor PLUMBING FIXTURE RATES: NO. RATE TOTAL ��re� 1 New $7. 00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $;L JOB ADDRESS c i,vLe!--V S7`�/� The undersigned hereby makes application for a perm•R.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. © -T, Z ) ,1996 Owner _ EP h -A Zo .c n( „ __:5`7/_— ?0 Building Used As /J (,y E- C..L \ /V C 1 Estimated Cost PERMIT NO. l PLUMBING COMPANY7-EE-e- Pt_�x L 11 SIGNED BY' TEL N0. -7(Z-/ - 6 / S/ U Approved By Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. City of Fridley AT THE TOP OF THE TWINS r VENTILATING OR AIR CONDITIONING • COMMUNITY DEVELOPMENT DIV. ____ r PROTECTIVE INSPECTION SEC. Y OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS A7 L CITY HALL FRIDLEY 55432 NO. DWLG. UNITS 612-571-3450 BUILDING PERMIT 572-3604 NUMBER REV DATE PAGE OF 910415 18/13/01 PERMIT NO. 32074 RECEIPT NO. APPROVED BY JOB ADDRESS 6611 McKinley Street 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Moore Lake Park, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Young, 6611 McKinley St, Fridley, MN 55432 763-571-9029 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ace Construction, 6230 218th Ave NW, Elk River, MN 763-323-3019 2000-1884 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 15 ENGINEER MAIL ADDRESS P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION M REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re -roof (tear -off) 32 sq. (H & G) 19 CHANGE OF USE FROM STIPULATIONS Underlayment must meet State Building Code. OCCUPANCY GROUP I OCCUPANCY LOAD CU FT OFFSTREET PARKING STALLS IGARAGES $1.72 SAC CHARGE Fire SC $3.43 TOTALFEE .00 $107.40 TYPE OF CONST. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION Y OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS A7 ANY TIME AFTER WORK IS COMMENCED. ' NO. DWLG. UNITS I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 09 COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,430.00 DOES NOT PRESUME TO GIVE AUTHORITY -10 VIOLATE OR CANCEL THE PERMIT FEE PROVISIONS OF ANY OT R STA E L REGULATING CON- STRUCTION OR M OF UCTIO $97.25 PLAN CHECK FEE L c nse SC SIGNATURE OF ON'RA R Op AU H Ri EDA ENT 1 TE- W N PRI OCCUPANCY GROUP I OCCUPANCY LOAD CU FT OFFSTREET PARKING STALLS IGARAGES $1.72 SAC CHARGE Fire SC $3.43 TOTALFEE .00 $107.40 NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: ( Il`�� h 1�' . /U Legal Description: Owner Name Address: V—(YlPx �cw,nr Tel. # %� ��7�_ Contractor: �6c�5 _ 0 MN LICENSE # Address: Tel. # �6� 3a3-3oig 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: L'wgth Width Hgt/Ground Sq. Ft. OTHER: 1 �L- 5 Construction Type:/P.Q--Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ 8'C� DATE: V/, --/oz APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ - �S� Fee Schedule on Reverse Side Fire Surcharge $ .3 .001 of Permit Valuation (1/10th%) State Surcharge $ /. 22 $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge _ $ . 0 O $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 $ ® 9, STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 °<^CZ2R(f Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 6 I I Pt V), � h l A F -- New Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated in this application are true and correct. Catch Basin $10.00 Rain Water Leader $10.00 DATE: 1 �� o 20 o S Sump/Receiving Tank $10.00 Water Treating Appliance $35.00 OWNER QL)-�\- Water Heater -Electric $35.00 _ Water Heater - Gas** �_ $35.00 ,y BUILDING USED AS;� Q�Y1 Gas Range** $10.00 /\/l 60 Gas Dryer** $10.00 ESTIMATED COST c7tJ� • PERMIT NO. Back Flow Preventer Required ( )Yes () No t� P1aeloof Type $15.00 PLUMBING COMPANY rW Reinspection Fee $50.00/Hr SIGNED BY TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance ° Approved By Rough -In Date Final Date State Surcharge $ �� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE $�� OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE 3'6 FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT: VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing fdrnace, 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 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 ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) 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 ( ) 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 ( ) 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 : No( ) No( ) No( ) No( ) No( ) No( ) City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit C�0/9,6 Residential Application City of Fridley See Back Side For Required Information Date kbZ7,06 Site Address: 41P / !y The applicant is: (cirlc one) Owner Contract Property Owner: 6'-eJG Address: City: State: M/ Zip.✓ Phone: .- D Cell: Fax: Contractor Information River CitySheet Metal, Inc. Company Name: 39, Contact Person: a2quWin St. N.E., Suft Address: Fridley, MN 5546e City:,7635 59;199 Fax ri6�p?54-2908 Phone: Cell: Fax: Email: MN Bond# & Exp Date Type of Work (circle one): New Alteration/Remodel Detaile ascription of wo Ira 10'%%I 0 �.1 d 6v Equipment Installed: MFG: Model d Size/BTU: MFG: Model: 0 Size/BTU: MFG: Model: Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 $25.00 Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _A/C _Air to Air exchanger $15.00 1�Fumace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 _Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ C (Total from above -Minimum fee $35.00) Surcharge $ 0.50 Total Due $ 3EjOcs Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan In case of all work which requires review and approval of plans. Signature of Applicant: Y11 Date: /—Z 7,d Approval Inspector Signature: Date/_Y/_®.4 Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 Building OCCUPANCY TYPE BUILDING $ Permit No.:o' IS 6 Inspections $ RESIDENTIAL APPLICATION Fire Surcharge Received By: 763-572-3604 Surcharge CITY OF FRIDLEY .0005 x Permit Valuation Minimum $.50 D 1 2008 DATE 9 mcg D S r P a�ol �1 n T om YOUR E-MAIL ADDRESS GL IM /1 Ad a- i u -hOS SITE ADDRESS (LD1 1 t f1 J eT_ A _ ,A1 $1675 per SAC Unit (Plans to MWCC for determination) THIS APPLICANT IS: ❑ OWNER I�CONTRACTOR ft + 6 ft = ft x $21= $ PROPERTY OWNER/ NAME: —�v c, -Vi ri M ,I /.e r $450 Conservation Plan Review TENANT ADDRESS- ( Mekinkeel 3t/V CITY STATEOWIP Sewer Main Charge PHONE: Agreement necessary ( ) Non Necessary ( ) CONTRACTOR NAME:1m W tt nota LL- S+cf e- L k Make checks payable to: City of Fridley Attach Stipulations STATE LICENSE # SSS EXP DATE D SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: ®01 • S I'LQlY'e P r S U/ tf7�% CTI Y L STATFyI/I/ LIP y� WITH APPLICATION PHONE / 7 1 fj 0 FAX PROPERTY TYPE KISZGLE FAMILY/NEW CONSTRUCTION SIZE jj TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ws ❑ BASEMENT FINISH ❑ ROOF DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION WMAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: e r SIZE OF IMPROVEMENT J LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan 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 YC �Io L ATION OF WINDOWS OR FOR NEW OPENINGS- CRIBE SIZE OF' OPENING CHANGES & -L bQ4fG 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 $ 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 $ $1675 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 $ '7CD q7 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 accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w//hiic��h�� requires review and approval of plans. SIGNATURE OF APPLICANT l.�CL�\ ��� PRINTNAMEC%%�l�yl �DATE 1_%U