Loading...
PRE 2010 DOCS3 9�r-;z oc;w' City of Fridley, Minn. N° 9519 BUILDING PERMIT Date: _._. Oct. 23, 1967 Owner: _ Eugene Dale Parker Builder Dalt -Rid _._... Address 7454 McKinley St. N. E. Address 1121 80th Ave. N. E. LOCATION OF BUILDING No. 7454 Street McKinley St. N. E. —_ Part of Lot Lot _ _ 5 ____ Block 1 Addition or Sub -Division ___._ Dalberg Terrace Corner Lot — Inside Lot — x Setback Sideyard Sewer Elevation __ 85..95 _ _ 898 05 Top of Footine DESCRIPTION OF BUILDING To be Used as: Dwelling Front — 40' Depth _L4L Height 20' Sq. Ft 960 ctL Pt, 19, 00 Garage ___— Front 20' Depth ._._22' Height 10, Sq. Ft. 440 Cu. Ft. 4400 Type of Construction Frame Est Cost ... _t 4_,5 00 .__ To be Completed SEWER LOCATION - 101' South of Manhole WATER LOCATION - 10.7' 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 coglianceth all provisions of ordinances of the city of Fridley. $100.00 Sewer Connection Charge In consideration of the payment of a fee of $ 35.00 , permit is hereby granted to— Dalberg Blders . to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: 'fids permit doss not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sun to we the Building inspector for separate permits for these hems. OWNER'S ADDRESS APPLICATION FOR BUILDING PEM-riT CM OF FRIDLEY, MINNESOTA NAME� BUMDER17 _7 --ADDRESS Zy� LOCATIOIN OF BUILDIM NO. S / sTPEET ,/ c �C /?.�L _ - - --PART OF LOT LOT BLOCK ADDIT1014 OR SUBDIVISION &-214Ld4r°�C CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER BLEVAT1'0N FOUNDATION, ELEVATION el o -s Applc;nt attach to this form Two Certificates of Survey of Lot and proposed building location drawn on the�e Certificates. CC,taCC cec C7 - DESCRIPTION DESCRIPTION OF BUILDING To Be Used Ag: 15 FrontDepth o�G Heighty Sq. Ft. _....-Cu. Cu. Ft.�C� Front Depth Height Sq. Ft. Cu. Ft. �® a Type of Construction/ 144 ► d/= Estimated Cost To Be Completed L ` 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 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). rz�/ l 06 ti Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 5M-1450 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 120,000 BTU ............ $10.00 $ 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 VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE $ 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. Owner Kind of Used w To be completed about Estimated Cost, $S- 5—'S -V - Old ew. uilding Permit No. Permit No. ye DESCRIPTION OF WORK HEATING or POVXR PLANTS—Steam, Hot Water, Warm Air—No Trade Nam Size No. 67P Capacity � Sq. Ft. E.D.`R' BTU d H.P. Total Connected Load c 3 �. ��J Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signed _ -SUBURBAN AIR „pND yEAPOtIS, 1pne►...,, 8419 CENTER DRIVE M"VNESOB TA 5N32 Business Phone No 7 Ddb az HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No Yes—No 19_ / F1•1 Room I Length / Width % Height Windows and Doors—Crackage and Area Width Height No. of Lineal tt. Area No. of pane of pane lights of crack sq. ft. Area sq. ft. 1 ® a- 1 •1 Zk Coef.Btu Infiltration Btu Glassy--- Exp. wall -1-62 47S Net exp. wall Int. wall Infiltration Ceiling 3 dj Floor � — I otal btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.1 oom I Length ./ Width ` - -- Ieistht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. No. or pane o pane lights of crack Area sq. ft. 1 ® a- 1 •1 Zk Coef.Btu Infiltration Btu Glass f Exp. wall Net exp. wall -1-62 47S Coef. Btu Infiltration Ceiling ? o1, -f Floor � — Glasa Exp. wall Ceiling �D Net exp. wall Int. wall Ceiling Floor 1 otal tstu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.1 Room I Length -0—Width ZA Idderht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. I Area No* of pan//e of pane lights of crack sq. ft. (p e +�lights Coef.Btu Infiltration Btu Glass f Exp. wall Net exp. wall -1-62 47S Int. wall (J Ceiling ? v Floor Int. wall Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FRIDLEY, MI,NN. Insulation Kind How Applied om I Length,) Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane of crack sq. ft. +�lights Coef. Btu Coef. Btu Infiltration ` t�L r—j Glass Net exp. wall (J Exp. wall Net exp. wall v Ceiling Fj 5 Int. wall Floor Ceiling �D Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. i t 4'• Coef. Btu Infiltration ,4 0 -ti Glass Exp. wall Net exp. wall Int. wall Ceiling Fj 5 / �Q Floor Total 13tu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area FI.I Room I Length Width Height Windows and Doors—Crackage and Area Width Helght No. of Lineal ft. Area No. of pane of pane Ilghts of crack sq. ft - 1 -- -,,-1 / r S -i /(J' _ I ) �.r _,4r I -) ,► A Glass Exp. wall 1 C16 Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Btu City of Fridley Application for Plumbing and Gas Ming Permit Dept. of Bldgs. Phone 360-3450 DESCRIPTION OF WORK 7 Number, Kind and Location of Fixtures Location N NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ v2 ' 0 10 Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 �n u°7 -jC7 w Z Z O • F • N WATER HTR. GAS ELEC. Base a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ ' b Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer E] Cesspool E] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ v2 ' 0 10 Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... Z x $3.00 $ 3, e 01 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 $ ' b Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEEr.Z-Z.0 City of Fridley: >'?�;' e'-'.� 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 favi and representations stated in this application are true and correct. 7 I --,Fridley, 1VCnn- �� —4 , 19_1 Owner A-- Kind /Kind of Building Used as To be completed about Estimated Cost, $ Old--115Building Permit No DesiPermit No. Signe By Business Phone No '7✓rs -s ROUGH FINAL 4z C I T Y O F F R I D L E Y 6431 University Ave. N. E. Fridley, Minnesota 55421 August 5, 1968 0. B. Thompson 12201 Minnetonka Blvd. Minnetonka, Minnesota RE: PERMIT SHORTAGE 7454 Me iti nl ay At- N- Gentlemen: Your permit for the above captioned address was short the following: R. W. $3.00 We would appreciate it if you would kindly give this matter your preferred attention. When sending in the above amount, kindly place it on a regular Minnesota State Affidavit so that we may properly process this permit. Thank you. LE :bks Yours very truly, LEONARD EICHMILLER Electrical Inspector City of Fridley City of Fridley, Minn.. N9 10590 BUILDING PERMIT Date: March 25, 1970 Owner: Ronald R. Bennett Builder Same Address 7454 McKinley Street N.E. Address Same LOCATION OF BUILDING No. 7454 street McKinley Street N.E. part of Lot Lot _ 5 __ Block 1 Addition or Sub -Division Dalberg Terrace Corner Lot — Inside Lot — X Setback — Sideyard Sewer Elevation _ _ — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dining Rm.Addn to rep&nt 10' Depth 12' Height 10' Sq. Ft. Cu. Ft. — Front Depth Height — Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _$1.500.00 __ To be Completed 2 Weeks In consideration of the issuance to me of a permit to c et the building described above, I agree to do the proposed work in accordance with the description ab aeLth plice with all provisions of ordinances of the city of Fridley. J In consideration of the payment of a fee of $--2-M—, permit is hereby granted to Bonn I d R nn _t -t to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair andmoving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector CLARENCE BELISLE NOTICE: 'd+is permit does not cover the construedon, lm t [Wen for whine, Plumbing, see heating, sewer or water. Be sura to see the Building Inspector for separate pennhs for these items. P APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 47 OWNER'S. NAM: Iy/�c�1�'LI� BUILDER:_ ADDRESS: % �7 /L �`G ADDRESS.-. Sfi�Y?. NO:. 7 STREET: %1% �L� LOT; J BLOCK: ADDITION: CORNER LOT: INSIDE LOT:_ X' SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: � 0 Depth • Z Z- Height: l Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: r Estimated Cost: To Be Completed: td - -L j2r� a 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 s a SIGNA��� (See Reverse Side For Additional Information.) FROM ABSTRACT OFFICE OF �a�vc9a�� �r�pa��a�y co��Ac�� ANOKA, MINNESOTA LD A-- ' ' L' Ls LE- LQ" - LV3 ;I Cit of Pldleq Count o Anok4 cl kth line o� lo} I, Audifor's Subdivision W° 108 _ 66413 — � N. 4°131=i5' E. 75 TN AVENUE N,E. �9 19 �6 ' � 81.'i4 qo 81.15 a•�s�n-" • i3 25 i4gl ( ARC AR51 lQlanA95 •A'49'zo�.lo" � a•9ari9'so•' Q, e�s��2o-10•l� aac z3.�x}� �,►�ac.•za.o � i J � Rac,13.r� 1 ►� I 2 3 �, 1 2 M 3 ui � �° 5.89'il'•15•W. � ,� ti.89'3't�15"W— --- — b �-- us --- — 96.19----- — ----9D----- -----9629----- ; ----- 94---- -----86— — —94— >r ------ 142---- --� �— t---140,5$------ �-------- ir►--------I i--------137-- ---- 14 Ca 4 14 d 4 OL 142 1 w 14D.48 '°" . 13? 6 I w > O 'i IV W ' ' W r cJ of ' 31� 0 5 4 d o 142 I `� 14039 `�� 137 137 12 <�� ��- � •JI I I 'W- W 1 co 6 ® 14025 'u' LuLIZ �ti� 13 ( i 137 Z 01 li e ----X10---- — ---15 ---- -------117.18----- I g ------I'i7--- --J-- ----137------- N,49.3'I�15"E. +---qh.-------86----------q4 ----- 10 011 10 R9 9 If - M1 ` � (A• 89'�'t0" .�; J � A•90^4129'1 � �. (A, B9� 18'•71" B• 90t41�29-t 75 R•q� luta 27 of v AR['24.0j R'w.rt i0 RiS�t� pR[•1i.1 136 AR[�4.0; 33 L 15 75 102 1 L �9 t T.S N1 T 15 I N R15 N.L� 1—, AVEN U I* 84c34�54"w. i s Sough line of lois land 3 . T3 1 Lo<:s rLUmbered 'One (1), Two i=.-."ee (3y, Your Q), Five Dec (Z), Seven (7), Une (9"', Ten (10), Z.,ir�:eern (13;, Fou-*�^'r. (14), aZZZz I31ocI: one (Z); and nmf erect One (1), Two (2), ; iL ."ee (3), Isot= (4';,. (0) a T1ine (9), Teri (1'3), 3leve11 (12) .`ifa :lve (7 y , ,_ri�s.� v and Fourteen (14), all in Bloch. 's'trao (2y; X1 .1 in i aloe'.: i Tell -Care. i 2t%�1'.�.1iZa� .rT ..� 4L Y :3..Ja a: 0111G'11,'V�L =L uiJ Xt uCate of Nov. 7, 11.05-r Desc-.i7aoae: Ir.�4 of Sec. 129 G orGa U. I'loody Twp. 33, ::ai:ui 24, 163 acres. 3 g Ie United uf:a'-ea of I-imericayIrj.EIV to Dated: .7ai:�yzy 15, 1056 Tiler': Oct. 25, 13'u3 Geor;;e 3. Moody P.eco- ar�_1: Bool. ''U" Deeds page 243 D,sc::ip-.y.on: of Sec. 12, Tup. 30, :.an, -?s 24. 4 Goorge U. Moody and Mary j I-ILUZZAIVY DLLD :,. Hoody, his wife Da :ed: Oct. 15, 1355 to Filed : ;ISL iZ 12, 1337 Rr•. c o" -A ded : Book "2" page 371 JoserL r'ogg, William S. Gons ideva ion : $ 723.30 P'attee and Andrew Win ;:fin De,,scZipaion: IT 4 of Sec. 12, Twp. .3*"J, 24. Certified cop, from Ramsey Goun::y, 5 Auditor of Manomin County, VZZ' Iinna-soza Da - A -0 a .12 Na- 31, 1663 -o • Filed: L 31, 1063 I P.eco-Ldz!? : Book :`2" VIanomix-i Fredk. D. Peck 149 Desc::ip ion: I:A4 of Sec. 12, Torp. 30, Par* 24, for taro oy 1557, 1 , 15599 1360 and 2361. L I ABSTRACT OFFICE OF ANOKA COUNTY ABSTRACT COMPANY ANOKA, MINNESOTA This certifies that the ff3X8g*LAq C6ntinuation of Abstract of Title to the land described in the caption of the continuation hereofg. from the 15th day of March A. D. 1968 at . 8 o'clock A. M. to the date hereof, numbered from 105 to 108 inclusive, contains all the instruments of record in the Real 'Estate Division Of the Office of the Register of Deeds in and for Anoka County, Minnesota, affecting the title to said premises. .Dated this 25th day of April A. D. 1968 at 8 o'clock A. M. ANOKA COUNTY ABSTRACT COMPANY mb By'. MaAager AUDITOR'S CERTIFICATE STATE OF MINNESOTA I as. County of Anoka I Date ......... April .... 25 ..............198....&.. I, KENNETH W.CAMPBELL, Auditor in and for said County, hereby certify that there are no Delinquent Taxes, outstanding certificates or tax judgments against the following described lands, or any part thereof: 14ot.... 5 .. .... RIP.PX ... ... Terra.ce ................................................................................................... ............................ ... ........................................ /2/*-*-* .... ... --- ... *-----** ... .... **--**----- .... ***"* .... * ... * exceptas follows: ......................................................................................................... e ............................................................. ........................................................ I ............................................................................................................................................. I .................................................. 117� :- ................... .................. I ........ I .............................................................. I .................. ........ . .................. . ................................ ...... .......... "You are hereby notified that special assessments that may, be due or in the future become due are .......•..•...... ............. not handled or processed through, this office, and you are referred to the municipal offices of the ditor f Anoka Coun city in which your property is located for an ac. 'Z-01.1; curate record of the monis -wh" might be due By .... .. . ............. U . . ... ..... now or In the future.' Deputy TREASURER'S CERTIFICATE STATE OF MINNESOTA as. 0 County of Anoka .......... Apr ....................... —. I, Robert A. Peterson, Treasurer in and for said County certify that .. 1968 y, hereb for current year against the following dTerra cribed there are no Unpaid Taxes ........... pvt ... ... !,...Ai!1beg_q gplands, or any part thereof :----• � ................ ............................ a ........ I..... --. Ask . . . . . . . . . ........................................ . . . . . . . . . . ---------------- - enew—ke ............. —W .......... * ................................................ o ........... ................. .......... ...................... ..................................... 0 ....................................................................... * ................................... ......................................................................................................................................... ..................................... ......... 0 -t '-� Ronald R. Bennett & wf• - ............ z2 ..... Treasurer of Anoka County, Minn--- �........... By Deputy. ABSTRACT OF TITLE We are official bonded abstracters and furnish correct abstracts of the titles of any Lands or Lots in Anoka County, Minnesota, on short notice, including search for judg- ments and taxes. Our abstract books are accurate and complete, and are posted daily from the County Records. We solicit your orders and will fill same promptly. ANOKA COUNTY ABSTRACT COMPANY, Abstracters, Anoka, Minn. O ��. Uj Q ®,�b H ; LL Q _ w 4 LUZ t P W LL U Z �O LL This Is o :true and correct representation of -,a survey of the boundaries of the farad above described and of the nutation of all buildings, if anyr thereon, and al visible encroachments, if anyelrom or an said land. hls surrey is made only in connection 'With a mortgage loan now being placed on the property and, noliability is.6sourned eneCept to the holder o/ such mortgage or any other interest acquired by the reason of .such mortgage'. it is under8lood and agreed no monuments have been placed for the purpose of establishing let, lines or, boundary corners. Dated oris day ofA. 0.19,2 SUBURBAN ENGINEERING,'INC. L 32 / 6Su rrgine ' u r . lort�ag� • Loan Survey for Roy Be��re i`1 /10.4 Q •, {� rl lu V ~ t`: � w J �[ 1 # 24 � l /tr h i I This Is o :true and correct representation of -,a survey of the boundaries of the farad above described and of the nutation of all buildings, if anyr thereon, and al visible encroachments, if anyelrom or an said land. hls surrey is made only in connection 'With a mortgage loan now being placed on the property and, noliability is.6sourned eneCept to the holder o/ such mortgage or any other interest acquired by the reason of .such mortgage'. it is under8lood and agreed no monuments have been placed for the purpose of establishing let, lines or, boundary corners. Dated oris day ofA. 0.19,2 SUBURBAN ENGINEERING,'INC. L 32 / 6Su rrgine ' u r . CITY OF FRIDLEY INSPECTiON DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2002 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 2-1',5L1 roo kin let l )F_ New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 .20 Sump/Receiving Tank $ 7.00 tt Water Treating Appliance $10.00 Owner .�) 1 u i nL 11X'P -I r t/ Water Heater -Electric $ 7.00 Water Heater - Gas** � $10.00 Building Used As � lam 9 - Gas Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost PERMIT NO. J ? Back Flow Preventer Required ( )Yes (} No 0 Type $15.00 PLUMBING COMPANY��'�Q Reinspection Fee $47.00/Hr SIGNED BY TEL N0.&57/ a6 z— �C/S — ALL OTHERS AND/OR REPAIRS AND ALTERATIONS FAX # 1.5% of Value of Fixture or Appliance �- Approved By Rough -in Date Final Date SOA z State Surcharge .50 D r hh \ MINIMUM FEE F R ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFNTVFNT CnNNFCTnR AND CQMR1 ISTInN AIR VFRIFICA710N When re la _ina an existing foranm, 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. YesXNo ( ) 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 eYosi—ng rnmh ,soon air is sized and installed to meet the current codes and manufacturer's specifications. YesKNo ( ) When required to install a new remhiistion air.itwill be sized and installed to meet the current codes and manufacturer's specifications. Yesj(O<No ( ) When ins alling,a new ventinrl syssttamm, 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 Connecter 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 HEATING CO: Signed By: Date : Building PLUMBING Permit No. Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd:5'-,,<:- DATE August 31, 2006 YOUR E-MAIL ADDRESS wnelsonblarsonplumbing.Com SITEADDRESS 7454 McKinley Street NE -- THIS APPLICANT 1S: © OWNER ®CONTRACTOR PROPERTY NAME: William Schreier OWNER/ ADDRESS:_ 7454 McKinle+Street NE CITY Fridley_ STATE MNZIP55432 TENANT PHONE: 763/784-0573 CONTRACTOR NAME: Larson Plumbing, Inc. STATE LICENSE # 3341 PM EXP DATE 12/31/2006 SUBMIT A COPY OF YOUR STATE ADDRESS: 3095 -162nd Lane NW CITY Andover sTATEMN zip 55304 LICENSE WITH PHONE 763/427-7680 FAX 763/427-9448 APPLICATION PERKM TYPE M SINGLE FAMILY O TWO FAMILY I] TOWNHOUSE TYPE OF WORK: 13 NEW N REPLACEMENT DETAILED DESCRIPTION OF WORK Water Heater Replacement PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FXfURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINK/LAV _FLOOR DRAINS —SHOWER WATER PIPING —BATHTUB GAS PIPING asED a7yuc&nz) _ SWIMMING POOL WATER SOFTNER ($35) _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET BACKFLOW PREV. ($15) DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER ). .: b.J.:.+n.:.4.:..+i' tPd . •.C:•1.'l.r r',j,StA a?,/f� w •. y..... T. �i . .S .OR::: • •�R,<$Sfl0 �. <; j:.,y,;; :,3. :sr;. ,.� . 1T. 1..... ... .. ... ... ..n. .'' nJ'Y %:(v..�.•...'rH'..... d:i ..::?, f:f. ¢<* ..+C �?E�:��.1;•To�:P ����,: Permit Fee. $ 35 . 0 ie NNumber of fixtures @ $10.00 x $10.00 = $ Surchar .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ 35 .5-0 State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved pian in the case aI3 work whic equires review and approval of plans. SIGNATURE OFAPPLICA PRINT NAME Michael Malonski DATE 8/31/06 �'P� E:�GS. •+1�: ��i� 3`E ��. �.I�JIb:�'C31Z' -'E;1%31��=':E��R�O �':':T�Ii✓C1�T��� �.� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit No.?�V'V/cl-4V,2- Inspections P If 2060 RESIDENTIAL APPLICATION Received By: I, 763-572-3604 Plan Review $ 65% of Building Permit Fee 763-502-4977 FAX CITY OF FRIDLEY nqft Surcharge $ EFFECTIVE 1-1-2010 License Surcharge DATE 11.0lV r� P YOUR E-MAIL ADDRESSdJ.1N/�i�f/��1 SITE ADDRESS � j , V THIS APPLICANT IS: M OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME:_ f di.&vt �,ewet-%£o TENANT _ ADDRESS: -4j mtle lik'e S/— CITY 1,741,04- STATE %% ZIP C $450 Conservation Plan Review PHONE:_ 7J'Y - GAS % 3 CONTRACTOR NAME: SUBMIT A COPY OF $ YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY TATEZIPINSURANCE INSURANCE —STATE—ZIP- PHONE FAX PROPERTY TYPE Z SINGLE FAMILY/NEW CONSTRUCTION SIZE /Y61' Jillii�Gl� ❑ TWO FAMILY/NEW CONSTRUCTION STORIES_ PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE PIDECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR %REMODELING DESCRIBE WORK BEING DONE:Pelee &5) fiC-WZ16 SIZE OF IMPROVEMENT LENGTH � y� WIDTH HEIGHT "' SQ FT ROOFING NUMBER OF SQUARES Q HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: n I 1. Existing Floor Plan GARAGES 1 1 ❑ ATTACHED GARAGE A . V 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE��^ 3. List of structural members to be used PROPOSED HEIGHT: i " 1j h SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, E3 Vinyl ❑Soffit 2ADDITIONS. JD3 & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures 13 Other ❑Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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 $ If 2060 OCCUPANCY TYPE Permit Fee $ -1,25 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ V, .001 times the total job valuation Surcharge $ 141 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ iLi A , , r? Make checks payable to: Citv of Fridlev 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 on site; that the work will be in accordance with the approved plan in the case ofjH7work which requires review and approval of plans. �,�, SIGNATURE OF APPLICANT S PRINT NAME 9 eZ-rbX l'ffr g DATE Land Planning sr,41 1,Allah, 6875 Highway No. 65 N. E. Land Surveying C` t /+ Minneapolis, Soils Testing t"',,,blD �i�W,,,,7 *!',,,. Minn. 55432 Civil Engineering 6f Telephone 784-6066 Municipal Engineering EngYY1eers & Surveyors Area Code 612 Mortgage Loan Survey for Rn -1 '5e! r2T: .i' -9,'ti' 0,k .•4 C- ill V T Y This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildingsi if any, thereon, and all. visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. it is understood and agreed no monuments hove been placed for the purpose of 'establishing lot lines or boundary corners. Dated this day of r7.•—r A.O. 1970. SUBURBAN ENGINEERING, INC. L-.2 Engineers -1 Su{v ofa 4' ! bye, (; ,' t�W i .0 - -. A i 6= ICK •_ �`� _fir N Cj � it i .i' -9,'ti' 0,k .•4 C- ill V T Y This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildingsi if any, thereon, and all. visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. it is understood and agreed no monuments hove been placed for the purpose of 'establishing lot lines or boundary corners. Dated this day of r7.•—r A.O. 1970. SUBURBAN ENGINEERING, INC. L-.2 Engineers -1 Su{v ofa 4' ! bye, (; ,' t�W i .0 - -. A i Building BUILDING Permit No.: S(e- Inspections Z RESIDENTIAL APPLICATION ry Re 763-572-3604r-763-502-4977 CITY OF F RIDLEY DaME'& FAX Surcharge $ .0005 x Permit Valuation Minimum $.50✓ EFFECTIVE 1-1-2010 License Surcharge DATE YOUR E-MAIL ADDRESS SITE ADDRESS S $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR Erosion Control PROPERTY OWNER/ NAME:r V- eIe TENANT ADDRESS: �" S t'1 (� % S� CITY f % STATE %' ZIP 16 3 Z PHONE: t0 3 -q19 �" o $ CONTRACTOR NAME: Total Due STATE LICENSE # EXP DATE GscUO Make checks payable to: City of Fridley Attach Stipulations SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING 0 HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 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: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures ❑ Aluminum El Trim and t. proposed project O Other ❑ Fria 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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 S OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Z 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 $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ C,_Oo'— _jCl ft + 6 ft = Z,157 ft x $24 = $ 6cpQ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ GscUO 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 on site; that the work will be in accordance with the approved plan in the c =Iwor icre i s 'wand approval of��pinnans. SIGNATURE OF APPLIC PRINT NAMZt)r //taA+ �cA Vf l P r— DATE ��>d