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PRE 2010 DOCSVillage of Fridley, Minn. BUILDING PERMIT N? 1809 Date: ........... Owner....................................... Builder ... . .... Address...................................... Address ............................................. LO ATION F BUILDING .......... No. . f'7.6�0. Street Part of Lot .......... Lot ...... ..... Block ..... .......... Addition or Sub -Division A Corner Lot ........... Inside Lot .... Setback Sideyard ...„/. © ..................... DESCRIPTION OF BUILDING To be Used as: 10- Front Depth Height Sq. Ft. ........ Cu. Ft. ........ Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ 01 Type of Construction ....... Est. Cost ...... To be Completed .................. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. ..................................................... In consideration of the payment of a fee of permit is hereby granted to ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and.,worhmen, in all work done in, around and upon said building, or any part thereof, shall conform in all yMebts to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, '�,e�' and moving of buildings with- in the village limits and this permit may be revoked at any time upon,lvjolklon of any of the provisions of said ordinances. A-6 ......................... Building Inspector NOTICE: This permit does not cover the construct -ion, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley, Minns, BUILDING PERMIT� N°(1�559'j Date: ...s _""'...��'�........._._ _ _ _...._...._. Owner: _:. ^'._.._ . ,...._ ... uilder Address . .. LOCATIO OF B LDING No. .577Y street— _. _......._..... Part Lot ....._...__..._..._ — ___---...._ __ Lot....... .......... Block ....._... .... ......... Addition or Sub -Division _ ._-.' C„ . Corner Lot .......... ..._......... _........ Inside Lot .---- . ....... :....................... Setback ..... -............ _....... -............ Sideyard ---------------- -....... ' r Sewer Elevation ....._.............-............._............._......._............._...._............._....._ Foundation Elevation DESCRIPTION OF BUILDING ToUU _ .... -° ® Front .... Depth ..::t.. ��.._ . Height ...%.. ....-- Sq. Ft.+.S7!:... Cu. Ft. _A _ fo ........................ -.................. ...:.......6EWnt ..................... Depth eight ........-. Sq. Ft. ..--•--..........---... Cu. Ft. _•__-............ Est Cos ..................' ...._......--•- Type of Construction .... ...,,.,.!? ..:..:'_....... To be Completed ..... .............. ...................... -- A������ THIS PERMIT DOES NOT AUTHORIZE VIOLAT- ION OF ANY PRI''ATE LANID COQ .WANTS , NLI BUILD115JG FdESI JI 1iO+'•15. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $1671' permit is hereby granted to....._.__.___......_..____...___......._.. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time n violati of any of the provisions of said ordinances. / /% i Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. 4 M_-:�. .o- • .i- --ail \' i APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name JI /y —Builder- Addressz.fAddress - rr��� LOCATION OF BUILDING No.� Street Me Part of v Lot C1 Block e Addition or Sub.Di Corner Lot_____Inside Loth t Back Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front '2- Depth. Height Sq. Ft. - Cu. Ft.1.�_____ Front Depth height Sq. Ft. Cu. Ft. ,"' Estimated Cost Type of Construction < = �, , r To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated.in this application are true and correct. DATE �� -, SIGNATURE (A Schedule of Fee costs can be founq'-on the Reverse Side.) r I TDER F G CO..,INC O ENGINEERS AND SURVEYORS LAND SURVILYING 8OIL8 TESTING CIVIL 16 MUNICIPAL ENGINEERING L^MO PLA,104thle 40418 -56TH AVENUE M. MINNEAPOLIS 29.,MI94N. OR 'r- 4014 �Yj cN 1A AM LAND 5UQVlE%e4Oa City of Fridley, Minns BUILDING PERMIT N°(:5 4 9 �) Date: .ae+.�•+ Owner:` Builder — Address ____ Address ,.� LO TION.•- F LDING No. -- r te Street � i?art,okot — Lot —.__ Block _ _ Addition or Sub -Division Corner Lot _ Inside Lot _ _ Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Fri Depth gilt Sq. Ft. Cu. Ft. Type of Construction Est.. To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the descriptio} above set forth and in compliance with all provisions of grdinanoes of the city of Fridley. ;W — In consideration of the payment of a fee of $ , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota' regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any tun upon violation of any of the provisions of said ordinances. A& 'Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or wafer. Be euro to we the Building Inspector for separate permits for them items. APPLICATION FOR BUILDING PM IT CITY OF FRIDIEY, MINNESOTA O;aner Is Name Builder Address Address LOCATION OF,, BUILDING No. of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. d Type of Construction la Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application ar/e' true and correct. DATE Z L SIGNATURE —at (A Schedule of Fee Costs can be found on the Reverse Side.) f7 C!1'Y OF FRIDLEY APPLICATION 9OR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RASE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ *Fiplace.•ment of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & alterations each add. $500.00 4.00 $ MECHANICAL l AR:d AIR: Furnace Shell &• Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ *Raplacezent o` Furnace 7.00 $ Z. ey Repairs & Alterations=up to $500.00 7.00 $ Repairs & alterations each add. $500.00 4.00 $ S=ti•1 OR MT VZZEIZ SYSTEM: Eoiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler cnly'up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BUR`:El' to 3 gal. per hour $10.00 $ rzach add. 3 gal. per hour 10.00 $ GAS BURNER- frcm 100,000 BTU to 199,999 BTU $10.00 $16.. /v (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st .3 F iytures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU X. $10.00 $ AIR CONDITIONING $ FAN EEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTE?3S $ ALTERATIONS & RE•PAIRS $ State Surcharge $ .50 TOTAL FEE $� ROUGH INSP.. Date: F=.AL INSP. / - 2 9 e K �'-- Date APPROVAL FOR PFRKIT 441vz REINSPECTION FEE ($10.00) FEB.FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form Job Address Department of Buildings City of Fridley Tel. #571-3450 el 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. Fridley, Minn. -2- OWNER OWNER USED AS TO BE COMPLETED ABOUTy/ o—e — ib ESTIMATED COST Z-2-02 OLD NEW BUILDING PERMIT NO. PERMIT NO. O% DESCRIPTION OF FURNACE/BURNER HEATING or POWER LANTS, Steam, Hot Water Warm Air- NO. j Trade Name , Size No. Av Capacity Sq. Ft. EDR BTU HP Total Connected Load / Kind of Fuel e BURNER - Trade Name Size, .to. Capacity Sq. Ft. EDR BTU HP I Company Signed � Signed By�L�a=ye.�%. Tel. No.� City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT ERMIT NO. 26 74 � • _____ COMMUNITY DEVELOPMENT DIV. fr r � � PROTECTIVE INSPECTION SEC. i = CITY HALL FRIDLEY 58432 612-571-3450 NUMBER 910415 REV GATE 7/29/98 PAGE OF APPROVED By JOB ADDRESS 5780 Madison St 1 LEGAL DESCR. LOT NO. 10 BLOCK 8 TRACT OR ADDITION 1 Dona ' s Lakeview Manor SEE ATTACHED SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE John Hosch 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Gates Roofing 4640 7-imines; T,n P1=mjth S5442 55n- 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Regidpritial 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION IR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Buidling Code. Call for building wrap inspection before covering. 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 OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 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 $12,085 SURTAX $6.04 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. $199.75 F e SC $12.08 2 �l 7" - � j PLAN CHECK FEE Lice $5. TO AL FEE $ 22.87 _ SIGNATURE OF CONTRj4ftOR OR AUTHORIZED AGENT IDATEI EN ROP VALID E HIS ISAUR UR PAR T G INSP i r GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: _ j90 Adismof s� iy Legal Description: Owner Name & Address: TON 140Q Tel. # Contract Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT ENSE # 6'793 Tel. # S50 —06kt � LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length -� Width Hgt/Grounnd Sq. Ft. OTHER: rVy)o�T P�lc'o d Awdi �i� S/i Tdy"J, n2 -SiG�O I�aUst' d• Ga�o� o � �1��O�S� 9 Construction Type: Estimated Cost: $/�1�, (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: G - APPLICANT: I UC)110 A Tel. # CITY USE ONLY Permit Fee $ 1 %� '�� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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: CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 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 Gas Dryer Rate TOTAL $ 30.00 $ 0 $ 10.00 $ $ 10.00 $ $ 10.00 *Air Conditioning -All Sizes #, c (`qast' e � $ 25.00 -gTTXA oat{ All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. i $ as, co Effective On January 1, 200 JOB ADDRESS S rl % rnpoi Son S -v n OWNER_ '70 VN v3 1Z A � OSc BUILDING USED AS �� G ESTIMATED COST 4A, 00 - 0 PERMIT NO. IgO �? DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) Warm Ai Trade Name C'AIZR.iew—) Size No. S U BTU HP EDR Fuel n, �+� q S Total Connected Load Burner Trade Name BTU HP Size No EDR 011. $ 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 at $ .50 rulings of the Building Division, and hereby declares that all the facts and $_SS. Sa representations stated in this application are true and correct. River City Sheet MetWMIW. (17j0�-- 992$ Bluebird St. N.W. HEATING CO Coon Rapids. MN 55433 "7W3 754-2199 Signed,, .TJ_ TEL # _ t Approved By Rough -In Date Final Date rt Time 0�P ihsT.�ll. 5r790 MA di so n &t 1= R i U COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION I When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (%0 No ( } The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes A4 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 V) No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input fO ®m 0 F r Nat Appliance #2 Type h/4,1' gear BTU Input 3ewo Fan Assisted o a Appliance #3 Type �c e �._ e <r BTU Input Fan Assisted or a Total Appliances - ' 3 Total Btu Input i?-J.go o Common Vent Type 9 Vfl%� Vent Height Diameter inches Appliance #1 Vent Connector Height 3 ft Length ft Diameter in Type Appliance #2 Vent Connector Height F—ft Length ft Diameter in Type Appliance #3 Vent Connector Height — Length ft Diameter in Type ALTERATIONS: (Describe) 1 RiYeF Git- Sheet rWWI, -inc 9928 Bluebird St N.W. HEATING CO: Coon Rapids MN 55433 Signed By: Date ITY OF FRIDLEY INSPECTION DIV. .31 University Ave NE idley, MN 55432 B3) 572-3anA cnY r7A*%N A71-1987 Effective April 1, 2004 L �"S APPLICATION FOR PLUMBING AND GAS FITTING PERMIT _UMBING FIXTURE RATES: NO. RATE TOTAL aw Fixtures $10.00 d Opening, New Fixture $10.00 wr Dispenser $10.00 ow Off Basin $10.00 titch Basin $10.00 aIn Water Leader $10.00 imp/Receiving Tank $10.00 ater Treating Appliance _ $35.00 titer Heater -Electric $35.00 later Heater - Gas'* $35.00— als Range*" $10.00 as Dryer" $10.00 ick Flow Preventer Required ( )Yes () No Type $15.00 :inspection Fee $50.00/Hr -L OTHERS ANDIOR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance .C35 State Surcharge $ -50 TOTALFEE $ 3.5.50 JOB ADDRESS{ i� C'a rLClr) h The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work In strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations slated In this application are true and correct. OWNER DATE: L, BUILDING USED AS ESTIMATED COST PLUMBING SIGNED PERMIT NO. TEL t7h-9/42-1-21PSO 21P Approved By Rough -In Date Final Date MINIMUM FEE FOR AKY PLUMBING/GAS PERMIT IS $1600 or 6% OF COST OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "APROWDE COMMQN VENT INFO ON BACK SIDE