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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT sio3 Data: Owner: wilder ' Address Address LOCATION UILDING NO. � '�'� Street mart of Lot Lot _ ___ Block ddition or Sub -Division Corner Lot _ Inside Lot Setback _ ,w Sideyard Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING To Used *� Front + - Depth Height 5q. F't. t Depth tZAQ, Sq. Ft. Cu. Ft. of ction Est. Cost � '"R O 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 city of Fridley. A 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 � city limits and this permit may be revoked at any ti upcm v eiab�on of any of the provisions of said Building Inspector NOTICE: Ibb pem* don not corer the eonslruction, hwaNden for r kb& plumbing, on haft, serer or wabr. Be sun to as the Buildbe hupeater for sepsnb permits for thea Items. Owner's Address APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Name_4 , C T f Builder 1% LL C,i V-1 Address LOCATION OF BUILDING No. 1-3 ] C) Street er ham- Part of Lot Lot 7Block '� Addition or Subdivision 11 Corner Lot Inside Lot ✓ Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION (0 ! 0 Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING Tobe used as; _O Front Depth - . Height_-___ Sq. Ft. Cu. Ft. Front `- 0 Depth D310 Height��. Sq. Ft. Cu. Ft. Type of Construction FA � Estimated [/ Cost ,LI`° /iii ® 'N-& V I A L To be Completed -t F- 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 co t. 0- DATE ® SIGNATURE j P4 (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 4r, do Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... '00 / x 2.00 $ 2 ' -od New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: a3 J (7 °d lia ` U0 • • N WATER NTR. GAS ELEC. Base Gas Range ,to 200,000 BTU .............. x 2.00 $ 1st / A 2nd o _ 3rd 4th _ • Future Connection Openings I New Fixture, Old Openings Connected with Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 4r, do Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... '00 / x 2.00 $ 2 ' -od New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 '''10 Additional Fixtures .................... x .50 $ Gas Range ,to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE `3• �� Dept. of Bldgs. Phone SII 4-7470 T_n iron /i 3 /® City of Fridley: �E/l®may DZ The undersigned hereby makes application for a permit for the work herel specified, agreeing to do 411 work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. AUG 1 � �3�6 Fridley, Minn 19_ Owner /y /L /,C / ?' lv 8 L /3 2 X, Kind of Building /X�C Used as 7-2w / To be completed about Estimated Cost, $ 7 Old—New. Building Permit No_ Permit Signe 0ND0N PLUMBING CO. By �G Business Phone No ROUGH LK—a. Z FINAL d2 2M City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORKS 3100,0 ���/42 y G N� Number, Kind and Location of Fixtures Location— PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ............. x $1.50 $ d SG Future Fixture Opening Z x 1.20 $ yd New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 Z �O t F t N WATER HTR. GAS ELEG $ Base 0 Lip 1st 2nd 3rd 4th Future Connection Openings Connected withI Sewer � New Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ............. x $1.50 $ d SG Future Fixture Opening Z x 1.20 $ yd New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ......—le� x 2.00 New Ground Run Old Bldg . ............ x 3.25 $ City of Fridley: The undersigned hereby makes application for a permit for the work hereu specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Annn OCT 2 196 19_ Owner /��L C/�ry a L D/2 ,S Kind of Building Used as –'T-2 4�.' I. To be completed about /® %'- 63 Estimated Cost, $ Old—New. Building Permit No ( Permit No. signed- 0P1QQN PCU`MBING CO. Byif6s�/� Business Phone No ROUGH �G – �'lo FINAL GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ......... :................ x $1.50 $_,� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................ L/C TOTAL FEE $ZZhhhhah.– Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR j Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 5_— each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations --up to $500.00 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lanes—to 400 sq. ft. EDR Steam .... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water . 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $� GAS FITTING FEES: NO RATE TONAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........ x 2.00 $ AIR CONDITIONING $ ,-tFAM HEATING SYSTEM See Fee Schedule 1 VENTILATING SYSTEM t ALTERATIONS & REPAIRS TOTAL FEE $ 5 ROUGH- OUGH FINAL- FINAL Dept. Dept. of Bldgs. Phone SU 4-7470 �A__ C'27 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 1" G Kind of Building Used as To be completed about Fridley, in 001T A 11962 , 19 Estimated Cost, $ wilding Permit No. / Permit No. DESCRIPTION OF WORK HEATING eek -ice, Warm Air—No- I/ Trade Nam q,, Size N2, "7 '® Capacity Sq. Ft. E.D.R. /'�<?s BTU H.P. Total Connected Loa -14 AA +5`e.7W Kind of Fuel BURNER — Trade Nam 1 =2 Size No� -0 7 -O Capacity Sq. Ft. ED BTU H.P. GEO. SED ICK HIG. & AIR-COND. CO 1001 Xenia Av. S. 'nneapolis 16, Minn. Signe By B�.42 sM Business Phone No (REMARKS—OVER) HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS UMEAPOLIS. MINN. Weatherstrips A.S.M.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Yes—No 19— FU . Room I Length Width . Hei>tht '' II , FLI 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. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling 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. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.i 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. jCoef.j Btu Infiltration Glass Exwall Net exp. wall Int:. wall Ceiling Floor Total Btu: Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l 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. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling 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 HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 . r -74W9 6+,, Ddb ' s HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Yeo 19— F1.1 Room I Lenath Width Height II FLI Room I Length Width Hei>acht Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenath Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane ilghts of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. 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. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int, wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width I Height No. of I Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I FI.I Room I Lentil 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. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. itis. 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. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley, Minn. BUILDING PERMIT Date: April 25, 1967 NO 9196 Owner: _. Gordon Wilson Builder _ Sussel Co. ^� Address 7310 Memory Lane address 1850 Como Ave. LOCATION OF BUILDING No. 7310 Street Memory Lane Part of Lot Lot 7 Block 2 Addition or Sub -Division _ Melody Manor 2nd Addn . Corner Lot — Inside Lot _ Setback — _ _ Sideyard Sewer Elevation ___ ___ ___ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Addn to rear of Front 12' Depth 12' Height 81 Sq. Ft. 144 Cu. Ft House Front Depth . _ Height .— Sq. Ft. Cu. Ft. Type of Construction Frame Fit. Cost—__$900.00 _._..._.._...___. _ To be Completed 60 Days In consideration of the issuance to me of a permit to construct the buil ' des above, I agree to do the proposed work in accordance with the description above t fo and an with all oviaions of ordinances of the city of Fridley. / In consideration of the payment of a fee of $ 5.00 , permit is hereby granted to Sussel Co. to construct the building or addition as described above. This rmit is granted upon the express condition that the person to whom it is granted and his agents, employees an 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: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sere to see the Building Inspector for separate permits for these hone. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ' ?% J 141— _ , r� = ---- BUILDER OWNER'S NAME ` , ADDRESS :� ����a1{oIaC� ADDRESS /O- IfOtd �°� LOCATION OF BUILDING 17a OF LOT LOT "� BLOCK 2-1-1 ADDITION OR SUBDIVISION.-!��_ �� c✓ CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Us d PC�! A—, aa,-' �0 P @ "PC®P!' Front L,'� Depth Height— Sq. Ft. f Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction, Tz27 A-1 zP: _ Estimated Cost 9_ To. Be Completed ,� lad, 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 Z4"r"'g` 6 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). (S),.. -- -7Ad - 195A LOT NAME SIZE 12 x 12 Pa R. ®RD®N 1/�IL50�1 '- PA -r. BLOCK ADDRESS VALUE 73#0 MEMORY (_ Ivc-- 9000-0 ADD'N. AREA TYPE rQ 1 DY I rR4 M � -r-_w-i5T1NC= - 1a 4 ` PrT I a 5,L4 B w/Mas14 I. EXP• La 4ve -zv ®Pr --4 "®USE 1a' o PC) Rc14 s.�AB � �I f MeS H • i W.M $Ie-I5T/NCp GLASS St..PDPNG ,'D'®O'RS. © SQll4-RE W Ti.4 WOLIS r ea Q S I DE ®r- PoRc_&4 T® STLART �'� FROM -EOC�e OR ®CJTS IDE C-4'S1NGp ON 'BILI ST1 Nf� SLA 5 5 Z'- I O IN C= 900R S As S I --I O w ^I ® l"s-r44_.L. 4-Z" i=R®ST FoOY ING�S AS S I-1 O in/ /j rte, SP&—CIAIL- " - ^AL)5T L-E.A%IE FROST SET POR 7A 14IZS . �6r--I✓ORE POUT{ I NCS SL -A3 ® INST..4LL Pe9Rc.a! .54 4S WIT" ME.51t1 145 514owr4 TD 86 6" .45OVE.. 6vRA0E © INSTALL PATIO ZLAS VVI -r" MSS" § -,—c-)ePANS/or/ J0IN7'5 AS 5NOWnl e4 ND SL®PE Pop, PR0P-19-Q ®DRA IN AC --pe, . . 0 SUBJECT City of Fridley 28618 AT THE TOP OF THE TWINS BUILDING PERMIT 'g 72an3QQ -99CEIPT NO. � `y M LAITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 71.76 F �_[ NUMBER FIEV GATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 �'� 612-571-3450 910415 11/20/98 JOB ADDRESS 7310 Memory Lane 1 LEGALLOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 1 Melody Manor 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leona Twito 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ea leview Const. Inc. 2937 - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION jj REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 26 S Tear -off 9 CHANGE OF USE FROM' TO STIPULATIONS Underlayment must comply wither the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2228 $1.11 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 Fie SC $2.23 PLAN CHECK FEE FEE � rj�IfLicen 7TAL a 5.0 3.09 ATURE dF tDATE, EN 0 VAL A D THIS IS O R PERMIT 4;>111N ,j BLO NSO - DATE S-GNATURE OF OWNERJF OWNER SURDERI iDATE, NEW` "[ ] ADDN [ ] CITY OF FRMLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 7f-fau Legal Description: Effective 1/1/98 Owner Name & Address: Tel. # Contractor: MN LICENSE # 7& d Y3 Address: r;L9 3'� �� - �,�---� Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: uj -e� -e Estimated ost: $ 0 ta"' (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: I t t Il � S -"-APPLICANT: �^ h-� Tel. # 23 -SY(9 j( % , Z/1' � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 63, o CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY -OP FRIDLEY INSPECTION DIViSION',�`�d' � `-, Effective On January 1, 2000 � 6431 University Ave NE (_J Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND'.HE#ING, bOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES { JOB ADDRESS 91/0 / i©' R -Y �-IJ 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 *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work OWNER A k Y *A-6 U if Rate TOTAL BUILDING USED AS $30.00 . ESTIMATED COST PERMIT NO. - $10.00 O.$10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ = No. of Heating Units_ Circle One (Steam) (Hot Water) (Warm Ai $ 10.00 $ Trade Name L) Size No. UCP f— BTU /0(0, Tom HP EDR $ 25.00 $ Fuel AA4q Total Connected Load 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. Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the.City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and - representations stated in this application are true and correct. CU ERIO-C CC-MBY Akr, IIyCi, 7�' fly^., 6127 4-nd Avcnue €vopATE Crystal, Mn 510'4a2 HEATI Signed TEL # % -62?% P4/ Approved Byf Ll -!f_ Rough -In Date Final COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (�' No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes I" No When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type kudt:- o BTU Input /00 om an �ssisted or Nat F� mss, Appliance #2 Type w BTU Input ® OCO anor Nat I-'-+9' Appliance #3 Type BTU Input Fan Assisted or Nat Tot is Total Btu Input i �a Commo Ven e Vent Height Diameter inches Appliance Vent Connector Height Length ft Diameter in Type Appliance #2 t Connector Height ft Length ft Diameter �in Type Appliance #3 Vent necto eight ft Length ft Diameter inj%Type 6121 42nd Avenue No. HEATING CO: Crystd, Mn 5;422 Signed By: Date: CITY Of F RIDL EY INSI" LC l ION DIV 6431 University Ave NE 0 Y Fridley. MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR h"eC11Ve l►n Jan 1. euuu 41 PLUS FIXTURE RATES. NO. RATE TOTAL 0 —7310 Nam► Fbftm $ 7.®0 The urdoraigned hwby Worcs appkmNon two pans* for rte Irak Main Old , Now Fb&m $ 4.00 op"M ag�aaillg 1a da aw trak in ddd a000ldaaoe w0 rte ailjt colt OW $ s.®0 and mega d r» ftftg slid". and he dq dmkm rlal al fe Ms umcwomm $ 7.00 and IF mm MR to alaMld in olio sOpicailbn are lnw and coir cl cauh ®aaia $ 7.00 Rain VMhil.r Lamm $ 7.00 mii om mol .0 GTO* :7.00 VftW Terallflg App&W= $10.00 Owns V"W dolor _ $ 7.00 WAI2W HWW - Ciao" Sio.00 euI s Ip Ursa a i10:a0 Edblobd Ciel PERM NO. ( )Y4m t D No 5d T11111111111 $400 PUANMCGMPANY-- Railopacmla i Fm *47.00ft SKra O ALL OTWRS M DIOR REPAIRS AND ALTERATIONS 1.5% of Vhllwof F1ie or 0.00 By Slaps Semcharge o TOTAL FEE S0.50 PL118 71E COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. ND. find Dela COMMON VENT INFO ON BACK SIDE GiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 November 7, 2001 Mr. Darrell Hauge 7310 Memory Lane NE Fridley, MN 55432 Re: Final Inspection at 7310 Memory Lane NE Contractor: Superior Contractors Inc and Lee Stull Plumbing Dear Mr. Hauge: Permits were issued on January 18, 2001 and January 31, 2001 to install a furnace and water heater at your address. During the inspection on February 9, 2001 the following corrections were noted which must be completed before the permits can be finaled and the work approved: 1. Size furnace vent connector and common flue per manufacturer's specifications and GAMA tables. 2. Provide approved flue cap. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work authorized by these permits. As of this date, no inspection has been called for. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. SuB.iEti PERMIT N City of Fridley 3233 AT THE TOP OF THE TWINS BUILDING PERMIT R L �_____ COMMUNITY DEVELOPMENT DIV. i V d�P r PROTECTIVE INSPECTION SEC. 6/(yam, CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910415 11/19/01 /19/01 10B ADDRESS 7310 Memory Lane Nt 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Melody Manor 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrell & Amy Hauge, 7310 Memory Lane, Fridley, MN 55432 763-795-8372 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Master Remodeling, Inc., 32 10th Ave S, Hopkins, MN 55343 952-932-9311 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20012916 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING EMAXXM Dwelling " 7 CLASS OF WORK Ck NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking and flashing for all exterior openings. Permit Inspecion Cards W111 Oe IVlailed To Homeowner To post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. , OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN BO 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 $6,000.00 $3 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .00 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- $125.25 Fir C $6.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TO L EE Licen $ .0039.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, ME PRO Y VALID" -.-D THIS IS YOUR PE/RR��MIT S-GNATURE OF OWNER IIF OWNER BUILDER, IDATEI B G ,NSR OArE NOV-13-2001 09:43 FROM CITY OF FR I DLEY TO 9529329316 P.02/02 NEW [ j Effective 9!1/2001 ADON [ j CITY OF FRIDLEY .(763) 572.3604 Bldg lnsp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: -7 3 10 ,-1 C41 a/. V Lh • /tI, 6. Legal Oescrtption: Owner Name & Address: b 9 vp e // v- AM Nq u Q Tet. #? - 0 `7 9 5 - fr 3 -72 Contractor,82 IF M-amb I &ytu MNLtCENSE# 200/22169 Address: 1l )NhwNta 55M Tel. # 10491 m2j377 MN. fICAM8491WIthis application, a Certificate of Survey of the lot. with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height_ Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type e n v W,'h do w Rep/4c,1 m C AT Estimated Cost: s b, 0 0 0, 0-D Driveway Curb Cut Width Needed: Ft. + 6 F = t = $ DATE: 15- y'S'R � 0 / APPLICANT: Tel. # 9 71, -- CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Paris Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees N mailing in application $ Fee Schedule on Reverse Side $ 6 .001 of Permit Valuation (1110th%) $ 3 $.501$1,000 Valuation $ $1150 per SAC Unit $ 5 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Aft. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ J Not Necessary [ ) s 37 TOTAL P.02