Loading...
PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT NT° 3848 Date: .....!........./............... Owner ....................................... Builder ... ....... Address ...................................... Address ............................................. LOCATION OF BUILDING No. . ZL. Street .. -kg .. . ............. Part of Lot ....... . Lot .. ..... Block .................. Addition or Sub -Division ?... . Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To be Used as: . ..... Front ........ Depth ........ Height ........ Sq. Ft......... cu. Ft......... .... Front "7.7.:'�.� Depth 07 Height /.f " Sq. Ft. 16 cu. Ftp2oo.. (,*.Y' Type of Cons ction ................... Est. Cost. . �.� �% .... To be' Completed In consideration of the issuance to me of a permit to construct the building desribed 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. ....4.. .....�: ..................... In consideration of the payment of a fee of o.�—, 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building InspebBor,fo*. separate permits for these Items. City of Fridley, Minn.. BUILDING PERAUT Date: Owner:; Address Address r PING No. StreetPart of Lot Lot _ _ __ Block Addition or Sub- --.- -. Corner Lot Inside Lot af+ aback `. Sideyard Sewer Elevation — Fartndation Elevation DESCRIPTION OF BUILDING °_ . ?' Front Depth Height _ Sq. Ft., :�Cu. Ft.,; --"4/ : From�-AdAstDepth ,C He ght Sq. Ft. Cu. Ft. Type of Construction Cost + t'�`""'"'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 city of Fridley. In carnS3eral3on 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 glthin the city ]units and this permit may be revoked at any time upon violatio'n� 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 am the Building btspector for separate permits for these Rome. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLE' Owner's Name aAV Build, Address LOCATIO F BUILDING No, Street Part of Lot Lot Block Addition or vision Corner Lot Inside Lot a aback Side -Yard SEWER. ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To b sed s: ` /) Frontepth Height f°e� _ Sq. Ft. �� Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. PU Type of Constructio 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 are true and correct. r, (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley, Minn. BURRING PERMIT Date: dune 16, 1965 Owner: Charles Amundson Address 751 Mississippi St. Builder D.M. Noyes N° '7908 LOCATION OF BUILDING No. 751 street Mississippi St. put of Lot Lot _ 3 Clover Leaf Addition Corner Lot -- Sewer Elevation To be Used as: Block Inside Lot Addition or Sub -Division _. Setback Sideyard Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Front Depth Height Sq. Ft. Type of Construction Est. Cost 169570 To be Completed Rebuild storm damage Cu. Ft. Cu. Ft. 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�setfand in compliance with 21 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 10.0 , permit is hereby granted to D.M. Noyes 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 oP Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings within the city ]imits� permit may be revoked at any time upon violation of any of the provisions of said ordinanoas. Alen Jensen Building Inspector NOTICE: 7hb pamb don not wwr tha condmatim, hntdlation for whkig, phnobteg, an hntiag, Www or wabr. Be sun to snn do ft0iog kwedw tar aparata pwm& far then hum APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 0W=R' S NAME �i`�d�2 ��S ��✓� �� � BUILDER ADDRESS_ 7_5Z 'r ° ADBRESS 6 /r LOCATION OF BUILDING Part of Lot-' . LOT KADDITION OR SUBDIVISION 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 used as: ..� r Front Depth,- 4 Height Sq. Ft. 'c7 Cu, Ft.�^d Front Depth- Height SQ. Ft. `ry Cu. Ft. `s Type of Construction 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 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. DATEA/' (Schedule of Fee Costs can be found on the Reverse Side). FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 April 28, 1992 Dennis and Cathleen Swanson 751 Mississippi Street N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 751 Mississippi Street N.E. Dear Mr. and Mrs. Swanson: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 751 Mississippi Street N.E. revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Discontinue front yard. the side or outside.storage (Fridley City rear yard.) Y� of utility trailer located in the Code does permit such storage in Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on•or about May 11, 1992, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls CE -92-153 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 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes JOB ADDRESS 7//-5Z The undersigned hereby makes application for a permit for the work Rate TOTAL herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Building Division, and hereby declares $ 20.00 $ ,x O, e(-' that all the facts and representations stated in this app)ication are true and correct. r S ,199 $10.00 OWNER $ 10.00 $ -� BUILDING USED AS 3- $10.00 - $10.00 $ ESTIMATED COST CO PERMIT NO. $10.00 DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/Industrial 1 % of Value of Appliance or Work State Surcharge TOTAL FEE $ No. of Heating Units Circle One (Steam) (Hot Water)arm Air Trade Name Size No. BTU _% /,. GG'U HP EDR $ Fuel Total Connected Load $ .50_ MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. EE�� BTU Vr , .fIR CMID1 I�Ni�dGR-. _.' UXE i. PEET MIN;f 'EAFOLI3, VA 5MO-2998 HEATING COMPANY PHONE 824-2868 _ �i� Signed By ®T_ Tel No. Approved By�7 Rough -In Date Final Date-'�C--93 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 ( ) 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 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY signed By Date Yes ( ) No ( ) LOAD CALCULATION WORKSHEET SQ. FEET HTM BTU'S WINDOWS & DOORS 1-7 `i X Biro 1.2 X W= INFILTRATION 2.1q. S X GROSS EXPOSED WALL 1099 RUNNING FEET WALL HEIGHT GROSS WALL /vas NET EXPOSED WALL O S x WINDOWS DOORS EXPOSED CEILING /° 7 x EXPOSED FLOOR `o'7,-_ X 1f'r G b �• °� o TOTAL BTLI'S '1 f FLOORS • CEILING WINDOWS SINGLE = 90 NORMAL = 50 WALLS CEILINGS FLOORS TRIPLE = 40 0-1" = 19 0-3" = 10 BELOW GRADE = 5 2-3" = 12 4-7" = 10 • CRAWL SPACE = 8 INFILTRATION 4-5" = 9 8-10" = 6 OVER GARAGE = 18 LOOSE = 30 6-7' = 7 12-14" = 4 TIGHT = 20 18 0 ti 7 zo b.zt b 1� w w �.. w A w — y ~ — i 8 13. c I)- s -7 -) Z w 7 w 7 410 W. LAKE ST. 1072 PAYN E AVE. MINNEAPOLIS, MN 55408-2998 ST. PAUL, MN 55101.3892 612/824-2656 LVENATINGANDAIRCONDITIONING:*3 612/772-2449 iSm,injr n' TW, Cities Since 1930' ORSAT TEST RECORD ADDRESS 75-/ m /_<r✓S-T" OCCUPANT k � � OWNER '� -A DATE HTG. INST. h INSTALLED BY plo GAS LINE BY TYPE OF HEAT: GA FA_ /� HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE MA-KE,0F BURNER MODELMODE SERIAL 362 0?�o MAX. INPUT _ Ay p -D . MAKE CONTROLS MODEL BTU OF FURNACE THERMOSTAT -// I, O HEAT PLUG VENT SIZE �" ry< VALVEKIND OF LINER SIZE NONE LIMIT %.��,�DRAFT HOOD REGULATOR LIMIT SETTING f 70� CHIMNEY CONSTRUCTION FAN SETTING DRAFT jta-R,� TEST TAG WU L_trvC PILOT TYPE LIGHTING INST. 1ACS1, -r PILOT MAKE PILOT MODEL PILOT TIMING JAL PRESSURE '�,'r PERCENT INPUT CFH_14 LQ,oc>oPERCENT STACK TEMP. PERCENT CO2 (�a DATE TESTED .:` 2- 0 0��-- CO NAME OF TESTER SUBJECT PER City of Fridley 7 � � 9 AT THE TOP OF THE TWINS BUILDING PERMITC r � • COMMUNITY DEVELOPMENT DIV. j - ------ r PROTECTIVE INSPECTION SEC. 3NO. I 1 i NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 10/24/94 JOB ADDRESS 751 Mississippi St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 1 Clover Leaf Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis/Kathy Swanson 751 Mississippi St NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Northstar Home Improvement 6121 Excelsior Blvd St Louis Park 929-1888 5336 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reside Dwelling; soffit & fascia 9 CHANGE OF USE FROM TO STIPULATIONS 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $13,850 6.93 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION OF ANY OTHER TATE OR LO AW REGULATING CON- STR1JCTI O HE PERFOR N OF C STRU TION $153.00 Fire SIC 13.85 PLAN CHECK FEE TOTAL FEE l42A � License SC $5.00 $178.78 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPS Y VALIDATED THIS IS�YYOOURR PERMIT I { /."=�� SIGNATURE OF OWNER,,F OWNER BUILDER) IDATEI _ tIWUG )NSP GATE NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 17s-/ ConstructionAddress• S i SS S P I Si eJ 0� Legal Description: /,J Erj U ir.9 `1 ( w P -N S c - (' a Owner Name & Address: C ti V-A-n-��A S w 3 Tel. # Contractor: ti)o OL 4 -ST & Q-, MN LICENSE # Address: (, Z i L e `S (ML Kyi) "�:T C c%a c s 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $�d > C; _ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + t = t = $ DATE: IL APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ /6-J, C7o $ Fee Schedule on Reverse Side ..001 of Permit Valuation (1/10th%) . $.50/$1,000 Valuation $800 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 ( ] 61 01 SUBJECT P City of Fridley 2 5 0 018 AT THE TOP OF THE TWINS BUILDING PERMIT Ir RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REv DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/28/97 JOB ADDRESS 751 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 3 1 Clover Leaf Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Swanson 751 Mississippi St NE 572-9608 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION j1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (26 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 SO. FT. CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 I HEREBY CERTIFY THAT 1 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 $2,145 $1.07 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- $74.75 Fire SC $2.14 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $77.96 NATURE%OF CONTRACTO ' R�AUUTHOO IZZEEDAGENTq IDATEI WHEN PROPERLY VAofI ATED THIS IS YOUR PERMIT _ BLDG INSD - DATE S4NATUR§e OWKIR 0F OWNER BUILDERI IDATEI 61 01 NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION r ConstructionAddress: Legal Description: Effective 1/1/97 4p c6t�— Owner Name &Address: Tel. # S �o? —,96 O Contractor: MN LICENSE # Address: 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 GARAGE AREA: Length Width Height DECK AREA: Le idth Hgt/Ground _ OTHER: DCS 1 Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: Xe aJ �x�%' Estimated Cost: $ '� / 4�;✓ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ r� DATE: APPLICANT: Tel. # STIPULATIONS: r CITY USE ONLY Permit Fee $ � Fee Schedule on Reverse Side Fire Surcharge $ / .001 of Permit Valuation (1/10th%) State Surcharge $ / . D $.50/$1,000 Valuation SAC Charge $ $950 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 $ 22 �2 STIPULATIONS: r sue.iECT MIT NO. City of Fridley 2 9 2 8 7 AT THE TOP OF THE TWINS BUILDING PERMIT i rr `v ___��_ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � = 1 I CITY HALL FRIDLEY 55432 ,'j NUMBER REV DATEPAGE OF APPROVED BY 612-571-3450 910415 4/23/99 JOB ADDRESS 751 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Clover Leaf Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Swanson 751 Mississippi Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO P K Siding 1804 McAndrews Rd W, Burnsville, MN 55337 435-1986 CITY 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOUIREO 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 S0. 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 1 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 $4,200 $2.10 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- TRUCTION OR THE PERFORMANCE OF CONSTRUCTION $99.75 Fir SC $4.20 e PLAN CHECK F TOTA EE 06.05 S�GN4 TUNE O�CON'RACTQR Op AUTMOR�ZED AGENT iOATE, EN RO I HI$I$ BLO NSP JPTT r TE S,GNATURE OF OWNEROF OWNER BUILDER. tOATE, NEW [ ] Effective 1 / 1 /99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ���')8 7 ConstructionAddress: 7 S / /YI , X55 r' S' S 7` Legal Description: Owner Name & Address: jQ e Y),n, `S S W 4 n S d Tel. # Contractor: r ��. MN LICENSE # f 8'o YZw s P..1c j T /� 1-4 35 Address: - o Y1 6 07 -05 V" ' /I � Tel. # o Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: P ,e- 5" 1-1 z No '. s -- A T ELS -It— Construction Type: V n v I Estimated Cost: $ (Fee Schedule on Back) Ft x $ = $ cf'�) 6 -D Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: 55 APPLICANT: ��,�. l e , �� S 5 SS Tel. # N.3S- r 9 kb Permit Fee $ 19ZC21 �s Fire Surcharge $ LI'2 O State Surcharge $ SAC Charge $ License Surcharge $ -u Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] TOTAL STIPULATIONS: / y�- 6 _S- CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763-572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 but of replacement) Gas Range 1-b,- '\ t--svt c 10.00 Gas Dryer $ 10.00 *Air Conditioning - All Sizes $ 25.00 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. Effective On January 1, 2001 JOB ADDRESS �� Mks 5 �SS\ PPS ��-����� M� OWNERS-'-)iN,s Sw�� Som . TOTAL BUILDING USED AS Q -F -S p��c ESTIMATED COST (:;,Scp PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load $ .50 Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE -!::�\ -1\ - o% HEATING CO k % Cx= - S Signed`5 � 5�Dc�. Approved By'Rough-In Date TEL # s4 (o oSCYJ I,— - J 11�D� Final Date BACK SIDE MUSTS BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION 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 plastiGPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date :