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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 4 s 8 s 4 Date: Owner: ��"'_': "' '.:c�� `._.... Builder _.._...._....... Address .... +.v� .'� •-••.._ :. :��.. Address e ........_.. ......._...._......__.._..._.._.._.._._ A� P A:LOCATION OF BUILDING No. +.p-._i...�. Street _.._•,--...,c_.. P of Lot ....._.._.._ Block ....._... _ . Kat ._._ P r t Lot ....._.. ...... ..... , y e .. - -�► .... Addition or ivis�on Corner Lot ....._ ...... Inside Lot ................._--... _.._... Setba ~"�1 .'_a ' evard-----��.a. .-_ F x z Sewer Elevation DESCRIPTION OF BUILDING To Us FrontDepth .. ' Height _..........._.. Sq. Ft.�a --�� Cu. F't. -- �,.. - .................... _._ .......................... o Depth .-..._................ ght ..__......._r,_.�� Sq. Ft. ...................... Cu. Ft.......:...........:.. Type of Const uction ,.. -' ; =:!: Ce+' Est. Cost ........ r" ..,� :_. .......... To be Completed .--------.._..._._............_......_...---- . rION THIS PEWAIT DOE6 NOT AUTHORIZE VIOLAT. ION OF AI'IY AI -E LAND COVENANTS AND EUJLDI[ !G RES I hl CT;Ui'JS. 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. Ve _a•........ ... _.._... _.... In consideration of the p K � 4'" " . ayment of a fee of $.._e,.✓.... "':...._..__._, permit is hereby granted 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 atany time. upon violation --of any of the provisions of said ordinances. f Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas healing, sewer or water. Be sure to see the Building Inspector for separate permits for these items. -,APPL•ICATION FOR BUILDING PERMIT ,CITY OF FAIDLEY.,TA 7,rt, Owners Name —Builder r Address Address LOCATION OF BUILDING r Part of Lot No. Street Lot Block.. ! Addition or Sub,Div. ffa�w� Corner Lot, :Insli'de Lot—set 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: f Al Front v`Z Depth � Height Sq. Ft. Cur Ft. Front Depth Height Sq. Ft. Cu. Ft, Type of ConstructionEstimated Cost To be completed The undersigned hereby makes application for a permit for the work herein.."Specif"ied, agreeing'to do ail work in strict accordance with the City'Ordinances anti inning of the°Department of Buildings, and hereby declares.t the -facts and '.epresenta- tions: tated.in this application are-true.and Coriect. DATE (,�.�9 SIGNATURE ( Schedule of Fee costs can be found..on the Reverse Side.) City of Fridley SUBJECT PERMI AT THE TOP OF THE TWINS BUILDING PERMITfw .1242 i COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L•_" ' ,•J 612-560-3450 910-F15 12/28/73 JOB ADDRESS 952 Mississinni strppf N.R. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 952 Mississippi Street N.E Peter Viger 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK roof a deck 9 CHANGE OF USE FROM TO STIPULATIONS FOR �fl►tRING� pER� �I�TS �EQUIi�E� �EPERA-TE AND SIGNS. 'TING, PLUM131NG HEA SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. fibreglass THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $250.99 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 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. $5.00 PLAN CHECK FEE TOTALFEE 5 y GNA REOFCO TOR. THORIZEDAGENT (DATE) HEN PROPERLY VALIDATED THIS IS YOUR PERMIT esLs�/� Y BLDG INSP DA E SIGNATURE OF OWNER IIF 6-WNIERBUI RI IDATEI 0 APPLICATION FOR RLSIDENTIAL, ALTERATJON, OR ODITION BUILDING PERMIT CITY OF I-1:1 DLLY, MINNESOTA OWNER'S NAME: V2,-6-�BUILDER• ADDRESS :Z_!2 &i / �� p� ADDRESS: STREET • /e61 � `ate/ ? '/Zz'z TOOT: ' BLOCK: ADDITION: Mcl� G</ CORNER LOT: C/ INSIDE LOT: SETBACK: SIDEYAFD: Applicant attach to this form Two Certificates of Survey of Lot and proposed buildirig location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: DU — P- e-12"" Front: Depth:.Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: 001 Type of Construction:/ 4 j� %_ 1-/T-Gj Estimated Cost: _$ 4� 0 To Be Completed: /,�?-3 /- 7-3 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in st7ticL accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that .i11 the facts and represenations ated in this application are true and corr,•ct. 2 � BATE: fa _2 $_ -7l S [(;NATURE:: �q (See Reverse Side For Additional Information.) FIRE DEPARTMENT MEMO TO: BUILDING INSPECTION ASSESSING SUBJECT: FIRE DAMAGED STRUCTURE FIRE HAS OCCURRED AT 952 Mi si si i St. (ADDRESS) 8/8/90 DATE OF FIRE .FD -7 DATE: 8/8/90 Richard H. Larson SUBJECT P City of Fridley0 5 91 AT THE TOP OF THE TWINS BUILDING PERMIT r _ COMMUNITY DEVELOPMENT DIV. -y / 9 73 PROTECTIVE INSPECTION SEC. � r-"1 • CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 9/25/90 JOB ADDRESS 952 Mississippi Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Moore Lake Highlands SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Dori Viger 952 Mississippi Street N.E. 571-7273 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rainbow Construction 1715 - 133rd Lane N.E. Ham Lake MN 55304 757-0694 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 Ej ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16t x 8' Kitchen Additiony a 12t x 16t Desk..Addition• replace sh.eetrock win ows, insulation 9 CHANGE OF USE FROM TO STIPULATIONS If windows are changed in bedrooms, one window in each-bedroom must meet egress requirements. Ice and water shield is required on roof. See notations on plan. SEPARATE PERMITS REQUIRED FOR WARNINGWIRING, HEATING, PLUMBING AND SIGNS. Before digging call for att utility locations On all new roofs or tear-offs and replacement roots, 454-0002State Code requires that 2 layers of 15 lb. felt, REQUIRED) BY I AW mopped together, be installed to a paint 24 inches, up from exterior wall line, or the us° of Other approved undarlas:ncht mernl=ip. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $13178 $6.59 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT r PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $153.00 STRUCTIO � R JI't1E PERFORMA CE QF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE `v'^, ��- Ka $13.18 $172.77 SIGNATURE OF CONTRACTOR OR AUT RIZED AGENT IDATEI WHEN PPOPER V A T IS IS YOUR PERMIT .a `✓ "=1 L 15T INSP 4ATE SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI NEW [ ] Effective 8/16/90 ADDN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: Sd, . 177 / r,$ S J % A) • . Legal Description: Owner Name & Address: Address: ►:) [ 5 P)-2�) z Nb Qr Tel. # 5*71- 72 7 � Tel.. # 757- 6 L iV Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. AESCRI- OQJ OF IIMPRO YEMEM 4e l JAVM AREA: length 1 (� ` Width Height $ ' Sq. Ft. l Z QNRAGE AREA: length Width Height Sq. Ft. DECK AREA: length 1 2 Width Hgt/Ground Z�:L' Sq. Ft. OTHER: RP,D6 �rt.,YrvCK t.),-� lows TM ems Corner Lot [✓r Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks 41---3Co Type of Construction: OM4 A r+1ie Estimated Cost: $ $ 3. Of 1355 `w Approx. Carnpletion Date: Ooq l ►� U /.3, /'%� Proposed Driveway Width If New Opening Is Desired: Ft. $ $. Width + 6' See Back Page DATE: q-3, 1c) APPLICANT:0& Tel. # 75'% y (i S` 61 Permit Fee $ P Fire Surcharge State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTPiL $. I ' n sr2PUTATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ,00 CITY OF FRIDLEY Effective Date May 1. 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE 4ESIDEbTIAL OWNER RATE TOTAL Furnace Shell and Duct Work, V3 0o b �Y._.7 '� � ��j o Burner (Also replacement furnace) $ 20.00 $ '`�'� Gas Piping $ 10.00 $ /� 4�) D (piping needed with now furnace) $ .50 - 4P Gas Range $ 10.00 $ Gas Dryer $ 10.00 S • Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 1t of Value of Appliance or Work CONMERCIAL/INDUSTRIAL It of Value of Appliance or Work State Surcharge TOTAL M Reinapection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE Job Address q5.:7, i IS Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432 City of Fridley Tel. #571-3450 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. 3 •Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces OWNER E l $ KIND OF BUILDING- V3 0o b �Y._.7 '� � ,� 1 USED AS Ao y \ F_ 1 �` — ` _ o $ TO BE COMPLETED ABOUT 1 ` ` ESTIMATED COST C O $ .50 - 4P OLD - NEW BUILDING PERMIT N0. PERMIT NO. l0 DESCRIPTION OF FURNACE/BURLIER HEATING or POWERPLANTS, Steam, Hot Water, Warm Air- No. Trade Hama Ainn,,A&) Size No. :ZA!�40 c j Capacity Sq. Ft. EOR BTU UP Total Connected Wad kind of Fuel 1L%[ BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. •Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; I. 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 connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company _ Signed By Da to CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUNGING FIXTURE RATES: NO. RATE TOTAL New Fixtures S 5.00 S `7O,UO Future Fixtures S 3.50 S Water $ 1.50 a Beer Dispenser $ 4.00 k e a $ 5.00 S ufip q W S Rain Nater Leader Heater $ 5.00 S Hydraulic Valve S 5.00 S Sump or Receiving Tank S 5.00 S 4 21 $ 7.00 $ not Nater Heater $ 5.00 $ 'lec M a o S Gas Dryer r $ 10.00 a •.� a o g Type g $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS FA u a i� H ii oro. ai w u s 3 ig o :as $ % ,y;o 115 x x x 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer V) - New Fixture, old Opening Water RATE SCHEDULE PLUNGING FIXTURE RATES: NO. RATE TOTAL New Fixtures S 5.00 S `7O,UO Future Fixtures S 3.50 S Old Opening, New Fixture $ 1.50 S Beer Dispenser $ 4.00 S Blow off Basin $ 5.00 S Catch Basin $ 5.00 S Rain Nater Leader $ 5.00 S Hydraulic Valve S 5.00 S Sump or Receiving Tank S 5.00 S Mater Treating Appliance $ 7.00 $ not Nater Heater $ 5.00 $ Gas Range $ 10.00 S Gas Dryer $ 10.00 $ Back Flow Preventer IWquared. . . Yes ( ) NO ( ) Type $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1t of Value of Fixture or Appliance S State Surcharge S .5u Re►nslwfction Fee $ (515.00) TOTAL FEE $ % ,y;o Effective May 1, 1990 Job Address Department of Buildings City of Fridley Tel. /571-3450 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. Mn. 19g0 OWNER DI` l I L GAO KIND OF BUILDING oc USED AS YyL e TO BE COMPLETED ABOUTa� 1� \. U ESTIMATED COST Y g o D O. t U OLD - NEW BUILDING PERMIT NO. PERMIT NO. /0 �S�-q Company Signed By � Tel. No. 5-7 1 - -7--)-73 ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT _9_" o 4 &tw !1lNINU+1 FEC FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE GNOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 Ocbaber 3, 1991 Mr. Chris Viger Rainbow Construction 1715 133rd Lane NE Ham Lake, MN 55304 Re: 952 Mississippi Street NE, Fridley Dear Mr. Viger: Please be advised that there are still some outstanding items to be completed and/or corrected at 952 Mississippi Street NE. They are as follows; 1. Conduct a final test on waste and vent plumbing. 2 Conduct a final gas piping test. 3. Seal water closet to floor. 4. Provide the required 6 inch separation between the 6 inch class "C" gas vent and combustible products. 5. Provide a stopper in the tub. 6. Cap future gas pipe opening. 7. Secure dishwasher drain to underside of countertop under sink. 8. Provide handrail/guardrail on open side of basement stair. 9. Install a door closer on door between garage and house. Please complete the above items and call for a reinspection on or before October 21, 1991. Sincerely, DARREL G. CLARK CLYD E WILEY Chief Building Official Bldg/Mech Inspector DGC/CEW/mh Rainbow Construction Subject: 952 Mississippi Street N.E. Remove: 5 x 8 Wall sheetrock, rerock, tape and paint 6 x 8 Wall sheetrock, rerock, tape and paint 5 x 8 Ceiling sheetrock, rerock, tape and paint Tub surround Tub Stool Vanity and sink Medicine cabinet 6 x 8 Concrete floor and replace 4 x 4 Concrete floor and replace 3 x 2 Concrete floor and replace Rough in plumbing, stool, tub and sink Bring up to code Install: 4 inch clean out to street Floor drain Vinyl floor 6 x 8 and 6 x Existing tub, stool, sink, New tub surround New railing to basement Plumbing Inspector: Building Inspector: Rainbow Construction: in kitchen 12 in bath and kitchen and medicine cabinet TOTAL: $5,275.00 CITY OF FRIDLEY INSPECTION DIV. ,6431 University Ave NE � Fridley, MN 55432 C, 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS q5A 5,'S-3 �T AJ,, 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 /'0 / 8/ d , 20 Sump/Receiving Tank $ 7.00 , Water Treating Appliance $10.00 Owner XQ d R_ i (O �`� 9, %Z Water Heater -Electric $ 7.00 Water Heater - Gas*" —� $10.00 / Building Used As Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost So a, PERMIT NO. Back Flow Preventer Required ( )Yes () No t A. '36 �0 Type $15.00 PLUMBING COMP NY SIC• — fV� °l- r J� Reinspection Fee $47.00/Hr SIGNED BY TEL N e. 3 -FA ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance a• a Approved By Rough -In Date Final Dat State Surcharge $ .50 L, TOTAL FEE $ � -So 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 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 (1 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 6 CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 14, 2003 Ms. Dori Viger 952 Mississippi Street NE Fridley, MN 55432 Re: Final Inspection at 952 Mississippi St NE Contractor: R A Johnson & Son Dear Ms. Viger: A plumbing permit was issued on October 23, 2001 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh 4 PN w I r., o ..;(%/` BuildingEUILDING Permit Fee S Permit No. , ! �-f Inspections RESIDENTIAL APPLICATION 65% of Building Permit Fera 41 Received By: 763-572-3604 CITY OF FRIDLEY Surcharge u� R�'�: � DATE Zu A _!o YOUR &MAIL ADDRESS Lieense Surcharge 4rrb ArMR13,35 9 S,, S 5, S S i� a S r" I � i_ ..... 1 SS -00 (State licensed Residential Contractors) TMS APPLICANT IS: WNBR OCONTRACTOR PROPERTY OWNER/ NAML+:t� a S TENANT ADDRESS; 9 s S i s 5'k Nk d $ PTIONB::2 Ai Pork Fee CONTRACTOR NAME: Sewer Main Charge SUBMIT A COPY OF V1' TA UC:ENSE s_ .. . _ _ SXP DA'1't YOUR STATE I.ICEN$13 AUURESS; wnu APPLICATioNPf1oNG FAX PROPERTY TYPE)RS�► - AMII,YJNEW L STRUCTION SIZE C3TWO FAMILYINM. CONSTRt1,.'TIC1N STO PERMIT TYPE Cl ADDITION U GARAC;EJSHED O WINDOWS O DASUMsmr Flmsii —)kC10F 13 DRAIN TILE O DECK D SM040 D OTHER O Swlmbm • POOL TYPE OFWORK:ONEW 0 ADDITION [] MAINTENANCEJREPAIR O REMODELING DESCRIBE WORK BRING DONE`�z SIZE OF IMPROVEMENT LENGTH WHDTH HEIGHT Sq. Ft. ROOFjp G J )MOUSE ONLY NUM14ER OF SQUARES iUOUSE&GARAGE BASEMENT ROMA -IWJ S Ljllhgr_ Q11"M 13 TACHED GARAGE 1. 2. Existing Noor Pla Pruposw floor plml PR M: O AfrAGH$1J GARAGE PROPOSED HEI01IT: 3. Lilt ofAnntwal mwabars to be used �QINO FOR NEW CONSTRUL'TION INCLUDING DECKS, Cl Vinyl LI.SoflBt An1'l(11ONS. A PORLMES SUBMIT: O Aluagn m O Trim I. Sibs PlardSvt "showing lira existing mudures O 00tor O Poch Orel Woused P14CC . WIZVImWS 2. Two sats of constnWflan plaas W EMSTINO OPENINOS DY= ONo LOCATION OF WINDOWS 3. Fanny Calculations OR FOR NEW OMINGS-DE.SCRME SIZE OF OPENING CHANCES R TYPE OF WINDOW'IV) BE INSTALLED NUMBER OF WINDOWS JILL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U C FEE SCHEDULE) . '�� TOTAL JOB VALUATION $ 29:t'- OCCUPANCY TYPE Permit Fee S C(-J,�� See Back Page far Fee Schedule Plan Review S— 65% of Building Permit Fera Fire Surcharge $ off_ .001 times the total job valuation Surcharge S� 1. ? .0005 x Permit Valuation Minimum CSO Lieense Surcharge $ 1 SS -00 (State licensed Residential Contractors) SAC Charge $1530 per SAC: Unit (Plans to MWCC for determination) Curb Cut Escrow S R+ 6 ft= ft x $21 $ Erosion Control $ S4SO Conservation Plil Review Pork Fee $ Nee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL. PROCESSED 1 hereby apply fbr a building permit and I acknowledge that the information above Is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work Is not to start without a permit; that the work will be in accordance with the approved plan in the cast of all work which es a and approval of plans. SIGNATURE OF APPLICANT PRINT N LIS x V i -P4 - DATE ` a` q Td W119S:80 9002 EN 'Unl L8ZTTLS£9L: 'ON XUd fialplij 30 SITO: WMU FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER Zunderstand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific exemption from the licensing requirements. As the owner of the property at 1 &5 fS `(' ' , Fridley, I am exempt from the state licensing requiremerif only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or.remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund, in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. _ Name Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By:X - 763-572-3604 CITY OF FRIDLEY Date Rec'd: 0 ' DATE YOUR E-MAIL ADDRESS SITE ADDRESS ` ' THIS APPLICANT IS: OWNER CONTRACTOR PROPERTY NAME: ZIP ADDRESS: i l �� i S/CITY STATEd&5 e/ OWNER/ ,1 PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: CITY STATE—ZIP— TATEZIPLICENSE LICENSEWITH PHONE FAX APPLICATION PERMIT TYPE ❑ SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK 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;'ROJECTS WHERE LABOR EXCEEDS4500 FEES ARE BASED ON $10.00 PER FDZTURE. EXCEPT-A%MRENOTED :F -D 3IRESi--.(INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR GAS PIPING (veep cnyLimusE) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK —WATER CLOSET _ BACKFLOW PREY. ($15) _ _ _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION —DISHWASHER WATER METER —OTHER 6 - Permit Fee $ l -M Number of fixtures @ $10.00 x $10.00 = $ Surcharge 0 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ S-0 Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMITNOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acowledge that the information above is complete and accurate; that the work will be in conformance with the ordinance and codes of a City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an appli n fora pe it and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of a w rk whi gI}ires review and approval of plans. y / SIGNATURE OF APPLICANT PRINT NAME �� I 1/ l G L� Z DATE /U ✓ -1 _ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 gn Building BUILDING Permit No.— . - Ut,�&g Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat dj( DATED 3 5u� k10 YOUR E-MAIL ADDRESS IJ�SQ`\CA CP tP SDI �C_I C • unon t SS�PQ 1 e<+ SITE ADDRESS T5 ^ C% M1 SS �' THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME:'b TENANT ADDRESS: CITY STATE ZIP PHONE193— S45 "' 1 NAME: Renewal By Andersen CONTRACTOR SUBMIT A COPY OF STATE LICENSE #_ 1920 County Road "C" West YOUR STATE LICENSE ADDRESS: Roseville, N N 55113 r STATE ZIP WITH APPLICATION PHONE License #20130983 ❑ SINGLE FAMILY/NEA _ 651-264-4777 PROPERTY TYPE ❑ TWO FAMILY/NEW C _-- ❑ ADDITION ❑ GARAGE/SHED yiaWINDOWS PERMIT TYPE ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE.? I SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT_ GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITION& & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structure ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ 1-+ THE 1— U.B.0 FEE OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ �. $.'10 $ ;� See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attac 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 conformance with the ordinances d codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not permit but only an application f r a permit ork is not to start without a permit; that the work will be in accordance with the approve plan in the case of all work w r ires re ie and approval of p SIGNATURE OF APPLICANT ell�J 1�L _V%A r%V_7 DATE.., JtJV"7 IU Building U UVrANUY '1,yrJ BUILDING $a Permit No.: - Inspections $ RESIDENTIAL APPLICATION Fire Surcharge Received By: r 763-572-3604 Surcharge CITY OF FRIDLEY .0005 x Permit Vahiation Minimum $.50 DW ' 18 20 DATE 08/11/1 YOUR E-MAIL ADDRESS estherd@windowworldmn.com sITEADDREss 952 Mississippi St NE SAC Charge THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR Curb Cut Escrow PROPERTY OWNER/ Nom: Debra Appel Erosion Control TENANT ADDRESS: same as site CITY STATE ZIP $ PHONE: Sewer Main Charge CONTRACTOR NAME: ProBuilt America Total Due sTATELICENSE# BC -20356847 EXP DATE 03 12 551,99 SUBMIT A COPY OF YOUR STATE LICENSE 2 211 11th Ave E ADDRESS: CITY North Sin STATE ZIP WITH APPLICATION PHONE 651-770-9315 FAX 651-770-0495 PROPERTY TYPE ❑ SINGLE FAMILYZNEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Replacing 1 window, existing openings SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. t FIN ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of stmenual members to be used SI1_MqG FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plw&ffvey showing the existing structures ❑ Other ❑ Fascia and proposed project. Wl]VBOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & 1 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.&C FEE SCHEDULE) IVIALJUN VALUAllUIN 1i OV -1 U UVrANUY '1,yrJ Permit Fee $a See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ - .0005 x Permit Vahiation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due S .. Make checks Pavable tw City of Fridley Attack SUPULfitions 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 orftmces and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. Esther Dahl 08/11/10 SIGNATURE OF APPLICANT ��° PRINT NAME DATE