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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn, 2430 . Date ......�." Owner` .�! Builder ................ ............. Address !.'. 7.... .. Address .................. ....................... LOCATION OF BUILDING No. .... Street . .. Part of Lot Lot ... .... ;:.Block ................ Addition or • Sub -Division'. - Inside Lot Setback ..�/i:. Side and Corner Lot .. .... .. ,...... y .................. DESCRIPTION OF BUILDING To be,IUsed as: + :...... Front ... Depth .� "'.'..Height .t t.. Sq. Ft... cu. Ft........ . .....,............. Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft......... qType 'P Construction :�''a:.. F.st. Cost'?' . To be Complet J In consideration of the istlance to me of a permit to construct the building descri above, I agree to do the proposed work in accordance withthedescription above set forth and, in comp ce with all provisions of ordinances of the village of Fridley. rn 401sideration of the payment of a fee of$.. .. , permit is hereby granted to . . . .... ............... to construct the building or •addition as described above. This t is granted upon the expt'ess 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 o the ordinances of Fridley; Minnesota regarding location, construction, alteration, maintenance, repair and mo g of buildings with in the village limits, and this permit may be revoked at any time n violatio of any of the provisions of said ordinances. MA Building Inspector NOTICE: This, permit does not cover the construction, installation or alteration for wiring, pi bir sewer or water. Be sure to -.the Building Inspector for, separate permits for these •Ito gas heating, :J i City of Fridley, Minn. BUR DING PERMIT Date: September 13, 1965 Owner: Warren LaBar Builder Owner Address 6527 Monroe Street N.E. Address �3oS�e N° 8443 LOCATION OF BUILDING No 6527 Street Monroe Street &E, part of Lot Lot 8 _ Block Addition or Sub -Division Clover Leaf Addition Corner Lot _ Inside Lot —X Setback , Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dwelling. SD Front Depth Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Construction Frame Fast. Cost 09-Q..kQ_ _ To be Completed Storm Damage 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 fo in compliance with . ih provisions of ordinanoes of the city of Fridley. i In consideration of the payment of a fee of $-5-. 00 , permit is hereby granted to Marren LaBar to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICES This permit does uet serer the construction, InstaOdlon for wlrb& plumbing, on heating, ewer or water. Be aero to no the Building homer for apnn to permMa for than itenm APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME_ "" 61f �� BUILDER ADDRESS_ Y ,�- ' ADDRESS LOCATION OF BUILDING -�� Street Part of Lot-... LOT K ADDITION OR SUBDIVISION Corner Lot`X Inside LOT Setback Side-wYard. .SEWER ELEVATION FOUNDATION ELEVATION - Applicant attach to this form ,Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as: Type of Construction To be completed DESCRIPTION OF BUILDING Height Sq. Ft. Cu. Ft. Front Dept Height Sq. Ft. Cu. Ft. Estimated Cost 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. (schedule of Fee Costs can be found on the Reverse Side). •0 Date: City of Fridley, Minn. BUILDING PERMIT July 20, 1967 N° 9359 Owner: Sharon LaBar Builder Harris Erection Co. Address 6527 Monroe Address 6210 Riverview Terrace No. 6527 Lot _ 8 Corner Lot Sewer Elevation Street LOCATION OF BUILDING Monroe S t . part of Lot Block ____ Inside Lot To be Used as: Tornado RebuildFront Garage Front 20 t Type of Construction _ Frame Addition or Sub -Division — Setback Clover Leaf Addn. Sideyard — Foundation Elevation DESCRIPTION OF BUILDING Depth ' Height Depth 2 2 Height 10 __.. Est. Cost _. $ 850.00 Sq. Ft. Cu. Ft. Sq. Ft. 444 Cu. Ft. 4400 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 a& provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 7.00 , permit is hereby granted to Harris Erection 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, Mizmesota reg ung location, construction, alteration, maintenance, repair and moving of buildings within the dty limits anad thea permit may be revoked at any time upon violation of aay of the provisions of e�aa�id ordinances. CLARENCE BELISLE Building Ingmtor NOTICE: This permit does not corer the construction, installation for whine, Plumbing, an heating, sewer or water. Be sun to no the Building inspector for separate permits for these hems. T I1•� FOR I T•S' --I �£x�%C1:�.fi� xu�t 3►l�i,D,,liG tis_�_LT CIT 014, 11\0LEi�x 11-21NIIESCTA OWNER'S NAME B Y -DER ( ' ADDRESS -2-,7 y/rrn,c�-P ADDRESS LOCATION Qin BUILDING 110. STREET PART OF LOT LO ______ BLOCK ADDITION OR SURDVIS1`ON f1 �� 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 Ad: Front Depth Height Sq. Ft. Cu. Ft. rG J Front ? Depth '� 'cN:- Height �'uJ Sq. Ft. '" r Cu. Ft. 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. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). F J SUBJECT P City of Fridley 1111 - - - 15968 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. L r PROTECTIVE INSPECTION SEC. � I � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j, J\ 612-571-3450 910-F15 10/9/80 JOB ADDRESS 6527 Monroe Street N.E. 1 LEGAL LOT NO.BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 Cloverleaf Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Streuber 6527 Monroe Street N.E. 571-2224 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Coordinate Products Co. 8535 Central Avenue N.E. 786-0830 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 CI ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Remove existing single garage door and install double 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 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 $600 $•50 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 A Y O HER STATE OR LOCAL LAW REGULATING CON- $7.50 STRUCTI OR E PR ORMANC F CONSTRUCTION. PLAN CHECK FEE TOTALFEE Q �- C/ $8.00 RACTORORAUTHORIZEDAGENT IDA 1 SIG ATUREOF kr WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT BLDG INSPI)ATJF SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI J CITY OF FRIDLEY APPLICATIO'J FOR 11 ' ESIM-11TIAL BUILDING PER4ITS (New, Alterations, Additions, or Repairs) 01-114ER: ADDRESS TEL N0:_/__-�` �9 BUILDER: ADDRESS:�� TEL 110: �-7 �' `le Construction Location STRHHT NO: �STREET: Q r LOT: � BLOCK: ADDITION: �� V � 1✓ � �CC"� �� / //!J� Corner Lot: Inside Lot: Setback.: •—— Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location dra:an on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: 7-0 Square. Feet_: Cubic Feet: l ak'6L fi Front:Depth: Height: Square- Feet: Cubic Feet: Type of Construction: y��?'%lam— Estimated Cost: $ LO To Be Oorapleted: Ad(j . Alt. A Alt. B Proposed Driveway width If New Opening Is Desired: $ $ SEE REVERSE: SIDE OF SHEET . The undersigned hereby makes application for a permit for the work* herein specified, agreeing to w ,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 represen Litions stated in this application are true and correct. DATE: l , 2�SIGNATURE: Stipulations SUBJECT .PER City of Fridley 1 187 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. i-------- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 11'. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 7/16/81 JOB ADDRESS 6527 Monroe St. N.M. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. g Clover Leaf Add. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Streuber 6527 Monroe St. N.E. Fridley 55432 571-2224 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Const. Co. 1061 - 109th.St. N.E. Blaine 755-6600 —Hociar 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 xp ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK re-jn_qi-_rnct an 8' X 22' addition to the house 9 CHANGE OF USE FROM TO STIPULATIONS Pr6vide a products of combustion detector. WARNIUMe Rsmro, eiggial all foal diffies ".!.F . F1 TMC •GAS lb BY' LAW C- LL FOR ALL. <.INS Finaltns tionsolall ttelAti _PERATE PERMITS REWIRED FOR 04 reobit �� 1400611"- HFATING, PLUMBING ANN- SIGN& SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 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 $13,250.00 $6.63 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- P ANC OF CONSTRUCTION. $81.00 STRUCTION OR THE �J PLAN CHECK FEE TOTAL FEE $20.25 $107.88 SIGNATURE OF CONTRACTOR OA AUTHORIZED AGENT (DATE WHEN PROPE VALIDATED THIS IS YOUR PEERMMJII'.T BLDG INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI MINNESUTA STATE BUILDING CUDE DIVISION RESIDENTIAL Exterior Envelope Thermal Transmittance Page 1 Standard Worksheet to Address Owner Jim r ,ntractor Phone Date �� A lding Type ( check one) ( } One and Two Family Dwelling ( ✓ ) Other +bow APOI l Assembly (Describe type from Table 3 or show calculations on Page 2) Area (A) (S Ft) U -Value U x A t, Insulated Area Framing Area 0 e Skylights, Type Other (describe) Other (describe) a 1 Totals 2 Average U -Value UxA A from Line 1F 3 Required U -Value (from text) * * * * * * .04 * __. Insulated Area Framing Area Windows e ArZtaM AO. Doors, Type �� r1��8 eJ Rim Joist Area �CD(Jto �z Fireplace Wall Foundation Wall (above grade) Foundation Windows, Type Other (describe) Other (describe) Other (describe) 4 Totals 5 Average U -Value (UxA)/(A) from Line 4 157_ b Required U -Value (from text) .17 If Line 2 is greater. than Line 3, or Line 5 greater than Line 6, complete the following to determine alternate U -Value for total exterior envelope. 7 Area (Line 1) + Area (Line 4), + 8 UxA (Line 1) + UxA (Line 4), + _ 9 Area (Line l.) x U -Value (Line 3) x = 10 Area (Line 4) x U -Value (Line 6) 11 "Budget", Line 9 + Line 10- 12 Alternative U -Value, Line 11/Line 7 ft If Line 8 is greater than Line 11, alter assemblies as required so Line 8 does not exceed Line 11. :sembl iteridl describe Thickness R -Value Alum; s iii — 2.� 3Z. 6 • D 3 ap t x F' I/w, +5 Iterior bterior f -Value (see Table 2 iter or - a ue see Tatle :terior f -Value (see Table 2•) :teri.or f -Value (stye Table--?) .,LerJor f -Value see Table 2 tal Assetif),ly Thermal., lies istance C!111bly U -Value (sire Table 4) linter on Parr 1 r Assembly Thermal Resistance 1 1C) ;sembly U -Value (see Table 4) Enter on Page 1 .� Isemblyr-fulliaz titerial d scribel Thickness R -Value 0n 161, R -Value Iterior bterior f -Value (see Table 2 71Value (see Table 2) :terior f -Value (see Table 2•) :teri.or f -Value (stye Table--?) .)tal Assembly Thermal Resistance tal Assetif),ly Thermal., lies istance C!111bly U -Value (sire Table 4) linter on Parr 1 ;sembly U -Value (see Table 4) Enter on Pae 1 1 1C) ygembl r :retial(describe)_Thickness R -Value R -Value Iterior 71Value (see Table 2) :teri.or f -Value (stye Table--?) tal Assetif),ly Thermal., lies istance C!111bly U -Value (sire Table 4) linter on Parr 1 torior f -Value (see Table 2) ,:terior f -Value (see Table 2) Material (describe) )tal Assembly Thermal Resistance R -Value :sembly U -Value (see Table 4) Enter on Page 1 .> emb ly Lerial (describe) Thickness R -Value Iterior 71Value (see Table 2) :teri.or f -Value (stye Table--?) tal Assetif),ly Thermal., lies istance C!111bly U -Value (sire Table 4) linter on Parr 1 t Assembly Material (describe) Thickness R -Value Interior -Value see Ta le, Interior f -Value see Table 2) Total Assembly Thermal Resistance Assembly U -Value (see Table 4) Enter on Pae 1 Assembly Material (describe) Thickness R -Value /o C 1.03 Interior f -Value (see Table 2) Exterior f -Value see Table 2 Total_ Assembly Thermal Resistance Assembly U -Value (see Table 4 Enter on Pae 1 As semb 1)_ Material (describe) IThickness R --Value Interior f -Value (see Table 2) Exterior f -_Value see Table 2 Total Assembly Thermal Resist=ance Assembly U -Value .(see Table 4 Enter on Page 1 Assembly Material (describe) Thickness R -Value, Interior f -Value (see Table 2 Exterior f -Value (sec' Table 2T - TotalAssembly Thermal Resistance Total Assembly jAssembly U -Value (see Table 4) Enter on Pae 1 - .._ ... . , .._a,. . . CITY CC FRIDLEY APPLICATIM FOR RESIDENTIAL. BUILDING PER4ITS (New, Alterations, Additions„ or Itcpairs) • OWNER: ADDRESS: S'�7 / ~j ®�16 ,�^ME TEL h0: BUILDER: aAlz ,®�Si ADDRESS: TEL NO: S�'1 Construction Location STRIMT NO: fv S ; ,STREET: LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates. of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Iieight: Square. Feet_ % Cubic Feet: Front: 1' Depth: Via- Height: Square - Feet: Cubic Feet: e7 ell Type of Construction: Estimated Cost: To Be Oorapleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE PZVERSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the %:nrk* herein specified, agreeing to do ,all work in strict accordance with the .City of Fridley Ordinances gild rulings of the Department. of Buildings, and hereby declares that all the facts and represent.Ztions stated in this application are true correct. DATE: 6 SIGNATor,E:�-�- Stipulations: 100 P. C , -Lz� T o (. V-110F7,r CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures - Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer NO. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance RATE $ 5.00 S 3.50 S 1.50 S 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Reinspection Fee $ State Surcharge ($15.00) TOTAL FEE TOTAL S a zecrive Aug. L' ly0.L Job Address 6 ® 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 �/�J�} �0 Fridley. Mn. , 19—IL OWNER )O W q _ c M j A -;m BE COMPLETED ABOUT ESTIMATED COST k OLD - NEW BUILDING PERMIT NO. PERMIT NO. 8(a (aj ) Company Signed�7 �%' Tel. No. �! / -.J ��LJ ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT a 7 4 & MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE >, m 0 m Water aei i% .-mi '+ .oi i�j� W m - N 100 W' Heater 41 M .0 m Aq1, H pps� OW Up 3 m a0+ lec tl14 1 UOy D N y ani ao' C7 s San - lot 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures - Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer NO. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance RATE $ 5.00 S 3.50 S 1.50 S 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Reinspection Fee $ State Surcharge ($15.00) TOTAL FEE TOTAL S a zecrive Aug. L' ly0.L Job Address 6 ® 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 �/�J�} �0 Fridley. Mn. , 19—IL OWNER )O W q _ c M j A -;m BE COMPLETED ABOUT ESTIMATED COST k OLD - NEW BUILDING PERMIT NO. PERMIT NO. 8(a (aj ) Company Signed�7 �%' Tel. No. �! / -.J ��LJ ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT a 7 4 & MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Job Address & �d 7 RESIDBNTIAL RATE TOTAL Furnace Shell and Duct Work, Burner $ :20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $_10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. 1 Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn. All Others/Repairs and Alterations 18 f Value of Appliance or Work $ fa. 0D 4 s � KIND OF BUILDING , � Gs`•� x' 'n Cs ` COMMERCIAL/INDUSTRIAL USED AS�� o� 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT e ESTIMATED COST State Surcharge $ .50 — OLD - NEW BUILDING PERMIT NO. PERMIT NO. C T PEE (J Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Date Final Insp. /0-/�l-�� Trade Name Size No. Date Capacity Sq. Ft. EDR BTU HP Approval for Permit Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 Company PLUS $.50 STATE SURCHARGE Signed B Attach stack verification form with replacement: furnace permits Tel. No. City of Fridley SUBJECT o 671 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. q "1 CITY HALL FRIDLEY 55432 It""'J�-� NUMBER REV. DATE PAGE OF APPROVED BY �� 612-571-3450 910-F15 8/9/82 JOB ADDRESS 6527 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 Clover Leaf Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE J.L. Streuber 6527 Monroe Street N.E. 571-2224 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 161 x 121 Tri-Level Deck 9 CHANGE OF USE FROM TO STIPULATIONS spb ,�R1 ft. r't '47. .0 �EPrRM0r, t-QU�` a �IIAftG AH -" o orb Qigg+ng.call 1 D $lF� TELERIWE. l �1►1illie$ VFWN REp By SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING 08 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 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 $1.0550 $.53 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- $19.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $19.53 SIGNATV90FCONi A OR OR o GENT (DAT 1 WHEN PROPER VALIDATED THIS IS YOUR PERMIT (A 4I (Matin/1 BLDG INSP I 9FATE _S11rNA24RE OF OWNER IIF OWN BUILDERI (OFATE71 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PER111TS (Rw, Alterations, Additions, or Repairs) OWNER: \) L S} BUI LDER : ADDRESS: (®50� �% /�20`�1�� /�� ADDRESS: ° TEL NO: `�/ — �-�-� TEL NO: Construction Location - STRET NO: STREET: LOT: BLOCK: ADDITION: e Corner Lot:_ Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth:L Height: Square. Feet: 1/ Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: _ al Jo�Sb Type of Construction : - /.'.< t ' (7 lel '� � Estimated Cost: Tb Be CUnpleted: 19 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: SEE REVERSE SIDE OF SHEET Tile undersigned hereby makes application for a permit for the viork- herein specified, agreeing to do -all work in strict accordance with the City of Fridley Ordinances and rulings of the Deiklrtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: ®( b SICIJATUM: 2;�'"'- __�.___:1�. Stipulations: At PS4.4'1-7 SUBJECT P City of Fridley 19113 AT THE TOP OF THE TWINS BUILDING PERMIT _ RCEC Ir _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � ` CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 8/13/87 JOB ADDRESS 6527 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 8 Clover Leaf Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steven, Kroger 6527 Monroe Street N.E. 571-0296 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 P ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Alter Basement to add office space. Not to he used as bedrocm.unless escape window and smoke alarm are installed.. 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS R°'� UMED FOR WIRING, HEATING, AND SIGNS. 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 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 $200 $.50 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- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE . $15.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AG/EENT (DATE) HEN V(J�}-,q•/�-ATEDATHIS IS YODURR, PERMIT 4�ILDERI PROPERLY SIGI AT RE OF OWNER IIF OWI IDATEI BLDG INSP OAT NEW [ ] ADDN. ALTER. Construction Address Legal Description City of Fridley Effective 4/1/86 �R-1 AND R-2 Building Permit Application Owner Name & Address: �� KI-o�� .� `c� ly k�= Tel. Ogg 6 Contractor: ��l Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT r r LIVING AREA: Length _ Width—?,)'4 Height '7 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 Setback Type of Construction: � L� Estimated Cost: $ Approx. Completion Date: Z -f Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: D APPLICANT: �U e✓ Tel. l CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS': " @A�(� 10� lw_;o ox—� (?rwv , ., SUBJECT City of Fridley 27924 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r I PROTECTIVE INSPECTION SEC. i CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED BY ----� ��"'f;•� L 612-571-3450 910-F15 9/22/98 10B ADDRESS 6527 Monroe St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 Clover Leaf Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carol Kroeger 571-0296 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Roofing & Siding 18979 Gladstone Blvd Maple Grove 55311 416-4804 20010277 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION J1 REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage (28SQ) Tear-off/(3SQ) 2nd layer B CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Roofing can be the 2nd layer but not the 3rd. SEPARATE PERMITS ARE REOUIRED 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. N0. 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 $2,656.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1.33 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 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION • re SC $2.66 PLAN CHECK FEE TOT F E Lice S $5 0 $83.74 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATE, EN R P ALIDA HIS I UR ERMIT r a SIGNATURE OF OWNEA,IF OWNER BUILOERI IDATEI G INSo Of ')ATE RUG -28-1998 10.04 RMM CITY OF FRIDLEY TO 4164eW P.01/M N]E'OV [ ] Effective 1/1/98 ADDNI [ ] cr" OF""LEY ALTER [ ] SJi14rGraE FAAMY AND DvILYUM R-1 AM R-2 �� BUiLDIN O P'ERNWT AWLICATtUN /, Con►O wtionAddrms:S �-1 f(Yl (� L� J� r� r'11 Descript1m, Owner Mame & Address: Tel. # S 71 L — Q Coffi3aCto1:: - mm LICENSE # 2Q:l 1.Q Q� Address• el. # �-I.L[ n " 212_ Aftch to chis application, a Certiiicate of 5 zr a ckW SS3l IM with the proposed consawebou drawn on it to scale. 1JMG ASA; Length width Height Sq. Ft. GARAGE ARM: Leser Width Leight Sq. Ft:. DECK AREA: Length____� Width & V/Ground Scl. Ft. I S Z [ COUet �� s DUE& Domrrucdon Type: CA EuWMed Cost: $ =VM cl--U S (Fee Schedule 8n Becks Driveway Curb Cut Width Needed: Ft. + 6 Ft Pt x $ = $ f Et- OATE; 9/j- 1 /2& "Pucma-- 2LJ�:2 Pea r& Fere $ q, . -7 Fire Surcharge $ State Surcharge $_ 1, ;Y� SAC Charge $ S-00 Ucem Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ sewer main chafe $ X3.74 TOTAL $ S7VULATIONiS: Fee Schedule on Reverse Side .001 of Permit Vatuadcm (1/10ch%) $.So/Si.000 Vabudion $1000 per SAC Unit $5.00 (State Lkensedl Rmidendal Coat ogs) Alt. "A" or Alt. "B" Above ' $458.00 Cometvation Plan Review Fee Detetcmbwd by Engineering Agreenuft Necessary [ ] Not Ne cesm y [ l SUBJECT P City of Fridley 3 i 625 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. - _____ COMMUNITY DEVELOPMENT DIV. I >r------- 91 f � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED 8V L J\ 612-571-3450 910-F15 1/19/01 JOB ADDRESS 6527 Monroe Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 8 Clover Leaf Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carol Kroger 6527 Monroe Street NE 571-0296 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improvements 8400 89 Ave N, Brooklyn Park, MN 55445 763-425-2227 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20039258 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION] REPAIR O MOVE O REMOVE B DESCRIBE WORK Replace 6 windows within existing openings 9 CHANGE OF USE FROM 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. wr Cards Will Be Maijed T�� SEPARATE PERMITS ARE REOUIRED 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 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 $2.93 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,950 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 PLAN CHECK FEE TOT L FEE License 5.00 39.13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N P OPER LIDAT THIS IS Y UR P RMIT I �N SIGNATURE OF OW NEA nF OWNER BUIL0ERl -,DATE, BLDG So pArE NEW [ ] �ko ��`3 ADDN CI'I'X OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress : Legal Description: Owner Name & Address: Contractor: Lfl 4.4 /� `/,�� Address: lS'40- Yg0' LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # MN LICENSE # 6'Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: Estimated Cost: $ J'?j o �� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: -///Q 101 APPLIC �Tel. # CITY USE ONLY Permit Fee $ A Fee Schedule on Reverse Side Fire Surcharge $ �, 95 .001 of Permit Valuation (1/10th%) State Surcharge $_ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 00 $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 $ 13 , 1 STIPULATIONS.;00e5&'/'-190' hler CITY OP FRIDLEY INSPECTION DIV. 6431 University Ave NE, Fridley, MN 55432 763-572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2001 �V PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS l 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 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner a2�e Water Heater -Electric $ 7.00 (� Water Heater - Gas** $10.00 Building Used As Res Gas Range`* $10.00 / Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 ,,,,,�,�� PLUMBING COMPANY_ cS� r ZOAA ��f7 Reinspection Fee $47.00/Hr SIGNED BY TEL N0: ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 4 e..ta 1.5% of Value of Fixture or Appliance State Surcharge $ .50 —Approve Final Da' ®' S� MINIMUM F ANY PLUMBINGIGASPE MIT IS $20.0 TOTAL FEE $ PLUS THE $.SO 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 () 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: UNOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX November 26, 2001 Ms. Carol Kroger 6527 Monroe Street NE Fridley, MN 55432 Re: Final Inspection at 6527 Monroe Street NE Contractor: Shiloah Water Co Dear Ms. Kroger: A plumbing permit was issued on September 6, 2001 to install a water softener at your According to section 4715.2800 of the State Plumbing Code, a final inspection shall be c on the plumbing authorized by this permit. As of this date, no final inspection has been for. 571-1287 The permit fee that was paid covers the inspections to make sure the work was co ted according to the Plumbing Code. We will keep your permit open for another 30 days an if we do not hear from you within this time to set up the inspection, we will expired the permi and no further action will be taken. To set up the inspection, or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT �-- MARK NUMBER OF FIXTURES TO BE, INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range" Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 _ $10.00 $35.00 $35.00 $35.00 5 00 $10.00 $10.00 $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTAL FEE 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 stated in this application are true and correct. DATE: _ I1 ( 20b4 OWNER 1 ,Qf 0 1 Twas-&-o BUILDING USED AS R_'DI&nL- ESTIMATED COST 'A �00o O® PERMIT N PLUMBING COMPANY_ ] {° 1 UI ➢_- SIGNED BY TEL N0.� ';() Approved By $ 35 50 Rough -In Date Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BU14NING APPLIANCE PERMITS COMMON VENT,VENT CONNECTOR AND COMBUSTION.AIR VERIFICATION When replacing an existing fOrnace, the undersigned hereby verifies that the venting has, been ._examined.and, is freeefrom rust,; deterioration, obstructions, and is securely supported and firestopped where required:... Yes O No( ) The venting system is plastic/PVC and meets all current codes and manufacturer BTU Input ` Fan Assisted or Nat specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly Total Btu Input 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-GAMkCategoryI::Central Furnace Venting Tables for:fan:assisted and natural draft appliances r Yes O 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 : Building $ BUILDING Plan Review PermitNo.: Inspections Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY Date Rec'd: DATE I i L l q OOS YOUR E-MAIL ADDRESS SAC Charge SITE ADDRESS x-.,Sa 7 $1450 per SAC Unit (Plans to MWCC for determination) THIS APPLICANT IS: ❑ OWNER CONTRACTOR ft + 6 ft = ft x $20 = $ PROPERTY OWNER/ NAME: C jt "L r Z KQ $450 Conservation Plan Review ADDRESS: (,,SA -7 M O N JZD 6 c-7- cITY x)21 U L � STATB S5'V-? - TENANT Fee Determined by Engineering PHONE: '76 3 -57J -0a5(a $ CONTRACTOR NAME: G lA VLP-� a LSO N) CO-, •? L L C $ STATE LICENSE # /k O S 14 (D S 4 EXP DATE rJ SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: Li S LI i & F-1 m ES 4,1 Ic N O CITY e'w'e'— STATE ZIPSSya1;L WITH APPLICATION PHONE 76 3 — 360 - S I G FAX NSINGLE FAMILY/NEW CONSTRUCTION Rab b' .-'s d, 1 e_ SIZE PROPERTY TYPE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK SIDING 13 SWIMMING POOL ❑ OTHER TYPE OF WORK: ❑ NEW ❑ ADDITION 0 MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS. VinylSoffit ADDITIONS. & PORCHES SUBMIT: • Aluminum Trim 1. Site Plan/Survey showing the existing structures ❑ Other Fascia and proposed project.. 2. Two sets of construction plans WINDOWS IN EXISTING 'OPENINGS ❑No LOCATION OF W1ND0 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & 3 TYPE OF WINDOW TO BE INSTALLED 1 X1 NUMBER OF WS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ?. 0 0 0 ' o OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ (.0005) times the total job valuation - Minimum $.50 Fire Surcharge $ .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: C#y of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT (—ayPRINT NAME S^^�� IJ 0 N N L P r '� O I C DATE 3uilding $ I *'1 a BUILDING Permit No.: Inspections 11 N RESIDENTIAL APPLICATI Received By: 763=5-72-3604 $ 5 01 CITY OF FRIAD�L,�E,1Y Date Rec'd: 5 A- as' � �y C /,,' r,� ADDRESS QQ 01 l 1�('.I S � 0-1�(�.P W -CQrri SATE YOUR E-MAIL ;ITE ADDRESS b6a-) ' Y `61\Tof + VVk6 �kA-4 n �Js� 3 Sewer Main Charge $ HIS APPLICANT IS: KQWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: ADDRESS: lOS"a' ` yt 9-e 's"+ CITY FY's LQ--�'1 STAT@�YiY$IP SS�i 3 p1 TENANT PHONE -_2D -3 Sn I - C- CONTRACTOR NAME: ^L,)Ca \,j P fib\ n STATE LICENSE # 7S'J EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: (eJ QS ! rl� tgmF CITY )Sf> CD STAnnfIT SS3(09 WITH APPLICATION PHONE 6(2-- 723 73 FAX PROPERTY TYPE INGLE FAMILY N SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS -MBASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ODELING DESCRIBE WORK BEING DONEAPe f &wn wads -b 0 !�kn cI-rao'— SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. 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 ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WWDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ I ®W. 00 OCCUPANCY TYPE Permit Fee $ I *'1 a Plan Review $ ' g ® .� Fire Surcharge 11 N Surcharge $ License Surcharge $ 5 01 SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ . 9 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 savable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a buil ' it and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the o ances ancodes of the Ci o Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only anC51ication for a e d i of to start without a permit; that the work will be in accordance with the approved plan in the case of a which r qir r i proval of plans.�j ^ /� e�SIGNATURE OF APPLPRINT NAME " `Iy/D L ' � B (A) DATE AUG ZC� 1 20�