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PRE 2010 DOCSL� Village of Fridley, Minn. BUILDING PERMIT ° 1749 - Date: . .. V ...... a. 0..'...�.. . Owner....................................... Builder .... Address...................................... Address ..... �'...r/. ......Y............. LOCATION OF BUILDING No.. �.o.� Street ...................................... Part of Lot ....... Lot ........... Block ....... l......... Addition or Sub -Division Corner Lot ........... Inside Lot ... l�.... Setback .. Sideyard .... e�Oi...?!...� ........ DESCRIPTION OF BUILDING To be Used as: .AWL ... Front ..4 . �` . Depth .. � �Z +/Height Sq. Ft. ........ Cu. Ft. ........ ..................... Front ........ Depth .....le Heigh ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction .. F ...... Est. Cost ... / .........— To be Completed .................. In consideration of the issuance to me , of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. In consideration of the payment of a fee of $.J......, 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 j done in, around and upon said building, or ,any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, ponstruction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit: --I ay 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 Inspector for separate permits for these Items. City of Fridley, Minn. BUILDING PERMIT CC Date • "'• , ;7 Owner: Builder r57 Address Address ` �1 LOCATION O ILDING Part Lot Lot Block _ __ . Addition or Sub -D Corner Lot —_ Inside Lot _ _ � "' l�Eback :,.4�_ _;r1��ideyard e" Sewer Elevation �� Fo tion Elevation DESCRIPTION OF BUILDING O 77!( � Front Depth Height Sq. Ft. Cu. Ft. 'aro% ,,�D�epth —. — ' height Sq. Ft. Cu. Ft. Type ofAlsction " Fast. Cost n To be Completed i 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. R In consideration of the payment of a fee of permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted . and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said Ordinances. Building Inspector NOTICE: This permit does not cover the Construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sore to see the Building Inspector for separate permits for these Items. APPLICATION FOR BUDDING PERMIT CITY OF FRIDLEY, KWWESOTA Owner's Name—f"- Address ���J����/l/�i�� �� Address LOCATION OF BUftDING No. I J J Street F / *>, r -- Lot Block Addi Corner Lot Inside SEWER ELEV Part of Lot tion or Subdivision �Ze, -f I, ack Side -Yard/ FlUATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: //1 DESCRIPTION OF BUILDING Front Depth Z Height %� Sq. Ft. / Cu. Ft., Front Depth Height Sq. Ft. Cu. Ft. Type of Construction D�AWS 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. V DATE—4SIGNATURE �1 4, e0i (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley 53' 84-5915.51 Applico lion for Pkmd&g mrd Sm 1111109bg Petmk Dept. of Ridge. Phone 980-3430 DESCRIPTION OF WORE Number. Kind and Location of Fixtures Location 6555 �E. Monroe at. PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ _ New Fixture Old Opening.......... x $1.50 Catch Basin .................... x $3.25 $ Water Heater :Up to 99.000 BTU) .... x $3.00 $ New Ground Run Old Bldg. ........ x $3.26 $ Electric Water heater .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .................. 2 x $2.00 $ 2.00 Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU ...x $6.00 $ install (1) gas grill .& (1) lite 6.00 REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all, the fact and representations stated in this application are true and correct Fridley, Minn April 26, 1972 „ 19, Owner Q. Deick Kind of Building frame Used as residence To be completed about Mai 1, 1972 Estimated Cost, $ 20.00 Old x New. Building Permit No. Permit No. l Signed By INNEGASUU Business Phone No ROUGH FINAL /� Description ........................................... r CESS -per" Surcharge .500 TOTAL FEE $ RyOn i 1 D 37 i a I� Y 8a = r. V a< �j 1 3 1 (' 1 I N GAS ELEC. Base 1st 2nd 3rd 44th_ • Future Coaneetloa Openings e New Fixture. Old Openings Connected With Sawn Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ _ New Fixture Old Opening.......... x $1.50 Catch Basin .................... x $3.25 $ Water Heater :Up to 99.000 BTU) .... x $3.00 $ New Ground Run Old Bldg. ........ x $3.26 $ Electric Water heater .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .................. 2 x $2.00 $ 2.00 Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU ...x $6.00 $ install (1) gas grill .& (1) lite 6.00 REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all, the fact and representations stated in this application are true and correct Fridley, Minn April 26, 1972 „ 19, Owner Q. Deick Kind of Building frame Used as residence To be completed about Mai 1, 1972 Estimated Cost, $ 20.00 Old x New. Building Permit No. Permit No. l Signed By INNEGASUU Business Phone No ROUGH FINAL /� Description ........................................... r CESS -per" Surcharge .500 TOTAL FEE $ RyOn SuBjECT RMIT NO.,, City of Fridley 26987 AT THE TOP OF THE TWINS BUILDING PERMIT t ` RE COMMUNITY DEVELOPMENT DIV. Tr _____ PROTECTIVE INSPECTION SEC. t NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY $5432 612-571-3450 910415 8/5/98 JOB ADDRESS 6555 Monroe St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Clover Leaf 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE M FD Sab a 6555 Monroe St 574-3586 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ($ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (24 Sq) tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 2001 $1.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $74.75 $2.00 Fire SC PLAN CHECK FEE TOTAL FEE 77.75 OFC O TR TOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY V L ATED THIS IS YOUR PERMIT jW40ATUICIE 0WN WNER UILDERI IDA TEI LDG NSP TIATE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �e2-5r, D Legal Description: Owner Name & Address: ,Q S �/e Tel. # rZ Contractor: MN LICENSE # Address: Attach to this application, a Certificate i of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EVIPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width_ Hgt/Ground Sq. Ft. OTHER: � `/ ffe,& (n E� ''- ao/1®o rF G A44 ee j,- ,i/6& 5 e Construction Type: ep 124„ f Estimated Cost: $ o (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ - DATE: — 9 APPLICANT: Tel. # v�y � � �e 5��/�/c�®tea✓ CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: $ S� $ 00 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace ..,(Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer L'Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1,25%a of Value of Appliance or Work_ PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS Effective On May 10, 1999 a.f% i LA OWNER , TOTAL BUILDING USED AS �2�S) ESTIMATED COST o PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER No. of Heatin Units Circle One (Steam) (Hot Water Warm ' $ Trade Names `chi Size No. BTU HP EDR $9� Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and GJS ,S� representations stated in this application are -true and correct. 170 S,-`� HEATING CO' SignedDATEu q4v'�� / /�� Approved By Rough -In Date Final Date ' CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: L 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 Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes (so No ( ) List ALTERATIONS Being Done: HEATING CO: Signed By: Date: M&4 4 *- �% ®�' HOUSE HE TING TEST RECORD o� T`, Vont Size Volvo f,_ Val3 '� ' " ADDRESS Limit +vel Deft He'd v APT. FLOOR CITY SUBURB OCCUPANT Filters Size Number OWNER HEAT LOSS X Outside DATE HTG. INST. a SOLD BY Pilot Make C44 I INSTALLED BY iia wa G Electrical Work By Bomb Gas Lina By Sakti TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER Door Pressure �1�.S GAS S GN r CONVERSION MAKE 29- Pressure —Percent CO2 —MAKE OF BURNER Model cf 1r, li 0u 6 13 & Model Serial =A�, ` 3 q o 7 l Max. BTU Rating INPUT 41), f9yo MAKE OF FURNACE Model _ CONTROLS �" # THERMOSTAT )At Neat PI u Vont Size Volvo f,_ Val3 '� KIND OF LINER� SIZN0�1 Limit +vel Deft He'd v Rbuleror f� J ��i� Limit Setting - Filters Size Number Fan Setting Chimney Location Inside X Outside Pilot Type Chimney Construction .211 ey(, Pilot Make C44 I Pilot Model &67Smoke Bomb Wiring Pilot Timing Sfi, ( Draft Test Tag G L.W. Cut Off Door Pressure Lighting Inst. Tested 29- Pressure —Percent CO2 Date Input CFH f �� Poo Percent O 2 Company Testing d aj Stock .7mp. �„ Percent Co Nome of Tester I_ GIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 August 9, 2000 Connie Hawes 6555 Monroe St NE Fridley, MN 55432 Re: Final Reinspection at 6555 Monroe St NE to Verify Flue and Listed Cap Contractor: Don's Service of Golden Valley Dear Ms. Hawes: A mechanical permit was issued on May 10, 1999 for the property located at 6555 Monroe St NE for a furnace and an air conditioning unit. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical system. You will be given thirty (30) days from receipt of this notice to request a final inspection on the above noted corrections. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAVEANSEN Buil Inspector 0 CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** / $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ go -50 G� � JOB ADDRESS 5 p N e ST � 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. . HAWES, CONNIE ( ' 6555 MONROE STREET NE Owner FRIDLEY, MN 55432 (612) 574-7356 Building Used As_ ) p e- Pi 4E—� Estimated Cost 4, PERMIT NO. PLUMBING COMPANY Nop'15LO)o �1,�,( j�l+( �tJG, r. SIGNED B TEL NO. Approved By Rough—In Date PLUS THE $.50 STATE SURCHARGE Final Dates �( IIIT In A �ww �• O� **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES, Building PLUMBING Permit No.: Inspections RESIDENTIAL. APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DatlDd: 763-502-4977 FAX EFFECTIVE 1-1-08 YOUR E�-,M/AIL ADDRESS ���y �a C c�s�J DZADS�� S THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: &_&& 1Qe; na ADDRESS: CITY —STATE—ZIP— STATEZIPTENANT OWNER/ TENANT PHONE: CONTRACTOR NAME: / t SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS:PJP-0 1012f� CITYp��vol� STATFO_�ZIP INSURANCE. PHONE—FAX PERMIT TYPE WTNGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW (PLACEMENT c 4 1 l DETAILED DESCRIPTION OF WORKIV W - PERMS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up t-$SM.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fi es. (TWis 9k ould reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labo .05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. tO SINK/LAV DRAINS —SHOWER _WATER PIPING —BATH _FLOOR —BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL —WATER SOFTNER ($35) WASHER SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _CLOTHES —KITCHEN DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER s Permit Fee $ Ou Number of fixtures @ $10.00 x $10.00 = $ Surcharge 1 .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL, DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 (MINIMUM $15.50) (MINIMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 on site; that the work will be in accordance with the approved plan in the a wo s`review and approval of plans. SIGNATURE OF APPL T PRINT NAME � �� DATE DATE APPROVED BY City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977