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PRE 2010 DOCSCity of Fridley, Minn. 0 5?.s/ BUILDING PERMIT N® MW Date: ........... /�f//._ __...................... .... ....... -...... Owner: ..-..---_-.._.....----- -------------- ----------------------- -------------•-•-------------•------------------------- Builder p - Address....--............._......._...._......._...._..-----•-------- - .._._. ._ _ __ - Address ........ ................ ...................... .... __--------------------- -..._......._------._..------- ---- _....... LOCATION OF BU DING �j No. &.J .f Street... ... ... .................... - ` _..l...l...`....... -....... . PalUk Lot .. - ......_....-...---- - - Lot ....._... ....................... Block ....._ ................ ................. Addition or Sub -Division Corner Lot ............ . ................ Inside Lot ....._ ................................ Setback . .----- ®--............. Sideyard ..., ..--............................ - Sewer Elevation ................................... .............. _.... .............. ............ ....................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: g 1i/ r (�. Sq. Ft. f ®.:�y Cu. Ft. _ .®.O �.� .. ....: . --- - -- � • ---... Front ---.._...--------_.. Depth ....._.........._.� /Height ...................... ........................... .................... .... Front ............................. Depth .........Height ........ Sq. Ft......................... Cu. Ft. ..... _................. Type of Construction ......... _.-- ............................. 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 1 �/ - pliance with all provisions of ordinances of the city of Fridley. k- 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. / ® o Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. 4 City of Fridley, Minn. BUILDING PERIMT Date: June 111 1965 oar: H- H. & S. J Mielke guilder John E. Anderson N® '7860 Address 6$98 Monroe Street N. E. Address R- *. 1 Haastngs,-Ki=. LOCATION OF BUILDING No. 6898 street Monroe Street N. E. part of Lot Lot 1 _ Block 3 Addition or sub -Division Brookview Terraces 3rd. Add. Corner Lot — Inside Lot Setback Sideyard Sewer Mevation _ ______ Foundation Mevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth freight Sq. Ft. Cu. Ft. Type of Construction Est. Cost$$500.00 To be Completed New construction 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 comp ce with ail provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of 5-QO , permit is hereby granted to John E. Anderson 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 permit may be revoked at any time upon violation of any of the provisions of said ordinancaL A11en Jensen NOTICE: 'ibis permit des net Cover the construction, huts W*n for Whk& plumbing, on hung, sm w or water. Be wn to see the Wndtog lesp•etor for sepsrete penitis for thea hem& APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME l"C, �e � • J 0 ��((� BUILDER c A `a n r4,7r®; ADDRESS a ST C✓ ADDRESS ' , M / Hq LOCATION OF BUILDING No. Street) o t' Part of Lot l'I/ LOTBLOCK 3 ADDITION OA' SUBDIVISION=, ®Z M/ V 7-C I�cE 3 ^may Corner LotInside LOT Setback Side --hard SEWER ELEVATION FOUNDATION ELEVATI01J_` Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; Front -�?- '�­ Depth 2.2.— Height Sq. Ft. __ !1 (2 4-- Cu. Ft. 4- 7'4- [ti Front Depth _Height Sq. Ft. Cu. Ft. -rvs Type of Construction tva 0 0 1-- A A M Z_� Estimated Cost 0 To be completed U L 9_6 -s 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 (Schedule of Fee Costs can be found on the Reverse Side). J . r 0 SUBJECT I P city of Fridley AT THE TOP OF THE TWINS BUILDING P E R M I T r • COMMUNITY DEVELOPMENT DIV. ______ r v PROTECTIVE INSPECTION SEC �� 1 REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432NUMBER 612-571-3450 910 -Ft 5 1015198 JOB ADDRESS 6898 Monroe Street i LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Dean & Carol Woodward 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tabor & Sons Inc 4 ARCHITECT OR DESIGNER MAIL ADDRESS P PHONE LICEN NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION 3 REPAIR ❑ MOVE O REMOVE 'DESCRIBE WORK Reroof house and garage (23 Sq) Tear—off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING 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 $1971 I_9A 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 PERFORM NCE OF CONSTRUCTION ���(1/ PLAN CHECK FEE TOTA FEE SIGNATURE OF CON-RACTOR OR AUTHOAIZEO AGENT IDATEi .20 EN ROP BLO iNSF' A IDATA $IS Y'UR PERMI S,GNATURE OF OWNERIIF OWNER BUILOER1 MATES NEW [ J ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Contractor: //,447 Tel. # MN LICENSE # Effective 1/1/98 Address: l X ej S ld� =1-±, 14 Z J Tel. # r% 22 -/ ga cl Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: -'—� %/ �-�, A I S� Construction Type: Estimated Cost: $ l q % l (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: /0-5-2 APPLICANT: �� � �-� Tel. # i W �?- / y°P aj Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ S®0 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 YAX: (763) 571-1287 ADDRESS : 6898 MONROE ST NE PIN : 143024110057 LEGAL DESC : BROOKVIEW TERRACE 3RD ADD : LOT I BLOCK 3 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.:2004-00917 �� DATE ISSUED: 06/15/2004 VALUATION : $ 1,800.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL AN AIR CONDITIONER. # A/C UNITS 1 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 APPLICANT HEATING PERMIT MINIMUM FEE 0.00 MARSH HEATING & AIR CONDITIONING FURNACE SHELL/DUCT WORK 0.00 6248 LAKELAND AVE N GAS PIPING FEE 10.00 BROOKLYN PARK, MN 55420-2937 GAS RANGE FEE 0.00 (763) 536-0667 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 OWNER TOTAL 35.50 WOODWARD DEAN W & CAROL A PAID WITH CHECK # 70380 6898 MONROE ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worts will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating constrpction or the performance of construction. ADDlk n� I Date Bldg SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 7 CITY 05 FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-5711287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes ,e--� 35L? 6 Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Total $35.00 $ $10.00 $ $10.00 $ $10.00 $ $25.00 $ ZS1" All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater on work less than $300.00 Co m me rcia I/ I nd ustria I/I nstitutiona I 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR JOB ADDRESS (0 8 �'g / "l ® 4'2ee Sfi r" S Owner l q/Z 0 L 4' Q 61yy 1A16c0 DP-e4xO Building Used As ESTIMATED COST ' ) 800 "' PERMIT NO 6)l DESCRIPTION OF FURNACE AND BURNER # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load $ Burner Trade Name BTU HP Size No. 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 $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ HEATING CO !1r*511 ? /7'_)00 $ ZS'" .,Signed KA` Tel # 1�3 04 6.7 FAX # 7�3 ' S3� s ®ZZ to Date *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 :