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PRE 2010 DOCSCITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PgRMIT i�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 an representations stated in this applicat on are true and correct Fridley, Mn, r , 19-7ZZ OWNER cL V- KIND OF BUILDING USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT No. PERMIT NO. 123 19 Water oof $3.00 e ' y Future Fixture Opening i o+ m Company ug p, w $ Heater * Signed By Catch Basin xxo C 3 $ a f x $5.00 d Tel. No. C -' 100,000 BTU to 199,000 BTU M m W $ .�+ q Water Softener X R °cr+ g •.c+ is x u $ ROUGH INSP. Electric Water Heater w to $ Date ' ro H o ro ro ro 1st 3 fixtures r x o as lec m u x oo $ uJ 3 caw FA $10.00 V as .t 3 c� REPAIRS & ALTERATIONS c First $100.00 $5.00 / each add. $100.00 or fraction CV $2.00 S MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.SO STATE SORCHA M State Surcharge $ .50 1st TOTAL FEE $ 5� REINSPECTION FEE ($10.00) 2nd 3rd 4th (R) m Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water i�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 an representations stated in this applicat on are true and correct Fridley, Mn, r , 19-7ZZ OWNER cL V- KIND OF BUILDING USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT No. PERMIT NO. 123 19 Number Fixtures x $3.00 Future Fixture Opening _ x $2.00 $ 6,00. Company New Fixture, Old opening x $2.00 $ * Signed By Catch Basin x $5.00 $ Water Heater - to 99,000 BTU f x $5.00 $ Sac Tel. No. C -' 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ ROUGH INSP. Electric Water Heater x $5.00 $ Date ' GAS FITTING FEES: FINAL INSP. �Z -/��./ �- % � 1st 3 fixtures r x '$3.00 $ :?"c C) ' Date Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ APPROVAL FOR PERMIT REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 S MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.SO STATE SORCHA M State Surcharge $ .50 TOTAL FEE $ 5� REINSPECTION FEE ($10.00) CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE n 121?f GRAVITY WARiN1 AIR: RATE TOTAL Job Address / r-{"�:�� Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 7.00 $ $ Department of Buildings Repairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ 1;?'Ll) specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ v and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ � 19� Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn.. !JACCS P, STFA31 OR HOT WATER SYSTEM: OWNER Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING 117 F each addn. 50,000 BTU 4.00 $ 16c� Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ y ^� �� Z TO BE COMPLETED ABOUT / / OIL BUP.NER- to 3 gal. per hour $10.00 $ a G o each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $/0'00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: lst 3 Fixtures x $ 3.00 $� DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. AIR CONDITIONING $ AA 133—/35- Trade Name lylr�a Size No. � 3 �� FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS VENTILATING $ Capacity O�g �%� Sq. Ft. EDR BTU HP ALTERATIONS REPAIRS_ State Surcharge $ $ .50 Total Connected Load �� Kind of Fuel P47 -/YJ TOTAL FEE —� BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date (.$10.00) � i FINAL INSP. Y �' 7� d Company �s,ec.-501-, CQ G Zh e , a Date Signed By j fin( APPROVAL FOR PERMIT �Yd B Tel. No. V/ MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 / �4L k- /-XL7,13 /- A? - HEA LOSS S C LCIILATfi'�tS DEP&RTMENT OF BUILDINGS VILLAGE OF CHAn PLIN Weatherstrips y Construction No. �ii - Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof F•1«or bind Haw Applied Yes—No I Yes- 10 19 _ _ _ j _ c'1 I : i A`Tr; c Ra,:�:.. I.noth .. i Width L height �.' II R.1 Room Length Width Height ,. Windows and Doors—Crackage and Areft Coef.1 Btu Width Height No. of Lineal ft. Area No. of of pane lights of crack sa. ft. -pane S- 2 i •x S L. z : . 3 S Coef. Btu Infiltration Ceiling Coef. 1"C J Z( •`, -' ` ' Glass' z Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area - m I , - r; , -. ,-R.. m I t A-ncrth , k' Width . wall Net exp. wall i _Exp. Net exp. wall Int. wall Int. wall Floor Ceiling LL.' , ; �,L c, Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.j fr A), r, r, Rji6m j Length Width Windows and Doors,--Crackage and Area Width Height Na. of I Lineal ft. L Arse No. or pane or pane lights of crack eq. ft. Height Windows and Doors—Crackage and Area Coef.1 Btu Infiltration 7 ty- S- Glass Exp. wall •x 5 Net exp. wall Coef. Btu Int. wall Infiltration Ceiling Coef. 1"C Glass Floor i •-�- z Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area - m I , - r; , -. ,-R.. m I t A-ncrth , k' Width . Height Windows and Doors—Crackage and Area - Width Height No. of Lineal it. Area No. of pane of pane lights of crack W. ft. 7 ty- S- :.� •x 5 C. :Z Coef. Btu Infiltration Infiltration Coef. 1"C Glass Infiltration i •-�- }^� ' Exp, wall 1 L / S Exp. wall Net exp. wall fid` Net exp. well Int. wall Ceiling Floor Ceiling LL.' Total Btu. ! 1 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doora-Crackage and Area - Tao. Yrteu. Hpi�ht No. of Llosat It. Ana ••P pane of pane 1Sghts of crack sq. ft. - f. to Infiltration Coef. 1"C Btu if Y Infiltration Oasis,s�— 1 L / S Exp. wall fid` Net exp. well Int. wall _ Ceiling LL.' , ; �,L c, Floor Total Btu. /'s -/-2t Required sq. ft. E.D.R. or sq. ins. W.A. Leader area " V] 17 L,R1 ,nfn I t_ength � �y_ Width -2 ), Height.� Winclow9 and Doors---'Cractlage and Area - Z°Jldth Haight No. of Lineal ft. Area No. of pane or pane lights of crack eq ft. 1 tic �- - f. to Infiltration _Infiltration Glass c / S Exp. well fid` exp. wall _Net Int. wall _ ^Ceiling - LL.' , ; �,L c, Floor Total Btu. ! ` • S /_ Required sq ft E.D.R. or sq. ins. W.A. Leader ares ::.N__ 1 t ,pnoth /C, Width- L Height Windows and Doors.--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef.1, Btu Infiltration Glass c / S Exp, wall fid` Net exp. wall Int. wail Ceiling Floor Total Btu. L. 7 ,� Regttired sq. ft. E.D.R. or sq. ins. W.A. Leader area BtlOOKIVN PRINTING 8 ADV. CO 1977 W4-. �VJAA r L%:= DaVerne Corporation 1393 -16th Avenue N.W. New Brighton, Mn. 55112 � . 'n �� ("�° � � ms's: � <,,�.• 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 65432 TELEPHONE ( 612)571-3450 Re: Final Inspection at 1468 North Innsbruck Drive N.E. Dear Mr. Ficek: A final inspection was made on December 14, 1977 of the above address and the following items were noted which must be completed before the structure can be f inaled out; 1. Provide sod in the front and side yards by June 9, 1978. 2. Provide steps on west exit or render door inoperable by December 25, 1977. 3. Firestop garage wall on the west side by December 25, 1977. 4. Reduce deck spacing to 9 inches by June 9, 1978. S. Repair hole in block wall near meter by June 9, 1978. 6. Warped siding on the east side should be repaired by June 9, 1978. We will expect the above items to be completed by the scheduled dates when reinspections will be conducted to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, RON HOLDEN Building Inspector RH/mh CC: Mr. Don Leiverman 1468 North Innsbruck Drive City of Fridley SUBJECT P 143 9 ' AT THE TOP OF THE TWINS BUILDING PERMIT- ECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L •� ` 612-56a3450 910-F15 9/26/77 JOB ADDRESS 1468 North Innsbruck Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 8 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daverne Corporation 2200 Silver LAke Road, New Brighton 631-1213 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 X S DESCRIBE WORK Construct a 54' x 36.4' welling and a 22.4' x 20' Gara E VIREO FOR WIRING, TELEPHOR -ELECTR1C.& t 9 CHANGE OF USE FRO L EATING; PLWSING AND S'_T ED BY STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Supply triple 2 x 10 header in loft area to support rafters as shown on plans. Provide 2 x 6 studs 16" on center or 2 x 4 studs 12" on center in rear walkout wall. Provide City with copy of truss-design before capping. Note: increase west side setback to 10' minimum from living xim area. SEWER LOCATION: (Approx. 9' Deep In Street: 101 N.W. of Manhole (Inv. 956.2 WYE ELEV: 955.47 TOP OF FOOTING: 958.47 Minimum WATER LOCATION: Approx. 10' S.E. of Sewer Service ��EAIS'i�ID�T/�+UARANTE�: INE HE THE LOCKtION5 AND ELEVATiG; :. U#ACY QE NTE I3 AOR �RMATION PURPOSES ONLY N MTION TNIS DATA A �t10DW . YEPUY THE Mf0 PERSONS USINi3 SEPARATE PERMPT E UIRED 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 R 1 1225 44O 37,440 Tot al 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. $69,290 $$$ $34.64 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- $ 149.76 $375.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE Z6 $ 37.44 $596.84 SIGNATURE OF NT IDAT • WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �10NTRACTO�A�RZXS�E ((//��']] .� I BLDG INSP DATE SIG AT OF OWNER IIF OWNER B 1 IDATEI y ititfie's. S Etc. Mil CERTIFICATE OF SURVEY FOR: Da -Verne Comp A At ��tiS C�hxe�/ o k IYARHIHG Before digging C&H 111211, lities 1�.EPHON . ELECTRIC - CAS EtWcto BY LA - DEMARS = GABRIEL LAND SURVEYORS M- 3030 Verba Low Plywmx* AN 35441 0A 10 N DencrVes iron momn-'e k- clescr►ption f Lot block 82 IW"55?'UCK NORTH, Anoka couniy1 MIhrx a ..�-Not �uA THE THe CItY OF FRIDLV DOGS Ns AND ELEVATIONS. Accu.RAcy OF UT ny FOR THIS DATA IS INFOR"�N PURPOSES ONLY AND PERSONS USING R SHOULD VERIFY THE INFORN+ATION nN THE SITE hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this 21 5-kday of Feb. '1911. Minn. Reg. No. Ia944 Job No. S3Z Book — Page Scales lw a .JV' L/ 1.poaq I -0i �rprCT) PI(Zoo,)�xrs7iwG �v�Y�our�7FIB�� Cvrz,Q..r�� 14 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: BUILDER: Address: Address: a� a Oy No.: LOT: Tel. No.: -(0 Street: BLOCK: ADDITION: l%y' CORNER LOT: INSIDE IAT: SETBACK: SIDEYARDS: 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: -ew J Front: 13- Depth: 36. 7' Height: Square Feet: 2 2 i Cubic Feet: Front: Depth: a� Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ To Be Completed: 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 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. See reverse side for additional information. /DATE: cI % 7 SIGNATURE:-P�t�� L Stipulations: �� / d" ' 7(o �r July 5, 1978 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. David Ficek DaVerne Corporation 2200 Silver Lake Road New Brighton, MN 55112 TELEPHONE ( 612)571-3450 Re: Final Inspection at 1468 North Innsbruck Drive N.E. Dear Mr. Ficek.: A final reinspection was made on June 28, 1978 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Repair the warped siding on the west side of the garage. 2. Install firerock on west wall of garage (this wall supports living area) . We will expect the above items to be completed by July 24, 1978 when a reinspection will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, /- RON HOLDEN Building Inspector RH/mh e SUBJECT PER City of Fridley 15.2 7 0 AT THE TOP OF THE TWINS BUILDING PERMIT r CEI P NO. ( • _ COMMUNITY DEVELOPMENT DIV. ' r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j 612-571-3450 910-F15 6/18/79 JOB ADDRESS 1468 North Innsbruck Drive N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 8 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Leivermann 1468 North Innsbruck Drive N.E. 571-1919 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 a ❑ NEW 11 ADDITION x ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a roof and screening for existing deck 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRtNU. �11l�G HEATING, PLUMBING AND SIGNS, �� Owing cap 100 u611ti'm 'TEEPR6NE - ELECTRIC. GAS Etc. REQUIRED By LAW TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,500 $.75 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- $9.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE ' $9.75 SIGNATURE OF CONTRACTOR OR UTHORIZED A ENT (DATEI --WHEN PROPER A 1 IS YOUR PERM IT BLDG INSP �TE�D)H�IS [ DATE SIGNATURE OF OWNER tIF OWNER BUILDER) tDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: y'� J • �e �ies2n2 ADDRESS: TEL NO: BUILDER: CIL -V'� ADDRESS: TEL NO: Construction Location STREET NO: STREET: N �� LOT: 3 BLOCK: ADDITION: N 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: Squane.Feet: Cubic Feet: H eight : Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: To Be Completed: Proposed Driveway Width If New Opening Is Desired: Estimated Cost: !1s-00 Alt. A Alt. B SEE REVERSE SIDE OF SHEET . 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 h eby declares that all the facts and representations stated in this application a e true and orrec DATE: 'I SIGNATUIE: Stipulations: SUBJECT .-� City of Fridley 2 AT THE TOP OF THE TWINS BUILDING PERMIT( r iiEC PT NO. COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC 3 r i NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/21/97 JOB ADDRESS M 1468 North Innsbruck Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 8 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeff Drake 1468 North Innsbruck Drive NE 571-6671 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Century Roofing 6336 Lyndale Ave S, Richfield, MN 55423 869-5133 20093168 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 O NEW ❑ ADDITION ❑ ALTERATION fj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (21 Sq) 2nd Layer 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED 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 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 $1,302 $.65 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- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE T AL FEE 2 , cens SC .00 $52.70 SIGNATURE OF CONTRACTOR O THORIZED AGENT ID EI N RO VALI TfDD�THIS IS YOUR PERM T v .B INSP LI BATE _ S.GNATUREOF OWNEROF OWNER BUILDERI (DATE) NEW [ ) Effective 1/1/97 ADDN ( ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �3'9 BUILDING PERMIT APPLICATION ConstructionAddress: �� %l% r RC1 S,r�% oe�)� i�'.) R , Legal Description: Owner Name & Address: :j—e P -C- Tel. # S' 7 / - 66 -7/ Contractor: (7 PA,TCAAy IQ oy F1 �'li �i' MN LICENSE #-,2 00 9 3 (6 9 - Address: Address: & 6 # ?e�, % -15 l e• Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MIPROVEIIENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA:Le Width Hgt/Ground Sq. Ft. OTHER: ,1�UC� �° - l S!� �- o0 Construction Type:_ - p D Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: / Tel. # &/ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 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 DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential ::iNa 1 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work Effective On January 1, 1997 JOB ADDRESli The undersigned hereby makes application for a permit for the work herein Rate TOTAL 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 $'30.00 $ () representations stated in this application are true and correct. 6 I 1 ® ,199° $10.00 $ OWNER. $10.00 $ BUILDING USED AS L h q $10.00 $ . _ ESTIMATED COST 15 D Q CJ PERMIT NO.— $25.00 O.$25.00 $ DESCRIPTION OF FURNACE AND OR BURNER- $ No, of Heating Units_ Circle One (Steam) (Hot Water)fa7rmAiTrade Name Size No, 3 3 fl - /35/ BTUl OD HP EDR $ Fuel- AJ Cly, &6L .Total Connected Load = State Surcharge $ .50 TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. BTU HP EDR . BLAINE HTG. A/C ELECT'., INC 13562 CENTRAL AVE. N.E. HEATING P ___ ANO MN 55304 Signed Byt%�el No. -76--7-{off}-D Approved By Rough -In Date Final Date FILL OUT BACK SIDE P09 STACK VERIFICATION ON REPLACEMENT FURNACE CHIlVINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. . Has been careMy examined Yes No ( ) 2. Is fires from rust or deterioration Yes (, No ( ) 3. Has no foreign objects lodged within Yes o No ( ) 4. Is securely supported Yes No (. } 5. Meets all current Code requirements for size and total BTU's connected Yes 0) No ( } 6 Has total heating BTU's of 0 All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes o No (). 8. Has combustion air been provided for water heater Yes." No (_ ) Remarks: . List ALTERATIONS &igg Done: ELAINE HTGi.A/C ELECT., i�w 13562 CENTRAL AN./Pi N ANOKk MN HEATING CO: Signed By: Date: ,�- /o -q "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INC ES. 4 //y Rte, s� �-� CITY OF FRIDLEY INSPECTION DIVISION r; Effective On January 1, 1999 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOBADDRESS 146 &)o- RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential�� Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Fumace Shell and uct Work Burner —® rulings of the Building Division, and hereby declares that all the facts and Also Replacement Fumace $ 30.00 $ `'' representations stated in this application are true and correct. / 9 (Side Vent — Fill Out Back)r� Gas Piping (Needed with new fumace, $10.00 but not replacement) $ OWNER Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST PERMIT NO. Y *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work$ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Bumer Trade Name Size No. BTU HP EDR TOTAL FEE 02570 HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By Tel Na.9� PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By1� Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE written permission from adjoining property owner. 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 () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CERMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) S. 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 () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: SUBJECT72970062 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT t RECEIPT NO. `L __��__ COMMUNITY DEVELOPMENT DIV. SEC. / r PROTECTIVE INSPECTION ---I CITY HALL FRIOLEY SSIJ2 NUMBEFI REV DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 3/12/99 JOB ADDRESS 1468 North Innsbruck Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 g Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David/Martha Behlow 1468 North Innsbruck Drive NE 574-2198 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Ck ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finish basement 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. 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 80 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,800 $1.90 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- @$7.25 F SC $3.80 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION W PLAN CHECK FEE492.95 AL FEE -'-� A SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, 6 L N P O VA I THI S UR P I ?_1 r �— S,GNATUREOFOWNER WNER BUILDER, IDA T , Bl0 .NSP QAIt NEW ADDN ALTER ConstructionAddress: Legal Description: Effective 1/1/99 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� 0� �Ar) 1'-�-e-k �rr v -,z. Frt-d L1 " Owner Name & Address. lA Tel. # k/,'2 - 57k,2-122 Contractor: - _ " MN LICENSE # Address: /0" 6-0 h O 1-'Z Tel. # Attach to this application, a Certificate of Survey of the . lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type`-r� rl_ Lo -wk Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ► q APPLICANT: Ci 1/l°!.� �' ri'�a 8�k1d,,J Tel. # CITY USE ONLY Permit Fee $ R7,.2-� Fee Schedule on Reverse Side Fire Surcharge $ 3.45C> .001 of Permit Valuation (1/10th%) State Surcharge $7,3G— $.501$1,000 Valuation SAC Charge $ �� $1050 per SAC Unit License Surcharge $ �' $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ J STIPULATIONS: Effective January 1, 2003 CITY`4F FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND RAVICES ` FAX (763) 571-1287 t4 eq,4� C JOB ADDRESS RATE SCHEDULE OWNERC4 6ele Residential Rate TOTAL P—' Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) ESTIMATED COST PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. s,C-c7 BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares tha all the facts and �� S� representations stated in this application are true and orrect. TOTAL FEE $ �3 DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION ir T CO - STANDARD HEATING AAIR CMD910MGM REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 410 WEST LAKE STREET - PLUS, THE $.50 STATE SURCHARGE LAJ d MINNEAPOLIS, M0408 -2M # 612-824J2856 REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By� Rough -In Date Final Date written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE C APPLICATION WILL BE RETURNED When nla _ingan�g furanne,. 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 plastictPVC 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 eYieting rnmhi ishan air is sized and installed to meet the current codes and manufacturers specifications. Yes ( ) No ( ) When required to me ail a new nnmhus+inn air_ it will be sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When iostallinn a naw venting,nygpm, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers 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 #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 HEATING CO: Signed By: Date: I . CfiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 May 25, 2004 Mr. Michael Garrett 1468 North Innsbruck Dr NE Fridley, MN 55432 Re: Final Inspection at 1468 North Innsbruck Dr NE Contractor: Standard Heating & Air Conditioning Co. Dear Mr. Garrett: A mechanical permit was issued on August 28, 2003 to install an air conditioner at your address. According to the 1991 Uniform Mechanical 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 the permit will be expired. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh