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PRE 2010 DOCSA City of Fridley, Minn. -.1169 6 6431 University Ave. N.E., Minneapolis, Minn. 55432 Is 111l 1 1�►_ ' DI oil ki I Mate: Spptamhpr 29+ 1972 per: Landvest Development Corp. Builder Same Address -828 - 5th Avenue South, Xpls. Address Same LOCATION OF BUILDING No. 1510 Street North Timber Ridge N.E. part of Lot See 1502 North Timber Ridge Lot Block — Addition or Sub -Division Corner Lot inside Lot Setback r Sideyard Bower Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Townhouse Front 42' Depth 29 t 7�q' Height 201 Sq. Ft _.1918 Cu. Ft 18 f648 Front Depth Height Sq. Ft _ Cu. Ft Type of Construction wo ad yrs Est, Cost ...$22,101 _ � To be Completed i on c Stipulations: See 1502 North Timber Ridge In consideration of the issuance to me of a permit to constru building described above, I agree do the proposed work in accordance with the descrlption above set and in compliance wi pro ' of ordinances of the city of Fridley. 11.50 State Surcharge In consideration of the payment of a fee of $ 53.'A5 , permit is hereby granted.to T.andy orp. 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 city limits and this permit may be revoked at any time upon violation of any of the provisions of Said L �S�P�or MaE-NCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, Bas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. I APPLICATION FOR RESIDENTIAL, ALTERATION# OR, ADDITION BUILDING PERMIT CITY OF FRIDLBYs MINNESOTA WT s BLOCK t AIDDITION 1 CORM LOT:INB LM;, :SETBACK; SIMARD: Ant-Iga" attach to, dtU Tom_Wo Certificates of SutveY of Loot and proposed b"IdUS location drwn on these Certificates. /4. DESCRIPTION OF BUILDING To So MWA AS: �7- 4 Depth- 2e% ` 'I �� v ,weight : $;mare Feet Cubic feet; Front: Depth; Height: square Feet; Cubic Feet; Tyfa of Conetructiom ! Estimated Cost: Z& 4o l TM uaaftrVigned hereby $ application for. a permit for th+c work herein #pee3,fi.$4„ agreeing to do all Work in sttfct accordance with the Ofty of #` IAI-� 0 aad Zulus Vf the Department Qf Buj; dings, arA heveb d"lare.# all the facts aaud re#resentati,o717a ted im this appI ca � exe t9nume carrect.. D01; BiGNATURE: (Ose ltevarme We For Additional Infosvation,) j/Q 5z I r w. �y �'"S 6 es E� e' •S i v r. I� � .. i c. ei Mc. Future razz ire Cifeninng ... A o ...... x $1.50 at New Fixture Old Opening .......... x $1.50 f Catch Bask, ... � ................ gRPP s S til Water Heater 'Up to 99,000 BTU) .... • �! CCryyf s P x $3.25 S Electric plater Heater • .......... a .. a $200 $ GAS FI A a XG FEES: NO. RATE TOTAL lot 3 Fixttufft • • • .. • ........ •. j $100 f! WQ ,AMSonal IFIxtum ... . . ...,e s e e e . 2 $ 35 • Gat Range to 1W.0W BTU ............ a $5.00 f • State Surcharge $�-5Q._ I"AD5f�1.r�ALTERATIo to Cb& r tr-h ®t e . . . • e . . . . ... s e . ... . A. • . • ...... . so e o e 0- ...TtT AL iia: Ik o2 TOTAL K� e PLUMBING nX79RE RIXTES: N06 RATE TOTAL NuNnbef Dixtures ........... a .... x $2.00 f Future razz ire Cifeninng ... A o ...... x $1.50 E—.. New Fixture Old Opening .......... x $1.50 f Catch Bask, ... � ................ x 83.0 f Water Heater 'Up to 99,000 BTU) .... �o x 53.00 f New Ground Run Old Bldg. . . . . . . . e x $3.25 S Electric plater Heater • .......... a .. a $200 $ GAS FI A a XG FEES: NO. RATE TOTAL lot 3 Fixttufft • • • .. • ........ •. j $100 f! WQ ,AMSonal IFIxtum ... . . ...,e s e e e . 2 $ 35 • Gat Range to 1W.0W BTU ............ a $5.00 f • State Surcharge $�-5Q._ I"AD5f�1.r�ALTERATIo to Cb& r ®t e . . . • e . . . . ... s e . ... . A. • . • ...... . so e o e 0- ...TtT AL iia: Ik o2 TOTAL specified, affinee nff to do &13 vow La pct accordance wfth Zhe Qt,7 &ad n&Unj 02 the ndpa'ea& ®f� oundAngse and hereby declare that 01 the 1&0 Md c%Yed in wiz QPPUCO M -e �= ' or rect _R Yrid�ey, kmnm owner Kind of Building To be completed abwt Esthmated Cosk �; — Ol New. Building Permit No. Pere w I&k- 0 l\ e \ \ =�•r A h y� t � J�'';1$.,a � � � � � @%-A "Maus ® wb®fig F'.�be � .. PArZ71AL �,VAT Z -Z',, C F'E'. D UL E Depot. of � °'M.S1@AI" W M: AATl- TOTAL Shell & wh ... ..... . $10.00 Replacement of Fornace ... .... 5.03 Repairs & Alterations—&jp to $4ftoo 6.00— Tlepaias & Alteratlons each zold. 000.00 S.Gi-- Shen &ddDuct work to 120,000 BTU., �1®.pipp �� each add. . 30,0 r Y W00 pee . . .. .... . . .. . . . .. . . Replacement of Furnace 0.00 Rapdrs & Alterations. --up to $M.00 5.00 Rqpairs & Alterstlo= each add. $M.00 3.00 : I TMAM at NOT WATER! SYSTM :rnace Shell do Lines—to 400 sq. ft. ZDR Steam $10.00 $ _.-- Purnace Steel) & Line—to 1640 sq. it. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam 9.Ott-- Kaci: arid. 320 sq. ft. KDR Biot Water 3.00 OIL SURNER—to 3 gal. per hour &00 $ _ over 3 gal. per hour—See Fee Schedule GAS B (up to MON BTU) Lw . 0 0 aver 195,000 BTU Sem Fee SchodWo GAR it I MNG FRES: NO RATE TOTAL 1st 3 Fixtures x= 100 $ © 0 Additional Fixtures a .75 $ Gas Range to 195.00® X$ !l:00 $ AIR COLIDLT!<oltlL1lG FAN IMATJING SYSTEM VENTZ34TING STSTM ALTERATIONS & REPAnM RAUGS Fur". G - 0 � a" Fee ' 3 7a---) TOTAL. rM$ .51T i City of Fridley: The undersigned hereby makes applicaigan fy a permit for the work hguvig specified, agreeing to do all work in strict aSoordamce with the City ChvAmmew and ruling of the Department of Buildings, add hereby declww that an tie 2acs and representations stated in this application are Vue a" c2nnact. Fridley. Kind of Building l.___ / Used as. To be completed about -_ _. — vv�� Estimated Cost, $..—_�_(. 0 D _ _ / �►. uilding Pftwdt No. P"Mit No. f0 BURNER — Trade Nam Size N06 Capedty Sq. Ft Z D Jt BTU (NMARIIf—OY[Rl SUBJECT NO• City of Fridley 21166 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 NUMBER REV. GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 , L 612-571-3450 910-F15 11/27/91 JOB ADDRESS 1510 North. Timber Ridge NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Part Of S ction 13 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Season Const Co Inc. PO Box 32033, Fridley, MN 55432 786-4039 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Townhouse 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace front steps and landing (31.x 3r, with.2 steps) 9 CHANGE OF USE FROM TO STIPULATIONS Seenotations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $500 $150 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15,00 Fire SC $.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 16.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PER TED IS IS YOUR PERMIT 1 MATE SIGNATURE OF OWNER OF OWNER BUILDERI (DATE) NEW [ ] ADDN ( ) ALTER [ ] Construction Addres! Legal Description: Effective 1/1/91 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application Owner Name dt Address: Contractor: ,7_1 11MJM LIVING AREA: GARAGE AREA: DECK AREA: OTHER: _ Tel. # Tel. #? a(o Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF DG'ROVEMENT, Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard !%rks Type of Construction: i Q F! ? ,�--c-A3,0o p Estimated Cost: $ �� SO a Approx. Completion Date: MW a 4k) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: r Tel. # ;7e - °ZOc3�'� Permit Fee $ fn 0 Fee Schedule on Reverse Side Fire Surcharge $ 96 .00l of Permit Valuation (1110th%) State Surcharge $ RC1 $.50/51,000 Valuation SAC Charge $ $650 per SAC Unit Driveway Escrow $ Ah. "A" or Alt. "B" Above Park Fee $ Fee Dderrmined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: nd SUBJECT PERMIT N0. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO COMMUNITY DEVELOPMENT DIV r I PROTECTIVE INSPECTION SEC -% `� / `) CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY J 612-571-3450 910-F15 6/12/95 JOB ADDRESS 1502,1506,1510,1513,1514,1517,1518,1521,1522,1525,1526,1529 N Timber Ridge LOT I, ypN528, 152 , 15 0,1 S Timber Ri g& ATTACHED 1 LEGAL , , ,T DESCR. Various SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Various 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Dale Dahl Contractor 451 Maple St NE, Spring Lake Park, MN 784-6353 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential Townhouses 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $5,400 $2.70 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. $81.00 Fire SC $.5.40 PLAN CHECK FEE TOTAL FEE $89.10 S�GNATuq FCONTRA OR AUTHORIZED AGENT IDATEi WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT (%� C -`/ k- 0L R& r$A TE SGNA URE OF OW NER�iF OWNER )ERi IDATEI nd It sue�EtT PE City of Fridley 28704 AT THE TOP OF THE TWINS BUILDING PERMiT 572__--36oq4 RECEIPT NO. ` coMUNITY DEVELOPMENT DIV. v . ( J r PROTECTIVE INSPECTION SEC. NUMBHR 7 OkTH PAGE Of kPPROVED 8v ICITY HALL FRIDLEY SE432 ._-.��.� 1 612-571-3450 910415 12/3/98 / JOB ADDRESS ' 1502 1 0 1 I LEGAL LOT NO. BL TRACTOR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE J CONTRACTOR MAIL ADDRESS A-1 Roofing & rn-niqt'- 'AQ9-n qimtea-r hue N Crystal 55427 ZIP PHONE LICENSE NO P—'9939 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING sidential 7 CLASS OF WORK ❑ NEW ❑ ADDITION D ALTERATION XX REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK 8 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with theState Building Code. ;OR TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 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 $4970 $2.48 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF AN OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIONOR TH PERFORMANCE OF CONSTRUCTION Fire SC 4.97 1 Z G ` (j PLAN CHECK FEE TOTAL FEE t• L— - ( p$112.20 S ATUPE OF coly-P-71FOR OR AUTHORIZED AGENT MATES WHEN PROERLY LIGATED THIS IS YOUR PERMIT -BLQI9 INSo f�AtE S-GNATURE Of OWNER, -T OWNER BUILDER, gOATE, NEW ` ['1 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: k `,nn(DPJ C Legal Description: Owner Name & Address: Contractor: Address: HOZ Effective 1/1/98 �11 ►c�►fn _ Ical Tel. # 6-'::;k4 b MN LICENSE # Q Tel. #i 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: C- -SAO 4'.2 Construction Type: Estimated Cost: $� n (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: `2� �`7 G APPLICANT: < Tel. #q Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ S OO 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 [ ] G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 November 26, 2001 Ms. Beth Pickering 1510 North Timber Ridge NE Fridley, MN 55432 Re: Final Inspection at 1510 North Timber Ridge NE Contractor: Norblom Plumbing Co Dear Ms. Pickering: A plumbing permit was issued on July 12, 2001 to install a water heater at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections 'to make sure the work was completed according to the Plumbing Code. 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 expired the permit 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. Rinr -rely DJ/mh CITY OF FRIDLEY INSPECTION DIV. /�� ® 1/ of � b&�- Effective On Jan 1, 2000 34.31 University Ave NE Fridley, MN 55432 �� , (, 1 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLFn ON FACH FI OnR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS_ 54NI ' O -s dtA>I 1 I2 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 $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $-0Q____50 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 PICKERING, BETH 1510 TIMBER RIDGE NORTH FRIDLEY, MN 55432 Owner _ (763) 586-0931 Building Used As (a 1717 20 61 Estimated Cost PERMIT NO. PLUMBING COMPANY PU) ACS SIGNED BY TEL N0. Z" O Final Date kOL l U r0J 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's 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 : CITY OF FRIDLEY PERMIT NO. 2004-00965 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 06/22/2004 ►63) 572-3604 FAX: (763) 571-1287 ADDRESS : 1510 N TIMBER RIDGE NE PIN : 133024110102 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : BUILDING PROPERTY TYPE : TOWNHOUSES CONSTRUCTION TYPE : DECK VALUATION : $ 2,782.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 28'X 8' DECK. STATE LICENSED CONTRACTOR 1 APPLICANT GASSEN COMPANY INC 7275 BUSH LAKE RD EDINA, MN 55439- (952)522-5575 A/T ' PICKERING BETH M 1510 N TIMBER RIDGE 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 wort 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 regulatingco tion or a rformance of construction. ADDlicanDateC°12-21WY :._ till► ,,11,OFS BUILDING PERMIT FEE 83.25 FIRE SURCHARGE 2.78 STATE SURCHARGE, VALUE 1.39 LICENSE SURCHARGE 5.00 TOTAL 92.42 PAID WITH CHECK # 24547 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY 1�3y'q Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION C>?00 Construction Address: Legal Description: It 4A— Owner Name & Address: 22 Tel. # Contractor. f A�s'�/L_ G'Gy� � 7A- MN LICENSE# Address: �� J� sr 5 h (,�� _ r' n riD7'x" I .ti S��/"� i Tel. # ��'s�) 5�.� - s' 4' Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LNING.AREA: GARAGE AREA: DECK AREA: OTHER: Length �� Width �_ Height Sq. Ft 2' Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: �Estimated Cost: $ - YP Driveway Curb Cut Wdth Needed: Ft + 6 Ft = Ft x $ —=$ (,,t2— j� / DATE: `-�' � (P IC)"-( APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in ap ication. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control H Park Fee $ Sewer Main Charge $ TOTAL $q�'ql Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] STIPULATIONS: CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 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 �Aoo - D 1 <e) Iv Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS A7zam ICES JOB ADDRESS /5 /® W&M Fee Total(�f - Owner /� ! G� 1"763 "%63 - .J �p✓'q— ®9.61 $35.00 $ 36,0 $10.00 $ $10.00 $ $10.00 $25.00 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 $500.00 Commercial/Industrial/Institutional 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 Building Used As 0 ESTIMATED COST_ <� !L PERMIT NO DESCRIPTION OF FURNACE AND BURNER $ # of Heating U!%�4_5;T4 / Circle One (Steam) (Hot Water) rm Air OO Trade Name '�Size No. �" $ R'5" t6 BTU HP EDR Fuel %? 'P Total Connected Load $ Burner Trade Name Size No. BTU HP EDR $ .50 *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 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 representati ns stated in this application are true and correct. HEATING CO 10 Signede, Tel FAX # Date V_/ ��49 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, deteriorati©n, obstructions, and is securely supported and firestopped where required. Yes ( No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer Yes () No specifications including sizing, length, number of elbows and termination. 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 No( ) assisted and natural draft appliances. Yes (t�/ The existing combustion air is sized and installed to meet the current codes Yes ( ) No and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed Yes No( ) to meet the current codes and manufacturer's specifications. 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 Yes No ( ) Venting Tables for fan assisted and natural draft appliances. 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 T e and Size/Common Vent and Vent Connector Information .11 f7h Appliance #1 Type BTU Input / . Dm Fan Assisted or Nat A4� Appliance #2 Type BTU Input d Fan Assisted or Nat A> Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height 20 Diameter inches Appliance #1 Vent Connector Heightft Length ft Diameter n Type �. -APP liance #2 Vent Connector Height1:ft Length �_ft Diameter Ain Type . _.A`ppliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: T ' "VE LLI)I NAPM Date %-� Signed By:r �° %� !A - - Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received ft 763-572-3604 CITY OF FRMLEY Date t 2 DATE � �G /D % YOUR E-MAIL ADDRESS /'I h4YG eY- SITE ADDRESS Z5/0 N 125;w � THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: jj 1�,, l'iG�Pa,vrcr ADDRESS: JlS/D 00 amiss is .��SC /UE C. j1--,,,L1e l STATE ZIP�L TENANT $ PHONE: CONTRACTOR NAME: r 0-T-6er, ew�t-e U STATE LICENSE # aRWO> 2 �I �i EXP DATE /3 /1U S SAC Charge SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: W ZS- %+1"14SA La eared _ CITY AM;u,- STATWV —<2W9 WrfHAPPLICATION PHONE PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE $ ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS Fee Determined by Engineering ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE $ 'DECK ❑ SIDING ❑ OTHER Total Dae ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDMON ❑ MAINTENANCEWTAIR ❑ REMODELING DESCRIBE WORK BEING DQNE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. � ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES 13 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 1. Site Plan/Spivey showing the existing structures ❑ Other ❑ Fascia and propos projec 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS [Wes ❑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 978U® .0 FEE SCHEDULE) TOTAL JOB VALUATION � TYPE Permit Fee $af. 9 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ , ,pS�a .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $�19�10D $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Dae $ Make checks payable to: City of Fridley Attach 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 whit ew and approval of plans. ��,, // /, SIGNATURE OF APPLICANT PRINT NAME 1! /V ` !/�ij�C�e� DATE %�Za 7 Building PLUMBING Permit No.wqo Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY v c 763-502-4977 FAX EFFECTIVE 2-19-09 DATE 1 1 12'I 101 YOUR E-MAIL Ar DDRESS SITE ADDRESS ! 5 (C1 NU 1 \ WOO e,- R t Q e <= THIS APPLICANT IS: ❑ OWNER •'CONTRACTOR PROPERTY NAME:C Zv I h OWNER/ ADDRESS: -5 10 l CITY T -r 1.L1Lj STATE ZIP -5-5 l TENANT PHONE: CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: SO Z- YY\a I rX bi CITY I�-iy►GiiG. STATE I F ZIP INSURANCE PHONE �Ic�- �7,yi�OC�rs FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW PLACEMENT DETAILED DESCRIPTION OF WORK 4�L)• , FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15:00 x $15.00 = $ uci Number of fixtures @ $35.00 x $35.00 = $ State Surcharge $ .50 UM $35.50 Total= $ 3 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 pe t and work is not to start without a permit on site; that the work will be in accordance with the approved plan in ase of all hick requires review and approval of plans. j r1 SIGNATURE OF APPLICANT PRINT NAME -.6 n 11 41 \%' L'1 DATE l Z PLEASE NOTE. SEP PERMITS ARE UIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977