The URL can be used to link to this page

PRE 2010 DOCSt City of Fridley, Minn. 11 00 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT I)ate:—September 29, 1972 Omer: _ Landvest Development Corp. Builder Same Address .2$28_ ith Av'PUUP— So , h- WS - Address Same LOCATION OF BUILDING Na 1526 Street _ North Timber Ridge N.E. part of Lot See 1502 North Timber Ridge N.E. Lot Stock Addition or Sub -Division Corner Lot Inside Lot Setback Sideyard Sewer Mevatlon Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Townhouse Front 42' Depth 29'7,32,11 Height 20' Sq. Ft. _ 1918' Cu. Ft. 1826 81 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Wood Frame Est. Cost 1 $22,101 To be Completed 3 months Stipulati.onsd See 1502 North Timber Ridge N.E. in consideration of the issuance to me of a permit to cons the building described above, I a to do ft Proposed work in accordance with the description above set rth and in compliance wi all pro 'ons of fiances of the city of Fridley. Y)M4qti:2f_ 11.50 Siatd Surcharge In consideration of the payment of a fee of $ 53.35 , permit is hereby granted to Landv_IiCorp to construct the building or addition as described above. This permit is granted up= 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 Pridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings .Within� city limits and this permit may be revoked at any time upon violation of any of the provisions of said Inspector CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to sea tht—Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OWNER, I S NAME s OR ADDITION BUILDING PgRMIT CITY OF FRIDLEY, MINNESOTA BUILDER: ADDRESS: ADDRESS: NO: %- STREET: LOT; BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEXARDS 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: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: To Be Completed: Estimated Cost: $ The undersigned hereby makes application for a permit for the.wprh hergin specified, agreeing to do all work in attict accordance with the City 9f Fridley Ordinances and rulings of the Department of Buildings, and'hereb7 declares that all the facts and representations ted in this applicetia. are true and correct. DATA; � Z. SIGNATURE: (See Reverse Side For Additional Information.) /, SD _f Nth RATE TOTAL NumbW Wixtures ................ x wo4--a-21 Future Mutaare Civning .... o x $1.50 JIL-Ji New Fixture Old ming .......... x $1..50 f CstcN Basfr 0 .................... Y s Water Heater !Up to 99.009 BTU) .... t S Nev Ground Rua Old Bldg......... x $3.25 S Electrk Water heater....... o ...... s $100 $ CAB FITTING gEE8: NO. BATE TOTAL 1st 3�Fiixttur7eys .... ... • • • • . • • . • . • • � 2 $too $ 0 � Additional Fixtures .• . • ........... • z $ .76Qs Gas •° fie to 190,000 00 .. 4.... ..... R =5.00 i • State Surcharge $.50_ REfAVU l&ALTERATIONS-•Aabr M Osdo DucripUM s • .. s e • . .. a. a .. ..• ..... s ......o . ao e . e a.. ..'< . TOTAL FM ii '...i `7 Y. A. " , _ _ iMUNZING FIX 7,01E RATES: Nth RATE TOTAL NumbW Wixtures ................ x wo4--a-21 Future Mutaare Civning .... o x $1.50 � New Fixture Old ming .......... x $1..50 f CstcN Basfr 0 .................... x $3.0 s Water Heater !Up to 99.009 BTU) .... x 63.00 S Nev Ground Rua Old Bldg......... x $3.25 S Electrk Water heater....... o ...... s $100 $ CAB FITTING gEE8: NO. BATE TOTAL 1st 3�Fiixttur7eys .... ... • • • • . • • . • . • • � 2 $too $ 0 � Additional Fixtures .• . • ........... • z $ .76Qs Gas •° fie to 190,000 00 .. 4.... ..... R =5.00 i • State Surcharge $.50_ REfAVU l&ALTERATIONS-•Aabr M Osdo DucripUM s • .. s e • . .. a. a .. ..• ..... s ......o . ao e . e a.. ..'< . TOTAL FM CIV a db�: The undc-7-sied h n' v M,L.e_+ opph mtian 90? a Permit ycs ' - Bacon speciSicv, ngnena ft de vwLLz to sWct aecardaecce with ?ilE QX zzd v ag aig 04 the pan n t eg Zufldf2W, and Pnemby declwez thstc all Rhe Aaci and Mijp-&es;Catntfaw Unte 1 in this appucaLAM M -a t aa„ =d c-,ayec� c� iridley. m `. � Bo - Kind o - Kind ®f To be completed abwt Fatinnated Ca , Old Building wait No. Plenat'NO- signed By Business Mae Ns U � PAII 7e k L ', '' "`�'" er Dept. of mdjp. 1"MA171'ITT %vAM 'WM: lAVE TOTAL FUrnace Shell & Duct Work ..... .. $10.00 $ Replacement of Famee ... 6.00 $ 'Repairs & Alterations—up to $W.00 6.00 Repairs & Alterations each add. 4900.00 3.00 WANK AIR Airnaco Shell & Duct Work to 170,000 BTU ... .. . ..$10.00 each add. 60,000 BTU ............... .... ZW $ Replacement of Furnace $.00 $ Repairs & Alterations --up to $300.00 6.00 $ Repairs & Alterations each add. $:300.00 3.00 $ i� or HOT WATER SYSTEM ITurnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $ F'urnace Shell & Line --to 040 sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam &on Each add. 320 sq. ft. IDR Hot Water 3.00 OIL BURNER—to 3 gal. per hour 6.00 $ _ over 3 gal. per hour --See Fee Schedule GAS BURNER tup to 18%OW BTU) LOO $ ower 199,000 BTU Sae Fee schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Ftixtures xS 200 $'2 Additional Plxtures x ,7 $ Gas Range to 199.00® 4 &00 $ AIR COIIDTRON1111G FAIL EIZATING STi'!M VENTILATING SYSTEM ALTERATION9 & REPAIRS S/D. tib see Fee Schedule • 3 -7a, A , c� TOTAL nm S 0 rSf City o3 The undersigned hereby makes applicaftn Yes a permit for the wout hereig specified, agreeing to do all world in stricterSe nce with Vae StyrOrdbumew amd ruling of the Department of Buildings, a9d hereby decLRs that an the fmLs and representations stated in this application are tyjn ea amwect �JJ Kind of Building.— Usedas To be completed about _--- .___._ Estimated Cost, $_._I J 4/_C . _ //__ �uiiding Permit No. Permit No. �c0 9 ANNICIROTION or Wow HLATDNG or PO Hot Water arm o Trade Name Size N„ Id L�3 —ll 0 Capacity- Sq: Ft. RDA BTU_H.P Total Connected Load Kind of Ane BURNER — Trade Size Not Capadty Sq. Ft. E.D A- B1V Mr. (ft MAiXS-0V0j INftENT REPORT FRIDLEY POLICE DEPARTMENT /7/ PORT O Tf REPORTED l5 - DATE OCCURRED I d I OR DESCRIPTION Cane r -9—) MN00206W DAY: S M T TH F S HRD: R - radio CFS LP - phone INC A - alarm ARR I - in perso JUV V - visual OFF N - mail PROP T - other o� L CS ISN U0C DISP REPLACEMENT VALUE: V" OF DAMAGE: VALUE RECOVERED: TIME OF ARREST 01 SUBJECT PERMI City of Fridley o 20139 AT THE TOP OF THE TWINS BUILDING PERMIT REC � • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 3 yQ S r PROTECTIVE CITY HALL FRIDLEY 55432 �•j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/29/89 JOB ADDRESS 1526 North Timber Ridge N.E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. See Fil SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Timber Ridge Townhouse Association 1540 S. Timber Ridge 571-0276 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hanggi Building & Remodeling 1901 - 85th Avenue N.E, Blaine 55434 786-5900 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Townhouse 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION P REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 6110" x 5' Deck 9 CHANGE OF USE FROM 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 SQ. 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 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 $480 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15-00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY VA IDATED THIS IS YOUR PERMIT BLD3 WSP a BATE SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) 01 NEW [ ] Effective 5/1/88 ADDN [ ] R-1 AND R-2 AMER C ] Building Permit Application CMwtruction mss: / 6 l X(A LC -1' Legal Description: Owner Name & Address: i �,% /�' %/ �// 15 4o S, el d � �- .` �� ?f'' /��Lr2u°s94'�'e,[sSC ,�..��G��4%°I�•'9 T�1. # 5-71-02 ?6 Contractor: C®ca7`�"ic e � Address: _ /5/'O k)� At,2, A o, W-) A - .SV 3 � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. L�QtIPl'IQr1 CP II VB�ff�A' LMM AREA: Length Width Height Sq. Ft. MOM AREA: mgt_ Width Height Sq. Ft. EEM AREA: Length 4 �/0" Width Hgt/end ;(L" Sq. Ft. OMM: Corner Lot [ ] Inside Int [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: -L-�z L,,„J7,ers Estimated Cost: $ y fo,y 0 Approx. Completion Date: 5'w e ekJ Proposed Driveway Width If New Opening Is Desired: Ft. $ $ DATE: _� _ �� Width + 6' See Back Page APPLICANT: %wry �:-�,%t 7i�d• R� f� # gec' CITY USE CHLY Permit Fee $ 8 C) Fee Schedule on Reverse Side State Surcharge $ 4 $.50/$1,000 Valuation SAC Charge $ $575 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineari.ng Sewer Main charge $ Amt Necessary [ ] Not Necessary [ ] TOTAL STIPULMUN.S: nd SUBJECT PERMIT_ N_0__ City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT L r _ RECEIPT NO L. • � COMMUNITY DEVELOPMENT, DIV. -------, r I PROTECTIVE INSPECTION SEC. CITY HALL FRIDL EY 55432 NUMBER REv DATE PAGE OF APPROVED BY 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 I LEGALLOT NL504 , 6 , ,T IpN528, 1528, 15 0,15 S Timber i $k ATTACHED 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 MAILADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential Townhouses 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT. ERMIT 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 $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 $89.10 SIGNATu FCON:RA OR AUTHORIZED AGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT _ BLg2_kbQW DATE SDERI IDATEI nd 7 SUBJECT City of Fridley 28707 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. V-----_CpMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 1 � NUMBERREv DATE PAGE OF APPROVED By = 1 �'-•t CITY HALL FRIDLEY 55432 612-571-3450 910416 12/3/98 JOB ADDRESS 1518 1522 1526 153'0,1534,1538,1542,1546 North Timber Ride N.E: .1 LEGAL LOT NO. TRACTOR ADDITION SEE ATTACHED DEscR. I Part. of Section 13 SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP A-1 Ronfing & rnngt- ingo Signter 439a N Crystal 55497 546-5939 PHONE LICENSE NO 4 ARCHITECT OR DES GONER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING 7 CLASS OF WORK O NEW O ADDITION O ALTERATION 30 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof town homes 114 S 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 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 A13ANOONEO FOR A PERIOD OF 120 DAYS AT ` ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 9769 $4.88 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- SC STRUCTION OR TH7 RFORMANCE OF CONSTRUCTION 162.25 Fire ,$9.77 . _q G PLAN CHECK FEE TOTAL FEE \FZ 7 1 176.90 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEP WHEN PROPER ALIDA EO THIS IS YOUR PERMIT C. B G INSp FIATS S,GNATURE OF OWNER of OWNER BUILDER, MATE, 7 NEW- [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � b BUILDING PERMIT APPLICATION ��' (� ConstructionAddress1S q Legal Description: Owner Name & ddress: Tel. # Contractor: '" < <06 MN .LICENSE # Address: e n 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: $ Park Fee $ Construction Type: f' e-- CdJ Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Z��7�-9 APPLICANT: <-,... ,,�Z� Tel. # '�E(4 6 ^5q !3q 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 $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 [ ] :,ITY OF FRIDLEY INSPECTION DIV. 3431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NIIMRFR OF FIXTI IRFR TC) RF INSTAI I Fn r)M FAru GI nna Effective On Jan 1, 2000 y~ RATE TOTAL JOB ADDRESS __5,IrfE JtS 6u3> S 12— New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein -NJ $ 4.00 mm� Beer Dispenser e and rulings of the Biuilding Division, and hereby declares that all the facts c $ 7.00 .and representations stated in this application are true and correct. Catch Basin $ 7.00 CAMERON, LISLE Z Rain Water Leader $ 7.00 1526 TIMBER RIDGE NORTH /�� 20CZ- Sump/Receiving Tank $ 7.00 (763) 5 2 94 55432 (763) 572-0943 Water Treating Appliance $10.00 Owner _ Water Heater -Electric $ 7.00 Water Heater - Gas*" �_ $10.00 Building Used As�;S-61mw c, Gas Range*` Gas Dryer** $10.00 $10.00 0e Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 % PLUMBING COMPANY � IZ�1�}� PL() J✓��711/i C � Reinspection Fee $47.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date 4q State Surcharge $ .50 TOTAL FEE MINIM M FEE IF R ANY PLUMBING[GAS PERMIT IS $20.00 PLUS THE 5.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A COMMON VENT INFO ON BACK SIDE PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS __5,IrfE JtS 6u3> S 12— New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Biuilding Division, and hereby declares that all the facts Blow Off Basin $ 7.00 .and representations stated in this application are true and correct. Catch Basin $ 7.00 CAMERON, LISLE Z Rain Water Leader $ 7.00 1526 TIMBER RIDGE NORTH /�� 20CZ- Sump/Receiving Tank $ 7.00 (763) 5 2 94 55432 (763) 572-0943 Water Treating Appliance $10.00 Owner _ Water Heater -Electric $ 7.00 Water Heater - Gas*" �_ $10.00 Building Used As�;S-61mw c, Gas Range*` Gas Dryer** $10.00 $10.00 0e Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 % PLUMBING COMPANY � IZ�1�}� PL() J✓��711/i C � Reinspection Fee $47.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date 4q State Surcharge $ .50 TOTAL FEE MINIM M FEE IF R ANY PLUMBING[GAS PERMIT IS $20.00 PLUS THE 5.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A COMMON VENT INFO ON BACK SIDE COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the BTU Input Fan Assisted or Nat venting has been examined and is free from rust, deterioration, obstructions, BTU Input Fan Assisted or Nat and is securely supported and firestopped where required. Yes () No ( ) The venting.system is plastic/PVC and meets all current codes and manufacturer Total Btu Input 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 Twe 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:. ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 6WIM111121 Nr«»PYAo fs;M 1526 N TIMBER RIDGE NE 133024110106 UNAVAILABLE LOT BLOCK BUILDING RESIDENTIAL DECK PERMIT O.: 2 04-01104 DATE ISSUED: 07/22/2004 VALUATION : $ 2,521.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651454-0002 FOR UTILITY LOCATIONS. REPLACE A 27'X 7'8" DECK. STATE LICENSED CONTRACTOR 1 APPLICANT GASSEN COMPANY INC 7275 BUSH LAKE RD EDINA, MN 55439- (952) 522-5575 OWNER CAMERON LISLE M & WILHELMI S L 1526 N TIMBER RIDGE 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 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel th provisions of any other state or local law regula ' co tion or ormance of constructi� Annlicant :-/,�.:�-, Date ?/2 Bldg BUILDING PERMIT FEE 83.25 FIRE SURCHARGE 2.52 STATE SURCHARGE, VALUE 1.26 LICENSE SURCHARGE 5.00 TOTAL 92.03 PAID WITH CHECK # 24678 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY ADDN [ J 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: N3 Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax R3978 Owner Name & Address: - Tel. # Z& i 7A- �- MN LICENSE# Contractor. ��>�� Address: �� ✓� 6ex ke- n rop l' / vva Tel. # (,'g�) Attach to this application, a Ce0cate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVINGAREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length 7 Width % `� Hgt/Ground /® Sq. Ft OTHER: Construction Type: -7C- k '4 Estimated Cost: $ r > Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. 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 Park Fee Sewer Main Charge TOTAL r 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: OCT -17-2005 13:04 CITY OF FRIDLEY Wilding nspections '63-572-3604 ATE 1 I Izq 17E ADDRESS HIS APPLICANT IS: TENANT SUBMIT A COPY OF YOUR STA'T'E LICENSI~ WITH APPLICATION F I � BUILDING P'emlitNo.: o,OOS-03( k RESIDENTIAL APPLICATION Received By: CITY OF FRIDLEY nate R.ec'd: YOUR E-MAIL AXTWMS ocr ADDRESS; STATE LICENSE # F,7G' DATE 1-(Dg15 - �� - -FAX b 5/ - 79-7 - PERMIT TYPE 0 AMMON u vPX lV D BASEMENT FIMSH Q ROOF ❑ DECK 0 SIDING OF'WORK- n •r. 55 ;i V,11 �, STAT>i rS4 L WO.M BEING DONE: N 1/ Ldaa A B/ l )-`V A 32E OF LENGTH , WIDTH T-IEiGHT - sq. Ft SQUARES �,,AAAGES PROPOSED SUE.'- PROPOSED HEIGHT: iMING :3 Vinyl 0 Other wmoml IN EXISTING 0P9NINGS CYC5 A40 OR FOR NEW OPO4INGS-D E SIZE OF OPENING Cly OBS & i BE INSTALLED % NUUEER OIC WINDOWS % - I -- ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS 0 HOUSE & GARAGE O ATTACHED GARAGE 0 DETACHED GARAGE 0sofflt 0 Tin D fascia LOCATION OF WINDOWS ALL Permit Fee Plan Review Surcharge Fire Surcbarge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer 1Vlain Charge BASEMENT REMODELING _ MIT: 1. Existing Floor Plan 2. Proposed R= plan 3. List of strucdual men1bers to be used FOR NEW CONSTRUCTION INCLUDING DEC", FS ADOMO_N-S, A EDE SUBMIT: 1. Site PianlSmey showing the existing Much res and propascd project 2. Two sets of constrvctica plans 3. Ettc p CeiculMions (USING THE 1997 U.B.0 FEE SCHEDULE) . JOB VALUATION S OCCUPANCY TYPE $ See Back Page for Fee Schedule $ 65% of Building Permit Fee $ o(.0005) times the total job vahlaiaon �- Minimum S.50 . , $ a .001 x Permit Valuation (1/10%) $ _ $5.00 (State Licensed Residential Contactors) $ $1454 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftxS20=$ $ $450 Conservation Plan Review $ Fee Detenmiued by Engineering $ Agreement necessary ( ) Nom Necessary ( ) �f) Make checks oavable to: City of Fridley Attat THIS IS AN APPLICATION FOR A PERMI t NOT VALID UNTIL PROCESSED I hereby apply for a building permit and 1 acimowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. II SIGNATURE OF APPLICANT � Vt�1 /i1Jl�ji+�r 1(INT NAME hLr�'l<�Cl � Y11�/ t l �'k City of Fridley Building Inspections Dept. 6431 University Ave NE Fridley MN 55432 jk - (p63Z Ph: 763-572-3604 FAX: 763-571-1287 Mechanical Residential Application City of Fridley Spp gar_k Side For Reauired Information Permit # Date z 11Y 1,65- Site Address: d /VD The applicant is: (cirice one) Owner Contra Property Owner: Aic v -A W l Aelen � 4 Lis A, P Ap+611-®." Address: , S a M 6f:A /21 1,1a City: &Laeta S ate: /v.�,j Zip: SS5-Y3 2- Phone:7 Z - Qltl3 Cell: Fax: Contractor Information Company Name: M 44.511 1 .A'4 *4 ,yam Contact Person: 16--114 0'1 A2fH Address: 64VS C A4& LA" h City: QM -1 State: Mr' Zip: 0- " Phone: 76 3 -.3 6 e 0 66 7 Cell: Fax: Email: MN Bond# & Exp Date Type of Work (circle one): New Re laceme Alteraiion/Remodel Detailed Description of work: pe -j Le JV -16A luaJ old ONIE A'46 rs Go'1'. Equipment Installed: MFG: 4,4NOx Model 96,11iP✓s6AoaSize/BTU: -9®.too MFG: Model: Size/BTU: MFG: Model: Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 A/C $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _Air to Air exchanger $15.00 X Fumace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 _Ventilator $15.00 Chimney Liner $10.00 _Gas Piping $10.00 _Duct Work $10.00 Gas Range/Oven $10:00 Permit Fee $ 'q6-'00 Minimum fee $15 or 5% of cost of improvement Surcharge ,, `` 0.50 whichever is greater + surcharge Total Due Make check payable to City of Fridley J This is an application for a permit- not vauu umu piOGOSaGu I hereby apply for a mechanical 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 case of all work which requires review and approval of plans. Signature of Applicant: % Date: /Z //S o� Approval Inspector Signature: u Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IN4C Chapter 5 with MN Amendments 3. Venting a. Gas appliances 1FGC Chapter 5 with MN Amendments b. Fuel other than. gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building BUILDING Permit No.: 07 a Inspections RESIDENTIAL APPLICATION Rec • y: O 763-572-3604 CITY OF FRMLEY natTe c'd: DATE A % YOUR E-MAIL ADDRESS 17herM eel^ 2 e6'1. C' -A SITEADDRESS I-1--R6%I~Ii'/ �.P�Z6 Al F•_ei THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: i vo— ADDRESS: SZeo il/CITY e �•��i STATE.3Z TENANT 5 3 PHONE -.-2(;S- 577--09V3 CONTRACTOR NAME: Gasseh STATE LICENSE # a04e� 2 L& EXP DATE --'zad SUBMTT A COPY OF YOUR -STATE LICENSE r� ADDRESS: —W ZS ,0msh La ll- ZCTTYBerlina STATE _$�39 WITH APPLICATION PHONE �o�� g �' FAX 95a - ZZ ---24n1 q PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE Erosion Control DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DQNE: �r`i��' SIZE OF IMPROVEMENT LENGTH WIDTH T HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY Total Due NUMBER OF SQUARES ❑ HOUSE & GARAGE B_ASFMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES [3 ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: [3DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FORNEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey slowing the existing structures ❑ Other ❑ Fascia and propos pmlect. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS Yes [3No LOCATION OF WINDOWS ❑ OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1"7 UfB.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE _ Permit Fee $7712-55, See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 5 3 .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $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 Due $ 3o?: 5 Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMTT-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 whic4ireSE:WAew and approval of plans. /, r � ,-I I/ l SIGNATURE OF APPLICANT N Irrl