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PRE 2010 DOCS11701City of Fridley,dley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: _ September 292 1972 pwner:-j.andvPat nPy„P1 opment- Carp, Builder Same - Address 2828_ -_5th Avenue South., Mp1s. Address Same LOCATION OF BUILDING No. 1530 Street North Timber Ridge N.E. part of Lot See 1502 orth Timber Ridge Lot —_.._ Block _ _ Addition or Sub -Division Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation _..__. DESCRIPTION OF BUILDING To be Used as: Townhouse-__ Front 38' Depth 29_t 7 a" Height 20t Sq. Ft 1854!_ Cu. Ft _17 9 AA -- Front . — Depth Height Sq. Ft Cu. Ft Type of Construction _Wood Frame Est. Cost 2_12187 _ To be Completed 3 months Stipulations: 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 tq do the proposed work in accordance with the description above rth and in compliance wi all pro ons of Ordinances of the city of Fridley. 11.00 SiatA Surcharge In consideration of the payment of a fee of $1.25 , permit is hereby granted to Lan dy y.�Corp. 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 builcliAg� ivithin nthe city limits and this permit may be revoked at any time upon violation of any of the provisions of said c L l�Inspector LARENCE BELISL NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OWNER'S NME: OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA BUILDER: ADDRESS: ADDRESS: NO:. 1 STREET: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: 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: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: $ To Be Completed: The undersigned hereby makes application for a permit for the -work 'bereju specified, agreeing to do all work in sttict 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 apps gttq, are true correct. DATE: - 2 ` SIGNATURE: (See Reverse Side For Additional Information.) OP t1. PLUMBING FIAT-` E RATES: E06 RATC TOTAL A h 41 $ Future rarztwe C.1pening .. � . o • .. _ E . x $1.50 ffi New Fixture Old Opening ...... o . sx $1.50 $ Catch Basin .................... $ 83-M = Water Heater (Up to 99,000 BTU). • . • ®� x $3.00 f� Run Old Bldg. ........ x $3.225' ��INpeaw �G��r{oound � Eleetric Ater Rester. . . . . . . . . . .. e a $�,{ o !S • GAS if I A a NG FEES: NO. A1DE lot 3Fixtures ...............� x WN /oTOTAL $ fiWitional 71139tt.........•... x $ •75 $ dao Range to 199,E BTU .. ,......... x $5.00 $ • State Surcharge $_SQ_ a I I Ll t1. PLUMBING FIAT-` E RATES: E06 RATC TOTAL A Numbef Dixtures ................ x x.00 $ Future rarztwe C.1pening .. � . o • .. _ E . x $1.50 ffi New Fixture Old Opening ...... o . sx $1.50 $ Catch Basin .................... $ 83-M = Water Heater (Up to 99,000 BTU). • . • ®� x $3.00 f� Run Old Bldg. ........ x $3.225' ��INpeaw �G��r{oound � Eleetric Ater Rester. . . . . . . . . . .. e a $�,{ o !S • GAS if I A a NG FEES: NO. A1DE lot 3Fixtures ...............� x WN /oTOTAL $ fiWitional 71139tt.........•... x $ •75 $ dao Range to 199,E BTU .. ,......... x $5.00 $ • State Surcharge $_SQ_ MWAMS & ALTEAATI®NS—Defer so Cede Dene i s e® • •s.. a..... e. e.. .....a .. iw ....... a -.. qj_ TATAL Y= ' s City of Mdl@r: The un 6i—, egged h, -7c° y rnTIte-3 opplicet a n for a ps7nat YeTT f Vre Work SV`Ma specified, prang to d® an wort h n dict accor&nce With 0 -Le tEM�N C,;rlin3acv and raaUag of the nzpartmerabjt ©2 Zuildfmp, and hereby decinres dant A� the fac9 and p taa¢i®ana atated in Ws application am 'Fuc amd eorrec% rrti , M A i1 Kind of Building To be completed amt FAtimated Cost, 5 Old- 3,qew Building unit Ne.® Signed Fam T F'�Sl*1 ! -I .., . . :. a Ci/ •. mw _ Aft, a ea nook PAR7b AL U't� S MIZOULDept. of jl 1 MMA7 'A'Sf WARM AM: MATO TOTAL eta =m Shell & Duct Work . ..... .. $10.00 $ Replacement of Furnace ... ..... . 6.00 $ Repairs & Alterations --up to $M.00 6.00 Repairs & Alterations each add. $600.00 3.(W � .:, . Shell & Duct Work to 190,600 BTU... .. . ..610.00 each add. 60,000 BTU ............... .... 3.Ou 3 Replacement of Furnace 6.00 Rcpaiirs & Alterations—up to "00.00 0.00 9� Repairs & Alterations each add. X00.00 3.00 $ or AOT WATER SYSTEM rLrnace Shell & Lines—to 400 sq. ft. EER Steam $10.00 $ _-- Furnace Shell & Line—to iso sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam 11.00 Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 3 over 3 gal. per hour—See free Schedule GAS BURNER (up to 199,000 BTU) 6,00 $ a C� over 199,000 BTU Be* Fee GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures x= Zoo Additional Fixtures x ,7 _ Gas Range to 189.000 z$ UD = AIR COIIDITgOlIIRG $ r� . U U FAN HEATING STSTMS« Fee Sehedols � TER I LATING BTSTEM 3 ALTERATIONS t REPAIRS TOTAL. PEE ROUGH FMA16 0- 51) City of Fddley: The undersigned hereby makes applicafon fur a permit fo-i the work heels specified, aareein6 to do all work in strict-ageordence with the C12y �dhwmw and ruling of the Department of Buildings, afid hereby deelares gmt all tie fr3..w and representations stated in this application are t%e cad convet _Fridley, Awn - �Z 9%�y� 3 gs72 Own" /tel%� MOW Kind of Building .—S -,- Used as To be completed about Estimated Cost, Ow�- uikUng Permit No. Permit No. -�Z ,57V DZECEMM or wcsw RZATING or Wrm No C �orW Trade Name _ Slee Ne L' (Z 3 -- l 1 Capacityi) . (� l , Sq. Ft. ED R HTII KP Total Connected Load FLlad of Fne BURNER — Trade Name Size No— CM Sq. Ft. E.D A- STV UP. (MMA:Ks—ovuq City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PER 142 _ 19860 r • COMMUNITY DEVELOPMENT DIV. r i � PROTECTIVE INSPECTION SEC. 1 `� "'-'1 CITY HALL FRIDLEY 55432 j 612-571-3450 RECEIPT NO. A NUMBER 910-F15 REV. DATE 5/1/89 PAGE OF APPROVED BY JOB ADDRESS 1530 North Timber Ridge N.E. 1 LEGAL DESCR. LOT NO. N. 824.7 BLOCK of the A TRACT OR ADDITION f the NE34 of the NE14 of Section 13 SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hanggi Bldg..& Remodeling 2901 - 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. B USE OF BUILDING Townhouse 7 CLASS OF WORK ❑ NEW Gj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 6110" x 5' Front Entry 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 AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $250.00 SURTAX $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PERMIT FEE $15.00 SAC CHARGE PLAN CHECK FEE TOTALFEE $15.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY V LIDATED THIS IS YOUR PERMIT BLDG )NSP �TEI�� SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] Effective 5/1/88 ADEN [ ] R-1 AND R-2 F" �a ALTER [ ] Building Permit Application Construction Address: ess: / 5 Legal Description: . Owner Name & Address �1 A NJ66'[ - �` � iia f�� Tel. # 78-S`Y�C3 Sf�3 Contractor: i- 1-er %�r`vP�e 7®—h 4.0 vie . SSo c r 4 Tel. -0.2 71C Address: l S yv -55, 7—, /��- �.°�y e /< 4— Attach Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. 5) 1yl 10-1 5: y15i�110a LaVDG AREA: Length Width Height sq. Ft. ARRA E AREA: Length Width Height Sq. Ft. DBCR AREA: Length Width Hgt/Ground Sq. Ft. 07HER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks _ Type of Construction: 7`r e . ,fe°Q Estimated Cost: $ Approx. Completion Date: wee ki Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: I -), 7 - fi APPLICANT: / � -y y �i-�a /rj Tel. # -57-7/-o2 79 - Permit Fee $ /.5700 State Surcharge $ ,� SAC Marge $ Driveway Escrow $ Park Fee $ Sewer Main Marge $ $ ,,5-. -�;D S!'IPUTATIONS: MY USE CMLY Fee Schedule on Reverse Side $.50/$1,000 valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] r City of Fridley 61 0HiFCi ' AT THE TOP OF THE TWINS BUILDING PERMIT A? 4 n 41 `EGE+PT-NfO. COMMUNITY DEVELOPMENT DIV r � � PROTECTIVE INSPECTION SEC CITY HALL FRIDLEY 55432 NUMBER REV DA�6/ AGE OF APPROVED BY 612-571-3450 910-F15 / JOB ADDRESS See Below (North Timber Ride & South Timber Ridge) 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. The N �24.7..feet if the W i of the NE J of the NES of Sec 13 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Various 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Dahl Builders & Remodelers 451 Maple St NE.-SpringLake Park MN 55432 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 7 CLASS OF WORK 1] NEW 13 ADDITION ❑ ALTERATION % REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair work 9 CHANGEOFUSEFROM TO a STIPULATIONS 1501,1505,1513,1529,1530,1534,1538,1542,1546 North Timber Ridge NE 1503,1507,1508,1512,1515,1519,1523,1527,1531,1532,1536 South Timber Ridge NE Replacing cedar trim board covering concrete block projection at base of walls. 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 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 PAFad(ING 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 $5,900 $2.95 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 $112.25 Fire SCC $5.90 PLAN CHECK FEE TOTAL FEE �'- J�' License SC $5.00 $126.10 SiGNA'TUFTEOFCON:RACTORORAUIMORI ED AGENT iDATE WHEN PROPE Y VALIDATED THIS IS YOUR PERMIT S.GNA•URE Or ���'. e.Eu..�-)VVNER BUR DE R. — _ w V(i • .DATE- B DG -NSP OArk SUBJECT City of Fridley 28707 AT THE TOP OF THE TWINS BUILDING P E R M I T a RECEIPT NO . 16 COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 . , NUMBER REV DATE PAGE of APPROVED Br CITY HALL FRIDLEY 55432 612-571-3450 910415 12/3/98 / / JOB ADDRESS 1518 1522 1526 1530 1534 15381542 1546 North Timber Ride N.E: I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Part of Section 13 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO 4 ARCHITECT OR DI'llESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING 7 CLASS OF WORK O NEW O ADDITION O ALTERATION x® 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 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 $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 $9.77. STRUCTION OR TH RFORMANCE OF CONSTRUCTION $162.25 Fire PLAN CHECK FEE TOTAL FEE 176.90 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI WHEN PROPER ALIDA ED THIS IS YOUR PERMIT 141. S-GNATURE OF OWNER..F OWNER BUILDERI MATE) B IhSo RATE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress�,�ir�L-4rr�lle_ �6-3A-XA--2 1 C;'%. L'�, (4z-1. 1 S q6 Legal Description: Owner Name & ddress: Tel. # Contractor:" (`(5D MN .LICENSE # Address: e n Tel. # �( Jo r 7-` 3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. I ¢- rd�� 1 kq l i�- Construction Type: Estimated Cost: $ / G� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Z.''7 -Ci APPLICANT: <-- �� Z� Tel. # � 4 G -5q M . STIPULATIONS: CITY USE ONLY Permit Fee $ ?. ' Fee Schedule on Reverse Side Fire Surcharge $_�,7 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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 $ - . STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner AI eplacement Furnace (Side Vent i u ack) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work JOB AD �5'� o Effective On January 1, 2002 OWNER Rate TOTAL / BUILDING USED AS $ 30.00 $ ESTIMATED COST C PERMIT NO. A 32 $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units % Circle One (Steam) (Hot Water) ( arm Air $ 10.00 $ Trade N me"'/.U'1. Q Size No.%1�° t�Co S �C BTU �Q 00Q HP EDR $ 25.00 $ Fuel 4at Total Connected Load Burner Trade Name Size No. TU HP EDR $ BRCP — /CLcx,0 64A/"/- U3 v cJg11-F State Surcharge TOTALFEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and $ �SsSQ� representations stated in this application are true and correct. DATE IC) HEATING CO) Ae / Signed22 TEL # FAX # �S� -493-0334 (/ 3 03 J Approved B Rough -in Date Final Dat PP Yg 1*1 THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLICATION WILL BE RETURNED When r�elacing an PAsting 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. The venting system is plastic/PVC and meets all current codes and manufacturer, 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The P -A- ino combustion air is sized and installed to meet the current codes and manufacturer's specifications. When required to ins all a new nnmhustinn air; it will be sized and installed to meet the current codes and manufacturer's specifications. When a new ventina elm, 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. Y s (� ) 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. Y s (; ) Appliance #1 Type BTU Input Fan Assisted or N Appliance #2 Type BTU Input Fan Assisted or N Appliance #3 Type BTU Input Fan Assisted or N Total Appliances Total Btu Input Common Vent Type Vent Height Diameter Appliance #1 Vent Connector Height ft Length ft Diameter in T Appliance #2 Vent Connector Height ft Length ft Diameter in T Appliance #3 Vent Connector Height ft Length ft Diameter in T HEATING CO: Signed By: Date: �b CITY OF FRIDLEY INSPECTION DIV. �b 6431 University Ave NE Fridley, MN 55432 572-3604 I ld�� ) _n _'X APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader _ $ 7.00 Sump/Receiving Tank $ 7,00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** �_ $10.00 Gas Range** $10.00 Gas Dryer** $16.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $Fjj� 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. id p Q , 1999 Owner �� rl 6 l-� n7) IC— Building Used As `bL'tl<LL4 Kk- Estimated Costd0 PERMIT NO. O�I yq PLUMBING COMPANY McGuire & Sons SIGNED BY)6������' ��,7Kq§§ 43q 502 -q3 Ir _q4 -7(e Approved By Rough—In Date Final D MINIMUM M M FEE FC R ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 ITATE SURCHAR[.;: "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. CITY OF 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 DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer L'Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr JOB ADDR Effective On January 1, 2002 OWNER 1\`iJi`T V U TOTAL I , �.� BUILDING USED AS $sJ� vv ESTIMATED COST -OnzD PERMIT N0. A 38. $ .50 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Uni s ' Circle One (Steam) (Hot Wa er) arm r) Trade Name Size No. Ih®lo BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes apFjkation for a permit for the work herein specified agreeing to do all work in'ttrict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Center Point Energy MGCO 'SATE 13562 Central Ave NE . HEATING CO Anoka, MN 55304 Signe t�- �� TEL #1 X7/ FAX # _7T�P�J-irJ�� D 1 *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final written permission from adjoining property owner. I THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMM VFNTrVFNT CQNNFCTQR AND r-nMR11STION AIR VFRIFICATION When _rg l�,ar_ing an exie ing,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 (}G 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( No( ) The exisfingfnm isfinn air is sized and installed to meet the current codes and manufacturers specifications. Yes �A No( ) When required to install a new comhi leder airJit will be sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When in�lling a new venting�y_citem, 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. Yesj�,No ( ) Appliance Tyne and Site/Cemmnn Vent and Vent Connecter Infermafinn Appliance #1 Type BTU Input 6 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 Center Point Energy MGCO 13562 Central Ave NE HEATING CO: Anoka, MN 55304 Signed By: Date: Z 0 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (763) 571-1287 ADDRESS : 1530 N TIMBER RIDGE NE PIN : 133024110107 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : BUILDING PROPERTY TYPE : TOWNHOUSES CONSTRUCTION TYPE : DECK PERMIT O.: 2004-00971 DATE ISSUED: 6/25/2004 VALUATION : $ 1,888.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 19'X 8' DECK. STATE LICENSED CONTRACTOR 1 APPLICANT GASSEN COMPANY INC 7275 BUSH LAKE RD EDINA, MN 55439- (952) 522-5575 OWNER FORQUERAN TAMMEY 1530 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 t e provisions of any other state or local law regul i&r,on ction,Rr�rformance of construction_ Bldg Insp BUILDING PERMIT FEE 66.20 FIRE SURCHARGE 1.89 STATE SURCHARGE, VALUE 0.94 LICENSE SURCHARGE 5.00 TOTAL 74.03 PAID WITH CHECK # 24555 a SEPARATE PERMITS REQUIRED FOk WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY 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 o a I bb� cam, f Construction Address: I I n0 Legal Description: Owner Name & Address: Tel. # Contractor. �` is/l L��i MN LICENSE # Address: ��'� � �� �'y ii � �_ �' n �`+��,,.o. � � -v S��/`� "r`' Tel. # ��'.��� S�� - � •s� �— Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNGAREA: Length �� Width Height Sq. Ft S GARAGE AREA: Length _ Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: / _ ' yj � Estimated Cost: $ � 'D Driveway Curb 7,, tWidth Neede t + 6 Ft = Ft x $ =$DATE: t' AP LICA T: Tel. # ti -ss 7s 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 Feb Schedule on Revers Side $ --- 65% of Permit Fee .001 of Permit Valuation (1/10th°o) �v.Osd b $ t / $.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: Building Permit Fee BUILDING Permit No.: a00 -009, S Plan Review $ 65% of Building Permit Fee Fire Surcharge Inspections 13 .001 times the total job valuation RESIDENTIAL APPLICATION ReceivedAPR 763-572-3604 License Surcharge CITY OF FRIDLEY DaPiQ d. 2 0 DATE b D7 YOUR E-MAIL ADDRESS /7barQ er_ SHE ADDRESS Curb Cut Escrow THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTYOWNER/ NAME:�T� —I_ ADDRESS:-/ �.3®N 9. fnr Z' e_ CITY�idl-y STA'1-1 WA& sSy3Z TENANT $ PHONE: CONTRACTOR NAME: �z.StSE�r G� t Agreement necessary ( ) Non Necessary ( ) STATE LICENSE # a4292P 2 # !q EXP DATE �3 /1Q e SUBMIT A COPY OF YOUR•STATE LICENSE ADDRESS: 7a 7S 1v 1— Ve A?and CITY�`�is►a STATE_ X39 WITHAPPLICATION PHONE �So�• cI FAX 15oZ' ZZ ��� �!� PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE 'DECK ❑ SIDING ❑ OTHER ❑ SwRyM NG POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DQNE: Pel /'e - C,f�C SIZE OF IMPROVEMENT LENGTH WIDTH U HEIGHT Sq. Ft ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Pian GARAGES E3 ATTACHED GARAGE 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 ADDTTIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and propos project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑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 VA1 JEH �: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $-Q&O OCCUPANCY TYPE Permit Fee $ "A See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 13 .001 times the total job valuation Surcharge $ i J .0005 x Permit Valuation Minimum $.50 License Surcharge $ "T, 01i $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 $ Make checks payable to: City of Fridley Attach S mations 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 whio4eg SE:ryiew and approval of plans. J/ SIGNATURE OF APPLICANT �J