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PRE 2010 DOCSVillage of Fridley, ldii am IIUILDIING PEBMW N° 240 OfiBce of INSPECTOR OF BUHj]DI TGrS Owner Architect Fridley, Minn., - _ 1 "R Builder j G+�•'t� LOCATION OF BUILDING A No. '� � Stree Part of Lot Lot Block Addi n or Sub -Division �... ' DESCRIPTIPA-OF BUILDDTG 0,nFo �-114" YX Y l ( Front "�- Depth Hei hk Stories Manner of Construction To be used as ,�" 4�,r �� To be completed °; Estim ted Cost It �1 �'•'"^ •'�(:J �• - '9 '�2a�z�']��'"r9 _'&'s",p4 ,hWy 'i1 ." �k lW.',a.'''>"''+'v ry .,.i. m�yq.'. � ,rF/{ p- 1 � ^,• Y� ��.�`.�/ y�g{sF' �� � Yr =:��"�.,�r l-',•(:9�� �5� r$1✓yrrP .*r.m Y'�'? :d . .:sy,.i Y Permit is hereby granted to to permit is g the building's. described in the above statement, TUS upon the express condition that the Arson to whom it is granted, and his agents, employee i and workmen, the work done in, around and upon aid building, or any part thereof, shall conform in al respects to th nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of bu within the city limits, and this permit may be revoked at any time upon violation of any of the provisions ordinances. I spector of Bd AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Frid the above permit, I hereby agree to do the proposed work in accordance wJth the descr above set forth and according to the provisions of the ordinances of Fridley, d, being firs• sworn, I hereby state and say that the facts stated by me and contained in th above perm true as therein stated. Subscribed and sworn to before me at Fridley, Wnnesota, day of'�A.D. 19.x. .t efm`— W!- CIIYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 April 291 1988 Kathryn E. Fbllmuth 1621 Chondaga Street N. E. Fridley, MN 55432 RE: Nouncampliance of the Fridley City Code at 1621 Onondaga Street N. E. Dear Ms. Fbllmuth : On April 26, 19881 it was confirmed by an on-site inspection that the property at 1621 Chondaga Street N. L does not meet the minimum standards necessary to maintain a pleasant and prosperous suburban envircment. While major code requirements are satisfied, the following items do not comply with the performance standards of the City Code : L Remove Oebris at curbside - solid items, television, pipes, humidif ier, curtain tods, and otheens. 2. Pick up pieces of ca-ifteard blown over front yard. Your immediate action to correct this-s-ftuption would be a great improvement for your property and the entire community bs well. An inspection will be conducted on or about May 10, 1988, to determine compliance. If you have any questions ro concerns, please feel free to contact me at the Fridley Civic Center, 571-3450. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-5711287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning -AII Sizes All Other Repairs or Alterations (List on Back) 1961 of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Effective 4/1/2004 APPLICATIDN FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIG 'ION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Total $35.00 $3S ---CQ) $10.00 $ $10.00 $ $10.00 $ ---� $25.00 $ -GrZ) Commercial/Industrial/Institutiona I 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR :: JOB A[ Owner Building Used As 15QZ1-1C& /! ESTIMATED COST ` i PERMIT NO DESCRIPTION OF FURNACE AND BURNER # of Heating Units Circle One (Steam) (Hot Water) arm Trade Name Size No. � BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR The undersigned hereby makes application for a permit for the.work herein specified agreeing to do all work in strict accordance with the City Codes $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City •� H FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEIVIgNT FURNACE l� 490 WEST LAKE FAX rc, Date Approved by_ Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No when Installkici a now 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 Fumace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Tctal 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 min Type Appliance #3 Vent Connector Height ft Length ft Diameter "in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date Building $ BUILDING Plan Review Permit No.: 0-00 1 Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By: NL I 763-572-3604 $ CITY OF FRIDLEY License Surcharge D ' . 2 2 2 763-502-4977 FAXES SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ EFFECTIVE 1-1-2010 Erosion Control $ DATE a— YOUR E-MAIL ADDRESS I c e - I V GL 76-7560 05ty. c d u SITE ADDREsS(. z ( ? o S Sewer Main Charge THIS APPLICANT IS: ❑ OAER CONTRACTOR Total Due PROPERTY OWNER/ /g NAME: :Fp j� C� i t�5q 5/0 TENANT ADDRESS:_ /'6 Z / /ftc�t�LYc2s]CL S� CITY i STATE ZIP PHONE: 7 3 - 50 Z — 68© 6 CONTRACTOR NAME: e- u ou.�- 41-C SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # a06 0L% i` 7 3 EXP DATE -3— AND CERTIFICATE OF ADDRESS: 13 �?c'O Cd—"4.QSt- 0. nn CITY�y J ed STAII/ ii% ZIP SS3O INSURANCE PHONE 7 G 3 - % — 6 qq&II 6 i a- 7 -5183 AX 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 P&OTHER. ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: K02 t0 l/i +� STiI uC�l/� C1 eir &± ryc � SIZE OF IMPROVEMENT f LENGTH WIDTH HEIGHT sQ FT /SOD ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES_ ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ 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 ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑Fascia and proposed project. 2. Two sets of construction plans VVMOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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 1997 U.B.0 FEE SCHEDULE) VALUATION M OCCUPANCY Permit Fee $ l,See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ / .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ /7 , Make checks Davable to: Citv of Fridlev Attach Stipulations 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 on site; that the work will be in accordance with the approved plan in the case of w rk hich quires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME I— I /- eA) /Til DATE '�L — 2-2- — 10 Buila g BUILDING Permit No.. Inspections RESIDENTIAL APPLICATION Received By: c /" 763-572-3604 CITY OF FRIDLEY Date MAYO 5 20 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE -5/3//o YOUR E-MAIL DS rDRESS 9 U O t / ey M -r n� YCZ A rJd C d SITE ADDRESS 16611 - I io ii OLrLli R s1f7r l d le y IW 5 s g 3 4 THIS APPLICANT IS: )<OWNER ❑ CONTRACTOR PROPERTY OWNER/ NAME: kan G u3 twCso I'1 � WZIP 55y3a TENANT ADDRESS: _16a1 0 no 11 ddogcz Sk CITY STATE/ a PHONE:76 3 - SQ R— tTj MAR CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX 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 ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION WADDI TION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: e h ,i 141 n5 �t. d eC fC )1� o `' r U G' t7 / SIZE OF IM PROVENIIIVT LENGTH . WIDTH HEIGHT SOFT ` ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ 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 ADDITIONS. & PORCHES SUBMIT: 13 Aluminum 11 Trim 1. Site Plan/Survey showing the existing structures 13 Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: THE 1997 U.B.0 FEE SCHEDULE) S TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ P;, See Back Page for Fee Schedule Plan Review $ 01 '�V 65% of Building Permit Fee Fire Surcharge $ ) .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) 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 on site; that the work will be in accordance with the approved plan in the case of al work w tch requires review and approval of plans. SIGNATURE OF APPLICANT ,/ PRINT NAME Y� DATE PLEASE NOTE: WPARATE PERMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK