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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: .... . ®.A ��— �Iq ................ owner ....................................... Address...................................... N® 3988 Builder ... A* A, --�. .. .... .. Address............................................. LOCATION OF BUILDING 0 No. ....®l ... Street 4! ... .... ....... Part o Lot ... ....................... `... . Lot ...f.� ... Block .... 6......... Addition or Sub -Division .. *- :... 4? Corner Lot ............ Inside Lot ............ SetbackLA.4. .-.Q . # Sideyard l A ."—A ............... DESCRIPTION OF BUILDING To be Used as:, 22 _ Front ' � '. �"DepthA .' :6 "Height /l..��ee ®. O "rSq. FtA?%4 � Cu. Ft. Front ........ Depth Height ...... Sq. Ft. ........ Cu. Ft. ........ Type of Construction ................... FFst. Co .7 0.1:. ®®To be Completed ................... In consideration of the issuance to me of a permit to the proposed work in accordance with the description a ordinances of the city of Fridley. t the building de 'bed above, I agree to do forth A InXmpliance with all provisions of Z=* . .... ..T .............................. In consideration of the payment of a fee of permit Is hereby granted to ................... ......................... 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. "r7 c ...... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley, Minn.. BUILDING PERMIT N° (:5:8:6::6 Date: Owner: '"" �r , , _ .. , , : ;.. Builder z Address Address .L®x:few •;r uLW/ING C 0 T0 N ° _e �tpNo. street r Lot_ __ Block Addition or ,Sub -pi on Corner Lot + Inside Lot Setback r �;A:ASA& Sideyard _ i Sewer Elevation �_ _ _ Fo6dation Elevation DESCRIPTION OF BUILDING. To btu U�d ,_ • ` Front= Depth r Height, ro < Sq. Ft. ! Cu. Ft Fro p Depth Might- Sq. Ft Cu. Ft — Type of Construction a , � :L J. Est Co77 st " cr, To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ �•`" , permit is hereby granted to 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. „ f► /"A 1 Building Inspector NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to sea the Building Inspector for separate permits for thew home. APPLICATION FOR BUILDING PERMIT CITY.OF FRIDLEY, MINNESOTA Owner's Name L V U -I S O W Builder (_ 26 ,0�'e Address %® Address LOCATION OF BUILDING No_� Street ®moi Part of Lot L f Lot S Block �Addition or Subdivision Corner Lot Inside Lot Setback Za Side -Yard 7 SEWER ELEVATION FOUN15ATION ELEVATION 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 Sq. Ft._ _ Cu. Ft. Front Depth Height S Ft. Cu. Ft. 1�z 40 Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE �� / e� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). p . . s WtMC,ASCO 53 -8b -s-915.51 City of Fridley Af plilan Ow p3mend CWz M.Nkitzq post _ Dept. of Bldgs. Phone SM -3450 DESCRIPTION OF WORK 701 X_ R. Overton Drive Number. Kind and Location of Fixtures I �" p0 WW O< 2~ Y = o a z' 7 I N WATER MTB. GAS ELEC. Base ist In ,tall jas Grill 2nd 3rd 4th • Future Connection Openings + New Fixture. Old Openings Connected with Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $2.00 $ Future Fixture Opening ........... x $1.50 $ _ New Fixture Old Opening .....:.... x $1.50 Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) . • • • x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater........... s $2.00 S 3A8 FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU ............. x $6.00 $ City of Fridley: The undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the tact and representations stated in this application are true and correct' Fridley, Minn 8-1-74 l9_ Owner James R. Denham Kind of Building Frame Used as Res. To be completed about 8-8-74 Estimated Cost, $ 10.00 / Old- L Building Permit No. Permit No. 1 f� v Sign d 9296a By MINatEGscCO - - Business Phone No ROUGH REPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge Install Gas Grill 5.00 Description ........................................... TOTAL FEE i- 5.5o ®ass =A- surctiargo ZOO gm Cit of Fridle y y SUBJECT X'g�6� 1 59 AT THE TOP OF THE TWINS BUILDING PERMIT r S Z • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 . i �l "t CITY HALL FRIDLEY 55432 ,'J 612-560-3450 CEIPT NO. 10 NUMBER 910-F15 REV. DATE Ilan, 2,79 PAGE OF APPROVED BY JOB ADDRESS 701 Overton Dr. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 5 lBrookview Terrace 3rd SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE James Denham 701 Overton Dr. N.E. Fridley, Minn 55432 571-0469 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW j1 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install fireplace zero Clearance. 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TYPE OF CONST. wood frame OCCUPANCY GROUP OCCUPANCY LOAD THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ZONING R-1 SQ. FT. CU. FT. ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000 $.50 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. $6.00 PLAN CHECK FEE TOTALFEE $6.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)/7 WH VA TED THIS IS YOUR PERMIT SIGNATU OWNER IIF OW ERBUILDERI IDATEI �- sa" BLDG WSP DATE • CITY OF FRIDLEY . APPLICATION FOR RESIDENTIAL BUILDING PEMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: P� ���� BUILDER: Address: '701 ® / . Address: --� . Tel. No. ✓� 7 —' �� No.: Street: gyp' LOT: BLOCK.: ADDITION: ze.", 101 ;o -j CORNER LOT: INSIDE IAT: SETBACK.: SIDEYARDS: Applicant attach 'to this form Wo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING j To Be Used As: Aged a '.g a Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ / Udo To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: '7 / SIGNATURE: Stipulations: 4 I SUBJECT PE IT City of Fridley o 17 790 AT THE TOP OF THE TWINS BUILDING PERMIT _ RE i -_____ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. f6p t♦ 1 ; � l ,� /"'1'� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ---• L 612-571-3450 910-F15 4/15/85 JOB ADDRESS 701 Overton Drive N.E. 1 LEGAL LOT NO. 15 BLOCK 5 TRACT OR ADDITION Brookview Terrace 3rd SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Denham 701 Overton Drive N.E. --571-0469 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION EX ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK R e r o o f 9 CHANGEOFUSEFROM TO STIPULATIONS Roof can be the second layer but not the third. Install ridged galvanized valleys. 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 1 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�! TO , WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT •-v 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. AN P CHECKFEE TOTALFEE SIGNATUREOFCONTRACTO ORA ORIZEDAGENT (DATE) WHEN PROPERLY V DATED THIS IS YOUR PERMIT BLDG INSPI qAT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI I NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. Building Permit Application Construction Address: 7o l , L>C- kk Legal Description: 1O�4 /5- rel, �9_ RrooK view %PrFace 3 Owner Name & Address: `�y��s �'��a Tel. f Contractor:`' Tel. # Address: --- 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: 57��/ 200-C - Corner Lot EM Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ 6000 a o . — Approx. Completion Date: 9 3C 8� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: 7 5� APPLICANT: 1���s �� Tel. # -6 �^ v9-' / Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sever Main Charge ry STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE -RESIDENTIAL RATE TOTAL Job Address / (/ d ovFr-aI-) Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ 0 0 Gas Piping . $ 10.00 $ lo.0 J. (piping needed with new furnace) Gas Range $,10.00 $ Gas Dryer $ 10.00 $ * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit f MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $-50 STATE SURCHARGE $ 10. 0 0 Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. % Fridley, Minn. / ��/ 3 , 19 OWNER S d 2�N2,� /J 0 ") Gf.) KIND OF BUILDING (' USED AS $ TO BE COMPLETED ABOUT 1 ZJ31li ESTIMATED COST o2 9_2 f $ .50 $ 4.0 Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. OLD - NEW BUILDING PERMIT NO. PERMIT NO. /�/L DESCRIPTION OF FURNACE/BURNER 'HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name (�/,i ce, �� Size No. �n, OLa RTS Capacity Sq.Ft. EDR BTU HP Total Connected Load c// / 2- Kind of Fuel Q�r.-----� BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company s_t_a_n_d a n d Heating & A/C Signed By Tel. No. 824-2656 W �, STANDARD HEATING & AIR CONDITIONING CO. SERVING THE TWIN CITIES SINCE 1930 HEAT LOSS CALCULATION FOR HENGEN-700 OVERTON DR. ------- -- .. r __..-- 12288 LK h1AItJ LENGTH 40 bIIDTH~25—"yw` ----------------------�-�-_...._...._t... HEIGHT `8-- _..__.." ---- WINDOWS & DOORS — CRACKAGE AND— _ __ rYY --------------------- ry—`~—"—r-`----"" WIDTH HEIGHT N0. LIN FT AREA NO. PANE PANE LIGHTS CRACK SQ FT 1 26 47 1 13.7 10.8 5 19 59 1 72.5 51.1 1 42 L0 1 11.8 8 1 28 36 1 12.2 9.1 4 16 47 2 86.7 55.6 2 16 48 2 44 28.3 1 32 80 D 18.7 17.8 INFILTRATION COEFF BTU 130 R.FT ................. 259.6 GLASS.............................. 200 5192 EXP WALL 180.7 7228 ........................... 130 NET EXP WALL,,,,,,,. 859.3 BELOWGRADE...... 0 11 9452.3 ................ 0 CEILIIdG 5 0 ............................. 1000 FLUUR................................ 11 11000 0 VENTILATION...... p 0 0 ,,,,, 0 TOTAL BTU p 0 ................................................. 3287213 BASEMEt`JTY`r"_rLEtNGTHr40"`rYr `WIDTH ``25HEIGHT`8"----- WINDOWS & DOORS - CRACKAGEANDAREAr" ....___....,.__....__~�`�"`����� WIDTH HEIGHT NO. LIN FT AREA J,NO. PANE PANE LIGHTS CRACK SQ FT INFILTRATION COEFF BTU 130 R.FT ................. p` GLASS...........................:.. 00 0 EXP WALL pl 0 ........................... 130 .. NET EXP WALL ........................ 0 BELOW.GRADE...... 8 p 0 ................ 1040 CEILING............................. 5 05200 FLOOR............................... 0 0 VENTILATION...... p 3000 ................ 0000 TOTALBTU.... 10.3 0................................. ............ 8200 TOTAL BTU OF ALL ROOMS/FLOORS......,, 41072.3 0 p4tga 5/ /0//" W I CZE Aa'V7 SWZYVW�W AZZ-21 PIT CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE / 0� YAI Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS �f/ 'W 7_04.)� �- RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $ �® that all the facts and representations stated in this application are true and correct. Gas Piping (Needed with new furnace) $10.00 $ OWNER ^%A�st -r S P CA) /4o21 Gas Range $ 10.00 $ P� t c c, ` BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST ���® PERMIT NO. O/ IL *Air Conditioning - All Sizes $10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercia industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50_ _e® TOTAL FEE $ 2.10 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATIONIAIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units---Z—Circle One' (Steam) (Hot Water) rm i Trade Nam ® ��� �' �`�� Size No. dp- W BTU HP EDR Fuel4- -r-- Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Signed By Tel No. Approved B Rough -In Date Final Date pp Y 9 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( No ( ) 2. Is free from rust or deterioration Yes ( No ( ) 3. Has no foreign objects lodged within Yes ( No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ()4- No ( ) 6. Has total heating BTU's of % $ Oce All other BTU's TOTAL BTU's / ®p O ® O Remar Cr List Alterations Being Done: HEATING COMPANY Signed Bys�J'z Date�— SUBJECT PERMIT N City of Fridley 31121 AT THE TOP OF THE TWINS BUILDING P E R M I T � RECEIPT NO. V ___-_ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. X117 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEV 55432 L J\ 612-571-3450 910-F15 6/29/00 JOB ADDRESS 701 Overton Drive 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 5 Brookview Terrace 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Denham 701 Overton Drive 571-0469 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Boxwell Builders 10650 Mississippi Blvd., Coon Rapids, MN 55433 763-422-0706 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20223778 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION IR ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK 24 x 24 2nd story over garage and 20 x 14 deck 9 CHANGE OF USE FROM TO STIPULATIONS For stipulations, see attached plans. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CON T. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ $19.62 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $39,237 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- $542.75 ire $39.24 STRUCTION R THE PERFORMANCE OF CONSTRUCTION (�,� PLAN CHECK F TOTAL EE f 7 Lice e C $5.0 $ 06.61 SIGNATURE OF CONTRACTOR OR AUTHOR ZED AGENT (DATEr ��g�A/�(� HE ROP VALIDA HIS IS Y ��ir S-GNATURE OF OWNEROF OWNER BUILDER, iDATE, s BL -NSP DATE NEW [ ] Effective 1/1/2000 r ADDN CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION j� Construction Address: 00 i= rQ-- CZE l� 1rJt� Legal Description: Owner Name & Address: 3 t r'yA 2--sJ LA A Al� SA01 L Tel. # -:S-7 1 0 �1 Contractor. p LL l d v. t L t) L • MN LICENSE # ©;)P 377P Address: [OGS -0 k'S S <S .PP (` l Tel. # 3 2�—> O 76 4, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. S RIP ON OF IMPROVEMENT LIVING AREA: Length Width a4 Height Sq. Ft GARAGE AREA: Length Width [ Height Sq. Ft DECK AREA: Length o�� ,W,idth% 4T Hgt/Ground4.0p Sq. Ft OTHER: e&1644 &49/ • ?t Construction Type: %.,Donpf1 f-- Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft= Ft x $ _ $ DATE: APPLICANT: —9/0x–L'-3 t LL �1��5, /� L Tel. # 763 of zZn7Q6 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $_$1 100 per SAC Unit License Surcharge $L___. � $5.00 (State Licensed Residential Contractors) Drivew Escrow $ Alt. "A" or Alt. "B" Above Erosion ontrol $ $450.00 Conservation Plan Review Park Fe `� $ Fee Determined by Engineering Sewer M 'r%Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: 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 1`7pr Fi e?kce­ 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 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 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 2000 YJOB ADDRESS �Z' �yG127O'07 2:)re' �/� ' T i� IPy OWNERtNiPS 1� �� �►1�G� v� TOTAL BUILDING USED AS Awe $ .50 ESTIMATED COST PERMIT NO. � DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One Trade Name BTU HP Fuel (Steam) (Hot Water) (Warm Air) _ Size No. EDR Total Connected Loa Burner Trade Name Size No. BTU HP 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 0-16-00 HEATING CO Signed' 1 TEL # �% Approved By Rough -In Date Final Date /0 � e® 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 manufacturers 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 manufacturers 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 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 INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 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 *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 Effective On January 1, 2000 JOB ADDRESS �a I O V�IrT®n pr - OWNER n P) nha VVi Rate TOTAL BUILDING USED AS $ 30.00 $ /' ESTIMATED COST 0O PERMIT N0. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Hea Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size BTU HP EDR $ 25.00 $ a5, C Fuel onnected Load State Surcharge TOTAL FEE $_13'.T) $ .50 Burner Trade BTU HP 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date written permission from adjoining property owner. I 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 Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: MNh HTG. A/C & CLECT.:, ... MG2 CENTRAL ��VE, AN KA, Mf1304 Date:.K)- f � —Q d WC N SUBJECT , City of Fridley 3137 7 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 6e-30r PROTECTIVE i CITY HALL FRIDLEY 53432 ��"'�•� NUMBER AEv DATE PAGE OF APPROVED BY .--.� l 612-571-3450 910-FIS 9/8/00 JOB ADDRESS 701 Overton Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 5 Brookview Terrace 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim/Jill Denham 701 Overton Drive NE 571-0469 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION] REPAIR O MOVE O REMOVE B DESCRIBE WORK Reside House 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. 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 PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,200 r 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. $44.85 Fire S $.8' w20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEETOTAL FE $47 5 TUBE OF CON'aAC a OR AUTHORIZED AGENT ,DATE, N ROPERL DATE TH IS P IT� Bhp ,N9P BATE NATURE OF OWNER„F OWNER BUILDER, iDATEi N NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 672-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 20 / 0VIFA TDiU Dl- . Legal Description: Owner Name & Address: i b -,EU ,(4 A rn Tel. # Contractor. D/.v cie . MN LICENSE # Address: 2co,4 T-rOti 04 . Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: A&(Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: OD APPLICANT: CTel. #�e11- 9 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ /-lU $.50/$1,000 Valuation SAC Charge $ $1100 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 $ ISr ��iillil>�>iCelil►�'i