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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: ... .....C.1 ... ..... . owner ....................................... Address ...................................... N° 3886 Builder Address ............................................ • LOCATION OF BUILDING R No. O Street .... Part 2g Lot ........... Lot .... f....... Block .......6....... Addition or Sub -Division ...... ... .. ... Inside Lot . ........ Setback .�. ��..�.. Sideyard • �Li� Corner Lot ......... .................... a DESCRIPTION OF BUILDING ;OeAne"V�... U.��.. Front �!`a�..� Depth.: '.' Height /f: -O Sq. Ft./Q. P..7 Cu. FtC?! j .!. .................... Front ........ Depth ... ... Height .... Sq. Ft.... Cu. Ft......... Type of Construction ................ ... Est. C / 1. . �..... To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth d in compliance with all provisions of ordinances of the city of Fridley. X Yy...11..�.� . . .......... ............. 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. .... 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 Item& Application for Power Plants and Heating, Cooling., Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL Lowiio_�/ 0 0 Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AM Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR Hot Water .................. 2.50 $ OIL BURNER to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ ✓ GAS PIPING (Up to 3 Fbdures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS: .rrir_ �` 2C See Fee Schedule TOTAL.FEE L 0 p City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, nifinn _y� , a , .195.. Owner Cep �i� L° �. 195_ Kind of Building } - —' 195 Used as To be co (5 Estimated Cost, $ OW4" New. ding Permit DESCRIPTION OF WORK HEATING or PQ,WM PLANTS—S Hot Water,arm o Trade Name �Q� -eLy 't�� Size No Capacity Sq. Ft. E.D.R.- H.P. Total Connected Loads ` Rind of Fue - ' BURNER —Trade Name Size No Capacity. Sq. Ft. E.D.R BTU H.P. RAY N. -WELTER HEATING CC By. MINNEAPOLIS 7, MINNESOTA 11 Posr i M-8-58 Business Phone No �� �" r -T'� "� UtT•'�'#_'' �. -fes `-r -ac .-*�� .s - g , .fi !": 4 t yzw fY # F I 7 r - y i 'ten:' Y ry Y g F � y. x -. E w '" t it - x i - {! "a ~ . t:l } - t y - F f ":a.. a k 2 f 1'.., t 1 io, c- a , y F r r ,4. `; t x,, {k I i ll'� - --� I �fl t� .a. '{fes '� # j , 41 L a. L it z' i , j - m kt .'t� 1-[' 1ST V L 'S tt .F p j '_ r"` �' t.� � W-.1�11 amu..: - t4, ' � . 1 7 ,r,. -, -, rte' +�. , �, • S' . yy .-k 'ra 1,§ ., .�.. fA..1 Y `` ; - } . 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REv. ►A4E OP BY JOATE JAPPROVED - 0 2115/73 1 1 800 Job Address 900 N. E. Overton T?rive ner Address one Nels M. Nelson 560-3785 Contractor Address 733 MARQUETTE AVENUE Phone WfINNEG,+gSCr.• Kind of Building Use Frame Res. Completion Date Estimated Cost 3 -lL -75 10.00 Plumbing Fixture Rates: NO. RATE TOTAL �I — - ! Number Fixtures x $2.00 $ 3 °I Future Fixtures x $1.50 aosval I I � � •�! New Fixture -Old Open. T— x $1.50 _ Catch Bastn x $3.25 ,ddYl BY9 1 I I Water Heater -99,000 BTU x $3.00 •76IN I I II Ground Run Old Bldg. x $3.25 Baa, MNIYaI I I I I �I i m — I Elec. Water Heater x $2.00 BNIBve NOtYO I I I I .� Gas Fitting Fees: !O o sNwaa I I ! I ;3 ; •� a 1st 3 Fixtures x $2.00 ,O � I !0V o saaMON$ i Additional Fixtures x $ .75 --- ! b '1Nf10d NNING I I ` I Gas Range -199,000 BTUl x $5.00 5.00 NBYMI I I I IQ I Repairs &Alterations See f BNNIa i Description: Code SNIBYYI I I I I State Surcharge Class "V Zurcharge; .50g .50 I TOTAL FEE $ 5.50 + V vsl I I !The undersigned hereby makes application for a permit invN11DI I I I I for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and Tulin 9498010 asiYM of the Department of Buildings, and hereby declare that 4111the facts and representations stated in this application are true and correct. BB P- 'Signature ■.�.,., --_ Date SUBJECT P NO. City of Fridley r ® 13802 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. -3 r PROTECTIVE INSPECTION SEC. 1 � = �l o--n CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY I t %J 612-560-3450 910-F15 110/4/76 JOB ADDRESS 900 Overton Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 5 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nels M. Nelson 900 Overton Drive N.E. 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 El ADDITION 1:1 ALTERATION 1:1 REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 38' x 16' Addition to dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Provide 2" air space above insulation with ventilation or treated rafters and decking. Provide 2" x '12" rafters or better. Provide firewall in garage and firedoor. SEi "AVE . PERMITS REQUIRED FOR WIRNGI HEATIN6r PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 608 6080 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 OrLAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $12,000 $6 OO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. PERMIT FEE SAC CHARGE $51.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $57.20 NAT RE O.FCONTRACTOROR OtITNORIZEDAGENT ID TE) WHEN PROPER Y VALIDATED THIS IS YOUR PERMIT o 640N."1.11R la-�-� I N D 1 (DAT) I SP DATE . .. -,_, �.-,._r. .,�.. w.,. -�. _. ,, . xs+.err... , -,�„ ... -�" `�. -��EYF 7i►- 7Fa'�,-- �-,-...�,..,•.-... n .� .. r •4wq'�. i ar v e, , i .. 5 _ 5 Avow w UQ3 2TIMA3q .JOe ,OMZ ONA OMISMUJ4 OWTAJH 1 w � . VA 1 1 VI 1 1%4 W"1 1 APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION. OR REPAIR BUILDING PERMIT OWNER'S NAME &' BUILDER: ADDRESS®ii/ / v ADDRESS: l DA ' NO: O STREET: Z24, 2� 21244,I LOT: BLOCK: ADDITION: 42kL&Z&.)� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to.this form.Two Certificates.of Survey of Lot.and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: PC),d & t 1 A00177a^J Front: �$ Depth: ` G Height Square Feet: Cvy Cubic Feet: C0Q 8 6 Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: 60,000 —Estimated Cost: ®O 0 zg " To Be Completed: .60 �G 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. TE: / 4IGNATURZY (See Reverse Side For Additional Information.) �oXtZ 72,c a Sri jotA ®�7-3 360v0 � o ra T•4 Pea v( or ee 4rQ sD•¢cE AByVe 1 d j W rem �I�L�Ti �,¢Tran1 64 7jfEA-TX D 24-F W-45 i Af-cel'U Gj. P2od�bt 1. �� ;e4 -F ne t S e. a xiL ole 44c rrleje . Fv6droE jW -7ptE W.gLf- %AJ C,,4ye4 cs,E - # *tic !. Jb#*A� BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require.the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six .(6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average. height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500,00) or fraction thereof in the cost of all proposed work. In no case shall the'fee charged for any permit as set forth in Section 2 be less than $7.50. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a•minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding 'with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. 560-3450 i ANOKA COUNTY 6431 UNIVERSITY AVENUE NE October 7, 1976 FRIDLEY, MINNESOTA 55432 Mr. Marvin Nelson 900 Overton Drive N.E. Fridley, Mn. 55432 Re: Location of Addition Dear Mr. Nelson: This is to confirm my meeting with you at your home on October 6, 1976. You will recall that it was determined that your existing garage is 5 feet from your west property line. Your addition is 2 feet to the east of the garage or approximately 7 feet in from the lot line. You were told that the City Zoni,ig Code requires a 10 foot side yard clearance between living area and a side lot line and 5 feet between a garage or storage area and a side lot line. Therefore, you have at least three alternatives; 1. Move the addition east to provide the 10 foot requirement for living area. 2. Use that part of the addition that is closer than 10 feet to the west line as storage area (no living area) and with this alternative provide for the proper fire separation between the storage area and the remaining living area. 3. Stop construction and obtain a variance before proceding any further with the improvement as a variance at a later date would be more than likely unobtainable. It is my understanding that you have chosen alternative #2. If this is your decision, then please remember to tell the next owner, if you sell, that the westerly portion of your addition must remain storage area only. If you have any questions on this matter, please feel free to call me at 571-3450. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh CIZY OF FRIDLEY- APPLICATION FOR PLJ,13ING AND GAS FITTING PERMIT Job Address / oyy6 /�Xl 4�f/ V >0j)1f L'r `nt of Buildings City of Fridley Tel. @571-3:50 The undersigned hereby makes application for a permit for the work herein specified avrec-ing to do all work in strict accordance with the City Codes and rulings of the Departnont of Buildings, and hereby declares that all the facts and representations stated in this application are t --,e and correct ,�j� / ( Fridley, ✓V�YZ.. , i , 19� OWNER Ilk /✓/�J /1) // .S `v KIND OF BUILLD�ING USED AS TO BE CO.•1PLETED ABOUT O l PART IAL RATE SCHEDULE ESTIMATED COST T NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. >V'�� ::. =`er _ int : es x 4— :•:atcr r^lture _... ,...re Opening x $2.00 $ f- z • tG o •� $ Signe By- ( x Heater $ Water .'.eater - to 99,000 STUD n100,000 tft $5.00 $ Tel. No. BTU to 199,00000 BTU x e, $ Water Scf toner -- x $7.00 $ p•^, f .•+ i '�.", $ V1 •.i . C :J J 4" G .ii C0 1 J% N 1111 x $5.00 $ ;as 71ec dad ! ( 1 ( I ( 4 3rd 1 ( I I F4 th F•, :ure Cr .cc =iGpenino Corected with Sewer gion a (•? ew+ Fixture, Old G_ ming t Water Job Address / oyy6 /�Xl 4�f/ V >0j)1f L'r `nt of Buildings City of Fridley Tel. @571-3:50 The undersigned hereby makes application for a permit for the work herein specified avrec-ing to do all work in strict accordance with the City Codes and rulings of the Departnont of Buildings, and hereby declares that all the facts and representations stated in this application are t --,e and correct ,�j� / ( Fridley, ✓V�YZ.. , i , 19� OWNER Ilk /✓/�J /1) // .S `v KIND OF BUILLD�ING USED AS TO BE CO.•1PLETED ABOUT O l PART IAL RATE SCHEDULE ESTIMATED COST PLU MNG FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. >V'�� ::. =`er _ int : es x 4— $3.00 $ r^lture _... ,...re Opening x $2.00 $ Company .:e« Fixture, Old Opening x $2.00 $ Signe By- -Catch Basin x $5.00 $ Water .'.eater - to 99,000 STUD n100,000 -r. $5.00 $ Tel. No. BTU to 199,00000 BTU x $10.00 $ Water Scf toner -- x $7.00 $ New Gro;=d ?L -n Old Building x $5.00 $ ROUGH INS?. Date Electric :rater heater x $5.00 $ G:k.S FITTING FEES: FINAL INSP. Date 1st 3 fixtures x $3.00 $ Additional Fixtures r. $1.00 $ APPROVAL FOR PEI'udZT i Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First SIGO.G0 $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLU:��ZNG PERMIT IS $7.50 State Surcharge $ .50 TOTAL FEE $ /-,;?, FEF. (510.00) sueJEcr PERM_)-���6-� City of Fridley 19 8 2 4 AT THE TOP OF THE TWINS BUILDING PERMIT _ RECEIPT NO. `y �_____ COMMUNITY DEVELOPMENT DIV. INSPECTION / r PROTECTIVE SEC. 1 � t 1 "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/11/89 JOB ADDRESS 900 Overton Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5 Brookview > Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nels Nelson 900 Overton Drive N.E. 571-5873 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Franzen Construction 4250 - 5th Street N.E. 788-4071 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 ❑ ALTERATION? REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reroof patio roof 9 CHANGEOFUSEFROM TO STIPULATIONS 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 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 $l, 950 $.98 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DCOS NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE P OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $45.00 S RUCTION OR THE PERFORMANCE OF CONSTRUCTION. !/ Y^ �- PL N CHECK FEE TOTALFEE $45.98 SIGNATURE OF CO TRACTOR OF&UTHORIZED AGENT (DATE) HEN PROPERLY VALI THIS YOUR PER IT SIGNATURE OF OWNERIIF OWNER BUILDERI (DATE) BLDG INSP _ LATE NEW [ ] ADEN [ ] R-1 AND R-2 M= [kT Building Permit Application Construction Address: C (ye,40^ 4Qr2 ye Effective 5/1/88 Legal Description: p� / Owner Name &Address: be /S elle- /-5a�i Tel. # ! Q% Contractor: F,a t\2•t�0 �a.�� ✓�/� �a � 1. # �l �i� -X04 �l Address: �/Q 6) 54� !&�ret4' P-k-- Attachto this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DEBXMON OF IIff l 1 IVEMM LTM G AREA: Length Width Height Sq. Ft. AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. 07HEM: S Z416AML Corner Lot [ ] Inside lot p/] Ft. Yd getback Side Yard Setbacks Type of Construction: Vto Estimated Cost: $ S mac). Approx. Cmpletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. Width + 6' Permit Fee $ 4S.00 - State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ $a4S4l� STIPULATIONS: CITY USE ONLY See Back Page Teel. # Fee Schedule an Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] The Chief Building Official shall, before issuing i ng permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TUM VALUE FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof EPZVEIMY EEPIMMIC K ESCROW (Concrete Curb Streets Only) Alternate "A": Rmnoval and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 90® ow -g n RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ �� bC� representations stated in this application are true and correct. (Side Vent — Fill Out Back) -- - - -- - 1996 Gas Piping (Needed with new furnace) $10.00 $ 1y)J_rV IV615D 1) OWNER Gas Range - $10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ DO ESTIMATED COST PERMIT NO.�� *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units 1 Circle One (Steam) (Hot Water) arm Air Trade Name B/" UQln'— Size No. 366 /nA� b ®P b Commercial/Industrial BTU SOvM C/ HP EDR 1.25% of Value of Appliance or Work $ Fuel '7'' I Total Connected Load State Surcharge .50 Burner Trade Name Size No. TOTAL FEE $ BTU HP EDR HEATING COMPANY MINIMUM FEE FOR ANY HEATING COOLINGNENTILATION wa;ha. dh ''�/ BLAINE HTG. A/C & ELECT. INC. �%���� REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By 13562 CENTRAL AVE. N.E. Tel No. PLUS THE $.50 STATE SURCHARGE AN KA, MN 55304 REINSPECTION FEE $42.00/Hr y/ Approved By Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE R STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CHIIVINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefiilly examined Yes ) No ( ) 2. Is free from rust or deterioration 3. 4. 5. 6 Has no foreign objects lodged within Is securely supported Meets all current Code requirements for size and total BTU's connected Has total heating BTU's of 40, qo All other BTU's TOTAL BTU's 40 d� b 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: BLP.E.EE HTr. A/C & ELECT. INC. 13562 CENTRAL AYE. N.E. ANOKA, WN 5F304 9-a& ft Yes'j No ( ) Yes No ( ) Yes) No ( ) - Yes ( ) No'j Yes (X No ( ) Yes Z� No ( ) A CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner — Aiso Replacement Furnace Gas Piping (Needed with new furnace) Fpm (rias k©,� Gas Range Gas Dryer *Air Conditioning — Aft Sizes All Others/Repaim & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/industrial 1% of Value of Appliance or Work Rate TOTAL $ 20.00 $ $10.00 $- $10.00 $ $ 10.00 $ $10.00 $ State Surcharge TOTAL FEE Effective On January 1, 1993 JOB ADDRESS 2W°'�` 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. �I1 �1 61r 3-3d ,199'/ OWNER fye Z 5 A , / Us' 4,5-c� ,Al BUILDING USED AS ESTIMATED COST 50-c) PERMIT NO. l /S k) DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating U Circle One (Steam) (Hot Water) (Warm Air) Trade Name ,. _p �AIJ Size No, >- 1_/ it BTU HP EDR $ .Fuel Total Connected Load $ .50 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $,SO STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. BTU HP EDR PLQ( a.,,� " COMNY Jel U0. 4 �Udn / V Signed By �� - Tel No.��/i 2� 2, Approved ByaL Rough—in Date Final Date '5 --3D- I 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 ( j No ( j 3. Has no foreign objects lodged within Yes ( ) No ( j 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO. 900 RATE TOTAL JOB ADDRESS i 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 Building 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 Rain Water Leader $ 7.00 /5 '1996 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner /,4 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Building Used As , Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Type -7 �5 $15.00 PLUMBING COMPANYReinspection Fee $42.00/Hr SIGNED BY G TEL No. 7.5 .5 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough—In Date Final Date State Surcharge .50 MINIMUM FEE OR ANY PLUMBING GAS PERMIT IS $20.00 TOTAL FEE $_. -'C) PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. 0 SUBJECT I P O. 2 City of Fridley 28025 AT THE TOP OF THE TWINS P BUILDING PERMIT r � • _ COMMUNITY DEVELOPMENT DIV. SEC. RE NO. �LJO r PROTECTIVE INSPECTION NUMBER REV DATE PAGE OF APPROVED Br CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/29/98 JOB ADDRESS 900 Overton Drive 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 5 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary NElson - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Scott Stern Const. 141 Canabury Ct. L 1 C490-7969 5129 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 O NEW ❑ ADDITION ❑ ALTERATION Rk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (29 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 WITH WHETHER SP CIFIED HERE- NOT. THE GRANTING OF A PERMIT 2485 1.24 DOES NO PR TO GIVE TH RITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI N F Y OT E S AT L LAW REGULATING CON- STRUCT 7 E P RMA F CONST CTION 74.75 Fire SC $2.48 PLAN CHECK FEE EE TO73.47 Licens C 5. SIGMA uRE OF CONTRACTOR OR AUTHORIZED AGENT #DATE, EN P P ALIDAT HIS IS UR PERMIT �r BLDG 0 / TIATE S-GNATURE OF OWNER -T OWNER BUILDER- IDATEI 0 v NEW [ ] ADDN [ ] ALTER [ J ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 iv1�j0 o�< .SS c/ 3 -Z- Legal Description: Owner Name & Address: _D1'7,4'Z U 76, Tel. # 21 Contractor: two MN LICENSE # Address: 1 1 /f63 u Q -k% C_77, Tel. # C17 o 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 Wf- .fie Estimated Cost: �S (Fee Schedu a on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 9-?, �- %V Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control S APPLICANT: Tel. # 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 Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] v BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $251000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. :ITY OF FRIDLEY INSPEC-1 iON DIV. A31 University Ave NE 'ridley, MN 55432 F63-572-3604 Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF Shower NO. RATE TO BEI Wash TOTAL JOB 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 $10.00 Water Treating Appliance Water Heater -Electric $ 7.00 Water Heater - Gas" $10.00 Gas Range" $10.00 Gas Dryer" $10.00 Back Flow Preventer Required( )Yes ( ) No Type $15.00 Effective On Jan 1, 2001 'ALLED ON EACH FLOOR Floor ' i"< Auto. °< as Drain I Washer ;":e Ran < c Water Heater Gas I Elec 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. Owner Building Used As �! �`r- COD Estimated Cost PERMIT NO. 3 PLUMBING COMPANY SKc 60.............. Reinspection Fee $47.00/Hr SIGNED BY _ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By State Surcharge X54 MINIMUM_ TOTAL FEE $ ®' PLUS TH COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. 20C)— TEL N Rough -In Date Final Dat Ct COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( ) No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and 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 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_ ALTERATIONS: (Describe) HEATING CO: Signed By: Date : Building Inspections 7.63-572-3604 DATE SITE ADDRESS _ THIS APPLICANT IS PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR 0 OWNER CONTRACTOR • r . is t/11,��,����� �'� ,,fSINGLE i ■ TWO FAMILY Permit No.: Received By:_ U C D c 17 STATE ZIP ❑ TOWNHOUSE E3 NEW O REPLACEMENT ❑ ALTERATION/REMODEL TYPE OF WORK: I DET. OF WORK PER MS 1613.665 the. permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the should only the cost of labor) improvement, installation or replacement of a residential fixture, excluding the fixtures. (This reflect Number of fixtures @ $10.00 x $10.00 = Labor cost under $300 = $15.00.. Labor cost between $300 to $500 = cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEL: SIZEBTU Equipment Installed MFG: MFG: MODEL: SIZF/BTU MODEL: (GAS) $15.00 SIZE/BTU —GAS RANGE/OVEN $10.00 A/C $25.00_FIREPLACE AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 UNIT HTR $10.00 _BOILER $35.00 _FURNACE $35.00 DRYER $10.00 _,GAS _POOL HEATER $35.00 _CHIMNEY LINER $10.00 _GAS DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 1..1 r..c�a zua:.y u 1. . ! dYSk 10 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 appl, ti 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. wor hich require eview and approval of plan . PRINT N:�SIGNATURE OF APPLIC4_/)� PRINT NAME DATE I' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 -i�✓in.'U4ZIAVAfil. .. J. �V - $ 0 tl to Number of fixtures @ $10.00 x $10.00 = Permit Fee 0 $ 50 Number of fixtures @ $15.00 x $15.00 = $ jS 00 Surcharge TOTAL DUE $ •, Number of fixtures @ $25.00 x $25.00 = $ $35.00 = $ Number of fixtures @ $35.00 x State Surcharge = $ 50 Total = $�57> 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 appl, ti 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. wor hich require eview and approval of plan . PRINT N:�SIGNATURE OF APPLIC4_/)� PRINT NAME DATE I' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 t - REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel ]MC Chapter 7 with MN Amendments b. Natural Gas or PropanoUGC Chapter 3 with MN Amendments ' 2. Make-up Air (See note below) a_ IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas 1MC 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. 346.0603.2a. ACOA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations