Loading...
PRE 2010 DOCSCity of Fridley AT THE TOP OF TME TWINE i r tU-------COMMUNITY VEVELO MENT VIV, �! PROTECTIVE wfftcrtom a", CITY HAIL FRIOLgV 01141t s 100 Pilot Street N. E. 53-84-S-915.51 :T PLUMBING PERMIT APPLICATION s Robert C. Struif 560-$152 Contractor MINNEGASCO Address Phone 733 MARQUETTE AVENUMPLS,,, Kind of Building Use MINN. Frame Res. Completion- Date stimate ost 10-22-73 10,00 _ alU ; I II Plumbing Fixture Rates; NO. RATE TOTAL + I W W I —f -- I 1 Number Fixtures x $2.00 Ii_ Future Fixtures x$1.50 svol I ! I I ! New Fixture -Old Open. x $1.50 O ? Catch Basin x $3.25 4Y0 � I I Water Heater -99,000 BTU x $3.00 '781M Ground Run Old Bldg. x $3.25 saa, ,—i •MHlval I I I 1 II Im I Elec. Water Heater x $2.00 i 8N18Ve lO I Gas Fitting Fees; I -- 6Nrvaa I I I I 3 c tloo,dl I •0p 04 1st 3 Fixtures x $2.00 C04 83 I �Z .3 ea7M0"$ I I I A j i Additional Fixtures x$ .75 LNnod I I I i aNlaol Gas Range -199,000 BTU x $5.00 a ►. HSYMI I I I I Repairs & Alterations I See s>tWI9I I I I I Description; Install Dryer Code 5.00 I � ��-tads 'A'Surcharge .5a fNISYYI 1 I I I I � a State Surcharge .50 I I I � I TOTAL FEE $ 5.50 H1V9I I I I s,vmivnl !The undersigned hereby makes application for a permit I I I I for the work herein specified, agreeing to do all work Ei39012 in strict accordance with the City Ordinances and rulin tl71YM I I I of the Department of Buildings, and hereby declare thatgI all'the facts and representations stated in this app�licatiron re true and rrect. CZO. ce e9 sp 'Signature W1 Date a City of Fridley suedEcr PE 13681 AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT NO. L-__•___ COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. 1 � NUMBER REV. DATE PAGE OF APPROVED BY � •'1 CITY HALL FRIDLEY 55432 �•""�'� ,'� 612-560-3450 910-F15 $/5/76 JOB ADDRESS 100 Pilot Avenue N.E. 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 1 Carlson ' s Summit Manor South Addn. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Robert Strief 100 Pilot Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. G & M Construction 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 X 8 DESCRIBE WORK Construct a 18' x 24' Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface driveway. Front yard setback variance granted to 24.6 feet by Appeals Commission on July 13, 1976. ..IMPORTANT..,.. NOTIFY THE FRIDLEY ENGR. DIVISION REGAROING CURB R�QIJIRED mR -WIMNG, REMOVAL AND REPLACEMENT AT �-r�t� A, p,I� NItT DRIVEWAY OPENINGS. S 14EAYt'I-vI► pLUMRING 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 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 432 4320 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 $3,196.80 $1.60 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. $17.28 PLAN CHECK FEE TOTALFEE $18.88 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ICDATEII W�HpEN PROPERLY VALIDATED THIS IS _�ER jYOUR CPERMIT / BLDG. INSP DATE IIF OWNER BUILDE (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME: �1� BUILDER: L - ADDRESS: /w / ✓� ADDRESS: h�M LOT: ? STREET • O�& AV �, BLOCK: ADDITION: &JA_J� CORNER LOT: b--' 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: �l Front: n Depth: Height: y Square Feet: °y� Cubic Feet: yea o Front: Depth: Height: Square Feet; —Cubic Cubic Feet: Type of Construction: wyo41�tV Estimated Cost: $ To Be Completed: •� A740 411-0 . The undersigned hereby makes application for a permit for the work herein 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 application are true and correct. DATE: �- - SIGNATURE: (See Reverse Side For Additional Information.) a� UaA(0-41 QJL, (0 M CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. R. C. Struif 100 Pilot Avenue N.E. Fridley, 121 55421 TELEPHONE ( 612)571-3450 Re: Intersection Vision Safety Zone Obstruction at 100 Pilot Avenue N.E. Dear Mr. Struif: In order to provide safe passage for vehicular and pedestrian traffic in the City of Fridley, periodic inspections of street intersections are conducted. An inspection on June 30, 1981 has determined that the sight line for the intersection on your property is obstructed and could present a hazard to traffic. Section 205.154 of the City Code requires that, "On a corner lot in a vision safety control zone, nothing shall be erected, placed, planted or allowed to grow in such a manner as to impede vision..., the vision safety control zone is described as follows: That area bounded by the street right of way lines of a corner lot and a straight line joining points on said right of way lines twenty five (.25) feet from the inter- section of said right of way lines." Therefore, the City is requesting you, the property owner, to correct the following problem and make the City's streets safer for travel. A reinspection will be conducted on or about July 20, 1981 to determine compliance. We are confident in your cooperation to correct this matter and if any questions or problems result from this letter, please contact me at 571-3450. The inspection of your lot indicated that the following obstruction is existing and should be corrected: Bushes or shrubs growing into sight line - trim down or back to be less than A feet high Hedge growing into sight line - trim down or back to be less than A feet high Tree branches growing into sight line - trim up Fence extending into sight line - lower or remove Sincerely, ?EN.T.OLSON, R.S. Env it onmen to 1 Officer cv, q, � intry 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571.345D u in OBSTRUCTION: Lot Block Addition C. s-t-rt?;F- Property (Mier-..ddress e� { RECORD OF COM %FU IQUIONS : 1. Z//0:7 4-7-4101V 2. sueJEcr PERM - . City of Fridley 0 18920 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE j_��s � l1 = �/ ���,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY •---� L 612-571-3450 910-F15 5/4/87 JOB ADDRESS 100 Pilot Avenue N.E. 1 LEGAL LOT N0. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 1 Carlson' s Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thomas Bukowski 100 Pilot Avenue N.E. 572-1816 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 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 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 $3,500 $1.75 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- $44.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $46.25 SI OF CONTRACTOR OR AUTVRIZEDAGENT IDATEI WHEN PROPERLY A DATED THIS IS YOUR ER ITS BLDG INSP AT SIGNATURE OF O IIF OVVNER B ILDERI IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Y/ Construction Address: I 0 0 (/ "C 0 Legal Description: Tel. # Owner Name &Address: Thn 6^� 4 S / %J�vC�«•° /d Tel. 4 Contractor: S%p" r � Address: 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 Height q. Ft. Height Sq. Ft. _ Hgt/Ground Sq. Ft. Length 3� Length — Length Width `l Width �- Width Corner Lot [�'`1 Inside Lot [ ] Ft. Yd. Setback Side Yard Setback ��C i�1 o Type of Construction: S Estimated Cost: $ 3 Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: > ^y / APPLICANT: �^ Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ t4Fee Schedule on Reverse Side $ 25% of Building Permit Fee $+7� $.50/$1,000 Valuation $ $525 per SAC Unit $ Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 3:50() L9 0c3 Via, S -V - L/- ,Jv V SuBJECT PERMIT NO. City of Fridley22446, AT THE TOP OF THE TWINS BUILDING PERMIT REC COMMUNITY DEVELOPMENT DIV. _ 1 -_ tr PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 I'J 612-571-3450 910-F15 4/25/94 JOB ADDRESS 100 Pilot Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 Carlson's Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thomas Bukowski 100 Pilot Avenue NE 572-1816 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 J1 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 32' x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement. WA R R F1 Before digging call for all utility locations 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.31 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,622 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 $2.62 Fire SC. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 57.93 SIGNAT IDATEI yy LY V D TED THIS IS YOUFJ PERMIT �N-TRACTO�AUT�ZED BLDG INSP qAT S i RE OF NER0F OAL&LRB I IDATEI V NEW ( ( Effective 1/ 1/94 ADDN (] CITY OF FRIDL-EY ALTER SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application Construction Address: _ �� ' dl -e Legal Description: -- Owner Name & Address: �h a '� a p Tel. # Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE # C P"G o i A'11 , �-e y !"1'1; h /') Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length 3%oz ", Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot Pf Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: g- a�� G J Estimated Cost: $ C;CZ -, Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 F _ x $ _ $ DATE: `-� — `l YAPPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ C�_ �� $ 1_31 - Driveway -3/ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 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 [ ] SUBJECT PEFQIT NO. City of Fridley 0 2 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. 96 r 1 . � NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 8/6/98 JOB ADDRESS 100 Pilot Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 1 Carlson's Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thomas Bukowski 100 Pilot Ave NE 572-1816 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ak REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 17 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1417 .71 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. $48.50 $1.42 PLAN CHECK FEE TOTAL FEE SIG1J TUREO�ORORAUTHORIZED AG � 1 ATEI ��j WHENPROPERLY Y'AJEIDATEP THIS IS Y R PERMIT 0 BLD INSP 4ATE S,GNATURE OF OWNER OF OWNERBUILDERi tPATEi NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDI G PERMIT APPLICATION ®q� ConstructionAddress: Legal Description: Owner Name & Address: \&'A'_®Q& K ; Tel. # s -- Contractor: -e" `ice MN LICENSE # Address: �1 _ b �� \) -<- r Tel. # 57-2 61F 'P Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IldPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE -AREA: Length Width Height Sq. Ft. DECK AREA: Len Width Hgt/Ground Sq. Ft. r. OTHER: Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: # STIPULATIONS: .K CITY USE ONLY Permit Fee $ 'yam ,S� Fee Schedule on Reverse Side Fire Surcharge $ 7T T .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: .K CITY OF FRIDLEY INSPECTION DIVISION 6461 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 P Commercial/Industrial 1.25% of Value of Appliance or Work Effective On January 1, 2000 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. $ 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 representations stated in this application are true and correct. "� J— DATE 12,0 l) HEA' Sign MINOR Approved By '&J, Rough -In Date Final Date 8 iS�Ot) JOB ADDRESS J� L---.) OWNER 1 (�l� Rate TOTAL BUILDING USED AS $ 30.00 $ ESTIMATED COST _ PERMIT NO. NJ $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR 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. $ 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 representations stated in this application are true and correct. "� J— DATE 12,0 l) HEA' Sign MINOR Approved By '&J, Rough -In Date Final Date 8 iS�Ot) C COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION d, r When replacing an existing furance, the undersigned hereby verges 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 manufacturers 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 C( Signed By: Are UiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 August 9, 2000 Tom Bukowski 100 Pilot Ave NE Fridley, MN 55421 Re: Final Inspection at 100 Pilot Ave NE Contractor: Dave's Appliance Heating and Air, Inc. Dear Mr. Bukowski: A mechanical permit was issued on June 12, 2000 for the property located at 100 Pilot Ave NE for an air conditioning unit. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical system. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAVE/JgNSEN BuildW Inspector SUBJECT City of Fridley 33813 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. III E L A "',•; CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY --_. L J` 763-571-3450 910-F15 8/18/03 10B ADDRESS 100 Pilot Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 Carlson' S Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Bukowski 100 Pilot Avenue NE 572-1816 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Dan Helwig Construction 13180 Red Fox Rd, Rogers, MN 428-4323 20176351 a 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 ❑ ALTERATION [j REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM 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 or take pictures. Caulk and flash all exterior openings. 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 1 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 @@ @ $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,000 DOES NOT PRESUME TO GIVE AUTHORITY TO LATE OR CANCEL THE PERMIT FEE SAC CHARGE SIONS OF ANY OTHER STATE OR LOCAAW REGULATING CON- rULCTION $$3.25 Fire SC $3.00 STRUC N OR THE PERF RMA F NS PLAN CHECK FEE TOTALFEE ____!7-44_cerpe SC $5.00 $92.75 �G 4TURE OF N7RACTOR R AUTHORiZEO ADEN iOATE� _ HEN PROPERLY JA G INSP VALIDATED THIS IS YO R P MIT �� r)AYE S-GNATURE OF OWNEROF OWNER BUILDER, iDATE� -y-� 9.13 NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R4 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION ' Construction Address: t 0' 40E A/ Legal Description: — Owner Name & Address: �JQM �/Gc w s /� r � � � ��, �� Tel. # Contractor. LArJ OgEC to C o MN LICENSE # c `2 of 7e, 3 Sl Address: 13 l P 1Zc-2 Iq V Oe -e -f F'a e e-- rS, Tel. # 12--f- Attach 2--f_ 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: r 0 Construction Type:y/�aV' r�/�� Estimated Cost: $ �,, od 0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ C, DATE:o/a/o APPLIC Tel. # Z� _ 7-3 Call (763) 572-3604'for Permit Fees if mailing in application. Fax 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �- Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ]