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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3376 Date: .... ........... ................. Owner ....................................... Builder .............. ... .. .......... Address ...................................... Address ............................................. % LOCATION OF BUILDING No..� ®..� Street. .... ... Part Lot .. .. .......... Lot ... . �.... Block .... ............ Addition or Sub -Division .. .. ... ... . .. .. Inside Lot . ® . /OAA ... . Corner Lot .......... .. ....... Setback... :�'Sideyard ........... DESCRIPTION OF BUILDING To Used a Front '0 Height Ft./d 9110 GI. Ft O ... ... . .. ....: Front. Q .._ Depth ."T Z .. ..I .OSq. Height ../Q.. Sq. Ft. . YZ A irl. Cu. Ft. Type of Co ction . 04 . e ... flet. cost ..................... 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 and in compliance with all provisions of ordinances of the city of Fridley. .. ...... .............. In consideration of the payment of a fee of $R.? ....... permit 114ereby 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 qany of the provisions of said ordinances. ,3 ........ 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. r -. 4 AppIcafta for Power Pkaft and Heafto Coolings Vn"Wons Ewl MR 4nd Air Conditioning Sydems and Devices PARTIAL RATE SCHEDULE ' , GRAVITY' WARM AIR: RATE TOTAL Furnace Shell & Duct Work ............................ $10.00 $ Replacement of Furnace ............................. 6.00 Additional Fixtures ................. Repairs & Alterations—up to $500.00 ................. 6.00 � $ Repairs & Alterations each add. $500.00 ............... 3.00 $ 1 Fee NECH. WARM AIR VENTILATING SYSTEM Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each, add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace .................... ......... &W .$ 6.00 Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft.'EDR Steam .... . $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot, Water .. 10.00 Each add. 200 sq. & EDR Steam ............... : ...... 3.00 Each add. 320 sq. ft. EDR Hot Water ... 3.00 $ OIL BURNER to I gal. per hour ...... ...... ..... 6.00 over 3 gal, per hour --See Fee Schedule GAS BURNER (up to 199,000 BTU) ....... * ................. over 199,000 BM See. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ X$ zoo $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 .......... 3i$ &W $ AIR, - VE $_ FAN HEATING SYSTEM .17" 1 Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL Mm 6.00 Surcharge .50 ROUGH — SALESMAN: GENE FLOREK Dept. of Bldga. Phone 880.3460 6740 Plaza Curve'N.E. City of Fridley: The undersigned hereby makes application for a permit for the work hereft 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, Njnn_ Sept. 18# x 1972_,.1& — Owner — Ernest A. - Bloom .. Kind of Building Frame Used as Residence To be completed about .10-2-72 Estimated Cost, $ 290.00 Old --New. Building Permit No. Permit No. 'r�'3 go DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No�_ Tiede Name— WESTINGHOUSE Size GUB-11M — capacity. 88,,000 _Sq. PLILDR- BTU H.P. Total Connected Load REPLACEMENT _ gid of Fuel Gas AME AS ABOVE BURNER — Trade Name Sin No Capacity — Sq. FL EDR — BTU — ff.P: (REMARKS -OVER) FRED VOGT & CO. HEATING & AIR CONDITIONING 3260 Goehas Aver ! 929-6767 2% UNIS 20% Minnetate 53426 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 C P J/ l lr' Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rade TOTAL herein specified agreeing to do all work In strict accordance with the Furnace Shell and Duct Work, Burner - 1:570 city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.70 $ that all the facts and representations stated in this application are true and correct. , 7 1-17 7-2 11994 Gas Piping (Needed with new furnace) $ 10.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ •� - O 'Air Conditioning - All Sizes $ 10.00 $1U All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 146 of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE S- ?/). �� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR 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. OWN BUILDING USED ESTIMATED COSTPERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units � Circle One (Steam) (Hot Water arm Air) Trade Name /� ��� Size No. BTU 2S1 -00O HP EDR Fuel �8 S Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY. Signed B AXZ,'% Tel No. Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE SUBJECT . ERMIT N0 City of Fridley 230, 3 AT THE TOP OF THE TWINS BUILDING PERMIT - r RECEIPT NO. �• COMMUNITY DEVELOPMENT DIV. r 1 ______ L PROTECTIVE INSPECTION SEC I 4H CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/10/94 JOB ADDRESS 6,740 Plaza Curve NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 3 1 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul Cross 6740 Plaza Curve NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Contr 6331 Riverview Ter NE Fridley 55432 574-9966 4051 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 X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House 23 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,725 $.86 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- Fire SC $1.73 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $41.00 PLAN CHECK FEE TOTAL FEE 1" /AZ License SC $5.00 $48.59 SIGNATURE OF CONTRACTOR C#AUTHORIZED AGENT 1 ATE WHEN PROPER VALIDATED THIS IS YOUR PERMIT B G INSP V DATE SIGNATURE OF OWNER of OWNER BUIL DE RI (DATE) NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress• 7 c(o L / Za ►� �_ Legal Description: Owner Name & Address: - d- noes : PA,, L C.t o s s Tel. # Contractor: k; c ti A P b h s . P�l� S MN LICENSE # Vo 5-/ Address: 6.3 3 t R� 0�;- R u e L -7,j Tel. #. 577 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: S Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: `r -EA it QFr= 4 2 c- Estimated Cost: Approx. Completion Date: !L/ 3 aLF, {Cost on. Back)Aw Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ — $ DATE: �/ 9 APPLICANT: Tel. # TOTAL $ / C) - S 91 PULATIONS: CITY OF FRIDLEY INSPECTION 1 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On August 1, 1995 JOB ADDRESS 5 r-7 /0 RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in stiict 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 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) ,1995 Gas Piping (Needed with neva furnace) $10.00 $ e �� '7�< 3 OWNER �� 2 /✓C� �J . Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ a ESTIMATED COST PERMIT NO. *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER AII Others/Repairs & Alterations (LIST ON BACK) /� 1 % of Value of Appliance or Work P $ r V No. of Heating Units Circle One '(Steam) (Hot Water) (Warm Air) � Trade Name Size No. Commerclai/Industrial BTU:* _ HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .60 Burner Trade Name Size No. BTU _HP_ EDR TOTAL FEE HEATING COMPANY MINIMUM FEE FOR ANY HEATINGiCOOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By`; PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR TACK VERIFICATION ON written permission from adjoining property owner. 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 3. Has pailreign objects lodged within 4. Is secifly supported 5. Meets urrent Code requirements for size and toBTU's connected _ ... . 6 Has to eating BTU's of All o v 1's TOTAL BTU's 7. Has a liner been provided for water heAter 8. Has combustion air been provided for water heater Remarks: Yes () No ( ) Yes O No O. Yes () No ( ) - -Yes ( ) No ( ) Yes () No ( ) Yes No AT TN: JAN T josA1�P,0. BOX 1166 3Z'1-� P.O. ��%< � � � , �flPLS , MN 56440-1166HEATING CO: MPL.S.� MN 55440-1165 Signed By: — Date: 1.1 I T VI' r't11ULCT IIV.Jrtka IIUN UIV. 6431 University Ave NE Fridley, MN 55432 572-3604 tnective un January 1, 1 yy:i APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range NO, RATE. TOTAL JOB ADDRESS !%Z V e-tt-RJ, ,u.E - Gas Dryer r Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $.7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 /40." $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1'/o of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 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. . A zs�R tP .199.:5— $10.00 1ss.:5" Owner /reN -,owg-o PWuA- e-nagg Building Used As -- F-5 Estimated Cost 1'-o- o -o PERMIT NO. PLUMBING CO Ypl¢,! SIGNED B TEL N0. 7f'= Approved By' i Rough -I -n Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE •i:bii Urinal aWash � Shower Tray For Drain .... Auto. Gas Washe ange� ":.. Water Heater lecStories as E Basement Floor 1 Floor 2 FI oor 3 I F oor 4 PLUMBING FIXTURE RATES New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range NO, RATE. TOTAL JOB ADDRESS !%Z V e-tt-RJ, ,u.E - Gas Dryer r Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $.7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 /40." $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1'/o of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 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. . A zs�R tP .199.:5— $10.00 1ss.:5" Owner /reN -,owg-o PWuA- e-nagg Building Used As -- F-5 Estimated Cost 1'-o- o -o PERMIT NO. PLUMBING CO Ypl¢,! SIGNED B TEL N0. 7f'= Approved By' i Rough -I -n Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE II MINNESOTA ENERGY CODE 11 II1-2 Family Residential Building RESIDENTIAL "COOKBOOK" WORKSHEET Ap H ant Nal�lc ` ,� 1�� Phone �@ VIA,!, i lcvD S&-22-77-1& pate �(,�- Statement of Compliance: proposed building design represented in these is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed �buA�ghbeen designed tomeet e re nts e de. Building Official Use App (cant AddressThe Bu727o?,-5-documents Ha4j, 4k, &/eA � �. Building Address: i Applicant/En weer v Irilv%11VIUivi 1VrVU1Kjr 1VM-iN 1 J Ior - L ooKnow, Vptlon: Entry Doors 1-3/4" solid wood w/ storm Ceiling with energy truss R-38* door 0 equivalent Foundation Windows Insulated Glass w/1/2" gap in Ceiling with low heel truss R-44* wood or vinyl frame Ceiling -no attic R-38 w/ R-5 sheathing *Insulation Performance at Winter Design Conditions Window and Door Area 100 x _ = As % of Exposed Wall Area Window/Door Area Gross Wall Area Window/Door Area MAXIMUM WINDOW I1•VAi,i1FS! _L Rim joist R-19 Floor over R-24 unconditioned space WIND U -VALUE : o Source: NFRC -Nr or ASHRAE 1993 Handbook Check Wall ....., WALL TYPEMAXIMUM. WINDOW AND DOOR AREA % OF EXPOSED WALL AREA Type Used 12% '14% .16% :18% 20% 22% 24% 26% 28% 30% 32% 34% TYPE A 2x4 framing, R- 13 insulation, sheathing R-7 or greater. 0.55 0.47 0.41 0.36 0.33 0.30 0.27 0.25 0.23 0.22 0.20 0.19 TYPE B 2x4 framing, R-15 insulation, sheathing R-5 or greater. 0.52 0.45 0.39 0.35 0.31 0.28 0.26 0.24 0.22 0.21 0.20 0.18 TYPE C 2L�xx6 framing, R-19 insulation, sheathing less than R-5. 0.48: 0.56 0.41 0.48 0.36 0.42 0.32 0.37 0.29 0.34 0.26 0.31 0.24 0.28 0.22 0.26 0.21 0.24 0.19 0.22 0.18 0.21 0.17 0.20 TYPE D 2x6 framing, R-19 insulation, sheathing R-5 or'greater. TYPE E 2x6 framing, R-21 insulation, sheathing less than R-5. 0.51 0.43 0.38 0.34 0.30 0.28 0.25 0.23 0.22 0.20 0.19 0.18 TYPE F 2x6 framing, R-21 insulation, sheathing R-5 or greater. 0.58 0.50 0.44 0.39 0.35 0.32 0.29 1 0.27 0.25 i 0.23 0.22 1 0.21 - w,... ". ,.. 111- L vua vi Luc VdIUCS Ill me anergy l.oae, fart /0 /U.04 /5. Suhr. 2. This is a summan only. Other requirements may apply. See the Minnesota Energy Code. 2-s �� Questions? Call Department of Public Service Information Center at 612/296-5175 or 1-800/657-3710. MINNESOTA ENERGY CODE 1-2 Family Residential Building EXTERIOR ENVELOPE U -VALUES WORKSHEET Applicant Name: Phone Date Statement of Compliance: The proposed building design represented in Applicant Address: Ceiling/Roof (Total Framing and Insulation Area) these documents is consistent with the Skylights building plans, specifications, and other Other calculations submitted with the permit application. The proposed building has been Building Address: Windows designed to meet the requirements of the OO O = O x ® _ Minnesota Energy Code. Above Grade Foundation Wall Applicant/Engineer Assembly - Ceiling/Roof Area (Sq Ft) , < U=Value U -Value x Area Ceiling/Roof (Total Framing and Insulation Area) Wall (Stud and Insulated Cavity) Ceiling/Roof (Total Framing and Insulation Area) Wall (Stud and Insulated Cavity) Skylights Fireplace Wall Other Rim Joist Windows Totals 1D Average` U -Value: OO — OO OO Required U -Value from Energy Code: - � ® 0.026 OO O = O x ® _ Assembly -Exposed Wall Area (Sq Ft) U -Value U -Value x Area Wall (Stud and Insulated Cavity) Wall (Stud and Insulated Cavity) Fireplace Wall Rim Joist Windows Doors - Above Grade Foundation Wall Foundation Windows Other Totals © OO Average U -Value: OO Required U -Value from Energy Code: OO 0.110 TRADE-OFF PROCEDURE: If OO is greater than ®, or ® is greater than OO , revise the design as necessary to meet envelope criteria of the Energy Code. If the total of OO +O is less than or equal to the total of OO + p then the design meets Energy Code. 1 Wood frame, metal frame, masonry U -Values are found on the Wall U -Values Tables. Calculation eauations are on no t t - l i of the emir 2 U -value for skylight and window must be determined by the National Fenestration Rating Council Standard 10091 or ASHRAE 1993 Handbook of Fundamentals, Chapter 27, Table 5. This is a summary only. Other requirements may apply. See the Minnesota energy Code. 2/5/96 Questions? Call Department of Public Service Information Center at 612/296-5175 or 1-800/657-3710. sueJEcr PE City of Fridley 25220 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC./ r CITY HALL FRIDLEY 55432 NUMBER REVDATE PAGE OF APPROVED By ' 612-571-3450 910-F15 6/27/97 JOB ADDRESS 6740 Plaza Curve NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 3 1 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clem/Elizabeth Nagel 236 Rice CReek Blvd NE, Fridley, MN 572-0633 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Millworks Construction 2725 Nathan Ln Plymouth MN 55441 544-7577 20062275 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 ❑� ��p El NEW 1 ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X X 8 DESCRIBE WORK Construct a 28' x 16' Addition; a foundation for futuregreenhouse; interior alteration 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARN111141 Before digging call for EP PERMITS REQUIRED FOR an utir1y locations INP,, HEATING, PLUMBING AND SIGNS. 454.0002 REQUIRED BY LAW 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $27,121 $13.56 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- $376.75 Fire SC $27.12 STRUCTI'O THE PERFORMANCE OF CONSTRUCTION. CHECK FEE TOTAL FEE °`'PLAN I License SC $5.00 $422.43 SIGNATURE OF CO CTOR 014 -AUT )ZED AGENT a (DATEI WHEN PROPERLY LIDATED THIS IS YPU/RPPE/RMIT INSP F1ATE SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEIBLDG NEW [ ] Effective 1/1/97 ADDN QQ CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: lo7 40 P1 AZ,4 Gtr p Ll Legal Description: f F-l®G 3 �'Le reP / �a -ow ddi' f' 236 le%Ce � e& 91✓ Owner Name & Address: eL � ZZ' j � f� 97Th' �t 1,4 6.<L ��, / el. # .572 -- eV 6 33 Contractor: Yin��� �' S 2 MN LICENSE # Address: " Tel. # tt3z` `� --i��77 Attach to this application, a Ce ificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length 7q5f Width i Height 1 c Sq. Ft. yl% GARAGE AREA: Length /` Width i Height �- Sq. Ft. -/ DECK AREA: Length _ i Width �- Hgt/Ground /" Sq. Ft. / OTHER: Construction Type: t a Estimated Cost: $ ��/7 / 21• (Fee Schedule on Back) Driveway Curb Cut Width Needed: �— Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT:&A"fwTel. # - -66 3,3 TOTAL $ STIPULATIONS: CITY USE ONLY Permit Fee $ �� Fee Schedule on Reverse Side Fire Surcharge $ `% .001 of Permit Valuation (1 / 10th %) State Surcharge $ 13, " $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ S'06 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ -$450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ TOTAL $ STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES Effective On January 1, 1997 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR :. Beth Wash [ink Floor Gatoh Auto Gas Gas :fs': Water Heater Urinal Tuts ShowerTray Fgph# Drain lasm Washer Appf . RangeIxt.. Gas Elec NO. RATE TOTAL New Fixtures a- $ 7.00 J4 J0 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater –Electric $ 7.00 Water Heater – Gas** T 6 $10.00 Oe Gas Range** $10.00 Gas Dryer** $10,00 Back Flow Preventer Required ( )Yes (} No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 JOB ADDRESS. (® G Z C1 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 1(—/ G 8 /3 '1997 5-!/- y7S'3 Building Used As__ ?e s.ae n c e Estimated Cost PERMIT NO.____ PLUMBING COMPANY �G / %���••�b� q Approved Syffiv� Rough–In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 $ PLUS THE $.50 STATE SURCHARGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6–A. MINIMUM SIZE 9 SQ INCHES. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Ot-hers/Repairs & Alterations (LIST ON BACK I% of Value of App[lance or Work Commercial/I ndustrial P ? 6 d_ c, 1 1.25% of Value of Applian or Work Rate $3 . 0 $ 10.00 $ 0.00 $1 . 0 $ 25.00 State Surcharge TOTAL FEE Effective On January 1, 1997 JOB ADDRESS The undersigned hereby makes application for a permit for the work herein TOTAL 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. ,1997 $ OWNER 7 5.3 BUILDING USED AS $ _ ESTIMATED COST -ZOO PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) arDA:i Trade Name CG`'vd ,1G,><, Size No, BTUZ::5,,HP EDR $ Fuel Total Connected Load $ .50 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 9' REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Approved By Rough—In Date FILL OUT BACK SIDE OR STACK VERIFICATION ON REPLACEMENT FURNACE REINSPECTION FEE $42.00/Hr *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 HEATING COMPANY Signed By_Tel No. �O� ,��✓� ��`r�� Final Date Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed. By: Date: CHEMMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes W 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 ( ) S. 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 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed. By: Date: Sum& O. City of Fridley 2967 AT THE TOP OF THE TWINS BUILDING PERMIT Ir' COMMUNITY DEVELOPMENT DIV. REjPT% /v/� r PROTECTIVE INSPECTION SEC. 6/ 1 � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 6/11/99 JOB ADDRESS 6740 Plaza Curve NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 3 1 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clem J. Nagel572-0633 3 CONTRACTOR MAIL ADDRESS Owner ZIP PHONE LICENSE NO 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 O NEW V ADDITION O ALTERATION O REPAIR O MOVE O REMOVE S DESCRIBE WORK Construct a 22' x 23' Cedar deck 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on plan. WARNIN6,' digging call for 110 etflity locations IARMT'E PEF?MrrS RE REQ REQ�1�ED QY LAS/ WIRING, JjF4TIiVG, PLUMBING AND Stamt. 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 BO 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 SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4756 Q 0 17 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- STRUC ION OR THE PERFORMANCE OF CON RUCTION 111.25 Fire SC $4.75 p/1 PLAN CHECK FE TOTA EE 8.37 SIGNATURE OF C N RAC OR R AUT RIZEO AGENT IDA EI E ALIDAT HIS IS Y PE MITSIGNATURE knE4NRO P ' r)ARE OF OWNER IIF OWNER SUILDERI IDATEI NEWYQ Effective 5/10/99 , qq ADDN JA CITY OF FRIDLEY • ALTER ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 1 BUILDING PERMIT APPLICATION Construction Address:2(j ?`,AZA co M Legal Description: Lir IR OCA'.3 'V\c'2 Cwo kA xA `�Y* ADD,+tL-i-k Owner Name & Address: C. \,-gw \. 0 W%-;� Tel. # Q1 -S7:L 3 _ Contractor: Sa U- MN LICENSE # Address:,_ Tel. # 5A vv- - - Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: CDE K IjEA� OTHER: Construction Type: DESCRIPTION OF IMPROVEMENT Width Height- Sq. Ft. Length Width Height Sq. Ft. Length — — Width Hgt/Ground /4-Sq.eFt. �O Y` f = � 54V Driveway Curb Cut Width N + 6 Ft = Ft x $ DATE: �D APPLICANT: V �® Tel. TOTAL STIPULATIONS: $ 37 CITY USE ONLY Permit Fee $ j Fee Schedule on, Reverse Side Fire Surcharge $ , .001 of Permit Valuation (1/10th%) State Surcharge $ j $.50/$1,000 Valuation SAC Charge $ $1050 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: $ 37 W, 5 Ar.'r. JDE LAwo . . . ­­.. I. *..'.. k,-, j-­,'.%.� ai AND, Vt L t.AVE P.4 U M INN EAPOLIS, P:V:' .;3 N;g Al are oe N r -V ten f-, P4, 'AND. r` P 54 ENT W.. �CORREQ.� �EPUS NTIC;M,; LAND.- POOVE LOCATION ffr+s AL.. L+Ult4lNG5'..•.IF'A11Yf! t- . 1 DN R. IC mull-, GE F. - NO ikmo Iq sit M 4z 44. CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range &'- i=, _-���-mac_ A6t 4,1 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 May 10, 1999 JOB ADDRESS OWNER Rate TOTAL 6 0 BUILDING USED AS— $30.00 S $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 proerty owner. ESTIMATED COST jam` PERMIT N0. /J %'Xo DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units,—Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are*true and correct. $ 0-56 C-0 _625--36? HEATING CO Signed _ DATE Approved By Rough -In Date Final Dat qb Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHDJ NEY 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 () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: 957 C_ /11 01 r sus�Etr MIT NO.`�� City of Fridley 3 0 5 3 AT THE TOP OF THE TWINS BUILDING PERMIT 16 RECEIPT NO. fy __���. rCOMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.7� Vq, CITY HALL FRIDLEY 55432 NUMBER REv DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 12/14/99 JOB ADDRESS 6740 Plaza Curve NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 3 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Clem/Elizabeth Nagel 6740 Plaza Curve NE 572-0633 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Patio Enclosures Inc 2123 Old Hwy 8 NW, New Brighton, MN 55112 651-631-1100 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 J ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct an 8' x 12' Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. P Refere di*g inq ce!j for all u°4i?y Ir;;i®ns + � PERMIT'S PFnt imM 454-0002 vvR°��vG, Hs=': Q U ARE Y LAAW .e sic, 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 $10,928 I $5.46 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- $194,13 Fire SG $10.92 STRUCTION OR THE PERFOR CE OF CONSTRUCTION PLAN CHECK FEE TOT FEE Licens C $5.0 $215.51 SIGNATUA F CON,RA�0..�. AGENT IDATEI HE PNZ VALI D THIS IS PE�iMI S,GNATURE OF OVVNERIIF OWNER BUILDERI IDATEI G INS rIAtE /11 01 r NOV-04-1999 11:05 FROM CITY OF FRIDLEY TO 6516312521 NEW [ 1 Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 4 Construction Address: r.-140 plQ uL &iwf-, Legal Description: Owner Name & Address: P. 01/02 Tel. # Contractor: --{ado Sy1kS°Y.Urx min C • MN LICENSE # 167 6 Address: AW Old Aaj 9 AM : J.VhD Rrfa C,r.11,2 Tel. # rarl - 6c?/—//Q Attach to this application, a Certificate of Survey of th lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length. Width Height Sq. Ft. GARAGE AREA: Length Width .1Height Sq. Ft. HECK PORL4 Length g 'Width �_',Z! Hgt/Ground __V Sq. Ft. OTHER: Construction Type: Tr64WJjEstimated Cost: $ 101 q R I' aWm e1G' c,wre.. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Of 1z 9 APPLICANT:.. AaLlTel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ /9`1,13 Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1.,000 Valuation $1050 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 [ ] . ........ . ... ........ - ge., M, • C.- t ND x "AN 3 U-.Q:Ej�,-- LAIII I 411 74 t TING zri, Ile. 0 1p > 0I vk all AA \11N C: �oe 'IY L? .7 r"T.. P. k* l4e4l• vfig C0RREC-rlI -:Tpuut; i4,-,:PF4P%`.SURY.E-Y-' VE OF i� 1 1 - . . . . . I I - r AT'Pt4 'or- Au:i, emILDINGS"'IF -Amy. -'THE 0 ow on. --smar.. tA -L'VISIBLE. MQ0AC9MC ie4 AN -'DOZ."�W•"O.- EFIZ �q% Xqu w D.- 1 1. ��lk ,:5" A,-xit". Vii INy+. Re 1A - r:7 v'. 1 IiA h-I MIFF- CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763) 572-3604 FAX: (763) 571-1287 ADDRESS 6740 PLAZA CRV NE PIN 143024230041 LEGAL DESC UNAVAILABLE LOT BLOCK PERMIT TYPE BUILDING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION PERMIT NO.: 2004-00151 DATE ISSUED: 02/04/2004 VALUATION : $ 6,800.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER SECTION 310.9.1.2 OF THE 1997 UNIFORM BUILDING CODE WHEN ADDITIONS, ALTERATIONS OR REPAIRS IN EXCESS OF $1,000 ARE MADE TO RESIDENTIAL DWELLINGS. REPLACE WINDOWS AND LIFT FLOOR IN 3 SEASON PORCH. IS APPLICANT A CONTRACTOR? 1 APPLICANT LANDA CONSTRUCTION INC 2108 S HAM LAKE DR HAM LAKE, MN 55304 NAGEL CLEM J & ELIZABETH C 6740 PLAZA CRV NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied 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 construction or the performance of construPtion. An icf ants'_ n y/�,,. Date � W �-2� Bldg Insp BUILDING PERMIT FEE 139.25 FIRE SURCHARGE 6.80 STATE SURCHARGE, VALUE 3.40 LICENSE SURCHARGE 5.00 TOTAL 154.45 PAID WITH CHECK # 3165 SEPARATE PERMITS REOCJIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 6� %d'V Legal Description: Effective 1/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax (� r l 9 �tl eo Owner Name & Address: Tel. A( a�2,.3—z Contractor:./- MN LICENSE# I- C— Address:�,2A Sr Tel. #('p 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: s e,< n�- s 1IJ Constructigr Type: Estimated Cost: $y C Driveway CurWCutWdth-Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: A� Sj� Tel. J(;;V% Call (763) 572-3604 for Permit Fees If mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 1 SL4 'Lis - STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS : 6740 PLAZA CRV NE PIN : 143024230041 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : HEATING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE FIREPLACE VALUATION NOTE: INSTALL GAS FIREPLACE (HEAT N GLO, 26,000 BTU'S) APPLICANT FIRESIDE HEARTH & HOME/ALLIED FIRES 2700 N FAIRVIEW AVE ROSEVILLE, MN 55113 (651)633-2561 NAGEL CLEM J & ELIZABETH C 6740 PLAZA CRV NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Bldg Insp" �;� �a;t[3 104 z PERMIT NO.: 200400288 �) D3I DATE ISSUED: 03/02/2004 HEATING PERMIT MINIMUM FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 25.50 PAID WITH CHECK # 1794 ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OFIFRIDLEY INSPECTION DIVISION Effective January 1, 2004 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 FAX (763) 571-1287 RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ 10L DU but not replacement Gas Range ;be $10.00 $ 10.00 $ Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 117o of Value of Appliance or Work Commercial/Industrial 1.25 Jo of Value of Appliance or Work $ 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. $ .50 JOB ADDRESS 0 �o OWNER�'���/ BUILDING USED AS�Sd�.,� ESTIMATED COST 100' CC) �7 PERMIT NO. . DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) - (Hot Water)sarm Air)? Trade Name Pe -H. rF-lo Awr)ac Size No. _ J2 BTU_ HP EDR Fuel Total Connected Load 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 '7" � ay HEATING CO 1411"'5d h'fo5149 O(Af Signed TEL # 65I FAX # ZY Approved By Rough -In Date' Final DateQ�_2k FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR'THE APPLICATION WILL BE RETURNED When , 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 plasdc/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 meats the current codes and manufacturers specifications. This does Include AGA-GAIVIA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The oY�; cnmboia+inn air is sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When,required to install a now r_nmbnstinn airy It will be sized and Installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When jpatallinn a new ventinngys pm, the undersigned hereby verifies that it iia' listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAIVIA 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 #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: Date: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 671-M1z1L=a►V.WV111U jaF--t:yA PERMIT NO.: 2004-00320 IN DATE ISSUED: 03/11/2004 ADDRESS : 6740 PLAZA CRV NE PIN : 143024230041 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. 4 SEASON PORCH CIRCUITS # INSPECTIONS 2 APPLICANT BRAASTAD ELECTRIC INC 16909 ABERDEEN ST NE HAM LAKE, MN 55304 (763) 434-5700 OWNER NAGEL CLEM J & ELIZABETH C 6740 PLAZA CRV NE FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) 40.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 40.50 PAID WITH CHECK # 17664 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied 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 construction or the performance of construction. Applicant Date Bldg Insp_ Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Building Inspections 763-572-3604 DATE___f �-��t SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WrrH APPLICATION PERMIT TYPE TYPE OF WORK: .e. MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS 13 OWNER OCONTRACTOR ADDRESS: PHONE: COMPANY NAME: Ae PP CONTACT PERSON: S ff Permit No.: Received By: Date Rec'd: X (1 11 tAl CITY STATE ZIP, STATE LICENSE # EXP DATE ADDRESS: / ()d)C %'1 Crry f%^ C �.[ STATE ZIP, PHONE .,SINGLE FAMILY ❑ TWO FAMILY NEW O REPLACEMENT DETAILED DESCRIPTION OF WORK FAX O TOWNHOUSE ❑ ALTERATION/REMODEL �sLN PER MS 16B.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 improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) 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) ��� Q MODEL: a `Diss SIZEBTU c� Equipment Installed MFG: `J MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 _CHI]MNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.Q0 GAS PIPING $10.00 VENTILATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ 26 -SO Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ 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 applicatio 0 pe it d work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all rk q s review and approval of plans - SIGNATURE OF APPLICANTI PRINTE'/ kAA6' 4LATE —,% C i t✓ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977