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PRE 2010 DOCSCity ®f Fridley, Minn. BUILDING PERMIT Date: . �....�. �..... ........... Owner �y 70.4 .. Builder Address . 6... Address 1�To 3®95 LOCATION OF BUILDING NoA'_. ® Street .... ..��.�........... Part of Lot . . Lot .. �.... Block ./r .............. Addition or Sub -Division C'A A4 S Corner Lot ............ Inside Lot ............ Setback ..?4 . ideyard .... .... .. rr!-r� DESCRIPTI®N OF BUILDING To be Used as: S Front Depth Height Sq. Ft./.Cu. Ft. ........ . Front ... Depth `t),f. `. Height ®�.... Sq. Ft. .9 r� Cu. Ft. ...... Type oAConstrZtlon,/,h�� ........ Est. Co f. J/. °a .......... To be Completed ................ . �# S-%.394 P 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 $.4 .....ermit 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. _ Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, pfidnbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. SUBJECTt ERMIT NO. City of Fridley (-_ 29887 AT THE TOP OF THE TWINS BUILDING PERMIT r ` • COMMUNITY DEVELOPMENT DIV. R EIPT NO. _ r PROTECTIVE INSPECTION SEC. 1 REv DATE OF APPROVED BY = CITY HALL FRIDLEY 55432 INUMPER �""�' •'' 612-571-3450 910415 7/16/99 1:;GE / JOB ADDRESS 6780 Plaza Curve NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Patricia Hayward 571-304 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO American Bldg. Contractors 12233 Nicollet Ave S Burnsvillp 55337 707-6959 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION XZ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (27 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 CON T. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 2360 $1.18 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CMA E PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- E PERFORMANCE OF CONSTRUCTION $83.25 VUCT�'O_ PLAN CHECK FE TOT F7 E ne �5 -an// A SIGNATURE OF CONTRACTOR OR A UTHORIZEO AGENT IDATEI EN ROPE Y D #W - SP I 3,-R'HIS I R P ATE S.GNATURE Of OWNER,IF OWNER BUILDER. IDATEI ADDN F ] ALTER Const uctionA ess: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R -X AND R-2 BUILDING PERMIT APPLICATION J Owner Name & Address:PA i 7,' c a'd 'j'4AUW ad Tel: # (6/.?) S-71 - 3010 Contractor: of e.A A1 A Oil) d } A/ 1 -AA -197 -6,e -S. MN LICENSE # -z- 0 /6 13 �-3 Address: Al ,' c o Z 4 e r Aa- SS . m,sdl-g Tel. # (6 / 70 7 -'6 9.,9 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. GARAGE AREA: Length Width height Sq. Ft. DECK AREA: Len Width Hgt/Ground Sq. Ft. OTHER: ` Construction Type: Estimated Cost: $ (Fee Schedule on Sack) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: 0 7- - APPLICANT: - Te 1. # 1-SMY Permit Fee $ F'32<5 - Fire Surcbarge $ -z' State Surcharge / /8'$ SAC Charge $ ',y $ L®0 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 F ] Not Necessary $ 9l, 7 I 4 1TY OF FRIDLEY INSPECTION DIVISION 0431 University Ave NE =ndley, MN 55432 APPLICATION FOR POWER (PLANTS AN® HEATING, CODLING, VENTILATION, 763} 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHWkIsE ttesidentlal Furnace Shelf and Duct Work, Burner Also Replacement Furnace (Side Vent - Fig Out Back) Gas Piping (Needed with new furnaco, but not replacement) Gas Range Gas Dryer '*Air Conditioning . All Sizes .All Others/Repairs & Alterations (LIST ON BACK), •% of Value of Appliance or Work ommercial/industriial 1.25% of Va lue of Appliance or Work Rate $ 30.OD $ 10.00 $ 10.00 $ 10.00 $ 25.40 State Surcharge TOTAL. FEE SEEM FEES® ANY HEATi1JGS-00LINAsi{Mr, IWTION Li R1t �/1Ti Al RramDiT1QjyING elm Is $25,x0 'SUS THE S.5'O STATE SURCfdARGE XINSPECTiON FEE $47.00/Hr Air Comm tioners can not be placed in a side yard without mitten permission from adjoining property owner. TOTAL S— - Effective On January 1, 20170 BUILDING BUILDING USED AS ESTJMATED COST ?ERM, IT No. of heating units Circle One (Stearn) (Hot Water) (Warm Air) Trade harne _ a Size BTl3� _ HP EDR_. Total Connected Load_ - --- Burner Trade Name_ __ Size No. Sp -__ —__ _ _ _ EDR 0 0 g The undersigned hereby snakes application fOr a perrnit 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 'rue and cOa°reo`�. DATE V. EATI Nawl�� V, -791-b 6/ 0 l Signe i 10-�Uk TEL t �' Approved hough In Cate Final D e FILL OUT BACK SIDE FOR STACK VE IgDW19N 4N �C ►�lE f11R1�IIAC�F, m m N Z0'd 1U01 COIF MON WNT. INT COMNE&oia ISN® c®14A1i?718sTioN ALR vaR- ICATIO When Loplacing an existingfftarangg. the undersigned hereby verifios that the venting has been examined and Is free from nest, 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 -LAMA Category l Central Furnace denting Tables for fern assisted and natural draft appliances. Yes( No( ) The existing r2mbustion air is sized and installed to meet the current codes and manufacturefs specifications. Yes No When required to install a new cotnlustion al:be sized and installed To meet the current codes and manufacturees specifications. Yes () No ( ) When InglMlling a nowventing stem, 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 ( ) Aram' 1eanc+e TYce incl SIMM—ammo+n hent and tient Connector lnform1 ion Appliance #1 Type BTU Input �--..`� Fan Assisted or Nat Appliance #'2 T Type STU Input Fan Assisted or Nat Appliance #3 Type BTI! 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 Diameter. in Type Appliance #3 Vent Connector Height ft Le;,: Diameter in Type AI_1'B T A • 49esctlbe HEATING Co' Signed By: ', � Hate : 2-01-0-0 "d sesassL O1 A3iQYd-4 X A11? 1408j Rg;e j OWtZM60V IAO 02'- CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 June 2, 2004 Ms. Patricia Howard 6780 Plaza Curve NE Fridley, MN 55432 Re: Final Inspection at 6780 Plaza, Curve NE Contractor: Dave's Appliance Heating & Air Cond. Dear Ms. Howard: A mechanical permit was issued on August 13, 2003 to install an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and the permit will be expired. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh OF r iIDLE-Y INSPEU i"ION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Eftective On Jan 2UU2 Reinspection Fee $47.00/Hr SIGNED ALL OTHERS AND/OR REPAIRS AND ALTERATIONS rd FAX # 1.5% of Value of Fixture or Appliance 4 _04. Approved By� Rough -In Date State Surcharge .50 TEL N0. 76,3--:;Z0 - ?A 3 �- Final Date I MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER U C SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE P1,09 2'A 0 a Lj �` PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS ri� 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 �� ��y , 20_ Sump/Receiving Tank $ 7.00 -LN Water Treating Appliance $10.00 Owner T_ Lj Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 _� Building Used Ash Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost ® PERMIT NO. f / Back Flow Preventer Required ( )Yes () No p� ��� C_-�d AJ Type $15.00 PLUMBING COMP"Y %y !-� Reinspection Fee $47.00/Hr SIGNED ALL OTHERS AND/OR REPAIRS AND ALTERATIONS rd FAX # 1.5% of Value of Fixture or Appliance 4 _04. Approved By� Rough -In Date State Surcharge .50 TEL N0. 76,3--:;Z0 - ?A 3 �- Final Date I MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER U C SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When Melan cinrj an gxonfina gran _ _, 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 PYeetingr_nmeustien air is sized and installed to meet the current codes and manufacturers specifications. Yes( No ( ) When required to inc4all a new _nmbuc+ieo airs it will be sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When installing a now venting nstem, the undersigned hereby verifies that it 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( ) 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= and S'YPI nmmnn lent and V nt Gnnnectnr Infennatinn 17 R 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 PERMIT o.: 2004-01661 6431 UNWERSIT` 7 AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/23/2004 (763) 57L -36U4 YAC: (763) 571-IZ37 ADDRESS : 6780 PLAZA CRV NE PIN : 143024230037 LEGAL DESC : RICE CREEK PLAZA SOUTH AD� : LOT 14 BLOCK 3 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION $ 4,905.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. INSTALL SOFFIT,& FASCIA. STATE LICENSED CONTRACTOR 1 APPLICANT CHAMPION WINDOW CO (20449672) 7155 W COMMERCE CIR NE FRIDLEY, MN 55432 CMZ:'/�I X1:7 HAYWARD PATRICIA 6780 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 q$nATuc n or the performance of constn}ytiog! Bldg Insp B DING PERMIT FEE F SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 111.25 4.91 2.45 5.00 123.61 NEW [ ] CITY OF FRIDLEY &6OU 0-' Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-12 7 Fax BUILDING PERMIT APPLICATION Construction Address: V?ceO 1P (q,'%a. C" r -U-0- ty t- 4�PI cVA Legal Description: Owner Name & Address: Pa.rie%e,® �- f Tel. # L-1 S-3 ► Contractor. Qcx o�C tA41`5 MN LICENSE#-LQ4%Xgk0'1 Z__ Address: -1 \_SS Caw -*---e .f- C -,m �e. - • \ ti +�e. 5531 Tel. #(, t�3� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVINGAREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type:—� r (17-1 of Estimated Cost: $ � °t n � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ rr DATE: q !Z. O `� APPLICANT: Tel. 7 fD'31 ZZct -%1 b t %k 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. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $� Fee Schedule on Reverse Side $ 65% of Permit Fee $ .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 [ ] $ 1d3 STIPULATIONS: