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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT Date: --• -_-.' Owner: .....�--. ..... -� Builder Address ..,�!-r".:._ ._ " .. dt a ..e�� �... s`.._.. Address _.._-._---- ._ ._ _._....__...__._._..._..._ ...._.._.._.... _._.... ......._...._.._..._......._.._ _._... LOCATION ING NO. ::. Street _.._... . �Y+; - _* ........ -... _ ,,t-.. Part of .o Lot ....._.. .....-........ Block ..:.._.._ ............................ 'Addition or Sub -Division _. ....... � - Q_..... Corner Lot .........................-........ Inside Lot ...... ........ Setback ............... Sideyard ........... ...__......... SewerElevation....._............._............._............._.............-.......-•------•------------....... Foundation Elevation ............. .............. .... ... .......... ............... _.............. _.._....... DESCRIPTION OF BUILDING ` cu. Cu. Ft ...... .............. To b@;Used ��� __ y � Front . Depth , . _.. Height .. Sq. Ft..._ ...._.............._............._...........: Front .._.......... Depth -..._-- Heist _ Sq. Ft. Type of Construction St. Co1�To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $.�' permit is hereby granted to. ..... -....................... ._....... ................ _..__._............... .................. :..-.._...._..._... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his- agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upo violation of any of the provisions of said ordinances. ,fix 1 _ $•`k_.``.»r.._. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name eWi57tX &dj:jAJZ,-'A Builder ::If A HL - Address ���� �` � 5� Address �� /�,P LOCATION OF BUILDING No. 4340 Street_ a_V11&Cr_ Part of Lot Lot .Block _ Addition or Sub.Div, &&jjt Corner Lot___Insi.de Lot V Set Back 5� / Side -Yard l SEWER ELEVATION FOUNDATION ELEVATION Applicant attbLab to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: le Front e�� Depth 4ZE__, , Height.,,—g-0 Sq, Ft. 11.2 Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of ConstructionLMN_ _/C Estimated Cost To be completed 4� 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 representa- tions stated in this application are true and correct. DATE,f , �' B SIGNATURE j2[Z "/G (A Schedule of Fee costs can be found on the Reverse Side.) City of Fridley, Nffim N° 8176 BURDING PERMIT Date: JULY 12, 1965 Owners ROBERT D. ANDERSON Builder 0. R. ANDERBERG COMPANY Address 6360 Quincy St. N. E. Address 2923 Oakland Avenue Fridley 21, Minnesota LOCATION OF BUILDING No. 6360 Street Quincy St. N. E. Part of Lot Lot _ Block Addition or Sub -Division Corner Lot Inside Lot _ Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: DESCRIPTION OF BUILDING Front Depth freight Sq. Ft. Cu. Ft Front Depth freight Sq. Ft Cu. Ft Type of Construction EstCost $2,000.00 _ To be Completed STORM REPAIR DAMAGE In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with 21 provisions of ordinances of the city of Fridley. F In consideration of the payment of a fee of $-U.-O-0 , permit is hereby granted tom.R____A9DERMUG CO. the express condition that the�peerssoon t wct hom itis or addition as described above. This workmen, ed all wok done in, around and upon said building, or any partthereof, shall cted and his onform i pall lrrespectsd to the ordinances of Fridley, Minnesota rega location, construction, alteration, maintenance, repair and moving of buildings within the city limitCols permit may be revoked at any time upon violation of any of the provisions of said ordinances. ALLEN G. JENSEN Building inspector NOTICE: TMs pm& rose not saver the sondnwoon, instaDation for whine, plmbin& Bas 6eadne, sewer or water. Be sore to sea tiro "oft laspaster for separate rWW" for base Mann. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA, OWNER'S NAME Robert D. Anderson BUILDER (D. R. Anderb.erg Co. ADDRESS 6360 Quincy N. E. ADDRESS 2923 Oakland Ave$ LOCATION OF BUILDING N0, 6360 STET Quincy N. E. PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION_ FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft.' Storm Repair Damage Type of Construction Estimated Cost 2.000.00 To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 7-7-65 (Schedule of Fee Costs can be found on the Reverse Side). TO SUBJECT: Matitty-4 at Vold-od b"MI-Ima Popdg DATE: SM173 FOLD Pl000 =** Mt 0 obo* tu the omwxt of #-50 faymbU to PLEASE REPLY TO .30 SIGNED DATE SIGNED SEND WHITE AND PINK COPIES WITH CARBON INTACT PINK COPY IS RETURNED WITH REPLY. SUBJECT N O. City of Fridley ®12131. AT THE TOP OF THE TWINS PERMIT r BUILDING RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/1873 JOB ADDRESS 6360 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR DITION SEE ATTACHED DESCR. 3 7 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Anderson 6360 Quincy Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct 21' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. 5 foot minimum side yard left to south property line. SEPERATE PERMITS REQUIRED FOR WIRING., HEATING, PLUMBING AND SIGNS, 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 5040 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 504 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 $2,283.12 1.14 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. $10.00 PLAN CHECK FEE TOTALFEE SIGNATURE OF CONTRACTOR ORAUTHORIZE AGENT (DATE) N PROPERLY VALIDATED TIS FOUFERWT G' SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BLDG )NSP DATE HARVEY A. CARTWRIGHT CAIRTWIMIGHT & Ot"M CONIGINING THE ftECORDS "CIF I J. E, H LL Clovif. ENcimrmR AMOKCOUNTY SURVEYS HIENNIEPIN COUNTY SURVEYS LAND SURVEYORS MINNEAPOLIS SURVEYS C. P.' . SANDHOFF 8410 PALM cuTOEET N. W. REGISTERED UNDER LAWS CLIF STATE OF MIPHIE1,0TA CIVIL ENGINEER rSTASLISHEV l"S SUm%E,r 4-7655 LICENSED BY ORDINANCE OF CITY OF MINMEAVOLIS otvwEp 102 PARK STREET 427--2000 JAMES NELSON SURVEYOR ANOKA, MINNESOTA EF-ARLISHED )92a INDUSTMAL — JUDICIAL BUSINESS — TOPOGRAPHICAL i METROPOLITAN LANt, f--ITY LOTS — PLATTING -5-arbepar'o lyon I heret-y certif� t i �; i Tlit s u. r v 'j o c lk I, 't, I, r. 14— c -i j CAR WRIGHT AND OLSON so, L lyon I heret-y certif� t i �; i Tlit s u. r v 'j o c lk I, 't, I, r. 14— c -i j CAR WRIGHT AND OLSON so, v APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : (/ - G BUILDK�3:_ ADDRESS : �� ADDRESS: NO:. 6 O STREET: iJ / e LOT: BLOCK: / ADDITION:�j� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Surv2X of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: e t as==C Front: --j? / -t" Depth: _-2 'c-/ Height: /0 Square Feet:Cubic Feet Front:Depth- Height: Square Feet, Cubic Feet: Type of Construction; si/J ( Estimated Cost:_, To Be Completed: 1-, -2- k- 3 �2- The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stkict 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. r DATE: ^ 7 '� SIGNATURE: (See Reverse Side For Additional Information.) /1, o 'v ------------------- f �9 , < </ SUBJECT PERMIT NO. City of Fridley 12164 AT THE TOP OF THE TWINS I III ®I N G D [DAA I BUILDING PERMIT r? DV L ' V RE` 1 `L __ ___ COMMUNITY DEVELOPMENT DIV. -' & & y r PROTECTIVE INSPECTION SEC. 1 } � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6/7/73 JOB ADDRESS 6360 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 % Christie Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Robert IM Anderson 6360 Quincy Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. State Wide Construction 4221 Excelsior Boulevard 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 I$ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Construct 211 x 241 Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. SEPERATE PERMIT REQUIRED FOR WIRING, HEATING, PLUMBING AND S!GNS. 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 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 504 .5040 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. l� 2 283.1•Z $1.14WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT Y 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. $10.00 PLAN CHECK FEE TOTALFEE % 73 1.14 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) H PROPERLY VALIDAT D HIS S YOUR PERMIT' SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BLDG. INSP DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: �� dUILDEll:_�_,cQ�s ADDRESS • �9 &a %ADDRESS 9 NO • . % (S STREET: LOT:— 3 BLOCK: CORNER LOT: INSIDE LOT: e- SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth:_ e/ Height: Square Feet:Ed Cubic Feet: Front: Depth: Height: Square Fe0; Cubic Feet: Type of Construction: -Estimated Cost;_,� � S'd To Be Completed:�� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: ;;73 T SIGNATURE: (See Reverse Side For Additional Information.) t . dL— Ann City ®f Fridley X. AT THE TOP OF TN[ TWIN$ -------COMuiUNIYY pEV[L~NT O1V, I i PROTgCTIV[ waftc riom KK i re�e Cr" HALL F0NDL9V 090$ �..M11.� `.J An6'bso's�s0 Job Address 53 -81, -S -915.51 ilrDd[CT pq PLUMBING, PERMIT APPLICATION 6360 N. E. Quincy Street Robert D. Anderson Attares s Phone Contractor Z31 /AAk(7_l 17 Address Phone Kind of Building lUse on Date 3aNVa —IddV ora 'Xld •aslw •saa� i MNIVa to y� SNISVB HD1V7 k 'Q VNIVaaI aoo�� o iw o I 0 vlsaaMOHg 0.0 Hq '1NnOd 0 HNIaOI Q SAVa1l simm SHNISI w1Ve s-IVNIan ®1240112 VXLVM Frame O w I I I I - I Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 $ Res. Gas Fitting Fees: I 1st 3 Fixtures x $2.00 Additional Fixtures x $ .75 I Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Install Gas Grill Code 5,00 State Surcharge glass "A' `,urctnrgP .50 TOTAL FEE • $ 5.50 !The undersigned hereby makes application for a permit for the work herein specifiedo agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declare that all`the facts and representations stated in this application are true and correct. 'S ignature Date 10.00 Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 Catch Basin x $3.25 Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg, x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: I 1st 3 Fixtures x $2.00 Additional Fixtures x $ .75 I Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Install Gas Grill Code 5,00 State Surcharge glass "A' `,urctnrgP .50 TOTAL FEE • $ 5.50 !The undersigned hereby makes application for a permit for the work herein specifiedo agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declare that all`the facts and representations stated in this application are true and correct. 'S ignature Date '01 SUBJECT - City of Fridley - rp?1 3455AT THE TOP OF THE TWINS PERMIT r BUILDING -RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 4/13/76 JOB ADDRESS 6360 Quincy STreet N.E. 1 LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR. 3 7 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Anderson 6360 Quincy Street N.E. 3 CONTRACTOR MAILADDRESS 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 X 8 DESCRIBE WORK Construct a 16' x 14' Redwood Deck onto back of dwelling 9 CHANGE OF USE FROM TO STIPULATIONS FOR VgIRING, REQUIRE® PERNII AND SIGN SE? ERA�EpLVjM 31 NG HEgING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood 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 R-1 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, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $700 .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $6.00 PLAN CHECK FEE TOTALFEE $6.50 SIGNATURE OF CONTRACTOR OR AUTHO iZED AGENT (DATE)=BL-D)CAN.PP Y�8 7� LY V LI ED THIS IS Y UR PERMI . S, NATURE OF OWNER (IF OWNER BUILDERI (DATE) '01 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME • G�U� BUILDER • ✓� ADDRESS:ADDRESS: NO • . �P STREI LOT: BLOCK CORNER LOT: INSIDE LOT: ;"� SETBACK: SIDEYARD: Applicant attach to this form.Two Certificates of:Survey of -Lot -and proposeci. building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used L Front:T Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet;- _ Cubic Feet:. Type of Construction: �2--��� Estimated Cost: $ � d C) To Be Completed: The undersigned hereby makes application for a permit for:the.work herein specified, agreeing to-do.all work in stxict accor.dance.with the City of Fridley Ordinancesand rulings.of the Department of Buildings,.and hereby. declares that all the facts and representations stated in this.application. are true and correct. DATE: / / SIGNATUM : ✓ /L/ (See Reverse Side For Additional Information.) HARVEY A. CARTWR{GH7 coq G Al90RA COUNTY SURVEYS tJ, E. iEd.aL•L�.®. CtvtDL Em G►uEBR s49i,EPIN COUNTY SURVEYS 9dlNN4XPCt19 SURVEYS LAND SURVEYORS C. G.Sa4}OFF 8410 PALM �TREE7 N. wC.Evlt EMQiNEE'4i ;'�EC-I6tVR'!0 UNy )ER LAWS DR STATE O►' SUNnr, 4-7836 �graHLiSM ED cmE�m �• LiCs`:3E0 8Y ORDINANCE OF CITY OF MfdVME$f-`t3Li_y ow.rcw 102 PART° S7RFET .427 2000 JANiE5 NELSON sash.tvlcvl fid_-.,.._-_-'�.�'` ANOKA. MINNESOTA E.-A,ua..ea muse ; INDUSTMIAL » JUDICIAL Bil-'J'NESS — TOPOGRAPH41C+i4. '7, CITY LOTS — PLATTING �� 1 a�?� ��► `r �4�[d �' <5e tET: S. g5ma;rtc5 •aA ,`st i I wm A A CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 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 Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes Rate TOTAL $ 20.00 $ 20.00 $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $__L0 -.00 All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50_ TOTAL FEE $ 30.50 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 JOB ADDRESS 6360 Qincey St` NE 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. June 25, 1992 OWNER Robert D Anderson BUILDING USED ASResidence 11217 ESTIMATED COST $1955.00 PERMIT NO. 11 / / DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units 1 Circle One (Steam) (Hot Water) arm Trade Name Comfortmaker Size No. 75, 000 BTU 75000 HP EDR Fuel Gas Total Connected Load Burner Trade Name Comfortmaker Size No. 75,000 BTU 75,000 HP EDR Comfortmaker A/C, 2 ton, 24,000 BTU AfiIor�N � HECOMPANY Indoor Air Quality Approved By _ Rough -in Date s blvo., No. 757-5040 s, FM 55433 Final Date _2:� I l Z_ *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 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 1 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 �A) No ( ) 6. Has total heating BTU's of V�4000 All other BTU's % d d a TOTAL BTU's ®w 0 Remarks List Alterations Being Done: HEATING COMPANY Signed By Date SUBJECT P ' City ®f Fridley 426729 AT THE TOP OF THE TWINS* BUILDING A� PER T r o , / i ®I R O. �1 v ____�_; COMMUNITY DEVELOPMENT DIV. , ®� D r PROTECTIVE INSPECTION SEC. ,�Z a 1 NUMBER REv DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910415 7/21/98 JOB ADDRESS 6360 Quincy St. 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 7 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert D. Anderson 6360 Quincy St NE 571-5510 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 X3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 24 SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 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 2001 $1.00 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. $74.75 Fire SC $2.00 PLAN CHECK FEE TOTAL FEE 77.75 SI NATURE OFCONTRACTOR ORAUTHORIZ AGENT (DATE) WHEN PROPERLY V IDATED THIS IS YOUR PERMIT BLDG NSP MATE SIGNATURE OF OWNER dF OWNER BUILDER) IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ,� � <J! fff C Effective 1/1/98 Legal Description: Owner Name & Address: /�6 %` ��� �� 0 j Tel. # W `� Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: R 0--r/ I Estimated Cost: $� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: `�� `- APPLICANT: Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 2s-- $ o 0, s --$.n0 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 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] "PITY OF FRIDLEY INSPECTION DIV. 431 University Ave NE 7ridley, MN 55432 763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004��-�%�, l� APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 7 MARK NUMBER OF FIXTURES TO BE INSTALLED ON TACH FLOOR 'LUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS_ 6ad'%A t - O -S O -W AJlr Jew Fixtures $10.00 )Id Opening, New Fixture $10.00 leer Dispenser $10.00 Ilow Off Basin $1.0.00 ;atch Basin $10.00 Iain Water Leader —.$10.00 ;ump/Receiving Tank $10.00 Vater Treating Appliance .$35.00 Vater Heater -Electric $35.00 Vater Heater - Gas** �_ $35.00 las Range** $10.00 las Dryer** $10.00 lack Flow Preventer Required ( )Yes () No Type $15.00 teinspection Fee $50.00/Hr ILL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTAL FEE 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 fads and represpn+atinne cfof= t in thie onnliM#;^n 4-* and correct. ANDERSON,ROBERT 6360 QUINCY STREET NORTHEAST FRIDLEY, MN 55432 OWNER (763) 571-5510 BUILDING USED AS SI 0)eytGP_ <r 8 0 520--A ESTIMATED COST q6 () 00. 'PERMIT NO. PLUMBING COMPANY NO Ir Ok OVA WWI Z SIGNED BY TEL N0. & 12) SZ%— c1o33 Approved By Rough -in Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST $ �S OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY. FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic(PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existina 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 :