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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: .1.` - ..��` ............. Address...................................... N® 3526 Builder .... .... .. ................ Address ............................................ LOCATION OF BUILDING No..COA? ?r . Street .. �.. . ....... .. ............. Part of Lot ............... ...... Lot .... ..... Block ............... Addition or Sub -Division .. .. d Corner Lot .. ....... Inside Lot ............ Setback ,�:�•� er Sideyard �� :Q............ DESCRIPTION OF BUILDING To be Used as: .�/ r It e Lj r er A] ... f • . Front !. �.�. Depth I? Height / F - ............... V.... Front ........ •Depth ......... Height .. ..... Sq. Ft. ........ Cu. Ft. ........ Type of Construction ................. Wt. Cost. A / • � o be Completed .................... In consideration of the issuance to me of a permit to constru aKdesribed above, I agree to do the proposed work in accordance with the description above se o mpliance with all provisions of ordinances of the city of Fridley. ..................... ............. In consideration of the payment of a fee of 7........ permit is hereby granted to ................... ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ...... ... .......... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wirindr-ofumbing, gas heating, sewer or water. Be sure to see the Su1lding Inspector for separate permits for these Items. City of Fridley, Minn.. BUILDING PERMIT` r N. 4986 Date: .--••—+_'^�^ ..-,. `"�' �-� - -- +... r Owner: ....'( .... uilder..........,.. __.......... _...................... Address... - -- _ ... _._.... __ _ . _.._ Address ............ _.—............ ......-------.._..._..__.......__....._..-----..-..._......._------- LO AT[OCNOF BUILDING No. 0.. Street .....-- - ......... ................ ..... Part of Lot .....- .................. ...... ... ... .............. ..•-__......._.. _. Lot......................_ ........... Block .a�.cr,Addition or Sub- avis' n ..... ........................... ..................... ..-...... ............................. ............. _..... he . Corner Lot ..---•-�!''---•--.. Inside Lot .................... _ .... . .......... . .. Sideyard .....p ...................._...._-------------............ SewerElevation.-----.............--•---........-.:....._....---...........-..-..._..._.............-----... Fo dation Elevation _ ................................. ....... _..... ............. DESCRIPTION OF BUILDING To Oe'Used as. ,r Cu. Ft. _ ...... _.,.....__.._..... Front'""r `.. Depth ...--Height ,..._.. Sq. Ft. 7....... ' Front .._.. _.. Depth ......... ._.. ight :.-.:... Sq. Ft..01........... Cu. Ft. ...... .... � +, Type of Construction ....::...�"� `--. Est. Cost ....cam'. . '" 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 upon violationf any of the provisions of said ordinances. 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. 41W4 Owners N Address APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MSNN MU WV%0KJL .V1M Ur DVi1WJJ% r NO. _„ Street part of Lot Lot Block Addition or Sub.Div. Corner Lot Inside Lot Set Back Side -Yard s SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposal building location. DESCRIPTION OF BUILDING To be used as: Front .�f Depth , „ .... Height Cu. Ft.f Sq. Ft. Cu. Ft. Type of To be Cost-�51z, The undersigned hereby makes appliiWtion for a permit for the work herein specified, agreeing to do all, work in striet accordance with the City Ordinances and ruling of the Department of ftUdings, and hereby declarest the facts and re ese tions stated in this application are true an DATESIGNATURE (A Schedule of Fee costs can be found on rse Side.) "--/ STATE OF MINNESOTA ) SS. COUNTY OF HENNEPIN ) THF UNDERSIGNED CEE- /T�eI§jA51C_,C , BEING FIRST DULY SWORN, DEPOSES AND SAYS THAT HEEjj IS THE OWNER OF THE PROPERTY I rIPAT17n AT 4;77eZ1 *6'venc_ '=*ek�. %dl0®"THAT HE HEREBY CONSENTS (ADDRESS) TO�✓GRANTING OF A VARIANCE IN THE ZONING REQUIREMENTS OF THE VILLAGE OF N TO PERMIT STATE OF MINNESOTA ) SS. COUNTY OF HENNEPIN ) ON THIS )® � DAY OF6T 194603 BEFORE ME A NOTARY PUBLIIC® �WITHIN AND FOR SAID COUNTY, ERSONALLY APPEARED TO ME KNOWN TO BE THE PERSON DESCRIBED IN, AND WHO EXECUTED THE FORE-. GOING INSTRUMENT, AND ACKNOWLEDGED THAT —HE EXECUTED THE SAME AS 111-W-5 FREE ACT AND DEED. . � ✓ice NOTARY PUBLIC,45E��091tf COUNTY, MINNESOTA G. S. "PSUKIcRI MY COMMISSION Ek E ,b o,oellr.Alwka C®Onty, fAinn. al /� my i,:Ummission Expires Mar. 1;66 �1 „ 'C_8D 700 VARIANCE AFFIDAVIT REV. 10.2.58' �I 1 PERMIT for Power Plants and Heating. Cool- ing, ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants. &Q,&/ p art 4 dbe installed--altered—repaired Make, Size 42 5'' a --I ; Oil fired ; Coal fired ; Gas fired ; Gas Authorization No. Remarks Approved by. Final Inspection Date , 19_ Inspector 7 Permit AT° 4842 Fee Office of the Inspector of Buildings City of Fridley !!- City of Fridley, Minn., 41=W, , 19-2n Owner Location l0 Kind of Building &� How Occupied &LAJZ';0 - Work to be Commenced ,19_ To be Completed CLQ ,.2 ,19V-0 Estimated Cost, $ �Pd. t -a (new, Building Permit No. Permission is hereby granted to to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition th t the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set f rth in the approved application for this permit on file in the office j'ice o f the Inspector of Buildings. _ �_ _►�t �.�'�°�/_-� J, Inspector of Buildings .11�42 aM 11-67 v U � / 01 sue�Etr P City of Fraley 960 AT THE TOP OF THE TWINS B U I L ®I � I G R PERMIT AA I T Ir I ' v 1 1�, 9 RECEIPT NO. COMMUNITY DEVELOPMENT DIV. / �J �!1 f PROTECTIVE INSPECTION SEC. I 1 , NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/24/98 10B ADDRESS 6740 Quinc Street NE 1 LEGAL LOT NO. BLOCK RACT OR ADDITION SEE ATTACHED DESCR, 1 4 TBrookviewTerrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John & Dianne Sabol 571-3943 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 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION i REPAIR 0 MOVE 0 REMOVE 6 DESCRIBE WORK Reside house and garage; replace windows; replace top railing on deck 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 5000 $2.50 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 $99.75 FireAC $5.00 PLAN CHECK FEETO7.125 E , / $I N4TUR OF ON-RACTOROR AUTHORIZED AGENT iDBATE� p P P BLDG/NSP AT HIS I$ P M FiATE ATURE OF ER..F OWNER BUILDER. ,DATE. U � / 01 NEW [ �] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 b BUILDING PERMIT APPLICATION ConstructionAddress: t d/ °U- 11 Legal Description: Owner Name & Address: Tel # 6 Contractor: u) ru'ck 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: 09 c s jo e �+�f2R G�-- `����✓C� e t� r �,�o c J or ,pec% o® Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: cI/o? Z( APPLICANT: 4--- Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ D7� 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 ( ] TY OF FMDLEY INSPECTION DIViSION 431 University Ave NE m idley. MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, m 13.572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES a 14 BATE SCALD= ' esidendal -urnace Shell and Dud Work, Burner %Iso Replacement Furnace (Side Vent . Fill Out Back) jas Piping (Needed with new furnace, but not replacement) Sas Range Sas Dryer air Conditioning • All Sizes III Others/Repairs & Alteratiorns (LIST ON BACK) 1% of Value of Appliance or Work 3mnmclal/Industrial L.25% of Value of Appliance or Work LL LL 0 U Rate $ 30.0¢ $10.00 $10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE INIMN FEE FOR ANY HEATING/COOLING/VENTILATM EFRIGERATIONIAIR CONDITIONING PERMIT IS $25.00 LUS THE .50 STATE SURCHARGE INSPECTION FEE $47.00/Hr %ir Conditioners can not be placed in a side yard without t ritten permission from adjoining property owner. N TOTAL $ S .50 3®est Effective On January 1, 2001 JOB ADDRESS �'��C� �U'� 1� IL, OWNER LAO �d 1 BUILDING USED l ESTIMATED COST '�? S C)CJ0 (Dc� PERMIT N0. No. of Heating UnitsCircle One (Steam) (Hot Water) arm Air) Trade Name n ( Q_ Y-\ -�c Size No_32 3C3( M\ _C� U BTU `00 W -CD 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. BLAINE HTG. A/C ELEftj NG.��- 13562.CENTRAL AVE. N.E. HEATING CO ANOKA, MN 55304 Signed Approved By U Rough -In Date Final VERIFICATION SEP -20-2001 1453 FROM CITY OF FRIDLEY TO 7576701 P. 02/02 COMMONYENTNT The venting system Is plasdrdPVC and meets all current codes and manufacturer CONNECTOR AND COMBUSTION AIR VER11=1CATION Yes No { } When replacing exilft furance, the undersigned hereby verifies that the venting has been examined and Is free from rust, deterioration, obstructions, and Is securely supported and firestopped where required. The venting system Is plasdrdPVC and meets all current codes and manufacturer specifications Including siziM, length, number of elbows and termination. Yes No { } The undersigned also verNles that the replacement unit is a listed assembly. and meets the current codes and manufacturers specifications. This does Include AGA LAMA Category I Centrad Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( The existing combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes+ No( ) When required to Install a new cornbustion air. it will be sized and Installed to meet the current codes and manufacturer's specifications. Yes t4 Not ) When Ineftiiing a-riewyeaft svetem, the undersigned hereby verifies that it Is a listed assembly and tweets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for tan 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 odes. Yes No ( } Appliance Tape and SizelCommon Vent and Vent Connector Information Appliance #9 Type _ BTU Input, Fan Assisted or Nat Appliance #2 Type STU Input Fan Assisted or Nat Appliance #3 Type BTU input Fan Assisted or Nat Total Appliances Total Stu Input Common Vent Type I Vent Height Diameter Inches Appliance #9 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height tt Length ft Diameter in Type Appliance #3 Vent Connector Height tt Length ft Diameter in Type ALTERATIONS: (Describe) J HEATING CO: Signed By: Cate : TOTAL P.02 G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 21, 2003 Mr. John Sabol 6740 Quincy Street NE Fridley, MN 55432 Re: Final Inspection at 6740 Quincy Street NE Contractor: Blaine Heating AC Electric Inc Dear Mr. Sabol: A mechanical permit was issued on October 31, 2001 to install a furnace and 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 take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh Building PLUMBING Permit No.: " Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY Date Rec'd: DATE® YOUR E-MAIL ADDRESS � _ SITE ADDRESS V ` N F TIES APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY NAME: s�®�g1rl sa,601 ADDRESS: SCA -0n=A-_ CITY Ri & STAT I\ Ip 55 9 �� OWNER/ TENANT PHONE 3� CONTRACTOR NAME:q l�Q V� 6 � STATE LICENSE # 'Jr-5 ':� I- A/` EXP DATE _ 0 l ®iri `p� MZIP 7-3 SUBMIT A COPY OF YOUR STATE ADDRESS. 1 ®[�6 CITY 1 (<v� STATEAA 3131 LICENSE WITH PHONEV2_k -2)�r2" 13Ao FAX APPLICATION PERMIT TYPE $AINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT DETAILED DESCRIPTION OF WORKg j__��l,6 )Ckr Vyp± c n 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) BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR GAS PIPING (neo cmtjcEhr4 _ SWIMMING POOL —WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINKWATER CLOSET _ BACKFLOW PREY. ($15) _ _ DISHWASHER _ LAUNDRY TRAY I_ WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER Permit Fee $ D Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ —::!35_.C5D 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 application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of a % ork which reves re 'ew and approval of plans. t SIGNATURE OF APPLICANT QA PRINT NAME WMI City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ��