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PRE 2010 DOCSCity ®f Fridley, BUILDING PERMIT Date: Dec. 16, 1968 Owner; Dalberg Build&rs Builder Address ___ ` 1121 80th Ave. N. E. Address No. 1140 Street Lot _ _ 3 Block Dalberg Builders Same N® 10067 LOCATION OF BUILDING Regis Lane part of Lot l Addition or Sub -Division Sheridan Acres Corner Lot — Inside Lot x Setback 35 Sideyard 20' Sewer Elevation at main -935.09, Wye 938 ( id fix n/.9 nn Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling; Front 26' Depth 36' Height 20' Sq. Ft. _936__ Cu. Ft. Garage Front 20' Depth 221 Height 10' Sq. F, 440 CtL F, 4400 Type of Construction Frame Est, Cost ___ 23,6 00 To be Completed SEWER LOCATION 68' East of Manhole WATER LOCATION - 78' East of Manhole Ties to the stop box 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 a'll provisions of ordinances of the city of Fridley. I s ,�'� In consideration of the payment of a fee of $ 42.00 permit is hereby granted to Dalberg Blders . 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 violation of any of the provisions of said ordinances. Building Inspector Clarence Belisle 61— AX-Ij NOTICE: M permit docs not corer the construction, installation dor wbbg, plumbing, gas heating, sewer or water. Be sura to as the Building Inspector for separate permits for these items. r APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA NO. -J11-10 I LOCAAT'IO^N OF BUILDING v LOT 3BLOCK I ADDITION OR SUBDIVISION �0-�'-, L r It may, f COR?1'ER LOT INSIDE LOT��SETBACK �SIDEYARD ac� SEWER ELEVATION TOP OF FOOTING 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.: FrontDepth =i 6 Height Square feet Cubic Feet _ G� Front Depth �- �� Height Square feet IV c," 0 Cubic Feet Type of Construction Estimated Cost 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 i,:t��rtations stat this application are true and correct. _ o;B„_-4 DATE (Schedule of Fee Costs can be found on the Reverse Side.) 54, s ,r Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldge. Phone 560-3450 n GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 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. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water . ...... ......... 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ .Gas Range to 199,000 x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL C91 ' See Fee Schedule TOTAL FEE 0 City of Fridley: 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 representations stated in this application are true and correct. Owner Kind of Used as ' Fridley, Minn �1 To be completed about EstireBuilding ost, $� Old Permit No. 1' 0 6 7 Permit No. 'V �/ Li DESCRIPTION OF WORK HEATING or POWER ANTS -Steam, Hot Water, Warm Air—No Trade Nam Size No Capacity Sq. Ft. E.D.ft BTU H.P, 01 Total Connected LoadC Kind of rue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. SUe� �t Signed 419 fig By-- - es...._ TA 5432 <a Business Phone No— (REMARKS-OVER) HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No I Yes—No 19— I F1.1 W r. Room' Length -9- Width > W Height II t' FI RoomI Length Width Height Windows and Doors—Ciackage and Area ;I✓-_ Iq Width Height No. of Lineal ft. Area No. of pane of pane ligh a of crack sq. ft. f !(� ` T T -p) q/ -45:11 W F. - _Ito, Infiltration Glass , Coef.1 Btu Btu InfiltrationGlassExp. Net exp. wall vo , Int. wall a Glass Glass Floor f �% Exp. wall aj k Net exp. wall wallNet YO Int. wall , to Floor exp. wall Ceiling ,�6 1 06 & Floor Int. wallCeiling Floor ' (� Floor 1 otal Btu. � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doo rac ge and Area ♦ /® / e� Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. - _Ito, Infiltration Glass , Coef.1 Btu Infiltration 1 Net exp. wall vo , Int. wall a Glass Glass Floor f �% Exp. wall aj , Net exp. wall YO Int. wall , to Floor Q-/ Ceiling ,�6 1 06 & Floor Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 F1.1 Le, Room I Length ) 1,- Width / 2Height Windows and Doors—Crackage and Area m I Length ?05- Width Width Height No. of Lineal ft. Area No6 of pane of Dane lights of crac�ky sq. ft. ♦ /® / e� Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass , Btu Exp. wall 1 Net exp. wall vo , Int. wall Glass Ceiling 0' Glass Floor > Abtal Btu. squired sq. ft. E.D.R. or sq. ins. WA. Leader area Windows and Doors--Crackage and Area m I Length ?05- Width ?A Height Width Height No. of Lineal ft. Area No. of pane of.pane lights oof-, crack sp. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration 1 Glass 3 11 Glass Exp. wall > aj Exp. wall Int. wall Net exp. wall (� , to Floor Q-/ Int. wall Ceiling Floor Total Btu. I "� -1/T 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 4 -,y Fl /,) t° ,k t ., m I Length ?05- Width ?A Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Coef. Btu Infiltration 1 Glass N Glass" Exp. wall / Net exp. wall Exp. wall Int. wall Ceiling (� . �- Floor Int. wall Total Btu. Required sq. ft. E.D.R. or sq. iris. WA. Leader area FI.I . -.- '' Room I Length ) T--- Width / 2 Heistht Windows and Doors—Crackage and Area ♦'"� Width Haight No. of Lineal ft. Area No. of pane of pane lights of crack tq. fL Coef. Btu Infiltration 1 e) N Glass" f Exp. wall Net exp. wall . �- Int. wall Ceiling Floor Total. Btu. 91 O,. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area BROOKLYN PRINTING & ADV. CO. HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V. Construction No. Guide WindowsI Doors Reference. Out. Wall Int. Wall Ceiling Roof Floor Yes—No .Yes—No 19- 1 FII -- Room' Lenath 4-�Width = Ieiaht Windows and Doors—Crackage and Area 1 2- Height Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of panelights of crack sq. ft. !� S'32.� B _ ce - J (5, d a Coef. Btu Coef.1 Btu Infiltration Coef.1 Btu Infiltration ® 41 '' o� Int. wall Glass Net exp. wall q jj (� 8 Exp. wall 9? Required sq. ft. E.D.R. or sq. ins. W.A. Leader area fir ' Room I Length Widths ,a',J Height Net exp. wall Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. tt 101 Int. wall Coef. Btu Infiltration Ceiling UL ,o t � Floor Int. wall Ceiling 1 otal Btu. I '-s- Required sq. ft. E.D.R. or sq. ins. W.A. Leader area o Room I Length A 2, Width Height Windows and Doors—Crackage and Area 1 2- Height Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. %+ r® Width Height No. of Lineal tt. Area No. of pane of.pane lights of crack sq. ft. S'32.� B _ ce - J (5, d a Coef. Btu Coef.1 Btu Infiltration ® , A Glass 41 '' Exp. wall Int. wall Net exp. wall (� Int. wall Floor Ceiling Required sq. ft. E.D.R. or sq. ins. W.A. Leader area fir ' Room I Length Widths ,a',J Height Floor Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. tt Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area R.1 Room I Length Width Height Windows and Doors—Crackage and Area. 1 2- Height Width Height No. of Lineal ft. Area Noo of pane of Dane lights of crack eq. ft. - Width Height No. of Lineal tt. Area No. of pane of.pane lights of crack sq. ft. S'32.� B _ ce - J (5, d a Coef. Btu Infiltration Coet. Btu Glass A Exp. wall Net exp. wall Int. wall Ceiling Floor 1 btal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 0 Insulation Kind How zo ,E-..,_- Room Length. Width 1 2- Height Windows and Doors—Crackage and Area - Width Height No. of Lineal tt. Area No. of pane of.pane lights of crack sq. ft. S'32.� B _ ce - J (5, d a Coet. Btu Infiltration A Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. rf Required sq. ft. E.D.R. or sq. ins. W.A. Leader area fir ' Room I Length Widths ,a',J Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. tt + o Coef. Btu Infiltration Glass Exp. wall Net. exp. wall Int. wall Ceiling Floor A / Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. A Required sq. t. E.D.R. or sq. ins. WA. Leader area ori&al PERMIT for Power Rants and Heating, Cool - ingo ventilation® Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants ` to b installe ltered—repaired Make , Size ; Oil fired—, Coal fired—, Gas fired �; Gas Authorization No. Remarks Approved Final Inspection 19 Inspector Permit N° 4414 Fee % • a Office of the Inspector of Buildings City of Fridley City of Fridley, Minn., uv27� e"'5 / j , 19_ 1 Owner L!a--t- Location 1140 c e� Kind of Building How Occupied Work to be Commenced—, 19 To ommenced ,19 To be Completed ,1g— Estimated Cost, $ 95e ° Old -New, Building Permit No. 101, 0 (,7 Permission is hereby granted C -'e to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that 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 napwd, and to the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings. - , Inspector of Buildings 42 2M I I-V V City of Fridley Application for Plumbing and Gas Rating Permit Dept. of Bldgs. Phone SM -3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location 07 3 C �� 0 12 Z� YI ; h Z zO LL New Fixture Old Opening .............. g? ��Q"'1S/J LL G 25? U m o S G 3 1 �qd C� G c� ��7'' 0 z �a U� O F N WATER HTR. GAS ELEC Base / $ GAS FITTING FEES: / 1st 3 Fixtures .......................... !- $ �a ' Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ ist �- 2nd 3rd 4th ° Future Connection Openings New Fixture, Old Openings I Connected with Sewer' Cesspool'M PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ -2-0100 Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ �a ' Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE , City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn Owner'°` Kind of Building Used as To be completed about Estimated Cost, $ Old wBuilding Permit No f,�_Permit No. Signed_ By Business Phone No_ ROUGH FINAL—J-----2- – - Original Permit of ®r 1 I y� A--1 2 N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for F: I inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., DESCRIPTION OF WORK Number, Kind and Location of Fixtures City of Fridley, ,19 W j ....._. 0 h to X to X W lC b = N W WATER HTR. Stories t 0 Z U 7 F l m I-- m m x N U} 3 P Z' a 0 ❑ 1, O Z ryJ O 6 J M 1, ❑ F N 6 Q U M = Q❑ a J �_ ili an d Q d U' Q m Z Q Q U'fr GAS ELEC. Basement 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for- Openings Permission is hereby granted f I to do the plumbing and gas fitting in the building describedhn the statement hereto aWached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date r Inspector. X42 mi—"S-v Owner Location Kind of Building `r� Used as— To s To be Comple 1'19— Estimated 19_ Estimated Cost Old -New. Building Permit No. ® ®. 0 L7 Date Inspector of Buildings. City of Fridley Applicalion for Dept. of Ridga. Phone 5eo-3490 DESCRIPTION OF WORK Number. Kind and Location of Fixtures ® sn y1 r 9 i� N �Yc R = O 8 < �j meg! S< I�9< WATER MTA. e e v ® N GAS ELEC. Base 1st 2nd 3rd 4th • Future Connocdon Openings I �oaaecsea �� * New Fixture, Old Openings City of Fridley: pj The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct s)N'idley, Minn Bim - 19D Owner Kind of Building Sower ❑ Used as Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ _ New Fixture Old Opening ........ , . x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water heater .............. z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 ¢ Additional Fixtures .... , ,............ x $ .75 $ Gas Range to 199,000 BTU ............... x $5.00 $ REPAIRS & ALTERATIONS—Rater to Code Description ........................................ .. ..$ TOTAL FEE To be completed about Estimated Cost, $ Old—New. Building Permit No. ,l Permit No. Signed BY Business Phone No �z ROUGH 0 SUBJECT P T'"N�D.�"``- City of Fridley �T® 14201 AT THE TOP OF THE TWINS U I f D I� I G ❑[ D BUILDING PER r D L Iv RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . I I I I CITY HALL FRIDLEY 55432 '•J NUMBER REV. DATE PAGE OF APPROVED BY 6i2-560-3450 910-F15 7/7/77 JOB ADDRESS 1140 Regis Lane 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 1 Sheri den Acres SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Burnett Realty 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Quad-na Const. Inc. 4500 Galtier St.-- '" 484-8005 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Block Tall Repair 9 CHANGE OF USE FROM TO STIPULATIONS Rei( Provide letter of explaination of work done to city within 2 weeks. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Block 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. $1600.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT •$O 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- $12.00 STRU N OR THE PERFOR F CONSTRUCTION. PLAN CHECK FEE TOTAL FEE )CL" --) —? -`7`) 1 $12.80 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) H PROPERLY VALID D THIS IS YOUR PERMIT BLDG. INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) _ 7. -,o-,.Ar4 ro j q c, MMI]FICATO OP LOCAT OSS QF $L�iLT}INds atTIFICAmor -sulwyar-, Ti hereby rtw u e 4 survey of the ocation.14f the bw -that ijd' tku .cif :sold' I surveyed OW 4e��4biad abd* - "-fi that — prop- eiiiid- tbat tie 94 e. $k:c sllavvn' on. the plat coraect repres 01 It M, N cY. tf489 AlU RA RA J CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: YCLr h e -ZZ ��� f� BUILDER: ems`(- n e,- Address: Ll e7 4 -'1 Address:0(5 Ge./yo-'Pr S`i. Te 0y Tel. No.:— No. : o.:No.: / / ® _ Street: lC C to r, LOT: BLOCK: ��- ADDITION:� CORNER LOT: INSIDE LOT: &- SBTBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: - Height: Square Feet: Cubic Feet: Type -of. Construction: -%3/® G K /( leor,� f- Estimated Cost: S / 600, ne)i To Be Completed: ai --,Cf 7 `) Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE: ") - i - '7 ? SIGNATURE: � �r Stipulations: �-CIA l� s City ®f Fridley SUBJECT 0. 5. 6 2AT THE TOP OF THE TWINS BUILDING PERM QEC COMMUNITY DEVELOPMENT DIV. r e PROTECTIVE INSPECTION SEC. 1 = i 1 CITY HALL FRIDLEY 55432 612-571-3450 NUMBER 910-F15 REV. DATE 6/13Z79 PAGE OF APPROVED. BY JOB ADDRESS 1140 Regis Lane N.E. 1 LEGAL DESCR. LOT NO. 3 BLOCK 1 1 TRACT OR ADDITION SEE ATTACHED 1 Sheridan Acres SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Curtis M. St. John 1140 Regis Lane 571-2988 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK r Deck 9 CHANGE OF USE FROM TO STIPULATIONS WAONIN-% TELE dij 11 ce Iftl utilities SNE. EiECtRiC. GAS Etc. HEATING' PLt1M8tNG AND � ��' �FQt1iRF� Sy � SEPERATE PERMITS REpuIRE W SIGNS. 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $600 SURTAX $.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. $7.50 PLAN CHECK FEE TOTALFEE $8.00 SIG�NONNTACTORNORRu7 RI AGEN7 tDATEI �11_-3h?_ 0,1 x i\ WHEN APROPERLY VALIDATED THIS IS YOUR. PERMIT 7 BLDG INSP SATE L SIGIIFOWE ILDERI IDATEIr OWNER: ADDRESS CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) TEL NO: 71— 2?g S, BUILDER: ADDRESS: TEL NO: Construction Location STREET NO: q U STREET:Qq f LOT: 3 BLOCK: ADDITION: Sto4>iGr" 4cl­ks Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. (� DESCRIPTION OF CONSTRUCTION Ago e- k Front: Z2 Depth: 2 C� Height: Square. Feet: Cubic Feet: Front: Square Feet: Depth: Height: Cubic Feet: Type of Construction: Estimated Cost: $ To Be Completed: Ct I S Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 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 corzect. DATE: � �/ _ SIGNATUI E : /�®{ Stipulations: Pqmm i T— 'ry 4V �40 sa File No. 57!- 2 7Y t r 0 FA I DI -Ey Exhibit A X e } - "We hereby certify that we have made an inspection of the property herein described, and that this plat shows the location of the improvements thereon, and that there are no encroachments unless indicated thereon. This plat and certificate are for mortgage ournoses onlv." SUBJECT .- City ®f Fridley 3 P,AT THE TOP OF THE TWINS BUILDING P E R M I T rRECEIPT NO. I COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. d CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/21/91 JOB ADDRESS 1140 Regis Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 Sheridan Acre's SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 572-0329 Robert Marty 1140 Regis Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK [;j NEW C ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 261 x 17" Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS Provide.a hard surface.driveway, Vertical reinforcement and bond beam required. dVARNING Before digging call. for SEPARATE PERMITS REQUIRED FORS all utility locations 454.0002 WIRING, HLA'FING, PLUMBING AND SIGNS. REQUIRED BY LAVA TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $6.r 850 $3.43 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $90.00 Fire SC $6.85 CTION OR THE PERFORMANCE OF CONS UCTION. PLAN CHECK FEE TOTAL FEE 2—I - �' 10,* 2 8 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGMA (DATEI WHEN OPERLY A A TH IS YOUR 4 r,PERMIT Q - I_ BLDG INSP GATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] ADS �] ALTER [ ] legal Description: LOf 3 R-1 AND R-2 Building Permit Application Effective 1/1/91 Attach to this application, a Certificate of Survey of the lot, with the proposed varstruction drawn on it to scale. DESCR=aN OF 33 LIMO AREA: Length Width Height Sq. Ft. GARAGE AREA: length�,� Width ---� Height Sq. Ft. DECK AREA: Length Width Hgt/Gro uxi Sq. Ft. 07MM• ,- Corner Lot [ ] Inside Lot [Y] Ft. Yd Setback Side Yard Setbacks Type of Construction: a ♦ w eoQ Estimated Cost: $ �� Approx. Completion Date: ampo*ed Driveway Width If New Opening Is Desired: Ft. $ $ Wi + 6' See Back Page DATE: ©i1' Q APF�LSCANr: 1 Tel. # -03a-2 Permit Fee $ 03 Fire Surcharge $ State Surcharge $ 2 SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOM $ CITY USEY Fee Schedule on Reverse Side .001 x Permit valuation (1/10th $.50/$1,000 valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering * g Agreement Necessary [ ] Not Necessary [ ] 0 SUBJECT PE21828 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT i � R COMMUNITY DEVELOPMENT DIV. , ] tr _____- -09- r PROTECTIVE INSPECTION SEC. 1 ) NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/5/93 JOB ADDRESS 1140 REGIS IN NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION, SEE ATTACHED DESCR. 3 1 SHERIDAN ACRES SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE ROBERT MARTY 14 572-0329 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RESIDENTIAL 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK REROOF 9 CHANGE OF USE FROM TO STIPULATIONS SEE NOTATIONS 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 a 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 3-62CL,Q0 81 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT • PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 41.43 SIGNATURE OF TRACTOR OR AUTHORIZED AG NT (DATE) WHEN PRO ERLY ALI TED THIS IS YOUR PERMIT d e tz� _ y _ .. /L �� s^ F3 SIGNATURE OF OWNER of OWNER BUILDER) )DATE) DG )NSP DATE NEW [] ADDN [ ] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: I "u 40 /) ' i Legal Description: L. r, Y z Owner Name & Address: 7E��-Le 971 W - N",A4 1�1 Contractor: Address: . 0 Effective 1/1/93 L#2-cL#2-c S Tel. # '7Z MN LICENSE # Tel. # 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: Length DECD AREA: gth OTHER: DESCRIPTION OF IMPROVEMENT T._ t Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Width Height Width. Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft- Ft. t Ft. Yd Setback Side Yard Setbacks ® ®® Estimated Cost: $ . �� z 00— (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 53 APPLICANT: CITY USE ONLY Tel. # Permit Fee $ All. Fee Schedule on Reverse Side Fire Surcharge $ / 1 .001 of Permit Valuation (1 / 10th %) State Surcharge $ , / $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ -4t*;- $5.00 (State Licensed Residential Contractors) Driveway Escrow $ -419Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: SUBJECT P City of Fridley 2 6 9 AT THE TOP OF THE TWINS BUILDINGPERMIT ' , R NO. t t ` _ COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. t , _ /"'1 CITY HALL FRIDLEY 55432 0 "'' NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450L I 910-F15 5/28/98 JOB ADDRESS 1140 Regis Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Sheridan Acres SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Latecky 1140 Regis Lane NE 586-0651 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Dale Dahl Builders 451 Maple St, Spring Lake Park, MN 55432 784-4830 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20050777 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace ' x 24' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 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 $2,583 $1.29 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- $74.75 Fire SC $2.58 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. CHECK FEE FEE \ /PLAN �( ��9 Lice $5.,/o 7$83.62 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEi EN OP VALIDPTFA THIS IS JOUR PERMIT 0'f n2o S,GNATURE OF OWNER OF OWNER BUILDER) IDATEIBL IN'SP GATE C NEW [ ] Effective_ 1/1/98 ADDN [ ] CITY OF FRIDLEY ,.oc ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 tpl- BUILDING PERMIT APPLICATION . ConstructionAddress:/? �6 Legal Description: Owner Name &Address: 0 t j Za-Xe- Tel. # S- ( "665-A Contractor: x� 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 UYIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length % r Width Height Sq. Ft. DECK AREA: Length Width ---42Hgt/GroundSq. Ft._rP'. 1 ? OTHER: YIS.�i_1� iii /'01, 53. Construction Type: eQ ��� Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: �-zTel. #� Permit Fee $ -1 Lf, 75 Fire Surcharge $ �> State Surcharge $ SAC Charge $ License Surcharge $ 5-d Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ V.4 Z STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side ;/ 2JI)` .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation Sok ��'C° `ID $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 [ ] . .uWai.a OY. .......W For the exclusive ute of North Star Abstract & Title Guaranty, Inc. . ROY J. HANSEN 13907 Spring lake Road Land Surveyor�A' �"` Hopkins, Minn. 55343 AND PLAT 01" V ,1 t FZV m� Telephone 938.5578 Civil Engineer OF PROPERTY OF. LrirrY D. and Rauh '.S. Malde LOCATION 111Q0 aegis Lane ?1orthtv.1st, F'ririley, Unnesotri DESCRIBED AS FOLLOWS I,o_ 3 Sheridan Acts .:' 7-4 pa.�i r o>/ Lef .r rte/ �. adi�clr of �n Arich CERTIFICATE OF LOCATION OF BUILDING CUITIFICATE OF SURYEV I hereby certify that onG...� _ _ 19. 6f I hc;chy certify that 1 made a survey of the la+cation of the b+iil.linll� on th; -above i surae •Id thr property described above and that the abure pltt de,cribedproperty and that the location of said building(j)is is a correct representation of said survey. _. correctly shown on the aboac plat. �t.7 �ROY J. HANSEM RE.GISTERI'D %tJrzvrYnr? t1n A -97A I I I ti I I � � k t•. 0 I. .auo• a �n Arich CERTIFICATE OF LOCATION OF BUILDING CUITIFICATE OF SURYEV I hereby certify that onG...� _ _ 19. 6f I hc;chy certify that 1 made a survey of the la+cation of the b+iil.linll� on th; -above i surae •Id thr property described above and that the abure pltt de,cribedproperty and that the location of said building(j)is is a correct representation of said survey. _. correctly shown on the aboac plat. �t.7 �ROY J. HANSEM RE.GISTERI'D %tJrzvrYnr? t1n A -97A I Y y `.CITY OF FRIDLEY,INSPECTION DIVISION 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 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement furnace (Side Vent-_= Fill�Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & A.Iterations (LIST ON BACK) 1%, of Value of Appliance:or Work Commercial/Industrial . 1.25% of Value'of,Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/Alit CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE`SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners cannot be placed in a side yard without written permission from adjoining property owner. TOTAL $ .50 JOB ADDRESS I 1 O � OWN BUILDING USED W Effective On January 1, 2001 ESTIMATED COST PERMIT.NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) Trade Name c Size No. BTU HPEDR Fuel 4 erte r 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 1 ® STANDARD HEATING & AIR CONDITIONING CO. HEATIN610OVEST LAKE STREET MINNEAPOLIG, MN 55408-2998 Signed 612-824-2656 TEL # Approved By Rough -In Date Final Da BACK SIDE MUST. BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing 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. Yes () : No ( ) The venting system is plastic/PVC and meets all current. codes and manufacturer specifications including sizing, --length, 'number of elbows and termination. Yes )-.No(-) The,undersigned also verifies that the replacement unit is a'listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes {) No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and 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 Inforimation 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 I CIiYOE FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 21, 2003 Mr. Bob Litecky 1140 Regis Lane NE Fridley, MN 55432 Re: Final Inspection at 1140 Regis Lane NE Contractor: Standard Heating & Air Conditioning Co Dear Mr. Litecky: A mechanical permit was issued on November 2, 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 Inspections 763-572-3604 TaATE— e—Yx . SITE ADDRESS THIS APPLICANT IS: TENANT SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION E'ROPERTY TYPE BUILDING Pa mi Nat RESIDENTIAL APPLICATION Rwzied By: CITY OF FRIDLEY D atl1 YOUR E-MAIL ADDRESS — _ 9 D NER WONTRACTOR NAIv1E: .., _ ADDRESS: crrY � NAME �ry_S STATE LICENSE # �&A XP rmA rE '3! ADDRESS' cn PHONE rAx - 0 SIPNULS FAMILYINEW CONSTRUCTION SIZE , © TWOFAMILVINEW CONST1tUCTION SSTORIE t3 SASFSMENT FINISH 0 DECK TYPE UY WVAiR: - I D DESCRI13E WORK BEING is SIZE OF IMPROVEMENT 0 ROOF 0 SIDWO A NUMBER OF SQUARES U 11Vtior, VINs i ® HOUSE & GARACIE GAitACI S 13 ATTACHED GARAGE PROPtaSED 3172:,, _ 0 DETACHED GARAGE PP'0VWFD HEIGHT: Permit Fe Permit Fee Sl 0Sof it a vinyl D Trim El Aluminuni 0 Fascia C1 Other .441 times the total job valuation WININ Esq LI G OPENINGS es VNo LOCATION OF WW''DOWS OR FOR. NEW OPENINGS -DESCRIBE SIZE OF — OPENINGCHANGES & .nna vn e'WrI61n.11 Q GRAIN TILE 0 OTHER I] ATE—zip _!5f'113 Ft. Z, purposed fl plan , 3. List of struo at marsstiers to be used FOR NEW CONSTRU °°RON INCLUDING DgCKS, I NS R HES S ' 1. Sito PlardS ey showing Qie existing structures and was praiaat 2. Two sots a . oastru an plans 3, P..Mrgy Cat nititious y iYrzUrwinuu" om--•••• ALL FEES ARE •�_-- BASED ON VAIt.[lA PION, INCLUDING TI COST OF LABOk AND MATI (IISIN CHEDULE) BI TOTAL JOB VALUATION � � CCUFANCITYPE Permit Fe Permit Fee $ (3�l . Soo Back Pae for Fee Schedule Plea Review $ 65% of Building Permit Fee FireSurcharge , b -D .441 times the total job valuation SurclIffse .0005 x Permit Valuation Minimum $.SO Licaffie Surcharge _ $5,0() (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for detem SAC Charge $ $ ft + 6 ft = ft x $21 - $ — Curb Cut Escrow Erosion Control $ _„ $450 Conservation flan Review $ Fee Determined by Engineering Park Fee Sewer Main charge S Agreement necessary ( ) Non Necessary ( ) Tattle! I)uo _ $ 7 Make cheeks a able tat ClityefPridla TIi1S IS AN APPLICATION FOR A PERMIT -NOT VAUD UNTIL PROCESSED I he apply for a building permit and I au acknowledge that the Information above is complete and acc conformance with the ordinances and codes of kite City of Fridley and with the Minnesota Construction Codes pennit but only all application for a permit ,and work I3 not to start without Rpermit; that the work will be In plan in the case of all work.which requirs's review and approval of plane tell VZ SIGNATURE OF APPLICANT Ite; that the work will be in that I understand this is not a Lccotdance with the approved 3d WcP-O:t-0 Z007, 30 'In.0 LEET LS29L.: 'ON XUJ F,amuj .to 6;10: w0di