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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N®5127' Date: Owner: Budder Address __ _ _ _ Addre-_ OC IO OC'ION BUILDING No. Street. __ ___.._ Part of Lot zoo Lot _ _ __ Block _ _ Addition or Sub-pivisioa W.. �a Corner Lot ___ _. _ _ Inside Lot _:: Setback _hw-o _ _ _ Sideyard Sewer Elevation _ _ _ _ _ Foundation Elevation _ DESCRIPTION .OF BUILDING To , Vsed a§- Front Depth ' Height Sq. Ft." Cu. Ft.,L _ Fro n Deptheight _ Sq. Ft. - Cu. Ft. Type of Construction ' Est. F tt'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. M '941W 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, repack and moving of buildings within the city limits and this permit may be revoked at any tix ,upon 'olation of �ny of the provisions of said ordinances. r, y Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these Items. Ago APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MINNESOTA Owner' a Name �C' 1&9 �i � �sor� S Builder ...r� .., Address �3�oa ��c — Sp Address LOCATION OF BUILDING No. � �! Street 6a<y /�i5�i� Part of Lot Lot /6> Block ? Addition or Subdivision �Ar��vevzr/�R�/s f Corner Lot ____„___,Inside Lot � Setback S— Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used ass DESCRIPTION OF BUILDING Sq. Ft. 437,90 Cu. Ft. Z'24,70 d Front Depth Height Sq. Ft. Cu. Ft.. Type of Construction Y _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 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. DATE tc SIGNATURE (A Schedule of Fee Costs can be found on the Rev se Side.) City of Fridley App ication for PlI mbing and Gas Fitting Pennit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL zp Number Fixtures ......................-� x �G-�a $ z F N WATER HTR. GAS ELEG �n 1.00 $ Catch Basin N 3 F- O LL $ ��� t� 0O T x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE 1st 3 Fixtures .......................... x $1.50 'TOT1AL� $� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base i 1st 2nd _ 3rd _ 4th • Future Connection Openings Connected with Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......................-� x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin x 3.25 $ ............................ Water Heater (Up to 200,000 BTU) ...... T x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE 1st 3 Fixtures .......................... x $1.50 'TOT1AL� $� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ ��� TOTAL FEE $_L�j_�_."" `� Dept. of Bldgs. Phone SII 4-7470 r e 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. Fridley, AMnn 450� ` IOU Owner Kind of Building ✓lam ® i ,!g e Used as To be completed about 4/1 v v Estimated Cost, $ Old--(GoBuilding Permit No o)- Permit No. to Signe 33 Business Phone No ROUGH FINAL Cry Appcation 'dor Power Plats and; Hoeft, Cooling, Ventilation, AeMgeratllon tmd Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........... 8.00 $ each add. 60,000 BTU ... .................. 2.00 $ _ Replacement of Furnace ............................. .F§.00 $ Repairs & Alterations—up to $500.00 .... ............ 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. IDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $� GAS FITTING FEES: NO RATE TONAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH i FINAL See Fee Schedule 4' $ TOTAL FFE $ a Dept. of Bldgs. Phone SII. I 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. Fridlqy� 'nn AILIG 8 1961 H 1 ,19— Owner Kind of Building _ Used as To be completed about 9 Estimated Cost, $ �+ .building Permit No. \:5 yC v� f Permit N OF WORK HEATING =7Air—No- Trade Nam + io Size No_(;7��0� Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load, AS — Kind of Fuel BURNER — Trade Name Size No -4a, Capacity Sq. Ft. E.D. O®�S�E&GIC�K TU H.P. GEO. TG. & A -COND. CO j�0 1001 Xenia fay. S. JD Minneapolis 16, Minn. Signe=,1411 By ."_ 42 2M 7-59 Business Pho a No (REMARKS—OVER) HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A. E, Construction No. Insulation Guide Windows ors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied' es e 19— ' Room I Lenath 2 Width z. Height l' 11 ✓ MISA/ i Room I Length /7 Width /5- Height Windows and Doors—Crackage and Area y j C Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq• ft. �. Width Height No. of Lineal ft. Area No. of pane of pane, lights of crack sq. ft. ' Coef. Btu , Coef. Btu Infiltration,, Infiltration Infiltration d rL c' z�f Glass 1',• _ Glass Glass 77 Exp. wallT�.. ,' Exp. wall ;Z Exp. wall Net exp. wall Net exp. wall 0 Net exp. wall Int. wall %' ' . C"A — Int. wall Ceiling Int. wall Ceiling " Floor x h" Floor - - ,�` ,a�- Total Btu. I / ° 1`r Required sq. ft. E.D.R. or sq. ins. W.A. Leader area w...Vr ,-,;- -Room I Length Width /,/ Height Windows and Doors—Crackage and Area y j C Width Height No. of Lineal ft. Area No.. of pane or parvo lights of crack sq. ft. �. Width Height No. of Lineal ft. Area No. of pane of pane, lights of crack sq. ft. ' Coef. Btu , Infiltration Coef. Coef. Btu Infiltration Infiltration d rL c' z�f 1',• _ Glass Glass 77 „ T ,' Exp. wall ;Z Exp. wall Net exp. wall Net exp. wall Net exp. wall Net exp. walls %' ' . C"A — Int. wall Int. wall Int. wall Ceiling " Ceiling Ceiling ' Floor - - ,�` ,a�- Floor ' a Floor h Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 9 F1 TT) . r ! ry - Rnnm I t .math // Width Heioht C-1 Windows a Doors—Crackage and Area Width Height No. of Lineal ft. Area No4 of pane of pane lights of crack eq. ft. �. Width Height No. of Lineal ft. Area No. of pane of pane, lights of crack sq. ft. Coef. Btu , Infiltration Coef. Coef. Btu Infiltration d rL c' Exp. wall r9r Glass Glass 77 „ T Exp. wall y ' r Exp. wall Floor Net exp. wall Net exp. wall Net exp. walls Int. wall Int. wall Int. wall Ceiling " Ceiling ' Floor - - ,�` ,a�- " < ,' 1 Total Btu. I �Z-;�, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Windows and Doors—Crackage and Area d ,� Width Height No. of Lineal ft. Area No4 of pane of pane lights of crack eq. ft. ,pane Coef. Btu , Infiltration Coef. Btu Glass Infiltration d rL c' Exp. wall r9r Glass Wass Glass Int. wall Exp. wall Exp. wall Floor Z7 Net exp. wall Net exp. walls Int. wall Int. wall Ceiling ' Ceiling Floor _ Floor h Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area M 4 --::T rvA D..,.... [ t -1-h :'' W;dth O 14,.' .ht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of lights of crack sq. ft. ,pane Coef. Btu , Infiltration Coef.1 Glass Infiltration d rL c' Exp. wall r9r Net exp. wall' Glass Int. wall Ceiling ' Exp. wall Floor Z7 Total Btu. k6l'. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Reem I Lenath /1-? Width,',,, % He Windows and ✓Doors—Crackage and Area E Width Height No. of Lineal Pt. Area No.. of pane of pane lights of crack eq. ft. Coef.1 Btu Infiltration Glass .j Exp. wall Z7 Net exp. walls Int. wall Ceiling Floor Total Btu. / 1 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area D•56 7 v HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide W10, ws Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied '' I Yes K 19_ fl t Room I Lenirth"' Width Height .-' II Fl.l Room I Length Width Height Windows and Doors—Crackage and Area and Area -r F� Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Coef. Btu Infiltration Infiltration Exp. wall Glass Net exp. wall Glass Exp. wall r.ef. Net exp. wall Floor �y Int. wall Net exp. wAll Ceiling Int. wall Floor – , � �_,I / A c, Total Btu. - � Required sq. ft. E.D.R. or sq. ins. W.A. Leader area B FI.I F" f` ,47;4'Room I Lenath Width HeiAt Windows and Doors—Crackag and Area -r F� Width Height No. of Lineal Pt. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration Btu Infiltration Exp. wall Net exp. wall Glass Int. wall r.ef. Exp. wall' Floor �y Net exp. wAll �9 - Int. wall JAV CeilingFloor - �� ,.�;�� Total Btu. ° / Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.I 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.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 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. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I 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. Required sq. ft. E.D.R. or sq. ins. 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 !'.pane lights of crack sq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Btu Z SUBJECT PERMIT NO City of Fridley- 17 p 9 AT THE TOP OF THE TWINS I ' I L ®I N %�v D [DMI T BUILDING r Du �" CR I RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J` 612-571-3450 910-F15 18/12/83 JOB ADDRESS 5520 Regis Trail N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 3 Parkview Oaks lst Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 1 Clarence Asche 5530 Regis. Trail.N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hogar Construction 10611 -109th Avenue N.E. 755-6600 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 X 8 DESCRIBE WORK Construct a 26' x 12'6" Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Provide combustion air to new fireplace or existing furnace. Provide products of combustion fire alarms on both levels of existing home. WAR NG 061bre digging call local utilit l SEPE A'TE P 1T'$, POP rJ4�iiR fELEPFtONE - ELECTRIC - 91�S Etc, �tEt�UiRED BY LAW+�FA`�IiWG;I, PLUMBING AND SIGNS, 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $12,900 $6.45 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OT STATE OR LOCAL LAW REGULATING CON- $] ] O.50 None ST CTION THE P R ANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 2 $ 27.63 $144.58 SIGNATURE O CO i ACTOR OR KUTTORIZEDAGENT (DATE1 WHEN PROPERLY ALIDATh THIS IS YOUR PERMIT 60.DG INSP DAIE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) Z CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PEW41TS (Nero, Alterations, Additions, or Repairs) OWNER: �-�-¢1C�HL BUILDER: 1406 A.Q- C:0 0 ADDRESS: ->:52-0 Re f 5 7-(2,AIL- ADDRESS: 06 4' `41 11\✓C k)e7 TEL n0: TEL NO: 7 —c C° 00 Construction Location STREET NO: STREET: Imo. (�16 1 S -T(ZA 1 L LOT: BLOCK: t-3 ADDITION: AtzVv&V A AA W , 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 Front: %� Depth: le� !� a Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: IT Type of Construction: Zb Be Completed: lU� Proposed Driveway Width If New Opening Is Desired: - iz,9oa Estimated Cost: $ Alt. A Alt. B SEE FSVERGE SIDE OF SHEET Zie undersigned hereby makes application for a permit for the %:.,ork 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 represent.itiens stated in this application are true and correct. DATE: � � SIGNATUIE : •n Stimulations : ��oV� � 17�� sea Fu a#%,- Jew, .Q X.43 P &A41 •� FM Aft awom S die b6ws� INDUSTRIAL SUSINESS CITY LOTS TdPOGRAPNIC MAPPING N SCALE III ,�, G C. E. COULTER LAND SURVEYOR REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY Or MINNEAPOLIS 3300 LYNDALE AVE. SO. MINNEAPOLIS S. MINN. TAYLOR 4-0370 SURVEY �or Ap'n �1 �AF'iLsoN& Saaa11tic1 Ottrueg"'s glrr#iftrair PLATTING FARM SURVEYS LAKESHORE JUDICIAL r IKON � 131.41a • , �„ v °` -.. N C40 r LLP 40 �Ln O %• Cie CL I � _ 2�r 3s r Drainage & Utility EaSement 13'I .°15 !` jgZw 0 I hereby certify that the above is a true and correct plat of a survey of: Lot Ten (10), Block Three (3), PARKVIEW OAKS FIRST ADDITION, Anoka County, Minnesota. As surveyed by me this 17th day of February 1961 A. D. Signed SCD,n. ze-d.L / - Minnesota Registration;.".No . 2584 Sue. & PE City of Fridley d-RfieetPfNO. 2 8 ®��� AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY _---1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/30/98 JOB ADDRESS 5520 Regis Trail I LEGAL LOT NO. FLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 3 Parkview Oaks First-Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clarence Asche 574-0024 3 CONTRACTOR MAIL ADDRESS Maple Grove 55311ZIP id & 1Z ofin18979 PHONE LICENSE NO Midwest Gladstnn,-- Blyd416-4804 2ooln977 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 xR REPAIR ❑ MOVE : ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (30 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 $2571 $1.29 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 $2.57 PLAN CHECK FEE TOTAL FEE License 8C t 5. 83.61 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROP Y VAL, ATED THIS IS YOUR PERMIT a S-GNATURE OF OWNER nF OWNER BUILOERL IDATEI Bloc INSF' TjATE ADDN [ ] ALTER] W-1-MVW -_;,«t . ►:ref'. Y lfd'-a4 FRM CITY (IF FRIMEY rQ Y SEq= FAMLY AM IDXMLM= R-1 JAM X-2 }r , '� .f''{' �i 4164885 P.®ioM Effw ive 1/1/99 Tel. # 1-7 W r. ® L1 U -P- , m n SS311 . Ft. . P4. Sq. P. g�q,� (Fee Schedule on Back) Orivemy CW Width : -Pt + 6 Ft Ft l $ ME $ •17imBrew l L( , -7S SUBJE& , City of Fridley 3 0103 AT THE TOP OF THE TWINS BUILDING PERMIT 16. RE O. COMMUNITY DEVELOPMENT DIV. r 1 � PROTECTIVE INSPECTION SEC. 5313 e NUMBER REV DATE PAGE OF APPROVED BY = 1 1 I CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 8/23/99 10B ADDRESS 5520 Regis Trail 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 1 3 Parkview Oaks First Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clarence Asche 574-0024 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner a 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 O NEW X99 ADDITION O ALTERATION, O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 241 x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on plan. WARN'j Before digging call for all utility locations 454-0002 XQUIRED BY LAW SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2707 $1.35 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 $83.25 Fire .SC $2.70 PLAN CHECK FE TOEE SIGNATURE OF CONTRACTOROR AUTHORIZED AGENT IOA TEi HEN R AU10ATHI�Sl S Y PER I AF 13-L'm IN., gATE S.GNATURE OF OWNER,IF OWNER BUILDER. i ATEi NEW [ ] Effective 5/10/99 fit ADDN CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION !v Construction Address:r,�� Legal Description: Owner Name & Address: dhfr a:= a C� Tel. # ! l.2 —5-74 7002. 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 a4- Width /.�L Hgt/Ground 3 ® Sq. Ft. OTHER: 2 A Construction Type: Pz,SWf2 �i� / �H� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + b 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: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed.Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] INDUSTRIAL SUSINSSS arrY LOTS TdOoomma MAr►INO N • SCALE ►" s34' C. E. COULTER PLATTING FARM SURVEYS LAND SURVEYOR LAKESNORR REGISTERED UNDER LAWS OF STATE OF MINNESOTA JUDICIAL LICENSED BY ORDINANCE OF CITY O/ MINNSA►OLIS 3300 LYNDALE AVE. SO. MINNEAPOLIS 8. MINN. TAYLOR 4.0370 S Uf�vEY dor ARVID I �, AS�I.St�N g S4U, Inc I .- �ritrpr�gt',s (�rrtifu�ir /� r I I IRON IAOt,►..� I r I �••� en. W cJ O� Q C" ti CL Drainage & Utility Easement %9 I hereby certify that the above is a true and correct plat of a survey of: Lot Ten (10), Block Three (3), PARKVIEW OAKS FIRST ADDITION, Anoka County, Minnesota. As surveyed by me this 17th day of February 1961 A. D. Signed -- Minnesota Registration: -.•:No. 2584 '.ITY OF FRIDLEY INSPECTION DIVISION 5431 University Ave NE =ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOUNG, VENTILATION, 763) 572-3504 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 9TE SCHEDULE lesielential Rate TOTAL Furnace Shell and Duct Work, Burner Also Replacement Furnace $ 30.00 (Side Vent • Fill Out Back) Gas Piping (heeded with new furnace, $ 10.00 $ but not replacement) Gas Range $ 1©.00 $_ _ Gas Dryer $ 10.00 $ *Air Conditioning . All Slzos $ 25.00All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ .ori mercialAndustrial 1.25% of Value of Appliance or Work $ State Surcharge TOTAL. FEE INSPECTION FEE $47.00/Hr Air Conditioners can not be placed in a side yard without mitten permission from adjoining property owner. S- .50 JOB, OWN Effective On January 1, 2000 BUILDING USED AS ESTIMATED COST bl– %C29 PERMIT NO. /� No. of Heatin Units____ _ Circle One (Steam) dqof Water arrn Air) Trade Name Size No. L3TU FtP __ EDR Fuel —_ Total Connected Load Burner Trade Name_ Size No. BTU - HP EDR— ._ The undersigned hereby makes application for a permit for the work herel n 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. rV\ I3ATL��-_..�_a (� TEL # I Rough -In Date Final Date�� `� / Z0'd -4101 COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERT KATION When replacing an existing fur rice, the undersigned hereby verities 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 piasticlPVC and meets all current codes and manufacturer specifications Including sizing, length, number of elbows and termination. Yes O6 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 -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes o6 No( ) The existing combustion air is sized and installed to meet the current codes and manu€acturer's specifications. Yes lA No ( ) When required to Install a new combustion air, it will be sized and installed To meet the current codes and manufacturers specifications. Yes (�4-No( ) When Installing L new venting system, the undersigned hereby verifies that it Is a listed assembly and meets the current ccd .s and manufacturers specifications. This does Include AGA GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes a NO( ) Is the common vent and vend connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes hA No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU InputISIM. 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 Lenge ft Diameter in Type Appliance #2 Vent Connector Height ft Length #t Diameter min Type Appliance #3 Vent Connector Height tt Length ft Diameter in Type Ai 9RATIONS.,IDescribe) HEATING •�` Signed By: Date: ?R/M I d IgPSRFN. 01 ATM& 20 AM O WO&I BS : ZT 000Z-SZ-f1ON PLUMBING L�1" BuildingPermit No. Inspections RESIDENTIAL APPLICATION Received By.. 763-572-3604 CITY -OF FRIDLEY DAM P 763-502-4977 FAX DATE ��/� ®�% YOUR E-MAIL ADDRESS Cd Al(f 7-N416- CVI�j_ SITE ADDRESS 552® oeE4lS /20- 4— THIS THIS APPLICANT IS: OWNER ❑CONTRACTOR OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE NAME:_ G.AC A eC-7 /i/". - ADDRESS: �� /� T�� &-z- CITY _�lL//�LE}` STATiW1VZIP6 3Z_ Maff-��-lien STATE LICENSE STATE BOND # ADDRESS: CITY EXP DATE EXP DATE ATE ZIP PHONE FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. $35.50. _ BATH SINK/LAV DRAINS —BATHTUB _FLOOR —GAS PIPING (NEED CITY LIC) _ CLOTHES WASHER KITCHEN SINK _ DISHWASHER _ — LAUNDRY TRAY KA FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE _ SHOWER —SWIMMING POOL WATER CLOSET _WATER HEATER ($35) _ WATER METER THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED _ WATER PIPING —WATER SOFTNER (t51s, _BACKFLOWPREV. OR IRRIGATION OTHER I hereby apply for a plumbing 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 on site; that the work will be in accordance with the approved plan in the cAse of all work which re uires review and approval of plans. SIGNATURE OF APPLICANT ��Zi�Z /J/ e.�INT NAME CeA-nJZJCE: W, A5eHE DATE q1� d City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977