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PRE 2010 DOCSCity of Fridley, Minn. BUILDING T No 50&6 Date: �.d, �� Owner: t.!r 4 Builder Address ,Address ��,„,, LOCATI -OF1 BUILDING No. _V_g Street __ _ Pam t Lot Block _._ _ Addition or Sub -Division Corner Lot _ _ _ Inside Lot _ _ :..,!'" ` __ Setback _ _ Sideyard __ ---• Sewer Elevation ___ w _ Foundation Elevation DESCRIPTION OF BUILDING To. Used ,: t Ft/COCu. Ft" Front . Depth Height _ - Sq: ': ron,, Depth _ I3eight — Sq. Ft. Cu. Ft. _ Type of Constructions Est. Coot ,e..""'obe 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 violation of any of the provisions of said ordinances. 17 Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to ase the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUIIDING PER)4IT CITY OF FRIDIEY, MINNESOTA Oromer Is Name «�� lder Address 3 ,4. /4- Address r/ LOCATION OF BUILDING No. 3txeet/s �/e'%� Part of Tot �® Lot �� Block 3 Addition or Subdivision�� ---- Corner Lot r Inside Lot Setback S� Side -Yard 16'1 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Ir - X7-, - - " Sq. Ft. 13 C¢ O Cu. Ft. om FrontDepth Height Sq. Ft. Cu. Ft. Type of Constructions-1�� Estimated Cost `i0 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 "J`'.�� SIGNATURE d (A Schedule of Fee Costs can be found on the Reverse Side.) i��r" f ✓qq&y CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Effective January 1, 2003 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 JOB ADDRESS '55go Regis t -r- RATE SCHEDULE OWNER /Y 00 Pri e-sleheJn Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Co erWalndustrial 1.25% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BUILDING USED AS 17C5id-enCe- ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (qra��r;mAir Trade Name�m c4 i e.`> c Size No. kr rJ 1 -tet/ BTU HP EDR Fuel /Vc�- 6 -as Total Connected Load Burner Trade Nam BTU Size No ED 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 CenterPoint Energy Minnegasco HEATING C013562 Central Ave NE, Anoka, MN 55304 Signed FAX # 763-757-6701 Approved By ZLLRough-In Date Final Date r �2 6 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When rcistrAna an axictinfl furanne, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Rl No Yes ( ( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer Yes (X) No ( ) specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan Yes (X) No( assisted and natural draft appliances. air is sized and installed to meet the current codes The Aviinn cnmhustinn and manufacturer's specifications. Yes ) No ( ) When required to install a naw rnmhuctinn air_ it will be sized and installed Yes) No ( ) to meet the current codes and manufacturer's specifications. When ImblUnry a now yanting sv.4am, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAIVIA Category I Central Furnace Yes f) No( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes (X) No ( ) separately as per current codes. Tena 4-;07P Vent and Vent CnnnP�t r Informs inn A ngllianre and Appliance #1 Type BTU Input Fan Assisted or Nat BTU Input Fan Assisted or Nat Appliance #2 Type 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 Appliance #2 Vent Connector Height ft Length_ ft Diameter Type in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type M HEATING CO:CenterPoint Energy Mi agar 13562 Central Ave NE, Anoka, MN 55304 Signed By: L n Date : 12,29-�-U3 6N Application for Power Plants and Hemming, Cooling, Ventilation, Refrigeration and Air Conditioning System and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 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 $ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & pines—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. EDR 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 TO AL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ t FAN BEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ REMARKS: 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 Building Used as 195— 195_ 195— ® To be completed about APP 7 1961 Estimated Cost, $ uilding Permit No, DESCRIPTION OF WORK HEATING Warm Air—No--/—/— Trade Nam ) Size No ��J /® Capacity Sq. Ft. E.D.R e:,;* &70 gQ BTU H.P. Total Connected Loa Kind of Fue � BURNER — Trade Nam / Size No Capacity Sq. Ft. E.D. ® BTU H.P. GEO. SEDCK HTG. & AIR-COND. CO a / OW 1 Xenia Av. S. Sign Minneapolis 16, Minn. By q450-11 POST 1M-12-58 Business Phone y s Total Btu.. T L tUMNS DEPARTAGNT OF V= VMUGE OF ST. QNY, Weatherstrips Deference 411 Glll Construction Not Coef.1 Btu Insulation Windows Doors Out. Wall Ilut.Wall Ceding Roof I Floor Find How Applied 0 e Noma 19_ _._ Ire 14-6' Net exp. wall FI I. -/ m Lengthy �^ Width � - Height p F1' Y, r e' Room Length Width Height ' l . Ly� Windows and. Doors--Crackage and Ana WidthHelght No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. Floor I!I Width Height No. of Lineal ft. Area Na of pane of pane lighte - of crook sq. tL Total Btu.. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /F1.1 aA// � Room Length Width 9-- Height Coef.1 Btu Infiltration t Glass Infiltration d ®�� Exp, wall cAJff Ire 14-6' Net exp. wall q r_ Int. wall Net expo wall Ceiling to Floor I!I Width Height No. of Lineal ft. Area Na of pane of pane lighte - of crook sq. tL Total Btu.. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /F1.1 aA// � Room Length Width 9-- Height Windows and Doors--Crackage and Area Width Height No, of Lineal ft. Area No. of pane of pane lights of crack eM. ft. �✓, .;7.r <,% elf, ,P(_5' zz ,p 1 �./ /e�PP�� Coef. Btu Infiltration Glass a , 14-6' le v Exp. wall Net exp. M Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area y ; /Room 1 Length -,"--Width Windows and Doors—Crackage and Area Width Height No. of Lineal tt. Area Jo. of pane of pane lights of crack sq. ft. -- I I Infiltration ilass G Exp. wall Net exp. wall Int. wall :eiling Floor Total Btu. Required sq. ft. E,D.R. or. sq. -ins. W.A. Leader area. Windows and Doom—Crackage d Area I!I Width Height No. of Lineal ft. Area Na of pane of pane lighte - of crook sq. tL �� d e60 . Ctlef. Btu Infiltration WE IkIJ Glass Exp. wall Net expo wall to Fri-` tl Int. wall Ceiling A ( ii 9 Floor z X- ell L Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 qlVia- Room (Leng"th Width Windows and Doors--Crackage and Area width HelghtI No. 08 I Lineal ft. Area Infiltration Glass Exp, wall Net- exp. wall Int. wall Ceiling Floor'', Total Btu. Required sq. ft. E.D.R. or sq, itis. W.A. Leader area ® F9.IRoom I Length �-' Width -- , Windows and Doors—Crackage and Area Infiltration _Glass Exp. wall Net exp. wall Int. wall Total Btu. Required sq. ft.. E.D.R. or sq. ins. WA. Leader area Z _ t �l I . i �I�� .. Btu WE to oef. A ( ii 9 L HEAT LOSS CALCULAMONS Weatherstrips Guide Windows � Doors Reference Out. 9IY—e o 19— I L 1,i O—s. I I— -.L. .ate DEP OF BUILDINGS VMLAGE OF ST.. ANTHI Construction No. Insulation Int. Wall I Ceiling Roof Floor Find Flow ! 1 LL—LO a II / L;1 I sr R....... I i Windows and. Doors—Cm4age and Area v^' width Height No: of Lineal f . Area No, of pane of pane tights of crack sp. ft. Coef. Btu Infiltration111"IA Glass Exp, wall �r.LT, -7 77 r Net exp. wall 4 -�j Int. wall Ceiling Floor Total Btu. L Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors--Crackam and Area of 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 Windows and Doors-Crackage and Area. width Height No. of Lineal ft. Area Jo. of pans of Daae Ilghte of crack s ft. Infiltration 0 Mass Exp. wall Net exp. wan Inc. wall :eiling Floor Total Btu. Required sq. ft. E.D.R. or, sq. -ins: W.A. Leader area, Windows and Doors—�rackage and Area v^' Width Height Na. of Lineal Et. Ares No. of pane of pane lights of crack sq. ft. COO &III Infiltration Glass Expo wall { r Net exp. wall Int. wall Ceiling Floor 'total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FIA 16n 0 Length Width Windows and Doors—Crackage and Area Infiltration Glace Exp, wall Net exp. wall Int. wall Ceiling Floor Total Btu. t Required sq. ft. E.D.I. or sq. ins. W.A. Leader area Room I Length Width Windows and Doors--Crackage and Area Infiltration Glass . Exp. wall Net Exp. wall Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area SUBJECT PERMIT NO. City of Fridley ® 12978 AT THE TOP OF THE TWINS U I� D I N G PERMIT g RECEIPT NO. Ir ',. COMMUNITY DEVELOPMENT DIV. � r PROTECTIVE INSPECTION SEC. /-"1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/30/75 JOB ADDRESS I. 1 LEGAL LOT N . BO TRCODDO ATR AITINI TTACHED DESCR. 11 3 Parkview Oaks 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE G. E. Christianson 5540 Regis Trail N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. XSXX 2513 Central Avenue 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAI LADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION EX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re -roof and gutter 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. shingle & metal 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 ISTALLS GARAGES AND KNOW THE SAMETO 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 $1,500 .75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 9.00 STRUCTION OR TH� PERFORMANCE OF CONSTRUCTION. 7j PLAN CHECK FEE TOTALFEE 9.75 SIGNATURE OF dONTtOR OR AUTHORIZED AGENT (DATE) : N PROP LY V ATED THIS IS Y R.PERMIT�,►' SIGNATURE OF OI NER (IFOWNERBUILDER) (DATE) BLDG INSP DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNERS NA1,1E : a E. C�M/S Ti'A 456� BUILDER • _ &t- 7 a ,J' ADDRESS: SSVa Jl e is -r,RA; / AIE. ADDRESS: a S ✓ �� G�-�� /" NO:. STREET: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: t 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: 2 "r Estimated Cost: To Be Completed: , The undersigned hereby makes appjicati�on 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. N DATE: S 7 SIGNATURE: O G (See Reverse Side For Additional Information.) SUBJECT PERMIT City of Fridley �' 13053 AT THE TOP OF THE TWINS P E R M I T r BUILDING - _ RECEIPT NO. _COMMUNITY DEVELOPMENT DIV. maU.-- --- r PROTECTIVE INSPECTION SEC. � 1 i � "1 CITY HALL FRIDLEY 55432 NUMBER REV7-j . DATE PAGE OF APPROVED BY 612-660-3450 910-F15 /25/75 JOB ADDRESS 5540 Regis .Trail N.E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 3 Parkview Oaks lst Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE G. Christianson 5540 Regis Trail N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co any 2513 Central AVenue N.E. 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 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Alumbxum siding d trim 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. aluminum 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. $3,000 1. 50 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- STRUCTION OR THE PERFORMAr CE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE SIGNATURE OF CON fR CTOR OR AUTHORIZED AGENT (DATE) WHENP LY VALIDATED e BLDG INSP THIS IS YOUR PER IT DATE SIGNATURE OF OWNER(IF OWNER BUILDER) - - (DATE) APPLICATION FOR RESIDENTIAL., ALTERATION, OR ADDITION.BUILDI•NG PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME :/I S 1 ,'` fV -'- 6 J _ BUILDER : r L rdo A ADDRESS: J��`� We `.S T<Ar ` /9 ADDRESS: ��/ 3 0 r61'ie-04 NO • . S J L/d STREET • / S Ale LOT: BLOCK: ADDITION: �G%2C✓�c e.,,✓ CJG-��L�r CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attacl.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 eight: Square Feet: Cubic.Feet: Front: Depth: Height: Square Feet; �- Cubic Feet: J9�•� � t Type of Construction: �9c41 Sr 0 " ,-` �A Estimated Cost: _ 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: .7 J SIGNATURE • , (See ieverse Side For Additional Information.)' SUBJECT City of Fridley 33573 AT THE TOP OF THE TWINS BUILDING PERMIT C RECEIPT NO. V ------� COMMUNITY DEVELOPMENT DIV. /�/ r I � PROTECTIVE INSPECTION SEC. �i 1 NUMBER REV GATE PAGE OF APPROVED BY --I CITY HALL FRIDLEY 55432 763-571-3450 910-F15 6/ /03 JOB ADDRESS 5540 Regis Trail NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 3 1 Parkview Oaks 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rex Friesleben 5540 Regis Trail NE 763-571-8236 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sela Roofing & Remodeling Inc 4100 Excelsior Blvd t Louis Park MN 55416 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 612-823-8046 1050 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION x❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House (26 S) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS 7- Underlayment must comply with the State Building Code. TYPE OF CONST-7 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 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 $3,010 $1.51 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- $97.25 Fire SC $3.01 STRUCTION OR TH RF CE OF CONSTRUCTION E PLAN CHECK FEE TOTAL FEE License SC $15.00 $106.77 SIGNaT OF CON'RAC OR OR AUTHORIZED AGENT iDATEi WHEN PROPERLY VALIDATED THIS IS Y UR 4ERMIT BI OG 2 t TjTE S,GNATURE OF OWNERoF OWNERBUILOERI $DATE, NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: �'� (� 2�I f�G Cir Legal Description: Owner Name & Address: Rex i=--d'eS e �De m" Tel. # 2, ' —12 (- 7 iL Contractor. SEIA ROOFING & ODEdING, INC, MN LICENSE #ft Bm. Address: ®UIS PARK, MN 55Ai6 Tel. # Pn ID DD #000x06® Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height_ Sq. Ft. Width Hgt/Groungi Sq. Ft. a R .Q 1'r) 6,(— h 6 o S Construction Type: Estimated Cost:' $ / Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �v-y ' APPLICANT: scoff �0`yuel S Tel. # Call (763) 572-3604 for Permit Fees -if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ 3, to 9 $ $ 45 0 $ $ $ Fee Schedule on Reverse Side .001 of Permit Valuation (110th%) $.50/$1,000 Valuation $1275 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 [ ] I Not Necessary [ ] TOTAL $ 1 L"), (11 '077 STIPULATIONS cZ9 5-- 0-2&11°.3 CITY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 6431 UnWamft rAve NE Fridley. MN 5502 APPLICATION FOR PO'11iflER PLANTS AND BEATING, COOLING/ VENTILATION 763.572,3604 FAX ?e&5'11 -128'r REFRIGERATION AND AIR CONDITIONING SYSTEMS MAID DEVICES JOBADDRI`SS b �-- . RalkLeamal Furnace Shell and Duct Work, Burner & also Replacement Fume $35.00 $ Bullding Used As Gas Piping (Now Furnace, Fireplace, ineem $10.00 $ ESTIMATED COST PERMrr NO Gas Range $10.00 $ DDIM MM QEJIRMMMQ BONER Gas Dryer $1000 $ # of HeatingUn Circle one (Stearn) (Hot Water) �N Trade Name Size Na *Air Conditioning• All Sines $25.00 BTU . HP EDR Fuel Total Connected load All Other Repairs or Alterations (List on ) 1% of Valu of Appliance or Work $ Burner Trade Name Size No._ Minimum Fee $15w00 for Residential or a% of cost of BTU _ _ HP EDR _ _ Improvement whichever is greater 1.25% of Value of Appliance or Work (List on Banc) $ Minimum fee $35.00 for Cot°nmemfaVindustrial/InOtuticnai - State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT SACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE The undersigned hereby makes application for a permit for the work hereln specified agreeing to do all work In strict amordance with the City Codes and rulings of the Buiicfing Division, and hereby declares that all the facts and representations stated In this application are true and correct. -- r�,'j - - --- V .... Approved by Rough-EnDate_ Final Date � •M_pLE7MLy poR REPLACEMENT CONNECTOR vl ! • ! . - O� • AIR 9 :ice When as no an 21MOofumce, the undersigned hereby verifies that the venting has been wMlned and is free from rust, deterioration, Obstructions. Yes( ) NO( ) and is securely supported and firgstopped vvhere teguir+ed. `I% venting system is plasticipVC arid meets all current codes and manufacturer No ( ) spacifiicaitons including sluing, length, number of and tesmir�on. Yes( ) The Undersigned also verifies that the replacement unit is a listed assernW and meats ttva current codes mid manufacturer's ins.�I{�oes include AGAC~ CetsoryCen Ver�g T Yes( ) No( } assisted and natural draft appliances. The 99*1100 comWMMI sir is sized and hdaW to meet the current codes Yes( ) No ( ) and manufacturses specifications. When regtgredd to irre a newbusopLit wlu be sized` and Installed ° yes( No ( ) to meet the current co�ea and manutacturees sp cations. now ventijo Mgt; . the undersigned hereby verifies that V*en InstaUti a i' sem�Y it isspedficofflons. r' meets the current costes and manufacturer's This does Include AGA-GAMA CetegOry i Central Fuffws Yes (} NO( ) Venting Tables for fan assisted and nakwal draft appliances. is the common vent vent connectors ve"ttainl a v nth y ager from thecommonYes an appliance has bee removed () No( } se�rately as per codes. Aoi�1� Teem and 8 . Vent nd $.pW Con A* t�onre�on BTU Input Fen Assisted or Nat Appliance #1 Type 13TU Input ed o r Nat Appliance #3 Type BTU Input Fan Assisted or Not Appliance #3 Type Total Appliances Total Btu Input Common Vert Type Vent Height Q r inches Appliance #1 Vent finnneclor Height ---ft length ft Diameter in Type Helght Diameter In Type Appliance #2 Vont Appliance #3 Vent nnectOr in Type n Height _^___ ft Oiarnetfir }EATING 01 A3 NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADpN j ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg In ALTER [ ] SINGLE FAMILY AND DUPLEXES R-`(, AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: /6 Legal Description: F L Owner Name &&Addres^s�:` Tel. # Contractor: 11 IC/U1 Ciu> ILA2 MN LICENSE # Address: 5558 5f1pP�S y3 Tel. # g5l ' g35` ai&(e 9 %Z • q35 9SL/�/ Attach to this application, a Certificate of Survey of thib 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 T- Sq. Ft. DECK AREA: Length OTHER: Width Hgt/Grou6d Sq. Ft. Construction Type:�� - i =stimated Cost: $ 3� V -d - UV Driveway Cur Cut ut Width Needed: Ft. + 6 Ft = Ft x $ _ $ S DATE: Ao Loy APPLICANT: Tel. # Z135- Call (763) 672-3604 for Permit Fees if mailing iii application. Fax to 763-51-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Sufchirge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ q1 --d-5 TOTAL $ I 0 1 •3 CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1 /10th%) $.5b/$1,000 Valuation $1275 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 [ ]