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PRE 2010 DOCSCity ®f Fridley, Minn. UILDING PERMIT N° Q522 0 Date:"' Owner: _ ti _ Builder Address Address LO,CAT6 N QVAUILDINIG No. '� 2" . j $ ° _ _ _ .._._. Street - -�-- �: �t'�es.r Lot _...,�-� Block _._� � Addition or Sub-Divisio ,..,, Corner Lot _.._._.........�.... Inside Lot _. _ ._ Setback _ _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION! OF BUILDING a j To Used"I } _cs �- Front "� - Depth Height Sq. Ft. Cu. Ft.09 t Depth _ . Hgh_ ..._, Sq. Ft. __ __ _ Cu. Ft. C f v Type of Construction `'°_ ! Est. Costc.t_ o be Completed YIF 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 persoa 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 sfany of the provisions of said ordinances. .�""�;, _ Z7��; Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sure to we the Building Inspector for separate permits for these items. -- 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MINNESOTA Owner Is fiame �c'GSO�£'��/�✓ - cBuiider Address 1!32-6-0 /s iG LOCATION OF BUILDING No. Street // -�s 7i�.�/L Part of Lot Ate Lot oak Addition or Subdivision Corner Lot Tnside LotSetback �.s —�`'' ide-Yard SEWER. ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: , Xaa CX2p / Front epthX247RA)(� Height Sq. Ft. /'V Cu.. Ft. - Z, Front Depth Height Sq. Ft. Cu. Ft. Type of Construction �414,4� Estimated Cost %? S d� To be Completed�T�/ 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. /� / _ .-7 IV DATE Ae 6 ` SIGNATURE (A Schedule of Fee Costs can be found on the Rever e VSide6.) 2� City of Fridley Application for Plumbing and Comas Fitting Pe Dept, of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK '3-41 Number, Kind and Location of Fixtures Location 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) ...... Z x 2.00 W QQ New Ground Run Old Bldg. ............ N $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................� x $1.50 N _u<�S w 4 �U'd w �d �U' Z F N WATER HTR. GAS ELEG 3 d C�9 O Base 1st 2nd 3rd 4th Future Connection Openings Connected with I Sewer El New Fixture, Old Openings Cesspool El 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) ...... Z x 2.00 $ - U New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................� x $1.50 $ /. Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 2\5 1-5 G City of Fridley: k The undersigned hereby makes application for a permit for the work herev 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 faci and representations stated in this application are true and correct. Fridley, Minn, y 19-!Y Owner Kind of Building F Used as To be completed about Estimated Cost, $ j 10010- Old— ew uilding Permit NoPermit No. o Signed— By Business Phone No 'e l ROUGH ( -1q - & / FINAL da 2M Application for Power Punts and Heating. Cooling, Ventilation, .Refrigerand Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII. 4-74,30 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 ............ each add. 60,000 BTU ... ................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ... ... ........... . Repairs & Alterations each add. $500.00 .......:...... . 8.00 $ V 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. 2.00 $ _ Owner §.00 $ Kind of 5.00 $ 2.50 $ Used a. 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. 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 TOT�r� 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 s ALTERATIONS & REPAIRS 4 `'z ROUGH FINAL (Due r we aaumullm TOTAL FFE To be eompietieu aoouz Estimated Cost, $`®' Old New. uilding Permit No. Permit DESCRIPTION OF WORK (REMARKS—OVER) HEATING ori N%3ER�� &—S -.Bot = _a Warm Air—No— Trade Nam Size Capacity Sq. Ft. BTU H.P. 4/-Z Total Connected Loa of Fuer ✓ey BURNER — Trade Nam Size No. r Capacity Sq. Ft. E.D. 1?�� BTU H.P. �6 GE®. SE® ICK HTG. & AIR-CONDD, r,0 1001 Xenia Av. S. Minneapolis 16, MinPl. Sign 42 2M 7-59 Business Phone o (REMARKS—OVER) Windows and Doors--Crackage and Area "y 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 pane lights of crack sq. ft. Z. D-56 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Coef. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.h, Infiltration Construction No. Glass Insulation Glass Glass Guide Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Windows Doors —Y I " 19— Net exp. wall Net exp. wall Int. wall n I T — .L Net exp. wall Int. wall Room Lenizd Width Height Windows and Doors--Crackage and Area "y 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 pane lights of crack sq. ft. Z. Coef. Coef. Btu Infiltration Infiltration Infiltration Glass Glass J. -Y Glass Glass Glass Exp. wall "e Ceiling Exp. wall Exp. wall Net exp. wall Fl Exp. wall jj, .r Net exp. wall Net exp. wall Int. wall Net exp. wall Int. wall Int. wall Floor Ceiling Ceiling o, 7— 'T 7�7 7' Floor Floor J", Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. U 7& ,� FII 7'�� Room I Lenath jJ Width `-'71 Height Windows and Doors--Crackage and Area 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 pane lights of crack sq. ft. Z. Coef. Btu Coef. j* Btu Infiltration Infiltration Glass Glass J. -Y j Glass Glass Exp. wall "e Ceiling -4 Exp. wall Net exp. wall Fl Exp. wall jj, .r Net exp. wall Int. wall Net exp. wall - Int. wall Floor Int. wall Ceiling o, 7— 'T 7�7 7' Floor 7w, Tze Total Btu. le 11�1 I I 11�-_ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 0 1 ffz' e, Rnnm I I.Fncrth 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. Width Height No. of Lineal ft. Ar a No. ofpane of pane lights of crack sq. ft. 7,7 Coef. Btu Infiltration Coef. Btu Infiltration Glass Glass J. -Y j Exp. wall Net exp. wall Int. wall Glass Exp. wall "e Ceiling -4 Net exp. wall Fl Exp. wall jj, .r Int. wall Int. wall Net exp. wall - Ceiling Floor Int. wall o, 7— 'T 7�7 7' Ceiling Floor —2& Total Btu. '" 1 Required sq* ft. E.D.R. or sq. ins. W.A. Leader area I "' g- --I b —,- — Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No, of pane of pane lights of crack sq, ft. No. of T Area, Lineal .7 1 -ft Width Height q No. of pane of pane lights of i� 7,7 Coef. Btu Infiltration Infiltration Glass Glass Glass j Exp. wall Net exp. wall Int. wall Exp. wall Exp. wall "e Ceiling -4 Net exp. wall Fl Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .4 El P�:7 h-1 R.. I T.,-n.th7l 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. Width Height No. —of Linealftft. Arls, pa Ct. t. No. of pane ofe pane lights of crack Coef. Btu Infiltration Infiltration Glass Glass ,k Exp. wall Exp. wall "e Net exp. wall Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor Floor ,A o, 7— 'T Total Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FIIA, -.�,Rnnrn I T.pn.th—/,7i� ,, —Width - Height Windows and Doors—Crackage and Area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Width Height No. —of Linealftft. Arls, pa Ct. t. No. of pane ofe pane lights of crack Coef. Btu Infiltration Glass Exp. wall "e Net exp. wall Int. wall Ceiling Floor ,A 7�7 7' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area '� Fig ... ✓ . • -. � ,, m b .. IA$6 7 s HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.He uid.V.E, Construction No. Insulation G Windows Doors Reference Out. Wall Int. Wall Ceiling I Roof Floor Kind How. Applied rYes—No 17V�� 19— FI_ .,'J'. - –_..A Room I Length Width Height � II Fl.l Room I Length Width Height Windows and Doors—Crackage and Area ., Width Height No. of Lineal f . No. of pane of pane lights of crack Area sq. ft. Coef. Btu Infiltration Glass Exp..wall Coef. Btu Coef. Btu Infiltration Ceiling Glass Floor Exp. wall Glass Net exp. wall a a"'''' Int. wall Exp. wall_. r� " Ceilingw Floorfit;°' Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FIT- lye. Room I Lenath Width ',7 Height Windows and Doors--Crackage and Area ., Width Height No. of No. of pane of pane lights Lineal ft. Area of crack sq. ft. Coef. Btu Infiltration Glass Exp..wall Coef. Btu Infiltration Int. wall Ceiling Glass Floor Exp. wall Net exp. wall Int. wall Ceilingw Floorfit;°' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 *0111 M Room I Length Width Height Windows -and Doors—Craekage and Area Width Height No, of Lineal ft. Area No. of pane of pane light's of crack sq. ft. Coef. Btu Infiltration Glass Exp..wall Net exp. wall Int. wall Ceiling Floor Floor Total Btu. 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 Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. ofLineal ft. Area No. of pane of pane 116hts 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. iris. W.A. Leader area FI I Rnnm I I.ength Width Heischt Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane oupane 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 I. SUBJECT PERMI City of Fridley P, 14347 AT THE TOP OF THE TWINS PERMIT I BUILDING C R EIPT NO. COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. 1 � 1 1 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/8/77 JOB ADDRESS 5659 Regis Trail N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 Parkview Oaks lst SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Curt Rupert 5659 Regis Trail N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Patio Village 3918 West 4931 Street N.E. 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 JI ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 12' Screen Porch 9 CHANGE OF USE FROM TO STIPULATIONS ING re dining can low. utilitles SEPERA TE PMITS REQUIRED, FOR VRI"%. TEtEPtlOkc • ELECTRIC -GAS Etc. HEATMIPLUMOING AND SIGNS. REQUIRED By CAVI! 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 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, $3 850 $1.92 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON - STR TIO O HE PERF RMANCE OF CONSTRUCTION. $24.00 PLAN CHECK FEE TOTAL FEE ,WHEN $25.92 SIGNA RE OF CO TRACTOR ORA ORIZEDAGENT (D TEI PROPERLY VALIDATED THIS IS YOUR PERMIT 4'1 BLDG. INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDERI (DATE) I. CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS,•OR REPAIRS) OWNER: �4' 1 �•Li BUILDER: J ® /It4-Acl, �^ S Address: r.✓`' 9 tU •EG 1� ddress : � Tel. No.: No. :9 Street: rag 1 S `=-+ LOT: J® BLOCK: o� ADDITION: �F�i2le�IlC�-LJ Qd9eS CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: Square Feet: 44-_ Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: J Estimated Cost: $ To Be Completed: 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 represents 'o s state in this application are true correct. See reverse side or dditio in orm ion. DATE: SIGNATURE: 7/7 Stipulations: : 'l 63-8b-879001 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures - Future Fixtures Old Opening, New Fixture Beer Dispenser Blow off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 m 5.00 Water 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 b' Heater �u1 u m 8 N N N lec R.0 - lot r e 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures - Future Fixtures Old Opening, New Fixture Beer Dispenser Blow off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 R ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 18 of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ 10.5 Effective Aug. 1, 1981 Job Address 5659 NE Regis Trail Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 9-2-81 , 19 OWNER RUPERT KIND OF BUILDING frame USED AS TO BE COMPLETED ABOUT 9-9-81 ESTIMATED COST 50.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. C JVD al Company _- Signed By N11emenAsc® Tel. No. ROUGH INSP. Date FINAL INSP. g " � - O 3 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE ,vo CITY OF FRIDLEY INSPECTION DIVISION 1 �� . Effective On January 1, 1999 6431 University Ave NE ' Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ 36, OD representations stated in this application are tru and correct. (Side Vent - FII Out Back) Gas Piping (Needed with new furnace, $10.00 $ but not replacement) OWNER I&AZL4 Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST PERMIT NO.zl_361 *Air Conditioning - All Sizes $ 25.00 $ ° , DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (UST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating nits Circle One (Steam) (Hot Water arm Trade Name Size No. � 07F a Commercial/Industrial BTU, HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $� 14NDERSON HEATING & AGR COMO HEATING COMPAN Central Aver MINIMUM FEE FOR ANY HEATING/COOUNG/VENTILATION l ��--�_Iu7mb� Heiahfs. MN. 5.5421 REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 �/Tel No. ? 3d 7 -/ ill PLUS THE $.50 STATE SURCHARGE 54M 0-&- REINSPEC71ONFEE $42.00/Hr Rough-in Date Final Date q-,2S_01 Approved By4SCK *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FORERIFICATION ON REPLACEMENT FURNACE written permission from adjoining property owner. 6 Has total heating BTU's ofi All other BTU's] TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Yes (No ( ) Yes ( t�No ( ) List ALTERATIONS Being Done: HEATING CO: Signed By: Date: 1,6 MA M-10, 1 \.dM CHEMMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: I : Has been carefully examined Yes (0- No 2. Is free from rust or deterioration Yes (To ( ) 3. Has no foreign objects lodged within Yes (No ( ) 4. Is securely supported Yes (No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No 6 Has total heating BTU's ofi All other BTU's] TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Yes (No ( ) Yes ( t�No ( ) List ALTERATIONS Being Done: HEATING CO: Signed By: Date: 1,6 MA M-10, 1 \.dM 'C FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 May 25, 2001 Ms. Mary Barstad 5659 Regis Trail NE Fridley, MN 55432 Re: Final Inspection at 5659 Regis Trail NE Contractor: Anderson Heating & Air Cond Dear Ms. Barstad: A mechanical permit was issued on November 3, 2000 to install a furnace and air conditioner at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Mechanical Code. 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 expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh SUBJECT �li'r're City of Fridley 32237 AT THE TOP OF THE TWINS BUILDING PERMIT f COMMUNITY DEVELOPMENT DIV.�®T �/�i{' RECEIPT O. f 1 � PROTECTIVE INSPECTION SEC. 1 e � NUMQEFI REV PAGE OF APPROVED By CITY HALL FRIDLEY 35432 L J` 612-571-3450 910-F15 I JDATE 10/11J01 JOB ADDRESS 5659 Regis Trail NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 1 1 Parkview Oaks SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary Borstad 5659 Tre is Trail NE 763-571-6866 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Knutson Roofing & Siding 9307 Hillside Dr Champlin, MN 55316 763-323-9238 2501 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 Reroof House & Garage (22 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,358 $1.18 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- $83.25 Frie SC $2.36 STRUCTION OR E Pg. MANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Licen SC t5/0 Si TURE OF ONT A TOROR4 HORIZED AGENT ATEi H PR Y VCITED LPERMIT THIS IS YOUR S,GNATURE OF OWNER4 OWNER BUWLOERt iDATE, 8166 SNS GATE NEW [ ] Effective 1/1/2001 ADDN [ J CITY OF FRIDLEY ,(763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �G %�.oct, ��fc-t.,' Legal Description: Owner Name & Address: Contract Address: S Tel.# 7G3 5"//—��6 :NSE # Z�G % Tel. # ;7t-', 3— 32 3—�" 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: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: (C cc Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $_ _ $ 4DATE: G APPLICANT: - Tel. # -,"3— 3Z3- 943 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ L.60 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ /f STIPULATIONS: Building MECHANICAL Permit No.: ; D Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX tHid EFFECTIVE 2-19-09 DATE 40IY110 YOUR E-MAIL ADDRESS SITE ADDRESS J�(O S G : !'4 : THIS APPLICANT IS: ❑ OW& CONTRACTOR PROPERTY NAME: /'I'I u r a ADDRESS: f9 _RC_� i s ',Y.: I CITY fr X e STATE _j ZIP 45 'W OWNER/ TENANT PHONE: 7&3 -SJ) - CONTRACTOR COMPANYNAME: Heart, -sal Hearth & Homs SUBMIT A COPY OF dba CONTACT PERSON: License 20512060 YOUR STATE STATE LICENSE # EXP DATE nf00 MN 55113 LICENSE W I"ITI �=eseyflla. ADDRESS: CITY 6511833-2561 STATE ZIP APPLICATION PHONE FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: XNEW 0 REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK W64 S J... G FEES ARE BASED ON $10.00 PER FIXTURE, E CEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: r_8-6 ran ok SIZE/BTU � MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER -$35.00 __ DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Number of fixtures ,@ $10.00 x $10.00 = $ Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 r FEE $35.50 Total = $ THIS IS AN APPLICATION FOR A PERMrlr-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. [ s SIGNATURE OF APPLICANT PRINT NAME Loth /�1000,/ S D 1 C DATE G/ d PLEASE NOTE: SEPARATE PERMITS ARE RDQ1JIlWD FOR BUILDING, F?i.F.('MCAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977