The URL can be used to link to this page

PRE 2010 DOCSI II �i II IIS City of Fridley, Mme. BUEWING PERMIT N° 5 0 0 7 Date: Owner: _ Builder _ d ' _.. Address ___ ____ _ _ _ Address ./---- L TIO UIL NG No. _ Street - _. Part of Lot ...�........_. Lot Block _ _.,jqAe w._r _ dition. or Sub -Division ... of if Corner Lot ___ _ Inside Lot _ __... Setback _ _ _ _ _ Sideyard Il Sewer Elevation _ __. Foundation Elevation — DESCRIPTION OF BUILDING � To U � - j Front Depth Height : Sq. Ft. 14;W ; Cu. Ft. Al Front Depth Height � Sq. Ft. Cu. Ft. .fid , GD Type of��"Ctio_n Est.. Cost _ To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment, of a fee of $ permit is hereby granted to— to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and -his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violatin of any of the provisions of said ordinances. " Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating,, sewer or water. Be sure to no the Building inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDIBY, MINNESOTA Ouner rs Name J. N Address _ PA der �; 0 ac Tdress J0 � A r14 l W C -S S LOCATION OF BUILDING No. 2 Street Part of Lot • �� Lot 1 6 Block 3 Addition or subdivisiox�, Corner Lot Inside Lot Setback C_ Side -Yards 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: &% t FrontDepth _118LHeight Sq. Ft. 12-00 Cu. Ft. ser c , Front_A! Depth ;LHeight Sq. Ft. 4 �O Cu. Ft. Type of Construction Estimated Cost To be Completed epi! Q 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 / SIGNATURE • (A Schedule of Fee Costs can be found on the Reverse de.) City of Fridley Application for Plumbing and Gas Pitting Permit Dept. of Bldgs. Phone S 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location—&- PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NQ. RATE TOTAL Number Fixtures ....... ..............'�7 x $1.50 $ O 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) ...... x 2.00 $ New Ground Rua 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 $� 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 tru"nd correct. Fridley, Mir Owner Kind of Building �✓ Used as To be completed about Estimated Cost, Old—New. Build 19 ��✓ ROUGH ; ;a – 17— FINAL d 2 2M 7-59 g�J iU � eQi� c��°d <��dU' �U' d Z �U' O F N WATER HTR. GAS EIEC. Base ist / 2nd _ 3rd _ 4th ' Future Connection Openings I New Fixture, Old Openings JI Connected with Sewer Cesspool E] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NQ. RATE TOTAL Number Fixtures ....... ..............'�7 x $1.50 $ O 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) ...... x 2.00 $ New Ground Rua 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 $� 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 tru"nd correct. Fridley, Mir Owner Kind of Building �✓ Used as To be completed about Estimated Cost, Old—New. Build 19 ��✓ ROUGH ; ;a – 17— FINAL d 2 2M 7-59 APP cation for Power Plants and.'Heating, Cooling, Ventilation, .Re%igendion and 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 ............................. 0.00 $ Repairs & Alterations—up to $500.00 .... ............ 5.00 $ Repairs & Alterations each add. $500.00 ....... :...... 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—ta 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 TOTAL 1st 3 Fixtures ...................... x $1.50 $ ✓ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTYLATING SYSTEM $$--�—�—�- ALTERATIONS & REPAIRS TOTAL FEE ROUGH— OUGH FINAL— FINAL Dept. Dept. of Bldgs. Phone SII, 4-7470 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. A Fridley Alin �' 6 19 Owner Kind of Buil ' g Used as To be completed about \�V` �a Estimated Cost, $ Permit No. la l Permit No. 1-669 DESCRIPTION OF WORK HEATING or P WER PLANTS -,Ste Hot Wa_' W No —� Trade Name �� /1-� �SL C CJ Size No Capacity , Sq. Ft. E.D.R.� BTU H.P. Total Connected Load 5`-� �� Kind of Fuel- Gam✓ BURNER = Trade Name . Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) RAY N. WELTER HEATING CO, 4637 CHICAGO AVE. Signe- MINN +orI N N 6S (3TA By 42 2M 7-59 Business Phone No 7 swMIG CO 53-84-s-915.51 City ®f Fridley ApplieWma fw Mmdftg andij Parszzlt Dept. of Bldgs. Phone 360-3490 DESCRIPTION OF WORK 269 N. E. Rice Creek Blvd. Number. Kind and Location of Fixtures Ing O ! „ N WATER NTR. GAS EIEC. $ S i .n $ .� i C V < 3 (�l o� C7l V Base lit I st ll GaE G7 it 2nd 3rd 4th • Future Connestioa Openings Coag With * New Fixture. Old Openings Sewer ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ............:.... x $2.00 $ Future Fixture Opening ............. x $1.50 $-- New -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 $ %AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... • .... • .. • . x $2.00 $ Additional Fixtures ................. x $ .75 $ Gas Range to 199,000 BTU ............. x $5.00 $ 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 Citi 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 8-23-74 18_ Owner Kenneth Falldin Kind of Building Frame Res. Used as To be completed about 8-30-74 Estimated Cost, $ 10.00Old—XBuilding Permit No. Permit No.(,310 ze 62a� Signed ByM I N N Er A c r+n - Business Phune No ROUGH FINAL �%' 2• �- - i REPAIRS & ALTERATIONS—Refer to Coe .50 State Surcharge Install as gill 5.00 Description .............................................. i TOTAL FEE $ 5.50 C -k% ®An" :Surcharge .5c, City of Fridley SUBJECTPTw , o 1.9353 AT THE TOP OF THE TWINS BUILDING PERMIT _ r RE ' • _____ COMMUNITY DEVELOPMENT DIV. �y - PROTECTIVE INSPECTION SEC.�� +r ' , 1 l ;,j CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/24/88 JOB ADDRESS 269 Rice Creek Blvd N. E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 3 Rice Creek Plaza North SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Ken Falldin 269 Rice Creek Blvd N. E. 574-9549. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Porch Living 1903 Highland View Avenue, Burnsville 55337 894-7762 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 Ek ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 14' x 12' Three-Season Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan WA R 14 H� ft Before digging ull, ��PAR�T TELEPHONE - ELECTRIC - GtjS &s,,. ��arR►Wirs REQ�'R 'REC�UIRE® BY LAW�'NG, PL I jMal AN ft S 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 PAYS, 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 SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,500 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- $44. 50 ST CTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE '3-2x- 11.13 $57.38 SIGNATURE OF 'O'NTRACTORORAUTHORIZEDAGENT (DATE) w WHEN PROPERLY AC DATED THIS IS YOUR PE MIT BLDG INSP O�� SIGNATUREOF OWNER 0F OWNER BUILDER) (DATE) NEW [ ] City of Fridley ADDN. [ ] L R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description:_. Owner Name & Address: Contractor:— // " Address: MO -3 A Effective 4/1/86 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. 0 - S-4SaAJ P'0 Ac -14 LIVING AREA: Length DESCRIPTION OF IMPROVEMENT /"/ f Width /.2/ Height I? / Sq. Ft. f6-' GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 1 90 Corner Lot [ ] Inside Lot [,r] Ft. Yd. Setback Side Yard Setback Type of Construction: 44ja 0,6 Estimated Cost: $ Approx. Completion Date: J� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: 3-223-e) APPLICANT: Tel. 7 v CITY USE ONLY Permit Fee $ 44oSO Fee Schedule on Reverse Side Plan Check $Tp� 25$ of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $ 5,50 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ TOTAL $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS• Zwo Land Planning 6875-919hnoy OGS NE, laudSurveying Onfralo/.s 2/, Soils Testing ENGINEERING, INC. Minnrsaa C!V/l fi MWKIi of If SLIM0 4.6066 Enymeenny Engineers Survecrrs -- , cert 'ic to of survey F� /hereby cer hAy that This IS o true and cared represeda on o�'a survey *'& bovnd#ries gr4e #bare of�sciy6�d on4i and /oa#fion o�'o// bu�ldin9s ,1Jureon , and a// risib/e axfwc imenfs , !Panty, fun or w said /and. As survecyed 6y me A6—LL- _ day A.O./9�-`-`' . SUBURBAN ENGINEERING, INC. E 3meers fi' Sur'reyors iy i n CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range - Gas Dryer JOB The undersigned hereby. makes application for a permit for the work Rate TOTAL herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Building Division, and hereby declares $ 20.00 $ that all the facts and representations stated in this application are true and correct. ,199;„ $10.00 $L- $10.00 $10.00 $ r - BUILDING USED AS `� L $ 10.00 $ ESTIMATED COST PERMIT NO.///94 "Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/I ndustrial 1 % of Value of Appliance or Work $ = 5� State Surcharge $ .50_ TOTAL FEE $ MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Signed By JLTel No. Approved B Rough -in Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 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 of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date SUBJECT "PERMIT NO. City of Fridley y/ ,� 6 AT THE TOP OF THE TWINS BUILDING PERMIT Ir RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. � IL V _____ PROTECTIVE INSPECTION SEC. 33 77 r NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/30/97 JOB ADDRESS 269 Rice Creek Blvd NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16 3 Rice Creek Plaza North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ken Falldin 269 Rice CReek Blvd NE 574-9549 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Citywide Home Improvement 1005 W Broadway, Mpls., MN 55411 529-2489 3013 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 El ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (28 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 1 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 $2,310 $1.15 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 $2.31 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $83.21 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN P OPERLY _LIDATED THIS IS YOUR PERMIT a �v SIGNATURE OF OWNER tIF OWNER BUILDER) IDATEI BU39INSP FATE NEW (] ADDN [] ALTER (] Construction Addre; Legal Description: t0<73;21 Effective 8/l/95 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ^� Building Permit Application -V3-3 77 Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # may- MN LICENSE # X)/ Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ Ft. Yd Setback Side Yard Setbacks Estimated Cost: $-- _ (Cost on Back) Driveway Curb Cut Width Needed: Ft 6 Ft = Ft x $ _ $ DATE: �`� APPLICANT: Tel. # CITY USE ONLY Permit Fee $ 2qr7S Fire Surcharge $. 02 3 State Surcharge $ 1 / SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ v 2r STIPULATIONS: Fee Schedule on Reverse Side �� .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 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 [ cc 8 iL C� rrr d m t% LTZT'ON XH/XZ a�o V£:%0 ST/ZT/£0 n®A ANVHI VH JX3 aN38 3SV3 d a uj r: v to r` r- ►} r: o a: o e> o ui 40 �o +69 w 'm m Is Z; A ft— ci 1� m m o X' z to G O ,C z 0 f J M E m -;VP 3: r p .E Cb �t o at m o g g m a uj r: v to r` r- ►} r: o a: o e> o ui 40 �o +69 w 'm m Is Z; A ft— ci 1� m m a h co w �� T@"T@'d L8zT .TLS 2T9 ►.3`tQI8.1 =10 )u13 Tg::bT 966T -S0 -d38 z Ci co CD i F�- z d W co 03 a LU _ 1� m m X' z to G z 0 f J M -;VP 3: r a h co w �� T@"T@'d L8zT .TLS 2T9 ►.3`tQI8.1 =10 )u13 Tg::bT 966T -S0 -d38 z Ci co CD i F�- z d W co 03 a LU _ City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PE 27075' r ` COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � ? t 1 CITY HALL FRIDLEY 55432 612-571-3450 RE T NO. NUMBER 910-FlS REV DATE 8/10/98 PAGE OF APPROVED BY JOB ADDRESS 269 Rice Creek Blvd 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 3 1 Rice Creek Plaza North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ken Falldin 574-9549 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tabor & Sons 3716 St Francis -Blvd Anoka 55303 785-1902 20014248 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 XX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 22 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED VALUATION SURTAX WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1834.80 .92 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- PERMIT FEE SAC CHARGE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $59.50 Fire SC $1.83 ��/® �� PLAN CHECK FEE License 5.00 TOTAL E 67.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEt N P OPE A AT IS IS Y R PER T SP ryATE SIGNATURE OF OWNER iiF OWNER BUILDER) tDATEt -o NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 0�(,} ;CI ConstructionAddress: 9! c�- C c e e (C `3 / U e) Legal Description: ' r!' -7 -1 e Owner Name & Address: 10! fz , c v ( < /3,�,Tel. # --7 3 � Contractor: s �' �' •�� MN LICENSE # Address: `Y7 S l F -,e --k c r- Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length ' Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: /f -r 47-6 2 2- -,- cf- Construction Type: Estimated Cost: $ / !3 3 y (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ - DATE: b/�' `� APPLICANT: 7� Tel. # CITY USE ONLY Permit Fee $ 5�C1. 5"0 Fee Schedule on Reverse Side Fire Surcharge $ 1 . % 3 .001 of Permit Valuation (1/10th%) State Surcharge $ , '12 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $S : p o $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 $ STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2000 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 Z69 t cE RATE SCHEDULE OWNER Ct z Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) ESTIMATED COST `'pc) PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. *Air coca BTU HP EDR Conditioning - All Sizes $ 25.00 $--! Fuel —Total Connected Load 10i0� 397--�oa All Others/Repairs & Alterations (LIST ON�ACK) Burner Trade Name Size No. 1 Jo of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.250/. of Value of Appliance or Work $ 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 State Surcharge $ 2-5.50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE DATE � 7�0 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. HEATING CO Signed Approved By s.. Em TEL # 6 I Rough -In Date Final Date �!'�l 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 Information 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 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 6e L— *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective On January 1, 2002 State Surcharge 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. $ 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 $ 50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO _��/I`L'� �': Pe�.'d f__ Signed (/U' TEL # FAX # Approved By Rough -In Date Final Date JOB ADDRESS e'_�P��/�� OWNER_ Rate TOTAL BUILDING USED $ 30.00 $ ESTIMATED COST PERMIT N0. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 1.0.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name L,, Size No. BTU �- C, HP EDR $ 25.00 $ Fuel Wed Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge 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. $ 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 $ 50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO _��/I`L'� �': Pe�.'d f__ Signed (/U' TEL # FAX # Approved By Rough -In Date Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT VENT CQNNFCTQR AND COMMJRTIQN AIR VIFIRIFICATION When re la pine an existing furanna, 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 axiating enmh stinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to instal a naw _nmh ,Mien air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new van ing sy_Stgm, 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 #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 HEATING CO: Signed By: Date: