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PRE 2010 DOCSa R. J SUBJECT City ®f Fridley ® 12925 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 � i CITY HALL FRIDLEY 55432 NUMBER REV., DATE PAGE OF APPROVED BY 612-560-3450 910-F15 JOB ADDRESS 1y'n Rim- (Irtmpk Road 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR.16 AUD. SUB. #22 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 1370 Rice Creek Road Fridley 55432 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. THOMM MILES 1370 RICE CREEK 55432 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 IX ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK ERECT GREENHOUSE 9 CHANGE OF USE FROM TO STIPULATIONS ROOF DESIGN MUST BE FOR 10 lbs. per sq.ft. WARNING SEPERATE PERMITS Before digging call local utilities REQUIRE® FOR WIRING, TELEPHONE- ELECTRIC -GAS Etc. HEATING, PLUMBING AND SIGNS., REQUIRED BY LAW. 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. FL. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR 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 L 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 $1,200.00 .60 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.26 PLAN CHECK FEE TOTAL FEE S T RE OF CONTRACTOR OR THORIZED AGENT (DATE) a HEN.P P LY A IDAT THIS IS YOUR PERMIT Jam• BLDG )NSP RTE SIGNATURE OF OWNER IIF OWNER BUILDER) ATE) a R. J APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : �&V?s —BUILDER: 1 d°l'c gtrl lwt � ADDRESS :�Mo k t i° f (Vfe V ADDRESS:_ (37 o Cc C& c& jc_ goij NO:. STREET: LOT: (s BLOCK: ADDITION:• S,)6 Y CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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: r Grfeh h wse- Front: t Depth: 1-15S ® Height: t� t Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: CLSL,4�.. Estimated Cost: $ t To Be Completed: YVbbYL, The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: ;%�[ �- SIGNATURE: (See Reverse Side For Additional Information.) Roo.- Wvc.-� 04440, a� due. /v a I, , owner of the property located at ,C. have no objection to the City allowing the construction of a to be located at ZZ'D epi c without the required certificate of survey that the City ordinarily requires for all new construction. P ) Signed Address Date L V�,, I NO / a I ti CITY OF FIZZ DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 . FAX (612) 571-1287 August 31, 1994 Ms. Dorothy Miles 1370 Rice Creek Rd NE Fridley, MN 55432 Re: Fire Damaged Dwelling Located at 1370 Rice Creek Road NE Dear Ms. Miles: It has been brought to my attention that a fire occurred at your address on August 24, 1994. This was most unfortunate, however the final outcome was that no lives were lost. As you are aware your dwelling was built in 1938 according to City records. At that time, and until the time of the fire, the dwelling was habitable and functional. To date the house can no longer be lived in because of the structural and smoke damage caused by the fire. The City ordinance states that when building damage exceeds 50%, and the building is nonconforming, it cannot be rebuilt as it existed but must meet the requirements of the City Code. In this case, the dwelling did not meet the minimum finished floor area of 1,020 square feet. If you have any questions, I can be contacted at 572-3602 or in writing at 6431 University Ave NE. Sincerely, N P CIO Chief Building Official JP/mh 4- 1 TO: X BUILDING INSPECTION ASSESSING FROM: RICHARD H. LARSON, DEPUTY FIRE CHIEF DATE: August 24, 1994 SUBJECT: FIRE DAMAGED STRUCTURE FIRE HAS OCCURRED AT: 1370 Rice Creek Rd. DATE OF FIRE: 8/24/94 @ 08:42 FD -7 46 ZD 245-247 Judicial Decisions final local government actions to the com- mission. Because the commission has the power to require that appropriate notice is given to it and other interested parties (including interested third parties), the opportunity to appeal is not negated by the court's interpretation. Inverse Condemnation 46 ZD 245 — California Unconstitutional taking is not caused by remodeling costs incurred in order to comply with barrier removal requirements of the Americans with Disabilities Act. Pinnock v. International House of Pancakes Franchisee, U.S. District Court, S.D. California [trial court], Decided November 8, 1993, 844 F. Supp. 574 Facts. On June 21, 1992, a disabled man who uses a wheelchair attempted to use the restroom at an International House of Pancakes restaurant. The entrance to the restroom was not wide enough to admit Theodore Pinnock's chair and he was forced to crawl into the restroom. Pinnock filed suit in federal court claim- ing violations of state health and safety laws, the Unruh Civil Rights Act, and the Americans with Disabilities Act (ADA). The restaurant owner made sev- eral affirmative defenses, including a claim that costs associated with barrier removal mandated by the ADA work a taking without compensation in violation of the Fifth Amendment. The United States joined the suit to defend the ADA and all parties moved for summary judgment. Holding. The court granted summary judgment in favor of Pinnock. An un- constitutional taking occurs, the court said, when a regulation: 1) compels a permanent physical invasion of prop- erty, 2) denies the owner of all economi- cally beneficial use of the property, or 3) does not substantially advance a legiti- mate governmental objective. The remod- eling required by the ADA is not a physical invasion, the court explained, because the act proscribes the use of only part of the restaurant and does not physically intrude upon the owner's property. As to economically beneficial use, the court said that although the remodeling would result in a loss of approximately 20 seats in the restaurant, this was not enough to deny all economically viable use. Finally, the court defended the barrier removal requirements, saying they directly rem- 10 August 1994 Land Use Law edy discrimination against individuals with disabilities. This is the ultimate pur- pose of the act, and these goals are clearly a legitimate governmental objective. Re- jecting all the owner's other claims the court granted summary judgment in fa- vor of the United States and Pinnock. Nonconforming Uses 46 ZD 246 — California Owner of fire -damaged nonconforming building may rebuild it only when it is damaged more than 50 percent of replacement cost but not more than 50 percent of fair market value. Manhattan Sepulveda, Ltd. v. City of Manhattan Beach, Court of Appeal [intermediate court], Decided February 17, 1994,27 Cal. Rptr. 2d 565 Facts. In July 1990, fire damaged a large portion of a nonconforming structure housing three small businesses. The city zoning ordinance does not allow recon- struction of a nonconforming building when more than 50 percent of its value is destroyed. Although the uses conformed to the zoning, the building was nonconform- ing in a number of respects including parking, front setback, sprinkler system, energy, and accommodation of the handi- capped. After the fire, the' city deter- mined that rebuilding the structure would cost more than 50 percent of its value prior to the fire and denied the owner's application to restore the structure. The owner contended that it should be al- lowed to rebuild because less than 50 percent of the fair market value of the building had been destroyed. On appeal, the board of building ap- peals agreed with the owner that the "value" of the building should be as- sessed at its market value rather than replacement cost and recommended the owner be allowed to restore it. The city council denied the owner's appeal, say- ing that using replacement cost as the valuation method was consistent with other parts of the city code. The trial court denied the owner's petition to re- build the property, and the owner ap- pealed. Holding. The court ruled in favor of the property owner. The court said the com- monly understood definition of "value" is fair market value. In absence of clear intent to the contrary, the court explained, words in a statute should be given their ordinary meaning. In this case, the city could not show another instance in which replacement cost was used to determine value for the purposes of enforcing the ordinance. Even though replacement cost was used to determine value in other sections of the code pertaining to enlargement of nonconforming uses, the court said the two sections are not analogous because more restrictive standards are desirable in regulating the expansion of noncon- forming uses. Because the court could find no legislative intent to use replace- ment cost rather than fair market value in determining whether a nonconform- ing use could be rebuilt, the court al- lowed the owner to rebuild the noncon- forming structure. Signs and Billboards 46 ZD 247 — California Billboard owner does not have vested right to continue billboard erected via conditional permit with rider that billboard would be removed after permit expires. Metropolitan Outdoor Advertising Corp. v. City of Santa Ana, California Court of Appeal [intermediate court], Decided March 10, 1994,28 Cal. Rptr. 2d 664 Facts. In 1981, an advertising company was granted a conditional use permit to erect a billboard on the condition that when the permit expired the company would remove the sign at its own ex- pense. After the expiration date the com- pany requested a variance to maintain the billboard. The request was denied by the planning department, and the city council affirmed the decision. On ap- peal, the trial court ruled in favor of the city and also denied the company's mo- tion for a writ of mandate. The company appealed. Holding. The California court of appeal ruled in favor of the city. In its petition for a writ of mandate, the company claimed a fundamental vested right in the continued use of the billboard. Fun- damental or vested rights, the court ex- plained, are those of sufficient signifi- cance to preclude extinction by a nonjudicial power. Here, the court said, the company was bound to remove the sign by the terms of its own agreement. Therefore, no vested right existed be- cause there was no implicit or explicit City of Fridley SUBJECT PE_, . ___ 4 - n � 1 AT THE TOP OF THE TWINS BUILDING PERMIT'- F? RECEIPT NO. � ` ______ COMMUNITY DEVELOPMENT DIV. : L PROTECTIVE INSPECTION SEC. r i �V°° 7 CITY HALL FRIDLEv $$432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/1/94 JOB ADDRESS 1370 Rice Creek Road NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 Auditor's Sub. #22 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Miles 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Advance Companies of MN Inc. 6400 Central Ave NE Fridley MN 55432 572-2000 4423 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 CJ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Fire Repair 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Because fire damage exceeded 50 percent of dwelling value, repairs must bring dwelling into compliance with all codes. JIG Before digging call for SEPARATE PERMITS REQUIRED FOR all utility locations 454-0002 WIRING, HEATING, PLUMBING AND SIGNS. BY LAIN REQUIRED 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, ORIF 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 $65,000 $32.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $482,00 Fire SC $65.00 PLAN CHECK FEE TOTALFEE License SC $5.00 $584.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE( WHEN PROPER _ BLQt INSP VALIDATED THIS IS YOUR PERMIT 9 7 GATE _ SIGNATURE OF OWNER OF OWNER BUILDER1 (DATEI NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 -:0-44'9 7 Building Permit Application / ConstructionAddress: t Z10 ►ems C Qu,-,� Legal Description: Owner Name & Address: b�� Tel. # Contractor: Ao 4 P,,� Gs 0,p M,,, . MN LICENSE # oa o -AA zz Address: e_- A_u� o.►:4 iv% oa _ SEPI 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: 6z6 6 e -,v; e r► - &x, s - in Eb tNwe A",j c -z, Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: M czs rti v �,^ ►sz_ Estimated Cost: $ __ Approx. Completion Date: N&s► ,,t ®. q (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ � & Q.s c'_es ,� �, �,s c . Tel. # .S Z Z- z o ®� DATE: / d, Za - � . APPLICANT: ig .��,� U_J 'M «,,,,A,.,,,� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ V06 $ 63oo $ 132,0. $ $ $ $ 5-cqv{ 62' CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 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 [ ] C d' SUBJECT PER City of Fridley T- 1 J17 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. 1 • ______ COMMUNITY DEVELOPMENT DIV. 1 v e PROTECTIVE INSPECTION SEC. r 1 e 1 e e / NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/10/94 10B ADDRESS 1370 Rice Creek Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 1 Auditor's Sub. #22 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Miles 1370 Rice CreekRoad NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Advance Companies of MN Inc 6400 Centra572-2000 4423 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 C:k ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 20' Attached Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. "WHWARNING Before digging cell for all utility locations 454-0002 REQUIRED BY l 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 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 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 $6,744 $3.37 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- SC $6.74 TRU OR THE PERFORMANCE OF CONSTRUCTION. $90.00 Fire PLAN CHECK FEE TOTAL FEE License SC $5.00 $105.11 SIGNATURE OF CONTR ,TOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY ALIDATED THIS IS YO/UUR• /PPER.�MII�pTy(/® BLDG NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW Effective 1/1/94 ADDN CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: i 3 7 fit" C Legal Description: Owner Name & Address: Tel. # -4' Contractor: W, N . Y_ � c,. MN LICENSE # t& 4ej Z;3� Address: C., 6cgo c� J\ (6 2., # .7 Z- 2 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 _9 Sq. Ft. JL,p DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] inside Lot [A Ft. Yd Setback Side Yard Setbacks - So . Type of Construction:, Estimated Cost: $ Approx. Completion Date: N S (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: f 1- 'S`i APPLICANT: �� Tel. # .5-7 z- Z Cmt... ON11 Y Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ r % ..001 of Permit Valuation (1/10th%) State Surcharge $ 37 $.50/$1,000 Valuation SAC Charge $ $M per SAC Unit License Surcharge $ ;yJ $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 Nary [ TOTAL $ • �! STIPULATIONS: t% �M47110 ! / 010 SET SURVEY MONUi�1T aMca 2vtMARKED 'KEMPER 164or ss� N 892 tl n n d U AREA OF LOT 16 56,608 90 FT. OR 1.2985 ACRES l } TOTAL AREA OFf.OTS FOUND 1/2' 24 AND 16 60,167 SO. FT. ENTI 3 9M OR 1.3612 ACRES r 1 S1MOO'E 256 PtPE - ` to I � z FENCE `` w1RE I 10.30 I50.36 " #1370 RICE CREEK ROAD 'rcKiws(o ro15.85 m o as r�ACa li4o.�.tiai ro n 1236 CONCRETE 14.27 I ORAD POWER LINES rq p�ri y CONCRETE FIF-TAINWC C%' 6 WALL fl Gil POWER POti G� ik � lz-b E18STTNG RESIDENCE (FIRE DAMAGED) 64.87 { (D ao 00 Lo M lt.l L W CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 199 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 / 3 70 NAZ& env dP 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 $ 20.00 $ representations stated In this application are true and correct. (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ OWNER Gas Range $10.00 $ _ BUILDING USED AS Gas Dryer $10.00 $ / r n ESTIMATED COST „7a-0 -00 PERMIT NO. *Air Conditioning — All Sizes $10.00 $ All Others/Repairs & Alterations (LIST ON BACK) DESCRIPTION OF FURNACE AND OR BURNER 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial industrial BTU HP EDR 1% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge .50 Burner Trade Name Size No. � ED BTU HP EDR TOTAL FEE �.L :�:.=.C� HEATING COMPANY ,�' (I� h MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed By, ,. Vj_� Tel No. 4(fjj ;03 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 Approved 5y Rough—in Date Final Date *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE NOTE: #1 through #8 required when using a side vent furnace. 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 7. Has a liner been provided for water heater Yes {) No ( ) 8. Has combustion air been provided for water heater Yes (X) No ( ) Remarks: HEATING CO: Signed By:�� Date: %�i i 1 yr rniuL.cr wiorCIiIFuvV ulv. 5431 University Ave NE Fridley, MN 55432 572-3604 triecEive un uanuary i, r yas APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER -OF FIXTURES TO BE INSTALLED ON EACH FLOOR b PLUMBING FIXTURE RATES: NO, RATE. TOTAL JOB ADDRESS 13 ?e ae New Fixtures $ 7.00 �� I The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to'do all work in strict accordance with the city codes Beer Dispenser $ 5,00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin '$7.00 and representations stated In this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $.7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner, Water Heater -Electric .$7.00 Water Heater - Gas / $10,00 C'n Building Used As Gas Range f $10.00 0.re) Gas Dryer $10.00 /0.00 Estimated Cost -7, 610 0PERMIT NO, Back Flow Preventer Required ( )Yes () No Type •$5.00 PLUMBING, COMPANY F Reinspection Fee $30.00 SIG=NED BY 2a•ri 02t - TEL N0. -77 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance // J Approved B( Rough -In Date Final Date State Surcharge $ .50 _MINIMUM FEE OR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ CP�� PLUS THE $.50 STATE SURCHARGE Urinal ower � T a Floor Drain � �GasWash RanWasher Water Heater s lecS Stories B sen a me t I Floor 1 Floor 2 FI oor 3 Flo r 4 0 b PLUMBING FIXTURE RATES: NO, RATE. TOTAL JOB ADDRESS 13 ?e ae New Fixtures $ 7.00 �� I The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to'do all work in strict accordance with the city codes Beer Dispenser $ 5,00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin '$7.00 and representations stated In this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $.7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner, Water Heater -Electric .$7.00 Water Heater - Gas / $10,00 C'n Building Used As Gas Range f $10.00 0.re) Gas Dryer $10.00 /0.00 Estimated Cost -7, 610 0PERMIT NO, Back Flow Preventer Required ( )Yes () No Type •$5.00 PLUMBING, COMPANY F Reinspection Fee $30.00 SIG=NED BY 2a•ri 02t - TEL N0. -77 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance // J Approved B( Rough -In Date Final Date State Surcharge $ .50 _MINIMUM FEE OR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ CP�� PLUS THE $.50 STATE SURCHARGE J� > M & D PLUMBING, AND HEATING INC. Melvin Daleiden 11050 26th St. N.E. St. Michael, MN 55376 HOUSE HEATING 'TEST RECORD (Orsatt Test) Addrass 'a -fix r' � + '• _ ° . y Ant. Floor Citv P Suburb Occupant Owner Heat Loss Date Heating '� ^ i< Sold By Installed By �^�`1� i� f; ' .�� V -� 76_. �fCki TI" Electrical Work By Gas Line By " 5 ^}- Type of Heat GA FA HW Steam Space Htr. Unit Htr. `Zi`" GAS DESIGN CONVERSIONa Make ji irk n'Y"_ Make of Burner' Model f - d Z r� =1'#o Model Serial' �`� 3u� Max. BTU Rating Input �, r. �` <i e _ i � � s - -Make ofi-IL`urnace- Model ' CONTROLS Thermostat `I Heat Plug Vent Size Valvo J r - A"', Kind of Liner- Size None Limit , 1;11,, cv O� N, Draft Hood Regulator ? °.= Limit SettingFilters: Size v '71.)". Number_ Fan Setting % i✓77" o c '- �✓� �=/ � Chimney Location Inside � Outside Pilot Type - Chimney Constructions Pilot Make S � L v—. r" t,I '.Pilot Model Smoke Bomb Wiring Pilot .Timing Draft Test Tag L.W. Cut Off Door. Pressure Lighting •Inst. Pressure '5 Percent CO2 -{_ Date Tested ' -2-d m -i s Input CFH Percent 02 ( Company Testing Stack Temp. Percent COQ Name of Tester P'I D CITYOFFRIOLEYCo1AMUNi1Y DEVELOPMENT DEPARTII+IENT TOTAL P.01 PLUMBING Permit Ak mber RESIDENTIAL APPLICATION 00 City of Fridley RECT to Received NOPE: IF PROPERTY IS NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE S - I H -01�. YOUR E-MAIL ADDRESS SITE ADDRESS THE APPLICANT IS: (CIRCLE ONE) OWNERYOR NAME 4 g4 a C PROPERTY OWNER) ADDRESS I. TENANT CITY STATE ZIP PHONE # 5-7 NAME eity PlUffiWAg CO LICENSSE # CONT'RACYOR ADDRESS 82910 Ivia n St. . s CITY SPATE ZtP PHONE # ' Fj PERMIT TYPE SINGLE: FAMILY TWO FAMILY TOWNHOUSE TYPE OF WORK p. NEW REPLACEMENT' DETAILLD DESCRIPTION OF WORK f' FEES ARE BASED ON $10.00 PER FDCTURE, EXCEPT WHERE NOTED FIXTURES: (INDICATE TOTAL NUMBER OF EACH) ---_BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPMtM BATHTUB GAS PIPING (Need CNy Limsej SWMaMNG POOL WATER SOFTENER ($&S) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15) DNHWABNER LAUNDRY TRAY WATER HTR (SM FOR IRRIGATION WATER METER OTHER Permit Fee $ S, -00 MINIMUM: $15.00 or 5% of cost of the Improvement -whichever is Plain Review $ greater an work less than $300 Surcharge $ ,5p TOTAL DUE $ 72� Cz, ® Make checks payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT- NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is =nplF-*and accurate: that the work vri0 tie in oonforrnanoa with the ordinama and codes of ills City of Fridley and with the BAinnesota Construction Codes: that I understand this is not a permit but only an apphoation for a pemlit and work is not to start without a permit that the work will be in accotdanae with the approved plan in the case of all work which requires revlew and approval of plans. c� NAME OF APPLJCANT_ DATE -r-) b Please type or print SIGNATURE OF APPLICANT CITYOFFRIOLEYCo1AMUNi1Y DEVELOPMENT DEPARTII+IENT TOTAL P.01