Loading...
PRE 2010 DOCSCity, of Fridley, Minn. 113 7 7 6431 University Ave. N.E., Minneapolis, Minn. 55432 P ING PERMIT Owner: Richgxd Miller Hones Builder Same Address ...._.16.0.0_JLi ae-C __ Address Same No. Street ..--Rice CTAAk Road N -R- Part of Lot Lot __3____ Block 1....._ ____ Addition or Sub-Division._tri ar ad_ 1.e Addition ti on Corner Lot Inside Lot X _ Setback 51 Sideyard r_5.3' & 10.2' WW_-J�levation _-9.0-82- _ _ 9 OR _ R9_ Mi n i nn im WYe Top of Footing To be Used as: 960 Dwelling _.._..__ Front 40' Depth 24' Height 20' 'Sq. Ft. 1000 Cu. Ft. Front 19-6 Depth -22' Height 12' Sq, Ft, 440 C tL r, Type of Construction — Frame Est. Cost __$29 9 To be Completed July 1. 1972. Stipulations: Provide a hard surface drive and verifying survey before capping. Stop work order will be posted April 17, 1972 unless storm sewer agreement is signed as per Darrel Clark. WATER TO BE TAPPED Sewer "Y": 151' East of M.H. In consideration of the issuance to me of a permit to cons et a above, I agree to do the proposed work in accordance with the description abov, s and compliance with all provisions of ordinances of the city of Fridley. 14. In consideration of the payment of a fee of $ 47 -Q4 .11 permit is hereby granted to Richard mi 11 Ar Homes 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 ordinkaees of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiIIgg8� py*thin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _ NOTICE: This permit does not cover the construction, installation for wiring, Plumbing, gas beating, sewer or water. Be sura to Aida 6be Building Inspector for separate permits for these penes. APPLICATION FOR RESIDENTIAL., ALTERATION, OR ADDITION BUILDING PtRMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:, (4Akj). k 1 L L- C -7d2 -BUILDER: A o 1 i4ie Df Lt_a2jj0 M L� ADDRESS: 0 C -C IC L (,iei,3 DRESS: NO:. / 6 / 0 STREET: 7 0 K L-7 L- }<_ GA LOT: BLOCK: f ADDITION: A LE CORNER LOT: INSIDE LOT:SETBACK: 3 S SIDEYARD: 0, Z-- "- 7 Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. S DESCRIPTION OF BUILDING To Be Used As: 1-4 o 05 E Yront: -10 Depth: Height: 13 C 0 Square Feet: OF-ri'n Cubic Feet: A de A 6 C Front: J 9 Depth: 2 Z Height: " Square Feet; / 'j, Cubic Feet: Type of Construction: F A4 a- Estimated Cost: -$ -3(-) 000 To Be Completed: 7TUIZ 4, j 5 7 -Z_ f 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 Fr ' idley 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: 7z SIGNATURE- 6X4, (See Reverse Side For Additional Informa7n.)v 41 -2 Land Sells Tosil" �i.►il a�►11a4ee".l Lend kwv*vi*oi iMayinnnom.. os 34a3. e2�c� . OF r.i•who.�. att,•moe�i Mytti+t ll l eri" Engineers & Surve"rs A0,041 cod. 612 Certificate of Survey for NQR� H R/C&" 'CR TK ROAD G W I � b GANM6 P2uPn �.-r� Q I(ptp W H-bI `o 7. o -o -t. Q - 7,4 w "5540 - Lir La3 1aRl DALE O Umi l a 1"`rid ,L i o a Cau�� x 16 1 1te.e1$y ce.ti}y that this i e 14600 0" soF.e.t sentattee of o sor.ey of the beat -44 is e1 •he ObOve "scribed lend, and o1 A*409ee10n Of 611 bttitd ftew Merest% and all vhible iatrttoshrt,.nts, if ally, fv*m e. opt sold load. As sa.eeg�ed by the thh��dsy eif. A.O. 1 E w SUSUR.AN INGINRIIRING, INC. rL s�..��...4 by 0 4 r /I ( il F " 0/r ZJAl I YFiA d City of Fridley AppOcalton for Phmbbgwd Dept. of Bldgs. Phone 960-3450 it d d DESCRIPTION OF WORE Lem �`l� Jt t'F C/�� K Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL. r/ Number Fixtures ................ x $200 $ !(� Future Fixture Opening ............ x $1.80 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) . • .. x $3.00 $ 0 New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Beater .............. a $2,00 $ -WAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures . x $200 $ C) Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ......... , ..... x $5.00 $ REPAIRS & ALTERATIONS --Refer to Code City of Fridley: The .undersigned hereby makes application for a permit for the- wark herei 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 fact and representations stated in this application are true and correct. Fridley, 11 jinn A")f 19 Owner �IC#0400 Jw/:��i: Kind of Building &AmA' Used as +rte tr c C;or To be completed about Tar( Estimated Cost, $ @W—New. Building Permit No. Permit No. /�', Signed.�Aftm=" ^R� Business Phone ROUGH Description ........................ , ....:......... o ..... ; TOTAL Flo ; so, . all RED NE■�■tit■�'� PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL. r/ Number Fixtures ................ x $200 $ !(� Future Fixture Opening ............ x $1.80 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) . • .. x $3.00 $ 0 New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Beater .............. a $2,00 $ -WAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures . x $200 $ C) Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ......... , ..... x $5.00 $ REPAIRS & ALTERATIONS --Refer to Code City of Fridley: The .undersigned hereby makes application for a permit for the- wark herei 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 fact and representations stated in this application are true and correct. Fridley, 11 jinn A")f 19 Owner �IC#0400 Jw/:��i: Kind of Building &AmA' Used as +rte tr c C;or To be completed about Tar( Estimated Cost, $ @W—New. Building Permit No. Permit No. /�', Signed.�Aftm=" ^R� Business Phone ROUGH Description ........................ , ....:......... o ..... ; TOTAL Flo ; so, . Appleaffen for Power and W%gs Ve nR Re�ig a Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAl/1TY WAM AIR: "TB TOM - Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $10.00 -- each 0each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 600 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .... .$10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. fi. EDR Steam ............... :...... &W ' $ Each add. 320 sq. ft. IDR Hot Water ..... 3.00 $ OIL BURNER—to 3 gaL per hour ..... ' ... ....... ..... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER cup to 199,000 BTU) .............. '......... 8.00 $ 5.00 over 199,000 BTU See. Fee Schedule ; GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures 1 x$ 2.00 $ 2.80 Additional Fixtures ................. x .78 $ Gas Range to 199,000 ...... it uo $ AYR CONDITIONING WEST. FAN HEATING SYSTEM YENTII.ATING SYSTEM ALTERkTIONS & REPAIRS ROUGH rINA�e �. SLO- 6 3 'ton 1200 CTM 18.00 Dept. of BldgR. Phoria Swum LocaB 1610 Rice Creek Rd.; N. E. City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn_ 5/11/72 Owner Richard Miller Homes Kind of Building f rame Used as residential To be completed about 5/31/72 Estimated Cost, $__1L4 52.0 Old—New. Building Permit No. Permit DEBCRnMON OF WORK HEATING or POWER PLANTS --.Steam, Hot Water, Warm Air—No-1 Trade Name TINGLIQUSE Size 11Idr'UUts-llu capacity 8 8 , 0 0 0 Sq, rL ED R. BTU H.P. Total Connected Load 5 9 , 8 2 3 Ktnd of FueL gas BURNER — Trade Name_ WESTINGHOUSE Size NJEGUB-110 Capacity, 8 8 , 0 0 0 Sq. FL E.D.R BTU See'Fee Schedub SALESMAN: $ .50 SURCHGE FEE ToTAL FEE $35.50 (REMARKS -OVER! John V. Borry HEAT LOSS ATTACHED. By HEATING & AIR CON# 0NING Business Phi k St. tout. Parti. iota $5414 52 -8h -S915.51 City of Fridley Appicatioe for Plwrbbig sad Gas Fhft Perm* Dept. of Bldgs. Phone 9804480 DESCRIPTION OF WORK 1610 Rice Creek Road Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL. Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $ New Fixture Old Opening.......... x $1.50 $ gas lite. .................. x $3.25 $ Water Heater ,Up to 89,000 BTU) . • • • x $3.00 $ 3.00 New Ground Run Old Bldg........ . Electric Water Heater .............. GAS FITTING FEES: 1st 3 Fixtures Additional Flxturea ................. . Gas Range to 199,000 BTU .......... , .... REPAIRS & ALTERATIONS—Refer to Code x $3.25 $ s $2.00 $ NO. RATE TOTAL 1 x $2.00 $ 2.00 _x$.75 $ x $5.00 $ Description ........................, ..................... 5,00 TOTAL $ (SkKARGE $-.50) 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 City Ordinance and ruling of the Department of Buildings, and hereby declares that aR the fact and representations stated In this application are true and correct. Fridley, Mir ffug ° 2. 1 97 2 D9, Owner Richard Miller Homes Kind of Building £r ° Used as res . To be completed about Aug. 7 Estimated Cost, $ 10.00 Old—New. Building Permit No. Permit No. C�a �• Signed. By Business Phone Phone - N EGASC® ROUGH FINAL yq� 35 x • • WATER MTU. -C M GAS ELEC. SF d� S tS t l9 Base lac insW L 1 to 2nd 3rd 4th -Fine couneetion Op•niags coanaetad with } Now 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 Fixture Old Opening.......... x $1.50 $ gas lite. .................. x $3.25 $ Water Heater ,Up to 89,000 BTU) . • • • x $3.00 $ 3.00 New Ground Run Old Bldg........ . Electric Water Heater .............. GAS FITTING FEES: 1st 3 Fixtures Additional Flxturea ................. . Gas Range to 199,000 BTU .......... , .... REPAIRS & ALTERATIONS—Refer to Code x $3.25 $ s $2.00 $ NO. RATE TOTAL 1 x $2.00 $ 2.00 _x$.75 $ x $5.00 $ Description ........................, ..................... 5,00 TOTAL $ (SkKARGE $-.50) 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 City Ordinance and ruling of the Department of Buildings, and hereby declares that aR the fact and representations stated In this application are true and correct. Fridley, Mir ffug ° 2. 1 97 2 D9, Owner Richard Miller Homes Kind of Building £r ° Used as res . To be completed about Aug. 7 Estimated Cost, $ 10.00 Old—New. Building Permit No. Permit No. C�a �• Signed. By Business Phone Phone - N EGASC® ROUGH FINAL 53-84-S-915.51 City of Fridley Application !or'Ig and Gas Fhtkg Penn* Dept. of Bldgs. Phone 980-34$0 DESCRIPTION OF WORK 1610 N. E. Rice Creek Road Number. Kind and Location of Fixtures RFs{ ` Qg ��<{{ �ty�j < 7 Sy `Z • • WATER NTR. I M GAS ELEC S +F S OG V p V d Base 1st 1 2nd 3rd - 4th _ 1 17 • Futuro Connectim Openings Wft * Now Fixlnrs, Old Openings X001 � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............. x $1.50 $ 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 .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL lid 3 Fixtures ............... x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ............... l x $5.00 $ 5.00 REPAIRS & ALTERATIONS—Refer to Code Description ............................................ $ TOTAL. FEE $ 5.00 (SURCHARGE $_.50) 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 City Ordinance and ruling of the Department of Buildings, and hereby declares that W& the fact and representations stated in this application are true and correct Fridley, Nnnn 8-8-72 18, Owner Richard biller Homes Inc. Kind of Building Frame Used as Res. To be completed about 8-15-72 Estimated Cost, $ 10.00 New. Building Permit No. Permit No. Signe = o By MRi49NEGASCO -- Business Phone No ROUGH 53-84-s-915.51 PUFMaLwnaoa @"f PARTIAL -RATE SCHEDULE tII� t ia��e M®. RATE Tolypi Nur.b�f .o............... X no rNaWn .o.,Z�.oEe6a -- Z81.60 8 - New .blew F fixture Old owning ... X W&ger Hester (flap t® 99,00 NM.. ®. x .00 � New Ground Run Old Bldg. ........ $ $3.25 Electels Water Ifeetw .............. : .00 0 - GAS FITTING FEES: 90. RATIC TOTAL lot 3 Fixtures ... a .. ..... o ...... x 00 $ .......... e.eoe z=.ib On RAAp to IWOW S .. • 1 x $5.09 5.00 • State Surcharge $®�_ AM$ AL TIO _ aii/f-i.Y e . ® e a . e . e . a. • o . o e. e . A.e e s e s •e. • . s. a 6 . . •.e . epi 5.50 TWAL MM 1610 N. E. Rice Creek Road - 4 , 3-2-73 Richard Miller Homes 3� .,.weep Kind of Building Frame Used w #r Af p,9CV1q= ftr ftwxriv-A a 'Ung, Vema1c a, Re v Air ailed! sii�:t�a is -A Do GiUAVIT'T WARM ABR: RATE TOTAL F%nm,sce ill & Duet Work $10.00 $ Replac-went of rurnare 6.00 $ F.cpairs & Alterations— up to $500.00 600 $ Repairs & Alterations each add. $500.00 300 $ 4H. WARM int Furnace Shell & Duct Work to 120,000 BTU $30 00$ each add. 60,000 BTU 3.UU 8 Repiacemsat of Furnace 6.00 $ Repairs & Alterations—up to $50.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAM or HOT WATER BYSTEX Furnace Shell & Lines— to 400 sq. ft F.DR Steam $10.00 3 rwrisce Shell & Line --to 640 sq. ft. EDR Hot Water 1000 S. Each add 200 sq. ft. EPR Steam 1.nn $ Each add. 320 sq. ft. EDR Hot Suter 3.00 $ OIL BURPMR—to 3 gal per hour 6.00 S. over 3 gal. per hour --See Fee Schedule GAS BURNER (up to M= BTU) 6.00 $ over 199,0W VM s" roe schedule GAS FIT' VING FETj. NO RATE TOTAL 1st 3 Fixtures %S zoo $ - Additional Firrtures _ a .75 $__. Gas Range to 10400 :3 &00 $ RCCOR MAL 3 State Surcharge .50 z so* Fe scheamlol!�•Od TOTAL #4960 John Borry Lo=25i= 1610 Rice Creek Rd NE City of Fridley: The undersigned hereby makes application for a permit for the worm here&. specified agreeing to do ail work in strict accordance with tete City Ordinaneev and ruling of the DepaT tment of Buildings, and hereby declares that all the facts and repr"o-ntatiuns stated in this appbcation are true and correct. Fridley. Man 12-2-75 1! Owner. Richard Miller Homes Kind of Building Used aQ residence To be completed about 12-15-75 00 Estimated Cost, S Old—New. Building Permit No. ____ _ Permit No. HEA77NG or POWER PLANTS—,Stearn, Hot Water, Warm Air --No Trade Name Size No Capacity___- — Sq. Ft. E.D.R BTU BLIP Total Connected Lead Kind of fte1 BURNER — T m& Nome she Ato Capacity Sq. FL E.D.R BM— XPL West. SP030C 2;1 tons -100 CFM 30,000 BTU's S B9 FRED VOGT & CO. 0260 Gorham Ave; 929-6957 441OH It, Lout, Pe b U ....... gj42& 63-8h-h16o51 CITY OF FRIDLEY APPLICATION FOR PUMBING AND GAS FITTING PEAKIT PARTIAL RATE SCHEDULE M PLUMBING FIXTURE RATES: NO. ¢ TOTAL raj x U $ X 0 $2.00 Water 2.e.• Fixture, Old Opening x o $ Catch Basin m cr c $ w o m •4 4j ro $4 r+ w »+ w r� $10.00 Heater .ra Q $7.00 c 0 x J4 si 0 $4 4 C E U 4 GAS FITTING FEES: �" N 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas tinge to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIOXS First $100.00 0 u o+L $5.00 $ each add. $100.00 or fraction 0 $ State Surcharge 8 u a L 0 q 0 xo v -c+ c 14 0 c a ^ U 0N as lec 25t 2nd Grill (R) - rFlature Connection Opening Connected with Sewer (*} - t.ew Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ti:r�er Fixtures x $3.00 $ ratt=e F-xture Opening x $2.00 $ 2.e.• Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Nater Heater - to 99,000 BTU x $5.00 $ iJ0,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground tin Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas tinge to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIOXS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8 -on REINSPECTION FEE ($10.00) Job Address 1610 Rice Creek Rd. Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby takes 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 Departmont of Buildings, and hereby declares that all the facts and representations stated in this application are true and ccrreet Fridley, Mn. 4/7/81 , 19 OWNER Govoent - KIND OF BUILDING USED AS res, /�� TO BE COMPLETED ABOUT 4/14/81 ESTIMATED COST ----59-. w / I OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. 1r-2 q^&Yl Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SUR=gARav 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 JOB ADDRESS RO /0 A 10-0 (I ice/< k 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 $�D • ®� that all the facts and representations stated in this application re true and correct. ,1990, $10.00 $ OWNER �®� $ 10.00 $ Gas Dryer $ 10.00 $ 'Air Conditioning - All Sizes $ 10.00 $A • ®® All Others/Rdpairs & Alterations (LISrQN BACK) 1 % of Value of Appliance or Works Commercial/I dustrial 1 % of Value of Appliance or Work $ State surcharge $ .50_ TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION 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. BUILDING USED AS re 15id eA ey, ESTIMATED COST ® PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) arm Air Trade Name B Q� Size No.D17'i#U®��®6® BTU 19®i Q®® HP 3 EDR Fuel MAA-iLA{ CSC Total Connected Load 1_14 LJ®® Burner Trade Name Size No. BTU HP EDR HEATING COMPANY BLAINE HT®, A/C & ELECT. INC. 13M CENTRAL AVE N.E. ANOKA, MN 553Q4 Signed By dna Tel No. 767'&�Q®® Approved By Rough -In Date Final Date/ ,ry 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 2. Is free from rust or deterioration 3. Has no foreign; -objects lodged within 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connected 6. Has total heating BTU's of All other BTU's W, oa D TOTAL BTU's "j°, oa® Yes No ( ) Yes No ( ) Yes No ( ) Yes No ( ) Yes ( ) No(-/-) C, dk'� C- 11 w ,u - 349 ,.tr 1J,J E O To tvei T Remarks HELI) Fag.AJAec iS 0,4.e/v /A,iu Ec w; 77-4 YOVe- List Alterations Being Done: EoSr/aul 6" el4to ic-W ,vim Aelni *-P" A=,ac- 4-;A jj- BLAINE HTG, A/C a ELECT. INC. 13562 CENTRAL AVE N.E. HEATING COMPANY ANOKA, MN 65304 Signed By Date 4— Ig "l P fi sue,iECri PERMIT NO. City of Fridley 312 AT THE TOP OF THE TWINS OUILDING PERMIT � NO. COMMUNITY DEVELOPMENT DIV. _ `. . P��/ f PROTECTIVE INSPECTION SEC. �(( � 1 �_I CITY HALL FRIDLEY 55432 �'' ...BEA REv DATE PAGE OF APPROVED By 612-571-3450 910-F 5 7/31/00 JOB ADDRESS 1610 Rice Creek Road NE. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Briardalej Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Govoertt 1610 Rice Creek Rd NE 763-574-0564 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wellington Window & Door Co. 3938 Mead wbrook Rd St Louis Park, MN 55416 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 952-933-6300 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK !O NEW 0 ADDITION 0 ALTERATION EN REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Replace 2 windows 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 i 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 1 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, 812.00 $1.90 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 $3.81 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION .SC PLAN CHECK FEE TOTA FEE 2.96 SIGNATURE OF CONTRACTOROR AUTHORIZEDAGENT iDATEo EER LIDAT D HIS IS YO IJ I PjRMIT 00, SIGNATURE OF OWNERpi OWNER BU40ERI (DATE. 9l ,aSP OaiE fi NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: U qb [ Effective 1/1/2000 (763) 572-3604 Bldg Insp Tel. # LICENSE # Sel. # 9 ��: °13�-103(�D 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: Construction Type: . Estimated Cost: $ J Q / dv 7 Driveway Curb Cut Width Needed: Ft + 6 = Ft x $ A $ DATE:—/J D —w APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $9 a d5 Fee Schedule on Reverse Side Fire Surcharge $ Jeg), .001 of Permit Valuation (1/10th%) State Surcharge $ 00$.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ r ntractors) 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: MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATIO HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 , y , Z, PLUS THE $.50 STATE SURCHARGE Signed LCA TEL # FAX # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date'. written permission from adjoining property owner. 1;�� Final Date �? FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Effective January 1, 2003 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 FAX (763) 571-1287 l I� 2 l d JOB ADDRESS ( C e RATE SCHEDULE \ � �� -® OWNER 1 Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS S Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) $ ESTIMATED COST PERMIT N0. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range �r ��c� $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/ Industrial 1.25% 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and Z representations stated in this application are true and correct. TOTAL FEE $ s1U �(� DATE��� MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATIO HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 , y , Z, PLUS THE $.50 STATE SURCHARGE Signed LCA TEL # FAX # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date'. written permission from adjoining property owner. 1;�� Final Date �? 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 ,r.nMMnN <FNT tFtiUT rnNNFCTnR AND MIMBURTIM AIR MERIMATION When ra Janina an�isiingMrance, 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 plasticJPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (1 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 awhaHnn rnmhi mstinn air is sized and installed to meet the current codes and manufacturers specifications. Yes( No ( ) When required to install a new combalstinn air- it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When 1nStaIling a neva vn-nting sygtem, the undersigned hereby verifies that it 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 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 I 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 N HEATING CO: Signed By: Date: 3uilding Inspections 76,3-572-3604 )ATE & , p-1, D I YOUR E-MJJL ADDRESS ;ITE ADDRESS 14?1_D_ _kl4f Zek -61 HIS APPLICANT IS: ❑ OWNER ACONTRACTOR Permit No. Received 3v - Date Rt� J N 2007 PROPERTY OWNER/ NAME: jJ19ho�,t�S See Back Page for Fee Schedule TENANT ADDRESS: /C L�C�Wk Aa CITYa�� ST ZIP.S� Z Fire Surcharge PHONE:1�?; P, ,97-11 -5LO .001 times the total job valuation CONTRACTOR NAME: .0005 x Permit Valuation Minimum $.50 STATE LICENSE # EXP DATE ��c ����� SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: d-�zz�� �a�7,t%�� CiTY - sTA�� ►�P WITH APPLICATION PHONE o°� �'/�J �Q�jDU FAX ft + 6 ft = ft x $21= $ PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE $450 Conservation Plan Review Park Fee ❑ TWO FAMILY/NEW CONSTRUCTION STORIES Fee Determined by Engineering PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS Agreement necessary ( ) Non Necessary { ) Total Due ❑ BASEMENT FINISH ❑ ROOF WRAIN TILE Make checks payable to: City of Fridley Attach Stipulations ❑ DECK ❑ SIDING CLOTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION MANTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: .,Pd kt % W6- /n SIZE OF RVnIROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS XYes ❑No OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & — I ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS HEIGHT BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS, & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed projecL 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 19975.B25 FEE SCHEDULE) TOTAL JOB VALUATION $ 71-1-5., OCCUPANCY TYPE Permit Fee $ / t—,2:3, y-5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ ' .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary { ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT 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. SIGNATURE OF APPLICANT �/% /J/0/1�%��PRINT NAME ATE ° © -7