Loading...
PRE 2010 DOCScetim for Power Pk nts Hewhj% Coarq. Vent khans Re&Eige�tio® and Air Coeditionie9 Systems � Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: MTN TOTAL Furnace Shell & Duct Work ................ $10.00 $ Replacement of Furnace .... . ..... 6.00 ; Repairs & Alterations—up to $500.00 600 $ _ Repairs & Alterations each add. $500.00 3.00 $______ MECK WARM Alli Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 $ each add. 60,000 BTU .................... .. 3.W i Replacement of Furnace .. .... . ... 6.00 $ 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. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam vm Each add. 320 sq. ft. EDR Hot Water 3,00 $ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal, per hour --See Fee Schedule GASB (up to 198,000 BTU) ... ...... .. . 5.00 $ over 199,000 BTU See Fen schedule GAS FITTING NO RARE TOTAL 1st 3 Fixtures x$ 2,00 $ Additional Fixtures a .75 ; ` Gas Range to 199, x$ 5.00 $ AIR CONDITIONING $ i 0, rTa✓ FAN BEATING SYSTEM 800 Fee schedule VENTILATING SYSTEM$_ ALTERATIONS & REPAIRS TOTAL Fly ROUGH (SURCHARGE FINAu f-/4 - % S Dept. of Bldgs. Fhom 880-3480 City of Ridley: The undersigned hereby makes application for a permit for the work :herein specified, agreeing to do all work in strict accordance with the City Ordibance, and ruling of the Department of Buildings, and hereby declares that an the facts and representations stated in this application are true and correct. Owner Kind of Fridley, Minn :7 18 *L-. To be completed about __j' 3 j 7 3 Estimated Cost, Old—New. Building Permit No. Permit No. '�5 D ON OF WORK � v o Hot Water, Warm Air—No Trade Name ., Mm hqo�­, Capacity Sq. Ft. E.D.R BTU HP Total Connected Lead_ $ind of Fuel BURNER — TradeNam size 140 Capacity Sq. Ft. EAR BTU Ideal Sheet Metal Inc. tdwi — v j 544 Summit St. NE 544 Summit St. iv.F. M131s© Minn. 85421 sig 'MP19. ,Mina 55421 Business Fhow (REMARKS -OYER) SUBJECT PER City of Fridley ®13'7 AT THE TOP OF THE TWINS P, BUILDING PERMIT r CE IPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. / 1 � � CITY HALL FRIDLEY 55432 NUMBER REV'. DATE PAGE OF APPROVED BY ---'ilk" 612-560-3450 910-F15 9/3/76 JOB ADDRESS 4952 Roman Road N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 26 2 Carlson' S Summit Manor South SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Kenneth Warner 4952 Roman Road N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE QF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt 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 $1rQ�Q $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 SIGNA UREOFCONTR CTORORAu HORIZED AGENT (DATE) WHEN PR PERLLYY VALIDATED THIS IS YOUR PERMIT *�SIINA BLDG WSP DA E URE OF OWNER (IF OWNER SUILDERI (DA EI 4.l i T UC rKlULCT APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME: 17eh Z 1%Y12.1ic/. BUILDER: �^ ADDRESS: S �*ise rs Z ADDRESS: NO: . y-75 STREET: LOT: Z BLOCK: CORNER LOT: �i ADDITION: Le- �Ldi 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: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: e Type of Construction�� ,.mow Estimated Cost: $ ell To Be Completed: J 4V'e ce ,L 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: e�j SIGNATU (See Reverse Side For Additional Information.) L City of Fridley SUBJECT Pr 145 AT THE TOP OF THE TWINS P, BUILDING PERM RECEIPT NO.ate, COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r ' I =� NUMBER REV. DATE PAGE OF APPROVED BY /'---1CITY HALL FRIDLEY 55432 612-560-3450 910-F.15 1-26-78 JOB ADDRESS AN 4952 Roman Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26 2 1 Carlson Summit Manor South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth L. Warner 4952 Roman Road N.E. Fridley 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. same 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 IX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK install wood burning stove and new chimney 9 CHANGE QF USE FROM TO STIPULATIONS 1. 911 Call for footing inspection 2. Install clean out in basement wo ORE Q\Ali SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LQAD 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 AOR 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 THUS TYPE OF WORK WILL BE COMPLIED $50O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .5O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 8.00 SIGN TUREOFC FACTOR OR THORIZEDAGENT (DATE) WH 0 RL VALIDATED THIS IS YOU PE MIT '� SIGNATURE OF OWNER (IF OWNER BUILDER) " (DATE) BLDG. INSP I rJATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) BUILDER: � - //�11) Address: — Tel. No.. OWNER:iU��/a Address: Z �'� oti, ��� /%Al No.. Street: LOT: BLOCY.: 2 ADDITION: CORNER LOT: _ INSIDE IAT: 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: ' `�/, 0F on • rrYi) Square Feet: Front: Depth: Height: Cubic Feet: Depth: Height: Squared Feet: Cubic Feet: Type of Construction: Estimated Cost: $ Z_-5 To Be Completed: Sd / �' � 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 representations stated in this application are true and correct. See reverse side for ddi'onal inf rmation. DATE: �� _ SIGNATURE: Stipulations: . 6' v SUBJECT PERMIT N City of Fridley 4 9 6 9 69- AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIP • COMMUNITY DEVELOPMENT DIV. _ r PROTECTIVE INSPECTION SEC. �dp 1 � � 1 1 o ---1 CITY HALL FRIDLEY 55432 ,.J NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 12/27/82 JOB ADDRESS 4952 Roman Road N.E. 1 LEGAL LOT NO. BLOCKACT TR OR ADDITION SEE ATTACHED DESCR. 26 2 CarlsonIsSummit Manor South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Warner 4952 Roman Road Fridley, MN 572-8761 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING ent 7 CL SS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS SEPIRATE PLERMITS REQUIRED FOR WtRffgG. HEATING, PLUMBING AIND SIGNS. Won 001,961 call Util1 ilpla T E L E P H 0 NIE RED BY 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 $650 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR ,LOCAL LAW REGULATING CON- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.50 SI I'4ATUREOFCONTRACTORORA THORIZEDAGENT (DATE) X WHEN PROPERLY l DATED THIS IS YOUtR� PERMIT /� - "�OG INSP OAT SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI�� CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR RESIDENTIAL BUILDING PERMITS (Nor, Alterations. Additions. or Repairs) Weerne 1— OWNER: OWNER: , A&Y) L� UI LDLR: —60M 1G> ADDRESS: _ �I� ct.,,�,� ADDRESS: TEL NO: I. C6 % - -2c % TEL NO: Construction Location STRICT NO: 7` S STREET: Ro /Y) a I-) LOT: BLOM � — ADDITION: � I'SC)79 S Yl'J1�i Z� Ran U r Corner Lot: Inside Lot:._____ Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square Feets pubic Facts Front: Depth: Height: Square Feet: Cubic feet: Type of Constructions . /i /J r 17an ree r,2-7 60, Estimated Cost: -r; ®oe ra-ie Rb Be Oor.�pleted: -3,��2ae s. Alt. A Alt. 8 Proposed Driveway Width If New Opening Is Desired: SEE REVERE SIDE OF SHEET The undersigned hereby makes application for a permit for the riork herein specified, agreeing to do,all work In strict accordance with the City of Fridley Ordinances and rulings of the Deikirtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. wing .4 Stipulation: t 1p ,0U SUBJECT IT NO. - City ®f Fridley 2 615 9 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. i 1 NUMBER REV GATE PAGE OF APPROVED BY 1 s -"I � CITY HALL FRIDLEY $5432 .J 612-571-3450 910-F15 6/5/98 JOB ADDRESS 4952 Roman Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26 2 Carlson's Summit Manor South Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Stephen Hoelstra 4952 Roman Road NE 586-0220 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 44 Reroof House (19 S Tear -off; Addingoverhan a to able ends and eaves garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Underlayment must comply with the State Building Code. 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 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 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 $2,089 $1.05 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 $2.09 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $77.89 SIGNATURE O: CO RACTORpq/1U ORIZED G iDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT Mir - Of OW O NER BUILDERI (DATEI �_,,. DG INSP 047E NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Effective 1/1/98 # 5:5;K- 02zr Contractor:MN LICENSE # Address 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: Construction Type: l � 4TAX` Driveway Curb Cu DESCRIPTION OF IMPROVEMENT Width Length Width Length Width 0 Tel. # Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Cost: $ �. a vv 6,r �,� ©A2 (Fee Schedu eon Back) Width Needed: Ft. = Ft x $ _ $ _ DATE• APPLICANT: Tel. # ti2Z0. CITY USE ONLY 1?7-3 q TOTAL $ _ STIPULATIONS: Permit Fee 7V 9S— $ Fee Schedule on Reverse Side Fire Surcharge --2-09 $ x.001 of Permit Valuation (1/10th%) State Surcharge 40c$ :�2f' $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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 [ ] 1?7-3 q TOTAL $ _ STIPULATIONS: SUBJECT-. - City of Fridley 2 AT THE TOP OF THE TWINS EUILDING PERMIT COMMUNITY DEVELOPMENT DIV. (Z8 r PROTECTIVE INSPECTION SEC. 1 ; CITY HALL FRIDLEY 55432 NUMQER REV DATE PAGE OF APPROVED Bt' 612-571-3450 910-F15 7/15/99 JOB ADDRESS 4952 Roman Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26 1 2 lCarlson's Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stephen & Nancy Hoekstra 586-0220 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite 523 Central Ave. Osseo MN 55369 425-2227 20039258 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION XX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house and garage 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. Permit inspection Cards Will 8e Mailed To ome0Wner To Post �. 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. OWLG. 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 $11,000 $5.50 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 $195.25 Fire, SC $11.00 PLAN CHECK F E FEE Lice S $5.0 7161.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi EN RO VALI D THIS URRMIT S.GNATURE OF OWNEROF OWNER BWLDERi IOATEi 13k4G IF, r)Atk MAY X20-7.999 NEW( 1 ADDN [ ] ALTER r 1 1? -12 FROM CIT`( OF FR I DLEY TO 4259136 P. M/02 Effective5/10/99 CIT Y OF FRMLEY SINGLE1' 1 1 M i BUILDING PERMIT APPLICATIONLegal =n;tM t 1 1 1 R. JD 1n Lp cu 4yizz Tel. 07- zo Contractor: Life- A'OLVLD �L► _�1, , Attach to this application, a Certificate of Survey of the Iot, with the proposed consttuuction drawn on it to scale. P. 1 . i" �4 to 1' '7415 1' LIVING AREA: Length .... Width Height Sq. Ft. GARAGE AREA: Length Width Leight Sq. Ft. _ DECK A W,&- Length Width HWGround Sq. Ft. OTHER: Driveway Curb Cwt Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: a J qq ,A►PI"LIC. Tei. t- V -M USE +UNY,iP' Permit Fee $� �jFee Schedtide on Reverse Side Fite Surcharge .001 of Permit Valuation (1110th%) State Surcharge $ $.501$1,000 Valuation SAC Charge $ $1+050 per SAC Unit License Surcharge $ 00 $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 Necessay (] Not Necessary [ TOTAL. STiPULATI,'ONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1998 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 'n(�Ta 4CyA,,� New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE �C 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. !- /V -;2600 ,1998 Owner 114r) 4r) e `/� �p -z 5 Building Used Estimated Cost !f®®. 00 PERMIT NO. A� 45 PLUMBING COMPANY /� J �q Ts, C SIGNED BY TEL NO.�,J `!9Z 20-21 Approved By Rough -In Date Final Date $ .50 MINIMUM FEE F R ANY PLUMBING GAS PERMIT IS $20.00 00-56 PLUS THE $.50 STATE SURCHARGE iF **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. ®r'{® SUBJECT .. - P . _ �._ City of Fridley 3 0 6 31 AT THE TOP OF THE TWINS BUILDING PERMIT EIPT NO. �--__� ___ COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. _ � r 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ti.__.11.' '•� 612-571-3450 910-F15 1/18/00 JOB ADDRESS 4952 Roman Road NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26 2 Carlson's Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nancy/Stephan Hoekstra 4952 Roman Road NE 586-0220 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Companies 6400 Central Avenue 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cil REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK New windows/doors; ceiling repair; gas fireplace; egress window in bedroom 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. See notations on plan. SEPARATE PERMITS REQUIRE® FOR: WIRING PLUMBINd AND SIGNS 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 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 1 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 WHET ECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $10,000 $5.00 DOES PRES ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO IONS O ANY OTHER R LOCAL LAW REGULATING CON- $181.25 Fire$10.00 S UCTION R THE PERF ANCE CONSTRUCTION AC go- PLAN CHECK FE TOTA F E / Lice S $5 0 201.25 SIfNATURE OF CONTRACTOR OR AUTHORIZED AGENT ,DATE, EN R -r ,NSA VALA THIS IS YOUR PERMIT 111 A I SIGNATURE OF OVVNER,IF OWNER BUILDER, ,DATE, NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY h ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILD G PERMIT APPLICATION /° � n J Construction Address:( Legal Description: , Owner Name & Address: /�lk�l�. - Tel. # Contractor: MN LICENSE # Address: ���BQ �' ✓A l ,�_ 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 HeightSq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: : Length Width Hgt/Ground S Ft. OTMR: A r�':v A IAA,, -"E- C—L-r'tt'l /='&�W;Axb16 A i Construction Type:t dVr. , t'� Estimated Cost: $ �Fm Driveway Curb Cut Width Needed: Ft. + t = Ft x $ _ $ DATE: APPLICANT: Tel. # Z; -7,Z- 2666 C��Y USE ONLY Permit Fee $ '5 Fee Schedule on Reverse Side Fire Surcharge $ 00 .001 of Permit Valuation (1/10th%) State Surcharge $ sj, QQ 50/$1,000 Valuation $=er SAC Charge $ SAC Unit License Surcharge $ (50 $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 amain Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ ®' 05 - STIPULATIONS: 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 JOB ADDRESSIQE)f-tA RATE SCHEDULE OWNER r Residential Rate Rate TOTAL Furnace Shell and Duct:Work, Burner- BUILDING USED AS ZW C -2--41J Also Replacement Furnace = $ 30.00fA $ (Side Vent Fill Out Back) ESTIMATED COST 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)qa=rm:A:ir:))Gas Dryer - $ 10.00 $ :Trade Name C���r-- Size No.,IYT/4 4 BTU ®�� HP EDR *Air Conditioning -ATI Sizes $ 25.00 $ 6Z' :^: Fuel k14 -r— G 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 representations stated in this application are true and correct. TOTAL FEE $ SUPERIOR CONTRACTORS INC 812142ND AVENUE NO- DATE ?'4PO CRYSTAL, MN 55422 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed C TEL # _ FAX # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date PO3 03 written permission from adjoining property owner. 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 COMMON VFNZ VENT CQNNFCTQR ANn COMR1 1STInN AIR V RIFT .ATION When rye In acing an existingfi ranr_e, 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 rnmhusfinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new cnm6istinn amt will be sized and installed to meet the current codes and manufacturer's specifications. Yes No ( ) When JnSialWlg 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 #1 Type 6',1J-4 BTU Input S'c-cO Fan Assisted 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:f�cVfe &J7 -k mks t A-, -r Signed By: Date