PRE 2010 DOCSCity of Fridley, Minn. 11-729
$431 University Ave. N. E., Minneapolis,, Minn./55432
BUR DING PERMIT
10 .
Owner: LandYeS.t_Development _Corp - Builder ,Same
Address 2828 - 5th Avenue South Address Same
No. _ 507-._-__. Street —South Timber Ridge Part of Lot
Part of Section 13
Lot ____ Block _ __. _ Addition or Sub -Division
Corner Lot _.__. ___ Inside Lot
Sewer Elevation
Setback Sideyard
Foundation Elevation ---•---
DESCRIPTION OF BUILDING
To be Used as:
_TQxnhouse , Front es _ Depth .2.9'.74" Height 2Q' Sq. Ft. 1854' cu. Ft. 17, 88
Front Depth Height Sq. Ft. Cu. Ft
Type of Construction -- Wood Rrame Est Cost _ $q137- To be Completed 6 months
Stipulation: See 1531 South Timber Ridge
In consideration of the issuance to me of a permit to cons the building described above I ee tq do
the proposed work in accordance with the description above se Orth and in compliance with ani ovisions of
ordinances of the city of Fridley.
e
11.09 St to S e
In consideration of the payment of a fee of $. .� , permit is hereby granted to Landy-est Dev. Corp.
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 bis 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 ordinonces of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
vy*thin the city limits and this permit may be revoked at any time upon violation of any the provisions_ of said
ordinances.
c
Inspector
NOTICE:
This, permit does not cover the construction, installation for miring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
.♦
r
t
APPLICATION FOR RESIDENTIAL, ALTERATIONS
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
LOT; IT10H i
CORM LQTi UE LOT; s� ETBACKt SIDEYARD:
itom t attach to dtU fvm_llo Certificates of Surv2X of Last and proposed
Udldftg 14mation dry m terse Certificates„
DESCRIPTION OF BUILDING
3
As
Depth-. r % Height: �a
square Feet; -Zia' Curr% Feeti /9, c9d'Q '
Front: Depth; Height:
Square Feet; Cubic Feet, -
We
eet:W of Conetructiona wcoLa/M1 Estimated Cost: $/d
I* Be "toted; Lo , z ", -rit, 4 a)
The uno rpf.$ned hereby des applicativrt for. a pe=it for the vork herein
p lfl agreeingto do all work in stttct accordance with the City of
Mdlay Or0mances and zul s i:f Oe LePartment Af Buildings, and hereby
dmlare* dWt all the facts and representations stated fa this application
mXe t aped correct„ /1 12
VAS: % /&/ ZZ I SIGNATURE: IS 4-zr
r i ewwoo side For AddWonal infortgation, j
0
N
I
oboe �' Power H fio
Cooling. Venh1ane Ite�rigeralion
Air Co ®ni S"ems and Devices and
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE TOTAL
Furnace She]] & Duct Work ....... I ........
.. $10.00 $
Replacement of Furnace ... .. ..... . .....
.. 6.00 $
Repairs & Alterations—up to $500.00
6.00 $_—
Repairs & Alterations each add. $500.00
3.00 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ........ .. $10.00
each add 60,000 BTU .................... .. 3.00 $
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
FurnaceShell & Line—to 640 sq. ft. EDR Hot Water
10.00
$_
Each add. 200 sq. ft. EDR Steam
3.00
Each add. 320 sq. ft. EDR Hot Water
3,00
$
OIL BURNER—to 3 gal. per hour
6,00
$--
_over
over 3 gal. per hour—See Fee Schedule
GAS BUFJ=R (up to ,000 BTU)
6.00
C) f)
over 199,000 BM See Foe Schedule
GAB FITTING NO RATE TOTAL
1st 3 Fixtures .. ....
x$ 100
Additional Fixtures
x .75
$
Gas Range to 199,000
a$ 6.00
$
AIR COLI¢DI'PIOD9IIIGto
0
FAR BEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
3 9a" '
8 11-1,0o
ALTERATIONS & REPAIRS TOTAL. PzE
*
FIIITAL, fG % GZ SSU aCHARU ,$_.50j
Dept. of Bldge. Phone 980-3480
m
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.
Owner
Kind of Building
Used as
To be completed about
-�
Estimated Cost, $_
Permit No. Permit No. ISZAi
HEATING or PO team, Not Water,arffi Atr Nom .
Trade Name Size Na�� ��
CapacitY-R 6 O Sq. Ft. E.D.R I BTU. H.P.
Total Connected Load Kind of Fue
BURNER — Made Nam Size No
Capacity Sq. Ft. E.D1t BTU .
(REMARKS -OVER)
r
0
560-3450
Cit
'y of 7rijley
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE FRIDLEY, MINNESOTA 55432
August 19, 1975
Electric Service Company
1609 Chicago Avenue
Minneapolis, Minnesota 55404
Re: Correction @ 1507 South Timber Ridge
Gentlemen:
After making an inspection at the above captioned
address, we find the following to be corrected:
Doorbell push button defective.
Basement - Porcelain pulls defective.
1 Switch - on & off - Bedroom.
Please make these corrections as soon as possible.
Yours very truly,
L ONARD EICHMI R
Ele Tical Inspector
LE/ c s
SUBJECT
PERMIT NO.
City of Fridley
24004
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
�y� ------
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE Of
APPROVED BY
CITY HALL FRIDLEY 55432
�.' 612-571-3450
910-F15
3/14/96
108 ADDRESS 1507 South Timber Ride NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Dale Dahl Builders & Remodelers 451 Maple
St Spring Lake Park MN 55432
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
784-4830 20050777
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
NEW ❑ ADDITION ElALTERATION ❑ REPAIR ❑ MOVE X REMOVE
%
8 DESCRIBE WORK
Remove existing deck; Construct an 8' x
19' Deck
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan.
SEPARATE PERMITS ARE RE6UIRED 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 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
ISTALLS I 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
$.57
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,131
DOES NOT PRESUME TO GAVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$40.25
Fire SC $1.13
STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION.
/���PLAN
CHECK FEE
TOTALFEE
/7!
&�� ���'
License SC $5.00
$46.95
GNATURE OF CONR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT
. f6i�1i6✓�V° al", I. d
I+ BLDWINS SATE
_
SIGNATURE OF OWNER UFO
NER BUILDER) 'DATE)
NEW C l
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND
Building Permit Application
ConstructionAddress:
Effective 3/1/96
cl7&
Legal Description: P
Owner Name & Address: ) o,- c P Tel. # 5/9�
Contractor: - / E. L �r /G Z� �t- �+��/� %'Ls MN LICENSE # AaW
Address: ��/ i( 9401e 57-- Tel. # / QV
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
GARAGE AREA: Length Width Height
DECK AREA: Length / Width �/ ` Hgt/Ground
OTHER:�l?OL�� �1�r Si �6�� /j enlr
Sq. Ft.
Sq. Ft. Vii'<yP
Sq. Ft. qf
d�2�(
�s
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction:b/e AwhzIzelLr Estimated Cost: $
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE:
APPLICANT:a,�
Tel. # OXY — 50
CITY USE ONLY
Permit Fee
$ YO.2
Fee Schedule on Reverse Side
Fire Surcharge
$ 1,/3
.001 of Permit Valuation (1/10th%)
State Surcharge
$ f
$.50/$1,000 Valuation
SAC Charge
$
$900 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 [ ]
TOTAL
$ y �/
STIPULATIONS:
City of Fridley
tiu HJE ('T
P, AT THE TOP OF THE TWINS
1
B U I L D I N G PERMITrCOMMUNITY
72,�*
DEVELOPMENT DIV
r � � PROTECTIVE INSPECTION SEC
1
�/
i
----J CITY HALL FRIDLEY 55432
�" %i612-571-3450
NUMBER
REV
PAGE OF
APPROVED BY
910-F15
1741/96
/ /
JOB ADDRESS
See Below North Timber Ridge & South Timber Ridge)
1 LEGAL
LOT NO. BLOCK "
TRACT OR ADDITION SEE ATTACHED
DESCR,
The N 24.7 feet if
the W of the NE k of the NEk of Sec 13 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Various
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Dahl Builders & Remodelers 451 Maple St NE. Spring Lake Park MN 55432 784-6353
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 X REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Repair work
9 CHANGEOFUSEFROM TO
STIPULATIONS
„x"1501,1505,1513,1529,1530,1534,1538,1542,1546 North Timber Ridge NE
1503,1507,1508,1512,1515,1519,1523,1527,1531,1532,1536 South Timber Ridge NE
Replacing cedar trim board covering concrete block projection at base of walls.
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
S0. 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$5,900
$2.95
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
$112.25
Fire SC $.5.90
n,,
i .�/ aIO '�� /�/'
PLAN CHECK FEE
License SC $5.00
TOTAL FEE
$126.10
SIGNA"TUAE.OF CON'RACTOR OR AUTHORIZED AGENT (DATE,
WHEN PROPS Y VALIDATED THIS IS YOUR PERMIT
W
SIGNATURE Or hl", NEP-IF OVV'NER BUIL DE RI IDATE- -
B OG INSP OA (E
CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1998
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 ��� S< T IYYlbW
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00 $ 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 $
ESTIMATED COST I L2 ® PERMIT N0.
*Air Conditioning — All Sizes $ 25.00 $ �L N)
LARM�22 ` Z `�� DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work $ No.' of Heating Units Circle One (Steam) (Hot Water)
Trade Name . Size No. UM—ROIGMA6,S
Commercial/Industdal BTU '75 ,U Lib HP EDR
1.25% of Value of Appliance or Work $ Fuel k� • & . Total Connected Load
State Surcharge $ .50 Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE,$
ELAINE HTC. A,C ELECT., +Nc..
15562 CENTRAL AVE. N S
HEATINMP Y AN® N 55304
MINIMUM FEE FOR ANY HEATING/COOUNG/VENTILATION . I(
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed Tel No.
PLUS THE $.50 STATE SURCHARGE
REINSPECTION. FEE $42.00/Hr Approved By Rough—In Date Final Date
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STA VERIFICATION ON
written permission from adjoining property owner. REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined
2. Is free from rust or deterioration
3.
4.
5.
Has no foreign objects lodged within
Is securely supported
Meets all current Code requirements for size
and total BTU's connected -
Yes (4j No ( )
Yes ( No ( )
Yes ( No ( )
Yes No ( )
Yes Vz
No'(')
6 Has total heating BTU's of —1 61 (YO
All other BTU's 4o , mo
TOTAL BTU's
7. Has a liner been provided for water heater Yes ( No ( )
8. Has combustion air been provided for water heater Yes ( No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
ELAINE HTG. AC ELECT., INC.
'
Su9jECT <
P
City of Fridley
28708
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i •
R
1 116COMMUNITY DEVELOPMENT DIV.
%
rr �_____
r � PROTECTIVE INSPECTION SEC.
f O�
I
1 i
CITY HALL FRIDLEY 55432
I
NUMBER
REV
DATE
PAGE of
APPROVED BY
�----� �j 612-571-3450
910-F15
12/3/98
J08 ADDRESS 1503 150 1511 1515 1519 1 2 1
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.
Part Of ec o
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
A-1 Roofing & Const. 3Q20 Sumter 6ve X rrUAtal 99427
S46-5919
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 O ALTERATION 5aj REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reroof town homes 11Tear-nff
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING.
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT
CU FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED. '
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
ISTALLS
GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL RE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
99769
q4.88
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OT STATE OR LOCAL LAW REGULATING CON-
PE MA
STRUC�jQN-OR THE NCE OF CONSTRUCTION$162-25
Fire SC S9.77-
PLAN CHECK FEE
TOTAL FEE
C ` 9
Cr ( -1- � _ `
. 8176.90
WHEN PROPERLY V3LIDATED THIS IS YOIUJkPERMIT
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT tOATEi
S,GNATURE OF OVVNER „F OWNER BUILDER& DATE,
BLDG ,hSo
DATE
NEW - [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY ��
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ailq /65
BUILDING PERMIT APPLICATION D
-� ] 1
CS( 31 tab 7 (511, tr«,15 iq
ConstructionAddress,l: \ c,M CLQ,(' [_,%1e_ -4,,,.j A Uu,,e L7 t5 -Z_ -5f l `!�Z7, 15`21
Legal Description:
Owner Name & Address: Tel. #
Contractor: 6'"C` f MN LICENSE #
Address: �_ n ei Tel. # VA ' 1
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
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
Length Width Height
Length Width Hgt/Ground
re- Ca k \u
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type:
Estimated Cost: $ 99z,
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: \2��`
APPLICANT:
a 1.- CSoc.1 Tel. # r�
CITY USE ONLY
Permit Fee
$ o(-
Fee Schedule on Reverse Side
Fire Surcharge
$
.001'of Permit Valuation (1/10th%)
State Surcharge
$
$.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 [ ]
TOTAL
$ to. 96
. STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIV.
6431 Unversity Ave NE
Frl1ley, MN 55432
(763) 572-3604, FAX (763) 571-1287
PLUMBING FIXTURE RATES:
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
Effective Un Jan 1, 2003
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
$ 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 $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
$ .50
JOB ADDRESS
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.
Owner
Building Used As
AMF
..c� f .
N
Estimated Cost PERMIT NO. _y
PLUMBING COMPANY C>V1.4 W& -Moo C/
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
TIDE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
r`OMMON VFNT- VENT r.QNNFCTQR AND .OMBI ISTION AIR VERIFICATION
When�pla i an _Yis ing f urs anc-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 pxisti cmmNistinn air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No( )
When required to install a new combustinn air, itwill be sized and installed
to meet the current codes and manufacturer's specifications. Yes () No ( )
When inn alling a new yaoting cystam, 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 Tyne and
Appliance #1 Type
Si7P/Cnmmnn Vent
BTU Input
and Vent Connecter Infermatien
Fan Assisted,or Nat
Appliance #2 Type
BTU Input
Fan Assisted of 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 :
CIiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
June 22, 2004
Ms. Kathy Nelson
1507 South Timber Ridge NE
Fridley, MN 55432
Re: Final Inspection at 1507 South Timber Ridge NE, Fridley
Contractor: Shiloah Water Co.
Dear Ms. Nelson:
A plumbing permit was issued on June 18, 2003 to install a water softener at your
address. According to Section 4715.2800 of the State Plumbing Code, a final inspection
shall be conducted on the work authorized by this permit. As of this date the inspection
has not been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Code. We will keep your permit open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
DJ/mh
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
F63) 572-3604 FAX: (763) 571-1287
ADDRESS : 1507 S TIMBER RIDGE NE
PIN : 133024110118
LEGAL DESC : UNAVAILABLE
LOT BLOCK
PERMIT TYPE BUILDING
PROPERTY TYPE TOWNHOUSES
CONSTRUCTION TYPE DECK
PERMIT .: 2004-01411
DATE ISSUED: 08 4
VALUATION : $ 358.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A TX 4' DECK.
STATE LICENSED CONTRACTOR 1
APPLICANT
GASSEN COMPANY INC
7275 BUSH LAKE RD
EDINA, MN 55439-
(952) 522-5575
OWNER
NELSON CATHY L
1507 S TIMBER RIDGE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
- This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel I
provisions of any other state or local law
regulating co ction lancp of construction.
Applicant Date
Bldg
BUILDING PERMIT FEE
LICENSE SURCHARGE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
TOTAL
PAID WITH CHECK # 24679
!J-) e 2kox'
SEPARATE PERMITS Rk QUIRUD FOR WORK OTHER THAN DESCRIBED ABOVE.
23.50
5.00
.
0.36
0.50
a?q.34
[ ] CITY OF FRIDLEY
NEW
NEW[ ] 6431 University Ave NE, Fridley, MN 55432
ADDNALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
^-
u 5EAL
Effective 4/1/2004
(763) 572-3604 Bldg lnsp
(763) 571-1287 Fax
'-'�.o 0 / - n/f ) I
Owner Name & Addr 5s: Tel. #
-'-d6't ,z, C'a�' J MN LICENSE# cr)� !V,/,f Lf
Contractor. '
Address: -?97-5- 65""
0 r�;.1,� m ,� Tel. # 9�"
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LMNG.AREA: Length Width_ Height -=�--- Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length _ Width Hgt/Ground Sq. Ft
OTHER:
Construction Type: - _e;_T�Estimated Cost: $
dth Needed: + 6 Ft = Ft x
Driveway CurbLc'
DATE. U
APPLICANT:
Tel. #
Call (763) 572-3604 for Permit
Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
:. PFee
$ �3'�
Fee Schedule on Reverse Side
" Pn Review
$
65% of Permit Fee
:Fire Surcharge
$ ��
.001 of Permit Valuation (1/10th%)
State Surcharge
$ �s ®
$.50/$1,000 Valuation
SAC Charge
$
$1350 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Curb Cut 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:
Y,
04/02/2004 FRI 13:21 FAX ELDER JONES ®®� C)071;;'\ 14001/001
NEW [ ] CIN OF FRIDLEY Effective 411/2004
ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: 1 �(`� tnn (?o ►(fig,
Legal Description:
Owner Name & Address: (AN Tel. # 11o3- 57 '3 • G0(p(o
Contractor. v MN LICENSE# 201309$3
Address: RENEWAL BY ANDERSEN Tel. # (p51- oQ(0't"'14- "T
1920 COUNTY ROAD "C" WEST
ROSEVILLE, MN 55113 nate of Survey of the
i drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width _ Height Sq. Ft
Length ;Width HgVGround -� Sq. Ft
Construction Type: Estimated Cost $ 114o 193 oc!9�
Driveway Curb Cut Width Needed; Ft. + 6 Ft = Ft x $ _
DATE: -M_a_ , d APPLICANT:XX/1A_Pk Tel. # q5� -�W5, (DOL C
Call (763) 572-3604 for Permit Fees if mailing In application. Fax to 763-571-1287 If using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Paris Fee
Sewer Main Charge
CITY USE ONLY -
$--a 51. &1�7
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ ]
TOTAL $ o? �T, 5C'° STIPULATIONS: