PRE 2010 DOCSCity of Fridley, Minn. - 1 1 7 2 8
6431 University Ave. N. E., Minneapolis, Minn. 554,32
PUH -DING PERMIT
-Mate: - October 16., 1972
Owner: Landuast .Develn.pmnni- Cnrp Builder Sam
Addresa _ 2828 . - 5th Avenue South Address Same
LOCATION OF BUILDING
no. _ 1511Street South Timber Rim part of Lot
P rt of Section 13
Block Addition or Sub -Division
Corner Lot inside Lot
Sewer Elevation
Setback — Sideyard
— Foundation Elevation
To be Used as:
Tnyin n„ c Front __ _42' Depth 0' .Height _ 201 Sq. Ft. 1918' cu. Ft 18.648'
Front Depth Height Sq. Ft.. , Cu. Ft.
Type of Construction Wood Vrame Est Cost .$22,101 To be completed 6 months
Stipulation: See 1531 South Timber Ridge
In consideration of the issuance to me of a permit to c the building described above, I to do
the proposed work in accordance with the description above set rth and in compliance with all visions of
Ordinances of, the city of Fridley.
11.50 State Surcharge
in consideration of the payment of a fee of $_53.35 , permit is hereby granted to J,andyAst 7)Q,v _ Corp.
to construct the building or addition as described above. This permit is granted
the express condition that the person to whom it is granted and his agents, employees and workmen, in all wo k
done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of
l�iidley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
vpithin the city limits and this permit may be revoked at any time upon violation of an� of the provisions of said
ordinances.
g Inspector
CLARENCE BELISLE
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or wafter. Be sure to sde
the Building Inspector for separate permits for these items.
4
APPLICATION FOR RESIDENTIAL, ALTRRATIONY
OR ADDITION BUILAINC PERMIT
CITY Of FRIDLEY s MINN9SOT,A
l /
r ��,,- z 1 , �� . �, s► / I/.r
ADDRESS: �� _✓ o:�S.a /
; BLOCK; ADD321t833
Appil,vA" attach to th.0 fv= io Certificates of Surv2X of Leat and proposed
*djA i,;catien dam on twee Certificates,
�o DESCRIPTION OF BUILDING
Be cS
tea' =� 9 'Z�.�� °` u0ight: C�,20 '
Square Feet / / Cubic Feet; 6/0 41g, .
Front: Depth; Height:
Square .Feet; es- Cubic Feet:-_
Tyfa of Construction: � � C�CQ �.�QEstimated Coat: $ ./U f
'w R�
To so "toted;
Ths aaa darp4uad hereby armee application for. a pemi.t for the work 'herein
V ifi.*cta, WeeinB to do all vork in attict accordance with the Oity of
M41vw Ox0ma=e$ 4a4 vol a 4Pf the Department q£ Bu4di ngs, and 'heveby
jar" all the facts and representations stated is this application
a true m4 correct.,
(See Rwwoe We Fog AddWonai. Information.,)
,�-/d,�--
PZ.UMBIATt1 FIXTURE Bit`PESa 0. x$100 5 � TOTAL�
Number Fixtures ................
Future Fixture Opening .... a ...... x $1.50 S ..
New Fixture Old Opening .......... x $1.50 $
Catch Basin .................... // x $33.25 5
Water Heater :Up to 99.000 BTU) .... x $3.00 $ Gti
New Ground Run Old Bldg.........
x $3.25
$
Electric Water Heater, ..............
s $2.00
3
GAS FITTING FEES.
NO. RATE
TOTAL
32.00
lot 3 Fixtures ................
x
Additional llzttu vs ................
x $ .75
$
Gas Range to 199.000 BTU ............
x $5.00
3 -
State Surcharge
$
.50
REPAIRS & AL TIO fes to
Description vomooe. mom vn o.v a. • ••0...••.• .•..•o�
TOTAL FEE $ 2A 4-Z)
City of Fridley:
The undersigned hereby makes application for a permit for the work hmir
speei8ded. agreeing to do all work in strict accordance with the City Ordinance
and haling of the Department of Buildings, and hereby declares that all the fact
and mpresentations stated in this application are true and correct
Fridley. Mina
Kind of Building
Used as
To be completed about
Estimated Cost. S
Old—New. Building Permit No.Permit No.
Signed
Iciness
ROUGH
FINAL
City of Fridley
C-
The zmdm� e d h<,,es opplicataoen for D DEMIR 90r' dl '007t hcma
specified, end to do an wcrh In Dicta pram, with the Qtg QedbibmLR
w1d rujimS ®R the Dep arU neat of Buff , and hereby dechaYez that 88i the 2809
and mpmmmutiom stated in &Is appucatth are true =d corm
c1 Fad, M
Kind of Building
PLUMBING G FUXTUdiL.tl`9 ]RATES.
TOTAL
Nmnbef Fixtures ....... .o e m 6 e B e m
1H9
�
F�Kure Mature Civningi .... Z,..
$1.60 5®..
New Fixture Oita Opening .......
"U18 3 -
Catch Bain ... e, ......... .. ... ®
x 83-M 3 -
Water Heater Wp to 99,0001.. e .
� x mo i
New Ground Run Old Bldg. ....... ®
x $3.25Eisewe �
Water Hastur ..............
a sm
GAS FITTING FEES;
NO. RATE TOTAL
lot 3Fixtures ..•.••••••••••..••
aam $
A46flonal Fixturm ............. e .
it $ .75 $
Eat Range to MOM • m ®.. • ......
a $5.00 6
• State Surcharge
$®
s
ANR AL 6 &
_. ..
s•.ees.•e••.eoema.s •.•.ae eos••.•m
000.eo.see3^
_
TOM Fm
��- oy-7.5
Appgca&n for power Punts and Heaft Cooling. Ventikeenl Ref&pration and
.fir Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARN! AIR- RAT1G TOTAL
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
NECH. WAM AIR
Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 $..�®o
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 Shell & 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 3 gal. per hour ---See Fee Schedule
GASB (up to M,000 BTU)
&Do
over 199,000 BTU see Fee schedule
GAS FITTING . NO
RATE TOTAL
1st 3 Fixtures _4100
$ 2.41 bo
Additional Fixtures x
.75
$
Gas Range to 109,000 A$ 5.00
$
AIR CONDITIONING
a/0.00
FAN HEATING SYSTEM Fee Schedule
VENTILATING SYSTgM
® Q
ALTERATIONS & REPAIRS TOTAL
�
ROUGH
FINAL �^ fG � � f` (SURCHARGE $ _50)
Dept. of 1114191. Phone SODIUM j
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,
Old New Building Permit No. Permit No.
HEATING or PO team, Hot Water, arm —No
Trade Name Size Nofl_��O
CapacityA���Sq. Ft. E.D.R BTU H.P.
Total Connected Load Kind of Fare
BU — Trade Naeu• Siwe N®
Capacity Sq. Ft. E.D.R BTU Hip.
(REMARKS -OVER)
i
01
SUBJECT
PERMIT
City of Fridley
2K 1 9 7 6 4
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
R IPT
r.v ______ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
1
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPgOVED BY
612-571-3450
910-F15
11/21/88
JOB ADDRESS 1511 & 1515 South. Timber Ridge N,E,
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR,
Part of Se
tion 13
SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Townhouse Association 1540 South Timber Ridge N,E,
571060276
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential Townhouses
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION I7 REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Replace, repai:.r front steps & entry
9 CHANGEQFUSEFROM TO
STIPULATIONS
See notations on plan
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 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
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
$885.00.
$"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.
$21.00
PLAN CHECK FEE
TOTALFEE
$21.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY
VALI ATED THIS 1P YOUR PERMIT
BLDG INSP
TE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
01
NEW I ] City of Fridley Effective 5/1/88
ALAN I ] R-1 AMID R-2
ALTER I ] Building Permit Application
Construction Address:
(S/5 S. &,E,
legal Descripticn:
-9 le C �r'o/j l3
Owner Name & Address: Tel. #
Contractor: / aLan kayse '*rso C"'r f r6" Tel. # $5 ®a76
Address:
t
Attach to this application, a Certificate of Survey of the
lot, with the prcposoed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LMWz AREA: Length Width Height Std. Ft.
GARAGE AREA: Length Width Height Sg. Ft.
DECK AREA: Length Width Hgt/Ground Sg. Ft.
(orner Lot I ] Inside Lot I ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: 5 '?L' ® a
Approx. Completion Date: �el�°+i+�,� we4,'J
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: 5 $
Width + 6' See Back Page
DATE: APELICAM: Tel. # 5 7/� ,-� 7 �
ary USE CILY
Permit Fee oc
State Surcharge
SAC Charge 5
Driveway Escrow 5
Park Flee 5
Sewer Main Charge $
1 • U P.14 •'
Fee Schedule on Reverse Side
$.50/51,000 Valuation
$550 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement pessary I I Not Necessary I ]
Ot C)
�®(j r K
�1P�
nd
SuB.,ECT
PERMIT NO
City of Fridley
;
AT THE TOP OF THE TWINS
BUILDING PERMIT
f
_
RECEIPT No.
• _ COMMUNITY DEVELOPMENT DIV
r I I PROTECTIVE INSPECTION SEC.
T �
-�3
CITY HALL FRIDLEY 55432
NUMBER
REVOaTE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/12/95
JOB ADDRESS 1502,1506,1510,1513,1514,1517,1518,1521,1522,1525,1526,1529 N Timber Ridge
LOT i 2 1
24 pN528, 1528, 15 0, 1 S
Timber Ri g€E
1 LEGAL
,
,T
ATTACHED
DESCR.
Various I
SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP
PHONE
Various
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Dale Dahl Contractor 451 Maple St NE, Spring Lake Park, MN
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 Townhouses
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION? REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
9 CHANGE OF USE FROM TO
STIPULATIONS
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.
CLL. 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. OWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 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
$5,400
$2.70
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.
81.00
Fire SC $5.40
PLAN CHECK FEE
TOTAL FEE
$89.10
SIGNATIF CON,Ra OR AUTHORIZED AGENT (DATEI
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
gE G
DATE
S�GNA URE OF OWNER��FOWNERBUILOER) IDATEi
nd
'
SUBJECT
P
City of Fridley
28708
r? AT THE TOP OF THE TWINS
BUILDING
PERMIT
I It.COMMUNITY DEVELOPMENT DIV.
v i PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REv
DATE
PAGE OF
AvvnpvEO BY
612-571-3450
910-F15
12/3/98
JOB ADDRESS 1503 1507 1511 , 1515 1519 1 2 1
1 LEGALLOT
NO.
TRACT OR ADDITION
SEE ATTACHED
DESCR.SHEET
Part of Section
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
A-1 Roofing & Const. 3Q20 Suml;er Ave N rqwtvil SS427
q46-5932
4 ARCHITECT OR DESIGNER MAIL A06RESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION 5aj REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof town homes 11Tear-nff
9 CHANGE OF USE FROM 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
t
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED. '
I 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 BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
99769
94.88
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTW STATE OR LOCAL LAW REGULATING CON•
R THE PE MANCE OF CONSTRUCTION
9162.25
SC S9,77.
CHECK FEE
TOTAL FEE
7STRUC
`PLAN
L_
I S176,90
WHEN PROPERLY IDATED THIS IS YOU PERMIT
SIGNATURE OF -CONTRACTOR OR AUTHORIZED AGE N T MAUI
,
SLOG IhSp
fIATE
S.GNATURE Of OWNER.IT OWNER BUILDERI IOATEI
NEW ' [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY O�
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION l
ConstructionAddress_a �LQ�_r r ; C,e- L51_54 l %5� Z %e ! L5 -2 i
Legal Description:
Owner Name & Address: Tel. #
Contractor:
I� C MN LICENSE #
Address: n a Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length _--�— Width Hgt/Ground
r a.- f n J- - k \
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: Estimated Cost: $ 6991,09—
(,0g
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: \?,-3 4 APPLICANT: —Tel. #
Permit Fee , $ o(- ?
Fire Surcharge
$ 9,91
State Surcharge
$ .
SAC Charge
$
License Surcharge
$
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main'Charge $
TOTAL $® lo -
. STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 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 [ ]
CITY OF PRIDLEY INSPECTION DIVISION � �
�
Effective January 1, 2003
543-x. University Ave NE
=ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
;763) 572-3604 REFRIGERATION
AND AIR CONDITIONING SYSTEMS AND DEVICES
FAX (763) 571-1287
w:. JOB ADDRESS � h \ r,�1�r (Zo
RATE SCHEDULE
-
-
Residential Rate
TOTAL
OWNER �� c o_yy-1 c,
Furnace Shell and Duct Work, Burner ---)-\
USED AS ���� C, r1c
Also Replacement Furnace $ 30.00
(Side Vent - Fill Out Back)ESTIMATED
$
COST _D-4 OCD, 0C)PERMIT
Gas Piping (Needed with new furnace, $ 10.00
$
N0.
but not replacement)
DESCRIPTION OF FURNACE AND OR BURNER
Gas Range $ 1000.
$
Gas
No. of Heating Units Circle One (Steam) (Hot Wate (War Am it
Dryer $ 10.00
$
Trade Name_ oy A QQoP\c0-1ERuE(tSize No.
*Air Conditioning - All Sizes $ 25.00
$
BTU 1S1 000 HP EDR
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
30 � �
representations stated in this application are true and correct.
TOTAL FEE
$ •
DATE Co3 - O
VIINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
CenterPoint Energy Minnegasco
HEATING C013562 Central Ave NE, Anoka, MN 55304
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
3LUS THE $.50 STATE SURCHARGE
Signed 63-757=6202
FAX # 763-757-6701
REINSPECTION FEE $47.00/Hr
"Air Conditioners can not be placed in a side yard without
Approved By Rough-In Date' Final Date
Nritten 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
Minnn furance, the undersigned .hereby verifies that the
When arz1A^in ex
E++
venting has been examined and is free from rust, deterioration, obstructions,
and firestopped where required.
..Yes (x) No( )
and is securely supported
The venting system is plastic/PVC and meets all current codes and manufacturer
of elbows and termination.
Yes xf No ( )
specifications including sizing, length, number
The undersigned also verifies that the replacement unit is a listed assembly
cTables
and meets the current codecs and nil Pomace Venting fo' fan
include AGA GAMA CategoryYes
(x) No ( )
assisted and natural draft appliances.
The ;,Yrytinn CObuntinn air is sized and installed to meet the current codes
Yes No( )
and manufacturer's specifications.
When required to i0_`-" ^ new combncf�ien air, it will be sized and installed
codes and manufacturer's specifications.
Yes) No( )
to meet the current
When Inettallong a naw yantina c •c am, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA CategoryCentral Furnace
fan and natural draft appliances.
Yes f ) No( )
Venting Tables for assisted
inst
led
Is the commonce has been removed from the commonv vent and vented
ly after
an appliance Yes (x) No ( )
separately as per current codes.
^e hoe and ce7P1Cnmmn Vent and Vent Cnnectnr Infnmiati�ll
- Pill
Appliance #1 Type L,j<- AoV C— BTU Input �S,000 Fan Assist or Nat
Appliance #2 Type BTU Input Fan ssisted or Nat _
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
`
Common Vent Type N nSS Vent Height Diameter _ –1 inches
--
Type
Type —_
Type
Appliance #1 Vent Connector Height ft Length _ft Diameter in
Appliance #2 Vent Connector Height _ ft Length _ft Diameter in
Appliance #3 Vent Connector Height _ft Length ft Diameter in
HEATING CO: CenterPoint F_ npr_gy M'-t*+13562 Central Ave NE, Anoka, MN 55304
Date
Signed By:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
763) 572-3604 FAX: (763) 571-1287
PERMIT O.: 2004-01317 ?
DATE ISSUED: 08/19/2004 ' I
ADDRESS
: 1511 S TIMBER RIDGE NE
PIN
: 133024110117
LEGAL DESC
: UNAVAILABLE
: LOT BLOCK
PERMIT TYPE
: BUILDING
PROPERTY TYPE
: TOWNHOUSES
CONSTRUCTION TYPE
: DECK
VALUATION
: $ 1,611.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT AN 18'X T DECK.
APPLICANT
GASSEN COMPANY INC
7275 BUSH LAKE RD
EDINA, MN 55439-
(952) 522-5575
OWNER
DAMBOWY MARIAN J
1511 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 the provisions of any other s e or local law
regulating co ction o erfopmance oconstrucriom.
Annlicant Date e
Bldg
BUILDING PERMIT FEE 60.10
FIRE SURCHARGE 1.61
STATE SURCHARGE, VALUE 0.81
TOTAL 62.52
PAID WITH CHECK # 24679
SEPARATE PERMITS {EOU&D FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW
r CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION �66 -
Construction Address:
r®LZ
Legal Description: tee �
Owner Name & Address: Tel. #
Contractor��>�o�- MN LICENSE#
�
Address: �' 5 �t �'� �_ � C� ���e,(�, � �� .� .5�✓'3 r Tel. # ��'=; i) S.� � � .i � �'"
-7� J3
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:
GARAGE AREA:
DECK AREA:
OTHER:
Length _ Width Height Sq. Ft
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
Construction Type: ��FC—k— '"`�� r', -end - Estimated Cost: $
Driveway Curb Cut Width Needed: + 6 Ft = Fix $ _ $
DATE: a �Q /0'1 APPLIC 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 -
Permit Fee
$ �i • /0
Fee Schedule on. Reverse Side
Plan Review
$
65% of Permit Fee
Fire Surcharge
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 4 cep /
$.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
$ o • S✓
STIPULATIONS:
0
Building
BDING Permit No.:
Plan Review
$
Inspections
RESIDENTIAL APPLICATION Received By:
763-572-3604CITY
OF FRIDLEY Da '�d� PR 1 Z
DATE 6 LO %
YOUR E-MAIL ADDRESS
I Thera ey-
SITE ADDRESS
♦
!Y.00
THIS APPLICANT IS:
❑ OWNER WCONTRACTOR
PROPERTY OWNER/
NAME: ���� A!T
ADDRESS: /�'/fi9.c��,00U:— 9
CITY/ STATE ZIPZ
TENANT
Park Fee
PHONE:
CONTRACTOR
NAME: 50-5- e' , Gossy-44
Total Due
STATE LICENSE #
EXP DATE 31311,09'
SUBMIT A COPY OF
YOUR•STATELICENSE
ADDRESS: W 7S• 0Atsh L,.k
�—T
Razad CITY&di�za STATB
WITHAPPLICATION
PHONE ~ y9 FAX
❑ SINGLE FAMILY/NEW CONSTRUCTION
?SIR- ZZ -.RODq
SIZE
PROPERTY TYPE
❑ TWO FAMILY/NEW CONSTRUCTION
STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED
❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF
❑ DRAIN TILE
DECK ❑ SIDING
❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DQNE:
SIZE OF IMPROVEMENT LENGTH
WIDTH HEIGHT Sq. Ft� .
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ .DETACHED GARAGE
3. List of structmul members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS_ & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey s1mwing the existing structures
❑ Other
❑ Fascia
and proposed projecL
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
ORFORNEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINI}OWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MA'1'L'R1ALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ S &,290 OCCUPANCY TYPE
Permit Fee
Plan Review
$
Fire Surcharge
$
53
Surcharge
$
.50
License Surcharge
$
!Y.00
SAC Charge
$
Curb Cut Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge
$
Total Due
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1675 per SAC Unit (Plans to MWCC for determination)
ft+6 ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks vavable to: City of Fridley Attac
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 WW04�ylir�.r�view and approval of plans.
SIGNATURE OF APPLICANT
a
Building
MECHANICAL
Permit No. 2
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
IMI&M-AA 2001
S
DATE 3- 0 YOUR E-MAIL ADDRESS
SITE ADDRESS T (ryo 01_ 1r ® C, �')'e
THIS APPLICANT IS: ❑ OWNER ZCONTRACTOR
PROPERTY
NAME: Z C"c bc,, - C'_ G c.. r S4
OWNER/
TENANT
l
ADDRESS:_®=,\\ SOIi \ \ ® � K1C�ITY Cr, k-�{ STATEMZIP_a�D.-A
PHONE:
CONTRACTOR
COMPANY NAME: CENTERPOINT ENERGY
SUBMIT A COPY OF
CONTACT PERSON: JOANN Z INKEN
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS: 9320 EVERGREEN BLVD STE ErrY "COON °RAP.IDS sTATEMN ziP55433
APPLICATION
PHONE 763 — 757 -- 6202 FAX 763--757--6701
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW PREPLACEMENT 13ALTERATIONJREMODEL
DETAILED DESCRIPTION OF WORK
PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor)
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW) 1
Equipment Installed MFG: MODEL: Q tri N - U -a(4 T1�� SIZEIBTU a - 0A 1I; s
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZFJBTU
V�66 $25.00 FIREPLACE (GAS) $15.00 ;' GAS RANGEIOVEN $10.00
. TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00
_AIR —
BOILER $35.00 _FURNACE $35.00 GAs UNrr HTR $10.00
CHRvfNEY LINER $10.00 —GAS DRYER $10.00 HEATER $35.00
_POOL
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50
Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $
Number of fixtures @ $25.00 x $25.00 = $ 25, o�
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $ 9S,!50
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.
�. �' � 3131,67
SIGNATURE OF APPLICANT �`�^ VTNAME ROGER HOFFHEIN DATE
City of Fridley
Building Inspections` Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
?r-