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PRE 2010 DOCSCity of Fridley, Minn. -1.1,7341. 64311 University Ave. N. EE., Minneapolis, Minn. 55432 B M.l l \ G PERMIT Date: -lc t- 1,er 16, 1979 Ownw.-—Landvest Development Corp. Builder Same .Address 2828 - 5th Auer17e Gn11t-•h Address Same - LOCATION OF BUILDING No _ 1516 Street South Timber Ridge N.E. Part of Lot Part of Section 13 Lot Block Addition or Sub -Division Corner Lot inside Lot Setback Sideyard Sewer Elevation i Foundation Elevation To be Used as: Tnwnh 1311 S a Front -18'_ Depth 29' 7Ai" .Height ._...20' Sq. Ft. -185' . Cu. Ft. 17,880 � Front Depth Height __ __ _ _ Sq. Ft. Cu. Ft. - Type of Construction Woo Frame Est. Cost -, $21,,187 To be Completed 6 months Stipulation: See 1531 South Timber Ridge In consideration of the issuance to me of a permit to constru building described above, I a e to do the proposed work in accordance with the description above set Oft and in compliance with all pr ons of ordinances of the city of Fridley. C. 11.00 State Surcharge In consideration of the payment of a fee of $ 51.25 , permit is hereby granted to Landyest Dey. 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 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 ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings .Within the city limits and this permit may be revoked at any time upon violation of any of the provisions of Mild NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, Sewer or water. Be sure to we the Building inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL* ADTERATIONs OR ADDITION BUILDINQ PERMIT CITY Of FRIDLEYj MINNUOTA W14 iL s $LOCK; WN I WRM LOT; INUE LOT:, ^ ISEmCK: SIDEYAR.D: iidiot attach to tbu f4mm no Certificates of Survey of LQt and proposed 'batlAUS location dr a on #hese Certificates, m DESCRIPTION OF BUILDING To F� ' Depth-, % � `� Re fit • � Q Square Peet;- /cja Cubin Vvet3 / 9, Q Fraant: —Depth,-, Height: Square Feet,, Cubic Feet t Wfa of Constructions iz�CQ "�, ��1 Estimated costs To So 10e4; fte undersigned hereby es application for, a pe=i.t for the work herein spealfieda, agreeing to do all work in stftct accordance with the Oi.ty of 4i4W Or4Ummaes and jutftp pf Oa Degartment of Bui ldtngs, aW 'hereby declarep all the facts am4 representations stated ta this ap�►1�atio. axe trua correct, /I/ // � ! I Ipl� MiA (fte Rwwpa fide For ,Additional. Information.,) 4 0 I m ILU � � a UA • m tA LU o m m m e+ m m . • o o"� o 0 o m bAi Aw Cation for Power Pkmft and H ng, Ventilation. R rati00 and Air Conditioning S"ems and Devica PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE 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 $___ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ .. $10.00 $ ® 10 each add. 60,000 BTU .................... .. 3.00 i Replacement of Furnace . &00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .... .. .... &00 $ STEAM or HOT NATER 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 8.00 $_-- --. 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 199,000 BTU) ... &60 seer 199,000 BTU See Fee Schedule GAS FITTING NO RATE TOTAL 1st 3 Fixtures x$ 100 $_cZ-_Z) Additional Fixtures x .75 $ Gas Range to 199,000 AIR CONDITIONIXG FAN HEATING SYSTEM VENTILATING SYSTEK ALTERATIONS & REPAIRS ROUGH (SURCHARGE $ M) Dept. of BldgL Phom SM -3480 ­_ i City of Flidley: The undersigned hereby makes application for a permit for the work hereir specified, agreeing to do all work in strict accordance with the City Oxxithance: 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 asDIU_ To be completed about _ 1 q _3 Estimated Cost, $_.�_0_ Old ew Building Permit No. Permit No. -8 HEATING or PO team, Hot Water,arm —No Trade Name//,, Size Ne-�/ d ,� �� f Capacity)/, Sq. Ft. E.D.R BTU H.P. Total Connected Y.oad Find of ]Fuel BURNER — Trade Name Size No (REMARKS -OYER) CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL � Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer RATE TOTAL Job Address AW I S, Z226 $ 20.00 $ 10.00 $ 10.00 * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit _0�'O MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley $ Tel. #571-3450 $ 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 Department of Buildings, and hereby declares that all the facts and representations stated in this applicat' are true and correct. $ it), Fridley, nn. / r! JP__' 19 OWNERA;rM-iLVU $ KIND OF BUILDING $ USED AS ® /� TO BE COMPLETED ABOUT ESTIMATED COST Q(�. OLD - NEW BUILDING PERMIT NO. PERMIT NO. Q6 1 DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Total Connected Load BURNER - Trade Name Capacity Sq. Ft. EDR BTU HP Kind of Fuel Size No. 7 Sq. Ft. EDR BTU HP Company i Signed By e & Oj Tel. No. 4 Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Remarks Company a Signed By Date ,, i SUBJECT PE City ®f Fridley 204061, AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r CITY HALL FRI'DLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �.___h.' '•� 612-571-3450 910-F15 6/6/9:0 JOB ADDRESS 1516 South.Timber Ridge N,E, 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. See. File SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Season Construction Co, P.O. Box 32033, Fridley, MN 55432 7864039 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. .6 USE OF BUILDING Townhouse 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re�o],ace. 160, Sri', Deck.. 9 CHANGE OF USE FROM TO STIPULATIONS 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. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS 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 $1150 $.58 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29..00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $29.58 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT I BLDG INSP OA' E SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/90 ADDN [ ] R-1 AND R-2 AL'T'ER [* Building Permit Application Construction Address: soa" > 4 / ry74kv- 9k age, e, Legal Description: Owner Name & Address: Tel. # Contractor:* Tel. # 7 eZ2 --.alp 3cj Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIM G AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DBCR AREA: Length Width _ Hgt/awin 3 Sq. Ft. , C) OTI�R• • .� ,j�.eP� e Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: F!,rrA-az-:-t Driveway Width If New Openinp Is Desired: Ft. / / • .•— ��. i __ Permit Fee $ -C) o State Surcharge $ ,; SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOM STIPULATIONS: 64-ss� CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by ErxJineerinJ Agreement Necessary [ ) Not Necessary [ ] CI �� 9 \CZ nd SUBJECT PERMIT N_Q_ City of Fridley) AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO.- tea.------ _ COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC. 1 /3 ---1 CITY HALL FRIDLEY 55432 NUMBER REV DATE 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 I, 15, j'* 28,1528,1540,1544- S Timber Ridg@EATTACHED 1 LEGALLOT , , ,T DESCR. Various I I SHEET 2 PROPERTY OWNER 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 J3 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 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 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 _ $89.10 SIGNATUq FCONTRA OR AUTHORIZED AGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BL G OA It SIGNA URE OF OWNERIIF OWNER BUILDERI IOATEI nd q ' •• SUB.IECT P City of Fridley 28705 AT THE TOP OF THE TWINS BUILDING PERMIT O. COMMUNITY DEVELOPMENT DIV. 116 _ PROTECTIVE INSPECTION SEC. CITY HALL. fR10LEY 53132 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 12/3/98 JOB ADDRESS 1504, 1508, 1512 1516 outh Timber Ride N.E. 1 LEGAL LOT NO. BLOCK ACT OR ADDITION SEE ATTACHED DESCR. pa SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO A-1 Roofing & Const54A-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 O NEW O ADDITION O ALTERATION Cc REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK 8 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYP OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX ANO 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 4970 $2.48 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ARNY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR T PERFORMANCE OF CONSTRUCTION $99.75 Fire SC 4.97 PLAN CHECK FEE TOTAL FEE 112.20 ^� i2 ' ..c7\ e 0 PROPE VALI ATED THIS IS YO PERMIT / SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEIWHEN B G INSO ' 00, pArE S.GNATURE OF OWNER,IF OWNER BUILDERI IOATEI R NEW [ ] ADDN [ l ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 1 c Legal Description: Owner Name & ddress: Contractor: EL�t � V e01 Address: i� Effective 1/1/98 /A, �. 1� 1-Z ��lb Tel. # MN LICENSE # Tel.#�>� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF L\IPROVEMENT LIVING AREA: Length Width Height Sq. Ft: GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: _C-4 Co r% V Construction Type: C nc�� Estimated Cost: $ 49%� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �z"?7 " APPLICANT: ,� Tel. # CITY USE ONLY Permit Fee $� S 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 $ Q, $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 $20 . STIPULATIONS: CI'llf OF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 June 7, 1999 Tony Micheal 1516 S. Timber Ridge NE Fridley, MN 55432 Re: Final plumbing inspection at 1516 S. Timber Ridge NE Contractor: Tim's Quality Plumbing Dear Mr. Micheal: A plumbing permit was issued on June 8, 1998 for the property located at 1516 S . Timber Ridge NE for a new water heater. According to Section 30.5(a) of the 1991 Uniform Plumbing Code a final inspection shall be performed on plumbing systems. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (612) 572-3603. Sincerely, Barry Riesch Building Inspector ca i Y Ur• rHiULEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMB 11066011e Or M&6h PLUMBING FIXTURE RATES: NO, RATE TOTAL 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 o2®. 00 State Surcharge F $ .50 TOTAL FEE $<�Lo.So Owner Building Used As��Ct2� �- r Estimated Cost 9485.00 PERMIT NO. PLUMBING COMPANY Tims PI,c[a,l air. Pld Irae,�,� SIGNED BY��TEL NO. �5�-7'd1 Approved By / �'606— Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. W r; a is Urinal .nth?iiiWash S r ER OF ::.:...:...:..: . FIXTURES TO Tray BE INSTALLED p F Ivor ..,:,...:.. in ON EACH FLOOR Auto. ::�:.• .�• u :r�•,:Nashsr x, ,,,....: Gas • ::•',:. ® r } �. �• �: •a � Wat ` � � }�.. k� t <, StoriesG Basement :'; } .,E6. .Rah "�. :.•.'fin;�,�,?p' loo Fri ,:•:<•:.:;.;,,..:: Floor r 2 Fi to r3 :C::S:: is ,-.•:-: ,:,}:' FI 4 .+}: v: n•: ':::.; •....,.x y,.,•n- :.:•::::tit}:•?:r.,� .. . kS!•%'tr•y PLUMBING FIXTURE RATES: NO, RATE TOTAL 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 o2®. 00 State Surcharge F $ .50 TOTAL FEE $<�Lo.So Owner Building Used As��Ct2� �- r Estimated Cost 9485.00 PERMIT NO. PLUMBING COMPANY Tims PI,c[a,l air. Pld Irae,�,� SIGNED BY��TEL NO. �5�-7'd1 Approved By / �'606— Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. 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_ 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 Fumace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ 26. Ob representations stated in this application are true and correct. (Side Vent - Fill Out Back) t Gas Piping (Needed with new furnace) $10.00 $ OWNER 04e �) 0]t° Gas Range $10.00 $ BUILDING USED AS �% mac! Gas Dryer $10.00 $ ESTIMATED COST IS PERMIT NO. a'A *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating its ' Circle One (Steam) (Ho Water) arm Air) Trade Name rWyONr ^ Size No. Commercial/Industrial BTU �5_ Q00 HP EDR 1.25% of Value of Appliance or Work $ Fuel - Total Connected Load State Surcharge $.50 Burner Trade Name BTU TOTAL FEE $ 3D -5D MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. },1P Size No. EDR HEATING COMPANY �>f • `�t� S� d ► l� . Signed By Tel No. ZLITQ­ J6 Approved By4STAVERIFICATION Rough—In Date Final Date LZI FILL OUT BACK SIDE FOR ON REPLACEMENT FURNACE Remarks: List ALTERATIONS Beim Done: HEATING CO: Signed By: Date: CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the. existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Beim Done: HEATING CO: Signed By: Date: Building BUMI)ING Permit No.: ''©67-ob5 I Inspections RESIDENTIAL APPLICATION Received B Permit Fee $ ,2(D , PR 12 M 763-572-3604 CITY OF FRIDLEY Da d� DATE�IIJ61,0 7 �y YOUR E-MAIL ADDRESS %l ZUi' a ei— .001 times the totaljob valuation SITE ADDRESS I $ .0005 x Permit Valuation Minimum $.50 THIS APPLICANT IS: ❑ OWNER CONTRACTOR $5.00 (State Licensed Residential Contractors) PROPERTY OWNER/ NAME: $1675 per SAC Unit (Plans to MWCC for determination) ADDRESS: $ho CITY STAT138M TENANT Erosion Control PHONE-'50, — /SCi5 $450 Conservation Plan Review CONTRACTOR NAME: Fee Determined by Engineering —e STATE LICENSE # -RE's 2 7 g]!q EXP DATE 313 llz> e $ SUBMIT A COPY OF YOUR -STATE LICENSE ADDRESS: �� �S' %tos�'a L-,a eaard crry —AdL,a STATF�� . � V,MAPPLICATION PHONE 1AX ❑ SINGLE FAMILYMEW CONSTRUCTION SIZE PROPERTY TYPE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERWT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE 'DECK ❑ SIDING ❑ OTHER ❑ SWIIvIIvTINGPOOL TYPE OF WORK: ❑ NEW ❑ ADDMON ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DANE: 67T ai/� - - SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. `® ROOFIN ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: Existing Floor Plan GARAGES 13 ATTACHED GARAGE 2.1. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and propos pmje- 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS [Wes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �� o90 OCCUPANCY TYPE Permit Fee $ ,2(D , See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the totaljob valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ �'—j .(� $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Celt 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 whii�S�view and approval of plans. JIj SIGNATURE OF APPLICANT /0 Building PLUMBING Permit No.. Inspections RESIDENTIAL APPLICATION Received By. rl?nfn7 763-572-3604 CITY OF FRIDLEY DREMX0 1 DATE_ 64 D 7 YOUR E-MAIL ADDRESS SITE ADDRESS Saw c Jackie Rolf THIS APPLICANT IS: ❑ OWNER $CONTRACTOR 1516 South Timber Ridge PROPERTY NAME: Fridley,MN 55432 OWNER/ ADDRESS: 7635021508 _ZIP TENANT PHONE: CONTRACTOR NAME: NORBLOM PLUMBING CO�. SUBMIT A COPY OF STATE LICENSE # (6 �1 � `VZM033 �7 YOUR STATE ADDRESS: STATE ZIP 11 LICENSE WITH PHONE APPLICATION PERMIT TYPE XSINGLE FAMILY O TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: ❑ NEW KREPLACEMENT DETAILED DESCRIPTION OF WORK R,10" waw 11,Y�✓ PER MS 16B.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;t?ROJECrS WHERE LABOR EXCEEIDS000; FEES ARE BASED ON $10.00 PER FIXTURE,'EXCEP•T`HEREND,73M..1:FIXZL. I+ ,..(INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV _FLOOR DRAINS —SHOWER _ WATER PIPING _ BATHTUB _ GAS PIPING Amy ucanE) _ SWIMMING POOL _ WATER SOFTNER ($35) �_ CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER wal NO 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 @ $35.00 :1� x $35.00 = $ State Surcharge = $ .50 Total = $ 3C. S'D 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 work whi requires review and approval of plans. SIGNATURE OF APPLIC PRINTNAME�Y O/�jDATE 107 �,OW City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977