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PRE 2010 DOCSCity of ]Fridley, Minn. 11737 6431 .University Ave. N.E., Minneapolis, Minn. 55432 Date: October 16, 1972 Owner:-Landvest- DevelnpmPntenrp- Builder Same Address _2.828_= - 5th AvPenu p- Soil .h— Address Same LOCATION OF BUILDING No. _ 15_Z8_ Street _ South Timber Ridge N,,E.. Part of Lot. Part of Section 13 Lot _ _._ Block Addition or Sub -Division Corner Lot ___..____. Inside Lot Setback Sewer Elevation Sideyard Foundation Elevation 5 • To be Used as: TaWn'h n„ c P --- Front 421 Depth 2917kt .Height 201 _ . Sq. Ft. 1918' t Cu. Ft.._ 12* -6.48 t Front . — Depth Height Sq. Ft. Cu. Ft. Type of Construction Wood Frame 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 constru the building described above, I to do the proposed work in accordance with the description above set and m compliance with all pr ons of ordinances of the city of Fridley. 11.0 50 State Surcharge_ In consideration of the payment of a fee of $-5-3-&3-5- , permit is hereby granted to Landyest 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 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 said ordinances. 0—a pr NCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, server or water. Be sure to the Building Inspector for separate permits for these items. APPLICATION FOR REUDENTIAL, ALTERATIONS OR ADDITION EUILDINC PERMIT CITY Of FRIDLEY, MINKSOTA � �1 4T �yly p� y/� a ■ e e WT; R ; i+1+W 91 tl9 10H CORM LOT: LOT SETBACK: SIDEY ►I.jvAWt at"ch to is f _Vo Certificates of Suty9X of LQt and proposed 1XIIAUS lorAtion dry < #ase Certificates, DESCRIPTION OF EUILDING .4 'ft Be used As -Depth 9 12 He Lab t Square Feet; 191e " cubic Feetj / (9" VCO, Front,, Depth-, Height: Square Peet; ; l% Cubic Feet TyQ of ConstrcctlWns bic-C) <��l (Estimated Cost: TM uat "piped hereby makes application for, a pest for the, work herein specifte4t, agreeing to do all work in stttct accordance with the City of M41vy 'Ar4A*ances 4n4 xuUags ;�f the Departme4 9f Buidinsa, hereby doolarev dW* all they facts and representations stated to this appliptio; axe mw erg cvrreatt -7 Valeele wP . T e.eee w ! A9 e + ee 10 iVd1}w Revwva We For AddWonal Information,) 4 anon for Power PIaat and HewhM Cooling, Ventgarion, Refdgemlon and Air Conditioning Sydem and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Worts ................ .. $10.00 $ Replacement of Furnace . .. . ..... .. 6.00 ; Repairs & Alterations—up to $800.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $—__ MECIL WARM ALA Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 $�� —.0 0 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 .... .. .... STEAM or HOT WATER SYSTEM Furnace Shell & Llnes—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 min 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 191,000 BT) 8. $ - 0 over 199,000 BTU See Fee Schedule GAS FITTING NO RATE TOTAL 1st 3 Fixtures .. . ..... x$ zoo $ 0 U Additional Fixtures x .78 $ Gas Range to 199,000 a; 5.00 $ t .. tT >Ili'i1. /r- 6 __7 V U.00 See Fe® Schedule TOTAL. rm a — 4 - :eO ,SURCHARGE Dept. of Bldon. Phone ow -3480 City of Fridley: The undersigned hereby makes application for a permit for the work :hereir. 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. g Fridley, Kind of Building Used as _ . To be completed about Estimated Cost, Ol ew Building Permit No. Permit No.� 90 HEATING or PD team, Hot Wates Warnes No Cke Trade Name size N®L 3 - WO. Capacity-(', f)Sg. Ft. E.D.R BTU H.P - Total Connected Load Ind of Fhe BURNER — Trade Nsnte size No capacity Sq. Ft. E.D.R BTQ EM. (REMARKS -OVER) CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY. MINNESOTA 55432 • �"HONE (612) 571-3450 June 19, 1984 Mr. Philip Stroetz Secretary, Timber Ridge Townhouse Assoc. 1536 South Timber Ridge Fridley, MN 55432 Re: 1528 South Timber Ridge Dear Mr. Stroetz: Our office was requested to examine and explain the probable cause of a leak that is causing moisture to get into the first floor ceiling in the above noted unit. It appears that the cause of the infiltration is in the deck attachment of 1532 to the wall of 1528 South Timber Ridge. Would you please take the necessary Association action to correct the infiltration problem. It was also noted that the design of the decks in the project are all cantilevered out from the structures. This design relies entirely on the tensil strength of the framing members. Therefore, if any wood deterioration occurs, the result is structural failure and the deck falls. There have been several failures in decks of this design and since this project is now over 10 years old, all the decks need to be inspected by a qualified inspector to determine their structural integrity. One source for such an inspection may be the original designer, Reese/Rova Associates of Minneapolis. This should be done as soon as possible to avoid any unnecessary accidents from occuring. If you have any questions on this matter, please call me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC: Ms. Emily Thomas 1528 South Timber Ridge City of Fridley SUBJECT P Q. x 22650 AT THE TOP OF THE TWINS BUILDING E R M I T i RE O. � • COMMUNITY DEVELOPMENT DIV. _ �° PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE 6/28/94 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 1528 South Timber Ridge NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Part Of Section 13 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Wikstrom Construction 5787 Fairview Ave N, Shoreview MN 55126784-6649 9099 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 ❑ O NEW 0 ADDITION 0 ALTERATION X REPAIR X 0 MOVE O REMOVE 8 DESCRIBE WORK Deck Repair; Handrails, Vertical Posts 9 CHANGE OF USE FROM TO STIPULATIONS Inform owner to install smoke detectors adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED 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 60 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 1 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 $250 $.50 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- $15.00 Fire SC $.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $20.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI RLY ALIDATED THIS IS YOUR PERMIT BLDG INSR MATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI Effective 1/ 1 /94 NEW II ADDN (� CITY OF FRIDLEY SI I 1 NGLE FAMILY AND DUPLEXES R-1 AND R-2 ALTER � Building Permit Application Construction Address: ---- 57- Legal Description: -- Tel. # — Owner Name & dress: ® � � 4,4 MN LICENSE # Contractor: Address: -��rsi/! /- �� . S � u%�G- �. r�. c Tel. # Attach to this application, -a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. I3ESCRII'TION bF'IMPROVEMENT. LIVING AREA: Length Width Height Sq. Ft: GARAGE AREA: Length . Width Height _ Sq. Ft. Width Hgt/Ground Sq. Ft. DECK AREA: � Length OTHER: 1 Comer Lot [ j Inside Lot j ] Ft. Yd Setback _ Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) � Driveway Curb Cut Width Needed: 4Ft.6 FtFt x $Tel. #DATE: G9 -�� APPLICANT:, TOTAL $ 6 r'f ' 6e, e STIPULATIONS: CITY USE ONLY $ /S-, 00 Fee Schedule on Reverse Side Permit Fee $ .001 of Permit Valuation (1/10th%) Fire Surcharge State Surcharge $ C -E, $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ U $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Park Fee Sewer -Main Charge $ Agreement Necessary [ j Not Necessary [ 1 TOTAL $ 6 r'f ' 6e, e STIPULATIONS: nd SuBjECT PERMIT__N_ O City of Fridley AT THE TOP OF THE TWINSBUILDING PERMIT L f _ RECEIPT NO i � COMMUNITY DEVELOPMENT DIV �y------- r � � PROTECTIVE INSPECTION SEC. /� 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 LOT 2, 1 �pN528, 1.528,15 0,15 - S Tim er Ri gPE 1 LEGAL , .1 ,Tp ATTACHED DESCR. Various 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 O NEW O 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. 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 SIGNATU F CONTRAFas OR AUTHORIZED AGENT MATEi WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT R BL G GATE SIGNA URE OF OWNER OF OWNER BUILDERI IOATEi nd City of Fridley SUBJECT P'ERAPPT�� 25397 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV./-/ /00 r PROTECTIVE INSPECTION SEC. e NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEV 55432 612-571-3450 910415 8/20/97 JOB ADDRESS 1528 Timber Ridge South NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dale Dahl Builders & Remodelers 451 Maple St NE 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 ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE X 8 DESCRIBE WORK Re lace 8' x 21' Deck in back 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 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 1 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 $1,507 $.75 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- $51.25 Fire SC $1.51 STRUCTION OR THE P FORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL EE "�2v_ 7 9 Li e $5.0 $58.51 ATURE OF CONTRACTOR R AUTHORIZED AGENT IDATEI N ZP k�! BLDG NSP APELIDATFDfHIS IS OUR PERMIT OFMATE SIGNATURE OF OWNER oF OWNER BUILDER] IDATEI NEW [ ] ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: I5, Legal Description: —1 Owner Name & Address: Contractor: 12 2 r Address: 4K ` n'k 4i ' Tel. # ive–M/97 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 E"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: &r4 Length__ Width _ 21 Hgt/Ground / 0 � Sq. Ft. OTHER: Construction Type: ack *Iecew&7'-- Estimated Cost: $o /s"j�7 (.dee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft $ _ $ DATE: %54 APPLICANT: —Zjky� Tel. # 7&1- 96 ?6 STIPULATIONS: CITY USE ONLY Permit Fee $ �1.,1.� Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ , 7S" $.50/$1,000 Valuation SAC Charge $950 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 Necessary [ j Not Necessary [ ] TOTAL STIPULATIONS: liotLe.A- -5 -E�s-1- 7- 01, SUBJECT OWA ITT NO. City of Fridley 2 8L7;O 9 AT THE TOP OF THE TWINS BUILDING PERMIT REC O. ` COMMUNITY DEVELOPMENT DIV. ...... PROTECTIVE INSPECTION SEC. ��0� 1 • � NUMBER REV DATE PAGE O: APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 91041512/3/98 JOB ADDRESS 1520,1524 1528 1532,1536,1540,1544,1548 South Timber Ridge N.E. I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Part of Section 13 SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO A-1 Roofing & Const. 3020 Sumter Ave N Cr546-5939 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 61 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof town homes 114 S Tear -off 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 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 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 88 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF AN OTHER.STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TH PERFORMANCE OF CONSTRUCTION $162.25 Fire SC $9.77 PLAN CHECK FEE TOTAL FEE 176.90 c2 -9IGNATUREOF CONTRACTOR ORAUTHORIZED AGENT iDATEi WHEN PROPERLY V (DATED THIS IS YOUR PERMIT hl BL G NSo gAtE S.GNATURE O•OWNER,IF OWNER BUILDER, IDATEI NEW [) Effective 1/1/98 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION D c—' Ggy ConstructionAddress: 1; �.��,(% Rkr11_Jr\ 6J 2 �.�3 (amu :z�� i Legal Description: Owner Name & Address: Tel. # Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: ,jA opo Sumf� MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Length Length I"4e- Pte, Width Width Width N�4 i Height Height Hgt/Ground .o. Tel.# i�gb•5t-'59 Sq. Ft. Sq. Ft. Sq. Ft. 17 Lcq Construction Type: /'C— C J_ Estimated Cost: $ !e (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT:a .� C��, J-10,/0 Tel. # ` ��j_ . STIPULATIONS: CITY USE ONLY Permit Fee $��5'A 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 . STIPULATIONS: CITY OF'FRIDLEY INSPECTION DIViSION 64,3f University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25/0 of Value of Appliance or Work Rate 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge} TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 2000 JOB ADDRESS IM M crlG'i OWNER_ wt Nf a.,m 1 ho wa S TOTAL C.Q,�.� . _. . BUILDING USED AS Q ESTIMATED COST S& PERMIT NO."� /5 i $ 5lb DESCRIPTION OF FURNACE AND OR BURNER No. 'of Heating Un'ts ( Circie One (Steam) (Hot Water) ar>nir) Trade Name Size No. �rgl�l/(, BTU LoU.Z)Q0 HP EDR Fuel A- . b • Total Connected Load Burner Trade Na 10MM Size No. EDR $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and $ �s representations stated in this application are true and correct. DATE BLAINE HT®. A/C ELECT. INC ��J 13162 t+1 NTRAL AVE. I.E. H EATd NZ COQ. AN01<A- All N 55304 Sign \� ,AAr.0. TEL # 5- 2-6Z— Approved By Rough -In Date Final Date COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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. Yesk 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. Ye ) No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( No( ) v l When required to instaii a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes ( No ( ) When installing 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 Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input L&OW Fan Assisted or Nat AJO , 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 ALTERATIONS: (Describe) BLAINE HTG. A/C ELECT., INC, I'M CENTRAL AVE. N.E. HEATING CO: ANOKA, MR 55304 Signed By: Date: �� 6431 UWWW" Ave WF Fn t. UN 564 577 Im T.- tnscme kon JM1 I fuuu FUNMMPNNmavw. 441M TWAL -L R $40 $an odhooft 'mean famosafto Cdafto SlAs 'mo 87AD b ft M(y Me -co WAftUmd pLukumcowym FAW0840 FM$47.0ft ALL OTMM REPAM AW AiLTERATK)w Ta No -9% of Vda d Fk%m a Applaw %W 018dft PAM" Dab Findoar-kop- TOTAL FEE oo.,M man rl In in Lm COMBUSTION AIR SHALL Of PROVIDED PER UW SECIION 504(A) AND TABIF 6-A COMMON 1/ENT INFO uN BACK SIDE CITY OF FRMLEY PERMITO.: 2004-01387 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 08/20/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 1528 S TEVIBER RIDGE NE PIN : 133024110126 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE BUILDING PROPERTY TYPE TOWNHOUSES CONSTRUCTION TYPE : DECK VALUATION : $ 358.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A TX 4' DECK/STEP. STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE LICENSE SURCHARGE 23.50 5.00 GASSEN COMPANY INC 7275 BUSH LAKE RD FIRE SURCHARGE 0.36 EDINA, MN 55439- STATE SURCHARGE, VALUE 0.50 (952) 522-5575 TOTAL 29.36 PAID WITH CHECK # 24679 OWNER THOMAS WILLIAM T 1528 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 work 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 state or local law regulating cog9fuction or the o ance pTconstru n. ApplicantDate, / f® Bldg Insp , SEPARATE PERMITS QUfRED FOR w6k OTHER THAN DESCRIBED ABOVE. NEW [ ] 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 l�! Construction Address: 1Let-Ito S� Legal Description: / %ahs Owner Name & Addr js: Tel. # Contractor. %'�5�'i' MN LICENSE #��'� Address: 7 - �j s,A Let, z0j&-- ; nn e Tel. # TY, 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 Heights Sq. Ft� GARAGE AREA: Length_ Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: S j Estimated Cost: Driveway urb Cut Width Nee Ft + 6 Ft = F x $ _ $ DATE: Tel. # Call (763) 572-3604 for Permit Fees if mailing in a lication. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - P Vit' Fee p $ I?�an Review — $ a=ire Surcharge $ State Surcharge $ s� SAC Charge $ License Surcharge $ 6.0 Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 22-3 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 [ ] STIPULATIONS: