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PRE 2010 DOCS° a City ul b rid lei Permit No. (/ ` AT TK TOP OF THF T10110 aq F'LiJ�d�IJG PERMIT �'�rF'L T(;�1TIOiJ tv------- COMMVNITY CCV1ZLVP%ZNT CIv, 6 I ppareCTIV& tF a7-ZCY*-4 D41"% CITY HAIL FRIDLZY DO S PQE9� OF Sr%kYOV 0 BY 10- 0 2/15/73 1 1 J800 Jobb AddressS 240__ Sylvan Lane ner �� re P one Wm.Leonard 2857 Forestdale Rd. 633-5785 Contractor AddressPhone Maplewood Plbg. 1909 ',"Clarence Street 777-8818 Kind of Building use Dwelling residence Completion Da Lc; I �stlmatecT 'ost Plumbing Fixture Rates: NO. RATE TOTAL, v h II � Number Fixtures 8 x $2.00 16 00 Future Fixtures x $1.50 a�Nda� sv� r- i j New Fixture -old Open. x $1.50 Catch Basin x $3.25 xI�d1 Water Heater -99,000 BTU 1 x $3.00 3-00 �— I { I ► I •saa� Ground Run Old Bldg. x $3.25 •MNIV Elec. Water Heater x $2,00 SNISV9 N'J1V:� I f I { P'° �� GasGasittiiz n Fees o i�I1 01 � 1st 3 Fixtures x $2.00 I 0 0 1I Sii3fAOH$1 Z.4 r- I+ Additional Fixtures x $ .75 33 '" I uNnod d j NNlaa� I I Gas Range -199,000 BTU x y5.00 ca . I , i � f _ ibae �, SAVb`lI .� C� Hsm•M �I aea �' �' Re a5_rs & Alterations ^� I I See SNNISI. r I I I Description: Code ENISY®� Cv I State Surcharge X50 "' TOMI, FEE $ 19-50 IiJbE The undersigned hereby makes application for a permit for the wort., herein specified, agreeing to do all work in strict accordance with the bJ City Ordinances and rulino � � 1aM 0j r r I 0 of the Department of Buildings, and hereby declare that I I I all the facts and r resentations stated in this 1 app at on are t u and correct. a I Ira 4 S ' gnatur r a td: M City of Fridley SUBJECT PERM 12289 AT THE TOP OF THE TWINS BUILDING PERMIT ' CEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC.° ' /---: CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 8/21/73 JOB ADDRESS 240 Sylvan Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 sylvan Hills Addition ��, k1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leroy Kottke --93.27 '� Af, 6c . 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO, Leonard Construction Co. 2857 Forest Dale Road, New Brighton 55112 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 IX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct x Dwelling an xGarage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. HN Provide a verifying survey before capping. Set elevation to provide drainage for walkout door. Locate as per corrected survey. SEWER LOCATION: 85' West of Manhole (Inv. 842.00) Wye Elev. 838.16 Top of Footing 841.16 Minimum WATER LOCATION: 11' East of Sewer Service SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame ZONING SQ. 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 R-1- 1298 25,960 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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, $24,128 12.06 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- 57.00 275.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE To $344.06 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY DATED TOIS IS YOUR PERMIT PziSIGNATURE OF OWNER (IF OWNERBUILDERI - (DATE) BLDG INSP.- 'DATE J. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:_. ( ®i f_ ICS' BUILDER:E.6ovdgv_ +J ADDRESS: AyL otL_ 1 Ur #t6 ADDRESS: ? Fka47S ` LME v2L) /VjLS AAFW 6 it j � H T -0 rid.. _!VTl l � N0 :. STREET :_Sy L \/ 4 &f L-A At e� LOT:— BLOCK: 3 ADDITION:_5 y L V,4 iV L4 I Z_ L S `�': 7 CORNER LOT:INSIDE LOT : SETBACK:-- 3 f7 U S I DEYARD : Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As; Dade i at C. Front • S3 Depth • 3 -___Height: Square Feet:_JACubic Feet: _91.2- Lf Front: Depth: Height: J 4 V Square Feet, °; Cubic Feet: .A M7te 9 ' Type of Construction: FkAki Estimated Cost;�a�� r To Be Completed:/�%� �/� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: I !j -7'L SIGNATURE: I j'u�p, E7 -----�_ (See Reverse Side For Additional Information.) O BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet® ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5,00, VERIFICATION OF FOUNDATION NOTE; Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and. of the construction site, A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before Proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. July 2, 1973 Mr. LeRoy Kot.tke 3327 Taylor Street NE Minneapolis, Minnesota 55418 Mr. Kottke: SOIL ENGINEERING SERVICES, INC. 6800 S. COUNTY RD 18 ■ MINNEAPOLIS, MINN. • PHONE 941-5600 MAILING ADDRESS P.D. BOX 35108 MPLS, MINN. 55435 Re: -73-250 Proposed House Lot 6, Block 3 Plat 4, Sylvan Lane Fridley, Minnesota As you requested, a soils investigation has been made on the above referenced lot toassistin evaluating the foundation -- conditions ' for a proposed house. The borings were taken at the locations shown on the attached sketch. These locations were referenced to the apparent property line along the easterly side of the lot. Surface elevations were referenced to an assumed bench mark at the centerline of Sylvan Lane north of the west property line. This elevation was assumed to equal 100.0. The borings were taken on June 29, 1973, with a truck -mounted core and auger drill equipped with hollow -stem augers. Penetration test samples were taken through the hollow -stem augers with a standard 2 -inch OD split sampler driven by a 140 -pound hammer falling 30 inches in accordance with ASTM D1586 "Penetration Test and Split.Barrel Sampling of Soils". Blows per foot of penetration (BPF), which are an index of the various soil strength parameters, were recorded. The bore holes were cleaned and advanced between samples with continuous flight, hollow -stem augers eliminating the.driving of casing and the use of jetting water. BORINGS • TESTS • INSPECTION • ANALYSIS • REPORTS • RECOMMENDATIONS 73-250 Mr. LeRoy Kottke -2- 7/2/73 - Mineral soils encountered in the borings were visually and manually classified in the field in accordance with the U.S. Bureau of Chemistry and Soils Classification System. A copy of that chart is attached. A few representative samples will remain in this office for a period of 60 days to be available for your examination. Each boring was probed immediately after completion to check for the presence of ground water. The borings were then rechecked prior to leaving the site and were then backfilled. RESULTS Logs of the soils encountered, penetration resistances, and water level observations are shown on the attached LOG OF BORING sheets. The borings generally encountered granular soils to an approximate depth of 14 feet. At that depth a slightly plastic to plastic sandy loam was encountered. In boring ST -2 the upper 2 feet of the soils appear to be fill placed over a thin layer of black soils which were probably the original topsoils. Penetration resistances in these granular soils ranged from a minimum of 6 BPF to a maximum of 15 BPF indicating a loose to medium dense condition. Penetration resistances in the underlying cohesive soils ranged from 8 to 12 indicating a medium to rather stiff condition. When probing the borings immediately after completion no ground water was encountered. However, when the borings were rechecked prior to leaving the site, water was encountered at the 14 -foot depth in ST -1 and at the 13.5 -foot depth in ST -2. Judging from .the moisture content of the samples obtained it appears that this is the approximate elevation of the water table at this time. Water levels should be expected to show normal seasonal and annual fluctuations. RECOMMENDATIONS You have indicated that you propose: to build a one-story rambler with a full -depth basement and a rear walk -out. From the elevations of the street in front of the lot, it appears that the finished grade on the outside of the house in the front would be at an approximate elevation of 103 on the assumed datum. This would result in a basement elevation of approximately 95. Thus, the front footings would .be at an approximate elevation of 94'and the rear footings would be stepped down to an approximate elevation: of 91 on the assumed datum. SOK ENGINEERING SERV/CBS, INC. W �- _� 73-250 Mr. LeRoy.Kottke -3- 7/2/73 The footings at the locations -of the borings will be in fine or fine to medium sands which are in a loose to medium dense condition. These sands would easily be capable of supporting the loads associated with a typical house on minimum -width footings. While the front part of the house was not investigated, it is probable that similar soils will be encountered throughout. However, this should be verified by inspection prior to the placing of footings or floor slabs as significant variations in soils can occur. The water table appears to be currently 9 to 10 feet below the assumed elevation of the basement floor slab. It is suggested that you consult with the adjacent home owners to determine if there are wide fluctuations in ground water table which would suggest a necessity for foundation draintile. Of necessity, the area of the borings in relation to the area of the lot, and the depth of the borings, are limited. Suggestions and/or recommendations of this report are opinions based upon the data obtained from the borings. If.we can be of further assistance, kindly contact us'at your convenience. Very truly yours, SOIL ENGINEERING SERVICES, INC. -e. "'J I VeL�� C. G. Kruse, P.E. Vice President— Engineering -GGK:11c Enclosure =SES, BAIL !N$IN£BRINB szoviCBS, INC The content of this report and supporting documents are for the exclusive use of the addressee. In the absence of our prior written approval we make no representation and assume no responsibility to any other parties regarding such content. SYLY,gYy LANE f 75 f � ST-- I i Q 120 i f i - �-.0T G , 3L 0-c 4 1DL�T 4 � � SYLVAN-�iccs SNFriivw rlm TES` T BovlV6 � t s u111Ev ,gsNc11'4Rk : 1. _SYL� NL�f✓�-_ /00�_ SOIL ENGINEERING SERVICES, INC. S. COUNTY RD 18 PHONE 5500 MAIL: P.O: BX 35108 MINNEAPOLIS, MINN.55435 �511,0 I /1 / *cA'7-10,A S O� �. PENS 7-1,c--,4rro� T s 7- Date: 6 2'?17,3 Drawn: ��i- Scale: f �� 30 0 c E L m m a v H m -a a Ew v 72 D c v } L 0 CL SOIL ENGINEERING SERV/CFS, trot. LOG OF BORING PROJECT: 73-250 ST -i LOCATION: Proposed House _ -Sylvan-Lane Fridley, MN See Attached Sketch DATE:. 6 29 73SCA LE: Tests or Notes Elev. Depth Description of Materials BPF WL 94.4 Fine Sand, Surface elevations light brown, referenced to center - dry line of Sylvan Lane at (medium dense) West property line 15 (3" dark brown, Fine Loamy Sand topsoil) extended. Assumed elevation --100.0 90.4 4 Fine to Medium Sand, with a little Fine to Medium Gravel, brown, dry to moist (loose to medium dense) Note: Encountered small boulders between 11' and 13' depths. 11 80.4 14 Fine to Medium Sandy Loam, slightly plastic, 7 with a little Fine to. Medium Gravel, grayish brown to reddish brown, wet (medium) 75.4 1 511ty Clay varve with Clay, 74.4 20 reddish brown, moist (rather stiff 12 Water level not encountered when probing boring -immediately after withdrawal of auger. Water level down 14' 111 hours after completion of boring. '0 C: v C O L. 92. 0 a LOG OF BORING `� A PROJECT: 73-250 ST -2 LOCATION: Proposed House Sylvan Lane Fridley, MN DATE: 6 SCA LE: 1 "=3' Tests or Notes Elev. Depth Description of Rbterials BPF 98.8 0 Fill, Fine Sand, brown, moist 96.8 2 95-8 3 Mme any Loam, nonplastic, with some organic, black, dry (medium dense) Fine to Medium Sand, brown, dry to moist 91.8 7 <medium dense) 11 rine to He lum Sand, with a little Fine to Medium Gravel,. brown, 7 dry to moist (loose to medium dense) Note: Encountered small boulders 11 between 11' and 14' Zepths. 84.8 14 Fine to Mealum. Sandy ;Dam, SlIghtly • -plastic to plastic, with a little Fine to Medium Gravel, grayish brown, wet RQ_R 18 (medium) Silty Clay varved with. Clay, reddish brown, moist to wet 2 medium 8 Water level not encountered when probing boring immediately after withdrawal of auger. Water level down 13.5' 31 hour after completion of boring. SOIL ENGINEERING SERVICES INC. 0 A 100 '0 C, o Q `#o It 0 o c.a O o �oANDY \/ 4P o CLAY ,Fe R 00 h® fto &a ®o SILT—SIZE FRACTION IN PER CENT TEXTURAL CLASSIFICATION CHART ADAPTED FROM U.S. BUREAU OF CHEMISTRY AND SOILS SIZES OF SOIL SEPARATES FRACTION PARTICLE DIAMETER SAND ----- -- FROM 2.0 TO 0.OT4 MM. SILT FROM O.OT4 TO 0.005 MM. CLAY ---------- LESS THAN 0.005 MM. DESCRIPTIVE TERMINOLOGY PARTICLE SIZE IDENTIFICATION SOIL INTRUSIONS Boulders over 3" THICKNESS RELATIVE PROPORTIONS Gravel tense 0 — 1/8" with a few 0-10% Coarse 1"-3" seam 1/811-11, with some 11 —20% Medium 1/2" — 1" layer 1" — 12" with over 20% Fine No. 4 — 1/2" varved alternating seams or Sand lenses of clays and Coarse No. 4— No. 10 silts in lake deposit Medium No. 10 — No. 40 Fine No. 40 — No. 100 MOISTURE CONTENT ORGANIC CONTENT Very Fine No. 100 — No. 200 Silt No. 200 —.005 mm Dry less than 5% 0-5% non to slightly organic Clay less than .005 mm Moist under optimum moisture 6-10% slightly organic Wet over optimum moisture 11 —25% organic Waterbearing saturated sand 26-65% muck 65+ peat RELATIVE DENSITY OF CONSISTENCY OF PLASTICITY OF SOILS WITH COHESION LESS SOILS COHESIVE SOILS LESS THAN 20% CLAY very loose 0— 4 BPF very soft 0— 1 BPF non plastic gritty, cannot thread loose 5 — 10 BPF soft 1 — 3 BPF slightly plastic rough to smooth, medium dense 11 — 30 BPF rather soft 4— 5 BPF hard to thread dense 31 — 50 BPF medium 6— 8 BPF plastic smooth to waxy, very dense 50+ BPF rather stiff 9 — 12 BPF easy to thread stiff 13 — 16 BPF very stiff 17 — 30 BPF hard 30+ BPF RELATIVE PROPORTIONS OF GRAVEL LABORATORY TESTS a trace 0— 5% DD Dry Density, pcf OC Organic Content, % a little 6-15% WD Wet Density, pcf S Percent of Saturation, % some 16-30% MC Natural Moisture Content, % SG Specific Gravity and 31-50% LL Liquid Limit, % C Cohesion PL Plastic Limit, % 0 Angle of Internal Friction PI Plasticity Index, % qu Unconfined Compressive Strength DRILLING NOTES: Standard penetration test borings were advanced by 2%" or 3%" I.D. hollow -stem augers unless noted other- wise. Jetting water was used to clean out auger prior to sampling only where indicated on logs. Standard penetration test borings are designated by the prefix "ST" (Split Tube). Power auger borings were advanced by 4" or 6" diameter, continuous-flite, solid stem augers. Soil classification and strata depths are inferred from disturbed samples augered to the surface and are therefore somewhat approximate. Power auger borings are designated by the prefix "B". Hand probings were advanced manually with a 1%" diameter probe and are limited to the depth from which the probe can be manually withdrawn. Hand probings are indicated by the prefix "H". CLASSIFICATION: Classification on logs is made by inspection in accordance with the U. S. Bureau of Soils Classification System (see attached chart) using visual -manual procedures unless noted otherwise. GROUND WATER: Observations were made at the times indicated. Porosity of sail strata, seasonal weather conditions, site topography, etc., may cause changes in the water levels indicated on the logs. SAMPLING: All samples are taken with the standard 2" O. D. split -tube sampler, except where noted. TW indicates thin- wall undisturbed sample. BPF: Numbers indicate blows per foot recorded in standard penetration test, also known as "N" value. The sampler is set 6" into undisturbed soil below the hollow -stem auger. Driving resistances are then counted for second and third 6" increments and added to get BPF. Where they differ significantly, they are reported in the following form — 2/12 for the second and third 6" increments respectively. WH: WH indicates that sampler penetrated soil under weight of hammer and rods alone, driving not required. NOTE: All tests run in accordance with applicable ASTM standards. SOIL ENOINESSINO SERVICES, INC. • 560-3450 ANOKA COUNTY 6431 UNIVERSITY AVENUE NE March 25, 1974 FRIDLEY, MINNESOTA 55421 Leonard Construction Company 2857 Forest Dale Road New Brighton, Minn. 55112 Re: Verification Survey Dear Sirs: According to our records, your home being built at 240 Sylvan Lane N.E. on Lot 6, Block 3 , Sylvan Hills Plat 4 has not been resurveyed. since your foundation was completed. If you have a copy of this required survey in your file, will you please forward a copy to us. If you have not yet had the survey made, please let this be a reminder to you that these verification surveys are a City requirement and that they are essential to meeting the City Code. We hope that this matter can be taken care of within the next 15 days so that more drastic steps will not have to be taken to gain compliance. If you have any questions, please feel free to call me. Sincerely,- � L G. CLARK Community Development Adm. DGC/mh 61 SUBURBAN ®9 • Geis and ®id Furnaces ® Air Conditioning 2050 White Bear Avenue St. Paul, Minnesota 55109 777-1363 — 771-5509 Q Septomber 20, 1973 City of Fridley 6431 University Ave., Fridley, Minnesota Gentlemen: We are enclosing check for 34.00 to cover amount due on the following jobs. (Heating Permits 6851 Central - $2.00 240 Sylvan- 2.00 Very truly yours Suburban Heating, Inc. s SUBJECT d• City of Fridley _ 17 7 8 6 AT THE TOP OF THE TWINS BUILDING P E R M I i � ' v ______ COMMUNITY DEVELOPMENT DIV. r t PROTECTIVE INSPECTION SEC. i I i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J\ 612-571-3450 910-F15 11/6/84 JOB ADDRESS 240 Sylvan Lane N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Sylvan Hills Plat 4. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald M. Johnson 240 Sylvan Lane N.E. 571-2315 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Patio Enclosures, Inc. 3537'Hiillsboro Avenue V. New Hope 546-3322 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 a ❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 11,5'1 3-Season Porch_ Enclosure 9 CHANGE OF USE FROM TO STIPULATIONS Porch raust set on frost footing independently of floor slab. Bofcre diging call lecgq L iiil'A: ,a ELEPHO E - ELECT RIG ® GAS Eta, SEPERATE PERMITS KEQUIREU FOR WIRI U, REQUIRED BY LA. HEATING. PLUMBING ANN SIGNS, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 115 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2/ 000 $1.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S RU TION OR THE PERFORMANCE OF CONSTRUCTION. $32,50 A ,PLA N CHECK FEE TOTAL FEE JAX�:� $ 8.13 $41.63 SIGNATURE OF CONTRA'TOR OR AUTHORIZED AGENT (DATE( WHEN PROPERLY V (DATED THIS IS YOUR PERMIT CJ ' BLDG L OLTE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] City of. Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. I ] Building Permit Application Construction Address: Legal Description: Owner Name & A ess: �y,( r Kti�C i Tel . # Z �! L G�ccaF ` � CCS Tel. # —33 7-2 Contractor. nn Address:] 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 Sq. Ft. - GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. L6q-L'z OTHER: �T� `7S "- �` �l Dvr e -r- �i.CC C� 110-K Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE:�U Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL APPLICANT: Tel. —3 3 CITY USE ONLY $ •�y Fee Schedule on Reverse Side $�� 25$ of Building Permit Fee $ $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: P6�j AGA..— BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Total Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. • ti 22 SUBJECT P City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT _18473 r COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 71 r PROTECTIVE "4 NUMBER REV. DATE - PAGE OF APPROVED BY iCITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 6-4-86 JOB ADDRESS 240 Sylvan Lane 1 LEGAL LOT NO. BLOCK 3 TRACT OR ADDITION SEE ATTACHED Sylvan Hills Addition 4 DESCR. 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP O Donald M. Johnson 240 Sylvan Lane, Fridley, MN 55432 5�1�-F315 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING home 7 CLASS OF WORK deck ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK treated wood frame - wood deck 9, CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. wood 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 r-1 196 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 1250 .63 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- $22.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 25.13 SI ATURE OF CO ACTOR O UTHORIZ D AGENT (DATEI HEN P 0 E Y VA DATED THIS IS YOUR PERMIT BLDG INSP bATE SIGNATOR OF W BUILDER( (DATEI 22 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: i5llfo ISYS--f�'d C/OE Legal Description: Owner Name & Address: r,)d I1AL-0 tq • -Ue-'�+Js o Tel. #,!Q 3 15-' Contractor: C') 1--A E r` Tel. # Address: 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 Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width /l� Hgt/Ground Sq. Ft. _ft OTHER: lq6 e ,, ` -Z v3q Corner Lot [ ] Inside Lot [ y� Ft. Yd. Setback Side Yard SetbacA Type of Construction: -7-e TEO Approx. Completion Date:L� Proposed Driveway Width If New Opening Is Desired: DATE: C— q - L Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Estimated Cost: $ Alt. A Alt B $ $ See Back Page for Explanation APPLICANT: Tel. # E� /-23 1 � CITY USE ONLY $® Fee Schedule on Reverse Side $�� 25% of Building Permit Fee $ Gs $.50/$1,000 Valuation $ $1475 per SAC Unit $ Fee Determined by Engineering aw1y1 nt Necessary [ ] Not Necessary [ ] BUMDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Total Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. a $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for, construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. SUBJECT0. � City of Fridley �: 4 7 0 2Ir? " AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/18/96 JOB ADDRESS 240 Sylvan Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 1 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marvin Lang 240 Sylvan Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Steinkraus Construction 11720 52 Ave N P13Mouth MN 55442 559-8429 6363 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 ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install two basement egress windows 9 CHANGE OF USE FROM TO STIPULATIONS Windows must meet the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,500 $1.25 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TR CT OR THE PERFORMANCE OF ONSTRUCTION $74.75 Fire SC $2.50 PLAN CHECK FEE TOTAL FEE License SC $5.00 $83.50 u EOFCONTRACTOR ORAUTHO EDAGENT (DATE) WHEN PROPER VALIDATED THIS IS YOUR PERMIT G NSP 111.7E SIGNATURE OF OWNER OF OWNER BUILDERi (DATEi8 NEW [~] ADDN { ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: _C 410 V, Legal Description: Owner Name & Address: ' Contractor: Address: // -7- -2 Tel. # Effective 3/1/96 MN LICENSE # 3 Tel. # 17 2 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: _ , -/-- / / 11 Comer Lot [ ] Inside Lot [ ] F--(t-.Yd Setback/5'_ Side Yard etbacks Type of Construction: ;1 s 1�1 // Estimated Cost: $ Approx. Completion Date: - g (Cost on'Back) - Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x DATE: % / : . APPLIC_ Tel. # �.��--f��/�.02 STIPULATIONS: CITY USE ONLY ' Permit Fee $ , ®� . Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ !, �S� $.50/$1,000 Valuation SAC Charge $ $900 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 [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: BUELDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for fust $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof,..to..and including. $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,00,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. r/A SUBJECT PERMIT NO. City of Fridley 24853' AT THE TOP OF THE TWINS BUILDING PERMIT Ir • COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 1/10/97 JOB ADDRESS 240 Sylvan Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Sylvan Hills Addition Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marvin Lang 240 Sylvan Lane NE 586-9987 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jansick Inc 6480 Squire Drive NE Fridley, MN 55432 574-9679 8618 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 Q ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Interior alterations to basement 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIG 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $12,500 @ `1'6.25 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- Fire SC $12.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $199.75 PLAN CHECK FEE'TOTAL FEE U v 1-10-27-- Licens SC .00 $223.50 SIGNATO E OF CONTRACTOR OR AUTHORIZED AGENT (DATE) pP LY YYDATED THIS IS YOUR PERM) s V —/ L G P l.J OA7E SIGNATURE OF OWNERIIF OW NER BUILDER) IDATEI r/A NEW j ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 Building Permit Application _ J ConstructionAddress: o? y0 S YL V �� v �• . Legal Description: Owner Name & Address: Tela # 5861 – 9' 9 9 7 Contractor: aysrcK /y2 MN LICENSE Address: y Sp�,�P ,pR Tel. # 57,/-96 76 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: DESCRIPTION OF MOROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. `iy72-�R 1.0'k 4 171c•I a Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback — Side Yard Setbacks Type of Construction: MEQ' ;� -- Jl Estimated Cost: $ Approx. Completion Date: 7 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: / APPLICANT: Tel. .# J CITY USE ONLY Permit Fee $ q, 6 Fee Schedule on Reverse Side Fire Surcharge $ �` , .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $ aper 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 $ 225: STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL, VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof,.. to. and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each. additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. it.. .....L;•'•'•;:••r•'•i'+lfir F>d>1F: 4.rYrri{r>{a{4i/ff_91�:.tGGfJr flr:s»/,»a,.ir'/.r{Y_rr 33 /a<eri> r•��rr yar "J.•'::::•::rrry: r�:...aa > 7 � T ••Y Jansick n A THE RIGHT CHOICE FOR ALL YOUR BUILDING NEEDS ��22�'GF;2ZZY<2e'C•?Y?tYe�'+k:�'l�s'ss<ssFsss• ss"�YN�'.?�>^•:<mss;::�•>�AD"'s•.LKS::.�F'%:':l!>.::s">..�.s�%lsEYt:s%t`Y•:s?�&:. .... .e... ...:??s±�Te?£:�t7��.' 6480 SQUIRE DR. FRIDLEY, MN. 55432 PH574-9679 LIC. NO. 8618 EXIS T 3� EGRESS WINDOW RECESSES TO BE s G�7COVEREP WITH SHEET ROCK J 9'-8" CEILING HT=71-711 < 4' II -6" 4' BI LD J I � 15' 3'-2" ; i EXIS ALL DIMENSIONS Ly) EGRESS APPROXIMATE. 9''S10 5' BIFO SCALE 1 /4 "=1 `-0" 6 FACEFRAME 3'-4" This wall has rock on it (taped) FAX 574-1330 BASEMENT TRANSFORMATION BEGINS HERE. EXISTING CEDAR CLOSET WN 11'-8° 31_811 7'-6" PROPOSED WORK TO BE DONE: �`�-�✓/tJiC ,�&T, /70TJ 41 -MODIFY AND ADD ELECTRICAL (LIGHTS AND OUTLETS) - -ADD HEAT AND COLD AIR RTNS. AX4(&-7,L1T- '7 i lz(,' -FRAME FOR WALLS AND ENERGY WALL IN BEDROOMS SIL -INSULATE AREA ON OUTSIDE WALLS. �_ -ADD SOUND BOARD TO CEILING (OPTIONAL) -CONSTRUCT CLOTHES SHOOT CLOSET AND STORAGE CLOSET -SUPPLY, HANG, TAPE, SPRAY TEXTURE CEILING AND FOG WALL -PAINT WALLS (OPTIONAL) -INSTALL TWO CLOSET BIFOLD DOORS(OAK) -INSTALL 4 OAK PRE -HUNG FLUSH DOORS -BUILD OUT EGRESS WINDOWS AND ADD OAK CASING -INSTALL OAK BASE IN TWO BEDROOMS AND DEN -INSTALL OWNERS FIXTURES (LIGHTS) -STAIN, SEAL, AND VARNISH NEW OAK MILLWORK (OPTIONAL) -CLEAN UP ALL BUILDING DEBRIS l'Iffill,1ATIT11fila CORNER CLOSET LAUNDRY ON TOP STORAGE AT BOTTOM BOTH CAN BE ON ONE SIDE OR TWO DIFFERENT SIDES. WINDOW DETAIL EXISTING FL JSTS 2X4 WALL R-11 FF INSUL VAPOR BARRIER 1/211 S.R. TREATED PLAW C`..__. EXISTING CONCRETE FL 1211 CITY OF FR1DY INSPECTION DIV. Effective On March 1, 1990 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 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) Gas Range Gas Dryer -Air Conditioning — All Sizes All Others/Repairs & Alterations (UST ON BACK) 1% of•V/Iallue o/f A�p-fjp Iia 1w�I,� e/o/r Work Commercial/I ndustrial 1.25% of Value of Appliance or Work Rate TOTAL S30.00 S S10.00 S $ 10.00 $ S10.00 S $25.00 $ State Surcharge TOTAL FEE PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE S42.00/Hr 'Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS 0240 �l l�a_4c� LCe &t 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 d correct. 1, 1 �g BUILDING USED AS ESTIMATED COST 5�)n PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDP S Fuel Total Connected Load S .50 S C� Burner Trade Name, BTU Size No. HP EOR HEATING COMPANY SUBURBAN AIR n4141-,..UMIZ nRNA MINNEAPOUS, MN 55432 Signed By Tel No. Approved By Rough—In Date Final Date FILL OUT BACK SIDER STACK VERIFICATION ON 6' REPLACEMENT FURNACE P ITN \ SUBJECT City ®f Fridley 2 7 12 AT THE TOP OF THE TWINS BUILDING PERMIT RE O. COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. r F I NUMBER REV DATE 8/26/98 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 JOB ADDRESS 240 S lvan Lane NE 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 iSylvan Hills Addition Flat SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marvin Lan - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Paul Klin beil 240 Sylvan - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and arae 25 S T r- 9 CHANGE OF USE FROM TO STIPULATIONS UNderlayment must comply with the State Building Code. Call for building wrap inspection before covering. 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 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 $3585 1.79 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. $87.25 Fire SC 3.58 PLAN CHECK FEE TOTAL FEE 92.6 NATU�iE OF C NT�R/AyCTOR OR AUTHOR EE T 1 ATEI%� N P OPERL DATED THIS YOUR P IT DDAGEN BLD INSP DATE SGNATURE OF OWNS F OWNE SUILDERi IDATEi NEW , . L ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION B -, a e,,�� 1-� ConstructionAddress: 01�C� S � 1 � � , Fv �' � . Mem Legal Description: XOwner Name & A Contractor: Address: S r. ✓ %� Tel. #� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Vol +YtiAe / ress: a v <Y �✓ 4 �' q rr �° Tel. # 373 9-'-1e0 La I �c i w o� %-e- t r MN LICENSE # DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width _ GARAGE AREA: Length Width _ DECK AREA: Len Width OTHER: Height Sq. Ft. Height Sq. Ft. Hgt/Ground Ft. _Sq. Construction Type: Estimated Cost: $ (Fee Schedule on Back)�� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 4c), APPLICANT: t f C� , +� N h-$ Tel. # 570 i Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL 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 [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. P SUBJEGt -.5 city of Fridley -" r.3 77 AT THE TOP OF THE TWINS B u 1 L D I N Q PERM I T R��EIRT NO. -. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r E � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J` 612-571-3460 910-F15 4/27/01 JOB ADDRESS 240 Sylvan Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 6 3 Sylvan Hills Plat 4 Addition SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Mary Lang 240 Sylvan Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Jansick Inc 6480 Squire Dr'NE, Fridley, MN 55432 765-574-9679 8618 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 ❑ ADDITION ❑ ALTERATION jD REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove & replace flooring; tub with sheetrock, toilet & sink 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREFsT PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 SE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `1'29000 $1.00 DOES NOT PRESU E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF Y OTHER STATE OR LOCAL LAW REGULATING CON- $6,9.25 Fire SC $2.00 STRUCTIO R E PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE EE TOX-7.25 -� � 0 Lice e C $5. SI TORE OF CONTRACTOR ORAUTHORIZEOAGENT IDAT I HEN PROPE ALIDAT HIS IS YOU P VIII • -13L& ,NSP >'/'J' MATE SIGNATURE OF OWNEROF OWNER BUILDER, (DATE, P NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 6�Q S Ll 1// -r -yl Legal Description: Owner Name & Address: Tel. # Contractor: L64AJ Sidi' MN LICENSE# -1,/8 Address: Zael �o SQ ul'� P Tel. # 7,.-� " 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 Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length �J Width Hgt/Ground S . Ft. OTHER: ff V K `ltd, 6 4 Construction Type: &T 4� Estimated Cost: $ J0,06) Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: ® APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ c2S- Fee Schedule on Reverse Side Fire Surcharge $ x-06 .001 of Permit Valuation (1/10th%) State Surcharge $ l-®® $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ 6-, r)® $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 $ / 9� ';�– STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50;000; . $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Only CITY OF FRIDLEY INSPECT iON DIV 6431 University Ave NE Fridley, MN 55432 763-572-3604 �I APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On Jan 1, 2001 • MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR vll and rulings of the Building Division, and hereby declares that all the facts `}'.jv}•`'}-:r{'r ... ir•.s.k:�:.•g'r1r::;;:'•:tf. ':;i%��.�:i7•�f'..•.: Floor u �ne.?,:.} GasWash ;•,•':?:•.;';L::.`.::`}Fi:'. er .:(•.:�:Y;jtirr/,{.kS:?�.jk::�v WGaaste HEealetc ?4F;. Uri Owner Shower Tray. kIi:fiY:}:#.•i;}:}:..`y::,}e:. Washer Range Estimated Cost PERMIT NO. Stories na jk'sFWq.::: :�•�::?t.::i :•�:%Y��AA?yyi}.{{:r: :...Y(${6�e.::.,.. :. .Basement .:e: •:[<';ci.C:-?�:$ny_::F:;:�i:R.::}:;:i•�:••;}:..Bi:N.$J;:�.�.i::i' .v;; ::::� 5::: ;;1 •:$;{.::..r: :}ren::f:.hi:;}i'. ?:.:}..v.}':'.rJ.'.• .k�r°{ s. •rr•'rlY .. ..................... . :;:�:r.`::v•Yrh�:''';.•}:,. •}: yr ;x :}•::r::.. .•'.�s.::i }; p: Floor 1 ��<:: 2 .:}•...:::.:..::.�.:: . v .. .:.::Floor Floor 3:::..:...:. x::33.":::: ? `::: Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 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 The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 �� ®� $ 7.00 '20 $ 7.00 $10.00 Owner $ 7.00 $10.00 a // Building Used As ;K, $10.00 $10.00 Estimated Cost PERMIT NO. $15.00 PLUMBING COMPANY _D EGS /l1 r L 13 6" %�ca Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge S .50 TOTAL FEE $ O• S-' SIGNED BY Approved By/,Zh.if Rough -In Date TEL N0. e Final Date y°�"y� COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE 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. Yes ( ) No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes ( ) No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturers specifications. Yes ( ) No ( ) When Installing a new ventina 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 Fan Assisted or Nat _. 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 HEATING CO: Signed By: Date CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 v,w APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On May 10, 1999 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Urinal �= ::=:<: ower Shower ..Sh .. Wash Tray D3't# :: :i:✓t��r;:::�;,.; Floor 1 Drain itcft.::,.:_: <: lt<` , >: Auto. :.....A'--> Gas >? Water f'--- :.,:..... ter Heater Washer �? :�:3.:;>. =i: Ran a` ::::::. Gas Elec Stories . Basement----------- asement c:XSr:: - Floor loo 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS S� zf5 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 $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge 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 LANG, MARVIN 240 SYLVAN LANE NORTH Owner FRIDLEY, MN 55432 (763) 574-2191 Building Used As IJAEstimated Cost TV PERMIT NO. PLUMBING COMPANY �i0 SIGNED BY N0.02)827- gO33 Approved By Z FL ® Rough -in Date Final Date '*COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. v CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 June 29, 2001 Mr. Marvin Lang 240 Sylvan Lane NE Fridley, MN 55432 Re: Final Inspection at 240 Sylvan Lane NE Contractor: Delson Plumbing Inc & Norblom Plumbing Dear Mr. Lang: - Plumbing permits were issued on November 20, 2000 to install a water heater, and on May 25, 2001 to install three fixtures at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by these permits. As of this date, no inspection has been called for. The permit fees that were paid cover the inspections to make sure the work was completed according to the Plumbing Code. We will keep your permits open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expired the permit and no further action will be taken. To set up the inspection, or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh CITY OF FRIDLEY INSPECTION DIVISION II ^ ►S S Effective On January 1, 2001 6431 University Ave NE d" ` Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763-572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Commercial/ Industrial 1.25% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $" /�� I rVU 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. The undersigned hereby makes application for a permit for the work herein specified agreeing to do ail work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATIN Signed DATE JR101 Approved By Rough -In Date Final Date D� BACK SIDE MUME FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION JOB ADDRESS SIL "JAJ Lq l I RATE SCHEDULE OWNER ��%�% -4 uU ; ^� ` l0 Residential Rate TOTAL e f Furnace Shell and Duct Work, Burner - BUILDING USED AS)(�(J- Also Replacement Furnace $ 30.00 (Side Vent . Fill Out Back) ESTIMATED COST o(.J1/ PERMIT.NO. -4 �o 6-2 Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $0 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 $ State Surcharge $ .50 TOTAL FEE $" /�� I rVU 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. The undersigned hereby makes application for a permit for the work herein specified agreeing to do ail work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATIN Signed DATE JR101 Approved By Rough -In Date Final Date D� BACK SIDE MUME FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verges that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( ) No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and instalied 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 Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date : G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 28, 2003 Joanne & Marvin Lang 240 Sylvan Lane NE Fridley, MN 55432 Re: Final Inspection at 240 Sylvan Lane NE Contractor: Total Comfort Dear Joanne & Marvin Lang: A mechanical permit was issued on July 12, 2001 to install an air conditioner at your address. According to the 1991 Uniform Mechanical 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 Codes. 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 610-M111L s a_P-Mri ADDRESS : 240 SYLVAN LN NE PIN : 143024330093 LEGAL DESC : SYLVAN HILLS PLAT 4 : LOT 6 BLOCK 3 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERM I NO.: 2004-01679 , DATE ISSUED: 09/27/2004 VALUATION : $ 4,600.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A FURNACE (WARM AIR, CARRIER, 60,000 BTUS) AND WATER HEATER RECONNECT TO EXISTING LINER. # A/C UNITS 0 VALUE OF APPL OR WORK 180 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 4600 APPLICANT GOLDEN VALLEY HEATING & AIR 5182 W BROADWAY CRYSTAL, MN 55429-3591 (763)535-2000 C111= M :7 BOB DEVENS 240 SYLVAN IN NE 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 state or local law regulating cons ction or the performance of construction. Apel cant 7i Date Bldg Imp. HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 1.80 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 37.30 PAID WITH CHECK # 5487 ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITE OF FRIDLEY BUILDING INSPECTION ` 6431 University Ave NE Ndley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning -All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Effective 4/1/2004 e5/S-3 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Fee Total Owner $35.00 $ Building Used As $10.00 $ ESTIMATED COST PERMIT NO /)q $10.00 $ DESCRIPTION OF FURNACE AND BURNER . $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. $25.00 $ BTU HP EDR Fuel Total Connected Load Commercial/Industrial✓Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/IndustriaVinstitutional State Surcharge.,_$ TOTAL FEE $ REINSPECTION FEE $50.00/HOUR ib *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Burner Trade Name BTU HP 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 and rulings of the Building Division, and hereby declares that all the facts and representations statEWGI` %&M%kL 'F110 8> gect. GSA: GOLDEN VALLEYS EATING & AIR HEATING CO 5182 WEST BROADWAY CRYSTAL, MN 55429 Signed 763.535.200 Tel # FAX # Date SEP 22004 Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install 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 fart 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( ) a Appliance #1 Type BTU Input Fan Assisted o N t 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 i ,2 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 Hei0t ft Length ft Diameter in Type ALTERATIONS: HEATING CO: Signed By: Date:qz-a//)V THERMO T T VALVE LIMIT LIMIT SETTING FAN SETTING PILOT TYPE PILOT MAKE PILOT MODEL PILOT TIMING _ L.W. CUT OFF ISO PRESSUREa PERCENT CO2 INPUT CFH PERCENT 02 STACK TEMP.j,&_- _- PERCENT CO C --'N HEAT PLUG FORM 235 CONVERSION MAKE OF BURNER MODEL MAX. BTU RATING MAKE OF FURNACE MODEL tl HOUSE HEATING TEST RECORD KIND OF LINER ADDRESS • ,/�• V APT. FLOOR CITY SUBURBr OCCUPANT CHIMNEY LOCATION 1 DE OUTSIDE. OWNER HEAT LOSS DATE HTG. INST. DRAFT TEST TAG - DOOR PRESSURE SOLD BY GOLDEN VALLEY HEATING & AIR INSTALLED BY �1 �� 1N�s mr®a1-vim_ Electrical Work By NAME OF TESTER Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER THERMO T T VALVE LIMIT LIMIT SETTING FAN SETTING PILOT TYPE PILOT MAKE PILOT MODEL PILOT TIMING _ L.W. CUT OFF ISO PRESSUREa PERCENT CO2 INPUT CFH PERCENT 02 STACK TEMP.j,&_- _- PERCENT CO C --'N HEAT PLUG FORM 235 CONVERSION MAKE OF BURNER MODEL MAX. BTU RATING MAKE OF FURNACE MODEL tl VENT SIZE KIND OF LINER 14 SIZE 4U-- NONE DRAFT HOOD REGULATOR FILTERS SIZE Z NUMBER CHIMNEY LOCATION 1 DE OUTSIDE. CHIMNEY CONSTRUCTION SMOKE BOMB WIRING DRAFT TEST TAG - DOOR PRESSURE LIGHTING INST. GOLDEN VALLEY HEATING & AIR DATE TESTED �1 �� 1N�s mr®a1-vim_ COMPANY TESTING NAME OF TESTER CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 f'AA: (763) 571-1287 ADDRESS : 240 SYLVAN LN NE PIN : 143024330093 LEGAL DESC : SYLVAN HILLS PLAT 4 : LOT 6 BLOCK 3 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-01680 // DATE ISSUED: 09/27/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL FURNACE. # 0-100 AMP CIRCUITS 1 APPLICANT GOLDEN VALLEY HEATING & AIR 5182 W BROADWAY CRYSTAL, MN 55429-3591 (763) 535-2000 OWNER BOB DEVENS 240 SYLVAN IN NE 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 worl 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 construction or the performance of construction. Applicant Date Bldg Insp Date ELEC CIRCUIT FEE (0-100 AMPS) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 5487 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.