The URL can be used to link to this page

PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMITS 4048 Date: ...._.. ....... ... .. ._..- - .._.....__..._. Owner:..... . .... ._........ --__,�J'L......._._............. ..._ Builder .......... k' -...._.._..........._._._......_........_..._.._.._._. _... Address-.-• .... -----._...._._...._......_..._.._..__.._...__.___....._...........__............. Address LOCATION O LDING No. 4�-. l-°..�Street ....._...: _..._..: - - ................ - Part of Lot ... Lot ....................................... Block ....._..........._............................. Addition or Sub -Division ....._.....-----..._......-....... Corner Lot ..... ......................... Inside Lot . '-..................... Setback ..... _.................. - ......... ........ Sideyard Sewer Elevation ...... .......................... ................. ........ .................... ........................ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: _........--------------- Front _`"`.. Depth ....n.Height ®.t--b'dSq. Ft.'�....._.. Cu. Ft./ J� ................................................... Front .............................. Depth ....................--- ieein t....................... Sq. Ft. ....._................. Cu. Ft. Type of Construction ............................................... .. Est. Cost...,�................... To be Completed ......................... In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above s and in compliance with all provisions of ordinances of the city of Fridley. r . J n i In consideration of the payment of a fee of $...7- ......................... permit is hereby granted to....._.....-..-- ................ ....................... ... ....... .............._-........_............._....................... 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 a provisions of said ordinances. ........ Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 SUBJECT PERMIT City of Fridley ® 4 n 4 AT THE TOP OF THE TWINS BUILDING PERMIT (01 r RECEIP i COMMUNITY DEVELOPMENT DIV. __ -___ r PROTECTIVE INSPECTION SEC. � = 1 "'1 CITY HALL FRIDLEY 55432 NUMBER REV. PAGE OFAPPgOVED BY 78/5/87 JOB ADDRESS 6444 Taylor Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 1 Charley addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Jim Montain 6444 Taylor Street N.E. 571-7913 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Northland. Sunrooms. 7496 Berkshire Way,, maple. Grove 420-6243 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 8 DESCRIBE WORK Construct a 121.x 10' Deck; 141. x 12' Three Season Porch 9 CHANGE QF USE FROM TO STIPULATIONS See notations on plan SEPARATE PERMITS REQUIRED - WIRING, HEATING, FOR PLUMBING AND SI WARNING Before diggiag tall local utilities TELEPHONE ,,.ECTRIC - GAS Etc. REQUIRED BY � SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $3.10 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,200 DOES NOT PRESUME TO..GIVE AUTHOR O VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF AN THER LO AL LAW REGULATING CON- ST UCTION E PERFORM NCE O CO STRUCTION. $62.50 PLAN CHECK; EE TOTAL FEE yrf�R t$15.63 $81.23 TURE OF CON' ACTOR OAUTHORIZED AGENT IDATEI h WHEN PROPERLY VIDATED THIS IS YOUR PERMIT +-TK A�� SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI BLDG INSP E NEW [ ] ° City of Fridley Effective $/1/86 ADDN. [ R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Addri Legal Description: ✓ 7 d i m �, - Owner Name & Address: s- --. 6L Tel. # Contractor: /'J 1 ��^� �Tel. # ® � � $ ' � _ Address: LIVING AREA: GARAGE AREA: DECK- AREA: OTHER: Corner Lot [ ] CV e - Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. - Length Width Height - Sq. Ft. Length ._.J _ Width .1 ® Hgt/Ground -I_ Sq. Ft. r� Cees rsH®r-e �$kLPram® lye Inside Lot [yc] Ft. Yd. Setback Side Yard Setback! Type of Construction: 1-J, a.0 - Approx. Completion Date: S Estimated Cost: $ - =� G ao0 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: for Explanation See Back Page DATE: 2 ?7 APPLICANT: Tel.®� 2 ys CITY USE ONLY Permit Fee $ 60.5t� Fee Schedule on Reverse Side Plan Check $ 25$ of Building Permit Fee State Surcharge $=L $•50/$1,000 Valuation SAC Charge $ `'-"�` $ 525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ 7 TOTAL $ STIPULATIONS• ry�� rx 6 43 .33t.6c)/, �i '39 1.') 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, application or for any alteration or repair to any existing building or structure, upon 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 5 f or each for the first $1.50 fraction thereof,to and including additional$10.00 $100 or $2,000. $2,001.00 to $25,000.00 00 ach $32.50 for he first 0 s fractionthereof, oe to and $1,000 or additional $1,000 including $25,000. $25,001.00 to $50,000.00 $25,000or ach 0uf e to and additional $1,000 orfractionthereof, including $50,000- $50,001.00 to $100,000.00 $283.00 for the first $50,000ach nus$3.0 thereof, for to eand additional $1,000 including $100,000. $100,001.00 and up $1433.00 for the first $100,000 plus $2.50 for each thereof. additional $1,000 or fraction 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-replvewaenwidthI of cplusurb a6dfeetttimeser d$15Sg511 a 3 foot wide approach with 6 inch depth Driveway VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 214 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of vey willfbethe requiredshowing beforethe proceeding withthe thefoundation once it has been constructed CI7Y0F FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 December 21, 1987 Mr. Tom Smith Northland Sunrooms 7496 Berkshire Way Maple Grove, MN 55369 Re: Final Inspection on Deck/Porch Addition at 6444 Taylor Street N.E., Fridley Dear Mr. Smith: A final inspection was conducted on December 21, 1987 of the above noted construction for which your company was issued a building permit. The following items were noted which must be completed before the construction can be finaled: 1. Exchange the 4 x 4 posts for 6 x 6 as shown on the plan. 2. The exterior deck stair is not level and must be straightened. We will expect the above items to be completed by January 4, 1988 and a reinspection called for. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK ` Chief Building Official DG C/mh CC: Mr. Jim Montain 6444 Taylor Street N.E. CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS (0444 I dLV1dr S�re RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct. Gas Piping (Needed with new furnace) $ 10.00 $ OWNER_ J/m -a)M40 r y1 Gas Range $10.00 $ BUILDING USED AS C((A) e- f1 � Gas Dryer $ 10.00 $ ESTIMATED COST PERMIT NO. /13V31 *Air Conditioning - Ali Sizes $ 10,00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work $ t®. 6-6 No. of Heating Units---- One (Steam) (Hot Water) :armAir} - u_e-TtjoO�F't� Tb Ab�lT loo Trade Name Agy)geJT Size No.c/5-C-4 VA 16 7� Commercial/Industrial BTU b'$, (gyp HP EDR 1% of Value of Appliance or Work $ Fuel_ N�,i Total Connected Load 174 d3 -D State Surcharge $ .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $,�,Q . 5 0 BLAINE NTG, A/C & ELECT. ¢a• HEATING COMPANY 13562 CENTRAL AVE. N.E. MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed By. Tel No. 4767-6 a 6-D PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 Approved ByRough-in Date Final Date 0- - c� *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE SUBJECT NO.y of Fridle 2 7 2 6 4 AT THE TOP OF THE TWINS BUILDING PERMIT rpCity NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER )ATEPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/18/98 JOB ADDRESS 6444 Ta for Street 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Charle Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Montain 571-7953 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Right Way Roofing Inc. 1200 E. 79th St. Bloomington, - 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 a REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (29 Sqj 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 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 2418 $1.20 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- STRUCT ON OR THE PERFORMANCE OF CONSTRUCTION. $74.75 Fire SC $2.41 PLAN CHECK FEE TOTAL E t� Licens C 5 .00 .36 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT VIDATET N P PE BLp P LID AT HIS IS R PRT 1 4 rjAT SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI r NEW ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMH.Y AND DUPLEXES R-1 AND R-2 Vd BUILDING PERMIT APPLICATION �4 J ConstructionAddress: «(-i 1®r s�-• Legal Description: Effective 1/1/98 Owner Name & Address: S Mon iculn Tel. # 5]1 - `1Q,,S3 Contractor: (Aa K+ w o Qb p-rtn ti MN LICENSE # 000 P Address: t2D() 0 ,-+qfK -- . [(�. Tel. # gcoS7MP Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF L%IPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: V/ e" -t1" . Z q j Construction Type: I Estimated Cost: $ Liles (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: a � APPLICANT: RMAYW &,1�, k Tel. # TOTAL STIPULATIONS: $ 9 3.36-' CITY USE ONLY Permit Fee $ 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: $ 9 3.36-' 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. SUBJECTIT NO. City of Fridley 33949 AT THE TOP OF THE TWINS BUILDING PERMIT " � RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY � CITY HALL FRIDLEY 55432 L J` 763-571-3450 910-F15 10/6/03 JOB ADDRESS 6444 Taylor Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 1 1 Charley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Montain 6444 Taylor Street NE 763-571-7953 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 1920 Co Rd C W, Roseville, MN 55113 651-264-4777 20130983 d 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 Cj REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace 4 windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 $4,320 $2.16 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE cen SC $5.00 $122.73 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI EN PROPERLY VALIDATED THIS IS Y UR PER^T " lDG INSF' 'dL�E SIGNATURE OF OWNER,IF OWNER BUILDERI IDATEI NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: -Io44A �Q a ,r ,evv - .<:::�-- OF Legal Description: Owner Name & Address: —7t -71 .#0 Contractor:; MN LICENSE # 6161309E Address: 19 a0 C.ounN-Lk'tsoo d C we �� stv�lk� m� ssll� Tel. # (02-31•104.4 Attach to- this application, a, ertifiicate of Survey of -the lot, with the proposed construction drawn° on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: r Construction Type: DES.CjR. flltii OjR. ROVENIENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Estimated Cost: $ 4/ 3 MDQ o® Driveway Curb Cut Width Needed: Ft. + 6 Ft = _ Ft k $_ _ $ DATE: 1666% APPLICANT: A A Tel. # JC3 •3�S•la�y - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ $ $ Le Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $1050 per SAC Unit $5.00 (State Lice nscd Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY PERMIT O.: 2004-00477 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 04/12/2004 763) 572-3604 FAX: (763) 571-1287 ADDRESS : 6444 TAYLOR ST NE PIN : 133024320009 LEGAL DESC : CHARLEY ADD GAS DRYER FEE LOT 1 BLOCK 1 PERMIT TYPE HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 1,500.00 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 AIR CONDITIONER # A/C UNITS # GAS DRYERS APPLICANT ANDERSON HEATING & AIR COND 4347 CENTRAL AVE NE COLUMBIA HEIGHTS, MN 55421 (763) 781-6511 OWNER MONTAIN JAMES D & ALICE C 6444 TAYLOR ST NE FRIDLEY, MN 55432 1 # FURNACES 0 0 # GAS RANGES 0 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 re consf ction or the performance of construction. A licant // Date I Bldg HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 25.50 PAID WITH CHECK # 23537 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, 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 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS &V'IV ZM ° Fee Total Owner 5yTz4 'L. $35.00 $ Building Used As L✓ $10.00 $ ESTIMATED COST PERMIT NO '. r $10.00 $ $10.00 $ $25.00 Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR DESCRIPTION OF FURNACE AND BURNER # of Heating Units Circle One (Steam) (Hot Water) Trade Name Size N, BTU HP EDR _ Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR (Warm Air) 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. $ 1,529 HEATING CO (,e.!? ALL �kat- �t✓ _ /w %3 $' Signed C ��n /�� r e�i� Tel # FAX # Date *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 -- 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 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) P-Pa� V'; to LL " HEATING CO: �� Signed By: Date : - 7w 7` Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat OQE 2 q� DATE 114 N YOUR E-MAIL ADDRESS SITE ADDRESS�,nd ►' Q s QwN_4Ar THIS APPLICANT IS: 0 OWNER *ONTRACTOR Montain PROPERTYAlice NAME: 6444 Taylor Street Northeast OWNER/ TENANT ADDRESS: Fridley, NIN 55432 Zlp PHONE: 7635717953 CONTRACTOR NAME: STATE LICENSE 4_5 C% _ EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS• I'f/t/ / crry_A&eeaAWY STATEELIP S�Sy09' LICENSE WITH , PHONE- 4' FAX Z 7 7 APPLICATION PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: o NEW XREPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This.should_reflect only.the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = T•FOR:PROJECTS WHERE LABOR EXCEEDS -S509, -FEES ARE BASED ON $10.00 PER FDCrURE,'EXCEP- E.MRE'IgUTED :FIX'TUM, •(INDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINK/LAV _FLOOR DRAINS _ SHOWER WATER PIPING _ —BATHTUB— PIPING (A ctr _ vnwst) SWIMMING POOL WATER SOFTNER ($35) — m _CLOTHES WASHER KITCHEN SINK WATER CLOSET _BACKFLOW PREY. ($IS) —DISHWASHER _.LAUNDRY TRAY TWATER DATER ($35) FOR IRRIGATION WATER METER OTHER sy Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ s Surcharge .50 Number of fixtures @ $15.00 x $15,00 = $ Number of fixtures @ $35.00 -� x $35.00 = $ 36.®® TOTAL DUE $ State Surcharge = $ .50 Total = $ . SO THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only ' applic ' n for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case 1 o uires review and approval of plans. Ar // %% SIGNATURE Je'T OF APPLICANT PRINT NAME /(/4,4/001 DATE 10, om FOR; City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977