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PRE 2010 DOCSCity of Fridley, Mims BUILDING PERMIT Date: Owner: °' Builder Address _ _ _ Address N°5332 �WCATI®tx OP BUILDING No. y Ft` SfreeAt _ _ _._ I?afto Lot Lot _ Block _ Addition or Sub -Di 'on Corner Lot _ _ _ __ _ Inside Lot _ aback Sideyard Sewer Elevation ___ ____,____ oundation II Fevation DESCRIPTION OF BUILDING }AA -As_ Front ` Depth . Height Sq. W Cu. Ft Fro" Depth Height _ Sq. Ft. Cu. Ft. Type of Constructi �-�t .....__ Est. _ 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 set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of. $� , 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, shad conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _ --1 R , � "= Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sureto an the Building Inspector for separate permits for these hems. 4 AKVIU E.UARLbUN U !,'JUN INC. 3200 FRANCE AVE. SO. 3rd. 4WA441 N.E. 80.6d 75 75 ss All 0 402 Is a —44' Ln vo�, �4 q� 605 61 6044 V7777 A -4a W 40,? M&L. a4.;�; -j 25 26 27 F . I --28 7b 24 70 9i a 4c 23 22 OA 21 I N LANE vj 0 Z6 zfog 16 SO .50,9 20 5072 -� 15 17 14 19 13 4510 L J I 40.2 s b057 J Rq Al CLEARVIEW STREET APPLICATION FOR BU31DING PES CITY OF FRIDiEY, MINNESOTA Owner I s Name K au Builder Address '5C' `i - (� � LAN Address `� � � -�i ft 9'�, LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEM ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used iIp& 4 go .-- , Front Denth A-) Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Type of To be Completed _ --5; Cu. Ft. ted Cost 1� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling.of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE°'% SIGNATURE A - (A Schedule of Fee Costs can be found on the Reverse Side.) BUILDING PERMIT FEE SCHEDUIE Section 2. The Inspector of Buildings shall, before issuipg any permit for the erection of any building or structure, or for any addition to any existing build- ing or structure; or.for`any'alterations or repairs to any"'existing�buitding or, structure, upon application therefor, require the payment by the applicant for such permit of fees to the -amount herein below set forth and in the vanner herein provided to -wits 2.1. For any such permit for the erection of any fire -proof building, other than a garage; warehouse, factory or grain elevator, or for the erection of any fire- proof addition, for similar occupancy, to any existingbuilding shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical. contents. 2.2. For any such permit for the erection of any fireproof garage, warehouse' factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the:rate.of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or -grain elevator, or for the erection of any non -fireproof addition,,for similar occupancy, to any existing building or for each such building or addition. Ninety Cents for each one thousand cubic feet.or fraction thereof, in the cubical contents thereof with a minimum of $1.00. For the purpose of computing fees for building permits the cubical contents of any building or addition to a uniform height throughout by, multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 for each Five Hu�idr�,d Dollars ($500.00), or fraction thereof in the cost of all proposedJwbrk. 2.6. In no case shall the fee charged for 'any permit as set forth in Section 2 be less than $4.00. MEMO FROM: RICHARD N.• SOBIECH Public Works Director SUBJECT: 0 lV MEMO NO. RV 35 REPORT BY: 9125175 .DATE 9/12/75 Dumping Oil into Catchbasin on Topper Lane Make reports, w/background material as complete as poss- ible. Make interim report if necessary. . Action completed, no further review needed [) Further action necessary [] See attached letter [] Interim report COMMENTS:. I have codtacted Mr. Raymond Smith by telephone. He admitted'to dumping.oil into our storm sewer, but he was not aware that he was doing anything wrong. He stated that it would not happen again. I am sending him a letter, enclosing the State Regula- tions about dumping material into the storm sewers. DATE: 9-15-75 SIGNATURE !?&" RALPH V LKKAN J Supt. of Public Works E[ See attached REMARKS:. The Pollution Control Agency (Mr. Jakes 296-7361) called & indicated.he had received a complaint on a Raymond Smith, .5972 Topper Lane dumping oil Review & take appro- in the catchbasin at the intersection of.Topper priate action Lane & Horizon Drive. It is the policy of the LU PCA not to get involved in local complaints, [..Review & comment therefore, they are requesting the City to contact the gentleman and indicate to him that °- ❑ .Note & discuss with me _ oil is not to be disposed of in the sewer system. C) Perhaps you may want to contact him personally '- Work with & follow up with a letter or you may want to involve Steve Olson, at any rate it is our 3 [� Rush, immediate action storm sewer system & we should assure that desired contaminants are not disposed of in such a manner. Thanks for your help. Make reports, w/background material as complete as poss- ible. Make interim report if necessary. . Action completed, no further review needed [) Further action necessary [] See attached letter [] Interim report COMMENTS:. I have codtacted Mr. Raymond Smith by telephone. He admitted'to dumping.oil into our storm sewer, but he was not aware that he was doing anything wrong. He stated that it would not happen again. I am sending him a letter, enclosing the State Regula- tions about dumping material into the storm sewers. DATE: 9-15-75 SIGNATURE !?&" RALPH V LKKAN J Supt. of Public Works CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE m RATE TOTAL D. m $ ro x $2.00 v New Fixture, Old Opening 43 0 Catch Basin Water $ '01N Water Heater - to 99,000 BTU x $5.00. Hca ro m A m m sa W �' x $5.00 $ Heater �+ sew m a 1st 3 fixtures x $3,00 u Additional Fixtures x $1.00 xaffi lGas Range to 199,000 BTU x $10.00 o W N bu O to 3 Qw M N U lec is 2n 3r 4 () Future Connection Opening Connected with Sewer () New Fixture, Old Opening Water PARTIAL RATE SCHEDULE ILUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ '01N Water Heater - to 99,000 BTU x $5.00. $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ .S FITTING FEES: 1st 3 fixtures x $3,00 $ Additional Fixtures x $1.00 $ lGas Range to 199,000 BTU x $10.00 $ RS $ ALTERATIONS t $100.00 $5.00 $ add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE Z a REINSPECTION FEE ($10.00) Job Address ® ��n/-� Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. �, 1997 OWNER KIND OF USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD NEW BUILDING PERMIT NO. PERMIT NO. Company '01N Signed By� Tel. No. J .9 P - �-� ROUGH INSP. Date FINAL INSP. 4 - 1 7 - Date APPROVAL FOR PERMIT , MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE SUBJECT PERMIT NO. City ®f Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 2 5 7 8 r COMMUNITY DEVELOPMENT DIV. R T N.Q r PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 J "'J 612-571-3450 910-F15 5/31/94 JOB ADDRESS 5072 Topper Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 19 5 1 Carlson's Summit Manor South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Peffer 5072 Topper Lane NE 571-7858 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 Residential 7 CLASS OF WORK ❑ NEW C. ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 26' x 16' Deck Addition 9 CHANGEQFUSEFROM TO STIPULATIONS See notations on plan. Provide smoke detectors adjacent to all sleeping areas and in basement. 110 YwARNING Before digging 0611 %t all utility locations 454.0002 REQ UIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.61 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,228.16 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $3.23 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $63.00 PLAN CHECK FEE TOTALFEE 67 _4 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WH p Y VALI ATE D IS YOUR PERMIT„ BLOC INS DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW Effective 1/ 1 /94 ADDN CITY OF FRIDLEY i 1. ALTER (J SINGLE FAMILY AND DUPLEXES R -I AND R -Z Building Permit Application Construction Address: -- Legal Description: Owner Name & Address: 04P:710 Tel. # 7 Contractor: MN LICENSE # Address: Tel. # 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 . 2-4'e Width 1— Hgt/Ground J ` Sq. Ft. OTHER: Comer Lot [ ] Inside Lot M Ft. Yd 'Setback ISide Yard Setbacks Type of Construction: fit% od 0 Estimated Cost: $ Z; az r Approx. Completion Date: 6 -- /S- %-'/ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft 17 =A Ft x_ $ _ $ DATE: APPLICANT: ` Tel. # f- 7 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ r .001 of Permit Valuation (1/ 10th%) State Surcharge $ 9 $.50/$1,000 Valuation SAC Charge $ $800 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 $ e� STIPULATIONS:Zh6, bedmewt4 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 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for fust $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for fust $2,000 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for fust $25,000 pias $6.50 for each additional $1;000 or fraction thereof, to. and including $50,000 $50,001 to $100,000 $414.50 for, fust $50,000 plus $4.50 for each additional .$1,000 or fraction thereof, .to and including $100;000 $100,001 to $500,000 $639.50 for fust $100,000 plus- $3.50 for each additional. $1,000 or fraction thereof, to and including -$500,000 $500,001 to $1,000,000' ' $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, .to and including $1,000,000 $1,000,001 and up $3539.50 for the fust $1,000,000 plus $2 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. 114 All NaVr, t � We 10 ,lo= Q\V� --a(Nqc�D /v q, ti�JQ IIO)A �T � l wiwwwwww��wwww� �'www�w�rwwwwwrw��o e � ,� r "� �/!) —.11' �! A ly 4.. 1 ` d f f 1 IN 1ry t®� 17 11 wl. v A 1'�� ;ITY OF FRIDLEY INSPECTION DIVISION A31 University Ave NE ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, '63.572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Zesldential Furnace Shell and Duct Work, Burner Also Replacement Furnace (Side Vent • Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer 'Air Conditioning - All Sizes Effective On January 1, 2001 All Others/Repairs & Alterations (LIST ON BACK) 10/0 of Value of Appliance or Work Commercial/Industrial 1.25%, of Value of Appliance or Work State Surcharge TOTAL FEE 'MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/I-ir 'Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 $ S0 Burner Trade Name Size No. BTU tip EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations slated in this application are true and correct. DATE BLO.AINE ENTRAL AVE. E. HEATING CO _ ANO Signed ' ` , TEL N (P�71rl�lADOD, s Approved By4 Rough -In Date Final Date BACK SIDE MUSTIBE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION JOB ADDRESS�OWNER Rate TOTAL BUILDING USED AS S$30.00 $30.00 $30-,0-0 - ESTIMATED COST®� ' 0-0 PERMIT N0. $10.00 $ DESCRIPTION OF FURNACE AND OR SURNtR $ 10.00 $ No. of Heating Un'ts Circle One (Steam) ' (Hot Watdr) ( r)� $ 10.00 $ Trade Name--- c (� Size No. 31�- VQSG07 _ BTU (Y -Cy 0 HP EDR $ 25.00 $ 0-0 Fuel Aj- (h , Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) 10/0 of Value of Appliance or Work Commercial/Industrial 1.25%, of Value of Appliance or Work State Surcharge TOTAL FEE 'MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/I-ir 'Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 $ S0 Burner Trade Name Size No. BTU tip EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations slated in this application are true and correct. DATE BLO.AINE ENTRAL AVE. E. HEATING CO _ ANO Signed ' ` , TEL N (P�71rl�lADOD, s Approved By4 Rough -In Date Final Date BACK SIDE MUSTIBE 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 verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Ye4 No { ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes X 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 -LAMA Category l 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( j 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 -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. YesNo ( ) 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 `. O l}-OFan 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 Diameterin Type® Appliance #3 Vent Connector Height ft Lengthft Diameter in Type ALTERATIONS: (Describe) BLAINE HTO. A/C ELECT., INC. 13582 VENTRAL AVE. N.E. HEATING CO: ANOKA. MN 553tt4 y Signed By: eh. Date: HEATING AIR CONDITIONING wSIMAMMINE AND ELECTRIC, INC. ADDRESS , OCCUPANT HEAT LOSS DATE HTG. INST. SOLD BY Electrical Work By 111LO 'p— TYPE OF HEAT GA FA—Y—HW STEAM SPACE HTR. GAS DESIGN CONTROLS Heat Plug Limit Fan ! Pilot Make. Pilot Model Pilot Timint L.W. Cut Off Pressure / ® Percent CO2 Z42 Input CFH6!(e Percent 02 Stack Temp. _���,�/ Percent CO HOUSE HEATING TEST RECORD APT. FLOOR CITY � SUBURB OWNER A64 -1 INSTALLED BY Gas Line By L000l UNIT HTR. OTHER C��IIL��3r�1iJ Vent Size KIND OF LINER SIZE NONE Dmft Hood 471WIJ Regulator Filters Size �� Veg <Y Number % Chimney Location Inside 0 tside Chimney Construction �!® Smoke Bomb Wiring Af Draft Test Tag Door Pressure Lighting Inst ,e Date Tested Company Testing Name of Tester Pressure Percent CO2 Input CFH Percent 02 Stack Temp. Percent CO