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PRE 2010 DOCSCI Tr l e of Fridley, Min a BUILDING PERMIT No 4747 Cr Date: ........... . I, " ............ .p I S BuildrOwner ............ .. w. �^`� N'1 •.' Address : address .?� . � � r ll B I r LOCATION OF.,U LDING No. .. ja iS treet .. Parti of Lot , Lot Block .... ? .. ddition or Sub=Division .: _ r ,a i a .... _Garner. Lot . �`�. Inside Lot.. Setback-.. Sidayard .*�.*�. .{ . . i; 138SCRIPTION OF BU[LDIN6 To be Used a f jr . e Fxont Dept i? "R Height ' Sq. Ft. ... - . Cu. Ft. ... .. . `' .. .. Front .. ' Depth '! Height , Sq. Vt. .... Cu. Ft. ... . Type of Construction Est. Cost :.:... To be Completed .............. . .. . f Tn consideratio i of "the issuance to me of a permit to construct; the 'building described above, T agree to do the proposed work accordance with the description above ' set forth and in compliance" with all provisions of ordinances of the vage of Fridley. A y . - - +ws.o - ; ^"+ `1' w"te•. tom' �_ ..,,a '' y�� sus' In consideration of the payment of a fee of $.:`� .".s ....., Permit is hereby granted to ::�............. • H to construct the building or, addition as described above. This permit is granted upon the express contib,, that the, person to whom it is granted and his agents, employees and workmen, in all work done in, around an upon saki building, or any part thereof, .shall conform in Q respects to the ordinances of Fridley Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village li mi and this permit may be revoked at any ,time upon violation of any of the provisions of said ordinances. 4�7,�;', i Building Inspector NOTICE: This permitidoes not cover the construction, installation or aiterotion for wiring; plumbing, gas heating, sewer or water. Be sure to see th" if inspecfior for separate permits for hr items. City of Fridley, Minn. BUILDING PERMIT S® 4 341 �s Date. ....._._.__...._.._......... ...........-••--...��...----_._. ........................... Owner: ....._�_fsd'®C.... %'!..fl:?'�...... Builder.... ..f .....-�._......._ ....... Address....._ ............._......._...._......._......._.._...__...... ...... Address LO TION OF BUILDING No..... . Street ..... ...-._-...._.. �......i( ...---..... Part of Lot Lot ..... . ................................ Block ............................................. Addition or Sub -Division - ... _........... Comer Lot ..........___ ......... _........ Inside Lot .......---......................... Setback ..... ....................................... Sideyard Sewer Elevation ............... -...................................... ................................... ............ Foundation Elevation ......---.......-- DESCRIPTION OF BUILDING To be Used as: ------------ Front .. ..1...'.i /Depth Height , L ..'^.0.. a Sq. Ft. 3.?.. Cu. Ft. .?Y9 .................................................. Front ........................ Depth ................. Height ....................... Sq. Ft. ..... _................. Cu. Ft. .............. _........ 'lil .� Type of Construction............................................................ Est. Cos .... �........................................... 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 andin compli ce wijo all provisions of ordinances of the city of Fridley. XA 0 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, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances, �- 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 I 3, I • jA t- L4 pf rt Mj I 1 SUBJECT of Fridley 6 77i AT THE TOP OF THE TWINS BUILDING PERMIT rCity RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. 7-j r PROTECTIVE INSPECTION SEC. 7 CITY HALL FRIDLEY 55432 �.j NUMBERREV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/6/89 JOB ADDRESS 6140 Trinity Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6,7 2 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kim Herrmann 6140 Trinity Drive N.E. 571-5139 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 J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 201 Shed 9 CHANGEQFUSEFROM TO STIPULATIONS Shed must be securely anchored to ground by ties or slab. 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 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 $900 $'50 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- $23.00 STRUCTI N OR THE PERF RMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $23.50 SIGNATURE OFCONTRACTOR OR AUTHORIZED AGENT !DATE) WHEN PROPERLY BLDG )NSP V LIDATED THIS IS YOUR PERMIT SATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 1 NEW [ ] ADDN [ ] AL'I'T [ ] R-1 AND R-2 Building Permit Application Effective 5/1/88 Construction Address: &lq C) —F2ti A %, I/ 0 as / legal Description: 4 '1 Owner Name & Address: Jim Fif-wis4+u41) qL)TAI'vi& Dk Tel. # Contractor: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. • r.,•Ti� LIVIM AREA: length Width Height Sq. Ft. C:MUM AREA: IF.ngth Width Height Sq. Ft. DECK AREA: Length Width Hgt/Groumd Sq. Ft. 07HER: l t 6 Corner lot [ ] Inside Int Pj Ft. Yd Setback Side Yard Setbacks Type of Construction: t.joL) i Estimated cost: Approx. Coupletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: APPLICANT: i Tel. # i�-7/- ,S/ 3 9 CITY USE DII,Y Permit Fee $ / 00Fee Schedule on Reverse Side State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $575 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ Sb STI RJLMTCNS: 1::11 � �, � � a�.��y J:,i' _•�:I:H�_1) ` 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 alterati6n 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: $1 to $500 $15 Minim m Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $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 first $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 first $1,000,000 plus $2 for each additional $1,000 or fraction thereof UPZVEIM D SSION 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. OF FIOMMATIC N 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, snowing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1. 1997 Water Stories Closet Urinal Bath Wash Drink. Floor Catch Auto. 'Gas Gas Misc.. Water treater Tub Shower Sink Tray Fount. Drain Basin Washer Appl. Range FixL' : Gas Elec Basement PLUMBING FIXTURE RATES: NO. Floor 1 JOB ADDRESS !� Floor 2 $ 7.00 Floor 3 Old Opening, New Fixture Floor 4 specified agreeing to do all work in strict accordance with the city codes Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By State Surcharge $ .50 r^'r AI CCC Q TEL NO .3a_/— ��-f / Rough—In Date Final Date a /1%o &/ 17 '®e PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS !� New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 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 fads Beer Dispenser $ 7.00 and representations stated in this application are true and correct. Blow Off Basin Catch Basin $ 7.00 g 1e Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater —Et ctnc $ 7.00 Water Heater —Gas $10.00 Building Used As Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost PERMIT NO. UUrr�� Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING MPANY"� Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By State Surcharge $ .50 r^'r AI CCC Q TEL NO .3a_/— ��-f / Rough—In Date Final Date a CITY OF FRIDLEY INSPECTION DIViSION 1 /'� Effective On January 1, 2000 6431 University Ave NE Fridley, MN_ 55432 APPLICATION FOR POWER PLANTS AND: HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES i JOB ADDRESS C/® `�P o w a -y —Dk, RATE SCHEDULE OWNER U PH6 60R2.i70:AJ Residential., Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent- Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations. (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25 Jo of Value of Appliance or Work Rate TOTAL 'BUILDING USED AS -b Ld $ 30.00 ESTIMATED COST ,� PERMIT NO. $ 10.00 $ - DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units_ Circle One (Steam) (Hot Water) (Warm A' $ 10.00 $ Trade Name � r�e�< Size No. Al K BTU 60 HR EDR $ 25.00 $ Fuel 6J Al-- Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the -City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ iOs t. SUPERIOR COOMTP CTORS ING 6121 42nd Avenue No. DATE CrystP I, Mn 6.B"C2,22 HEATING 0 Signe TEL #-ig l Approved B Rough -In Date Final Date -9 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 (,f 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 (INo( ) 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 s� ft Length ft Diameter in Type ALTERATIONS: (Describe) 92 to to VC- V 0-7--tT F::U LNor- �?k/�� U)A' ' �46 fs o, --- L.j Is' 6121 42nd Avonmc No. CrystMl win HEATING CO: Signed By: Date: �� 1 UNOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 29, 2001 Mr. Craig Gordon 6140 Trinity Drive NE Fridley, MN 55432 Re: Final Inspection at 6140 Trinity Drive NE Contractor: Superior Contractors Dear Mr. Gordon: - A mechanical permit was issued on January 1, 2001 to install a furnace at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Mechanical Code. 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 expire 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. Sincerely, DJ/mh Building See Back Page for Fee Schedule BUILDING 65% of Building Permit Fee Permit No.: Inspections $ RESIDENTIAL APPLICATION $ ReceivedBy: 763-572-3604 $1675 per SAC Unit (Plans to MWCC for determination) CITY OF FRIDLEY- �ft= �ftx$21=$ " ss Datell► D: Q R 2 4 200 DATE V' YOUR E-MAIL ` % S $ ADDRE�SS� $ 5 ,� -oo SITE ADDRESS +U3�yS��1°," �� CC'� C THIS APPLICANT IS: *Q�WNER CONTRACTOR PROPERTY OWNER/ NAME: TV\ TENANT ADDRESS: Z{` 1 �f` 13t C STA A' IP_S 3 PHONE: _V, 763 7 CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE—ZIP- TATEZIPWITH WITHAPPLICATION PHONE FAX PROPERTY TYPE INGLE FAMILYMEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING OTHER ❑ SWIMMING POOL TYPE OF WORK: �'1' 13 ADDITION ❑ MAINTEN ANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: D �` S e cIry SIZE OF IMPROVEMENT L NGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffrt ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other . ❑ Fascia and proposed project, WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF'WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for determination) $ �ft= �ftx$21=$ " $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ 5 ,� -oo Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a pe$mit ork is t to start without a permit; that the work will be in accordance with the approved plan in the case of all work h requires r and a p oval of plans. SIGNATURE OF APPLIC PRINT NAM1 TE E �I Page 2 - Building Residential Application 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 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1- $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for IR $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1' $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for l- $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1' $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1' $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977