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PRE 2010 DOCSCity of Fridley SUBJECT ®14044 AT THE TOP OF THE TWINS BUILDING PER I T RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � 1 CITY HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/3/77 JOB ADDRESS 5650 West Danube Road N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 3 Innsbruck North Addition SHEET. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE O'Meara Custom Building Inc. 97 - 20th Avenue S.W., New Brighton 633-0246 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 Ek NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK 30 DAY NOTICE Construct a 48' x 35' Dwelling and a 22' x 20' Garage T® CI DIV-. RE UIRED FOR SEPERATE PERMITS REQUIRED FOR WIIRN+Ifa, REMOVAL AND RE -21A.0 • 9 CHANGE OF USE FROM tiEONG1.PLUMBING AN AT DRIVEWAY ®EE FI'�' 1 �p STIPULATIONS Provide a hard surface driveway. Provide sod in the SO= front and side yards. Provide a verifying survey before capping. Ceiling joists over dining area to be #1 D.F. or better. SEWER LOCATION: (Approx. 9' Deep) 44' South of Manhole (Inv. 945.00) WYE ELEV: 946.47 TOP OF FOOTING: 949.97 Minimum WATER LOCATION: 53' S.W. of Manhole, 59.5' South of catch basin. DRIVEWAY DEPRESSION: N/A Existing Fridley surmountable THE CITY of FRIDLEY DOES NOT GUARANTEr THE WAR" t1CCURACY OF UTILITY LOCATIONS AND ELEVATIONS. Before digging call localUtilI ies IVIS DATA IS FOR INFORMATION PURPOSES ONLY AND VERTELEPHONE m ELECTRIC a GAS etc. P MM3 USING ff SHOULD VERIFY TNI . INFOLAAAliON 0N' THE am REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 1198 + 770 33,688 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $53,125 $26.56 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 k7 $134.75 $375.00 PLAN CHECK FEE TOTAL FEE .69 $570.00 SIGNATURE OF WrYACTOR OR AUTHORIZED AGENT f (DA E) WHEN PR PERLY(�VALIDATED THIS IS YOUR PERMIT j 04 6 GKlisu 07' A / BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE YING. CURB EMENT 4INGS. OWNER: Address: CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) 54 m -e- No.: Street: LOT: CORNER LOT: BUILDER: (.J��ft; C�v►a/�� P Address: l s - �-" " S c �/ �L�ec✓ �� Tel. No.:- 63 3 -`o W�D �Ro�J BLOCK: ADDITION: INSIDE LOT: t,-' SETBACK: 3 #pd N • SIDEYARDS : ®V 3 Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Used As: ,^`G Front: `� D Depth: Square Feet: // I C Front: a- Depth: Square Feet: q4e4o Type of Construction: To Be Completed: 3-5 Cubic Height: bic Feet:` ® Height: Feet: ' g A Estimated Cost: $ Alt. A Alt. B r Proposed Driveway Width If New Opening Is Desired j $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that ll the facts and representations stated in this application aree,true and orre See reverse side for additional information. DATE: Ve U " ( SIGNATURE: e'u 5tipula ions : � W,, y l t ,dE.24 i 770 fd �33�_ _ " a- `33,67 - -3� �iQ�, �3u�• a� CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Zob Address 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. OWNER KIND OF BUILDING fit, USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE m ESTIMATED COST PLUMING FIXTURE RATES: NO. RATE fbya� TOTAL � PERMIT NO. t Number Fixtures 1 j x $3.00 Water Future Fixture Opening _�_ x $2.00 EG Company /�f ��/b �� /�t-c' New Fixture, Old Opening m m H Gai Ga Ie' Heater Signed By e1_11 Catch Basin a 3" $ v 'ci 0 x ti a"i $ Tel. No. _ 100,000 BTU to .199,000 BTU x $10.00 $ Water Softener x $7.00 $ o0 cn N U P P7 r 3 A W ai N U '1 ao 3 a V c� Date lec P� nn FINAL INSP. 1st 3 fixtures 1 x •$3.00 $ 3.60 ' Date Additional Fixtures G $ lst I Gas Range to 199,000 BTU x $10.00 $ APPROVAL FOR PERMIT , REPAIRS & ALTERATIONS First $100.00 2nd $5.OQ $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7,50 PLUS $.50 STATE SURCHARGE State Surcharge $ .50 3rd TOTAL FEE $ l .% REINSPECTION FEE ($10.00) 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water Zob Address 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. OWNER KIND OF BUILDING fit, USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMING FIXTURE RATES: NO. RATE TOTAL - NEW BUILDING PERMIT NO. PERMIT NO. t Number Fixtures 1 j x $3.00 Future Fixture Opening _�_ x $2.00 $ CC) Company /�f ��/b �� /�t-c' New Fixture, Old Opening x $2.00 $ Ie' Signed By e1_11 Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ Tel. No. _ 100,000 BTU to .199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ ROUGH INSP. Electric Water Heater x $5.00 $ Date GAS FITTING FEES: FINAL INSP. 1st 3 fixtures 1 x •$3.00 $ 3.60 ' Date Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ APPROVAL FOR PERMIT , REPAIRS & ALTERATIONS First $100.00 $5.OQ $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7,50 PLUS $.50 STATE SURCHARGE State Surcharge $ .50 TOTAL FEE $ l .% REINSPECTION FEE ($10.00) 6439 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. F Mrs. Dan Larson 5360 Raymond Avenue Mounds View, MN Dear i'ir. . & i irs . Larson: August 30, 1977 TELEPHONE ( 612)571.3450 SUBJECT: EXISTING STORM SEWER MANHOLE IN THE NE CORNER OF 5650 EST DANUBE ROAD NE It has been brought to my attention that due to the style of the house constructed on this lot and the proposed rear -yard elevations, that it is your desire to modify the existing storm sewer manhole located in the rear corner of your lot. It is the city's policy that any modifications to an existing storm sewer system when required by an individual's preference, must be performed by the property owner with preliminary approval and final inspection being done by the city. If you would submit a proposed plan and/or sketch'of what your pro- posal is to our storm sewer system, we would be happy to work with you to review the feasibility of such a proposal and.offer any sug- gestions that we may foresee. If you have any questions.regarding this information, please feel free to contact me. Sincerely, CITY OF FRIDLEY Thomas A. Colbert, P.E. Assistant City Engineer TAC/ars cc: Ralph Volkman • a ....r ,a xv- «" .� ... zR —*.0 a.. 9 '� +,• 1 LS: '^ `'. fi .d. r ,.t. •0., rod, ��'� F. 'ha r. �sY 1925 Oakcrest Avenue Roseville, Minnesota 55113 (612) 636-7744 220 - 20th Avenue North St. Cloud, Minnesota 56301 (612) 253-3451 REPORT OF EXCAVATION INSPECTION AND DENSITY TESTS PROJECT: REPORTED TO: PROP�,S2SE 650 WEST DANUBE RO FRIDLEY, MINNES0 GEC JOB NO: 1330 MR. BARRY O' MEARA 97 22ND AVENUE NEW BRIGHTON, MINNESOTA 55112 CC:CITY OF FRIDLEY, BUILDING INSPECTION DEPT. DATE: JUNE 9, 1977 EXCAVATION INSPECTION Concern regarding a spongy condition of the sand fill in the western area of the basement excavation was expressed by the client. The area was viewed by us on May 12. It is our impression that the condition was caused by local, temporary conditions of saturation of the sandy soil. We suggested that the stability of the material would probably improve as the water drained from the soil. We again inspected the site on May 13, and the surface appeared suitable for construction. (We cannot, however, verify the actual suitability of the soil without testing the underlying material. This could be done by soil borings. DENSITY TESTS Two density tests were taken on May 13, 1977. The tests were taken about h' below footing grade. The results of the tests are listed below. Based on the results of the density tests, we feel the fill has been satisfactorily compacted. HYDROLOGY • SOIL AND FOUNDATION ENGINEERING • TEST BORINGS MATERIALS TESTING. PERCOLATION TESTING. ENGINEERING GEOLOGY • CONSTRUCTION INSPECTION GEC #1330 Page 2 FIELD DENSITY Test Method: Sand Cone, ASTM D 1556 (-#4 sieve basis) TEST NO: % COMPACTION: LOCATION: MOISTURE CONTENT W: 1 91 NW corner of basement 6.6 2 �r 96 SE corner of basement 7.1 LABORATORY MOISTURE - DENSITY -RELATIONSHIP -(PROCTOR) Test Method: Modified -Proctor ASTM 1557 (-#4 sieve basis) SOIL TYPE Silty sand, fine grained, brown, (SP -SM) Report Prepared By: " �1 Ql�v�t � a� l_� �� Charles -W. Bisek MAX. DRY DENSITY OPTIMUM MOISTURE 128.8 8.8 Under the Supervision of: Obert E. Pendergast, P.E. Minn. Reg. No. 8450 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $. ®® each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ -3• U 0 Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 • $ AIR CONDITIONING $ 10, FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS & REPAIRS $ State Surcharge $ .50 TOTAL FEE $ ,95. ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP.- % Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Job Address (Gd l.s'_�t C �j , 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 applicatA are true and correct. c Fridley, Minn. ( /S , 19_2J OWNER KIND C USED A TV IM U.AWJ1 "XZU HDV" P ESTIMATED COST OLD NEW B ILDING PERMIT NO. PERMIT NO. n DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Capacity Total Connected Load BURNER - Trade Name Size No. Sq. Ft. EDR BTU HP Kind of Fuel Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. September 9, 1977 : i�10 7 6431 UNIVERSITY AVENUE N.E., FRIDLEY., MINNESOTA 55432 TELEPHONE ( 612)571-3450 O'Meara Custom Building, Inc. 97 - 20th Avenue S.W. New Brighton, Mn. 55112 Re: Final Inspection at 5650 West Danube Road N.E. Dear Sirs: The final inspection was made on September 6, 1977 of the above address and the following items were noted which must be completed before the structure can be finaled out; l.• Provide house numbers on structure. 2. Provide a door closer on door between house and garage. 3. Provide nuts on anchor bolts in garage. 4. Secure fire dampers in both fireplaces. 5. Install ball checks in both floor drains. 6. Provide sod in the front and side yards. 7. Install joist hanger on deck joist. We will expect the above items to be completed by October 1, 1977 when a reinspection will be conducted to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT a1 m +1 W a! 49 N 0 U r�i b 5 a 04 N C W 0•� to >. E 0 3: a► .d ro 1:3 -1 :03 A [� N A w y „r.� U A o 41 ya 0 0 .� 3 W a (7 43 k' u £ m C7 v O Water Heater as lec $ Catch Basin x $5.00 $ 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 1st $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 2nd Gas Range to 199,000 BTU x $3:0.00 $ 3rd 4th (R) = Future Connection Opening (*) = New Fixture, Old Opening Connected with Sewer Water PARTIAL RATE SCHEDULE PLUMBING 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 $ 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 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $3:0.00 $ REPAIRS 4 ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) Job Address 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. Cj" ^ - , 19= OWNER KIND OF BUILDING"—�- USED AS TO BE COMPLETED ABOUT ESTIMATED COST / OLD - NEW BUILDING PERMIT NO. PERMIT NO. company Signed By.-r^— Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURCWU= 1978 6431 UNIVERSITY AVENUE N.E., FRtIDLEY, MINNESOTA 55432 Mr. & Mrs. Larson 5650 West Danube Road N.E.. Fridley, MN 55432 TELEPHONE ( 612)571-3450 Re: Lowering of Storm Sewer Structure on Property Line Dear Mr. & Mrs. Larson: Thank you for your letter and drawing of the manhole structure in question. Apparently there has been some mis-communication regarding who is to perform the work.. I am not fully aware of all discussions that took place between homeowners, contractors, and City employees in the past. Obviously we all have failed in achieving the desired result which is to lower the unsightly structure as much as possible and improve the local drainage. Perhaps the best way to proceed would be to meet you and your neighbor, Mr. Budzynski, on the site and discuss our alternatives. We then can proceed to assist you in taking care of the problem. Would you please contact me at your convenience I can be reached at 571-3450 between 8:00 a.m. through Friday. Sinc , RON HOLDEN Building Inspector RH/mh CC: Mr. Budzynski to set up an appointment. and 5:00 p.m. Monday SUBJECT ER City of Fridley ® y 15870 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. 1r ____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/12/80 JOB ADDRESS 5650 W. Danube Rd. N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 3 Innsbruck North Add. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Larson 5650 W. Danube Rd, Fridley, 55432 571-7121 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rite -Way Waterproofing 7337 Lake Dr. Lino Lakes - 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 k ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Waterproof the basement 9 CHANGE OF USE FROM TO STIPULATIONS Drain cannot be connected to the sanitary. sewer. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Tile 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 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 $3,651.00 $1.82 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE ERFOR NCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE SIGN T RE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERL DAT THIS IS YODUUR PERMIT �y a- SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BLDG INSP DATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions', or Repairs) - - 0¢114ER: ADDRESS: TEL NO: BUILDER: e /OP"' ADDRESS: 3 7 a,//& LO"12_.117 5 TEL NO: ^(�• �,� Construction Location STREET NO: f �"� STREET: /e.d" 6 LOT: �� BLOCK: dP3 ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Squane. Feet: Cubic Feet,: Front: Depth: Height: Square - Peet: Cubic Feet: ov � � /s Type of Construction: •3 _ Estimated Cost: $ � To Be Cbmpleted: f AS Alt. A Alt. B Proposed: Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict 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: '- SIGNATURE: Stipulations: Z5. 2 SUBJECT PERMIT N City of Fridley 19732 AT THE TOP OF THE TWINS BUILDING PERMIT r RE COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. / C� 3 L r PROTECTIVE 11 / 1 i i CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 612-571-3450 91 10/27/88 JOB ADDRESS 5650 West Danube Road N. E, 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 3 Innsbruck. North. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larson 5650 West Danube Road N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. North. Star Services 688 Hague Avenue, St. Paul, MN 55104 227-7061 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 3E] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace basement window; basement alterations 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $17,000 $8.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE FERMITFEE SAC CHARGE PROVISIONS OF ANY OTMeRj STATE OR LOCAL LAW REGULATING CON- R THE P FO ANC F CONSTRUCTION. $180.00 �TRUCTIO P AN CHECK FEE TOTAL FEE I $188.50 SIGNATURE OF NX ACTOR OR AUTHORIZED AGENT IDATEI=PERL Y V (DATED THIS IS YOUR PERMIT �j Q ® C7 BLDG (NSP OAT SIGNATURE OF OWNER IIF OWNER BUILDER( (DATE) NEAT I ] ADDN I I ALTER [ ] Qonstruction Address Legal. Description.-_ Owner Naane & Address Contr actor : Address: City of Fridley R-1 AND R-2 Building Permit Application EEfective 5/1188 Tel. # Tel. -7-70 �O Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. LIVING AM2 Length Width — Height sq. Ft. r.1 i. .. r 1_. iLength Width Height N s• DECK > >Length Width i.. • I • • OTHER: i L L Corner Lot I ] Inside Lot I ] i Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ 0) Proposed Driveway Width If New Opening Is Desired: $_ W' + 6' DATE: APPLICUB: USE ONLY Permit Flee $ IFa od State Surcharge $ C� SAC Charge $ Driveway Escrow $ Park Flee $ Sewer Dain Charge $ $ IV,6,7, S-6' r � Alt. A Alt. B See Back Page Tel. # 76('0/ Fee Schedule on Reverse Side $.50/$1,000 Valuation $550 per SAC unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary I ] Not Necessary I ] Land Planning Land Surveying 6875 Highway NO -65 N.I. v � ? (\ Soils Testing ,"Z��h�� (�� Minneapolis, G (�J e Minn. 55432 Civil Ingiweering Telepl+ene 784-6066 Municipal EeginN*ing Engineers & Surveyors Area Code 612 Certificate of Survey for a • • i t DOES NOT GUARV `-OwND ". • c Of FItIDLEY ' LOCATtOh15 AND ELEVAVOI',:;, CY OF UTILITY VISlttA TION "'TI�Ir INFON I0�1 PER NSAUsING fINoOULD VERIFY PER ON THE SITE 136.50 -0 Ci I 136.50 W n. r 100,JJIy;�./� ��'ll ------- Denotes Drc►tno$e Easem Q4 Bearings shown ore assumed O Dev�o+eg iron monumeni- LST 1 � Brock 3 ANNaKP% L.-OUWTY I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location of all buildin s ��t�j�or'ep n, and all visible encroachments, if any, front or on Did land. As surveyed by mi da -this g '/ n I y of A. D. 19 �_ -. SCQIP• �'^--chi An5e} SUBURBAN ENGINEERING, IN CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures 3 $ 5.00 $ -1—r uv Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow preventer Required. . . Yes ( ) No ( ) Type $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS le of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ /ate Effective Date May 1, 1988 Job Address S'd.5 0 W -ickrw �Q 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 applicat on are true and correct Fridley, Mn. (�• , 19 OWNER KIND OF BUILDING USED AS Ras- . TO BE COMPLETED ABOUT /Vn V . a ESTIMATED COST p G cj , c-) /fig OLD - NEW BUILDING PERMIT NO. PERMIT NO. /(/� Company X R ee/%i i�16cr Signed By f7� Ge/ �itrle. -- Tel. No. — $99 - ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE m Water m � M[ F m o w a a w a Heater ,�] c' x u m W u D .� m �0y1 3c w o w m w m m u w ao 3 0 o s 3lec lot 2nd 3rd 4th (R) d Future Connection Opening Connected with Sewer a New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures 3 $ 5.00 $ -1—r uv Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow preventer Required. . . Yes ( ) No ( ) Type $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS le of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ /ate Effective Date May 1, 1988 Job Address S'd.5 0 W -ickrw �Q 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 applicat on are true and correct Fridley, Mn. (�• , 19 OWNER KIND OF BUILDING USED AS Ras- . TO BE COMPLETED ABOUT /Vn V . a ESTIMATED COST p G cj , c-) /fig OLD - NEW BUILDING PERMIT NO. PERMIT NO. /(/� Company X R ee/%i i�16cr Signed By f7� Ge/ �itrle. -- Tel. No. — $99 - ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT P City of Fraley 2 6384 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. w-----�� PROTECTIVE INSPECTION SEC. 1 � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ° 612-571-3450 910415 6/29/98 JOB ADDRESS 5650 West Danube Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 3 Innsbruck North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joe Eull 5650 West Danube Road NE 571-2609 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Chimera Co Inc 23030 Hwy 55, Loretto MN 55357 478-9103 20108824 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 B DESCRIBE WORK Replace existing deck with 13' x 9' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP, OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 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 $1,049 $.53 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 PROVISI F ANY OTHER STATE OR LOCAL LAW REGULATING CON- @37.50 $ Fire S�'i $1.05 STRU 10 O THE PE ORMANC OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $44.08 SIGNATURE OF CO ACT ROR AUTHORIZED AGENT Or ID I WHEN PROPER VALIDATED THIS IS YOUR PERMIT ,�f BL G $NSP 4aTE SIGNATURE OF OWNER OF OWNER BUILDER$ (DATE$ NEW [ ] Effective 1/1/98 ADDN [ CITY OF FRIDLEY ALTER ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� 4 ConstructionAddress: Legal Description: Owner Name & Address: Tel. #�O� Contractor: C ��;��q �°�. � MN LICENSE # tole 9� Address: Tel. #�� div 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 Z Sq. Ft. f OTHER: Construction Type: Estimated Estimated Cost: $ r (Fee Schedule, on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Tel. #--5-- STIPULATIONS: i� CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ / r C 5`! .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: SUBJECT PERMIT NO. City of Fridley 30222 AT THE TOP OF THE TWINS I I L ®I � (i1v BUILDING D E R A A I PERMIT r � V ' v RECEIPT NO COMMUNITY DEVELOPMENT DIV. r r PROTECTIVE INSPECTION SEC. l NUMBER REV DATE PAGE OF APPROVED BY 11 1 CITY HALL FRIDLEY 55432 "'' 612-571-3450 910415 9/15/99 JOB ADDRESS 5650 West Danube Road NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 3 I Innsbruck North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joseph Eull 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Suburban Exteriors 9701 Penn Ave S Ste 107 Bloomington 55431 881-8232 4289 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 O NEW O ADDITION O ALTERATION MK REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (30 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 $2622 $1.31 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- S RUCTION OR THE PERFORMA CE OF CONSTRUCTION 83.25 Fie SC $2.62 PLAN CHECKIF TO L FEE A(J�A'�- "� e C 0 92.18 SIGNATURE OF CON TRACTOR OR AUTHORIZED AGENT IOATEI HE P Y VA ED THIS I O PjI�T SIGNATURE OF OWNEAOF OWNER GUILDERS IDATEI KoG INSP gAtE NEV[ ] - Effective 5/10/99 FLI 9 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION bra. Construction Address: Li . dD oun Rk f j Legal Description: Owner Name & Address: �. !tu X�L v Tel. # Contractor: c. A MN LICENSE # L/ Address: 0 `� �lYy� , Tel. # a61 - ?'c93 a Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ - DATE: o q "q 1) Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: Tel. # I CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] y CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 YAX: (763) 571-1287 ADDRESS : 5650 W DANUBE RD NE PIN : 243024420032 LEGAL DESC : INNSBRUCK NORTH : LOT 13 BLOCK 3 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE VALUATION NOTE: INSTALL GAS PIPING FOR A HEAT N GLO, 30,000 BTU, FIREPLACE APPLICANT FIRESIDE HEARTH & HOME/ALLIED FIRES 2700 N FAIRVIEW AVE ROSEVILLE, MN 55113 (651) 633-2561 OWNER EULL JOSEPH W & DARLA V 5650 W DANUBE RD 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. Ann 'cl ant O .. Date i Bldg PAID WITH CHECK # PER".: 2004-00373 09 DATE ISSUED: 03/23/2004 TOTAL SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. --ITY OF FRIDLEY INSPECTION 641 University Ave NE Fridley, MN 55432 (763) 572-3604 FAX (763) 571-1287 RATE SCHEDULE DIViSION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 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 / C Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance Rate TOTAL $ 30.00 $- $10.00 $10.00 $ $10.00 $- $10.00 $10.00 $ ;7 $ 25.00 $ Work State urchargel, MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective January 1, 2004 JOB ADDRESS �� C" Daiv\ to 6 e 2&Q . lN97 OWNER BUILDING USED ESTfMATED `{POST fC� - 6A0 PERMIT NO. iiC - 60-3 { DESCRIPTION OF FURNACE AND OR BURNER "o. \of Heating Units Circle One (Steam) - (Hot Water) (Warm Air) jrade Name Size No. -BTU 3HP EDR Fuel Nl Total Connected Load urne,rTrade Name_ 6OVD-r9 0A4Size No. BTU ' HP EDR F: 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 stated in this application are true and correct. Pam DATE 4MRS"N"Mallow HEATING CO QkWW#2DW11 Signed es,a! . TEL # FAX # Approved By 1�� Rough -In Date' Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 0s5eC ir►�+. S� THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When , 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 ( i "No ( ) The venting system is plastictPVC and meets all current codes and manufacturer spedfications 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 aY aHnn cnmhunfinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When.required to 1 1 a now _eme icfinn air it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) Wh gn Inatallinn a new vonfin' systarn, 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 #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: PURCHASE ORDER IDATE /— laInLi I DEPARTMENT THIS DOCUMENT GOOD FOR PURCHASES UNDER $1,000.00 ONLY F 834-36 THIS NUMBER MUST APPEAR ON ALL CORRESPONDENCE SENT TO US .. i;i�SUPPLIER Sr 6 ADDRESS D /I/OL&oe X CI"IYOF MDLU 6431 UNIV. AVE. N.E. PHONE N0. FRIDLEY, MN 55432-4384 763-571-3450 ® CONTACT PRINTED ON RECYCLED PAPER. PAYMENT VOUCHER BY SIGNING THIS DOCUMENT BELOW I HEREDO AUTHORIZE PAYMENT AND THAT THE GOODS AND SERVICES HAVE BEEN RECEIVED OR RENDERED AND ALL CITY GUIDELINES HAVE BEEN FOLLOWED IN THE PROCUREMENT OF THE BELOW STATED ITEMS. &e:� �-- D ED / PATIVIENTAU'My-hiffEDBY ACCOUNT OTY. UNIT PLEASE ENTER 0 R ORDER FOR THE FOLLOWING UNIT PRICE AMOUNT t S S -0000 - r SSG TOTAL �o�• THIS AGENCY HAS AGREED NOT TO DISCRIMINATE IN HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITAL STATUS, RELIGION, OR NATIONAL ORIGIN AND HAS AGREED TO TAKE AFFIRMATIVE ACTION TO RECRUIT MINORITIES AND WOMEN INTO EMPLOYMENT. IT ENCOURAGES FIRMS AND OTHER AGENCIES WITH WHOM IT PURCHASES PRODUCTS OR SERVICES TO DO LIKEWISE. WHITE, VENDOR - YELLOW, PURCHASING - PINK, ACCOUNTING - GOLDEN ROD, DEPT. HD. FIRESIDE HEARTH&HOM E June 8, 2004 City of Fridley 6431 University Avenue NE Fridley, MN 55432 Attention Inspections: Our work at the following address has been canceled. Please refund the permit fee of $25.50. Thank you Address: 5650 W Danube Rd NE Owner: Eull Permit No. 2004-00373 Please send refund to: Fireside Hearth n Home 2700 North Fairview P.O. Box 130847 Roseville, MN 55113 Sincerely: Li a Leritz Installation Coordinator CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 tAX: (763) 571-1287 PERMIT NO.: 2004-00883 A0 DATE ISSUED: 06/10/2004 ADDRESS 5650 W DANUBE RD NE PIN 243024420032 LEGAL DESC INNSBRUCK NORTH LOT 13 BLOCK 3 PERMIT TYPE ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. RECONNECT FURNACE AND AIR CONDITIONER AND CONNECT FIREPLACE. # INSPECTIONS 1 APPLICANT EULL JOSEPH W & DARLA V 5650 W DANUBE RD NE FRIDLEY, MN 55432 OWNER EULL JOSEPH W & DARLA V 5650 W DANUBE RD 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 ELEC PERMIT FEE - MIN (RESI) 20.00 ELECTRIC FORM FEE 1.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 21.50 PAID WITH CHECK # 6035 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 V'AX: (763) 571-1287 ADDRESS : 5650 W DANUBE RD NE PIN : 243024420032 LEGAL DESC : INNSBRUCI{ NORTH : LOT 13 BLOCK 3 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMITNO.: 2004-008841' DATE ISSUED: 06/10/2004 VALUATION : $ 3,000.00 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 FURNACE (WARM AM CARRIER, 110,000 BTUS) AIR CONDITIONER AND FIREPLACE. # A/C UNITS 1 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 APPLICANT EULL JOSEPH W & DARLA V 5650 W DANUBE RD NE FRIDLEY, MN 55432 OWNER EULL JOSEPH W & DARLA V 5650 W DANUBE RD 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 copstruction or the performance of construction. HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 35.00 GAS PIPING FEE 10.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 70.50 PAID WITH CHECK # 6035 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OFFRIDLEY BUILDING INSPECTION Effective 4/1/2004 6431 University Ave NE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION Fridley, MN 55432 763-572-3604 FAX 763-5711287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES � So LAJes r JOBADDRESS RATE SCHEDULE Fee Total Residential Owner Furnace Shell and Duct Work, Burner & ersnwQ iZ e S r �w �� also Replacement Furnace $35.00 $ J • �� Building Used As Gas Piping (New Fumace Fireplace, nsert) $10.00 $ D. 00 ESTIMATED COST PERMIT NO Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Water)arm Air) Trade Name (_a,rrj -o- Size No. *Air Conditioning - All Sizes Cav r er ��, $25.00 $ "2�oo BTU lld 60- HP EDR Fuel %A ,5 Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Burner Trade Name Size No. Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct. State Surcharge $ • s a HEATING CO TOTAL FEE $ a. �° Signe Tel # 6/2 -bO -�5y6 REINSPECTION FEE $50.00/HOUR 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 t 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,j 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 (9) 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 InputI 1101,1 Fan Assisted or Nat r�� S5"5k � Appliance #2 Type BTU Input Z) Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input / Common Vent Type C I ,-SJ 5 Vent Height ZS � Diameter 7 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: a Date : G /(o 20 y , CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 kAX: (763) 571-1257 PE NO.: 2004-01896�� , DATE ISSUED: 10/18/2004 ADDRESS : 5650 W DANUBE RD NE PIN : 243024420032 LEGAL DESC : INNSBRUCK NORTH : LOT 13 BLOCK 3 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER. 0.00 0.00 0.50 # ELEC WATER HEATERS 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS I # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALC) 400 # WATER TRMT APPLIANCES 0 APPLICANT PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) 0.00 0.00 NORBLOM PLUMBING CO 2905 GARFIELD AVE S PLBG FIXTURES (EXIST OPENINGS) 0.00 MINNEAPOLIS, MN 55408-2173 WATER TREATMENT APPLIANCE 0.00 (612) 827-4033 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 35.00 GAS RANGE FEE GAS DRYER FEE STATE SURCHARGE, PLBG FLAT 0.00 0.00 0.50 OWNER EULL JOSEPH W & DARLA V 5650 W DANUBE RD NE TOTAL 35.50 FRIDLEY, MN 55432 PAID WITH CHECK # 29282 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 orjocglaw %ruction or the performance of cons cti SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 643.1 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (763) 572-3604, FAX (763) 571-1287 MARK NI IMRFR nF FIXTI 101=Q Tn RG IAIC're1 I cn nAI Cnf'u ri ~%n 6�sz w . IMA)U- PLUMBING FIXTURE RATES: NO. RATE - TOTAL JOB ADDRESS 6AnnA& '!&5t o'W AAW- New Fixtures $10.00 IN Old Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 . and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated in this apalicabon are true and correct. Catch Basin Rain Water Leader $10.00 $10.00 EULL, DARLA pd� 56501DANUBE 6 I Oq ROAD EST `" 20 Sump/Receiving Tank $10.00 FRIDLEY, MN 55432 Water Treating Appliance $35.00 OWNER (763) 571-2609 Water Heater -Electric $35.00 Water Heater - Gas"* $35.00 BUILDING USED AS 510) e jC-e— Gas Range** Gas Dryer"" $10.00 $10.00 �% l ESTIMATED COST q6PERMIT NO. � C -�` U � Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY O (-\k OVA U✓WI�0T Reinspection Fee $50.00/Hr 6�sz w . IMA)U- PLUMBING FIXTURE RATES: NO. RATE - TOTAL JOB ADDRESS 6AnnA& '!&5t o'W AAW- New Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated in this apalicabon are true and correct. Catch Basin Rain Water Leader $10.00 $10.00 EULL, DARLA pd� 56501DANUBE 6 I Oq ROAD EST `" 20 Sump/Receiving Tank $10.00 FRIDLEY, MN 55432 Water Treating Appliance $35.00 OWNER (763) 571-2609 Water Heater -Electric $35.00 Water Heater - Gas"* $35.00 BUILDING USED AS 510) e jC-e— Gas Range** Gas Dryer"" $10.00 $10.00 �% l ESTIMATED COST q6PERMIT NO. � C -�` U � Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY O (-\k OVA U✓WI�0T Reinspection Fee $50.00/Hr SIGNED BY TEL NO. ��oIZ� $27-S�o33 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance 60 Approved By Rough -In Date Final Date State Surcharge $ • TOTAL FEE SD MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $16.00 or 5% OF COST OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE 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 installina 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 Slze/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 : , X1)6 --00 25 Building A $ , BUILDING Permit No.: Inspections $ RESIDENTIAL APPLICATION Received By 763-572-3604 $ SAC Charge $ Curb Cut Escrow $ CITY OF FRIDLEY - e f �f 763-502-4977 FAX $ Sewer Main Charge $ Total Due EFFECTIVE 1-1-2010 DATE � -' YOUR E-MAIL ADDRESS �J u a L L M A l L . Co � SITE ADDRESS 5"6 0 W ES' Tmk i315 12 THIS APPLICANT IS: DOWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: J 05 E84 La/ C tU L TENANT ADDRESS: )Aw" L3 129 CrrY �� t ®toy i ° STATE h1UZIP 5: .3"L PHONE: 7' -/3 -5 -?1—'Z6707 _ f 4 94y5 CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE 0 SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES 2— PERMIT TYPE ❑ ADDITION `!3'GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION 19 ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: ATTArPe-b SIZE OF IMPROVEMENT d V LENGTH Z WIDTH ® HEIGHT / SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: iy ° FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ❑ Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: [3 Aluminum 11 Trim 1. Site Plan/Survey showing the existing structures ® Other ❑ Fascia and proposedproject. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (US G THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S �� J OCCUPANCY TYPE Permit Fee $ , Plan Review $ Fire Surcharge $ Surcharge $ 3Y4 I 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) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Davable to: Citv of Fridlev Attac 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 permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case off� all work which req es review and approval of plans. _ SIGNATURE OF APPLICANT // .gin „ A I 1 PRINT NAME Jej Up/4 lV .-1 o1 L L DATE � v � 3 V 2 OJ 6