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PRE 2010 DOCSl 4 . N° 2572 Village ®f Tr : idlev, Minn. Date '�'" :� .............. Owner e Builder .......... .............. Address r �° Address ......................................... LOCATION OF,� BUILDING No... ,:,. ..; . �. Street.,. ... Part of Lot ................ Lot ..... Block ..... • .... . . Addition or Sub- Divisio r n •^ f' Corner Lot ............ Inside Lot ...... -Setback Side and" F DESCRIPTION OF BUILDING To be Used as: % FrontLO-7.. Depth . : ... Height i4 o.. Sq. Ft. Cu. Ft........ . .... Front ...... Depth Height .. Sq. Ft....... Cu. Ft. ........ II Type of Constructio'' # Est Cosi ........... To be Completed ....... ........ . tool Side Yeti rh' 4n"renei'ts, is In considerationij of the issuance to me of a permit to construct the building described_ above, I ;'agree to do the proposed work ''' accordance with the description "above set forth` d i compliance with all provisions of ordinances of the age of Fridley. . consideration of the payment of a fee of $, . rvw,� permit is hereby gr4nte , ....... ... to construct the building" or ad dit on as described above s P snit is granted upon the 'express condition that the person to whom it is granted and his agents, employees andorkmen, in all work done in, around and upon said building, or any part thereof, shall confon?m in all respects to the .ordinances of Fridley, Minnesota: regarding location, construction, alteration, maintenae, repair and moving of buildings with- in the village limits d this permit may be revoked at any time upon violation of any of the provisions of said. ordinances; Building Inspector. NOTICE: ThIp. permit oes not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Ia sure to see the Building Inspector for separate permits for these items. SUBJECT PE NO. City of Fridley 18634 AT THE TOP OF THE TWINS BUILDING PERMIT r � ECEIPT NO. COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 � t CITY HALL FRIDLEY 55432 NUMBER REV. DATE - PAGE OF APPROVED BY 612-571-3450 910-F15 9/8/86 JOB ADDRESS 870 West Moore Lake Drive N. E, 1 LEGAL LOT NO. 2 BLOCK TRACT OR ADDITION Shorewood 2nd Addition SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHON Frank Friseman 870 West Moore Lake Drive N.E. 5111--6108 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 kI ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 441 x 8E Deck 9 CHANGEOFUSEFROM TO STIPULATIONS SEPARATE PERMITS REQUIRED FOR 'UddL9,9ing C�ajj )RING, HEATING, PLUMBING AND SIGNS. GOf�k ... � . • U 4 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,500 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. $38.50 PLAN CHECK FEE TOTALFEE $ 9.63 $49.38 NATURE OF CO Ac RAUTHORIZEDA ENT (DATE) v 4 . WHEN PROPERLY -VALIDATED THIS IS YOUR PERMIT SiG ATUR O O E I OVVNER BID ILDERI (DATE) SLOG )NSP ))ATE NEW [ ] ADDN. [ ] ALTER. [ ] Construction Addri City of Fridley Effective 4/1/84 f R-1 AND R-2 Building Permit Application Legal Description: �if<'� Owner Name & Address: %� <S� ,� Y-\_ Tel . # s 1-6109' Contractor: Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length �4 Width Hgt/G/round , 5q. ,Ft. 3�_ OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yaretback Type of Construction: WOOD Estimated Cost: $ 0(2� A-pprox. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ �•�V Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge Af greement Necessary [ ] Not Necessary [ ] TOTAL $ . STIPULATIONS: r r' SUBJECT P City of Fridley 19175 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/16/87 JOB ADDRESS 870 West Moore Lake Drive 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 Shorewood 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Frank Frischmon 870. West Moore Lake Drive 571-6108 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 MX 161 x 8" Shed 9 CHANGE OF USE FROM TO STIPULATIONS Must anchor building to ground and be no higher than 14 ,feet. 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 $500 $.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 SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $15,50 J­SIGNATURE RACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ` BLDG SAT SIGNATURE OFOWNERtIF OWNER EWICDERI IDATE1 NEW [ City of Fridley Effective 4/1/86 ADDN. [ 7 �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: � � FnS&{'IW-M Legal Description: / of Z 560rer.)®ocQ Z 444 0^ Owner Name & Address: ?� We j0Dore- Zabe- jjrwt Tel. # 571' 6 I 8 Contractor: Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width �Hgt/Groundp Sq. Ft. OTHER: — f ZFI 5� Tl Corner Lot [ ] Inside Lot Ft. Yd. Setback Side Yard Setback Type of Construction: n� ' Estimated Cost: $° �soo Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation ST Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL IPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES '/ 010u) Moo re. Lt`s JOB ADDRESS It ° RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work In strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 �ll� representations stated in this application are true and correct. (Side Vent - Fill Out Back) _ - - 6 Gas Piping (Needed with new furnace) $10.00 $ Fro-rik Fr(sc�i OWNER mor) 5 ? l - On $ Gas Range $ 10.00 $ � BUILDING USED AS Gas Dryer $10.00 $ ESTIMATEDCOST, 60 J/ .�? PERMIT N0. l�fSc� *Air Conditioning - All Sizes $ 25.00 $ DgSCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. Heating Units Circle One Water) of (Steam) (Hot arm Trade Name brad t Size No.-S�d'•110 �� Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel P Total Connected Load State Surcharge .50 Burner Trade Name Size No. TOTALFEE $ 30.5D BTU HP EDR BLAINE CENTR L AVE. N.E C HEATINP COMP&NY MINIMUM FEE FOR ANY HEATING[COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS 125.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. t�OaCA, Mid 553U4 Sign,/ ign , By Tel No. -75-7-4✓AOO Approved By 16Y Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CEDMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes K No ( ) 2. Is free from rust or deterioration Yes 0.0- No ( ) 3. Has no foreign objects lodged within Yes () No 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes 0,4 No ( ) 6 Has total heating BTU's of O®y All other BTU's ®'�^ TOTAL BTU's a 7. Has a liner been provided for water heater. Yes( ) No< - 8. Has combustion air been provided for water heater Yes ( ) No Remarks: `-W it S um, A $1 4141-e t, IS, V« (A),T-H Y �� d List ALTERATIONS Being Done: BL80NE FITC. A/C & ELECT. INC. 13562 CENTRAL AVE. N.E. HEATING CO: ANOKA, MN 55304 Signed By: Date:, l SUBJECT MIT NO. City of Fridley 2 7 16 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT COMMUNITY DEVELOPMENT DIV. -70 PROTECTIVE INSPECTION SEC. 1 � / NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 8/13/98 JOB ADDRESS 870 West Moore Lk Dr 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 Shorewood, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elizabeth Frischmon 571-1602 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Affordable Family Homes 12301 Central Ave Blaine 55434 754-2202 1690 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION XX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and Raraize 24 SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2001 $1.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT!OR THP PERFORMANCE OF CONSTRUCTION. $7A.75Fire SC $2.00 PLAN CHECK FEE TOT FEE e 0 82.75 IGN .RAC OR ORA THORIZEDAGENT IDATEI N P O L VALI BLDG 5P T THIS IS .R��MIT DATE SIGNATURE OF OWNER OF OWNER BUILDER) iDATEI l NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES 1D-1 AND 1D-'3 BUILDING PERMIT APPLICATION 1 �� ConstructionAddress: 8 q0 U) E5 ( fMMkE L{ 4 . Z/�lCX Legal Description: Owner Name & Address: L%i z1qj3,?E%h FW/SCA S ON Tel. # S71 -1602 - Contractor: %%'i6oZContractor: llrg �%k MN LICENSE # Address: 06 -INE 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 / Width Hgt/Ground Sq. OTHER: PERODF Ai� %V _SCIAeE Construction Type: I^ P—Ct Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # y �9 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ �% S—Fee Schedule on Reverse Side $ Cad .001 of Permit Valuation (1/10th%) $ /. o U $.50/$1,000 Valuation $ $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] w I 01 SUBjEGT City of Fridley rc 31553 AT THE TOP OF THE TWINS BUILDING PERM I °�70 1 � 6. ______ COMMUNITY DEVELOPMENT DIV. a. PROTECTIVE INSPECTION SEC. r 1 � NUMB" REVDATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-Ft5 11/9/00 JOB ADDRESS 870 West Moore Lake Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 Shorewood 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Shirley Schmitt 870 West Moore Lake Drive 763-571-3779 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION IF ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Basement Remodel; Add two bedrooms and finish family room 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS REQUIRED FOR: PLUMS NGS AN SNGNM TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 COMPLIED1 ,r00 @ 7)r Y WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT s DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEEe SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHEC E TO L FEE 56.25 S1 IA'UAE OF CON'AACTOA OR AUT OARED Af, NT IDATTyE� P 0 V VALI AT THIS IS Y U PERM T !! V J�— I— l� / G A UAE OFO EA �6' NEA BUILDER. �OATE� B G �NS� gAtE I 01 NEW [ l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: ` 12 W /i'I 00y e /_a k -y u e_ Legal Description: Owner Name & Address:A SCAi Tel. # 7,23 -�5 7`--3 2 ?q 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 Width Hggt/Ground Sq. Ft. OTHER: AcP.i7 h,5taa� ,//�o/.��,- r U o M — ` kce _Q i.9 q a• 8% Construction Type: /,</jre4,,L0c Estimated Cost: $ %06 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: 11-3—o6 APPLICANT:'tl�_A Tel. # 703 -621-32 9 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application 4 Permit Fee $ 0. Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ , $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control $ $1100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above R $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $_ • STIPULATIONS: F 2,61 rh n -4 co (b Cl) 0) !-- ft C/3 Ca Cl) cl) cl), zr C) CD co 03 CD jr) co 1113�F4M& &QUZ0&"/ F012 - F-U*7/ — 1-14CII —1131UWij This Plan Must Be Maintained And Accessible On The Construction Site All opemnLs in bearint wall shall be framed with double headers of proper size. Every sleeping room shall have at least one l window with a sill height of not rrore than New "`1S %»�h j /`,+&c&� _ all af' ev walls exis-)- 44" above the floor and shall provide not pts less than 5.7 sq. ft. of openahlo area with IN a min. height of 24" anrJ a r;;ii,.: ri !f'i of ?.0". PP I env tit .,v 0 rb t � s c It °' es G o c o 1 tD, 7 0 CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 2000 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 1117ODVe- 2-et/4 y , RATE SCHEDULE OWNER Vim' Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS PS T~ QIne(P Also Replacement Furnace $ 30.00 $ �/ //-7/2 (Side Vent - Fill Out Back) /17S ESTIMATED COST %Dn PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units__ Circle One (Steam) (Hot Water) (Warm Air Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Ala-tw-( 9;e_-5 Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1%,of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE $ 11-3-06 DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed TEL # %&357 - REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved ByA Rough -In Date Final Date written permission from adjoining property owner. COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type 6a5 Fuv~.e 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 C) — ( Vent Height Diameter inches Appliance #1 Vent Connector Height _<L_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) /V1ov,o— &,s-ed4re-4uvr,.. 1" )o *,s h\.avvr— vv el— -3 �F+ -J-Z> HEATING CO: Signed By: Date >ti e� �►��►-eri lo�c ��� vin. CITY OF FRIDLEY INSPECTION DIViSION 6431 Upiversity Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (7153) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning - All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work V eVV� -P0v r3`cN'&v�$ Commercial/Industrial 1.2517. 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/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 $ tl Effective On January 1, 2002 JOB ADDRESS S- W • ✓ILQ QV p L dL �y OWNER_ + BUILDING USED AS ESTIMATED COST PERMIT N0. /332 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP 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 stated in this application are true and correct. DATE P !;P — v;L-m&, HEATING CO Signed >��`7� TEL # 7607/ —377 FAX # &vK<� Approved BY/4 Rough -in Date Final Date — x �' THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE 'APPLICATION WILL BE RETURNED When re In acing 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 frestopped 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 axistina combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When required to install a new combtistenn air. it will be sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When installing a new v _ntingnystam, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers 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: � J r09 W o e SuBjECT T N07_ � City of Fraley 33710 AT THE TOP OF THE TWINS BUILDING PERMIT t RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. NUMBER 1 REV DATEPAGE OF APPROVED BY "1 CITY HALL FRIDLEY 55132 763-571-3450 910-F15 7/16/03 JOB ADDRESS 870 West Moore Lake Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 Shorewood 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shirley Schmitt 870 West Moore Lake Drive 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Top Gun Inc 13325 Commerce Blvd STE 2, Rogers, MN 55374 763-428-4559 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20155030 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace windows within existing openings 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Buildizig Code. Caulk and flash all exterior openings. Permit Inspection Cards Will 60 Wailed To Homeowner ® Post TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION ORWORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING [STALLS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $5,000 $2.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $111.25 Fire SC $5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Ilicense SC $5.00 $123.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi HEN PROPERLY VALIDATED THIS IS Y04A P{'ER IT _ // � (5 LOG NSF' F ATE S-GNATURE OF OWNER.IF OWNER SUILOM IDATE� NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: `70 W. MM-# nXt— t14.. rA- L Q.A4 S. Legal Description: v Owner Name & Address: % Tel. # Contractor: TOP GUNONr• MN LICENSE #13325 COMMERCE BLVD0 Address: suITE #2 Tel. # m763 Ya— V659 RiER, tt a Certificate of Survey of the lot, with the propose eistruction drawn on it to scale. ff DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: &)Wd6r),Q e4/JJ&,aC Estimated Cost: $ 91 -0740: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x = $ -Z/1L//Q DATE: Q 3 APPLICANT: Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ K. cc .001 of Permit Valuation (1/10th%) State Surcharge $ r 9V $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 60 $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 zMata Charge $ Agreement Necessary [ ] Not Necessary [ ]