The URL can be used to link to this page

PRE 2010 DOCSBUILDING PERMIT N° 2241 Village of Fridley,inn. , %, � Date� �`- + ............. ................ Owner . 'eye Builder ... Addre s �� . ...:`.!"�"'� Address LOCATION OF- BUILDING No. ..€' .. Street �C^ '! ...:......... Part of Lot ................... kr,Lot . ;. Block ..... ......... Addition or Sub -Division ... A : ° ................... Corner Lot . .�.. Inside Lot . ..... ... Setback ............ Sideyard ............... i DESCRIPTION OF BUILDING To be Used as Front ... Depth ` . Height :€q. Ft......... Cu. Ft. ........ .. rout Depth ... Height ........ Sq. Ft......... Cu. Ft. Type of Construction "1.. Est. Cost" .. To be Completed ,' `...... In consideratfon of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in ;compliance with all provisions of ordinances of the',willage of Fridley. onsideration'of the payment of a fee of$.. permihere y granted to V ...... to construct the building or addition a3described above. This permit is grantedupon the express c,#hdition 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 with- in the village limits and this permit may be revoked at any time upon violationof any of the provisions of said ordinances. Building Inspector NOTICE: i This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for.separate permits for these items. City of Fridley, .Minn.. N® 8077 EURDING PERAUT Date: _ June 29, 1965 Owner: „Toe Salmeg Builder Campbel.lI s A-1 Cgnstr, Co. Address 5801 West Moore Dake Drive Address 3457 Snelling Ave. So. LOCATION OF BUILDING No. 5801 Street West F2oore Dake Drive Part of Lot Lot 11 Block 1 Addition or Sub -Division �o__ �U'S,15t - Corner Lot Inside Lot Setback Sideyard Sewer IIevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front \ Front Type of Construction Depth, Height . Ft. Cu. Ft Depth Height Ft Cu. Ft. r F.O. Cost7n-nn T be Completed Storm damage repair: Garage In consideration of the issuance to me of a the proposed work in accordance with the descx ordinancsm of the city of Fridley. �C 1 q �j i to conduct thebuilding described above I agree to do bove sie,�t fora} and in compliance with ail provisions of In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to Cazdbellt s A-1 Constr. Coo 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 �dey, MInaesota location, construction, alteration, maintenance, repair and moving of buildings within the city limits a� permit may be revoked at any time upon violation of any of the provisions of said ordinance& LUen Jensen Building Inspector t NOTICE Yids Pena$ daft aot saver the sonshudlon, iestapa ion for Wiring, plumbing, on ha be, sewer or water. Bo sero to $ee du Banding Mqm for for npmft rmuft for thea Bemt. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME Fey � `�q� .� BUILDER f � ' L2s A- ADDRESS -4-0®/ OESr /VIVACE �AIKh: bff/d�, DDRESS345-� 5Ale-1A�e�a' LOCATION OF BUILDING 1Zo. Street Part of Lot LOTF�LOCR ADDITION OR SUBDIVISION Corner Lot Inside LOT Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION.. Applicant attach to this 'form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as-., _4� -_'4 4S 'F Front Depth, Height Sq. Ft. Cu. Ft. Front Depth Height. Sq. Ft. Cu. Ft. Type of Construction FRA ^'IjF Estimated Cost CJ e� To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the -facts and representations stated in this application are true and correct. DAT'$ - SIGNATURE �a (Schedule of Fee Costs can be found on the Reverse Side). v SUBJECT PER City of Fridley 13054 AT THE TOP OF THE TWINS PERMIT BUILDING RECEIPT NO. COMMUNITY DEVELOPMENT DIV, r � � PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY i"" ,•J 612-560-3450 910-F15 JOB ADDRESS 5801 WEST 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 1 1 kYS SHEET T.AXF.VIEW 2 PROPERTY OWNER MAIL ADDRESS ROGER E- PAPKR, 9R01 WEST ZIP PHONE MMRR T.AKR FRTDTEIhtffiQTA 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RESIDENCE 7 CLASS OF WORK ❑ NEW ❑ ADDITION ® ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK DRAIN TILE - PLASTIC 9 CHANGE OF USE FROM TO STIPULATIONS CANNOT DRAIN TO SANITARY SEWER TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. LASTIC 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 $500 •50 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. $5.00 PLAN CHECK FEE TOTALFEE $5.50 IGNATUREOONTRACTORO UT R EDAG NT (DATE) WHEN PROPER Y VALIDATE THIS IS YOUR PERMIT J= 26, 1975 SIGNATURE & 0 ER 01F OWNER 6U1L,0jRe BLDG I P DATE v ' .APPLICATION FOR RESI'DENTIAL., ALTL•'RATION, OR ADDITION.BUILDING PEMIT CITY OF FRIDLEY, MINNESOTA OWNERS NAME: 0 4 BUILDER: ADDRESS: (/�-� �` �� ADDRESS NO:STREET: LOT: % BLOCK: % ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIMARD: Applicant attach to this form Tcoo Certificates ;�f Survey .of�,Lot and.proposed building location c:rawn on these Certificates. .DESCRIPTION OF BUILDING To Be Used As Front: Depth: Height: Square Feet: Cubic.Feet: Front: Depth: Height: Square Feet; Cubic Feet: �^ Type of Construction: �0s_+I C Esti. ated Cost:_ $ d To Be Completed: The undersigned hereby makes application fora permit for the work herein specified, agreeing to do all work in•sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and her,Pby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE: (See Reverse Side For Additional Information.)* P i SUBJECT IT NO . City of Fridley o - - - 32 AT THE TOP OF THE TWINS BUILDINGPERMIT r L RECEIPT NO. • ___ _ COMMUNITY DEVELOPMENT DIV. - r PROTECTIVE INSPECTION SEC. i---e ;•� CITY HALL FRIDLEY 55432 L J\ NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/5/81 / JOB ADDRESS 5801 West bore Lake Drive 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 1 Donnay I a Lakeview Manor SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Roger Papke 5801 West Moore Lake Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Olson Construction Co., Route #4, Box 46A, Cambridge, NN 689-5067 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 201.x 16' Addition to Dwelling 9 CHANGE QF USE FROM TO STIPULATIONS 110,11t V� �N p�R1�1�5 SOWS- WwRuni G Note- digging Call IQCal Utilities TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW 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 $6.43 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $12,850 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $98.50 PLAN CHECK FEE $24.63 TQTAL FEE $129.56 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED IS YOUR PERMIT THIS BLDG WSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) i CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER. � ��(� ��ke- BUILDER: QZ-,5gA1 C®/us�7- Cis ADDRESS: S -So j W. filookc LAf-�'� ADDRESS: 12,- V Oo TEL NO: TEL NO: 68? -so &-7 Construction Location STREET NO: Soo® STREET: L -i %� 10 ot-c- LOT: BLOCK: �� ADDITION: &IV fq V S le L)i z L 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. DESCRIPTIOId OF CONSTRUCTION f-oor, M irlold Front: O Depth: Height: Squane.Feet: �Mo Cubic Feet: Front: Depth: Height: Is. q3 Square - Feet: Cubic Feet: '%f 401 Type f Construction: - �AJ DOD /� � � Estimated Cost: $ To Be Oorapleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Zie undersigned hereby makes application for a permit for the %:,ork-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. MaTE: SIGNATUM : - Stipulations: cliso �.c. 2/4. (01 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE Furnace Shell and Duct Work,. c CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE Furnace Shell and Duct Work,. urner� $ 20.00 Gas Piping $ 10.00 (piping needed with new furnace) Gas Range $ 10_00 Gas Dryer $ 10.00 Air Conditioning (all sizesl $ 10.00 All Others/Repairs and Alterations It of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge �+y�rJ, Tis Reinspection Fee ($15.00) Rough Insp. Date Final Insp. IA a e Approval for Permit _r� Ir Effective Aug. 1, 1981 TOTAL Job Address ®/ L2, Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 $ 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, Minn. , 19 OWNER $ KIND OF BUILD19 a USED AS! - -rl� r _� $ TO BE COMPLETED ABOUT ESTIMATED COST / �® CIO $ .50 OLD NEW BUILDING PERMIT N0. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Not Water, Warm Ai� No. Trade Name Size No. %8,'/ � Cr 'r- iO=_j Capacity 9 1 Sq. Ft. EDR �L BTU /® 1 c'e, BP Total Connected load � Rind of Fuel // �� MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with replacement furnace permits BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU NP Company A Signed By Tel. No. ;7 - CITY OF FRI DLEY APPLICATION FOR HEATING REPLACEMENT CHIMNEY AND STACK VERIFICATION THIS FOR14 MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM. LOCATION i L-0d�'Ji DATE -?- 9 �? —.P- / OWNER ADDRESS 6' 740-" The undersigned hereby verifies that the existing chimney or stack: 1. E;as bee:: carefully examined 2. Is free from rust or deterioration 3. No foreign objects are lodged within 4. That it is securely supported 5. That it meets all current Code requirements for size and total BTU connected 6. Total Heating BTU ,�'®S� e o Lj All Other BTU TOTAL REMARKS SIGNED Licensee /z-) by Address Telephone S-3 HEATING PERMIT Fridley City License STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD ST. PAUL. MINNESOTA 55101 IQ -8-86 Date City of Fridley Zoning Authority 6431 University AVe. N.E. Street Address Fridley, MN 55432 City State Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE &S-27:2��2(9�Z) PZ -02722-02 Subject: Type of License: Name f DayCard Home Applicant Family Day Care `Group Family Day Care M Street Address Licensed Capacity City State Zip Code Phone No. S 1 - S$ b 1 This is to inform you that we are in receipt of an application for licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as the Public Welfare Licensing Act and the rules of the Department of Human Services. You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning. If we do not hear from you within will consider the above-mentioned your local zoning code. Sincerely, W, i_...Mi� ��—oaf__ !�:.n. . - /, Street Address 30 days after receipt of this letter, we day care home to be in compliance with COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT COUNTY OF ANOKA COURTHOUSE, FOURTH FLOOR Name o A ency Organization City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER c SUBJECT PERM-"' City of Fridley 5 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV IS r PROTECTIVE INSPECTION SEC Z)�� 1 . I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OfAPPROVED BY 612-571-3450 910415 10/15/9 JOB ADDRESS 5801 West Moore Lake Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 1 1 DonnayTs Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Betty Papke 5801 West Moore Lake Drive NE 571-5801 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Roofing & Remodeling 6130 Olson Memorial Hwy, Golden Valley MN 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 55422 593-9373 3983 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof House (24 Sq) Tear -off; Replace two windows 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Replacement bedroom windows must meet the State EGress Code. Install smoke detectors to comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1,980 $.99 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- Fire SC $1.98 STRUCTION OR THE PE ORMANCE OF CONSTRUCTION $62.25 PLAN CHECK FEE/)AL FEE Li se C $ .00 $70.22 SIGNATURE OF CON ACTOR OR AUTHORIZED AGENT IOATEI PRD Y VALIDA THIS ISYOUR PERMIT • �� SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI INSP f)ATE c NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: sto / Gli-ad ofow-1-0 -� . Legal Description: y Owner Name & Address: Tel. # Contractor: MN LICENSE # 3 M2 Address: glpl3o Q dh�a l Tel. #�� J 3 Attach to this appli on, a Certificate of S ey 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. Ft. OTHER: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks " 9-y' Type of Construction: Add- It, wbed ,� u,rlue/aay Estimated Cost: $ Om, o�. Approx. Completion Date: Driveway Curb Cut Width Needed: _ DATE: APPLICANT: ?ermit Fee sire Surcharge Mate Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ 2, Z'5 $ ,9f $ -f"00 $ r Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: (Cost on Back) Ft. + 6 Ft = Ft x $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $900 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 [ ] CITY OF FRIDLEY INSPECTION DIV, Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR P0WER PLANT8 AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 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 $ representations stated in this application are true and correct, (Side Vent — Fill Out Back) f� Gas Piping (Needed with new furnace) $ 10.00 $ — / ,1996 OWNER 4 ' �� 7/ �® Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ ESTIMATED COST ��r PERMIT N0. (� *Air Cvnditionin� All Sizes $ 25.00 $ �� DIE All OF FURNACE AND OR BURNE j All Others/Repairs Alterations (LIST ON BACK 1 % of Value of Appliance or Work $ No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Commercial/Industrial Trade Name Size No, BTU_ HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge 50 Burner Trade Name Size No, BTU HP EDR TOTAL FEE M__iNiMUM FEE FOR ANY HEATINA/COQLIN__,LVENTILATION REFRIGERATION/AIR CQNDITIONIIVG PERMIT IS $25,00 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, HEATING COMPANY^�'� v ('� 4-- Signed By��.:'�--� _ Tel No. �6 �d a' Approved By Rough—In Date Final Date FILL OUT BACKSIDE F R STACK VERIFICATION ON REPLACEMENT FURNACE CEMOMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () 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 () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been. -provided for water heater Yes O No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: 4.o CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE 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% of Value of Appliance or Work JOB ADD Effective On January 1, 2000 PIN OWNER �- /C - Rate TOTAL BUILDING USED $ 30.00 $ � o ESTIMATED COST �� PERMIT NO. $ _10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) arm Air) $ 10.00 $ Trade Name Size No. BTU :2S—,l 0 HP EDR $ 25.00 $ Fuel Total Connected Load 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. 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE H EAT I 0 Signe f TEL Approved By Rough -In Date Final Date;-+ 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 t�' No The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (X No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (-J'No The existing combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes (-If 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 l") 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 (4/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 TypBTU Input ,67- 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 GNOE FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 January 18, 2002 Ms. Betty Papke 5801 West Moore Lake Dr NE Fridley, MN 55432 Re: Final Inspection at 5801 West Moore Lake Dr NE Contractor: Dave's Appliance Heating & Air Dear Ms. Papke: A mechanical permit was issued on January 19, 2001 to install a furnace at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. 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 mark the permit "no inspection called for" 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, DA Inspector Building BUILDING Permit No. Inspections - RESIDENTIAL APPLICATI®N Received��gBy 763-57� 3604 Date '�l: J A N �� CITY OF FRIDLEY DATE Y UR E-MAIL D SS 1 int (1 n $U+Q-- [ "(,(S C U C v ►'Y1 SITE ADDREsS 5,0441M THIS APPLICANT IS: ❑ OWNER CONTRAC'OR PROPERTY OWNER/ NAME: TENANT ADDRESS: CITY STATE—ZIP 2 PHONE: - . 5940 7,A CONTRACTOR Ll✓ SUBMIT A COPY OF .fflNAME. STATE LICENSE # A173 EXP DATE 3/9//07 lnw �L/iR-' �U- ' YMf't-a— YOUR STATE LICENSE ADDRESS: SSSS CITY STATE ZIP55313 WITH APPLICATION PHONE 9SZ • 935 ' 4 (p[e g FAX 46Z ' 935. 95-Yy PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE A ADDITION ❑ GARAGE/SHED ErWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ ❑ ADDITION CE(REPAIR ❑ D&LING DESCRIBE WORK BEING DONE: /ald f !7 / SIZE OF IMPROVEMENT LENGTH ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELIN SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit 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 3. Energy Calculations IN EXISTING OPENINGSYes ❑No OR FOR NEW OPENINGS -DESCRIBE SIZE OF JL� OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS r ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ `73'//' °O 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) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable 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 fora p6rmit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which 194uhes r i w an p val of plans. I . I iMAUJlFAN I owl I in ,a / �-