The URL can be used to link to this page

PRE 2010 DOCSDate: Jun$ 4, 1968 Owner: C. Minar Jr. Address luity of Fridley, Nifim. BUILDING PERMIT 0 ® 9'7'78 Builder Rodney B�llman Address 151 Silver Lake Road LOCATION OF BUILDING No. 1587. Street — WM ere ---- Part of Lot Lot — I _ __— Block Corner Lot — X Inside Lot To be Used as: a .. .. � • � h / '1 . � � w • w ri7'�i87Tifii',�� Setback Sideyard DESCRIPTION OF BUILDING D -we ll= Front 6_ Depth 2 6 & 8 Height —2 Q . sq. Ft. . lag -6_U aL Ft. —37,,q20 _... Front Depth Leight . _ Sq. Ft. 420 BaV. Type of Construction Frame Est. Cost _ $32,000.00 _ To be Completed Sept 15, 1968 SEWER LOCATION — 43' E. of Manhole WATER LOCATION — 28.7t E. of Manhole -K In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set fo and in compliance with adl provisions of ordinances of the city of Fridley. f In consideration of the payment of a fee of $ 5 7 -00 , permit is hereby granted to o nQy Billmazi to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of the provisions, of said ordinances e rz ZnPLENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas healing, sewer or water. Be sure to ren the Building Inspector for separate permits for these items. AFFLICATION FOR BUILDING PERMIT CITY OF FRIDLEY ..,XINNESOZA a OWNER'S NAME BPILDE ADDRESS. _ ADDRESS-� A LOCATION OF.BUILDING NO SY�- L _94 ADDITION OR SUBDIVISION COR2dER LO9_%1SiDL °I�OT SETBACKSIDEYARD .., SEWER ELEVATION TOP OF FOOTING t,. Applicant attach to this form Two Certificates O.Survey. of Lot --.and proposed building .,location drawn on these 'CeiLif�tcaes:., DESCRIPTION'OF BUILDING To..Be Used. Asa e Frost Squar . Front .ueptn __Agm .e feet Type of Construction` j�� Estimated To Be Compl Feet The undersigned hereby anekes application for a pdsmit 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 repres tions stated in t is a ication are true and correct. DATEC� SIGNATURE (Schedule of Fee Costs can be Reverse Side). \A Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560-3450 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace . . ........................... 6.00 Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ I 1 7,_a A i Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ 10 each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ... .................. 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 .......... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL ' Location 1"56y City of Fridley: The undersigned hereby makes application for a permit for the work herein. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. __–_Fridley, Minn- 19 — Owner `-I-j t �! Kind of Building Used as To be completed about Estimated Cost, $ 1 C51) (D Old—New. Building Permit No. q7 i ° oo Permit No. DESCRIPTION OF WORN HEATING or POWER PLANTS Steam, Hot Water, Warm Air—No v Trade Name—�� %�6ee ti Sizep,�N�o. Capacity Sq. Ft. E.D.R-- ®T BTU H.P. d Total Connected Load A, Kind of Fuel -% BURNER — Trade Name c da®� Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) City of Fridley Application for Plumbing and Comas F*Nng Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. �( $ 2 or, 0.6 Future Fixture Opening ................ S Z Z New Fixture Old Opening .............. Z ,Q� Q iTj Z O w x $3.25 C9 Z ♦ ♦ WATER HTR. $ New Ground Run Old Bldg. ............ Base f Electric Water Heater s $100 $ -42 '4v GAS FITTING FEES: % 1st- 1 2nd 1 d 3rd _ 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer � Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $2.00 $ 2 or, 0.6 Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater s $100 $ -42 '4v GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Location City of Ffidley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn- — 19— Owner Kind of Building f d Used as To be completed about !� Estimated Cost, $ Old --New. Building Permit No Permit No. Signe ° . By Business Phone No ROUGH FINAL Description ................................................$ TOTAL FEE dz 3 y City of Fridley, Minn. N 10"18 9 BUILDING PERMIT Date: August 18, 1970 Owner: CKD Kinar Builder Jack Carlyle Address _. - 582-WindPm -PrP rive Address 881 Manor Drive LOCATION OF BUILDING No. 15.87 Street Winclamere Part of Lot Lot 1&W20'2 .__Block 2 Addition or Sub -Division .Innsbruck 5th Additda. Corner Lot —. X Inside Lot Setback _ Sideyard Sewer Elevation — Foundation Elevation To be Used as: Screen Porch Front 16' Depth 12Height 7-6' Sq. Ft. J$ 192' Ft. 2,304 Front Depth _ _ Height Sq. Ft. Cu. Ft. Type of Construction - Frame Est. Cost — $1.900 __ To be Completed Sept._15. 1970 In consideration of the issuance to me of a permit to construct the building d above, I agree to do the proposed work in accordance with the description above set forth in rose ®th all provisions of ordinances of the city of Fridley. �l , In consideration of the payment of a fee of $ 5..00 , permit is hereby granted t , Jack Carlyle to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair andmoving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. vosgecte�i CLARME BELISLE NOTICE: This permit does not cover the construction, instailation for wiring, phnnbing, gas heating, sower or water. Be sure to as the Building inspector for separate pennits for them stone. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: VAW;?-'.ftUILDER:_ ADDRESS • ADDRESS • 6 c� s •G,%�e NO:. .5 e7 STREET: Il s WOW ik ` LOT: L OCK : .2 ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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• Front: Depth: Height: Square Feet: Cubic Feet: ` Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: 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. DATE: S -/a,74-9 SIGNATURE: (See Reverse Side For Additional Information.) �0 4. Land Planning land Sury ' 16YOY Soils Testing Owl 6- Munkipal a875-9iyh#%7Y *4;5 WE. Mrnweqlvlu 32 - ENGINEERING, INC. 01flne-,ola I SllnvU-066 117 Engineers Sur veyor.5 certlificate of su:rveY tot P(-OIVZ-:jv 91LUAIV X (2z/ 14�1- I .40 i AA 125 T1 i V, F-5'1 T P�z z- O7 --t-2 T L� 7- 2792 7 1hereby cerhAy lhah*6 /S* a h-ue and correct representation v� a 5arve 'q 'the bwidor4ies qChL- ehdtr 06Cf'i6d Iffl7d, and Oph- lMqbOI7 a/'a// MiAW7 risible _Y5, thereon ad n' ma=hfne4h, tl'my, fvn or *7 said land. As surveyed by iw Ai abq A -D. 12 SU6URB" ENGINEERING , INC. Eiviueers sr Surreyors SUBJECT MI T City of Fridley 13244 AT THE TOP OF THE TWINS BUILDING PERMIT- r ECEIPT NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r SEC. 1 � _ CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 10-7-75 JOB ADDRESS •� • - _.� ,� 1587 Wi ndemere Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 & W. 20' Lot 2, 61 o k 2 Innsbruck 5th Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE C. K. D. Minar, Jr. 1587 Windemere Drive N.E. 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 I� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 1C 8 DESCRIBE WORK 12 x 12 storage shed 9 CHANGE OF USE FROM TO STIPULATIONS 't�, � ' , 'J ED FOR �iRINGA qp,- PLUMBING AND SIGNS. EAT) G, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood frame 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 CONSTRUCTION14,400 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 SAMETO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�500ON SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, 50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY HER STATE OR LOCAL LAW REGULATING CON- 5.00 STRUCTI OR/THE RFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $ 5.50 SIGNATURE OFC TRACTOR P,9AUTHORIZED AGENT (DATE) EN PROPERLY VA )DATED®®T/"H"IS IS YOUR PERMIT J 17p®a rym P.'� l Az I BLDG. INSP AfrE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME :- 0% (4.,_ D. �V a rr &Z . ) vL . BUILDER: ADDRESS: ('� �S 1 '� a ria ��i � - � ADDRESS: NO:. STREET: • � sal Au'-- �3 ✓� E,.i� ..y Tri ��i1� a' LOT: BLOCK: ADDITION : . "-°^ � CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form '1`#o Certificates of Survey of Lot and propose building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Square Feet: 1 4 �-4 Cubic Feet: Front: Depth : Square Feet; Cubic Feet: Height: 1� �ff 'f Height: Type of Construction: Wobf--,�) f,�c.a —E Estimated Cost: $ vet To Be Completed: 1Ar? �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 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: fJ�'�? ' SIGNATURE: (See Reverse Side For Additional Information.) 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 Job Address -7 r ,v Q E on -(Z y=l�l� 1 L/ Furnace Shell & Duct Work $12.00 S Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Codes % each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ _ s Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn. % , 19 STEAM OR HOT WATER SYSTEM: OWNER C_ U�s � /FYI1 N A -iL Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING ®!Z /A 01 r each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED AS I �� each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT , C - - I ?SC ` /� (�✓ 1 j �e 011 BURNER- to 3 gal. per hour $10.00 $ �® each add. 3 gal. per hour 10.00 $ ESTIMATED'COST GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ OLD - NEW BUILDING PERMIT NO. PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: Co 1st 3 Fixtures x $ 3.00 $ DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Rahge to 199,000 BTU x $10.00• $ HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. ON I_ AIR CONDITIONING ®�eO � �;�' $ o' _� 0 Trade Name �- Size No. %�_ FAN HEATING SYSTEMS $ See Fee Schedule VENTILATING SYSTEMS $ — Capacity /�Ot��k) aNIP�uSct. Ft. EDR BTU ,' HP ALTERATIONS $ REPAIRS $ State Surcharge $ .50 Total Connected LoadP L 4LC t"F T kind of Fuel A[A_T TOTAL FEE $= BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date ($10.00) Company Z�Q i4 E 5,-0 FINAL INSP. Date " Signed By 7:;2�� . APPROVAL FOR PERMIT � Tel. No. r MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE AL.*CITY OF FRIDLEY APPLICATION FOR HEATING REPLACEMENT CHIMNEY AND STACK VERIFICATION THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM. LOCATION /6::2S. -7 C -u, NDT!� Irv; r--(ZDATE OWNER (' , U S t4 M IN aLZ ADDRESS i S—�-i L,v (N DE M C 1'�IFZ: The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined P 2. Is free from rust or deterioration e/ 3. No foreign objects are lodged within 4. That it is securely supported app 5. That it meets all current Code requirements for size and total BTU connected I/ 6. Total Heating BTU All Other BTU No N ®E TOTAL REMARKS L14) M I) r— Y J 14A S, A L)A/A e 1 k 9> mo w& At � 4tc�.14®trrg-r- ,2.(Zca=a) \®a -r -1 -7-0a ,zM c- C- PT2c: Pr ix DLzA 9 — a, IzAtaci—�— /s A ( SIGNED 149,N1 QAZ Licensee by Address 'Telephone S�-7�7c) 6(11 HEATING PERMIT # ' Fridley City License # SUBJECT PE MIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT _ r RECEIPT • __ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. W `t � 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/6/87 JOB ADDRESS 1587 Windemere Drive N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1, Pt. 2 2 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Cush Miniar 1587 Windemere Drive N.E. 571-8018 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Karkela Construction 6531 Cambridge Street, St. Louis Park 55426 922-5512 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 7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 201 x 2119" Deck (Approximately) 477 Square feet 9 CHANGE OF USE FROM TO STIPULATIONS See notations on.plan AWN SEPARATE rFPMI` S REQUIRED FOR 130fore digging calf local utilities WIRING, HEATING, PLUMBING AND SIGNS. TELEFRONE - ELECTRIC - CAS Eta, 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 $1.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,300 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. $44.50 PLAN CHECK FEE TOTALFEE '6�C � '\$11. 13 $57.28 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT r SiGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BLDG WSP ATE NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Addri Legal Description Owner Name & Address: �y51-1 i--%12��1 /�Ilhly°J�, Tel.%>- 008 Contractor:_.%�L�� /��`� _ _ _ Tel. # Address: &S31 CSI17u3l21660 ST �7 Bovis 1�r�fil� Ni,�l SS - -- 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 � G P � Pr Width r Hgt/Ground Sq. Ft.� OTHER * D- =C (� ?X* Kr t 13c L6 $ 21n 0 U - 9 z ((??K Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Type of Construction: �CGK Approx. Completion Date: //-/ - 97 , 3 c. Side Yard Setback Estimated Cost: $ 330 � Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for. Explanation DATE: AD- Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: ear- —� 6&�� Tel. - CITY USE ONLY Fee Schedule on Reverse Side $ _ .d 25% of Building Permit Fee $ $.50/$1,000 Valuation $ $ 525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] q�_ a� t7 G g P�A t d �C 7 % L Lind Planning Laid Svrr in Sods Tesh;?y &�W G INEERI G� INC. awl b Mfi uipal 1,7 En Ineers Sur VeYOAI su:rveq" It 9(1, L?/ lk-j I cqlZ I VAI I/ CI IN! ILIZeate of 0 15' II A 7'4f✓zT T1 -li-' IV 7 LOT279Z 2 MIN-/ J AZ: /hereby cerhiry fw /his is a true w I d wract reremZatim a fa #"AvICCq#M7 e011 h��' &rrmd& . a,, risible "chmeds, tr ,}fin or w smid Awd' A sur ed 1w Aj mi I -- dy SUBURBAN trAIPINECRIN6, INC. a„ 1q1_ -- SUBJECT - PERMIT NO. City of Fridley 2 0 3 2 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. �{p/ CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE Of APPROVED BY 612-571-3450 910-F15 5/2/_0 JOB ADDRESS 1587 Windemere Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Innsbruck 5th. Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Cush Dinar 1587 Wi.ndemere Drive N,E, 571-8018 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Karkela General Contractors Inca 6.531 Cambridge St., St. Louis Park 922^5512 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 J7 ADDITION XQ ALTERATION ❑ REPAIR ❑ MOVE ❑ .REMOVE B DESCRIBE WORK Construct a 32' x 3V Attached Garage, a 12t x 10 Additions and convert existing garage o iva.ng area 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for all utility locations 454-0002 REQUIRE BY LAWS` SEPARATE RERIMITS REQUIRED FOR WIRING, ► r'__A r I1N,;G, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $T5 Q0� $37.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $527,00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $564.50 ® � cq/tet® WHE PROPE LY LI AT THIS IS PERMIT _ G INSP f1XC/ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] t Effective 1/1/go ADDN [ ee]° R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: /3 $7 W/Ajr)pMr_K F - Legal Description: .GOT I bloa4. Z INIVS02vUr, S' !-0 6-1004 Owner Name & Address: Cv.g-1 MLJAM IS87 t )tAOe OXA Tel. # ,671- 8018 Contractor: GAKAX&A L Ce,n7r2 AC -T &5 a= -4 5-t Tel. # q z. z- .SS'/ Address: 6S -sl Ca PA,bri p&E r*, -5T . 00es P,A!!!�& Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF namovE mm LIYIIJG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length -3z ` Width 3Z ` Height 6!4 Sq. Ft. /1ae4 DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHM: � San A) iz XLa. COAIMaE 7-0 Corner Lot [vf Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: _ ZamozW Estimated Cost: $ "% S X006 Approx. Completion Date: Proposed Driveway Width If New opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: 41/®lg0 APPLICANT: ,Ez �,,�aG4 Tel. # %ZL- S'S'1 Permit Fee $ 'j-2 7 .11 ®z� State Surcharge $ .77,,6-0 SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering o Agreement Necessary [ ] Not Necessary 00 I -/ ®®�= J/j , sC) �0 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Z_ $ 5.00 s Future Fixtures x N ° Old Opening, Now Fixture Water W S 4 a $ Blow Off Basin .1 4 ro H $ N m w 4 w Rain Water Leader Heater •.1 d b,q $ 5.00 $ Sump or Receiving Tank 'j C. I ~ U •.�1 E 6 .0 $ U W $ Gas Range lec a 0 u a ni $ 10.00 $ Back Flow Preventer Required. o y 8 Type $ 5.U0 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS o Is of Value of Fixture or Appliance $ Reinspection Fee $ 3i S .50 ($15.00) cei�a3 FEE $ as lot 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Z_ $ 5.00 s Future Fixtures $ 3.50 $ Old Opening, Now Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ 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 ( j No (t/) Type $ 5.U0 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS Is of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge S .50 ($15.00) TOTAL FEE $ Effective May 1, 1990. 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 OWNER KIND O Fridley, Mn. -5- — Ir , 1990 USED AS TO BE COMPLETED ABOUT % ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company s e a h. v le 4oKe ��z✓ Signed By 1�1' / Tel. No. L/ %� Zal ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT a !1INIHUM FE FOR ANY PLUMBING PERMIT IS 615.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYS7MS AND DEVICES RATE SCHEDULE._. RESIDEKTIAL ` RATE TO'T'AL l Job Address / Lei jl�(l� �W� C—e Furnace Shell and Duct Work, Burner (Also replacement furnace) $_20.00 $ Department of Building$, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ �® ®O Tel. 9571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) $ 10.00 $ Fridley, Minna A3 1920 All Others/Repairs and Alterations OWNER 7kAR R 6N N 1 A li of Value of Appliance or Work $1q. Pie, C �t � Q U tq KIND OF BUILDING i, M b►� COMNERCIAL/INDUSTRIAL USED AS Res. ®e N C E 1• of Value of Appliance or Work 70 BE COMPLETED ABOUT a u ri € 9 ESTIMATED COST ®®. State Surcharge $ .50 FLE OLDNO.. -NEW BUILDING PERMIT NO. PERMIT . /6 TOTAL aoinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Inep. HEATING or POWER PLANTS, Steam, Not Water, Warm Air- No. Date Final ' Insp. Trade Name ! RE Size No. Date Capacity, 7J*000 Sq. Ft. EDR BTU7 0a0 HF Approval for Permit Total Connected load L dOCS Kind of Fuel nl R1`uft R L BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS ;15.00- Company CO I fi INC, TNe. PWS $.50 STATE SURCHARGE , Signed B Tel. No. *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaros CHIMNEY, AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes 2. Is free from rust or deterioration Yes { 3. Has no foreign objects lodged within Yes ( ) 4. Is securely supported, Yes ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) 6. Has Total heating BTU's of All other BTU's TOTAL No No { ) No ( ) No ( ) No ( ) Company ------------ Signed By Date ft SUBJECT r City of Fridley AT THE TOP OF THE TWINS BUILDING PERM I 29301 COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. TYPE OF CONE VENTILATING OR AIR CONDITIONING. RElue"PT-Mv. r PROTECTIVE OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. �[ 1 � 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $2,200 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 1 = --11 CITY HALL FRIDLEY 55432 NUMBERREV PLAN CHECK F DATE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT &DATES APPROVED BY 612-571-3450 910415 4/26/99 =;GF JOB ADDRESS 1587 Windemere Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Cushman Minar 1587 Windemere Drive NE 571-8018 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Woodland Stoves 1203 Washington Ave S, Mpls., MN 55415 338-6606 2558 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 IR ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a Lopi Freedom, woodburning stove (Warneck Horsey #6014) UL #1482,737,907 9 CHANGEOFUSEFROM TO STIPULATIONS Install per manufacturer's specifications. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONE VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION ZONING OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. U 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $2,200 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PERMIT FEE $74.75 PLAN CHECK F Lic e SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT &DATES C► iOATEi OCCUPANCY GROUP I OCCUPANCY LOAD SO. FT ICU FT. STALLS IGARAGES SURTAX $1.10 SACC RGE Fie SC $2.20 TO L rEE $ $83.05 VALID E HIS IS XO R P RR T fiA}F NEW [ ] ,gyp Effective 1/1/98 ADDN [ ] Vp�40 Sf�► CITY OF FRIDLEY ALTER [ ] S&N Lk FAMILY AND DUPLEXES R-1 AND R-2 b` BUILDING PERMIT APPLICATION ConstructionAddress: t S �7 LAJ^dw--e rQ- Legal Description: Owner Name & Address: M lv— J Tel. # 57? 1 Contractor: -,J c)ok L r. ., -V 14Dje 3 MN LICENSE # Address: Ca -y3 (S S"�4iS Tel.# 3�'�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: Length Length DESCRIPTION OF IMPROVEMENT DECK AREA: Length OTHER: ` ( wo'r A'acAc rCL t b o t L` kL -4 I �[ Construction Type:_ Driveway Curb Cut Width Needed: Width Height Width Height Width Hgt/Ground rrPetdA, L/jvy e 3�7. t9u7 Estimated Cost: $ Sq. Ft. Sq. Ft. Sq. Ft. ,/Q- C�pa COD a ✓ (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ DATE: qj z3 9C1 APPLICANT: Tel. # -26 &p Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.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 [ ] suejECT I IT33562 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r RE. COMMUNITY DEVELOPMENT DIV. `- _ _ r e � PROTECTIVE INSPECTION SEC. 1 . � NUMBER REV DATE PAGE OF APPROVED BY L CITY HALL FRIDLEY 55432 �� "f;•� _-_-� L 763-571-3450 9t0 -F15 5/28/03 / / 10B ADDRESS 1587 Windemere Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cushman Minar Jr 1587 Windemere Drive NE 763-571-8018 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 O NEW ❑ ADDITION ❑ ALTERATION Ck REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace one family room/bath window within existing opening 9 CHANGE OF USE FROM TO STIPULATIONS �zz�� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $.SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $600 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- 26.55 Fire SC $.60 STRUCTION OR THE PERFORM NC - OF CONSTRUCTION P PLAN CHECK FEE TOTALFEE $27.65 N ON TRACTOR ORAUT.ORiZEDAGENT iDATEi �� H N PROPERLY VALIDATED THIS IS YO RPERMIT SIG TURE OF OWNEROF OWNER BUILDER, tDATE, 8 DG'N$7 QAtE NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: /6-87 �W, Ne Legal Description: Owner Name &Address: Contractor: �- Tel. # 74�5P ✓71- 90/i� 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 Hgt/Ground Sq. Ft. L OTHER: ��e 44j �led7lor Construction Type: Estimated Cost: $ Aw ` Driveway Curb Cut Width Needed: Ft. Ft = Ft x $ _ $ DATE: � 6 e7 ?J APPLICANT: Atf Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ , � -,,?2. 6� CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 YAX: ADDRESS 1587 WINDEMERE DR NE PIN 253024110048 LEGAL DESC INNSBRUCK 5TH ADD LOT 1 BLOCK 2 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-00010 DATE ISSUED: 01/05/2004 VALUATION 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 TWO GAS LINES # A/C UNITS 0 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 ENTER VALUATION APPLICANT DAVES APPLIANCE HEATING & AIR INC 160137 AVE NE COLUMBIA HEIGHTS, MN 55421 (763)781-6901 OWNER GERRY JOHNSON 1587 WINDEMERE DR NE FRIDLEY, MN 55421 5500 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 work 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. AnnRcant _ Date HEATING PERMIT MINIMUM FEE 25.00 FURNACE SHELL/DUCT WORK 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 25.50 PAID WITH CHECK # 33636 Bldg Insp� , _Date .�. -OSIpq n ATT ■ "-"AATCl nr^77TT2 `T Cr►D 111^0V n-rURD TUAA1 nP4Z 'R1TkPD AROVF Ul.il Alm!\ 1 L 1 LlU�ll a V a\L� V aa�u✓ a vas .. v.�.— .. CITY OF FRIDLEY INSPECTION DIVISION l:iiecCiVti .Jd1ludly 1, LUU:S 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 FAX (763) 571-1287 _ JOB ADDRESS 0 RATE SCHEDULE OWNER_ -,�e-znrij Zm tTl Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace (Side Vent : Fill Out Back) $ 30.00 $ ESTIMATED COST 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 rY $ 10.00 $ _ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ FueL Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1%Q of Value of Appliance or Work $ c BTU _HP EDR Commercial/industrial 1.25% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $� MINIMUM FEE FOR ANY EATING/COOLINQUENTILATION REFRIGERATION/AIR CONDITIONING_E£RMIT IS $25.00 PLUS THE & S0 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATI FAX # Approved By Rough -In Date DATE i P�� TEL #1i®` 'oI i Ain 7�1 Z FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED V"en , the undersigned hereby verifies that the. venting has been examined and is free from rust, deterioration, obstructions, Yes( r No( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current odes 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 Yes( ) No( ) assisted and natural draft appliances. The mmbtina numb, as flan air is sized and installed to meet the current codes yes( No( ) and manufacturer's specifications. When required to will be sized and installed to most the current codes and manufacturer's specifications.Yes () No ( ) When losi2111na.a new VanfinD sygtaml the undersigned hereby verifies that it is' a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAIVIA Category I Central Furnace Yes( ) No( } Venting Tables•for fan assisted and natural draft appliances. is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes( ) No ( ) separately as per current codes. and ;j7ejf em en vent anti Vent Can Appiiance #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 Appilance #1 Vent Connector Height ft Length ft Diameter€n Type Appliance #2 Vent Connector Height __ft Length _ ft Diameter J—.In Type �..._ Appliance #3 Vent Connector Height rft Length ft Diameter in Type • �L.. �_ �,. l_� AL1: CITY OF FRIDLEY INSPECTION 6431 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, ut not replacement) Gas Rang 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 Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 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 permii fro , adjoini property owner. Efiective .,a;ivaYy i, 26u3 JOB ADDRESS �� "1 nc.�e r� �r e_ Dr, OWNER 661Y f' o Hn serer TOTAL BUILDING USED AS $ ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name r. r -e_ Size No. BTU 3®)vzsca 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and $ Eb representations stated in this application are true and correct. DATE /EA ING C�0 s TEL # Rosev(Ae MN55N3 FAX # 6511633-M Approved Bye Rough -In Date Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED y)MMf3N VFNT VENT (`QNNFGTQR AND CQMR1 IRTION AIR VE -ATIAN When rapinning 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 (.i No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (1 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 invIcHnn r-amht istrnn air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a now rnmhi isfionAirft will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) men jprftffing a naw venting nystam, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. 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( ) Appleanng TygMand Size/lin men Vent and Vent _nnnectnr Inf ffnaiinn 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 Lengthft Diameter in Type — HEATING CO: Signet! By: Date: 3uildins BUILDINGPermit No _ O Inspections RESIDENTIAL APPLICATION Received By: ' 763-5723604 CITY OF PRIDLEY IDateRec'd: )ATE :ITE ADDRFss WS APPLICANT" IS: 13 OWNER PROPERTY OWNER/ NAME—16 TENANT CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE YOUR STATE LICENSE AraDRESS; WITH APPLICATION RunNE iiz` i TYPE OF WORK: _ YOUR B -MAIL ADDRESSV—jr i_�y fc L122 CONTRACTOR ralel nS®n _. e m e iie- Drive CITY_, 5-07-- 902-- r 1 a 3 99 EXP DATE L- J�f(e O I 1 e j Ave- CITY .5-'AA93 FAX oz-gig—i966 O BASEMENT FINISH O DECK DESCRIBE WORK BEING SIZE OF IMPROVEMENT Rr_#OFING - NLMBER OF SQUARES 50 GARAGES PROPOSED SIZE: , PROPOSED 1461GHT: SIDI,LVG E3 Vinyl O Aluminum 0 Othcr WM-OWR IN irXISTING OPENINGS OYcs ❑No OR FOR NEW OPBNiNGS-DESCRIBB SIZE OF OPENING CHANCES & TYPE OF WINDOW TO BE INSTALLED _ 2110OF Q SIDING Q SW%4MING POO) 0 ADDITION PAIR 17 REMOD7 EUNG LENGTH 0 I OUSE ONLY OUSE, & GARAGE D ATTACHED GARAGE o DirrACRED GARAOR OSoffit O Trim 0 Fascia LOCATION OF WINDOWS ALL FEES ARE BASED ON VALUATION, INC (USING THS 1997 TOTAL JOB VALUATION $ 0 DRAIN TILE ❑ OTIi% ZI B,&SEMENT RFSMODEL NQ SUBMIT: 1. Existing Floor Plan 2, Proposed nota plan 3, List of sous lural members to be uscd FOR NEW CONSTRUCTION INCLUDING DECKS, =MONS, & PORCUES SUAMIT: 1. Site PlentSurve y showing the existing structures and prapmd project. 2. Two Fess of construction plans 3. EDcrgy Caleulations JG THE COST OF LABOR AND MATERIALS: FEESCHEDULE) 7. — OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ . 1 Lf .001 titres the total job valuation Surcharge $ _ _ , .0005 x Pennit Valuation Minimum $.50 License Surcharge $ � pC� $5.00 (State Licensed Residential Contractors) SAC Charge $ — $1550 per SAC Unit (Plans to MWCC fox determination) Curb Cut Escrow $ R + 6 ft = R x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ ( Make checks payable to: City of Fridley Attach Stigulation9 THIS IS AN APPLICATION FORA PERMrr•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 it conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not i permit but only an application for a pennit and work is not to start without a permit; that the work will be in accordance with the approves plan in the case of all work wl ch requires re iew and approval of plans. , SIGNATORE OF APPLICANTPRINT NAME . I DATA- 5„[1 zd WdSS:80 9002 9T 'fipW 2-8ZTTZ9£91.: 'ON XdA Fatp;JA ,to hlta: WOSA