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PRE 2010 DOCSCity of Fridley SUBJECT PERM! ® 1313'7 AT THE TOP OF THE TWINS PERMIT � BUILDING REC • COMMUNITY DEVELOPMENT r DIV. L ------ PROTECTIVE INSPECTION SEC. � ; t '-"1 CITY HALL FRIDLEY 55432 ,�� NUMBER REV. DATE PAGE OF APPROVED BY "---A" 612-560-3450 910-F15 18-12-75 JOB ADDRESS 1591 Wiodside Cou N.F. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE, ATTACHED DESCR. 3 Rice Creek Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS Pinptree Builder-, Inc- 8415 RXIMMANK ZIP PHONE Center Drive 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK p NEW ❑ ADDITION - ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK new house 38 x 26 and garage 22.x 21 9 CHANGE QF USE FROM TO STIPULATIONS 1. Provide a verification survey. SEWER LOCATION (approx 11' deep) 2j Provide a hard surface drive 85 feet N. of M.H. (N.inv 904.90) 3. Provide sod on front andXXXX side yard Wye Elev. 904.65 Top of footing 907.65(Minimum) WATER LOCATION jEPERATE 8.6' South of sewer service HEATIlV(; s RFQUIRf D FORFSI ' "BUY0 AND ; tO �`C� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. egLROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. wo d f rarg THIS PERMIT BECOMES NULL, AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. SS2 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 1030&455 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 ISTALLS I 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 $ 31 15.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ,150 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. PLAN CHECK FEE TOTAL FEE Storm Sewer Esc. 15.90 $602.72 S TUREOFCOMACO (DATE) EN PROP RLY V LIDA THIS IS YOUR PERMIT tA&UTHORIZEDAGENT I ;�R.�O�F I-0y977o NATURE OF OWNER IIF OWNER BU 1 (DATE) BLDG INSP 749iDATE • .APPLICATION FOR RESI'DENTIAL., ALTL'RATION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY,-htINNESOTA. OWNER'S NAME: BUILDER : -ADDRESS: ADDRESS:— STREET: RESS: STREET• IAT: BLOCK: ADDITION: at�Z- CORNER LOT: X, INSIDE LOT: SETBACK: SIDEYARD: Applicant attach. 4o this form Two Certificates. .-,f Survey .of - L-ot and .proposed building location drawn on these Certificates. .DESCRIPTION OF BUILDING To Be Used As: . f ® Front •Depth • Height . - Square Feet: b3 Cubic.Feet: !� VL Front: ' ® Depth: Height Square Feet; Cubic Feet: • Type"of Construction: k=0C I x—, Estimated Cost: $ To - Be Completed: P •- The undersigned hereby makes application for a 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 hereby declares that all the facts and representations stated in this application are true and correct. • ' BATE : _ — S SIGNATURE: ` (See Reverse Side For Additional Information.)' i?a0fr. V S. , i o l6 dot Swa r -*u. .. Vv 50c. 1.2460 i Zr-N()17P_ (- 1 bS I . SO.OIo r V Zs I +4 M, „t • c E a� 3g' N I�►w� 0 I to COP RT ['VISION SAFETYONTROL ZONE' DO NOT PLANT R PLACE ANY. THING, IN THIS A EA WITHOUT AP- PROVAL OF, THE ITY. OF FRIDLEY. ®esertpt ion Loi- 3, 61ock- t, Before digging call focal utilitim R CE CRF -EY, ES_rA-c ES, TELEPHONE - ELECTRIC ® GAS Etc Anoka Courxig, Minn. REWRED BY LAVI IS`31 w�OSt o�. C'c�v�j • I hereby certify that this is a true and correct representation of a survey of .Job No. ��®��'� the houndanes of LA®'� the above described land.and of the location of all buildings, if any, thereon; and all visible encrriachmrnts, if any, from or on said land. 190 SUI'[ld'y Land Surveyinq ® Site Plamm�q As surveyed by me this _ ___1fo +h... _ day of -.fon, , 191 . Book —Page Civil Fngineenny 8816 701h Av. N. (1 94 it Boone Av N 1 -- -- ti' �4` A1�- (-----.— _ Scale Brooklyn Park. MN 55428 Ph6ne 533 1340. tv1inn. F< ,; ,;,,. _A0944. 1"'= AC GA2 13. 4-.��' LO 3S'n4J I to COP RT ['VISION SAFETYONTROL ZONE' DO NOT PLANT R PLACE ANY. THING, IN THIS A EA WITHOUT AP- PROVAL OF, THE ITY. OF FRIDLEY. ®esertpt ion Loi- 3, 61ock- t, Before digging call focal utilitim R CE CRF -EY, ES_rA-c ES, TELEPHONE - ELECTRIC ® GAS Etc Anoka Courxig, Minn. REWRED BY LAVI IS`31 w�OSt o�. C'c�v�j • I hereby certify that this is a true and correct representation of a survey of .Job No. ��®��'� the houndanes of LA®'� the above described land.and of the location of all buildings, if any, thereon; and all visible encrriachmrnts, if any, from or on said land. 190 SUI'[ld'y Land Surveyinq ® Site Plamm�q As surveyed by me this _ ___1fo +h... _ day of -.fon, , 191 . Book —Page Civil Fngineenny 8816 701h Av. N. (1 94 it Boone Av N 1 -- -- ti' �4` A1�- (-----.— _ Scale Brooklyn Park. MN 55428 Ph6ne 533 1340. tv1inn. F< ,; ,;,,. _A0944. 1"'= AC 'Ttf'V/c es a F F if - /,j T-/9 ry?i/L/ E-7-� 12e e A), o F4�, W-7iT 3 L( 0 s r � 7 Te 4::�F S-(�-wer �?efvec -t y'=:�:n v^_{�'°<s ..,*'�.••.,z,; �`.,�. �... cp �,''-n... -, ,�, t-.: si ,-e t C-7:., mm'' �R �,14, `a, .. 4+,_„� 1�'�•ire..r.'�°,. +wy �` ..F°' ^".R �. rt'!�.-P'..4,., •e.•o, �p to, ..b Vr :. rw.• L•1d tu,.a As a -i G H..»..tiJ 4.- , �: uw ..•a .sV• J �a^."AJYd'. a �a {ALF ._:L..6 _. 1A .r4•oe1 :a.rwia:u ��:+se:.7 '.� �' s�Ga �` w�a.:: Eo.s'S.: 'a Li= PA TIAL ,TE SCI SOMME apt. �� ;��. ��A� n P'urnzce Sh--'l &Duct Work ... ... $10.03 $ Rep:acer,.er,t of n-rnaoa 6.00 Rcpai:- & Alterations --up to }x,500.00 6.00 $ Repairs & Alterations each add. 1500.00 3W $ Furnace Shell & Duct Work to 1:0,000 BTU ezach add. 60,000 BTU . of rurn2ce is Alterations—up to $500.00 :(_-;;:sirs & Alterations each add. $500.0 .$10(90 $ City of Maley: The undersigned hereby makes application !or a permit for the work herein' specified. agreeing to. do all work in strict accordance with tate City Osrlfnaaee< and ruling of the Depai tment of Buildira^s, and hereby declares that aII the facts and representations stated in this application are true and correct. 3.W S Owner 6.00 g Kidd o1 &OD $ $ Used as 3.00 Furnace Shell. & Lines—to 400 sq. ft. MR Stea$10.00 $ m Furnace Shell & Liner—to f,40 sq. ft. EDR Hot Water 10M $. Each add 200 sq. fl. EMI Steam Each add. 320 sq. ft. EDR Hot Water 3.00 OIL BUBHER—to 3 gal. per hour 6.03 $.� .... over 3 gal. per hour --See Fee Schedule GAS sun. ES (up to 199,003 BTU) C-ar 1x1,000 i's;IU sae Fps T,ch�dulo GAS rITTSNG 1:89 RATE TOTAL 1st 3 Fixtures x$ 200 $ Additional Ylxtures x .75 Gas Range to 193,= x &CO! $ Slate Surcharge� .50 (gl ,F 5= FGo &-L.'£.LniY.L9 Za' SSS E°iTa4 �w,i. iaTCJ'sz`}3 & kzp E3 s To be completed about.] _ Estimated Cost, $ __-1 � ( Oldew. lding Permit No. ParmitNo. (Oq/� RM" ILTING or POWERILA NTS -5 --Steam, Hot Water, Warm Air—No_ Trade cleq Capacity_._._. Sq, Ft E_V.R BTU E P Total Connected Load Kind of rue BURNER — Trade rlami Size Flo Capacity 3.3. V4. zz R S'siT MP-__ Si1'r' z SUBURBAN AIR CONDITION R DRIVE Dueama maAMS -OV22) Ca -of Fvicflay pplication fay' Plumbing and 1=', �n Pemit • ... . Depr$. ®� Bld;,z. ?hostio X450 DESCArPTIOX ®F WORK . •Lo=ti Ntst�bmt, Kind aesd 3.ecmliew of • Fu:.e:o Cer e:.ica O;x: ir;s sewed.. e ?tov i i_ -tura. Old 0;-=1rX,% Catapme City of Fridley: s The undersigned hereby makes appl=ication for a per 0t for Lye so: 1i Isere specified, a,reeing to do all «crk :n stroict acctlor,e kith the Cid C.~::•a'� and ruling of the Department of Eu• el:np, and hereby declares th.t a:l Lhe.fal • ;2-s .prlicat;cn are true znd co.-ect and representations sta;c�! In Fridley, MI= 2 A9r PARTIAL AXM SCHEDULE PLt7I+lSING iFt�CTUn RATM. KO. RATE WAT[4 MTa. I� 7 x SZOO $ Nurnber Fixtures .. • • • • • - ..... A • • 0!,v # `o a x 51.50 S ' Fytu-e Fixture Opening .. • • • • • • • • • --- — .new Fixture O.d OpRnirg... .:.... -- x $1.50 S _ - --- x53.25 3 Catch Basin . . . . . ... . . . . . ... . ... . ' a.er Heater 'Up to 89.000 BTU) • .. • Ste: I $ - sec+ Ground Run Old Bldg.. .:..:: -- x S3.25 S - i1«otrc /&-or F."tor...... .......... z $2.00 S GAS F'ja UG lus: NO. nl• T- r TOTAL X 52.00 $ zoo . Ist 3 Fixtures ................... • ----- x S .75 $ - ,Additional Fixtures. ....:......... Gas 3ie to 189.000 BTU U ......... « :: _.------- X $5.00 ' 3:d I I • Fu:.e:o Cer e:.ica O;x: ir;s sewed.. e ?tov i i_ -tura. Old 0;-=1rX,% Catapme City of Fridley: s The undersigned hereby makes appl=ication for a per 0t for Lye so: 1i Isere specified, a,reeing to do all «crk :n stroict acctlor,e kith the Cid C.~::•a'� and ruling of the Department of Eu• el:np, and hereby declares th.t a:l Lhe.fal • ;2-s .prlicat;cn are true znd co.-ect and representations sta;c�! In Fridley, MI= 2 A9r PARTIAL AXM SCHEDULE PLt7I+lSING iFt�CTUn RATM. KO. RATE TOTAL 7 x SZOO $ Nurnber Fixtures .. • • • • • - ..... A • • — x 51.50 S ' Fytu-e Fixture Opening .. • • • • • • • • • --- — .new Fixture O.d OpRnirg... .:.... -- x $1.50 S _ - --- x53.25 3 Catch Basin . . . . . ... . . . . . ... . ... . ' a.er Heater 'Up to 89.000 BTU) • .. • x "'' 00 $ - sec+ Ground Run Old Bldg.. .:..:: -- x S3.25 S - i1«otrc /&-or F."tor...... .......... z $2.00 S GAS F'ja UG lus: NO. nl• T- r TOTAL X 52.00 $ zoo . Ist 3 Fixtures ................... • ----- x S .75 $ - ,Additional Fixtures. ....:......... Gas 3ie to 189.000 BTU U ......... « :: _.------- X $5.00 ' Owner . Kind of Building Used as To be completed about �z�m •Estimatrd Cost, S .� Old—New.-nuilding Permit leo. - ----A-77—pNd. • By Busine=ss Phvne No 7�� ROUGH � • ' Fih'AL .50 State .Surcha=rge R1�A3�S lr �L•4��ATY�NSaa.h Codes • . . ............................ . . • - TOTAL. F"Y l :,►.� _ �' S �= :.f (`" I� t) �•1 c q 1. ;; :• �. •� ,1 v � O9Vu a X �� V to � t7 �� «: .!; '� A d Y• (� •� rt`� :, of „ t. t' U. r'�r• 04 C.1!03 -64 :v , by rt• L: '•' N . }� fn� r rT• '1 ly 9 00 ;a ro r. I i of C cn, rl @) CA - 40 to c, o w ' d•, R:� 7 tJ, 49 GO M Y+ 41 .'D IA lit {.9 fi, to 67 4A ld (A <:) 44 , +•3 e CJI f O 00 ;a ro -3 C cn, t� 1 w ' susdEcr City of Fridley WER14'75 AT THE TOP OF THE TWINS PERMIT r BUILDING RECEIPT NO • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r � � SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �.J 612-560-3450 910-F15 6/16/78 JOB ADDRESS 1591 Woodside Court N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 ] Rice Creek Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Drew Vogel 1591 Woodside Court N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. O.L.S. Masonry Inc. 19529 Jackie Lane.. Rogers 428-2320 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK IX=X Construct a masonry fireplace 9 CHANGE OF USE FROM TO STIPULATIONS 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 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. $.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,500 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON- $9.00 STRUCTI OR HE PERFORMA CE OF CONSTRUCTION. i c 7 PLAN CHECK FEE TOTAL FEE $9.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ( ATE) WH R(XERLY VALIDATED THIS IS YOUR PERMIT c (o ;v f DATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: �/ L �tJ � � 13UILDEII:��%/�fadr� v" ✓`JUC Address: Address: ,fitf9-2 .%`4c k,4' �•�iii e I Tel. No. No.: 115 -.71 Street: &40_5 ®F_ _r LOT: BLOCK: f ADDITION: �� P�e�� r�PCf CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach 'to this form 21io Certificates of. Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Square Feet: Cubic Feet: Front: Depth: Square Feet: Cubic Feet: . av Estimated Cost: Type of Construction: Height: Height: To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances.and rulings of the Department of Buildings, and hereby declares that all the facts and representatio stated in .this application are true and correct. See reverse sid or addi ional info. ion. �r ®�� DATE: SIGNATUi' .. - Stipulations: CITY OF FRIDLEY , APPLICATION FOR PUIMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE a - e PLUMBING FIXTURE RATES: NO. >. to Number Fixtures x $3.00 v Future Fixture Opening x 0 $ Water x $2.00 to OLD - NEW BUILDING PERMIT NO. C x $5.00 S V $4 a w $ 200,000 BTU to 199,000 BTU Heater .°i $ _ a x $7.00 e New Ground Run Old Building u' a� u c e x' $5.00 $ GAS FITTING FEES: lst 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x g $ REPAIRS $ ALTERATIONS First $100.00 y u $ each add. $100.00 or fraction c$ $2.00 $ Aw° $ .50 U11M"ar U $ a 3as lec 1st 2nd 3rd 4th i (R) = Future Connection Opening Connected with Sewer (+) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE a - PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x 42.00 $ New Fixture, Old Opening x $2.00 $ OLD - NEW BUILDING PERMIT NO. PERMIT NO. / Catch Basin x $5.00 S Water Heater - to 99,000 BTU x $5.00 $ 200,000 BTU to 199,000 BTU x $10.00 $ _ Water Softener x $7.00 $. New Ground Run Old Building x $5.00 $ Electric Water Heater x' $5.00 $ GAS FITTING FEES: lst 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) Job Address ®� �� "� fid`✓ G' Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and.hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Mn. - �� r 197f�" OWNER a - KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. / Calle Company Signed By Tel. No. L/ Z e tee. ..- ROUGH INSP. Date e FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.SO PLOS $.So STATE SiJRCr37= CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 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 Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.00 $- $10.00 $10.00 $ 0`010 $10.00 $- $10.00 $10.00 $ *Air Conditioning - All Sizes $10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ AS MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS ISI/ O(S ord c-2 `+ 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. c). ,199. OWNER LLA Ile ID ' c i Y0 ti BUILDING USED AS ESTIMATED COST -5 006 PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) 0 �arm7A!r Trade Name h eat A 1- Size No. X e 1.0 ca BTU % &cgo HP EDR Fuel�c I v vra f' Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY L (A�� l� . � ctc,J vin e , f - Signed By 9A 0, i!y t el No. ,5'7/' 2 ?/L% Approved ByRough-In Date Final Date s1 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY 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 Remarks List Alterations Being Done: HEATING COMPANY Signed By Date NATURAL AND LP GAS BURNING DECORATIVE APPLIANCE Everything you want in a gas fireplace: beautiful flames, top direct vent, simple installation, and affordable cost. The GC300 Series com- bines Heatilator's unique advanced gas flame tech- { nology (HFT) with the a = exciting engineering en ineerin of the ja uu 7 industry's most innovative –'"'— research and development =--- team. For you, this means flames that look more like burning wood than any other gas fireplace currently on the market. Because it is a Top Direct Vent (TDV), it can be vented as much as six feet vertically and eleven feet horizontally. It's easy to install this unit in almost any location in the house. The 65% operating efficiency* of the GC300 and 29,000 Btu input will quickly take the chill off a room and provide steady warmth. This HFT fireplace truly provides the appearance and warmth of a woodburning fire with the clean convenience of gas. Handsome stylinefor countless decorating possibilities. • Generous dimensions and classic proportions fit well into current architectural style. • Large (5.3 square feet) sealed glass front for opti- mum fire viewing and heating performance. • Five lightweight ceramic fiber logs create an ember glow and optimize radiant heat output. Leading edge technology provides unrivaled performance. • Heatilator Flame Technology (HFT) creates the most picturesque flame on the market with a minimal input of 29,000 Btu. • The sealed combustion system uses outside air and preserves indoor air quality. An internal air - wash creates a lively flame appearance. • Safe, reliable, energy -conserving, direct spark elec- tronic ignition creates a blazing fire in an instant. • 1 -year limited warranty in U.S.A. Certified by A.G.A. to Z21.50b-90 as a decorative gas appliance with direct vent. Allows installation in bedrooms. (Check local building codes.) Simple installation procedures keep costs down. • Stainless steel flex tube with shutoff valve and "plug-in" electrical system for accessories provide quick installation. • TDV venting with unit, includes termination cap, 2 -foot extension and 90 -degree elbow, simplifies installation and allows several configurations. 71248AR 5-92 25M • Trim kits in antique brass (TK200A) or bright brass (TK200B) give decorating options. 0 Fan kit (FK4) improves distribution of heated air. "Touch and hold" fan mount dampens vibration while rheostat (BC10) controls fan speed. • Remote control for total convenience (RC4 and RC5). • Two -foot vent extensions (VK4) allow installation along interior walls, increasing venting options: Requires the use of vent support bracket (VS4). • Direct vent cap shield for low terminations (CS200). X ;r.w The GC300 Series is energy efficient and maintains high indoor air quality. A sealed combustion system keeps indoor air from escaping out the flue while it uses outside air to produce a flame- patternust like bum- utg hardwood. Room air is warmed inside a heat circulator built into the fireplace and then distributed back into the room for excellent heat output. An interior air wash on the viewing glass keeps it clear. UNIT DIMENSIONS _ -- _ soy ® MIN. j f' T-- iso°steel; mu• sem,' z3- ash• -,% %!, 24'h•--- B/a _36'_.I I �ry LI%_ 4P-- 41• - ho,eatllator• Heatilator Inc. a HON INDUSTRIES Company 1915 W. Saunders Street Mt. Pleasant, Iowa 52641 800/247-6798 319/385-9211 FAX 319/385-9225 HEATILATOR is a registered trademark of Heatilator Inc. Specifications and options subject to change. Consult GC300 Technical Guide for complete listings, unit and installation dimensions. *Based on factory tests. Mad Natural gas L.P. gas Electronic ignition GC300E GC30OLE Standing pilot GC300 GC300L Canadian Models Natural gas L.P. gas Electronic ignition CGC300E CGC30OLE Standing pilot CGC300 CGC300L ho,eatllator• Heatilator Inc. a HON INDUSTRIES Company 1915 W. Saunders Street Mt. Pleasant, Iowa 52641 800/247-6798 319/385-9211 FAX 319/385-9225 HEATILATOR is a registered trademark of Heatilator Inc. Specifications and options subject to change. Consult GC300 Technical Guide for complete listings, unit and installation dimensions. *Based on factory tests. Mad OMI LAROST AY OF OPEAATO FOSEPl MANDWOODSTM ELOfESEniNGS CORN ERI I FIRfP1ACE SPECWLLSFS OA '.' (s12) 633-1042 2700 N. Fairview Ave. (at Co. Rd.'C') • Roseville, MN 55113 SUBJECT IT N0. City of Fridley 21619 AT THE TOP OF THE TWINS BUILDING PERMIT ( r RECEIPT ` COMMUNITY DEVELOPMENT DIV. L v PROTECTIVE INSPECTION SEC. � '1 CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY J 612-571-3450 910-F15 10/26/92 JOB ADDRESS 1591 Woodside Court NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Rice Creek Estates SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE 571-7714 Luke Maidment 1591 Woodside Court NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sam Radford Custom Builders 23305 Hampton Blvd, Hampton 55031 437-8328 5772 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 16' x 14' Addition; a 121 x 121 Deck; and a 16' x 14' 'Three Season Porch 9 CHANGE OF USE FROM TO STIPULATIONS See notationson plan, Subject to approval of support detail on 2nd floo WAMM SEPARATE PERMITS REQUIRED FOR Beforediggingility call br SIV@RING, (-(EATING, PLUMBING AND SIGN& 454-0002 REQUIRED 81 LAW 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 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 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 $18 257 $9.13 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT r PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REG LATING CON- 198,00 $ Fire SC $18,26 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ��=�� Li c nse SC $5.00/.%$230.39 SIGNATURE OF CONTRACT R AUTHORIZED ENT (DATEIHEN PR ERY A IDA ED THIS IS YOUR PERMIT /® _26o9Z Bl G INS DATE SiGNATURE OF OWNER OF OWNER BUILDER( (DATEI NEW { ] Effective 3/l/92 ADDN (] CITY OF FRIDLEY ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address:r" 3"l Legal Description: P Owner Name & Address: Z ell f ,e /�r� e�� a��, Aa& ge sV Tel. # �5-7/ 771Y Contractor:,�, ��,,,�,� ��,�� ,� 1', MN LICENSE Address: �3p �t��a11s®� dOlf-ae ZL4 e �®3/ Tel. # x/, -77h exAV Or Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length / J Width/ �! d Height Sq. Ft. &7 1 X Z-3 y9 Length Width Height Sq. Ft. Length / Width Hgt/Ground Sq. Ft. ` 1,y 9 &0 s us /�� ,/��/ 1/ 4/ �/ - 'y d -e 'r .23, 08 Corner Lot M Inside Lot [ J Ft. Yd Setback ] Side Yard Setbacks d l Type of Construction: J4% N► C Estimated Cost: $ _ 2-xze Approx. Completion Date: /',1 �11Y -2 (cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ = $ DATE: �� - ,�- APPLICANT: Tel. # 913 2 e CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ /'0..- .001 of Permit Valuation (1/10th%) State Surcharge $ 2,43 $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ :57, C C $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ --- Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary -I ] Not Necessary [ ] TOTAL STIPULATIONS: $ --�-3 0, -3 , RIIA'WAPA •�-�.__ � � �1✓ dam.` I�k3 Z -- - --..22 -- -- - - - ---------�.. - j 7 ! 3 �P S� O Z- ' File No. A Q PLAT DRAWING (THIS IS NOT A SURVEY) Exhibit f' p t.t... e ; '•a7 -3P r 12. 00 Q s B4 cOp s 1 ©1-4 C. t o 1 Property Address: / 9 ! "The location of the, improvements shown on this drawing are approximate and are based on a visual inspection of 1 the warnises. The lot dimensions are taken from the recorded plat or county records. This drawing is for informational a:+-pos:a anti should not WL: used a; a survey. It Juts nae const,;u:e a liability of the cam; any and is intord_d for r„tr:_3yK �::r,�oses o:zly.' q+ 2165 rew. 9,79 - CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories :Cl Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES Effective On January 1, 1997 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR hath Washj`: r(t1k Flooratcl'; Auto Qat Gas t�sC, Water Heater Urinal >TUka , Shower Sink Tray FOU:ht.;::::;::: Drain Bstn Washer A I Ran a Epp:. 9 ext :..< Gas Elec NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required { )Yes (j No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 JOB ADDRESS,/" 1 V* 00 f0J'/ ®Z_ ��— 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 Building Division, and hereby declares that all the facts and representations stated in this application are true an correct. 1997 Owner'/ r� f2'�� /fJ %� 7 I ` 7 7 1 °� Building Used As Estimated Cost -�, D9 PERMIT NO.4,17 PLUMBING COMPA Y,�V� SIGNED BY TEL N0. 5=5'1 Approved By /L,=M Rough -In Date �j MINIMUM FEE FOR ANY PLUMBING/ $p " PLUS THE $.50 STATE SURCHARGE Final Date -. MIT IS $20.00 5 V -0 (qp **COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Effective On January 1, 200( Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS l Sl ® W000Sib e_ C7`0 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 $ Commercial/Industrial 1.2510 of Value of Appliance or Work $ State Surcharge $ 50 TOTAL FEE $2,$ ..�1, 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. OWNER &VW C:iZ� r4 t BUILDING USED AS Twe u t "o. - ESTIMATED COST /AAA PERMIT NO. 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_&RLN A�k Size No. 3,f rX "&6 BTU HP EDR g 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 2. HEATING CO River City Sheet Metal, Inc. 9928 Bluebird St. N.W. Signed Coon Rapids, MN 554L # 71,3 4- -2199 Approved By ZAJ Rough -in Date Final Date ��