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PRE 2010 DOCSCity of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 P MG PERMT Date: _�_ovember 13, 1972 owner: Richard Miller Homes Builder Same _ Address 1600 Rice Creek Road N.E. Address Same 633-7464 LOCATION OF BUILDING No.1602 Street Woodside Court N.E. Part of Lot Lot _:_4..._..._ Block __.:. 2 Addition or Sub -Division _ Briardale Addition Corner Lot Inside Lot - Setback 35 t Sideyard 5' & 21' ,40W Elevation — 906-04 909.74. Minimum Wye Top of Footing 1:011*1fel I'll IJ 11 • • r, To be Used as: Dwelling....___... Front 40_ Depth 26. t Height 2 Sq. Ft. 1040' Cm Ft. 2 ;i,,M0 _Garsge._.._._............_...... Front _2W_ ..._ Depth _6' Height 10' Sq. Ft. _ 488' Cu. Ft. - 4.8.o Type of Construction - Woad- Fxame Est. Cost—4$33.,.913Y0.0_.__ Tobe Completed May- 1973 Stipulations: Basement floor to be 18" above curb (minimum) at the southwest lot corner. Provide a verifying survey before capping. Provide a hard surface driveway. Storm Sewer escrow of $277.20 to be collected with water WATER LOCATION: 11 feet east of sewer service. SEWER LOCATION: 61 feet east of manhole (EIE 905.66) In consideration of the issuance to me of a permit to c the proposed work in accordance with the description above ordinances of the city of Fridley. 15.95 Stat ig described above I agree tq do compliance with a'll provisions of In consideration of the payment of a fee of $ 48, 09 , permit is hereby granted to Richard Miller Homes 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 ordinkinm of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings }yithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of &aid oxdfnances. x6dtG g Inspector CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. A 11 APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: BUILDER: Richard Miller Homes ADDRESS: ADDRESS: 1600 Rice Creek Road, Fridley No:. 1602 STREET: Woodside Court LOT: 4 BLOCK: 2 ADDITION: Briardale CORNER LOT: XX INSIDE LOT: —SETBACK:- .35 ft SIDEYARD:5 & 21 ft 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 DwellIng Front: 40 Depth: 26 Height: 20 Square Feet; 1040 Cubic Feet: 20800 riaraup Front: 20 Depth: 26 Height: 1Q Square Feet; 488 Cubic Feet: Type of Construction: Frame Estimated Cost: $f-. To Be Completed: 5/1/73 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. DATE: 11/9/72 SIGNATURE: (See Reverse Side For Additional Information.) woosat� COLIP- 7- 77.1,? Lw,.,...-- T D GRI90�enoleq 4 -C2. lend $01"VOY1"I %run monumtn� minneopiatis, - , �OWVTIQVI� �*911* testing that ?fie; If 0 I-Tt9'e of?d •Minn. 55431 nj , sold land. As surveyed bY 4`110 this —dell V. IV,— felephano ?84-6066 Civil Jnqi#W*rinq FAWAkipel Ingin0*4119 Engineers & Surveyors Aram Code 612 cettif icate --4- of Survey foranil,, klc -7 SS, X1V woosat� COLIP- 7- 77.1,? Lw,.,...-- T D GRI90�enoleq 4 -C2. a Oun %run monumtn� - , �OWVTIQVI� that ?fie; If 0 I-Tt9'e of?d O.rect -V r.2prvScrw4ohcn oA a '%jaFPY 'If of Y��P, tab, 4 f i nj , sold land. As surveyed bY 4`110 this —dell V. IV,— SUBURBAN ENGINEERING, INC. 40 O Fl-- �c Q u e_ r z e, c 611E �z &,.-,Pz �4 Yoe:,. 6 33 �,� r � // / , C-. o r- cY -,F zj e -,c Se- g v1 c F, City of Fridley U Applicd&w for Phmtbbg and Dept. of )Bldgs. Phone SM -3450 �•► �/ DESCRIPTION OF WORK I. stiffen i6 ®Zy Q ®y oi�%!.: c O C�11 %— Number, Kind and Location of Fixtures :oma .mmmm e ons inn ■��■�� ■� PARTIAL RATE SCHEDULE FLUM19ING FIXTURE RATES: NO. RATE TOTAL ... Number Fixtures ................ � x $2.00$ �•®, 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 Beater .............. s $2.00 $ SAS FITTING FEES: NO. RATE TOTAL. 1st 3 Fixtures ................ . l x $2.00 $ '=:�. uy Additional Fixtures .................. x $ .76 $ Gas Range to 199,000 BTU ... ,.......... x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................................... TOTAL.FU , a v City of Fridley: 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 a ��,F��riyydley, Minn ' '1 Owner � `c A10 441 o Kind of Building Used as _ M' wat We p To be completed about Aq*Y' /so, O T� Estimated Cost, $ /C G®' Gi*i—New. Building Permit No. Permit No. Signed 16 v By • Q.�1.r4/•�.. Business Phone No ltr-G — T�i ROUGH FINAL -0--a-1- 7 51, AppUmAm for Power Pkift wd Hoe". CoonqYe lefts, Reffigerafts cmd Air Condbioning System -and Devices V PARTIAL RATE SCHEDULE GRAVTTY WARM AIR- RATE TOTAL Furnace Shell & Duct Work ......:.................$10.00$ Replacement of Furnace ............................. 6.00 $ .......... Repairs & Alterations --up to $500.006.OD $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.*00 $ 10.00 each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 Repairs & Alterations -up to $500.00 ................. 6.00 t__ Repairs & Alterations each add. $500.00 .............. 9.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines -to 400 sq. ft. EDR Steam .$10.00 $ 4& -----Furnace Shell & Line -to 640 sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam ............... i ...... 3.00 Each add. 320 sq. ft. EDR Hot Water ..... ............ 3.00 $ OIL BURNER to 3 gal. per hour ....... ....... I ..... 6.00 $ over 3 gal. per hour -See Fee Schedule GAS BURNER (up to 199,000 BTU) .................... uo s 5, 00 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ........ ........ X$ Zoo $-2.00 Additional Fixtures ................. x .75 $_ Gas Range to loop* ... ...... i$ 500 $ AIR, -XII)MONING WEST. SLO-36 3 ton -1200 CF I) 18,00 Dept. of md9s. Ph*ne 560-3490 1602 Woodside - city of rddley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Department of Buildings, and hereby declares that an the facts and representations stated in this application are true and correct. Fridley, Minn- 3121-73 V. I& — owner. Righard Mille-r—Hemas Kind of Building frame Used as msidential, To be completed about — 3130173 Estimated Cost, $ 19235.00 Old -New. Building Permit No. PemitNo. DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air -No- _ 1 Trade Name- VESTIMHOUSE sin No- YGUB-110 capacity. 88 9 000 Sq. Ft. EJD.R BTU H.P. Total Connected Load Kind of Fuel Ga -q BURNER - Trade Name SAME AS ABCRE— size No Capacity FL ED R BTU— HJR COPY OF HEAT LOSS ATTACHED. rJM Z2&A&AnW MOSEANkM Ses Fes VENTILATING SITSTM 50 SURCME ALTERATIONS & REPAIRS TOTAL Fm 59 - SALES W i JOHN BORRY * =1C (REMARKS—OYER) 0 SW,04 Hy Business PhWe No FREZ vau r a cm HEATING & AIR CONDITIONING 3260 Gorham Ave. - 929-6767 SX 9 -ds Pads, Minc to 53426' City of Fridley SUBJECT P 166,13 AT THE TOP OF THE TWINS BUILDING PERMIT r � � R P •COMMUNITY DEVELOPMENT DIV. � tea: - ____- INSPECTION /0.3 r PROTECTIVE SEC. P I � CITY FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY .HALL j j 612-571-3450 910-F15 6/3/82 JOB ADDRESS 1602 Woodside Court N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2I-Briardale SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thomas Ebelein 1602 Woodside Court N.E. 572-0710 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. AL G. Anderson Contractor 998 Transit Avenue Roseville 484-2630 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 ❑� ElNEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 15' x 12' 3 Season Porch onto Back of welling 9 CHANGE QF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR Wt 14- Ge HEATING, PLUMBING AND SIGl local utilities czll - Eta. before d;� GINSLAW TELEPI-lG �'ly - E' E�'� r•1C TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood 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 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 $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,000 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- $38.50 NONE ST UCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE �s $9.63 $49.63 SIGNATURE OF C,QP RAq�NOR RAUTH RIZED AGENT DATE) �' WHEN PROPS Y VALIDATED THIS IS YOUR.PER,MIT BLDG )NSP ATE SIGNATURE OF OWNER(IF OWNER BUILDER) (DATE) 01 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PERfiITS (Nein, Alterations, Additions, or Repairs) OWNER: �� .�'��—�-L—s�' BUILDER: 4:41, ADDRESS: ADDRESS: �,f /Jf TEL R0: _5%.2, TEL NO: Construction Location - STREET NO: STREET: STREET: - LOT: BLOCK: ADDITION: Corner Lot: 1� Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION bo -4 kc- Front: Depth: l Height: 1 �, Square. Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: t ?aid t (os %� �� P4VN16- Type of Construction: % r::� Estimated Cost: $ Tb Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: SEE REVERSE SID£ OF SHEET . Mie undersigned hereby makes application for a permit for the work herein specified, agreeing to c3o,all wort: 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. w DATE: SIGNATURE: Stipulations: P_00'� �. R(2,0' �r land Planning sl,f f"tf t / 6873 Highway Nw6S Kt. land Surveying ♦ ! Minneapolis, fells Testing ' J17rile-e diI�� •Jlli, a Mine. $5432 CiviIIng+neering Telephone 784-6066 Municipal Engineering Engineers & Surveyors Area Code 612 MILLE; Mortgage Loan Survey for ZCHARD Homn (�0-1)—VJ000s10E COUPT 4 6.95 Z D 77.67 M O D LOT 4 BLOC 2 SAIARDALE D'InAg DE U1114i Sawa N&a COUNTY Th'% Is o true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, i1 any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan new being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agreed nW onu4nents have been placed for the purpose of establishing lot lines or boundary corners Dated this �Z iday of_ NOV A. D. 19S .� Cole �-1-` SUBURBAN ENGINEERING, ,rOINC. t1_ 40 u} Servers b y -i I d / ,syn•,-,, - o..�,.,asav�n`fiet+�-ast+", t 7 LOT 4 BLOC 2 SAIARDALE D'InAg DE U1114i Sawa N&a COUNTY Th'% Is o true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, i1 any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan new being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agreed nW onu4nents have been placed for the purpose of establishing lot lines or boundary corners Dated this �Z iday of_ NOV A. D. 19S .� Cole �-1-` SUBURBAN ENGINEERING, ,rOINC. t1_ 40 u} Servers b y -i I d / ,syn•,-,, - o..�,.,asav�n`fiet+�-ast+", t LOT 4 BLOC 2 SAIARDALE D'InAg DE U1114i Sawa N&a COUNTY Th'% Is o true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, i1 any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan new being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agreed nW onu4nents have been placed for the purpose of establishing lot lines or boundary corners Dated this �Z iday of_ NOV A. D. 19S .� Cole �-1-` SUBURBAN ENGINEERING, ,rOINC. t1_ 40 u} Servers b y -i I d / SUBJECT PETw9wo• City ®f Fridley AT THE TOP OF THE TWINS BUILDING PERMIT ` ECEIPT COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.ta (� r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/26/93 JOB ADDRESS 1602 Woodside Court NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 1 ariardale SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Erdmann 1602 Woodside Court NE 571-2573 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof House & Garage 27 S Hare, 2nd Layer 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 l 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 $1 458 $, 73 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 935. OG Fire SSC $1.46 PLAN CHECK FEE TOTALFEE $37.19 NATURE OF CONT RORA THORIZED AGENT (DATE) HETPEVRY ALI TED THIS IS YOUR PERMIT %1_'%6,GqATURFqOFOWN OWNER BUILDERI f JDATLf,- - BLDG INSP PATE NEW [ ] Effective 1/1/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: &0 7- Woe, dj l Cle - �'� Legal Description: 8-'t I at, c(.7 -1,p, zo 7e 4l Owner Name & Address: D A�d ld GAj Tel. # Contractor: MN LICENSE # Address: Z40 Z- Gj,%ot C&I 4j(e C� 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. DECD AREA: Length Width Hgt/Ground Sq. Ft. OTHER: -r 22'tc-t A�*L— Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft: + 6 Ft = Ft x $ = $ DATE: APPLICANT: QTel. # S7/ '23-47-, CITY USE ONLY Permit Fee $ 00 Fee Schedule on Reverse Side Fire Surcharge $ �'- �� .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $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 [ ] Not Necessary [ ] TOTAL STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NtJMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS ✓i% ��/r>U s i 1�� t�7 New Fixtures $ 7.00 1ffl�.Rffi0r11.n.=ffl Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes New $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin M. Ton and representations stated in this application are true and correct. Catch Basin Rain Water Leader $ 7.00 $ 7.00 ��Ga Sump/Receiving Tank $ 7.00 / �� s h b ! �- Water Treating Appliance $10.00 Owner v _S '6 Water Heater -Electric $ 7.00 Water Heater - Gas*' $10.00 Building Used As Gas Range*` $10.00 �� Gas Dryer*` $10.00 Estimated Cost PERMIT NO. / Back Flow Preventer Required ( )Yes () No //1� L Type $15.00 PLUMBING COMPANY/�I'Of�^� PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS ✓i% ��/r>U s i 1�� t�7 New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin Rain Water Leader $ 7.00 $ 7.00 ��Ga Sump/Receiving Tank $ 7.00 / �� s h b ! �- Water Treating Appliance $10.00 Owner v _S '6 Water Heater -Electric $ 7.00 Water Heater - Gas*' $10.00 Building Used As Gas Range*` $10.00 �� Gas Dryer*` $10.00 Estimated Cost PERMIT NO. / Back Flow Preventer Required ( )Yes () No //1� L Type $15.00 PLUMBING COMPANY/�I'Of�^� p Reins ection Fee $47.00/Hr TEL N0. SIGNE[��r��--- ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ .50 —4w MINIMII IM FEE ANY PLUMBINGIGAS PERMIT IS $20.00 TOTAL FEE $c ON PLUS THE x.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furance, the undersigned hereby verifies that the ,J� venting has been examined and is free from rust, deterioration, obstructions, ' o and is securely supported and firestopped where required. Yes ( ) No The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes �') No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan draft Yes J4 No ( ) assisted and natural appliances. The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installina a new venting system, the undersigned hereby verifies that ifi' 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 Aq separately as per current codes. Yes( ) No ( ) AARpliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type Y<,,alcg, BTU Input 3�) 60° 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 min Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date: 01 SUBJECT IT.ND--•City ®f Fridley (;71 5 44 9 AT THE TOP OF THE TWINS BUILDING E R M I T P RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ti____1`•' '•� 612-571-3450 910-F15 9/2/97 10B ADDRESS 1602 Woodside Court NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Briardale SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jason Roeske 1602 Woodside Court NE 571-1320 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. First Choice Exteriors 2405 Annapolis In N #240, Plymouth Mn 55441 553-1918 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 4266 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION IR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturers specifications state it is not required. 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 $9,800 $4.90 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 THER STATE OR CAL LAW REGULATING CON- $162.25 Fire SC $9.80 STRUCTIO 11 P FORMANCE OF NSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.0 $181.95 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI WHEN PROPERLY jarSIGNATURE BLO iNSP LI DATED THIS IS YOUR PERMIT fl TL OF OWNER of OWNER BUILDERi IDATEI 01 NEW [ ] Effective 1/ 1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R -i AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: L--1 ./ Contractor: i e Address: 41 4/D6- LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 96 kls,&C Tel. # 5 1— MN LICENSE # �6.gWe Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Un i Width Hgt/Ground Sq. Ft/. •Si.(' tA. �' g, (c,*v i ilob - to 1, G Construction Type:'44' aEstimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft.x $ = $ DATE: �' �/ APPLICANT: Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ -$450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $/.� STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION 0. 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 Effective On January 1, 2001 Commercial/Industrial 1.257. of Value of Appliance or Work State Surcharge $ .50 TOTAL FEE $ roLs' ,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 writtem 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. DATE BLAINE HTQ. A/C ELECT INC. HEATING CO i358AAmmka Rum � n& .E• Signed Approved By Rough -In Date Final Date9-�� BACK SIDE MUST BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION JOB ADDRESS RATE SCHEDULE OWNER Residential Rate TOTAL Furnace Shell and Duct Work, Burner . 30 0-0 BUILDING USED AS- �— Also Replacement Furnace $ 30.00 $ .5_��" 0) J0 (Side Vent - Fill Out Back) ESTIMATED COST - PERMIT.NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTI NN OF FURNACE AND OR BURN,ItR Gas Range $ 1Q.00 $ No. of Heating Units • Circle One (Steam) (Hot Water) ar 1r) Gas Dryer $ 10.00 $ Trade Name_ PrFid /ISize No.3S yLVI .2-0&0 *Air Conditioning - All Sizes $ 25.00 $ BTU D Fuel L HIP EDR Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.257. of Value of Appliance or Work State Surcharge $ .50 TOTAL FEE $ roLs' ,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 writtem 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. DATE BLAINE HTQ. A/C ELECT INC. HEATING CO i358AAmmka Rum � n& .E• Signed Approved By Rough -In Date Final Date9-�� BACK SIDE MUST BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION 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, Yes No { ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes 4 No ( ) Time undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan Yes No { ) assisted and natural draft appliances. The existing combustion air is sized and installed to meet the current codes Yes No ( ) and manufacturer's specifications. When required to install a new combustion air�it will be sized and installed a No to meet the current codes and manufacturer's specifications. Yes� ( ) 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 -LAMA 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. Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type V1� C� BTU Input Qt 20 Fan Assisted or Nat &I 0-t Appliance #2 Type BTU Input Fan Assisted or Nat BTU Input Fan Assisted or Nat Appliance #3 Type Total Btu Input Total Appliances ® p Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ® 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 BLAINS HTa. A/C M.ECT.o INC. 13582 VENTRAL A� N.E. HEATING CO: Signed By: �. Date: Cf1YOf FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 January 18, 2002 Mr. Tom Gerrety 1602 Woodside Court NE Fridley, MN 55432 Re: Final Inspection at 1602 Woodside Court NE Contractor: Blaine Heating AC Elect Inc. and Terry Overacker Plumbing Dear Mr. Gerrety: Permits were issued on August 1, 2001 to install a furnace, air conditioner and water heater at your address. According to both the 1991 Uniform Mechanical Code and Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by these permits. As of this date, no final inspection has been called for. The permit fees that were paid cover the inspections to make sure the work was completed according to the Codes. We will keep your permits 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 permits "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh 6431 University Ave NE Ridley, MN 55432 763-572-3604 APPLICATION FOR PLUMERNG ANIS GAS Fff TING PERMIT K�AddI bw "Ramco nc Cfv rt once T/1 Or- MQTei i rm (ihi i=Ar •i Fi nrjrz PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS l o W')V 3 S i (> e - P- T tt�� . >:r>:E• Wash :;::>::>:> or �:.ilc:::::. ,Flo ;.: Auto. :t;:;.: �<<:. : Gas iy<<'V> Water Heater and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin < Drain ; Washer _ RanStre jryX:jxi:L'tt is -- - .»;:.:: Gas ElecTao B aSeme nt "Tea G ; Water Treating Appliance $10.00 owner y Water Heater -Electric $ 7.00 Water Heater - Gas: l $10.00 ! e . 00 Building used Gas Range" .b:..i:o:-.:}:. ('�' J ::.c•;.. x; ....,. $10.00 Estimated Cost "V PERMIT NO. :r•{, -•::fib::,i::. v.,.a... ... .': moi:: •;}-'-o^:iin4'�.:z:i.i>.l.,i:.:.:.;:...:.: $15.00 Fli1.rr:.}y:.:..: 4:.•.:n::•..:?•:, SIGNED BY �e 3 TEL NO. �'�'`� � Bill Ll� Rough Date Final Date —;9-0a Floor 2 State Surcharge S .sa MINIMUM E ANY TOTAL FEE -EEE US TIT QE Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS l o W')V 3 S i (> e - P- T New Fixtures $ 7.00 The undersigned hereby makes application far a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 .2001 SumplReceiving Tank $ 7.00 "Tea G ; Water Treating Appliance $10.00 owner y Water Heater -Electric $ 7.00 Water Heater - Gas: l $10.00 ! e . 00 Building used Gas Range" $10.00 ('�' J Gas Dryer** $10.00 Estimated Cost "V PERMIT NO. Back Flow Preventer Required ( )Yes No Type $15.00 PLUMBING COMPANY Reinspection Fee $47.00lHr SIGNED BY �e 3 TEL NO. �'�'`� � ALL OTHERS AND/OR REPAIRS AND ALTERATIONS Ll� 1.5% of Value of Fixture or Appliance Rough Date Final Date —;9-0a Approved By -ion State Surcharge S .sa MINIMUM E ANY TOTAL FEE -EEE US TIT QE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat ')d PP 2 1200 763-502-4977 FAX EFFECTIVE 2-19-09 DATE—q- - �( YOUR E-MAIL ADDRESS ' ' y SITE ADDRESS 60-2 W ®U a -S � A e C -t THIS APPLICANT IS: ❑ OWNER OCONTRACTOR PROPERTY NAME: OWNER/ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: la G e IAe v -a O t a t% tAins• ;3 0 "`j SUBMIT A COPY OF STATE LICENSE # 6 J S / - d EXP DATE C 3 YOUR STATE LICENSE, BOND AND _ STATE BOND # ®� 465l£s EXP DATE CERTIFICATE OF ADDRESS: 79 "Iyav CITYSTATE h4 K ZIP I/ 2 INSURANCE PHONE FAX PERMIT TYPE 0,8INGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK R(2p1u4f_ `%u y t�A FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. _ BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING _ _ —BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($ _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREY. $1 DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER fi-01 7 fi ' S � - r � F � l ��'� t��"" . �W s '. !� ' -'tea � �. a �Yf,Y g '�du� 'S��x z, s v �fe k � . a� .s•Ki..�f-� � Al� �'•.'. >�� "�'', ,d �R.aXe�� %. •:, \,.,. .. t ,,, i. ,., .., .,: .'vz'k. :.... i%": <,� ... .. .. ,'�.S'. _, > >i."3" ...,".r,.,3,..n� �.ihi.'� - THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the ase of all work which requires review and approval of plans. �� y S /t P� SIGNATURE OF APPLICANT 'kG °' d IJ" PRINT NAME %�� DATE 7 RM City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977