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PRE 2010 DOCS
City of Fridley, Minn.. 6431 University, Ave. N.E., Minneapolis, Minn. 55432 BUHjD]2NG PERMIT Date: December 20, 1971 Owner: Address Erco, Inc. 3231 Central Builder Same Address LOCATION OF BUILDING No. _�Q _ Street _ Woody Lane Part of Lot Lot . 4 _ Block 1 Addition or Sub -Division Moore Lake Hills 2nd Corner Lot _.__. _. Inside Lot _ Setback — I — Sideyard 11' & 14' Sewer Elevation _ _ _ . Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dwelling Front 47' Depth 27.5' Height 20' Sq. FL 1,292 CIL FL 25, 840 Front .— Depth Height Sq. Ft. Cu. FE. Type of Construction frame Est. Cost —27,000 3 2 /� To be Completed 5/l/72 ($33s Provide Hard Surface Drive �"� 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. , 16.69 r zg described above I agree to do compliance with a'!1 provisions of In consideration of the payment of a fee of $ 48.00 U granted to F co Inc , permit is hereby 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 vpi city limits and this permit may be revoked at any time upon violation of any of the provisions of said 2&4��dlng Inspector" HANK M[THICH NOTICE: This permit does not mover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to sae the Building Inspector for separate permits for these items. s APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: BUILDER: 32-3 ADDRESS :ADDRESs• .® NO:. -6 0 STREET: LOT: d:4 BLOCK: % ADDITION: CORNER LOT: INSIDE LOT :SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of SurvgX of Lot and proposed building location drawn on these Certificates. To Be Used As: HESCRIPTIOV-'OF BUILDING Front: Depth • Height Square Feet: 2 2, Cubic Feet: Fronts Depth: Height: Squareet; Cubic Feet: Type of Construction: XEstimated Cost: , ?�� o o To Be Completed; /7 2/�— 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: 1 / �® SIGMA (See Reverse Side For Additional Information. .; /G,�i (q0(� A 4 197 / N. OF A2, cp,Fs 6o S-5 ------------ 16 �' 3 G 53-84-S-915.51 ................ 8 ....®...... �. :elmNM YKI&M ad ctwftime ......... Nam Waftr Roger up to WAW RM it no New C;rOwd MM Ow B ........ .N A n"ftftwatwxMtw.............. an s W3sag .................e amt M Ad............... 6� x 1j .% an RM" to 1W.M BTU .. .......a. 31 State VY LO to C Install Gas Light 5000 see.ae.e e..sie.►. iwaisi �.. iia e..i es.ae - nLv= s 5.5Q GT&ts -A!- Surcharge .50f f SUBJECT PERMIT NO. City of Fridley 25486 AT THE TOP OF THE TWINS BUILDING PERM 1, r ` T COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 41`7& 9 � e UUU 1 . I NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/10/97 i JOB ADDRESS 6001 oody Lane NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 1 Moore Lake Hills 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bernard Bissonette 6001 Woody Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Advance Aluminum Supply 7341 Commerce Lane NE, Fridley, MN 55432 571-3440 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 7983. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION CX REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House (18 Sq) Tear -off; Soffit & Fascia/ Insulation 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment to comply with the State Building Code. Provide insulation to meet the State Building Code. Provide ventilation to meet the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 MOT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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 $4,401 $2'20 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 OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �� �G'/�` '✓ !� PLAN CHECK FEE TAL FEE Licens SC $5 0 $111.35 ATUR ONTRACTORORAUT ORIZEDAGENT IDATEI E PR Y VALLII�(j�]A/E'D THIS IS URJP�EERMIT B G INS - BATE SiGNATUREOFOWNEROFOWNERBWLDERI IDATEI NEW ( ] ADDN ( J ALTER [ ] ConstructionAddress Legal Description: CITY Or+ FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Owner Name & Address: �Fp2�i,¢2� �'ISSo�� 7`T� Tel. # Effective 1 / 1 /97 d5ql6 ,6 14-76 Contractor: �J�soi�-cam �L v� ,s 5P-,alolt.' MN LICENSE # Address:_ Z 3 EES it c-t©l, Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DESCRIPTION OF IMPROVEMENT Length:Tidth Height Sq. Ft. Length Width Height Sq. Ft. th idth Hgt/Ground Sq. Ft. FF Z ( L �; 4 � * / " ') F ks R®oF 56,r -,,f f r� A9sc<.¢�/20001 Estimated Cost:$ 5—/ (Pee Schedule on Back) Driveway Curb Cut.Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: G` Tel. CITY USE ONLY Permit Fee $ 9 9�' Fee Schedule on Reverse Side Fire Surcharge $ 0 .001 of Permit Valuation (1110th%) 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 -srosion Control $ -$450.00 Conservation Plan Review :'ark Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $/,f iTII'Ul,A'rlOiNS: d CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work Commercial/I ndustriai 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ _50 $ 10.00 $ $10.00 $ $10.00 $ $ 25.00 $ State Surcharge TOTAL FEE JOB ADDRESS- 000 I W 0 o (-r L w a 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 d correct. 11997 BUILDING USED AS � 6 y�i F* ESTIMATED COST )?L-00 PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units 6 Circle One (Steam) (Hot Water) arm Air Trade Name IL "Ui> Size No. Q&Ta !®£ Q M BTU 100;00 ® HP $ Fuel N) A -r, Total Connected Load $ .50 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade a ize o. BTU gq_� HEATING CO Signed By Approved By Rough -In Date Tel No. -) sq J�SS_) FILL OUT BACK SIDE rO0 STACK VERIFICATION ON REPLACEMENT FURNACE Final Date 6 Has total heating BTUs of 1(30.4 3 r� All other BTU's 5 0 0 TOTAL BTUs 7. Has a liner been provided, for water heater Yes No 8. Has combustion air been provided for water heater Yes No Remarks: ;,P, P4-rq HEATING CO: Signed By: Date: WYE -4912w"2 CHE%MY 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 (>0 No 3. Has no foreign objects lodged within Yes( )0 No 4. Is securely supported Yes" No 5. Meets all current Code requirements for size and total BTU's connected Yes ()0 No 6 Has total heating BTUs of 1(30.4 3 r� All other BTU's 5 0 0 TOTAL BTUs 7. Has a liner been provided, for water heater Yes No 8. Has combustion air been provided for water heater Yes No Remarks: ;,P, P4-rq HEATING CO: Signed By: Date: WYE -4912w"2 CITY OF FRIDLEY INSPECTION DIV. 3431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NLIMRFR OF FIXTURFR TO RF INRTAI I Fri r1N FAr14 FI C)r1R Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: 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" NO. RATE -j— Gas Dryer** Back Flow Preventer Required ( )Yes () 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 TOTAL . JOB ADDRESS 54NIF I"s dta LAE 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 codes and rulings of the fuilding Division, and hereby declares that all the facts and representations stated in this annlicatinn ara fn 1P and correct. BISSONETTE, BERNARD 6001 WOODY LANE FRIDLEY, MN 55432 Owner_ (763) 571-2739 Building Used As �S-611)SAJCZ Estimated Cost PERMIT NO. PLUMBING COMPANY Q�,DLQIM-• Z.U/Yj�fA��, ��} Reinspection Fee $47.00/Hr SIGNED BY _ �e TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS UV 1.5% of Value of Fixture or Appliance Approved ByRough-In Date Final Date 013 kl State Surcharge $ .50 MINIMUM F4EER ANY PLUMBINGtGAS pEgMIT IS S20,C0 TOTAL FEE $M•50 PLUS THE 5.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE MEE • • .;tom Fyn M NA "M PLUMBING FIXTURE RATES: 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" NO. RATE -j— Gas Dryer** Back Flow Preventer Required ( )Yes () 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 TOTAL . JOB ADDRESS 54NIF I"s dta LAE 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 codes and rulings of the fuilding Division, and hereby declares that all the facts and representations stated in this annlicatinn ara fn 1P and correct. BISSONETTE, BERNARD 6001 WOODY LANE FRIDLEY, MN 55432 Owner_ (763) 571-2739 Building Used As �S-611)SAJCZ Estimated Cost PERMIT NO. PLUMBING COMPANY Q�,DLQIM-• Z.U/Yj�fA��, ��} Reinspection Fee $47.00/Hr SIGNED BY _ �e TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS UV 1.5% of Value of Fixture or Appliance Approved ByRough-In Date Final Date 013 kl State Surcharge $ .50 MINIMUM F4EER ANY PLUMBINGtGAS pEgMIT IS S20,C0 TOTAL FEE $M•50 PLUS THE 5.50 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 replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( } The venting:system is plastic/PVC and meets all current codes and manufacturer specifications .including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and 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 installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance;has been .removed from the common vent and vented separately asper current codes. Yes ( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat_ Appliance#2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date SEP -27-2005 11:07 CITY OF FRIDLEY Building (USING TIME 1997 UAC FEE SCHEDULE) TOTAL JOB VALUATIONS OCCi1PA1mICY TYPE L DINGPermit $ No.: Inspections $ RESEDENTUL APPLICATIONReceived Surcharge By: 763-572-3604 Fire Surcharge CITY OF FREDLEY Q, 3 k .001 x Permit Valuation (1/10%) Date R= d: DATE o LP DATE YOUR E4AAII.. ADDRESS SAC Charge Mol �bAA�g $1450 per SAC Unit (Plans to MWCC for determination) THIS APPLICANT IS: 0 OWNER GONfRACTOR ft + 6 R = R x $20 = $ PROPERTY OWNER/ /ltd NAME: �� � 1 S450 Conservation Plan Review ADDRESS: U-3c�>D&w CITY� STAT& TENANT Sewer Main Charge PHONE; Agreement necessary ( ) Non Necessary ( ) CONTRACTOR NAME: LeA, Y - CN \ . G"A Make cbecks payable to: City_of Fridley Attach SURalations STATE LICE`NSE d 3 EXP DATE O \ SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: L�d�� CITY STA�,1,, X49 WITH APPLICATION PHONE (—IFAJt 3 - PROPERTY TYPE O SINGLE FAMILY/NEW CONSTRUCTION SIZE - 0 TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE 0 ADDITION Q GE/SHED 0 WINDOWS O BASEMENT FINISH F 0 DRAIN TILE 0 DECK SIDING O OTHER 0 SWIMMING POOL TYPE OF WORK 0 NEW O ADDITION O MAINTENANCE/REPAIR 0 REMODELING DESCRIBE WORK BEING DONE: !02 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT sq. Ft. R C 0 HOUSE ONLY NUMBER OF SQUARES [✓ O HOUSE & GARAGE BASE REMODELING SUBMIT: ❑ATTACHED GARAGE 1. 2. Existing Plow Plan Proposed Scor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. List of structsuai members to be used PROPOSED HEIGHT; SMYNG FOR NEW CONSTRUCTION INCLUDING DECKS, O Vinyl OSoiSit ADDITION&„1 MgM SUBMIT: D Aluminum O Trim 1. Site Piw4wvcy showing the existing structams O Othcr O Fascia and proposed project. 2. Two sets of consaucdon plans yV[NDONI,S NM ESTING OPENINGS OYes ONo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING TIME 1997 UAC FEE SCHEDULE) TOTAL JOB VALUATIONS OCCi1PA1mICY TYPE Permit Fee $ See Back Page for Fee Schedule Plata Review $ 65% of Building Permit Fee Surcharge $ Si7 (.0005) times the total job valuation - Minimum $.50 Fire Surcharge $ Q, 3 k .001 x Permit Valuation (1/10%) License Surcharge $ . 00 S5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow S ft + 6 R = R x $20 = $ >rrosion Control $ S450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due _ $ _ CN \ . G"A Make cbecks payable to: City_of Fridley Attach SURalations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I bereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all nor chfres revie anRINTNANDE f plates. SIGNATURE OF APPLIC �k'