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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3881 Date: .. ...... ` . .... ....... ..... ..... . owner...�T.............................. Builder .... ................. ..... . Address...................................... Address ............................................. LOCATION OF BUILDING No. Street .... . . ..... .. .. ... Part of Lot ....... Lot ..... Block .. ......... Addition or Sub-DlvisionW,j:'�Je. 0.... ... . ...... Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To Used as • .�'` (/ `... Front Depth : Height � Sq. FtAr6 �l () Cu. F l .................... Front ........ Depth ........ Height .... Sq. Ft......... Goa. Ft. ........ Type of Construction ................... Fat. Cost. � (�. �... TO be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and In compliance with all provisions of ordinances of the city of Fridley. . P ✓.:!........or,, . ...... In consideration of the payment of a fee of $......, permit is hereby granted to ................... ......................... 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 with- in the city limits and this permit may be revoked at any time upon violation of anyof the provisions of said ordinances. ,+h Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name ' �3uilder Address',1"/P __2C_ Address 71 LOCATION OF•BUILDING No.. Street Part of Lot _. Lot Block Addition or Sub. Div. 'r a Corner Lot,,. l- t—side Lot Set. Back Applicant attach to-this form Certificate of Survey of Lot and proposed building location. "DESCRIPTION OF BUILDING To be used as Front Depth Height Sq.. Ft. Cu.: Ft. Front Depth Height Sq. Ft.. Cu. Ft.. 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 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.. Date Signature (A Schedule of Fee Costs can.be..found on the Reverse:Side) Hyl City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 , DESCRIPTION OF WORK Locatio R. ' °' Number, Kind and Location of Fixtures N +n w ui Z • WATER HTR. !k U ' 4a � O F N GAS ELEG rn Base 1st r 2nd 3rd 4th ° Future Connection Openings Connected with New Fixture, Old Openings I Sewer El Cesspool El 19.11 %%G g .. �t�-l�1 PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ e New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ..... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ ®� G Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE 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, 10m Owner Kind of Building d � n Used as To be completed about Estimated Cost, $ Old 1e~ Building Permit No ®. L Signe By Business Phone N JUN 3 0 1959 Kou6h ii POST IM -12-58 19� 19- 19— Application for Power Plants and Heating, Cooling, Ventilation, Refrigerclion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECEL WARM AIR Furnace Shell &Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal, per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures $ $ ...................... x 1.50 Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ , ALTERATIONS & REPAIRS TOTAL FEE $ REMARKS: -�-6 Dept. of Bldgs. Phone SII 4-7470 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. e, Fridley, 1Vlinn _ �` ia- �= c_ i� , 195 V 7 -Owner 4�z- — ——z-1�11 _ 195— Kind of Building--- - �` ".� �' `` 195— :, Used as To be completed about Estimated Cost, $ iffl&--New. Building Permit No.�® HEATING or P WER PLANTS—Steam, Hot Water, Warm Air—No q %.�/�. Trade Nam / Size No — Capacity Sq. Ft. E.D.R - u � < 4 Zn Total Connected Load Kind of Fuel BURNER — Trade Name Size No. Capacity Sq. Ft. EM.R BTU H.P. IM -11 POST 1M-12-58 Business Phone DJ6 z HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows es=No I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied e_ No 19— I m.IA- ® ro Room I Length ' Width I �) Height Q II o Fl.1 7' 0 Ao �- Room I Length If Width,/ 0 Height Windows and Doors—Crackage and Area Doors—Crackage and Area Width Height No. of Lineal ft Area No. of pane lights of crack✓ sq. ft. Width Height No. of Lineal Y . Area No. of pe'ane of pane ligdhts of crack sq. ft. f O - o d -5-0 Coef. Btu Coef.1 Coef. Coef.1 Btu Infiltration 6 7 -)- -a-, Glass -'? gi 7 -? 6 Glass Exp. wall C' 0 0 Exp. wall 7 Fl Int. wall 6 Net exp. wall Ceiling Ceiling Floor Int. wall I/& I /0S I SS o L Floor ;C) e, Ceiling ® q13 Floor Total Btu. -?,6 c ' 6 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l o`" Room I Length 17 Width 57 Heigh Windows and Doors—Crackage and Area Width Height No. of Lineal ft Area No. of pane lights of crack✓ sq. ft. Width Height No. of Lineal ft. Area No., of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 6 a `® d -5-0 Coef. Btu Coef.1 Coef. Btu Infiltration 4Z 6 7 -)- -a-, Glass C, Exp. wall Exp. wall C' Net exp. wall Net exp. wall 8-C Z960 Fl Int. wall 6 Floor Ceiling Ceiling Floor /'off I/& I /0S Total Btu. I ;t; Y 6 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ` Fl.l oom I Length J f Width / L- Height Windows and Doo;s—Crackage and Area o Width Height No. of Lineal ft Area No. of pane lights of crack✓ sq. ft. Width Height No. of Lineal ft. Area No., of pane of pane lights of crack sq. ft. Tights qeq. Coef. Btu Coef.1 Btu Infiltration Glass 4Z 6 Glass Glass C, Exp. wall v cr Exp. wall Net exp. wall 61 8-C Z960 Int. wall Ceiling 6 6 Floor Tbtal Btu. 19 6,X v Windows and Doors—Crackage and Area o Width Height No. of Lineal ft Area No. of pane lights of crack✓ sq. ft. pane goff Tights qeq. Coef. Btu Infiltration Coef. Btu Infiltration Glass 4Z Soo 6 L - Glass Net exp. wall S— 3-C-00 Exp. wall Exp. wall Ceiling 8-C Net exp. wall Floor g Int. wall Ceiling Ceiling C/-? 0 d-kCf I SS o L Floor ;C) e, Total Btu. t S -Z-- Required sq. ft. E.D.R. or sq. ins. W.A. Leader area y `� k F1 -1 .� Rnnm I Length . /i Width X Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. No. of Lineal ft. Area of crack ft. Tights qeq. Coef. Btu Infiltration 3r Glass Soo Exp. wall Net exp. wall S— S—,k C Int. wall Exp. wall Ceiling 8-C Floor g Total Btu. I Required sq. ft. E.D.R. or sq. ifis. W.A. Leader area I �; g' / R.l. zf— Rnnm I Length i -? Width he Height Windows and Doors—Crackage and Area Width Height No.of pane of pane No. of Lineal ft. Area of crack ft. Tights qeq. Coef. Btu Infiltration I lb 7 Glass Exp. wall �Z-1 Y Net exp. wall Int. wall Ceiling C/-? 0 Floor d ;C) e, Total Btu. 17/ V Z— Required sq. ft. E.D.R. or sq. ins. W.A. Leader area P J II Required sq. ft. E.D.R. or sq. ins. W.A. Leader area , City of Fridley, Minn.. �d,L17 PERMITWELDING N® '7200 Date: Owner: - Builder kil Address Address MIA I%MN OF BUI DING No. Street / Part LAO Lot _ __ Block Addition or Sub-Divisi I Corner Lot , Inside Lot Setback , Sideyard Sewer Elevation Foundation Leval 'on DESCRIPTION OF BUILDING 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 forth and in compliance with 21 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $.4 1�, permit is hereby granted to 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 reg 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 any of the provisions of said ordinances. NOTICE Ibis permit doss net corer the construction, hutalWen for wkht& plashing, en hodIR& sower or water. Be wre to we the SWAM Fetor for separate pannus for thew items. f i OWNER'S MANE '�4f0 C? BUILDER /I $ �� A ADDitSS..; ADDRESS 16 A97, er- 77 LOCATION OF BUILDING StreetQ Q d14 �� l Fart of Lot Lots Block Addition or SubdiTv'ission LA Corner Lot Inside Loi X Setback j _ Side Yard-: 14 .A) SEWER ELEVATION FOUNDATION ELEVATION__' . . Applicant attach,to.this form Two Certificates of -Survey of Lot•and,proposed build- ing Yocation'..dsawxa, on ,these, Certificates . DESCRIPTION OF BUILDING To be used as: Front Height Sq. Ft.,. .�� Cu.. 'F -t Front* Depth (� Height _ Sq. Ft. cu. Ft. 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„tho..Department of_Buildings,.and;hereby declares that 411 the facts and representations stated in this application are true and correct. M jSchedule of Fee Costs can be found on the Reverse Side. ti - .. . . . ,. f Y City of Fridley SUBJECT _ 5 3 0 3 AT THE TOP OF THE TWINS BUILDING P E R M I T r CEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. S0 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/2/79 JOB ADDRESS 6054 Woody Lane N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 Adele 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bennii.e E. Douglas 6054 Woody Lane N.E. 571-7271 3 CONTRACTOR i MAIL ADDRESS ZIP PHONE LICENSE NO. Phillip Coldor 4 ARCHITECT OR bESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDIISG Residential 7 ' CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install a 21' & 7' x 11' & 81 Deck 9 CHANGE OF USE FROM TO VIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRIMs HEAT4NG9 PLUMBING AND SIGNS. %lo� o��In ►�� utitrtks tcctrtrc , chs tic. t� LAY4 R OUIRIED BY 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000 50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTAL FEE $8.00 OFCONT OROR UTHORIZE GENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ,4GNATURE BLDG INSP TE NATURE•F OWNER 0F OWNER BUILDE 1 IDATEI I CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: Aj r ( 011 ADDRESS: TEL NO: STREET NO: LOT: STREET: BUI LDER : ° l �� Cc ADDRESS: �j L F,-' CB TEL NO: Construction Location r BLOCK:; ADDITION: �G (�, /� �/�®AJ Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTL Draie, Front: a I Depth: Height: Squane Feet: Cubic Feet: 1 �At) Q ,-Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ Ind o d 41 To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET', The undersigned her 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' trend correct. DA H Stipulations: e CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 . (612) 571-3450 • FAX (612) 571-1287 June 30, 1993 Bennie Douglas 6054 Woody Lane N.E. Fridley, MN 55432 Dear Mr. Douglas: The City of Fridley has a sign ordinance regulating the display of permanent signs in all zoning districts including residential districts. This ordinance regulates types, sizes, and locations of signs. The ordinance also requires a permit for all permanent signs. I recently observed a sign advertising Avon products. The only types of permanent signs allowed in residential districts are: (1) area identification signs of 14 square feet maximum; and (2) wall signs of 3 square feet maximum (see enclosed ordinance). This sign is illegal as it is not attached to the structure. If you wish to comply with the Sign Ordinance, please relocate your sign to the wall of a structure or contact me regarding applying for a variance to the Sign Code. If you have questions or concerns regarding this matter, you can contact me at 572-3593. Your prompt response is greatly appreciated. Sincerely, Michele McPherson Planning Assistant MM:ls C-93-159 SUBJECT PERMIT NO. City of Fraley 261 AT THE TOP OF THE TWINS B U I L ®I BUILDING PERMIT i , 4vJ O. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 7 - I NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-345.0 910-F15 6/17/94 JOB ADDRESS 6054 W ody Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 1 Adele's First Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ben Douglas 6054 Woody Lane NE 571-7271 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft of Minn Inc. 3118 Snelling Ave S M ls. MN 5540721-6628 2179 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE- LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Siding, soffit/fascia & trim 9 CHANGE OF USE FROM TO STIPULATIONS Owner to provide smoke detectors adjacent to all sleeping areas and in basement. 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 1 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 $2.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,650 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- Fire SC $5.65 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $81.00 PLAN CHECK FEE TOTAL FEE License SC $5.00 $94.48 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT tDATE) WHEN PROPEALY VALIDATED THIS IS YOUR PERMIT 8 G INSP it rr� DATE SiGNATURE OF OWNER 0F OWNER BUILDER) IDATEI NEW [ j ADDN [ j CITY OF FRIDLEY ALTER N SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 4C --y G(� /1•�� Legal Description: Owner Name Contractor: Address: LIVING AREA: GARAGE .AREA: DECK AREA: OTHER: Effective 1/1/93 Tel. # 5"7 /- %r2 �1 MN LICENSE # 004172. Tel. # :7.— -4Z,P-k Att9h 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 Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 4- G -SD- Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: fo APPLICANT: Tet. #-7a1- CITY USE ONLY Permit Fee $ t D Fire Surcharge $ ("S - S'State State Surcharge $ z2-9 3 SAC Charge $ License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ 5. cc TOTAL $ 8 L Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ j STIPULATIONS: '" r sue�ECr EBAMIAQ- Cityy of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 28188 r ITY DEVELOPMENT DIV. ftRtETIVE RECEIPT d 1 INSPECTION SEC qqj NUMBER REv DATE PAGE OF APPROVED BY 1 CITY HALL FRIDLEY 53432 "`j 612-571-3450 910-F15O 10998 JOB ADDRESS 6054 Wdy La 1 LEGAL I LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 2 1 I A T SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ben Douglas571-7271 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Al - 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO 5 ENGINEER MAIL ADORE$$ ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION G% REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 27 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS 'VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2313 $1.16 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 $74.75 Fire SC 2.31 PLAN CHECK FEE TOTAL FEE License SC $5.00A 83.22 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE. WHEN PROPERLY AYLIDATI D THIS IS YOUR PQRMIT 7 S-GNATURE OF OWNER,IF OWNER BURDERI (DATE, _4 SLOG .NSF' i MATE A�-a 6 Q NEW 8 ADDN ALTER $ 612 571 2260 ADVANCE ALUMINUM 01 Effective I/1/9B CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R -I AND R-2 BUIi.DING PERMIT APPLICATION ConstructionAddress: ® lvOpvZ'*" Legal Description: Owner Name & Address:, c�11A— ®(/(/ir�+"9 S Tel. # S7/"7'Z. 7/ Contractor: eri ,�' ®� MN LICENSE #_Zj _I 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 LYVII\TC A: length Width ` Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length _ Width ^ Hgt/Grround Sq. Ft. OTHER. Construction Type:— E� yp ®a / ^- �- 7 Estimated Cost: $/ (Fee Schedule on Back) �^ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT; _ - Tel. # 67/ ��o CITY USE ONLY Permit Fee $if ? Fee Schedule on Reverse Side Fire Surcharge $ ;k W .001 of Permit Valuation (1/10th%) State Surcharge $ l $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "'13" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sever Main Charge $ Agreement Necessary [ ] Not Necessary � 10, TOTAL S71PULATIONS: ,3-)7q� JL) CINOF FRID EY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 May 17, 1999 Bennie Douglas 6054 Woody Lane NE Fridley, MN 55432 Re: Final inspection at 6054 Woody Lane NE Contractor: A.R.E. Plumbing Dear Mr. Douglas: A mechanical permit was issued on March 2, 1998 for the property located at 6054 Woody Lane NE for a new furnace. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (612) 572-3603. Sincerely, &; Barry Riesch Building Inspector Effective On March 1, 1996 -' CITY OF FRIDLEY INSPECTION DIV. h Q 6431 University Ave NE VENTILATION,cr LL Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES �� •o ru JOB ADDRESS RATE SCHEDULE in The undersigned hereby makes application for a permit for the work herein ., Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes ar 1 Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 S 0. ori representations stated in this application are true and correct. 3 2 (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) $ 10.00 $ db UQt (r.5 OWNER Gas Range $ 10.00 $ BUILDING USED AS Gaso�er $ 10.00 $ ESTIMATED COST3,6c>u PERMIT NO. t� "Air Conditioning - All Sizes $ 25.00 $ I?F,9CRIPTION OF FURNACE AND OR BURNER All Others/Repairs $ Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) ofPlVater,(WarmAir) Trade Name_.br.+� (,�c,.w Size No.�i �L Commercialfindustrial BTU_(.,QQe3 HP EDR _ 1.25% of Value of Appliance or Work $ Fuel_ Total Connected Load State Surcharge Burner Trade Name Size No. BTU HP EDR _ TOTALFEE �.S� HEATIN MPANY U'+ i MINIMUM FEE FOR ANY HEATINGJCOOLINGjVENTI_LATION REFRIGERATION/AIR CONDITIONING PERMIT 15 $25.00 Signed 8 Tel No. Z T; PLUS THE $.50 STATE SURCHARGE T IT' l' REINSPECTION FEE $42.00jHr ti Approved By Rough-hrit5afe Final Dale.------ U-1 c1 "Air Conditioners can not be placed in aside yard without FILL OUT BACK SIDE FCFI STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1257 ADDRESS : 6054 WOODY LN NE PIN : 243024210008 LEGAL DESC : ADELE FIRST ADD LOT 2 BLOCK 1 PERMIT TYPE PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION PERMI"O.: 2004-01413 DATE ISSUED: 08/24/2004 VALUATION PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) 0.00 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER. PLBG FIXTURES (EXIST OPENINGS) 0.00 # ELEC WATER HEATERS 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 1 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALC) 400 # WATER TRMT APPLIANCES 0 APPLICANT PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) 0.00 0.00 NORBLOM PLUMBING CO 2905 GARFIELD AVE S PLBG FIXTURES (EXIST OPENINGS) 0.00 MINNEAPOLIS, MN 55408-2173 WATER TREATMENT APPLIANCE 0.00 (612) 8274033 WATER HEATER - ELEC 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE WATER HEATER - GAS STATE SURCHARGE, MECH FLAT 0.00 35.00 0.50 OWNER THOMAS MARK A TOTAL 35.50 6054 WOODY LN NE FRIDLEY, MN 55432 PAID WITH CHECK # 28919 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 worl 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. Applicant Date Bldg Insp -Date. SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 'ITY OF, FRIDLEY INSPECTION DIV. Effective April 1, 2004 ;431 University Ave NE .ridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 7� 763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTURES TO BF INSTAI I Fn nN r-Ar.N FI nnR 3- - INM��MRMIN ,ti. � ,;,�•. $10.00 specified agreeing to do all work in strict accordance with the city codes 3eer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the fads Now Off Basin $10.00 and represel id correct. match Basin $10.00 THOMAS, MARK 6054 WOODY LANE NORTHEAST '9115 lain Water Leader $10.00 FRIDLEY, MN 55432 20 Sump/Receiving Tank $10.00 (763) 502-0143 Nater Treating Appliance $35.00 3LUMBING FIXTURE RATES: NO. RATE TOTAL •: ADDRESS Jew Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein )Id Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes 3eer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the fads Now Off Basin $10.00 and represel id correct. match Basin $10.00 THOMAS, MARK 6054 WOODY LANE NORTHEAST '9115 lain Water Leader $10.00 FRIDLEY, MN 55432 20 Sump/Receiving Tank $10.00 (763) 502-0143 Nater Treating Appliance $35.00 OWNER Nater Heater -Electric $35.00 Nater Heater - Gas** _� $35.00 de 5 11 BUILDING USED AS �SI d e+lC-e_ Jas Range** $10.00 qo Sas Dryer** $10.00 ESTIMATED COST PERMIT NO. 3ack Flow Preventer Required ( )Yes () No $15.00 1_ `- PLUMBING C 0' Type COMPANY O Yak Cl�iW1 qr reinspection Fee $50.00/Hr SIGNED BY1 1�^ TEL cl033 4LL OTHERS AND/OR REPAIRS AND ALTERATIONS , !� 1.25% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ - Sd TOTAL FEE MINIMUM FEE F R ANY PLUMBING/GAS PERMIT IS $15.00 or 50/6 OF COST OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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-GAMA 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 specifl; ions. 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 verges 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 as per 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 :