The URL can be used to link to this page

PRE 2010 DOCSCity of Fridley, Minn. Na 10043 BUILDING PERMIT owner: Bob DeGarcluer Builder Same Address 7..9-5.0.. East_RiVer Road Address Same LOCATION OF BUILDING No. 5.9.36-38 Street _._.2nd Street — Part of Lot Lot _._5 _ & .6 -- Block _9_______ Addition or Sub -Division H-Krrl P iia-rlr Corner Lot — Inside Lot —X Setback 351 Sideyard 9"-8" Sewer Elevation __ _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dwp l I i -ng Front 3 2' Depth 28 Height 2 Q I Sq. Ft. Cu- Ft. x'99 4 0_ Gare Front 141 Depth _2. 2' Height _11' Sq. Ft. __616_ Cu. Ft. 6160_ Type of Construction--Fvame Est. Cost 22 v QgQ__ _ To be Completed SEWER LOCATION: 93.5' North of Manhole WATER LOCATION: 83' North of Manhole In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work m accordance with the description above set forth and in compliance with a'll provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 69.00 , permit is hereby granted to Roh--Delia re uex to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limns and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sore to sem the Building inspector for separate permits for them items. Y r APPLICATION FOR BUILDING PERMIT NO. SV3!. WLYS —STREET CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING P I z LOT Jkj�_BLOCK_ ADDITION OR SIIBDIVTSION� COR'`'ER LOT INSIDE LOT-,A..,_SETBACK VT / SIDEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCR.IPITION OF BUILDING To Be Used As: LQ U - 32 Front '' Depth Height �d Square feet 5994 Cubic Feet gAd4W de Front Depth 12- Height Square feet (®/ Cubic Feet L/6 Type of Construction 20�. Estimated Cost, clot::, To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and i�,dresertations stated in this application are true and correct. DATE_ 06a& ?dr jflZ SiGNATURE (Schedule of Fee Costs can be found on the Reverse Side.) t e" P, Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR "7 Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ 1d'11P, each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ... .................. 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) $_ .......... 5.08 - over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE Dept. of Bldga. Phone 560-3450 0 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. Jvner Kind of Building r� Used as To be co 0 19 Estimated Cost, $ �/� Old a '� Building Permit No. /® Permit No. " 7117 DESCRIPTION OF WORK HEATING or PO WE eam, Hot Water, arm No 01 Trade Name Size No.y✓ Capacity Sq. Ft. E.D.R.BTU_ _ H.P. Ap Total Connected Loa Bind of Fuel—V'67 BURNER — Trade Nam - , _ Size No -9<';LJR� Capacity Sq. Ft. EM.ft BTU H.P. (REMARKS—OVER) Sig Y ;N. N/ELTER. HEATING CO. 4:37 CHICAGO AV9. ByWNN&*PBUS 1 <z Business Phone No�� M PERMIT for Power Plan% and Heating, Cool- ing, Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of X12 Heating Planbenstatled ltered—repaired Make Oil fired—,- Coal fired—, Gas fired � ; Gas Authorization No. Remarks Approved by Final Inspection Date , 19_ Inspector Permit Fee $ �Y ' �57?5__ No 43'7'7 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn., cp9 %19 � 57 Owner X934 -.3�' Location 4 Kind of Building jt�� How Occupi&_4� ed Work to be Commence ,19-4 i To be Completed ,,A- ,196e Estimated Cost, Old -New, Building Permit No. r®e 03 V_ Permission is hereby granted to L ' wx_c_� `'e to install—erect—use the material and devices described in the above statement. This permit is granted upon ke express condition that thpherson to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devich§ herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specificat' set forth in the approved application for this permit on file in the office of the Inspector of Buildings. `�� , Inspector of Buildings .1120. 4z 2m77 -67v REPAIRS & ALTERATIONS—Refer to Code Description................................................ TOTAL FEE 00 City df Fridley App1licaffon for Pba&bg wd Dept. of BUkFL Phone SM -3480 DESCRIPTION OF WORE Nnmbes. Kind Fixtures Of ImAe� �j and oca3ioa of n i gY � e e WATER wm ` h of Frldiey: a g 3 ► a ws a e= The undersigned hereby makes application for a permit for the work herel specified, agreeing to do all work in strict accordance with the City Ordinance Bay and ruling of the Department of Buildings, and hereby declares that aUthe fadand 1A representations stated in this application are true and correct Fridley, Minn_ / /p-/-�, �:18�, Znd 3rd Owner 0�� oa 4th _ Kind of B ding______ ® Coauecidon ��'+ Cossetted with e Now Fixture, Old Openings Bowes Used as h cesspod O To be completed about - 04� PARTIAL RATE SCHEDULE Estimated Cost, �� 4 5 d, ]PLUMBING FIXTURE RATES: NO. RATE TOTAL Old—New. Building Permit No. ®. G Pennit No. Number Fixtures ...... ... .......... x $2.00 $ l d Sign Future Fixture Opening ......... ...... x $1.50 $ By ; New Fixture Old Opening ............ x $1.50 $ Business Phone No_� 3 ,%--7 Catch Basin ... x $3.25 $ Water Heater (Up to 98.000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. x $325 $ ROUGH Electric Water Heater : $2.00 $ u - GAB FITTING FEES:'–L NO. ANTE -TOTAL FINA_ 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures . .................. x $ .,M $ Gas Range to 198,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................ TOTAL FEE N° 481'7 Original Permit for PLUMBING AND GAS FITTING N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for peT *t 3a. � inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Pee DESCRUMON OF WORK Number, Kind and Location of Fixtures City of Fridley QCQ 9IV Stories C W H m o Q J 3 U a z 7 _...:.,...as x m H m ¢� in t Z m ¢ m m y z mi t in m N '¢ K P x F. z Z K O 0 lu w 3 I N K Z O .7 E LL O 2 Z U m Q¢ U m y z m V ¢ 0 a J U m K ,.I m y ¢ d W G m z ¢¢ WATER HTR. GAS ELEC. Basement 1st 2nd, of ,- 3rd 4th Connected with Sewer -Cesspool Gas Piping for � Openings Permission is hereby granted u to do the plumbing and gas fitting in the building described in the statemen ereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. 42 1 M -6-69-V .CSLY —�( Location � 9,910 3 0 "6A. z - .Kind of Building�� Used as To be Comple W 6d A Estimated Cost $ 0 • �-d Old -New. Building Permit No.,�. Inspector of Buildings. 879.01 ify Of Iridl®y p Dept. of Bldge. Phone S®0-3480 DESCRIPTION OF WORK Number, Kind and Location of Fixtures th NO. RAPE TOTAL Number Fixtures ...... ...... x $2.00 $ Future Fixture Opening ........ x $1.50 $ New Fixture Old Opening ...... . .. x $1.50 $ Catch Basin .. ................ x $3.25 $ u x $3.00 $ WATER HTR. GAS ELEC. Base : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....... .................. x $2.00 $ , Additional Fixtures . .......... , ....... x $ .75 $ Gas Range to 199,000 BTU .............. 2 x $5.00 $ 16.00 lot lastalli 2 2nd 3rd — - 4th -- ® Future Connection Openings Connected wlih sewer e Now Fixture, Old Openings I Cesspool a PLUMBING FIXTURE RATES: NO. RAPE 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 Heater : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....... .................. x $2.00 $ , Additional Fixtures . .......... , ....... x $ .75 $ Gas Range to 199,000 BTU .............. 2 x $5.00 $ 16.00 REPAIRS & ALTERATIONS—Refer to Code Description ........................................... ...$ TOTAL FEE $ /&00 Location -59-18. NE. 2 Street / 5936 BE. 2 Street City of Miller The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Mnn_ MAY 21 1999 19_ Owner Gardner Const. / Gardner Const. Kind of Building Frame Used as Residenoe To be completed about MAY ? 7 1999 Estimated Cost, $ 5.00 Each Old—NewxBuilding Permit No Permit Si MINNEAPOLIS G S co Business Phone ROUGH FINAL, 1- 7- 3 - 7 SUBJECT P City ®f Fridley 22611 AT THE TOP OF THE TWINS BUILDING PERMIT r o � _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED By CITY HALL FRIDLEV 55432 I.J 612-571-3450 910-F15 6/16/94 JOB ADDRESS 5936 2 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5,6 9 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerry McNurlin 5936 2 Street NE 571-0874 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 Duplex 7 CLASS OF WORK ❑ NEW Ek ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 5' x 22' Additon to Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. Provide smoke detectors adjacent to all sleeping areas and in basement. Driveway Curb Cut: 7.5 + 3 = 10.5' x $13.50 = $141.75 WARNING Before digging call for utility locations all 454.0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 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 $1,854 $.93 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- $43.00 Fire SC $1.85 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. . PLAN CHECK FEE TOTAL FEE $45.78 + DW SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE hl WHEN P ROPE RLY,^ LIDATED THIS IS YOUR PERMIT ,P BLD INSP BATE iGNATURE F OWNER OF O NER BUifR-I NEW Effective 1 / 1 /94 ADDN j CITY OF FRIDLEY ALTER j j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: , c�' j i�o ;2� 1�? S-tl- A C -- Legal Description: CITY USE ONLY Owner Name & Address: hcA) Tel. # Contractor: S E lX- MN LICENSE # Address: D-50 S7 /1/,i -� i -A Tel. # $.50/$1,000 Valuation Attach to this application, a Certificate of Survey of the $800 per SAC Unit License Surcharge lot, with the proposed construction drawn on it to scale. $5.00 (State Licensed Residential Contractors) Driveway Escrow DESCRIPTION OF IMPROVEMENT Alt. "A" or Alt. "B" Above LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length �?a Width -,r- -el-4' Height Sq. Ft. // Q DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Comer 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: 74 5 Ft +4 Ft = 119, 5Ft x $ _ $ DATE: APPLICANT: Tel. # 57/ - 0 � -7 STIPULATIONS: CITY USE ONLY Permit Fee $ 1-42,06) Fee Schedule on Reverse Side Fire Surcharge $ %eLT' .001 of Permit Valuation (1/10th%) State Surcharge $ 93 $.50/$1,000 Valuation SAC Charge $ $800 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 $ I 9..5 3 a—,/J , /ICG 7 /� () STIPULATIONS: A GREEMENT owner of the property located at ,�� , have no objection to the City allowing the construction of a/an k'YP44 id 6n20- r to be located at dk % `� - without the required certificate of survey that the City ordinarily requires for all new cons tru cti on . Signa Date itness H CERTIFICATE OF SURVEY n MILNER W. CARLEY & ASSOCIATES CONSULTING CIVIL ENGINEERS LAND SURVEYORS 500 W. HWY. 96 314 OAK ST. IS 4TH AVE. S.E. ST, PAUL 12, MINN. SAUK CENTRE, MIRN. ST. CLOUD, MINN. 484-3301 352.3664 251.7751 I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and that I am a duly .Registered Land Surveyor under the laws of the State of Minnesota. 21 J.%Reg. No. 7 Date G = � 19 -1 y i e 4 V i V, r2� 4 d Q Lots 5 and. 6, Block 9, I'YOE PARI;, Anoka Count,,, Ml` nn'. %i (i If rt q - IIS If '.b ro �` X cl) cr CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVIdES 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/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $� State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/CO OLIN ENTILATION 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. 50 Effective On March 1, 1996 JOB ADDRESS Ib /(/%, r 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 and correct. ,1996 BUILDING USED AS--�L�Z� ESTIMATED COST PERMIT NO, DESCRIPTION OF F_ URNAgE AND OR BURNER No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No, BTU HP EDR i0 It Total Connected Load l�trade Name di? Size No. ® BTU HP — — EDR HEATING COMPA l� �/� L7d I IG; Signed By 0, ZlylV, Tel f G Approved By Rough—In Date Final Date FILL OUT BACK SIDE OR STACK VERIFICATION ON REPLACEMENT FURNACE Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHIMY 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 O 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 7. Has a liner been provided for water heater Yes O No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: SuBjECT PERM City of Fridley 31152 AT THE TOP OF THE TWINS BUILDING PERMIT r? RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. Al 1 . � NUMBERREV GATE 7/ 10/00 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 5936 - 2nd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5$6 9 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerry & Barb McNurlin 5936 - 2nd St. NE 763-571-0874 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft 3118 Snelli g,;Ave. So. Minneapolis, MN 55406 612-617-2889 2179 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW a ADDITION O ALTERATION 0 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK 141 x 101 room addition 9 CHANGEOFUSEFROM TO STIPULATIONS For stipulations, see attached plans WARNING Before digging SEPARATE PERMITS call for all utility location$ REQUIRE® E®R:454-0002 WIRING HEATING �EUIR BY LAYS PLUMBING AND SIGNS 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 1 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 $3,837.40 $1.92 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION ANY OTHER STATE OR LOCAL LAW REGULATING CON. STRUCTI THE PERFORM NCE QF,NSTRUCTION 97.25 Fire ISC $3.84 PLAN CHECK F TOTAL F 08.01 Li se SC 5 SIGNAT AE OF CON' ACTOR OR AUTHORIZED AGENT HE PROPER LIDATE T IS UR PE MIT S.GNATURE OF OWNEAaF OWNER BUILD ERI (DATE, BL NSP' natE JUN -21-2000 15:33 FROM CITY OF FRIDLEY TO NEW [ ] ADDN CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND. DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 5 Y J Zr) ,r 6172397 P.02iO3 Effective 1/1/2400 (763) 572-3604 Bldg Insp Legal Description: Owner Name 8 ddress: �� 1 't See r- b (214 r hl n Tel. � co3 S7r' Contractor, (frO MN LICENSE # 7 e% // ' (P« -z.98 Address: l�� e l //�J �C%� '�`�� Tei. 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 AQ Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt(Ground Sq. Ft. OTHER: Construction Type: F�' u��d KCZM iivr\ Estimated Cost: $ 06) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ q DATE:—Z2 v APPLICANT: n l Tel. �- l� 2e CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Maim Charge TOTAL STIPULATIONS: Call (763) 5723604 for Permit Fees if mailing in application $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ r/^ $1100 per SAC Unit $�® $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK I% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $__,_______ $ 10.00 $ $ 10.00 $ $ 10.00 $ D� $ 25.00 $� State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATINIG[COQU&G-NE!! LAT ON 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 propertyowner. Effective On March 1, 1996 r61 � / LP JOB ADDRESS / d(� ' , ,vim , mm' 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 and correct. -7,1S=;;-_,1996 OWNER "'Oki �J,4g,,-....,.5 7 l —0%T-/ BUILDING USED AS L'1—Z ESTIMATED COST ��Y� PERMIT N0. No, of Heating UnitsCircle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR ZAlt Total Connected Load trade NameoJL Size No. �_�/� BTU_ .?�% ice% iy HP _ — EDR HEATING COMP�,Y Af`Lys & I / I Id Signed By Tel No. �L0 Approved By ' Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHEWNEY 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 BTL7's connected Yes (} No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: