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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. N 2358 g Y ` Date 47 .. .. . Owner . i� ° . .. .. .. . Builder .. .., ..... ... .. Address � . '........... �:.... . Address ....... ..................... LOCATION OP' BUILDING No. ... P Street ...�. ......... .. Part of Lot ............. ...... . Lot ..... I, Block ................ Addition or Sub -Division.. .. .. ....... l; Corner Lot .. Inside Lot . .. . Setback Sideyard i DESCRIPTION OF BUILDING To�be� Us �'' " ... Front ' ........ Depth . , ...... Height Sq. Ft......... Cu. Ft. .................. ". Front Depth ........ Height Sq. `Ft......... Cu. Ft. ........ Type of Constructionr - ..... Est Cost,p%.. To be Completeci• 417 ........ • ,i i, I I` Yn conslderationl 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 all provisions of ordinances of the village of Fridley. .................... q,.........: ..... 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 Land 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 ri garding location, construction, alteration, maintenance, repair and moving of buildings with- in the village Iimits 4nd this permit may be revoked at anytime upon violation of any of the provisions of said ordinances. I ; 4'e, u ..,. Building Inspector NOTICE: l 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. III � 1 i fi City Fridley, Y, : ..-11435 e 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMT Date: _ May 15 1972 Owner: Emanuel Berger Builder House Clinic Store Address4514._2 Street N.E. Address 3918 W. 49 2 Street LOCATION OF BUILDING 4514 22 Street N.E. No..�____......___._ Street — Part of Lot Lot _. 7 _ _ Block _ 2 Addition or Sub-DivisionRearrangement of Blocks 13, 14, 15 Corner Lot -------- — Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: Screen Room-___ Front 19' Depth 12' Height 10' _ Sq. Ft. 228 Cu. Ft 2,280 Front ._ Depth Height Sq. Ft. Cu. Ft.. Type of Construction _ Frame Est. Cost — 2,250.00__ To be Completed — In consideration of the issuance to me of a permit to construct the building described above I agree tq do the proposed work in accordance with the description above set fo.kijaad in compliance with a'll provisions of Ordinances of the city of Fridley. f -/ X �- In consideration of the payment of a fee of $ 5.00 r House Clinic p ,permit is hereby granted to Store 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 ordinon Of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buUdiW wpithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of add ordinances. 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 hems. ' APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER: ADDRESS:; A-'�� r ADDRESS: NO:. -✓ AC STREET:" LOT: a�BLOCK: ADDITION: fly' CORNER LOT: INSIDE LOT: ?C' SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. r DESCRIPTION OF BUILDING To Be Used As: Front: �' Depth: Height:. Square Feet:Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: 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 sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations s ated in this application are true and correct. DATE: SIGNATURE: (See Reverse Side For Additional Information.) CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS �`1 'J a Ila RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shelf and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $ 0 0 ®D that all the facts and representations stated in this application are true and correct. 1 f " / a. 9 ,1991 Gas Piping (Needed with new furnace) $10.00 $ OWNER 07� n Gas Range $10.00 $ BUILDING USED AS p Gas Drypr $ 10.00 $ ESTIMATED COST /i S• � PERMIT NO. 40 *Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ 31 3 S Commercial industrial 1 % of Value of Appliance or Work $ State Surcharge .50 TOTAL FEE $ `� 3' -05 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. DESCRIPTION OF FURNACE AND OR BURNER Signed BTel No. y B 'Ys' p, Approved By Rough -in Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE No. of Heating Units--LCircle One (Steam) (Hot Water)arm Air Trade Name Size No. 6- aD - S BTU HP EDR Fuel g� Total Connected Load Burner Trade Name Size No. BTU 7 5- HP EDR VOLT MM&AMMOM 32MG0 AVE. HEATING COMPANY stLOUISPAR&MN 550 GOAAM Signed BTel No. y B 'Ys' p, Approved By Rough -in Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack:. 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported S. Meets all current Code requirements for size and total BTU's connected 6. Has total heating BTU's of - All other BTU's TOTAL BTU's Remarks List Alterations Being Done: Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) VOGT HEO NG A AIR CONDITIONIN® HEATING COMPANY 3260GORHAMAVE OF LOUIS PARK MN 6M Signed By SALES 9296767 SERVICE 92MMI Date 5,57 City of Fridley SUBJECT PERMIT N 2 2 5 4 3 AT THE TOP OF THE TWINS BUILDING PERMIT r R _ COMMUNITY DEVELOPMENT DIV. *° PROTECTIVE INSPECTION SEC. r o i]l( NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/18/94 i JOB ADDRESS 4514 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Berger 4514 2 1/2 Street NE 572-1673 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Manions Master Roofing 3841 Hayes—St. Minneapolis -791-79.28 911.1 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 C� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (16 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 1 I 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,200 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. l rq c_' $29.00 PLAN CHECK FEE TOTAL FEE ( 7 VN AKA l( xUx $5.00 License SC $ 35.80 SIGNATU OF ONTR O AUTHORIZED AGENT IDATEI WHE PnVAI_Ppf TED THIS IS YOUR 'PERMIT a JDG INSP DATE SIGNATURE 6F OWNER IIF OWNER BUILDER) IDATEI NEW ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: �� Lf'1 �K Legal Description: Owner Name & Address: Contractor: ?4 ,� Address: Effective 1/ 1/94 Tel. # -�- -7 D-= i % -73 MN LICENSE # 0 O �� 'F / Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length WidthH77jxt t/Gd Sq. Ft. - U OTHER: (Q �'Z� 1.� _ - � . Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: �-t? "� �� CIO (Cost on Back) Drivoway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ i°I/ --- ? '� 2 . DATE: � ✓��' � � APPLICANT: Tel. # 7k'( ��r-i„` CITY USE ONLY Permit Fee $ c� l- C6) Fee Schedule on Reverse Side Fire Surcharge $ f- 2 .001 of Permit Valuation (1/10th%) State Surcharge $ $.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 STIPULATIONS: CITY OFRRIOLEYINSPECTION DIV. �431Un�er University Effective OnK4ar�h1.1g$� Fridley, MN55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 57O-3604 . MARK NUMBER OFFIXTURES TOBEINSTALLED ONEACH FLOOR Stor Urinal Shower it T., 1�ash Tray loo Auto. Gas Water Heater Gas Elec Drain Washer Range Flo or 1 xxx Floor 2 PLUMBING FIXTURE RATES: NO. RATE TOTAL ' JOB ADDRESS Af 5-/4 New Fixtures ' 7.80 The undersigned hereby makes application for apermit for the work herein Old Opening, New Fixture $4.00 �_�opeoif|mdaQrme|ngtpdomUvvork|nmLdctaocordmncmwiththwc|tycpdmm Beer Dispenser *5.00 � and ruUnAoofthe BuU6|ngDivision, and hereby declares that mUthe facts B|ovv��ffBasin �7.00 and representations �mtwd|nthis mppUomt|on e true and con»ct. — Catch Basin $7.00 Rain Water Leader $7.00 Sump/RocoivinWTonk ----- *7.�0 VVatorTio ng Appliance oti A K *10.00 ------- Owner DaiRoruy VVoterHeater—E|ectdo __- �7.00 YVotar Heater— Gow^° *10.00 "o-»^ Building Used As�4 Gas Range" *1�.�� Gas Dryor°° Back *10.00 Estimated Cost /4 9 5'w» PERMIT NO ' Flow Praventer Required ( )Yes ( ) No Typ` *15.00 PLUMB|N8COMPAN Reinspection Fee $42.0VyHr SIGNED BY TELNO. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5%nfValue ofFixture prAppliance Approved ^ f_ Rough—In Date Final Date — State Surcharge MINIMUM F �E FOR ANY PLUMBING/GAS PERMIT 18 $20.00 �F�� TOT/LFGE "COMBUSTION AIR SHALL BEPROVIDED PER UMC SECTION 5O4AQAND TABLE 6—A.MINIMUM SIZE 98OINCHES. sus,iECT MIT NO. City �f Fridley 2955 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. `COMMUNITY DEVELOPMENT DIV. v------ SEC. f PROTECTIVE INSPECTION CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L „ 612-571-3450 910415 5/25/99 JOB ADDRESS 4514 2 1/2 Street NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Berger 4514 2 1/2 Street NE 572-1673 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Manions Master Roofing 3841 Hayes St, Mpls., MN 55421 781-7228 5141 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 B DESCRIBE WORK Reroof House (16 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 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 $1,371 $.69 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- TRUCTION $SO.95 Fire $1.37 R THE PERFORM NCE OF CONSTRUCT PLAN CHECK FEE TOTA EE wa Licens $5.0 8.01 SIGNATURE OF CON'RACTOR AUTHORIZED AGENT iDATE, ENP OP VALIDA THIS IS YOUR/P�E R�MIT S,GNATURE OF OWNERi6 OWNER BUILDER, (DATE, 810 'NSP GATE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION G� Construction Address: ` Z' :;z - Legal Legal Description: Owner Name & Address: Tel. # 5r- 1 aL /6 `7� Contractor: P6 MN LICENSE # .-5" i Address: .3 T Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 Length Width Height Length Width ^, Hgt/Ground u Construction Type: k Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $. Sq. Ft. Sq. Ft. Sq. Ft. DATE: �jl� APPLICANT: M e Tel. # '� Z CITY USE ONLY Permit Fee $ 'g 0• Fee Schedule on Reverse Side Fire Surcharge $ /-3% .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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: $ S8,o1 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-12217 ADDRESS : 4514 2 1/2 ST NE PIN : 263024330107 LEGAL DESC : REAR BL 13,14 & 15 PLYMOUTH : LOT 7 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL -ter„ PERMIT Nd,,2, 004-00361 1 DATE ISSUED: 03/19/2004 VALUATION : $ 11,550.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE 10 WINDOWS WITHIN EXISTING OPENINGS STATE LICENSED CONTRACTOR 1 APPLICANT SEAL GUARD SYSTEMS INC (20093688) 3770 DUNLAP AVE N ARDEN HILLS, MN 55112- (651) 481-7888 OWNER BERGER D L & F L TRUSTEES 4514 2 1/2 ST NE FRIDLEY, MN 55421 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 wort 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 repxlac°ns ction or the performance of construction. Applicant �I Date_j_L_ Bldg BUILDING PERMIT FEE 209.25 FIRE SURCHARGE 11.55 STATE SURCHARGE, VALUE 5.77 LICENSE SURCHARGE 5.00 TOTAL 231.57 PAID WITH CHECK # 20566 o f i ds Hamouner To Post SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ J CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION. Construction Address: VJ Z12 Ar Legal Description: Owner Name 8,Ac Contractor: 9 -:� 1 '-'2 S, Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 571-1287 Fax yy MN LICENSE # 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 GARAGE AREA: Length Width Height DECK AREA: Length OTHER: Sq. Ft. Sq. Ft. Width Hgt/Ground Sq. Ft. Construction Type:/0�(��//%0�� 1117/fil ed .Cost: $ A��/ s Pi Driveway Curb Cut Width Needed. Ft. + 6 Ft = Ft x_ $ _ $ DATE: J1147 APPLICANT: lG� `J Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ Z Fee Schedule on Reverse Side Fire Surcharge $ :00.1 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1275 per SAC Unit License Surcharge $ 67V $5.00 (State Licensed Residential Contractors) Curb Cut 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 [ j TOTAL $ ,STIPULATIONS CITY OF FRIDLEY INSPECTION DIViSION 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 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) 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 Effective On January 1, 2002 State Surcharge TOTAL FEE 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 aside yard without .. written permission from adjoining property owner. Burner Trade Name Size No. $ BTU HP EDR $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and $ �® representations stated in this application are true and correct. VOGT HEATING &AIR __a _DAT E q! 3l 00 3=M GOAVE H EATING CO f: tPLW PAR, MN 55426 Signed FAX # "ful SEHME 929-4011 STEL # Approved By'I �:J_ Rough -In Date Final Dae 'p t JOB `l ADDRESS rW`i OWNER Rate TOTAL BUILDING USED AS $ 30.00 $ ESTIMATED COST PERMIT N0. , $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ �� Fuel Total Connected Load State Surcharge TOTAL FEE 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 aside yard without .. written permission from adjoining property owner. Burner Trade Name Size No. $ BTU HP EDR $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and $ �® representations stated in this application are true and correct. VOGT HEATING &AIR __a _DAT E q! 3l 00 3=M GOAVE H EATING CO f: tPLW PAR, MN 55426 Signed FAX # "ful SEHME 929-4011 STEL # Approved By'I �:J_ Rough -In Date Final Dae 'p t THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON V NTS VFNT r.QNNFCTQR AND COMBI ISTION AIR V RIFI CATION When re In acing an axasting furannt-, 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The exxosstongsomh"stinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes() No() When required to install a new zamhustien air -it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new venting!nystam, 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 as per current codes. Yes( )No( ) 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 Vert 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 HEATING CO: Signed By: Date: CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE FRIDLEY, MN55432- // ISSUED:01062010 (763)572-3604FAX: (763)502-4977 Permit #2010-00019 4514 2 1/2 ST NE ADDRESS: PIN:263024330107 LEGAL DESC:REAR BL 13,14 & 15 PLYMOUTH :LOT 7 BLOCK 2 PERMIT TYPE:HEATING - FIXTURE BASED PROPERTY TYPE:RESIDENTIAL CONSTRUCTION TYPE:FURNACE NOTE: REPLACE FURNACE & THERMOSTAT (1) TEMPSTAR T9MUX060 F12 60,000 BTU FURNACE FEE35.00 APPLICANT STATE SURCHARGE, MECH FLAT0.50 VOGT HEATING, AC & PLBG LLC TOTAL 35.50 3260 GORHAM AVE Payment(s) ST LOUIS PARK, MN 55426- CHECK4945135.50 (952) 929-6767 Minnesota State License #: 01886 OWNER BERGER D L & F L TRUSTEES 4514 2 1/2 ST NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 180 days or if construction or work is suspended or abandoned for a period of 180 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 work 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________ 1/6/10 Bldg Insp____________________________Date ________ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE ISSUED:01/06/2010 FRIDLEY, MN55432- (763)572-3604FAX: (763)502-4977 Permit #2010-00019 4514 2 1/2 ST NE : ADDRESSPERMIT APPLICANT: PIN:263024330107VOGT HEATING, AC & PLBG LLC LEGAL DESC:REAR BL 13,14 & 15 PLYMOUTH3260 GORHAM AVE :LOT 7 BLOCK 2ST LOUIS PARK, MN 55426- PERMIT TYPE:HEATING - FIXTURE BASED PROPERTY TYPE:RESIDENTIAL(952) 929-6767 CONSTRUCTION TYPE:FURNACE BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM INSPECTION TYPEDATEINSPECTORCOMMENTS FILL OUT AND HAVE ON SITE FOR FINAL THE START-UP/ CHECK LIST ON PG 4 OF THE MFR'S INSTRUCTIONS. FURNACE FINAL01/21/10FDAVE CALL FOR REINSPECTION WITH IN 10 WORKING DAYS. Original failed on 1/21/2010. History: FILL OUT AND HAVE ON SITE FOR FINAL THE START-UP/ CHECK LIST ON PG 4 OF FURNACE FINAL02/04/10FDAVE THE MFR'S INSTRUCTIONS. Original failed on 2/4/2010. History: Original failed on 1/21/2010. History: FURNACE FINAL02/05/10PDAVE FILL OUT AND HAVE ON SITE FOR FINAL THE START-UP/ CHECK LIST ON PG 4 OF INSPECTION COMMENTS: IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE. Building MECHANICAL Permit NO.: �i(7 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 763-502-4977 FAX CITY OF FRIDLEY Date . EFFECTIVE 2-19-09 DATE 101— J C' p YOnU E-MAIL ADDRESS SITE ADDRESS �� 2 7 e& 1 �' THIS APPLICANT IS: ❑ OWNER ULCONTRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION COMPANY NAME: CONTACT PERSON: STATE LICENSE # CITY STATE ZIP. EXP DATE ATE Z- " PHONE PERMIT TYPE KSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW JiREPLACEMENT ❑ ALTERATION/REMODEL OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT RE NOTED. FIXTURES:IST + O NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: d 1 d✓ � S SIZF/BTU d! D� 1 � _AJC $25.00 _AIR TO AIR EXCHANGEER $15 _BOILER $35.00 _CHIMNEY LINER $10.00 DUCT WORK $10.00 MFG: MODEL: MFG: MODEL: _FIREPLACE (GAS) $15.00 _FIREPLACE (WOOD) $35.00 ,� RNACE $35.00 _GAS DRYER $10.00 _ GAS PIPING $10.00 SIZE/BTU _GAS RANGEJOVEN $10.00 NEW GAS GRILL $10.00 _GAS UNIT HTR $10.00 POOL HEATER $35.00 VENTILATOR $15.00 FOR A PERMff-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of 1 wor h requ' es review and approval of plans. J'a,( (� SIGNATURE OF APPLICAN NAME &ffW DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 FEB. 5. 2010 7;30AM VOrART-,uP CHECK SHEET N0. 0�$ P. 2 For Variable Spud Moder *9MPV, *9MVlt (This sheet is optionall. Keep for future reference.) Date of Start- Up: 7 Dealer Name: 110!El 1:6r. � , r %, City, Slate(Provinoe), Zip or Postai Code:..,_ Phone: Owner Name__; Address: q S I, 1W _ i'- S�• ft ,x• City, S ate(Provfte), 7jp oyer,Postal Code- t,31 Model Number: Serial Number:}II Setup Checks P Check the box when task is complete. Ail Electrical Connecdons Tight? LA Have hoses been relocated for furnace U/D/H applioallon? W Condensate Drain Connected? Condensate Drain Trapped? W Manual Gas Shut-off Upstream of Furnace/Ddp Leg 6 Gas Valve turned ON? L4 Type of Gas: Natural: �Aj Propane: F"ker Type and Size.. 1 Shade in Final- Furnace Settings Below: sin• � > f" 123 12345878 'e o AMP �pen4Y e a JI Temperature of Supply Air: High Heat ELMERADJUST O FLIP conn % a AP mode Calculated Input (BTU) Rate: (See Checks arra' Adjusiments Section). �0 000 Healing Check Measured line Pressure During High Heat: `? g*+ Measured Manifold Pressure: High Heat' Low Heat° . Temperature of Supply Air: High Heat e• Low Heat % Temperature of Return Air. 170 Temperature Rise (Supply - Return): High Heat Low )-lest 19 In Rise Range (see furnace rating plate)?' Static Pressure (Ducts) High Heat: Supply Return if Optional Check: CO? / q tt -- -- G02? yam. Cooling Check 1 r l�e� est 1.),/I Temperature of Supply Air. Temperature of Return Air: Temperature Difference: Static Pressure (Ducts) Cooling: Supply Rewrn Dealer Comments.• 440 012024 01 SPNOW UmsewmebwWOMRAW 4 0 CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE FRIDLEY, MN55432- // ISSUED:10012010 (763)572-3604FAX: (763)502-4977 Permit #2010-01756 4514 2 1/2 ST NE ADDRESS: PIN:263024330107 LEGAL DESC:REAR BL 13,14 & 15 PLYMOUTH :LOT 7 BLOCK 2 PERMIT TYPE:BUILDING PROPERTY TYPE:RESIDENTIAL CONSTRUCTION TYPE:WINDOWS/DOORS VALUATION:$3,000.00 NOTE: CONSTRUCTION IN THE CITY IS UNLAWFUL EXCEPT BETWEEN THE HOURS OF 7:00 AM AND 9:00 PM, MONDAY THROUGH FRIDAY AND BETWEEN THE HOURS OF 9:00 AM AND 9:00 PM ON SATURDAYS. NO WORK IS ALLOWED ON SUNDAYS OR ANY LEGAL HOLIDAY UNLESS AN ALTERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED. FLASHING PER R 703.8, 2006 I.R.C. COMBUSTION AIR PER CHAPTER 1322, SEC. N1102.6 (SEE EXCEPTIONS) SMOKE DETECTORS PER R 313.21, 2006 I.R.C. CARBON MONOXIDE DETECTORS PER STATE STATUE 229F.50 REPLACE 3 WINDOWS W/IN EXISTING OPENINGS. BUILDING PERMIT FEE83.25 APPLICANT FIRE SURCHARGE3.00 RENEWAL BY ANDERSEN STATE SURCHARGE, BLDG VALUE1.50 1920 COUNTY RD C W LICENSE SURCHARGE5.00 ROSEVILLE, MN 55113 TOTAL 92.75 (651) 264-4777 Payment(s) Minnesota State License #: 20130983 CHECK1457992.75 OWNER BERGER D L & F L TRUSTEES 4514 2 1/2 ST NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 180 days or if construction or work is suspended or abandoned for a period of 180 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 work 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________ 10/1/10 Bldg Insp____________________________Date ________ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 7071UNIVERSITY AVENUE NE ISSUED:10/01/2010 FRIDLEY, MN55432- (763)572-3604FAX: (763)502-4977 Permit #2010-01756 4514 2 1/2 ST NE : ADDRESSPERMIT APPLICANT: PIN:263024330107RENEWAL BY ANDERSEN LEGAL DESC:REAR BL 13,14 & 15 PLYMOUTH1920 COUNTY RD C W :LOT 7 BLOCK 2ROSEVILLE, MN 55113 PERMIT TYPE:BUILDING PROPERTY TYPE:RESIDENTIAL(651) 264-4777 CONSTRUCTION TYPE:WINDOWS/DOORS : VALUATION$3,000.00 BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM INSPECTION TYPEDATEINSPECTORCOMMENTS SMOKE DETECTORS12/15/10PDAVE CARBON MONOXIDE DETECTOR12/15/10PDAVE WINDOW/DOOR FINAL12/16/10PDAVE INSPECTION COMMENTS: IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE. Building BUILDING Permit No.: .' , ✓ - 4 InspectionsRESIDENTIAL APPLICATION Received B : I L' 763-572-3604 CITY OF FRIDLEY Date ft' : DATE '' YOUR E-MAIL ADDRESS U.15C3k %aa e.OQ VC -0 C - `) �ry SITE ADDRESS $ 6.00 $5.00 (State Licensed Residential Contractors) SAC Charge $ THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR $ PROPERTY OWNER/ NAME: -y) $ ADDRESS://®® n CITY STATE ZIP TENANT Fee Determined by Engineering (0 PHONE: 5T r 1107-3 NAME: Renewal By Andersen $ CONTRACTOR SUBMIT A COPY OF STATE LICENSE #_ 1920 County Road "C" West Make checks Davable to: Citv of Fridlev Attach Stipulations YOUR STATE LICENSE ADDRESS: Roseville, MN 55113 t —STATE—ZIP— STATEZIPWITH WITHAPPLICATION PHONE License #20130983 ❑ SINGLE FAMILY/NEi _ 651-264-4777 PROPERTY TYPE ❑ TWO FAMILY/NEW G _ PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE O DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: LAJ)i 5 _ SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT :Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMLT GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structure ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS OYes ❑No LOCATION OF WINDOWS 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 THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 3, 060 ® OCCUPANCY TYPE Permit Fee $ 8 3.9!5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ 1. 51D .0005 x Permit Valuation Minimum $.50 License Surcharge $ 6.00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 5.1. �" Make checks Davable to: Citv of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not permit but only an applicatio or a permit aA work is not to start without a permit; that the work will be in accordance with the approve plan in the case of all work w 'ch a=== - SIGNATURE OF APPLICANT AME,p1Qd 13k ,Q_VNSCSV�7 DATE C� R