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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT � N. '7184 Date: y Owner:" Builder • • Address Address _ LO TION OF BUILDING No. r6 Street -- Part t Lot _ Block Ze Addition or Sub -Division . Corner Lot — Inside Lot �- Setback v® r _ Sideyard Sewer Elevation _Z��, Z4� ._ _ Mnktion Elevation DESCRIPTION OF BUILDING T Used . r Front Depth Height J-0 Sq. Ft. cu. Ft. ' t _ Depth Height Z O Sq. Ft. Sa Cu. Ft. '-Tv Type of &instruction 6 Est. 1j:5 1I23� ?& be Completed In consideration of the issuance to me of a permit to copReb��� �%I �to do the proposed work in accordance with the description above se ons of ordinances of the city of Fridley. In consideration of the payment of a fee of V'23 —_� , 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 location, construction, alteration, maintenauce, repair and moving of buildings within the city limits and permit mayberevoked at any time upon violation of any of the provisions of said ordinances. _ NOTICE: This permit does not cover the construction, Installation for whhng, plumbing, gas heating, sewer or wafer. Be vera to see the Building hisactor for separate permits for these Hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNERS NAME �6641_� BUILDER ADDRESS ADDRESS LOCATION OF UUiLDING No. Street -:3 /1-Q J 0- Part of Lot Lot —vg Block Addition or Subdivision_ �--�, Corner Lot Inside Lot__4_Setbadk 3 S Side Yard SETTER ELEVATION FOUNDATION ELEVATION /0 Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. To be used as: DESCRIPTION OF BUILDING 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 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 S (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and &n fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures I 0Op!! C Estimated Cost, $ Z PLIIMBING FIXTURE RATES: Z Z m J Z (�SuS ZZ Z �U' 0 F N WATER HTR. GAS ELEc Base $ Business Phon J .. Catch Basin .... ..................... x 3.25 $ Water Heater (Up to 200,000 BTL) ...... x 2.00 $ New Ground Run Old Bldg. ........... x 3.25 $ ROUGH FINAL 1st NO. RATE TOTAL 1st 3 Fixtures .......................... % $ /, :ri9 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 2nd 3rd 4th • Future Connection Openings +x New Fixture, Old Openings I Connected with Sewer � Cesspool Dept. of Bldgs. Phone SII 4-7470i� N. ,/� Location — E S h J . I1 City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do an 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. �j Mi Fridley, nn T —// r� 19—T Owner Cen l_.frl'12 .QTY Kind of Buildingyck//ten � Used as P") P, /J To be completed about PARTIAL RATE SCHEDULE Estimated Cost, $ °� / Old New Building Permit No b Permit No ."--� PLIIMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Signe Future Fixture Opening ................ x 1.20 $ By New Fixture Old Opening .............. x 1.00 $ Business Phon J .. Catch Basin .... ..................... x 3.25 $ Water Heater (Up to 200,000 BTL) ...... x 2.00 $ New Ground Run Old Bldg. ........... x 3.25 $ ROUGH FINAL GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... -roe x $1.50 $ /, :ri9 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE •'S 42 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 .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ S _ 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. IDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ....................... 5.00 $ t . over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ 5.00 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ 1.50 Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ Dept. of Bldgs. Phone SII 4-7470 Location 4575 - 3rd St. 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, Minn 9-9 19 64 Owner Remco Construction Company Kind of Building Frame Used as Residence To be completed about 10-9-64 Estimated Cost, Old—New. Building Permit No. Permit No. I� OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No 1 Trade Name Westinhouse Size No GUa-100 Capacity Sq. Ft. E.D.R loom BTU H.P. Total Connected Load40_-125 Kind of FueL GAS BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU A.P. AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ Signe FRED VOGT & G®' ALTERATIONS & REPAIRS TOTAL FEE $ 14.50 By 3260 Gorham Ave. o qtr 9-6762 ROUGH -Sf- Louis Park 26, Minnesota 42 2M Business Phone No FINAL (REMARKS—OVER) SUBJECT - City of Fridley 31010 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 17 r � � PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910 -FIS 6/2/00 JOB ADDRESS 4575 3 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27,28 16 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Yeager 4575 3rd Street NE 998-1481 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION [ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside front of house 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,200 $.60 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- C $1.20 STRUCTION THE PERFORMANCE OF CONSTRUCTION $44,85 Fire PLAN CHECK FEE TOTALPE - i�-� / $4 .65 IGNA UAE O� N•RACTOR OR AUTHORIZED AGENT tDATE. EN 15ROPVALIDAT D MIS IS Y WA PE R.MIT as.� / NAT AE --NEA .-f OWNER BUILOER, iD BLD iNSP 4L�1 MATE NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION l J Construction Address. •� `7 67 S7 - Legal Description: Owner Name & Address: Is s.o 'mow-,. _a r s� S' $ ^a �a Tel. # Contractor: 6 -ail Al A-41- I MN LICENSE _ Address:, (� — Tel. # �� - l frg_l CG f Z ") e - Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Widthgt/Ground Sq. Ft OTHER: -2S t a.vcA a� 4 ®—/c.C�i'�� Construction Type: Estimated Cost: $ ®o Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: A 04 APPLICANT: 4, Tel. # ? "OT / CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in applicationj� Permit Fee $�^ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ Driveway Escrow Erosion Control Park Fee $5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $ 9& , 4_,-5' CITY OF FRIDLEY PERMITO.: 2004-01351 6431 UNIVERSITY AVENUE NE___) FRIDLEY, MN 55432 DATE ISSUED: 08/17/2004 ' (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 4575 3 ST NE PIN : 263024330084 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A FURNACE (WARM AIR, RUUD, 60,000 BTUS) AND AN AIR CONDITIONER. # A/C UNITS 1 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 4700 APPLICANT HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK 0.00 35.00 CENTERPOINT ENERGY/MINNEGASCO 13562 CENTRAL AVE NE GAS RANGE FEE 0.00 ANOKA, MN 55304- GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL PAID WITH CHECK # 5954 60.50 OWNER GERVING CHRISTOPHER D 4575 3RD 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 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 re lating construction or the performance of construction. Applicant Dat I Bldg Ins i D4 SEPARATE PERMITS RE U1RED FOR WORK OTHER THAN DESCRIBED ABOVE. ;ITY OF FRIDLEY BUILDING INSPECTION 8 4 4 4 2 Effective 4/1/2004 M 9 3431 University Ave NE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 9=rldley, MN 55432 L REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 763-5T23604 FAX 763-571-1287 S) JOB ADDRESS L4 6, 5 3 S E - D RATE SCHEDULE Fee Total//11 br Ce a y -V i Residential Owner Furnace Shell and Duct Work, Burner & 3 -5 -CO Building Used also Replacement Furnace $35.00 $ ESTIMATED CPERMIT NO Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot W ter) (Warm Air) %L%uv d V QI R k - 61.00 No. Trade Name *Air Conditioning -All Sizes $25.00 $ 26- CO BTU 60.000 HP EDR 1'i u o a h P6 fY1 C 0 aLLI --TA z- Fuel Nom• Qk a -s Total Connected Load All Other Repairs or Alterations (List on Back) Size No. r 1% of Value of Appliance or Work $ Burner Trade Name EDR a Minimum Fee $15.00 for Residential or 5% of cast of BTU HP Y Improvement whichever is greater on work less than $300.00 . The undersigned hereby makes application for a permit for the work herein 5 Commercial/industrial/institutional specified agreeing to do all work in strict aocordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/industrial/institutional and representations stated in this application are true and correct. CENTERPOINT ENERGY MINNEGASCO Y State Surcharge $ .50 HEATING CO 13562 CENTRAL AVE NE BLAINS, MN 55304 1 TOTAL FEE $ Signed Te! ,g763-757-6202 v REINSPECTION FEE $50.00/HOUR FAX # - - Date *Air Conditioners can not be placed in side yard without written approval rm from adjoining property owner - copy to City r ry FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date Ee ' d ldlol 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 (y). 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 specifications. Yes (1 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 R is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type t -LAA - BTU Input L 10, 61k"' Fan Assisted or Nat f r4 yL°�a Appliance #2 Type tA, ke4,t- BTU Input --'e' !aFan Assisted or Nat T Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances �. Total Btu Input Common Vent Type at Vent Height i Diameter inches Appliance #1 Vent Connector Height ft Length ,eft Diameter _:in Type P ✓e - Appliance #2 Vent Connector Height _eft Length c ft Diameter 4Z "-in Type C Appliance 93 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) 1�- Zf3e t OR.4v�-��-- Y/L�L 1. _ L/ f r n-ul CENTERPOINT ENERGY MINNEGASCO HEATING CO: 13562 CENT AVE NE BLAINE, MN 55304 z Signed By: Date J FRIFG1 ' A rn)' 1.Sb 01 A91Q 1 NA AO ,ll 1 O WON -1 SP : T T b002—LE—Ncki CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 VAX: (763) 571-1287 PERMIT NO.: 200401352 DATE ISSUED: 08/17/2004 z ADDRESS : 4575 3 ST NE PIN : 263024330084 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A FURNACE AND AN AIR CONDITIONER. # INSPECTIONS 1 APPLICANT CENTERPOINT ENERGY/MINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304 - OWNER GERVING CHRISTOPHER D 4575 3RD 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 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 Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 5954 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.