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PRE 2010 DOCSu • a �c 0 CD CD CD C. ro p �+ ems+ $ 0O m wy m (D K� h O� �''• eQ`"� µ m cn y M. p ' K to vQ �0 C+ `+5 ��ao 0,9PO a m ��c C;, p ►, (D�4 O V%4 9t CD 0 20 a � OCD H C: CoJ��CD tS C m�e 0 fk 041o 06 m '4 �-nu�Fm k CD a 00.tCDr 0 ., m 0 O bd City of Fridley, Minn. BUILDING PERMIT N® 3900 Date: ... -.... /. .. .............. Owner � ..... .. ...........`�.`:`�"� Builder ......... .. ...................... ... Address .....� Ll ......................... Address ............................................. oa�� �. _ J� ���ING No..l... Street ...�/.. .......... ............. Part of Lot ............................... Lot ............ Block .................. Addition or Sub -Division .....................................'.. Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING A% o . . �.. .. .. Front /V DeptbAR- C5 Height 1.. � Sq. F`t WW 2 cu. Ft. ......... Front ........ Depth ........ Height ........ Sq. Ft ........ Cu. Ft. ........ Type of Construction ................... Est. Cost. To " 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. .�%010V 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 any of the provisions of said ordinances. Building 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. r SUBJECT R NO. City of Fridley 1369 AT THE TOP OF THE TWINS BUILDING PERMIT t�ERMIT EIPT NO. iCOMMUNITY DEVELOPMENT DIV. INSPECTION PROTECTIVE SEC./ 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 JOB ADDRESS 4720 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11,12 7 Plymouth Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Kendal Knutson 4720 - 3rd Street N.E. 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 RN Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION 61A ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt 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. $350.00 $.5O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)WHEN P OPERLY VALIDATED THIS IS YOUR PERMIT 1� ��, a ,, �n� S- i -7 �, �rU t� (9-q-& BLDG iNSP GATE SIGNATURE4DF OWNER (IF WVNER BUILDER) IDATE) r CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME : h E N D,,9 L J, k N 0"s o rel BUILDER: X EA/D 6 2 J, K N VT -5 0 Al ADDRESS: 4'2 3R®, -5 F, N, E7 ADDRESS: 4-72 d NO:. % Z 0 STREET: 3 R V, -s-11- LOT: LOT: 9 I U,12 --BLOCK: `7 ADDITION: P Z Y M '° V T tj !) D .) 9 7/ a rV CORNER LOT: INSIDE LOT:ETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: 6 E X 0 OF M O US F-- Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: ,� S P H)9 L l Estimated Cost: $ -3 !9 0,D �av 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 stated in this application are true and correct. DATE: g - y " 7 E SIGNATURE: (See Reverse Side For Additional Information.) J I SUBJECT PERMIT .' City of Fridley 18785 AT THE TOP OF THE TWINS BUILDING P E R M I T r P. RECEIPT NO. •COMMUNITY DEVELOPMENT DIV. ..------, r � � PROTECTIVE INSPECTION SEC. 3 3 L1 = � �r---,'� CITY HALL FRIDLEY 55432 1 NUMBER REV. DATE PAGE OF APPROVED BY ----� 612-571-3450 910-F15 1/27/87 JOB ADDRESS 4720 - 3rd Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11.,12 7 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kendal Knutson 4720 - 3rd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Season's Four Remodeling Services Inc. 374-3863 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 1830 Glenwood Avenue, Mpls., MN 55405 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 Construct a 20' x 10' Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. APA r RM IT-I UU I� _�. A r $ r Iron y �L� �ILz' Before digging call ibcal uti!otqRs ,A � sic TELEPHONE - ELECTRIC - GAS Etc. ' REQUIRED BY LA ji 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 BO 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 ] ISTALLS 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 HEREI OR N4. .THE GRANTING OF A PERMIT $19,750 $9.87 DOES NOT PR T VE U O Y TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION OF AN O ER TA CAL LAW REGULATING CON- $140.50 None T UCTIO OR T PE O A E NSTRUCTION. PLAN CHECK FEE TOTAL FEE 1 4 — $185.50 siGN OF CONT ACT RORAUTHORIZEDAGENT IDATEI t$35.13 WHEN PROPERL ALIDATED THIS IS YOUR PERMIT BLDG INSP Ijq SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. t1 J IR -1 AND R-2 1 000 TER. [ ] Building Permit Application AL )Lka Construction Addri Legal Description Owner Name & Address: � �L -iii i(JU � o sc� "'�-20 - d" ° Tel. # Contractor: S s�,�`S ��� � A� �� � '�ie�S /.ye. Tel. # 39.1-38 6-3 Address: /6,3n LwjUJr0aA Aj,-1 AA)L-, 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 /0 Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot ] rFt. Yd. Setback Side Yard Setback Type of Construction: ('Ijao Estimated Cost: Approx. Completion Date: = Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: l �� APPLICANT: tL_ �ttAQ6d-A _ Tel. 317'1-J6 4J Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS • k%� V__ CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $44 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] I�o7� ®0Cj SZ) i q®.: CITY OF FRIDLEY 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 $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ *Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn: 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal, per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures Y. $ 1.00 $ Gas Range to 199,000 BTU x $10,00 $ AIR CONDITIONING FAN HEATING SYSTEMS Sed Fee Schedule $ VENTILATING SYSTEMS $T ALTERATIONS & REPAIRS $ State Surcharge $ .50 TOTAL FEE $ t ® (; ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. A s 2 P • ? Date APPROVAL FOR PERMIT�'� C MIN11MUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form Job Address 4-72o'5.f A e Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. OWNER %�E130AL J� N'UTS®&3 KIND OF BUILDING L10000 F A /4" L USED AS R 01) 10 CN CZ TO BE COMPLETED ABOUT p 1 ESTIMATED COST -575L) OLD - NEW BUILDING PERMIT NO. PERMIT NO. 1) CO3 9 DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steno, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By i Tel. No. 4r 4-700 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 ® O $ Future Fixtures $ 3.50 e Old Opening, Nov Fixture water �si $ .ei $ 4.00 $ Blow Off Basin .ci a $ m e" 5.00 w 5 $ Heater $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ not Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ m u o w cbi�s c� ec lstr 2nd X 3rd 4th (R) - Future Connection Opening Connected with Bauer (�) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 ® O $ Future Fixtures $ 3.50 $ Old Opening, Nov Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ not Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 11 of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection roe $�� (615.00) TOTAL PER Effective Aug. 1, 1961 I Job Address 4--7 Z t3 — 3 )'0D , S7. N, ' ► FOR ),D L y oV Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. • 19� OMMR T KIND OF BUILDING MMSOW WOOD IfE A M E USED AS TO BE CONPLETED ABOUT ESTIMATED COST OLD - HIM BUILDING FROM N0. PERN1T NO. Company Signed By Tel. No. S7 Z ROUGH INSP. Date FINAL INSp. Date APPRWAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT 18:$10.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 a Future Fixtures p 3.50 u Old Opening, New Fixture x v $ Water S 4.00 S Blow Off Basin $ 5.00 h C ro m 5.00 m ro w a na. $ Hydraulic Valve Heater 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ �l r H 5.00 $ 3: Oa Gas Range $ 10.00 wpp 0 W r L A Y t C C 3 O O .UC U $ .50 N ($15.00) TOTAL tO1 S 16'.lra w 0 < C O O ti ,0 y N c p vJ .Ci U w D 0 qNq o0 W b 3 Q 4. H .1 1.. S m 4 i t! L� � O s lec let 2nd 3rd 4th (R) " Future Connection Opening Connected with Sewer (•) - New Fixture. Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser S 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater _� $ 5.00 $ 3: Oa Gas Range $ 10.00 $ Gas Dryer �_ $ 10.00 $ 00.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1t of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Pee $ ($15.00) TOTAL FEE S 16'.lra Ettective Aug. 1, lyHl .lob Address -f--1 Z0 3 Ra, ,S?; At I -f Department of Buildings City of Fridley Tel. 0571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. �L i 2 3 , 19'i OWNER _ I<1vD/�L J, kNV%`so IJ KIND OF BUILDING WO 0 P t USED AS D W R -L L f TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT 140. ROUGH INSP. Date Company Signed By Tel. No. FINAL INSP. a Date APPROVAL FOR PERMIT HINIHUM FEE FOR ANY PLUMBING PE PLUS THE S.50 STATE SURCHARGE IS $10.00 J CITY OF o.. ca a,vr nuy. ,• ,•.n� FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Job Address L��� - J' P� ,j✓ x/ Furnace Shell and Duct Mork, Burner (Also replace nt furnace) $ 20.00 $J(®a Department of Buildings, 6411 university hwe. N.E., Fridley, M" SS432 Gas Piping $ 10.00 $ /®e City of Fridley Tel. 6571-34SO (piping needed with now furnace) $ 10.00 $ The undersigned hereby malted application for a permit for the work herein Gas Range specified agreeinq to do all work in strict accordance with the City Codes Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn. 19 All Others/Repairs and Alterations OWNER 11 of Value of Appliance or stork $ /I� 0 �`2 � � e' RING OF BUI�L'DING /;�/0 J IAg& F4 M, / D4)e- //i rJG COlM1ERCIAL/INDUSTRIAL USED AS 11 of Value of Appliance or Mork $ To BE COMPLETED ABOUT ESSTIMATED COST State Surcharge $ .50 PERMIT ND. PERMIT NO. Slid 4 - OLD -NEM BUILDING TOTAL FEE Reinspection Fee ($1S.00) $ DESCRIPTION OF'FUMACE/BURMCR Rough Insp. Date Final Inep. 16-1-97 Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with replacement furnace permits *Air Conditioners can not ln• placed in side yard without written permission frnn adnotninq nengldx.r. HEATING or POWER �� PLAN75, Steam, not Mater, Mass Air- No. /jY, ya Trade Name `-i� %'ri/�l✓ else No. Capacity Sq. Ft. CDR BTU ♦up p Total Connected load Rind of Fuel N G BURNER - Trade Name Size Mo. Capacity Sq. Ft. EDR BTU HP Company �i�G�G9a �iJ //GCi�OJ lI/�� �lVd ccL1 Siqned By / Tc1. No. CITY OF FRIDLEY APPLICATION FOR HEATING REPLACEMENT CHII4NEY AND STACK VERIFICATION THIS FOR14 MUST ACCOt'PA11Y STANDARD APPLICATION FOR HEATING PERMIT FORM. LOCATION DATE OWNER ,L�� ,�.yi��.�a ADDRESS The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined 2. Is free from rust or deterioration 3. No foreign objects are lodged within 4. Ttat it is securely supported S. That it r:eets all current Code requirements for size and total BTU connected 6. Total Heating BTU All Other BTU TOTAL REMARKS i -e, ": Z , r 1 SIGNED Licensee by d�Z�- ,,(' Address -53S4� Telephone -ZZ� HEATING PERMIT # Fridley City License # SUBJECT _ City of Fridley 2509-8 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO.0 COMMUNITY DEVELOPMENT DIV. fr a r PROTECTIVE INSPECTION SEC �� ((�� NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 '', 612-571-3450 910-F15 5/27/97 JOB ADDRESS 4720 3 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11,12 7 Plymouth I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kendal Knutson 4720 3 Street NE 572-8864 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 Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ij REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK REM Reroof Souse & Garage (19 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 1 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 $1,567 $,78 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE FEE rTAL $53.60 SIIGGNNJAAATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ENP VALID T D THIS IS YOUR PERMIT L % SIGNATURE OF OWNER iI WNER BUILDE I IDATEI . BLDG NSP nATE NEW [ ] Effective i / 1 /97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2� / 2U BUILDING PERMIT APPLICATION d� ConstructionAddress::'7 Z o - 3 A D, Z r g-� 1r ]L 9,p 2. E'Y Legal Description: Owner Name & Address: K ND -R 2 .3, X N u-rs oN +72 a Tel. # 5 7a -- g g Contractor: -s !E: L p- MN LICENSE # wd R 95 Address: 3 ,xA s Tg V F= -T Tel. # 7 $ 9 3 S -t- / 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 Width Hgt/Ground Sq. Ft. OTHER: = R= - R `0 o �_ HQ L,sF %4 G A 3RA(h E 1 S Q U A R E S (_A:Lk�1F� Construction Type: A S �PN A 1.7 I S Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: .5- Z 7 -- '�) 7 APPLICANT: Tel. # 5- 7 Z •--'9 B fo STIPULATIONS: CITY USE ONLY Permit Fee $/, Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ .$450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer. Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ S3.&6 STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763)571-1287 ADDRESS : 4720 3 ST NE PIN : 263024320097 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMITO.: 2004-01531 DATE ISSUED: 09/02/2004 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, GOODMAN, 70,000 BTUS) # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 2000 APPLICANT ANDERSON HEATING & AIR COND 4347 CENTRAL AVE NE COLUMBIA HEIGHTS, MN 55421 OWNER KNUTSON KENDAL J & ELAYNE O 4720 3RD ST NE FRIDLEY, MN 55421 r 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 regutirkg,conuction or the performance of construction. Annlicant\ (jDate F . IF HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 35.50 PAID WITH CHECK # 24184 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. C 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 DEVICEScc J� FAX (763) 571-1287 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 JOB ADDRESS UZ Ettective January 1, 2003 OWNERy[/' Rate TOTAL BUILDING USED AS $ 30.00 $�� ESTIMATED C04(9 0 0D " PERMIT NO. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) ws arm Air $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel Total Connected Load�� Burn ade Name 6DWAO,4 Size No. 61,WV_)Q-J $ BTU Z V, LUZi HP EDR 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 a side yard without written permission from adjoining property owner. . $ 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 $3c o representations stated in this application are true and correct. DATE — HEATING CO d Signed �p TEL # FAX # 0 Approved By &Rough In Date Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED nNNFCTOR AND COMRI IRTIM AIR VFRIFICATIt KI ,nMMnN VcNT VENT When imnla ling an taxonhnn fi trance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Yes � No ( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer Yes( ) No specifications including sizing, length, number of elbows and termination. 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. Yeses No ( ) The px etinn r-nmi> intron air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No (NA When required to i etall a new cnmh"SUnn airs It will be sized and installed to meet the current codes and manufacturer's specifications. Yes P) No ( ) When jpctallonn neje yantinAyy=, the undersigned hereby verifies that it 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 qq 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 1y No( ) ,Appli ncp Jyglo and Si7P/Cnmmnn Vent and Vent Cnnnector Information Appliance #1 Type BTU Input11 r� Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat &zqn Appliance #3 Type BTU Input _ Fan Assisted or Nat I Total Appliances Total Btu Input I �. % iameter I in Common Vent Type �`� Vent Height IS� D r Appliance #1 Vent Connector Height c2, ft Length %ft Diameter in Type Appliance #2 Vent Connector Height _/—ft Length ft Diameterin Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By:IV _ 5 Date: