The URL can be used to link to this page

PRE 2010 DOCS• Village of Fridley, Minn. BUILDING PERMIT N° 9, Office of INSPECTOR OF BUMI)INGS Owner, Architect Fridley, Minn.,'";, '? f 19 Builder LOCATION OF BUILDING / No. Street l3A L(p 1 Part of Lot q - Lot Block NA Addition or Sub -Division r DESCRIPTION OF BUILDING Front - Depth_ Height Stories.._ Manner of Construction t To be used as"'` To be completed + * - �°'� Estimated Costf Permit is hereby granted toL ,t' '�,.',�°'".. "`t, `.m � �{:�:�,. ti tp � , r � � &gz_. the building ":,.�...��.�,�— described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. j, r�.r-� Inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subsc 'bed and sworn to before me at Fridley, Minnesota, this d2V of .. � A.D. 19 = Date: Owner: Address City of Fridley, Minn. BUILDING PERMIT N°5594 Address &jT"_ OFBUILDING No. Street Part of t Lot Mock _ ____, Addition or Sub-Divisio, . Corner Lot _ Inside Lot ,A■!!''! Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING T�Used _ Front .& Depth Height Sq. Ft. Cu. Ft. r _ Front Z-10Depth eight h Sq. Ft.. Cu. Ft. --- i Type of Cnstru rtion Est. Cost —14-o be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. 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 within 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 for whing, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items, ppr APPLICATION FOR BUILDING PMO= CITY OF FRIDLEY, MMMSOTA I We ✓- LOCATION OF BUILDING No. 14 % Street ,� .�./� A14 Part of Lot Lot Block Addition or Subdivision�� Corner Lot Inside Lot i< Setback Side -Yard SEWER. ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: i AJ -42 -W _ From 16 Denth Height _ Sq. Ft. Cu. Ft. Sq. Ft. Cu. Ft. / Typa of Construction/l,Gvr Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DINE 4fj:.'- 3, 6 / SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) Appficartion for Power Plants and: Hewing. 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 $ each add. 60,000 BTU .... . .................. 2.00 $ _ Replacement of Furnace . #.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. EDR Steam....... 8.00 $ Furnace Shell & Line --to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water ................ 1. 2.50 $ OIL BURNER—to 3 gal. per hour ................. ...... 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ `J GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $�,�'� Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $�� ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL Dept. of Bld�gg% Phone SII. 4-7470 LpoOCetion � � �� -1--e 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. Owner Kind of Building Fridley, Used as 01 To be completed about Estimated Cost, $, Old ew. Building Permit No. Permit No. DESCRIPTION OF WORK 19 _ HEATING or POWER PLANTS Steam, Hot Water, Warm Air—No Trade Name -- Size No- 2- 3 %' y Capacity. & Sq. Ft. E.D.R BTU H.P. • _ P Total Connected Loa Kind of Fue: BURNER — Trade Name Size No Capacity ! - Seq. Ft. E.D.R �TU_ H.P. Signe B /v CUe C ZMM 7.59 Business Phone No (REMARKS—OVER) i • City of Fridley, Minn. BUILDING PERMIT 0 on: -emu, .: Owner: Stanley Thorson Builder Blanske Const. Address __47 3rd St. Address 4029 Other Lake Rd, LOCATION OF BUILDING No. ____.47. f?B_.... Street — _ _33:d. St Part of Lot Lot —3--&-4--- Block ___ 7_ Corner Lot . Inside Lot Sewer Elevation Addition or Sub.Division . _�l �� Arm X Setback Sideyard — Foundation Elevation DESCRIPTION OF BUILDING N9 cF3/!� 7 9814 To be Used as: Family Room Front 14' 0 't Depth 12' Height StorAq. Ft, 114 _ Cu, Ft 233 Type of Construction Front Depth Height Sq. Ft. Cu. Ft. Frame $3,800-00 Aug. 1, 1968 ._.. Est. Cost .� ° To beCompleted In consideration of the issuance to me of a permit to construct the building described aboveI agree to do the proposed work in accordance with the description above set forth and in compliance with aft provisions of ordinances oY the city of Fridley. In consideration of the payment of a fee of $ 5.00 , permit is hereby granted to Blanske Const. 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 limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. J BWldtngMNMUW Official NOTICE: • Uk permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sons to soo the Building Inspector for separate permits for these hone. 52-84X915-51 City of Fridley Application for Plumbing and Cas Ming Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK 4.768 N E 31-d St Number, Kind and Location of Fixtures motion PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg . ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code — x $2.00 3 — x $1.50 F — x $1.50 ?F — x $3.25 o�(�90� — x $3.00 $ — x $3.25 <�7 _ a $2.00 w Z t�'� O • F • N WATER HTR. GAS EIEC Base 1st 1 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg . ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code — x $2.00 $ — x $1.50 $ — x $1.50 $ — x $3.25 $ — x $3.00 $ — x $3.25 $ _ a $2.00 $ NO. RATE TOTAL x $2.00 $ x$.75 $ 1 x $5.00 $ 3.00 City of Fridley: 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, Minn 7-29-68 19— Owner Stan 1 hors on Kind of Building frame Used as res To be completed about 8-3-68 Estimated Cost, $ 10.00 Old—New. Building Permit No Permit No. Sign0000000r By Business Phone No ROUGH FINAL Description ................................................$ TOTAL FEE $ 3,00 42 Original PERMIT for Power Rants and Heating. Cool- ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to be installed-altered—repaired Make Size ; Oil fired ; Coal fired—,- Gas fired ; Gas Authorization No. Approved Final Inspection Date , 19_ Inspector Permit N° 4697 Fee Office of the Inspector of Buildings City of Fridley City of Fridley, Minn .19.10% , 19 Owner - �� Location Kind of BuildinJg� How Occupied Work to be Commenced ,19_ To be Completed— Estimated ompleted Estimated Cost, $ 6Z -A O 0 Old -New, Building Permit No. Permission is hereby granted to to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that th4 person 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 devices 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 specifications set rth in the approved application for this permit on file in the office of the Inspector of Buildings. l �.,;,,Inspector of Buildings .0110> 4z 2M 11-67 V { CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT +a M 0 O u m edyy 5 m ll 0o m t� m FA De,, N-4 H 0 3 m Y[� u +1 o w° O W � W S w .0 m B Id U m o ++ m 3 4 � m d, m co m o Water Heater lec Baca - 1st 2nd 3rd 4th (R) = Future Connection Opening (*) s New Fixture, Old Opening Connected with Sewer 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 $ 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 S Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ E;.66 Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 •$ ALL OTHI:'•'.S AND/OR REPAIRS AND ALTERATIONS la of Value of Fixture or Appliance $ G. GO Reinspection Fee $ State Surcharge $ .50 (815.00) TOTAL FEE 4 Job Address Department of Building City of Fridley Tel. #571-3450 Effective Date May 1, 1988 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. 1 19 1Cd OWNER C�C_CA.0 i-1--\0 r'5Gr1 RIND OF BUILDING USED AS TO BE COLLETED ABOUT j P� �1 0 ESTIMATED COST /�I � V ' C)G) S OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company7Al F�_� f110 Signed By 6_7, GARFIELD AVENUE SOUTH b�F�Er"�6 Awa =a"NE50TA; Tel. No.4�— ROUGH INSP. // Date FINAL INSP. l l� ✓/ �� Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE Z. e' 7630 CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes) 2. Is free from rust or deterioration Yes (� 3. Has no foreign objects lodged within Yes ( ) 4. Is securely supported Yes (v) 5. Meets all current Code requirements for size and total BTU connected Yes -) 6. Has Total heating BTU's of ®moo All other BTU's TOTAL Rema rk s SWARD HEATING AND AIR CONDITIONING 410 WEST LAKE STREET ! Company MINNEAPOLIS, MN 55408 i fwvWE 62* Signed By No ( ) No ( ) No (� No ( ) No ( ) Date ra -,� - 11,0 -- L A G RESIDENTIAL CITY OF FRIDLEY Effective Date may 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 18 of Value of Appliance or Work COMMERCIAL/INDUSTRIAL l% of Value of Appliance or Work RATE $ 20.00 $ 10.00 TOTAL $—U'00 S 16. MO S 10.00 $ $ 10.00 $ $.10.00 $ /I�.DU State Surcharge r Viz �Jam= Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00. PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. S Job Address 4-176 Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. 6571-3450 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 4/1 d -e &, / `i n g,o.Ca �L•' KIND OF BUILDING AMC USED AS $ TO BE COMPLETED ABOUT /a - 3 J - !2r) ESTIMATED COST Q '7,9 P)r-- $ .50 _, OLD - NEW BUILDING PERMIT ND. /9 L D PERMIT 80. $ DESCRIPTION OF FURNACE/BURNER t� HEATING or POW ER PLANTS, Steam, not water, harm Air- No. Trade Name a7-i�i ( l o r a- —S . ize No. 0 Capacity Sq. Ft. EDR BTU HP Total Connected Load nom® '2 „ v Kind of Fuel BURNER - Trade Name 60, A r ��_ Size No. Capacity Sq. Ft. EDR BTU HP company Jt//�f�rf_ l/ D A % Signed Z'e- r _- Tel. No. � �'� Fill out back side for stack verification on replacement furnaces V sTlmG & �IR C�N�lTIumIm8 Cu. � ~~~V'INo��THE Twzm czTzEs almoE zp�o HEAT LOSS CALCULATION FOR T+0RSow-476a3RD _aT^_w,E.___ _ p590 ua ` ____________________________________ - WIDTH 24 HEIGHT 8 n��m ��waT��z ______________________________________ -- ________- ` ------ �� WINDOWS & DOORS - CRAoK*oE AND AREA WIDTH HEIGHT NO. LIN FT AREA NO. PANE PANE LIGHTS CRACK Sq FT 2 21 45 1 25 17.4 _ 1 35 45 1 14.8 13.5 z 31 23 2 17.+ 12.6 3 27 23 2 49.3 33.6 1 25 23 2 15.9 10.5 z 31 24 2 17.8 13.1 z 36 8O O 19^3 20 oosFF R.FT BTU �3 R FT 159.5 20 319O INFILTRATION ...^^^^^^^^^^`^^^ 120.7 50 60:35GLAao ...........~.................. 83 EXPWALL ..^^^^~^^^^^^^~^^^`^^^^^^^^ 543.3 �z ^ 5976.3 NET EXP WALL ..^^^^^^^^^^^^^^^^^^^^^^ 0 � a 0 BELOW oRwos ...'. o ............'... . �o� �� 5239 CEILlwG..'^^^^^^^^^^^^^^^^^^^'^^^'^^ 0 0 « FLODR...................,,.,,.,,.,.. 0, 0 O VENTILATIOm.....^ 0 ^^^^^^^^~^^^^^^^ 20440.3 -- TOTALBTU .........^.^.^^^^^^ ,,,,,,,,,,,,,,,,,, ' 12 .AI .------------------------------------------------------ HEIGHT 6 - WINDOWS WIDTH HEIGHT NO. LIN FT AREA NO. PANE PANE LIGHTS CRACK SQ FT 2 27 23 2 32.8 22.4 . 3 22 27 2 *9~5 32^5 COEFp BTU 39 R.FT 82.3 20 1646 INFILTRATION................. 5*.9 50 2745 oLwaa ..'...'..'...''.''.......'.... ExpwALL^^^`^^^^^^^^'^^^^^^^'^^' -' ^^^ o�7 z ^ z� �o�a z ' ' NET EXP wALL.^^^^^^^^^^^^^^^^^^^—^^ 0 5 0 BELOW GRADE...... 0 ................ 180 13 2340 CEILzNG............................. 0 0 0 ' FLOOR ...............................0 u u vEmTzLATzow...^^^ » '^^^'^^^^^^^^^^^»,,_,,,,,,,,,_,,,,,,, 9559.099 TOTALBTU ................................................. WINDOWS & DOORS - CRACKAGE AND AREA w/u/H n=^"". NO. __ FT AREA' NO. PANE PANE LIGHTS CRACK SQ FT 4 27 zz z 64.3 *3.1 2 32 so o 37^3 35^6 ooEFF BTU 30 R,FT � INFILTRATION.^^^^^^^^^^^^^^^^ 101-6 78.7 �0 50 2u32 3935 GLASS'........'.................... EXPWALL ..^^^^^^^^^^^^^^^^^^^^^^^.. 30 161.3 �1 . 1774.3 NETExp wALL^^^^^^^^^^^^^^^^^'^^^^^^ » c � « BELOWGRADE .....` » ^^^^^~^~^^^^^^^^ ^ �ma �� z�u� CEILING..........'............ ... ^' 0 « o .. FLOOR.......^^.^^^^^^^^^^^^^^^^^^^ . 0 0 0 VENTILATION ....^^ 0 ^^^^~^^^^^^^^^^^ ,,,,,,, 9145.3 ..............,^.,..,..,.,,.,,.., TOTAL BTU.................................................. . . �_ ___ wlwDOwG & DOORS - onAoKAsE AND AREA * WIDTH HEIGHT NO. LIN FT AREA NO. PANE PANE LIGHTS CRACK SQ FT ^ 2 26 23 2 32.3 21.7 COEFF BTU 84 R.FT INFILTRATION................. 32.3 20 6*6 ~ GLASS .'.''.'.'.''.'....'......'.... 21.7 50 zoao sxp WALL ............'.'.......'.''' 84 NETEXP WALL........................ 650.3 11 7153.3 BELOWGRADE ...... 0 ................ 0 5 0 � CEJLIwo............................. 341 13 4+33 FLOOR............................... 0 0 0 vENTILoTIOw...... o ................ o 0 o TOTALaTu................................................. 13317.3 ---------------------------------------------------------------------- 8ASEMEmT LENGTH 31 WIDTH 24 HEIGHT G __ _____ __--_- WINDOWS & DOORS - CRACKAGE AND AREA WIDTH HEIGHT NO. LIN FT AREA NO. PANE PANE LIGHTS CRACK SQ FT CosFF BTU 83 R.FT zwFzLTnATz0v................. u o 0 oLwao'.'......................'.'.. o o n ExpWALL .........................'. 83 NETEXP wALL........................ 0 0 0 ' BELOW GRADE...... 8 ................ 664' 5 3320 CEILING............................. 0 0 0 -- FLOOR............................... 7*4 1 7*4 vEwTzLATzow...... o ................ o o » TOTALaTu................................................. 4064 � ---------------------------------------------------------------------- aAosmEwT LENGTH 12 wzoT* 9 HEIGHT o ___________-_ _-- WIwDOwS & DOORS - CRACKAoE AND AREA WIDTH HEIGHT No. LIN FT AREA NO. pwwE powE LIGHTS CRACK SQ FT oOsFF aru 30 R.FT INFILTRATION................. o o o oLoaa...........................'.. o o o � sxpWALL ........................'.. zn NETExp WALL........................ 0 0 0 BELOW GRADE...... 8 ................ 240 5 1200 ' CEILING............................. 0 0 0 FLoOR............................... 108 1 108 . VENTILATION...... 0 ................ 0 0 0 TOTAL8Tu................................................. 1308 SUBJECT PERM City of FridleyIr 2 7 3 9 6 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ______ r 1 v PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY 1 �1 CITY HALL FRIDLEY 55432 IL ---- A't �'' 612-571-3450 910415 8/25/98 JOB ADDRESS 68 I LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 SHEET 2 PROPERTY OWNER MAIL ADDRES ZIP PHONE Grace Thorson - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Huber Construction P.O.Box403 St. Mic-hat-1 MN 59371; -02687 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 xq REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (25 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. 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 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 HEREIN OR NOT. THE GRANTING OF A PERMIT 208 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- STRUCT! N OR TH PERFORMANCE OF CONSTRUCTION. $74.75 rpAqr $2 -OR G� PLAN CHECK FEE TOTA E +�/0-1-- Lice C 5. 0 .87 SIGNATURE OF CO RACTOR OR AUTHORIZED AG I JDATEI N P P AT- -- BLDG NSA R L AT HIS 1$ OU M DATE SIGNATURE OF OWNER IIF OWNER BU(LDERI (DATEI NEW— ADDN [ ] ALTER [ ] ConstructionAddress : Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 Owner Name & Address: Cre.ce-_ 0/'-5011 Tel. # Contractor: / � er � �T' u i o 1? MN LICENSE #oPOl a Address: 0 bl)«�x L/0-3 �, /�'�i rye �� S's76 Tel. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF DIPROVEMENT Length Width Length Width Length Width Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. °.4 Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: S APPLICANT: Tel. #�J�-�'��f Permit Fee $ ' Fire Surcharge $ C:" CS State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ c� - b% STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $1000 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 [ ] ,..11 Y OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR enactive On Jan 1, 2UU2 ' i PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range" NO. RATE Gas Dryer** Back Flow Preventer Required ( )Yes () No Type Reinspection Fee $47.00/Hr $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance TOTAL JOB ADDRESS 3aj- f3L A DE 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. y )D 1!i't' 20 -CQ Owner y-rin,0 lhmnn - Building Used As _ ne Estimated Cost PERMIT NO. 3�� 0 State Surcharge .50 PLUMBING COMPANYn Loo f SIGNED BY TEL NO.% FAX # v —� :::kj 1(' b)Se 01_ Approved By Rough -In Date Final Date ----- ----- - --- - -- - - - - - -- - - --------- - -- -- -- - -- ----- - -- TOTAL FEE $� PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED CnMMnN VENT VFNT r-QNNFCTQR AND_QMR1ISTIM AIRRIFI _AmMi When re la _en1 an a easing .ran , the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes/No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes/ No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes/ No( ) The exestinrl combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes VfNo( ) When required to install a new combusteon air,itwill be sized and installed to meet the current codes and manufacturer's specifications. Yes,�,<No ( ) When enc alleng a new ventena system, 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 ,V,KNo ( ) 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 o ( ) Appliance Type and Sete/Common Vent and Vent Conn _etor Informs ion Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date