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PRE 2010 DOCS,� . Village 4! f Fridley, Minn. NO 1581. BUM 'ING PERMIT Date: . (. . 1 ... ... ...... ................... e .6 .. ... Builder Owner- . • � -,� • � Address .. 7 ...� Address . , .. 1 .... �ll 1 - . L TIONOF BUILDING f Part of Lot Ji . . No: Street ... .. i. [f Lot . �. Block . Ad 'tion•or Sub-Divisrian� .. ,.. ... Corner Lot ........... Inside Lot ........... Setback .�@:..: Se ..................... . DESCRIPTION OF BUILDING Tobe Used as: �� R `. Front �... Depth Height ..�. ,Sq• ,, Cu• Ft. ., �� .... nt Depth .I. Height Sq. .. Cu. Ft. .. ... •.� . Est. CSI s .'eke+ To be pleted . e ... .... Type of Consixuctio .......... F 4�� In consideration, of the issuance to me of a ! t'to construct .the building dlasacibed above, I agree to do the proposed work in accordance with the description above set forth and hi compliance with. all Provisions of ordinances of the village of Fridley. payment • •' :.'�'' ......... �onsid tion ' of the a ent of a fee of f ! .. permit is hereby to toe the bui0*g or addition as described ahoy This permit is granted upon the express condition that the person to whom i is granted and his agents, employfes and workmen, in. all work done in, around and upon said building, or any �ari thereof, shall ,,conform in all to the ordinances of Fridley,' Minnesota regarding location,: conatructibn, alteration, maintenance, repair �nd moving of buildings with- in the village limits and this permit may be; revd�sed at any time upon violation of �l any of the provisions • of said ordinances. � ...: �+:`.. .. Building Inspector NOTICE: 1111 This •permit does hot cover tbnstruatiouilding n, Installation or alteration, for wl , plumbing, gas heating, sewer or water._be sure to see t�nspector for separate permits for items. City of Fridley, Minn. BURRING PERMIT zo Omer: Builder Address Address �.,IT1 P BUILDING No. Street� Z of Lot Lot _ Block Addition or Sub -Division Corner Lot _ Inside Lot Setback .-ideyard — Sewer Elevation r — Foundation Elevation DESCRIPTION OF BUILDING T Used as: � T Front ' Depth '+� "°� Height - 1A0 Sq. Ft. ZwctL Ft, _ Depth - . Sq. Ft.:— Cu. Ft. Type of Construction• Est. G Height To 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 prdinances of the city of Fridley. k In consideration of the payment of a fee of $244- ' ._ _ ., 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 i '+, /1 time upon viola ordinances: of any of the provisions of said r Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, Ono heating, sewer or water. Be sure to no the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name 16X Builder i0- "�'C4c- Wcaj-a0CAY Address Wi 919 31. E ST-, c Address 3745 - LOCATION 745 - LOCATION OF BUILDING No. , Street Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION 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: 60JC-(Q5 � D ? ® e c t4 Front 1-2— Depth i --x— Height ? Sq. Ft. 14 q- Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction F IZAol £ ' Estimated Cost % ® 0 To be Completed Id dLl 1 5 `L' 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 FridleyOrdinances 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 Z— SIGNATURE d '6 44'."J (Schedule of Fee Costs can be found on the Reverse Side). • SUBJECT PERM) City of Fridley O - AT THE TOP OF THE TWINS BUILDING PERMIT r REC • COMMUNITY DEVELOPMENT DIV. LW PROTECTIVE INSPECTION SEC. ----i CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY .---� j, 612-571-3450 910-F15 10/14/81 JOB ADDRESS 4988 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 Carlson's Summit Manor South Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Oliver Beck 4988 - 3rd Street N.E. 572-8689 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. J & P Design Inc. 7317 - 39h Avenue, New Hope, MN 55427 535-6639 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 X 8 DESCRIBE WORK Construct a 24' x 24' Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface driveway. SEPERATE, >'Ef���rty 7 REQUIRLD FOR WRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION 5760 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 576 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 $5,443 $2.72 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF AN OTHE STATE OR LOCAL LAW REGULA NG ON- STRU.CTION OR H PERF MANCE OF CONSTRUCTION. $56.50 PLAN CHECK FEE TOTAL FEE tea,/ Q/ / iIaA $ 59.22 SI RE OF CONT ACTORORAUTHORIZED AGENT IDAT WHEN PROPERLY IS YOUR PERMIT %VALIDATED �THIS �Q BLDG INSP naT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) �. T NO. 6428 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) 7 OWNER: � � �� �.� d5 � �_� K BUILDER:- �� � i5 S t 6- tO 1AJ C� ADDRESS: Sr .� . ADDRESS: '73 / `J -,991 f G� TEL NO: � " r, LV i7 % TEL NO: Construct! STREET NO: STREET: ? i LOT: BLOCK:_ a Location S7_ X , C ADDITION: (_ bliZ r � Corner Lot: Inside Lot: Setback: tr;CCAvSideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTP.UCTION 'l /Zhu Front: `i Depth: He f6 Square. Feet: �' Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: _ Estimated Cost: $ Type of Construction: 4370/ 4e, Tb Be Completed: 00-1- u'C ti�"tl O� Proposed Driveway Width If New Opening Is Desired: Alt. A Alt. B SEE REVERSE SIDE OF SHEET Tile undersigned hereby makes application for a permit for the %.nrk'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 u d correct. " /D.1TE: % //S/SIGNATUF�E . C G� Stipulations: Ke4 Y- rrtej;'.qb " nc I 1 11474-, i w ;i -Pe.- m 1 7 - t City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PERMI - 17 ' ' • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ---: CITY HALL FRIDLEY 55432 612-571-3450 R NUMBER 910-F15 REV. DATE 3/14/84 PAGE OF APPROVED BY JOB ADDRESS 4988 - 3rd Street N. E. 1 LEGAL DESCR. LOT NO. 14 BLOCK 3 TRACT OR ADDITION SEE ATTACHED Carlson's Summit Manor South Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Oliver Beck 4988 - 3rd Street N.E. 572-8689 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Ej ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finish Basement Bathroom 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING HEATING. PLUMBING AND SIGNS, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 ISTALLS GARAGES AND KNOW THE SAME TOFBE 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 VALUATION $200 SURTAX $. 50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $15.50 TU E FCONTRACTOR ORAUT RIZED AGENT (DATE) WHEN PROPERLY kLIDATED IHIS IS YOUR PER IT NATURE MF 00NER 1 OWNER BUILDERI (DATE) BLDG INSP LAft E I] CITY OF FRIDLEY . Effective Aug. 1, 1981 APPLICATIal FOR RESIDENTIAL BUILDING PEMITS (New, Alterations, Additions, or Repairs) OWNER: . -.0_ ADDRESS: G%� , mac l7 ST/VC TEL K0: BUILDER:'/F ADDRESS: TEL 110: Construction Location STR=T NO: `7 O STREET: 30L- o S -F 010 LOT: / BLOCK: ADDITION: /`! (�?457®gl / �%/foC s'd Corner Lot: Inside Lot; i Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. /DESCRIPTION OF CONSTPOCTION Front: (0 /i� g Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ y/ Rb Be Obripleted: Alt. A Al t. 8 Proposed Driveway Width If New Opening Is Desired: $ $ SEE PEVFPL7-; SIDE OF SHEET 2be. undersigned hereby males application for a permit fcr the %:ork herein specified, a9reein3 to do .all work in strict accordance with the City of Fridley Ordinances and rulings of the Deihirtmcnt. of Buildings, and hereby declares that all tine facts and representations stated in this applicatigm,,,,are true and correct. DAM � '� ?I( . SIGNATUTE: Stipulations: 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 RESIDENTIAL RATE TOTAL Job Address �� "' op Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ .JG�. Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 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 Call sizes) $ 10.00 $ Fridley, Minn. All Others/Repairs and Alterations OWNER 1% of Value of Appliance or Work $ KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED AS 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT e" 6-0 ESTIMATED COST ./ p State Surcharge $ .50 TOTAL FEE $� OLD - NEW BUILDING PERMIT NO. PERMIT NO. o Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Date / - / �+ /� Trade Name 12Z Size No. 4L�1® �.fO-' Final Insp. .AE Date Capacity �C/ Sq. Ft. EDR BTU HP Approval for Permit Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, Company PLUS $.50 STATE SURCHARGE Signed By Tel. No. *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes No ( ) 2. Is free from rust or deterioration Yes (k) No ( ) 3. Has no foreign objects lodged within Yes No-( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes No ( ) 6. Has Total heating BTU's of All other BTU's LG O TOTAL , 19'D s — Rema rk s i_ Signed By Da te�y� SUBJECT PE •-� City of Fridley 21667 AT THE TOP OF THE TWINS BUILDING PERMIT r � _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/20/92 JOB ADDRESS 4988 3rd St NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 Carlson's Summit Manor South Addition SHEET 2 PROPERTY OWNER MAILADDRES$ ZIP PHONE Oliver/Lorraine Beck 4988 3rd St NE 572-8689 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Bristol Energy Systems Inc 6440 Flying Cloud Dr, Eden Prairie, MN 943-1701 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 8 DESCRIBE WORK Replace 9 windows; 1 entry door 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. 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 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 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 $8,499 $4.25 WITH WHETHE ECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT P ES ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO OF ANY OTHER STAT OR LOCAL LAW REGULATING CON- $08,0.0 Fire SC $8,50 ST UCTI OR HE PERFORM E OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE �lo� %C License SC $5,00 $125,75 NATURE OF CO ACT OR AUTHORIZED AGENT DATE) OPY V LI T THIS IS YOUR PERMIT 64ENZ e/ G INS" GATE SIGNATURE F OWNERIIF OWNER BUILDER) IDATEI NEW [ ] ADDN (J CITY OF FRIDLEY ALTER[ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: _ Owner Name & Address: b L t U &k- r2�� U -r£ 9 -i� CA( Tel. # c - 7a - &YYf Contractor: S To L t Sys 7� S L c_ MN LICENSE # Address: /l G C Lo�)!�, bpL_ Vp q i 2 r -t A411� Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Effective 3/1/92 .V` LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Comer Lot [ J Inside Lot ( J Ft. Yd Setback _ Type of Construction: q W i AI DWILS Approx. Completion Date: /% Z `/`2 Driveway Curb Cut Width Needed: _ DATE: APPLICANT: Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost: $ S Y F "i. c -J (Cost on Back) rel. # Permit Fee $ 10.5. 00 Fee Schedule on Reverse Side Fire Surcharge $ , . �5o .001 of Permit Valuation (1 / 10th %) State Surcharge $- -29- $.50/$1,00 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ . o ro $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above. Park Fee $ Fee Determined by Engineering, Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: 0 SUBJECT R M I T NO. City of Fridley 23411 AT THE TOP OF THE TWINS BUILDING PERMIT . Ir LRECEIPT. NO. ` DEVELOPMENT DIV -------COMMUNITY r I L PROTECTIVE INSPECTION SEC do CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/30/95 JOB ADDRESS 4988 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 Carlson's Summit Manor South Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Oliver Beck 4988 3 Street NE 572-8689 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Addition & Remodeling Specialists Inc 2618 Coon Rapids Blvd, Coon Rapids MN 55433 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 427-7330 1109 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION f ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel main floor bath 9 CHANGE OF USE FROM TO STIPULATIONS Smoke detectors to be provided adjacent to all sleeping areas. 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 1 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 $2,400 $1.20 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 $54.00 Fire SC $2.40 � \`S/aq/ PLAN CHECK FEE TOTAL FEE icense S 5.00 62.60 SIGNATURE OF CONTRACTOR OR AUT )ZED AGENT IOATE) PAO BLDG )NSP RL VALIDATED THIS IS YOUR PERMIT MATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) 0 NEW [ ] Effective 1/1/95 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 40Ie& S "' S'nz E l ate-►-��. Legal Description: Owner Name & Address: `L i � �- IS - ( S n-cF Tel. # S -T Z 11 / Contractor: At -QP tTt Sf4:5L-4oMjSrr MN LICENSE # l 9 Address: 2G t8 c c�� jz-e�'p��S 0��-4�/J_ �,�.L �c��el. # 4 Z7— 7330 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 WidthHeight Sq. Ft. GARAGE AREA: Length WidthHeight Sq. Ft. DECK AREA: Length WidthHgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 'J-�� Estimated Cost: $ z48 Approx. Completion Date: TOTAL $ �`' c) G wJ 6 STIPULATIONS: dIVI, 0,1 C (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Tel. CITY USE ONLY Permit Fee $ / - 7 60 Fee Schedule on Reverse Side Fire Surcharge $ c;2, -/0 .001 of Permit Valuation (1 / 10th %) State Surcharge $ / • � O $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ 5, �) O $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 $ �`' c) G wJ 6 STIPULATIONS: dIVI, 0,1 C ADDITION AND REMODELING SPECIALISTS, INC. d/b/a Roger Harju Consirucdon 2618 Coon Rapids Blvd. N.W. Coon Rapids, MN 55433 (612) 427-7330 MN License #1109 Proposal submitted to: Mr. and Mrs. Oliver Beck 4988 3rd Street N.E. Fridley, MN 55432 572-8689 May 19, 1995 Estimate to remodel existing bathroom to include the following: Blue prints Permits Removals: Remove plastic wall tiles and cut smooth next to tub surround Remove -stool, and lay. Remove cabinet and top and reuse existing cabinet Remove sheetrock 1/2 way up the wall where tiles are being removed Remove existing vinyl floor Remove existing underlayment Existing tub and wall panels stay as is Existing clothes chute stays Existing medicine cabinet stays Existing light stays Existing door and window trims stay Straighten out the hump in the wall Cut old stud and add 2 - 2 x 4 to straighten out Plumbing: 1 white Kohler stool #K3421- �.6'gallon - reuse toilet seat 1 Delta chrome lay. fauce�#522, Electrical: 1 GFI outlet Door: existing stays Windows: existing stay Trim and finish items: New 1/2" sheetrock on walls and tape smooth Touch up ceiling crack and tape smooth 1 - 37 x 22 marble top with integral oval bowl Ceramic tile: Standard ceramic floor tile on 1 inch mud base 1 marble door threshold Standard ceramic sanitary base file Includes all adhesives and grouts Retuck carpet to tile at door 1 ceramic tissue holder Includes all nails, screws, fasteners, adhesives and caulk All debris removal included Owner to do the following: painting and staining CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,r 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES "" State Surcharge $ .60 Burner Trade Name TOTAL FEE ® • 50 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25_.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BTU Size No. HP EDR 15200 ENERGY AVE. N. #1288 HEATING COMPANY PLYMOUTH, MN 55447 01 Signed B '� Tel No.-r�6 Approved By Rough -In Date Final Date �V FILL OUT BACK SIDE FM STACK VERIFICATION ON REPLACEMENT FURNACE JOB ADDRESS :�I989 RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all'work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $_ffjZ- 't-' representations stated in this application are true and correct. (Side Vent - Fill Out Back) e - ,199 Gas Piping (Needed with new furnace) $ 10.00 $ _ G� OWNER . t r� —A c /S �- ' �� l Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ ESTIMATED COST a)e `� PERMIT NO. �a *Air Conditioning - All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) DESCRIPTION OF FURNACE AND OR BURNER 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water)arm Air) Trade Name 7-,ep4 , Size No. - Commercial/Industrial BTU 6®-� HP EDR7, 1.25% of Value of Appliance or Work $ Fuel d p m,5, Total Connected Load- __ j/_ x., 0;5-f State Surcharge $ .60 Burner Trade Name TOTAL FEE ® • 50 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25_.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BTU Size No. HP EDR 15200 ENERGY AVE. N. #1288 HEATING COMPANY PLYMOUTH, MN 55447 01 Signed B '� Tel No.-r�6 Approved By Rough -In Date Final Date �V FILL OUT BACK SIDE FM STACK VERIFICATION ON REPLACEMENT FURNACE Q.4 11/ Ac—:: -.4 d-- ex . 0, HEAT TRANSFER CALCULATIONS HEAT LOSS: + 75 o INSIDE — 20 OUTSIDE + 75 ° INSIDE HEAT GAIN: + 95 ° OUTSIDE SQ. FT. COEF. BTU's SQ. FT. COEF. BTU's 1. GLASS I -d4 90 1-414t6 1. GLASS N 25 E/W 75 S 40 2. DOORS 4000/ea. 8000 2. DOORS 300/ea. 3. CEILING 3. CEILING 12" 3 3/141) 12" 1 9 4 9 2 6 5 6 3 3 8 3 4 4. WALLS 4. WALLS 3"� p y G 7 19 3" 3 11/2 10 11/2" 4 5. BSMT 5. PEOPLE 600 Below grade 5 Walkout /0,/0 10 d a D 6. APPLIANCES 2500 6. Subtotal 7. Subtotal 7. TOTALO j �— 8. TOTAL 8. FURNACE SIZE % 0" % 9. A/C SIZE 9. FURNACE MODEL 5'1- Po ',3 10. A/C MODEL 0, Remarks: HOME ENERGY CENTER SM HEATING CO: MOUTH. MN MW Signed By: Date: T9U� J 7 N^4�:' •. CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes K) --No ( ) 2. Is free from rust or deterioration Yes �o ( ) 3. Has no foreign objects lodged within Yes "No ( ) 4. Is securely supported Yes (L�- No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (�P�o ( ) . 6 Has total beating BTU's of All other BTU's �J �, � TOTAL BTU's L7 ; 7. Has a liner been provided for water heater Yes (1.Y No ( ) 8. Has combustion air been provided for water heater Yes (VNo ( ) Remarks: HOME ENERGY CENTER SM HEATING CO: MOUTH. MN MW Signed By: Date: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 DU' / /�� APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR 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 NO. RATE TOTAL JOB ADDRESS 4q St 1 y E Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $10.00 The undersigned hereby makes application for a permit for the work herein $10.00 specified agreeing to do all work in strict accordance with the city codes $10.00 and rulings of the Building Division, and hereby declares that all the facts $10.00 and representations stated in this application are true and correct. $10.00 an �2—K i'11 U $10.00 DATE: 20 $10.00 Ir� (?>e C— $35.00 OWNER $35.00 $35.00 ff� n $35.00 BUILDING USED AS $10.00 r� ' UU $10.00 ESTIMATED COST PERMIT NO. $15.00 PLUMBING COMPANY- � e1 pe- Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance SIGNED TEL NO.V )15 I 3 ` ) 2D Approved By Rough -In Date Final Date State Surcharge $ MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE $ �5 U(� OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE Pj 5JC--) FILL IN COMPLETELY FOR REPLACEMENT FUEL BU14NING APPLIANCE PERMITS COMMON VENT; VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing fOrnace, 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( ) 1 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( ) 1 The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () 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 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 Type and Size/Common Vent and Vent Connector Information 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 ALTERATIONS: (Describe) HEATING CO: Signed By: Date :