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PRE 2010 DOCSCIN OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate TOTAL Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 $ (Side Vent — Fill Out Back) I , Gas Piping (Needed with new furnace) $ 10.00 $_� Gas Range $ 10.00 $ Gas Dryer $10.00 $ *Air Conditioning — All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1.25% of Value of Appliance or Work $ State Surcharge 50 TOTAL FEE Effective On March 1, 1996 JOB ADDRESS �J -6. SA 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. J,� �� /�n'cl1 ,199 OWNER 411Ji./In t& I _l BUILDING USED AS? I - I - ^ ESTIMATED COST $,�fiM1 PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Uni s 1Circle One (Steam) (Hot Water) arm Air Trade Name Size No.' 7e BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATIONi REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed 8y _ Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved ByRough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: 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 ( ) 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's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: SUBJECT City of Fridley 256037 AT THE TOP OF THE TWINS BUILDING PERMIT r L RECEIPT NO. ____ , 16 _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 10/16/97 JOB ADDRESS 5854 3 Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2,3 22 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stahnke Construction Inc PO Box 83, Bethel, MN 55005 434-0594 8831 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. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 38' x 26' Dwellingand a 30' x 19' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. Provide sod in the front and side yards. Provide verifying survey to City before capping. WARNING Before digging call for tll utility lora4ions 454.0001 19PARATE PERM!'�'S REQUIRED FOR REQUIRED ]BY LAW WIRING, HEATING, PLUTAWING AND SMW 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 Fire SC AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $88,040 $44.02 $88.04 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- $818.50 $950.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $1,905.56 GNATURE OF CONTRACTOR OR AUTHORIZED AGENT ID T E I WHEN PPROPERLY ALIDATED THIS IS YOUR PERMIT BLO ' INSP FATE SIGNATURE OF OWNER,,F OWNER BUILDER) IDATEI NEW [�. Effective 1/1/0 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� U 1 STIPULATIONS: ConstructionAddress: s9sy Legal Description: L .4715 3. Ly G 2 2 }{�/�/� P_ Owner Name &Address: �'�,,¢{/�/ � (ftuy157-X 0c- p,r/ --Fyc Tel. # L/ y Contractor:{ 4{ir/2�- L'or/S7-4G7`/U�r/� NIN LICENSE # / Address: o, �D u g3, Tel. #, ,�FTEG lYl�/ .��®oS' /3y—o�9f� Attach to this application, a Certificate of Survey of the C S t, with the proposed construction drawn on it to scale. C �r � - 99C x /4. Y5 ESCRIPTION OF ]IMPROVEMENT ��/�f yp+.�� =/��-74 y. ZF LIVING AREA: Length 3O Width o24 Height / / Sq. Ft. 6 2 GARAGE AREA: Length_ Width _30- Height $ Sq. Ft. �, y q DECK AREA: Length /jj,¢ width Hgt/Ground Sq. Ft. OTHER: In �a/ Construction Type: _ GJ/Do� FRAd- � ,S �� - Estimated Cost: $ SS�}Q o �u5,6- (Fee Schedule on Back) Driveway Curb Cut Width Needed:,DG_Ft. +�-6�Ft �� Ft x $ /� �_ DATE: APPLICANT: �. ,,� Tel. # CITY USE ONLY IPermit Fee $ Fee Schedule on Reverse Side +Fire Surcharge $ , O .001 of Permit Valuation (1/10th%) (State Surcharge $ `/P-JD $.50/$1,000 Valuation ;SAC Charge $ =� $950 per SAC Unit License Surcharge $ co $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ -$450.00 Conservation Plan Review Park Fee $ J Fee Determined by Engineering�L ✓� ' '' 7 Sewer Main Charge $ Agreement Necessary [) Not Necessary [ ] TOTAL $ e e 5 �� STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED oN FACH Fi nna Effective On January 1, 1997 PLUMBING FIXTURE RATES: NO. RATE e TOTAL New Fixtures 2 $ 7.00_ Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** ( $10.00 Gas Range** $10.00 •: Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ JOB ADDRESS �; W �� .3 r j 5''7 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. ty CU - 1997 Owner "IS C=A/lA Building Used Estimated Cost PERMIT NO. PLUMBING COMP SIGNED BY Approved By t,:�:lilllilllirtl•imN� Rough—In Date Final Date 3 - 26 ~�"K NY PLUMBING GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ,628 EY =3 -fi- Effective 1/1/98 Owner Name & Address: Tel. #_ Contractor: MN LICENSE # Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width GARAGE AREA: Length Width DECK AREA: Length Width OTHER: Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: $ r (Fee Schedule on Back) Driveway Curb Cut Width Needed: 1 Ft. + 6 Ft = 2,�_Ft x L? o� _ $ DATE: APPLICANT:�z Tel. # 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 $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: 011 SUBJECT City of Fridley Ki= 5 6 5 AT THE TOP OF THE TWINS BUILDING P E R M I T I RECEIPT NO. COMMUNITY DEVELOPMENT DIV. (/6J PROTECTIVE INSPECTION SEC. 1 � I NUMBER REV DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 85432 ' 612-571-3450 910-F15 3/24/98 JOB ADDRESS 5854 3 Street NE I LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2,3 22 Hyde Park I I SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Stahnke Company Box 83, Bethel, MN 660-9642 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 x 8 DESCRIBE WORK Construct 12! x 10' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WA Before digging call for all utility locations 454-0002 REQUIRED BY LAW 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 80 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 $1,076 $.54 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- $37.50 Fire SC $1.08 STRUCTION OR JHE PERFORMANCE OFYCONTRUCTION. PLAN CHECK FEE TOTAL FEE `, l`[71 12-1j)L� License SC $5.00 $44.12 SIGNATURE OF CON AC OR OR AUTHORIZED AGENT IDATEI WHEN PROPERVALIC)ilkTED THIS IS YOUR P RMIT 1 '" RawiNSP " DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI 011 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ljT2 14 1v /' e G o /v 5 - Legal Legal Description: Owner Name & Address: S 7-4 c d _ Tel, # -L Contractor: 7:� (v l -e j-, MN LICENSE # Address: /3 U x 5f-- 3 /-T Tel. # ,/Yo 16/ Z Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF ENIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length / Width 1 U Hgt/Ground Sq. Ft. 1-2— OTHER: ZOTHER: Construction Type: T)• tel Estimated Cost: $ v v 2 � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Zj� Ft. + 6 Ft = Ft x $ _ $ DATE: Z •%APPLICANT: �o G-�� Iv 5 Tel. # �G %� `l Permit Fee $ % Fire Surcharge $ 6 State Surcharge $ , SAC Charge $ License Surcharge $ '!5",, Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ q`-1. Z, 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 [ ] i �0 u Top Block �,P�, ta Z " AS- BUILT SURVEY " Garage Floor Lowest Floor $49.1 g46.4 Lots 2 and 3, Block 22, Hyde Park 2 Proposed building into must be checked witl building plan and devt grading plan before e and construction. Proposed Top. of Blo, Proposed Garage Floc Proposed Lowest Flo, Type of Building NO Z 16X36-2 5#-3* U 10.1-01 30** -0" U, v C=7 C;;p --T— Arom ro %X>X E3 ro 0 6-u —4 " n A m SCREEN CITY OF FRIDLEY MAR 27, 1998 SPECIAL ASSESSMENT PROPERTY SEARCH Pin# 23-30-24-23-0137 Address unavailable 2 - 3, 22 HYDE PARK PROJECT S9 S -------------------------------------------------------------------------------- DATE YR INT TYPE S ORIGINAL 1998 TAX BALANCE ESCROW 9100-0000-00 0 H 123160 15 5.00 5400 P 860.58 .00 .00 �v 4000 -0005 -OC 0 H 050867 20 6.00 4400 P 280.26 .00 .00 6000-1971-04 0 H 060572 10 7.50 6400 P 740.80 .00 .00 6000-1978-00 0 H 051479 10 7.50 6400 P 1039.20 .00 .00 CERTIFIED TOTALS: .00 .00 RESPONSE Haukaas, Jon From: Haukaas, Jon Sent: Tuesday, February 09, 1999 1:35 PM To: 'knaak@minn.net' Cc: Flora, John Subject: 5854 3rd Street - Staenke Claim Fritz I am familiar with this project and I don't know if this should be handled by you or through our League of MN Cities insurance carrier. Your name had been given to them because they asked for the name of the City's attorney. Here is some background on the street first. The utilities (water and sewer) were installed in 1954 and the original street within the next few years. The utility connections were stubbed out past the edge of the street, but not all the way to the right-of-way line. In 1978, the street was upgraded to include widening and the addition of curb and gutter. As a result the utility stubs ended about even with the edge of the new concrete curb. We have encountered this situation at several locations in the neighborhood. What happened this past spring. We gave copies of the as-builts to the contractor and also marked the approximate location of the services on the curb. The sewer service lined up with a large chinese elm tree in the boulevard. The tree was somewhat storm damaged but still alive and healthy. The contractor asked if the City would take the tree down since it was in the way to connect to the sewer service. I explained that we would take it down but he would have to wait for our tree contractor to come in and that this could take up to two weeks. He asked if we would allow him to take it down because he did not want to wait and I gave him permission to do so with the understanding that he would be responsible for the costs, not the City. After the tree was down, he began to excavate for the sanitary sewer connection. The contractor did not excavate into the street looking for the service connection. When it was not immediately found, he asked permission to install a new tap on the sewer main since the stubbed connection did not line up with the sewer service exiting the house anyway, again I allowed it. The City did the street patch using our own crews and had the curb and gutter repaired under our annual contract. The 36.1 sq. yard street patch would normally have cost $1233.33 and the 15 it curb repair would have cost $202.50. At no time was there a separate representative for the homeowner present during our discussions. All discussions were between the contractor and myself or my Inspector. The tree was a boulevard tree and therefore the property of the City, not the homeowner. In other instances where there was no service connections available and the homeowner has had to have new taps installed, we have waived the connection assessment fee. I offered to refund the original sewer connection assessment of $860.58 for this lot when the homeowner first approached me with the bill from her contractor, but she felt that was not enough and asked for the name of the City attorney instead. That was the last I heard on the matter. Please call me if you need additional information. Jowi. }f ft au k4La e Assistant Director of Public Works City of Fridley 6431 University Ave NE Fridley, MN 55432 (612) 572-3551 HaukaasJ@)ci.fridley.mn.us ZA A suejEcr ERMIT NO. City of Fridley 33322 AT THE TOP OF THE TWINS BUILDING PERMIT f � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. J� r F PROTECTIVE INSPECTION SEC. / CITY HALL FRIDLEY 55432 ER N1611 REV DATE PAGE OF APPROVED BY 763-571-3450 0-F15 1/10/03 JOB ADDRESS 5854 3rd St NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2,3 22 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Doreen Garness, 5854 3rd St, Fridley, MN 55432 763-571-2928 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renaissance Exteriors, 2556 Hwy 10, Mounds View, MN 55112 763-780-2000 20220285 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 House & Fascia 9 CHANGEOFUSEFROM TO STIPULATIONS Ventilation must meet State Building Code. 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. Caulk and flash all exterior openings. 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 SQ. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 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 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 $6,000.00 $3.00 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- $125.25 )0= Fire SC $6.00 STRUCTION OR TH ERFORMANCE OF CONSTRUCTION P CHECK Fep7't TOTAL FEE hd ce 5.00 $139.25 S,GPIAWREOFCON7RACTORORAUTHORIZEDAGENT IDATEI i E PROPERLY VALIDATED THIS IS YOUR ERMIT ,NSPq E SIGNATURE OF OWNER,IF OWNER BUILDER, IDATE, A NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: S i5k% 3rd 5�- N,'. Legal Description: Effective 1/1/2001 (763) 572-3604 Bldg Insp Owner Name & Address: Doc'Q,en nes5 5� N C Tel. # %6 S -S7/- 2cf2 Y Contractor: PeA1u55 oAcC GX�ertar MN LICENSE # ?_a 2Zu2FS Address: 2 55C Kj)u to M 5 V)eu M ti SST/Z Tel. # 763-78o -2cido 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: Construction Type: `6 ist Ic, Estimated Cost: $ 00 Driveway Curb Cut Width Needed: Ft. +-6 Ft = Ft x $ _ $ DATE: ( 1'' G2 APPLICANT: `-(�/! AA", 1.,/Lyirj� Tel. # ��; 7P'� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ -5,c>1-;) Fee Schedule on Reverse Side $ D® .001 of Permit Valuation (1/10th%) $ S,00 $.50/$1,000 Valuation $ $1150 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 [ ] $ .CQ5 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATIN i a REFRIGERATION/AIR CQNDITIONING PERMIT IS $25300 PLUS THE $.50 STATE SURCHARGE Signe TEL FAX #`��Q ' REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date written permission from adjoining property owner. FILL O_l T__BACK_ SIDE FO TACK VERIFICATION QN REPLACEMENT F F °16� Lileutive January 1, Luu.) CITY OF FRIDLEY INSPECTION DIViS10N 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 JOB ADDRESS 5&�-. ::� `)-y n RATE SCHEDULE OWNERDLY1° l Q�('a✓'d 0C 0? Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $ 30.00 $ PERMIT N0. (Side Vent - Fill Out Back) ESTIMATED COST — Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ I0.00 $..___._..� . No. of Heating Units - Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. _ _ HP _ EDR_ *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load_______ All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP _ EDR Commercial/Industrial 1.25% of Value of Appliance or Work $_ 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 State Surcharge rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATIN i a REFRIGERATION/AIR CQNDITIONING PERMIT IS $25300 PLUS THE $.50 STATE SURCHARGE Signe TEL FAX #`��Q ' REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date written permission from adjoining property owner. FILL O_l T__BACK_ SIDE FO TACK VERIFICATION QN REPLACEMENT F F °16� THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL. BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When mnlaringnn_x� ictongfuranoe, 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 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 Yes( No( ) assisted and natural draft appliances. The gyInfing combuStInn 21r is sized and installed to meet the current codes Yes( No( ) and manufacturers specifications. When required to la"t"h a npw cj3mbusUQaA1r,,KwiII be sized and installed yes(} No ( ) to meet the current codes and manufacturers specifications. When InstalWi , the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GANIA Category I Central Furnace yes( ) No( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes( )No( } separately as per current codes. �Onn \ �� ETU Input ail 2 -� Fan Assisted or Nat _ Appliance #7 Type c Appliance #2 Type BTU Input _ Fan Assisted or Nat Fan Assisted or Nat,_ Appliance #3 Type ETU Input ________! Total Appliances Total Btu Input - -- Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Length_ ft Diameter _in Type ft Diameter _in Type Appliance #2 Vent Connector Height Appliance #3 Vent Connector Height __ft Lenges - _ft Diameter _.in Type HEATING CO: Date Signed 13y: : y -1 L, y� CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 F63) 572-3604 FAX: (763) 571-1287 ADDRESS : 5854 3RD ST NE PIN : 233024230137 LEGAL DESC : HYDE PARK : LOT 2 BLOCK 22 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE VALUATION NOTE: INSTALL GAS PIPING FOR FIREPLACE (WARM AIR., KOZY HEAT, 30,000 BTU'S) APPLICANT DYS HEATING & AIR COND 6060 LABEAUX AVE NE ALBERTVILLE, MN 55301- (763) 497-2661 F .h ' DOREEN, GARNESS 5854 3RD ST NE FRIDLEY, MN 55432 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 grantint;t t does not presume to give authority to violatee provisions of any otherstate or local law regulatti r the performance of construction. ApplicDate- Bldg PERMIT NO.: 2004-00310 DATE ISSUED: 03/09/2004 HEATING PERMIT MINIMUM FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 25.50 PAID WITH CHECK # 5273 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. I Effective January 1, 2004 CITY, OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR FLOWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 14- a FAX (763) 571-1287 RATE SCHEDULE JOB ADDRESS 5295`1 3 S/ Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacem t) Gas Range `� ( Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25/0 of Value of Appliance or Work OWNER Dav ger Rate TOTAL BUILDING USED AS�� $ 30.00 $ $ 10.00 $ ESTIMATED COST3y��,o� PERMIT N0. $ 10.00 $ �sizly7�� ,DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam) - (Hot Water) arm Air) $ 10.00 $ Trade Name ISS, Z.. ktv,7 Size No. BTU 3avco HP EDR $ 25.00 $ Fuelg/�- Total Connected Load Burner Trade Name Size No. $ BTU 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 $ c>?'— representations stated in this application are true and correct. DATE -7-3/9 ate HEATING CO %�� Sc71��c� i- /C Signed TEL # FAX # /® Approved By Rough -In Date' Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When ®nla _in0anan aYi�ng Iran _n, 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 (i No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( No( ) The'undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does Include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The daYrafing cnm6istrnn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new _nmh intinn air it will be sized and installed to meet the current codes and manufacturers specifications. Yes() No ( ) When jpctallinn a new vanting syggem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes (,) No (: ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common 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: ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 [•Y/-MIIIIL ■ PA;j i : 5854 3RD ST NE : 233024230137 : HYDE PARK : LOT 2 BLOCK 22 : BUILDING : RESIDENTIAL : ADDITION/ALTERATION PERMIT.: 2004-003 46% DATE ISSUED: 03/1-77/-2004 VALUATION : $ 3,500.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. FINISH BASEMENT APPLICANT BUILDING PERMIT FEE DOREEN, GARNESS FIRE SURCHARGE 5854 3RD ST NE STATE SURCHARGE, VALUE FRIDLEY, MN 55432 TOTAL OWNER DOREEN, GARNESS 5854 3RD ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the prov' ions of any other state or local law regulating c ct'on a performance of construction AnnEG, �,> � Date 5 — SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 97.25 3.50 1.75 102.50 �a 7,r\ I 1 10 �4) tiara r O m X < cn r c') F*q �4) tiara NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: -�- f-4:� -S4- n � Effective 1/1/2004 (763) 572-3604 Bldg Insp (763) 5714287 Fax �60+Doop Legal Description: Owner Name & Address: 1>o C e S -e"q 5 Tel. # `��®� -�71- -- Contractor: CJ 4� js MN LICENSE # Address: Tel. # 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: C.k">Z on y-, n L-, &I S I Construction Type: Estimated Cost: $�v v Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x = $ DATE: 3- 7-U`O APPLICANT: �OL/�� l.'f/��/�L1 Tel. # ff%1 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ 3,60 $ $ $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $� STIPULATIONS: