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DOCS 1994-2010SUBJECT City of Fridley WRECKING 2 3 1 1 9 AT THE TOP OF THE TWINS P E R M I T f - RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV r PROTECTIVE INSPECTION SEC i NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/28/94 JOB ADDRESS 5973 3 Street NE I LEGAL LOT NO. BLOCKTRACT OR ADDITION SEE ATTACHED DEscR. 27,28 12 XX Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE City of Fridley 6431 University Ave NE 571-3450 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO eit & COmpany Inc 14000 Veit Place, Rogers MN 428-2242 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Commercial 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE 8 DESCRIBE WORK Wreck Building 9 CHANGE OF USE FROM TO STIPULATIONS Stipulations as per City contract. Clean site of all demolition debris. 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS I 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 -0- 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. -0- PLAN CHECK FEE TOTAL FEE 0- -0- SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI I WHEN PFWPERLY ?ALID LDG INSP ED THIS IS YOUR PERMIT ------- ` SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI 4i_X-3ac t%I - V- L 5-94 TUE 07:58 1 FAX NO. 4288848 P. 02/02 dl CITY OF 7.rRjf`si.EY - OR �7'+li�i�CK` TN(a g;A.F't'LTCATsON ,lob Address Legal vevier & ACh iress Aa ess: ceG_. Ali _ •�i e� C��:y !.r l� -� Stat License # DESCRIPTION OF BUILDING Living Area: Length ---- Width Garage Area: Length Width Other: Length Width Estimated Cost $ � ��Vs0o' City Water/Sewer 571-3450 [ ] Water Bill Paid.: Moving Route: Te I ;u Height Sq. Ft. _ CU. Ft. Height ..� .� Sq. Ft. _ Cu. Ft. He fight Sq. Ft. - Cu. Ft. Approx. Completion trate UTILITIES TO BE NOTIFIED Mp1S. Gas Company Northern States Power U S West 372-4720 [ ] 566-9120 [ 1 663-6000 [ ] Yes [ 1 or collect ($ j initials The undersigned hereby niak-es application for a permit to wreck/move the building described above, agreeing to do all work. in strict accordance with the City Ordinances and rulings of the Building Division, and the State Cts which requires any water well on the property to be sealed * by a State licensed water well driller, ' and hereby declares that all facts and representations stated in this application are true and correct. Date Signature Moving: Principle Building into Fridley « $ 80.00 AccessflrY Building into Fridley $ 20.00 K n_i71Q_7n1_ Ree: $15.00 7hrough, within or out of City $ 15.00 Wrecking: For each 1, 000 cubic feet or fraction . .$ 1.25 Fbr Fess which woad be ilnpr Uc.al _ to cul)e, the fee shall be kid to the total cost of Wrecking at the rate of $6.00 for each $500.00 or fraction. SUBJECT --- City of Fridley ? 3 95 3 AT THE TOP OF THE TWINS BUILDING PERMIT �r � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. I PROTECTIVE INSPECTION SEC ;;)17 r NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 1/12/96 JOB ADDRESS 5973 3 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 27,28 12 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Oliver Tam 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Tam's Inc 1 -4409 91IR 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 Construct a ' ' ' x 21' Gqrqgp 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide City with copy of verifying survey before capping. Provide a hard surface driveway. Provide sod in the front and side yards. See City Engineering Dept for water and sewer locations. IG Before digging call for all utility locations 454-0002 PERMITS REQUIRED FOR REQUIRED BY LAW �1SA�E�P1 aARATE 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 SQ. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $86,560 $43.28 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE Fire SC. PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $850.00 $86.56 STRUCTION OR ANCE OF CONSTRUCTION. $806.00 PLAN CHECK FEE TOTALFEE License SC $5.00 .$1,790.84 CONTRA R T IDATEI WHEN PROPERiA VALIDATED THIS IS YOUR %PERMIT BL INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 8/l/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application/ d ctionAddress: � �- - " L. o d a8 3L< 1 z C; Legal Description: � , . 0 1 ��y Owner Name & Address: D Tel. # 1 g , - y Contractor: bo Y� S 1 ti �- , _ MN LICENSE # 3 8 T Address: R1 k o (o -Q Tel- # `7 8 L - - L- 4- O 2 - Attach Attach to this application, a Certificate Jf Survey of the �C lot, with the proposed construction drawn on it to scale. oG DESCRIETION OF IMPRO,V>MENT LIVING A: Length Width_ Height GARAGE AREA: Length -V a Width Height DECK AREA: Length Width Hgt/Ground _ OTHER: Sq. Ft. 0-3"w)( Sq. Sq. Ft. Corner Lot [ ] Inside Lot 0 Ft. Yd Setback Side Yard Setbacks Type of Construction:;,q4 Estimated Cost: $ 0, 000 8-) ;&x. Completion Date: -i'Yl Cl U - 'J - C1 (Cost on Back) Driveway Curb Cut Width Needed: L Ft. + 6 Ft = Ft x $ _ $ DATE: 7S APPLICANT: O L i` j P_�L ( a vy\ 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 $�g`SU • �'$850 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 [ 0-)TAL $ 41.19b, STIPULATIONS: . 4 Certificate of Survey F'►�►': Tum Inc. �ZG� Denotes proposed evation. _--_ Asa pFrlotes �KJ.stil:, elevaL�olt. O Qf-:IaOLC.; 11 -foot OffSet. Oc (lire(:t1011 Of 4fti.al21,t'Y`• Top of 1)1ock- 3SS.9 i�a2'�.�ie 11ot�r= gsS.s F. loot- BS'2:7 SCALE, Inch= 2 eel a Denotes Iron Bearings ehaMn oro on an assumed datum. Job No.�IE'S� Baok PoOe— "'- hereby certify that this Is a true and correct rorseentation of a survey of the :REHBEIN COMPANIES - aderles of the above described land and of the lacstlon of all buildings, If any, 6651 Naples St.'.N.E. arson, and all visible encroochlMents, if any, from or on said land. Blaine Mn. 55449-6724 Wed this _Zda y of la b17r.. Y Minn. Oleg. No. Tej. 7$4-0657 � S97 �y1'J LT O 0 $Say I i 1 I t I 1 '? li !� 1 s _J d 3 1 ^'t (• ill ,. r� 64 � �So Sf`,(o /29.oS pp Fsti�� L,—, 7 • 1/e..f Lot-, 2 -2'31, c3.lcac}: 12, HYf)E PARK, Ano'' SCALE, Inch= 2 eel a Denotes Iron Bearings ehaMn oro on an assumed datum. Job No.�IE'S� Baok PoOe— "'- hereby certify that this Is a true and correct rorseentation of a survey of the :REHBEIN COMPANIES - aderles of the above described land and of the lacstlon of all buildings, If any, 6651 Naples St.'.N.E. arson, and all visible encroochlMents, if any, from or on said land. Blaine Mn. 55449-6724 Wed this _Zda y of la b17r.. Y Minn. Oleg. No. Tej. 7$4-0657 � S97 • AP EXTERIOR EIIWUWE •TMEWIAL TRANSMITTANCE PAGE 1 Site Address'• STANOARO MMXS= ' - Contract" 'f &mw fA,1Ao&_ ;fP,� _.,r��, oaon. d ' oZ ate 2 S- eu11d109 Type (check one) is..r Ona and Two Family 0011109 Otho w' "ly (describe s �Pe YTable 9 or Ft1 it-Yalw UXA • n uta i ss on Pa g' O r s r1 �i Other f d.S.•..1 � � s a Y pM 4 - •13 .� 5 M' ra a U -Yalu UxA A from Line 4 6 wired U -Value from text It Line 2 Is greater than Line 3. or Liao S greater than Line- G. eowlete the TOAres n de 1� a iv - a u a (Clue 11 * Area (Line 4), (Liao 1) * UxA(Li" 4). (Llpe t) x U•Yalw(Line 3) x (Line 4)"x U-Yalw (Line i) x &Wgot•. Lipo 9 * Line 10 12AlternativeU•Yalut. Line I Mine 7 **+tam If Line 8 is greater than Lice11. elrer a:sdblte: as does pot exceed Line 11. required so Ll 8 "^'il l:G f•! t'7 �0/50 s, 07� 'TZ!"!•�'Rf� I'Pm. ,,, �m v r•�':�17a117Ln�nlr` 1��'�ZL�1�!!.�%l �c llk� � ti7ri _'�T�►��7�pi1R7rIJY/Y'T�'/��t+�-f��3iJ/ i Y'r`'r'M, rl _ i r'f - r�•n nom. -T'Tr'�11L7��•J1R"Yrli;l/�/ f�+��ll-Z'�� � . I s �.1' �_11�J11. �. QUI i�r�{•��=�2�- M WIr'-. I �IR , r-�-ter �y >> n_n:�L.�4•'�7<�3s�2� w� a in WIZZ rm — 1 ��■ X3.7 �. . tli2.._77 1... 1 7 MM RL7 rT�t7 i�� � RSr7 City of Fridley SUBJECT PER - � 4 2 % L AT THE TOP OF THE TWINS BUILDING PERMIT _ ! -� RECEIPT NO. Ir? � L -------COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC a� r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/24/96 JOB ADDRESS 5973 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR- 27,28 12 1 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tam's Inc 1160 Fireside Drive NE, Fridley, MN 55432 784-4402 9338 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 ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 12' x 10' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WAR E" Betore 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 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 I 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 $.51 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,028 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 SCC $1.03 STRUCTION OR P OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $44.04 CTOR OR AUTHORIZED AGENT TEI HEN PROPERLY V DATED THIS IS YOUR PERMIT 01 BLDG SP DATE SIGNATUREOFOWNERIIF OWNERBUILDERI IDATEI NEW C ] ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 14 kt, Effective 3/1/96 .��737,�;_ Owner Name & Address: C it S �-{� C �d ^�0. e Tel. #-±(�a Z Contractor. Q �,S .1,� C� ��� 2 r� (Lt MN CENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EUPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length I a Widthdam— Hgt/Ground Sq. Ft. Z o OTHER: Comer Lot [ ] Inside Lot [ ] Ft, Yd Setback Side Yard Setbacks Type of Construction: -Estimated Cost: $ o ° ° ✓�' �`f C� Approx. Completion Date: Driveway Curb Cut Width Needed: _ DATE:APPLICANT: (Cost on Back) Ft. + 6 Ft = Ft x $ _ $ Tel. # CITY USE ONLY Permit Fee $ S d Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ �5- 66 $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 [ J Not Necessary [ ] TOTAL $ �% D STIPULATIONS: s CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 5�7 — /s 7 Sd 572-36044 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES State Surcharge $ .50 TOTAL FEE /'76. Uz) 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. Burner Trade Name, BTU HEATING COMP, HP Size No. EDR 14 Signed By Tel No. Approved By Rough—In Date Final Date FILL OUT BACK SIDE OR STACK VERIFICATION ON REPLACEMENT FURNACE 11*6 JOB ADDRESS S' / 3 3 Q D S/ 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 $ 3 representations stated in this application are true and correct. (Side Vent — Fill Out Back) �—� - - --91, 96 Gas Piping (Needed with new furnace) $ 10.00 $� _ OWNER � L� �/ �lR- _T� Y� Gas Range' $ 10.00 $ BUILDING USED AS o Gas Dryer $ 10.00 $ ©� ESTIMATED COST c�,LC3 PERMIT N0. *Air Conditioning —All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work $ No. of Heating Units % Circle One (Steam) (Hot Water)arm Air) Trade Name aA N )TRO4- Size No.G rn Po4 Commercial/Industrial BTU -7S. on c) HP EDR 1.25% of Value of Appliance or Work $ Fuef— AL9 T, G 5 Total Connected Load State Surcharge $ .50 TOTAL FEE /'76. Uz) 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. Burner Trade Name, BTU HEATING COMP, HP Size No. EDR 14 Signed By Tel No. Approved By Rough—In Date Final Date FILL OUT BACK SIDE OR STACK VERIFICATION ON REPLACEMENT FURNACE 11*6 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 C 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: CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVIdES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK) 71% of Value of Appliance or Work Commorclal/industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10,00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE JOB ADDRESS_ The undersigned hereby makes application for a permit for the work herein TOTAL 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. p� $ /,1996 OWNER 4 V BUILDING USED AS ESTIMATED COST /oZc PERMIT NO. IQ� 64 DESCRIPTION OF FURNACE ANQ 08 BUjNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load .50 Burner Trade Name Size No. BTU HP EDR HEATING COMNY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONI14G PERMIT IS $26.00 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. Si ned By� B 9 «,�: r�-,_L Tel Approved ByI(Z Rough—In Date Final Date FILL OUT BACK SIDE"FOR STACK VERIFICATION ON / y� REPLACEMENT FURNACE G CHIIVINEY 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: 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 INSTALLM ON FAr.W Fi nna Effective On March 1. 1996 PLUMBING FIXTURE RATES: NO. RATE TOTAL N0. ���—t-� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS (off- 0!a New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Rough—In Date _moi %��G%� Final Date Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 OR ANY PLUMBING/GAS PERMIT IS $20.00 Water Treating Appliance $10.00 PLUS THE $.50 Water Heater —Electric $ 7.00 PROVIDED PER UMC SECTION Water Heater — Gas** $10.00 D'VID Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 JOB ADDRESS (576 71 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. S ,1996 Owner Building Used As SSI Tfh �MG Estimated Cost 2�r PERMIT NO. /� f�Y PLUMBING COMPANY Reinspection Fee $42.00/Hr SIGNED BY— N0. ���—t-� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS ---�L 1.5% of Value of Fixture or Appliance Approved By Rough—In Date _moi %��G%� Final Date State Surcharge $5500 � /7.5-p MINIMUM FEE OR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ VEYV PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. (JA4 CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 September 26, 1996 Tam's Inc 1160 Fireside Dr NE Fridley, MN 55432 Re: Final Inspection at 5973 3 Street NE, Fridley Dear Sirs: A final inspection was conducted on September 26, 1996 of the above address and the following item was noted which must be completed before the structure can be fmaled: Provide sod in the front and side yards by November 1, 1996. We will expect this item to be completed by the scheduled date and a reinspection called for. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, latt'n Lm /( " - - BARRY AIESCH Building Inspector SUBJECT ERMIT NO. City of Fridley 27626 AT THE TOP OF THE TWINS BUILDING PERM RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. /."1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY . %j 612-571-3450 910-F15 9 / 9198 JOB ADDRESS 5973 3rd St NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 27 " 28 12 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vital Levkovich 5973 3rd Ave NE Fridley 572-1574 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 Ck REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage 22 S 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 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 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 $1,885.00 $.94 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- $59.50. Fire $1.88 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL WE $62.32 RE OF ON7RACTOR OR AUTHORIZED AGENT IDATEI N P A DATE I$ IS P IT �SIiGNAT FIL019 INSP DATE SIGN URE O OWNER OF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ./Y ConstructionAddress: Legal Description: &/ M Fp--'twlc� Effective 1/1/98 Owner Name & Address: 1/i �C�" �ie�/�i Tel. # 5-7,51," " -Contractor: - ,,S l4 /y7 P MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: LeWi th Hgt/ , Gro nd Sq. Ft. - 7— 1 OTHER: Lr d o� Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ Us (Fee Schedule on Back) Ft x $ = $ ADATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ Fee Schedule on Reverse Side $ i. ��� .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 [ ] 1. 0 ry PP% w-, �,Mwpvv 7, .......... VL-�,L�2 wm? 1ji -JY F :7 7, Aff - CK-ATIFICATE OF OCCUPANCY rp; Dat6* Ui .1ding PdrMit:' :19701 P Name of 2- C-1 Zoning District Address Of 6th New I�k 'M M...;.. Occu-paricy. ass:'. B-2 -1 Actress OV�. ,59733iSteeet M 543 J. Vwtant,v k Date December 19 , 198L Building Permit No. 19701 Name of Owner Energy Savers Address of Owner 5973 - 3rd Street N.E., Fridley, MN 55432 Address of Building Same Zoning legal Description of Property Lots 27,28, Block 12, Hyde Park O=p Qass. DAVE DATE STIPULATIONS DUE ODMPLEPED DATE APPROVED OFFICIAL'S SIGNUM 1• " S LN } Fire Department 2. /! 69.9 Police Department 3• 3 '� • Plumbing/Heating Insp. Mectrical Inspectw .i► ,Planning Coordiiiitor 6. PI&ming Assistant 7.>~, �. Loa Chief Bldg. 9• Asst. Pub. Works Dir. 10.- _ Public Works Director 11. Anoka County Health