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!o * City of Fridley, Minn BUILDING PERMIT N® 4 o s 1 Date: .--.-_.._......._._.....!_..._... _._.._._.[_._..._...._......._....__ Owner: ... _.Ct ..--------------- Builder Address------ ............._ ...................... ....._............ Address OC TION OF BUILDING No. l --.r91... Street .............. .�.............. .----------.................... _.............. Part o Lot ..... -............................ .......... ...._............._..._. ..__ Block ....._......... fl ....................... Addition or Sub -Division ........................ _ , - CornerLot .................................... Inside Lot X.. ..... ........ .... ......... Setback ...........................---............... Sideyard...... .......... ................ ...................................... ... SewerElevation ............................... ................................................... ................... Foundation Elevation .................... _............. _............. ................ _........... _....... _.... ... DESCRIPTION OF BUILDING To be Used as: - �ont-??�.b... Depth .6 00� Wight '.....�.�Sq. Ft. C.nz.--- Cu. Ft. ��....c .................... -.............. .................. ..... Front ..... _................ ......Depth ................... jj Height.............. -Sq. Ft......................... Cu. Ft. ...... ................. Type of Construction .............................................. .. Est. Cost7...�,..%,��...:�.......- ... 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 ordinances of the city of Fridley. dxw� !6 In consideration of the payment of a fee of $..__7 ...................... permit is hereby granted to.......................................................... ....... ... ....................................................i **' ........_.........._......._...._............._........ to construct the building ora 'tion 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 nrr7inanrraa- NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. P APR -05-2001 14:32 FROM:wes RAY P./ERNIE Z. 0 tP Wick Building Systems, tems, Inc. Yar, hFaW Pam @ Art nit Homo XW%&e April 26, 1994 To Whom it May Concern: 715 3B9 2B31 T0:32O 257 6297 P.002/OO9 2W Fat FouA!► SAW P.o. Bar SS0 AfaOdlekd W 5446-M FU715-3e4-&W All HUD Manufactured Homes produced at this facility meet or exceed the standards set forth in sections CFR 328o and 3282 of the federal register and comply with the National Manufactured Housing Construction and Safety Standards Act of 1974. Plumbing and Electrical Systems are covered by these standards. This uniform and single code gives us, the manufacturer, the assurance that by following the safety and construction requirements of this co, our manufactured de homes can be shipped and erected in any state and will most the code requirements. Hames of this type bear a red insignia plate located on the rear of each home. The Design Approval Agency for this facility is: Product Fabrication Service, (PFS Corporation), 2402 Daniels St., Madison, WI 53704 (608 - 221-3361). They are responsible for the code compliance and inspection of each manufactured home produced at this facility. Thank you. WICK BUILDING SYSTEMS, INC. MARSIHFIE WISC. FACILITY ' F. O e General Sales Manager A prOpUttt at Week Building Ste. hX PERMIT NO. 26066 • [ W SUBJECT City of Fridley WRECKING AT THE TOP OF THE TWINS PERMIT r NO. COMMUNITY DEVELOPMENT DIV.„, / ____ _ r PROTECTIVE INSPECTION SEC. 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 5/19/98 JOB ADDRESS 5427 4 Street NE 1 LEGAL LOT No. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22-25 11 Hamilton's Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Irene Vasecka 1322 Monore St NE 789-2441 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. T. L. Horton & Son Contracting 10080 Jackson St NE, Blaine, MN 785-2928 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 7 REMOVE 8 DESCRIBE WORK Wreck 38' x 21' House & 24' x 14' Garage 9 CHANGE OF USE FROM TO STIPULATIONS CLean site of all demolition debris, including removing foundation. Disconnect sewer & water at property line and have inspection of capping by City. 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 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 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE T TAL FEE $15.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI P oe t�A 71 L G IN RLY VA D ED THIS IS PERMIT �1ATE S)GNATURE OF OWNER OF OWNER BUILDER) IDATEI PERMIT NO. 26066 • [ W TF P. C_ LITYOF FRIDLEY N, 10 V TIN G P'1-4,1 (9 XTJ F_, 4 �� 1 Unive--sitv Avzz N- ill A-1 5427 4th Ave Fridley MN 79&e 05EUAt 1327.1 t"T.- T.L. Horton and Son Contracting 10080 Jackson Street NE Blaine MN 38'2V 81 798 7 14' 81 336' 5,300 Tj T X 0 Dt�� 170?- N41 785-2928 6,384 2,688 30 May A cls NOU-20-2000 17:00 FROM MDH EHS/ENGINEER TO �fv / 97635720645 P.01 eaaaa�a aocnTM MUMESOTA OHpAgTMEw: or MLA( TN eta wen 8n0 w� a9 — MAL AW BORM SEAM s NO.. H t 3 734 �t.�bi�q mhvwm semaawR Cheow PON ar Ur"" Ho. 'Mom T � now me" sw aiwa�tmsiipsaryq e�aslApaprA �+osera,�r►>e� � re`ew,bs+ws�,w,e.e.e.oa�ww 4Ar Wr: 74r'79To captsft w6amg own A! a. W-"'" � p wsaa+ra. Meunoab„ o a wawa Q eon •wmso* xaa oMwavio oea.. eo.. Mp. C owar R .Oakm OesmNW oMa sm.' p pug O T8w O oar, In uaa, ro a e it $014, a:wlW9 Aw4wwlo, ps°"NUAW O raw a oft p re 1 oft ❑ U"V" O rh O w 0 %- 1 ee O D rww O w D rae I WD O "v mwn 0 Paw 0 cp"vmw* p Do* D ss. ■ 100e wacOw srsen�o.aa4 O Tr. Q � owear. — POW TM -10 O n.a as vwrw p aw+w ��u�ef►�u�p�,mE�se tx�ae�e+rwowoe0� • w�werea�eww 9 � � 4i O ,aitiryaa,Qa.e.ae�ww,apw � u►ude ®-- a 17 s 7rv.�w.a.im O orw aqw ao eioplwos .�— r ft-&*- w4m Tawrwaasoftwaamsk sNs�.goewr 74! ` Na "'- usaawer % A ��V�j. IAPo A'dO r 00 3V"A.v % —,-jo— yG its •- DOD ��- a=m H13734 I=d44 s.w,°�p awn Tt rp;— P.Oi FROM : FAX NO. : May. 20 2000 09:11AM PS MAR -22-2M1 15:28 F(.'OM:1.D5 RpY P. ,CkNIF Z. 715 3f19 2831 Aj 70:32625343-M P.W11004 h�'•� �� ! ✓ Mai Garr Fouts *mW oa an sac VAsWMM 715-M74%51 FAX 715a04ate9 MII C %%W.ww.wtlolarn,�esnGaaose 0 E IMAL "6uIlding Systema, Inc. d L� 3-22-2001 To: Gory. Aspen Ridge homes, Blaine, MN Cory: This will cover a garage being atneched to a HUD home as this is stated lA our inotal.letion manual. They Should con*ider another attachment in the some arannac AS they would a garage, since it4 too, ham to be self- supporting. Denny Laos brings up tbo point that we/IIUD ham jurlodietion only over the home asp it is built in our factory. It would seem that the local building authority has jurisdiction over any and all structures that are built after completion of the home by us. Neither HQb or Wick have any control over what is added. Additions to a modular home, or a HUD home, should be neviewod with the local puilding official before construction. Thank yov. flay Porte DSM ' A Pmt 01 N7dr 8uIt91nQ SYyt�ms, AIG. FROM : FAX ND. : r Mf#2-22-2m1 1b:2z.1 FRfM:W857, RAI' N./Fl:'NIE Z. 715 . !3 fyy, May. 20 2000 Oy:12W9 F'S 10: �"TdLl5343 (0 P.003/004 Wick Building Systems, Inca Manufactured Homes Division MW- pg F :1 WY P.'ERNlt =. 715 189BS7 Ttl:3?0L'5343Y1el P•664IM4 Section IX Accessary Structures Awnings & Carports Whan eatrporca art instniletl, they must be free-standing with columns to Support their own weight and separation as required by state oa, local building codes. The roof of the adjacent structure must not exceed the height of the tuof of the home Flash roof line valleys as necessaryto prevent damage from rain water. . Garage: U you state and/or local plan to construct a garage that will be attached to the Imtna or located near it, the fir garage must be designed and constructed according to applicable se building codes. This is very important for both electrical and thewallemust belocated For example, if the garage is auuched to the haute, an approved between the home and the garatt and access door(s) between the home and the garagr must be fire -rated. Also, windows between the home and thegarage cli�`nkot b win the or obstructed. If the garage is not an ered attached garage,typically measures that home and garage will determine the fire safety meet from taken. hom�r example, in Wisconsin, if the garage is located less than five (5) their aro specific fire safety precautions that must be complied with. Jurisdictions will either ; authorities. In Cage, l vary, so you must consult with ft proper fight and electrical inj CircuitFm stbeprrovided must bo designed to steppe with approved ground fault interruption. Gtutlon: Failure 14 follow state endlor local building coda with rortwt w elocll" and AA both naachod And dotttcned, Jot fire safety preeaudon; an the dcsi n and conscrucuon or g�6re i could cause durAbSe. to the home ur re6ult in wrlous Injury or fatal accidents. porches, Decks & Railings Site constructed porches. decks aril railings MfW be designed and constructed to meet the requirements of.lipplicable local building codes. Steps, Stairways and Landings Site constructed steps, stairways and landings must be designed and constructed to meet the requtremonts of applicable local building codes. Telephone, Cable Television & Satellite Dishes The wa119 and >noor$ of t 3c be used to ranufactured event contact with or damage mes contain electrical wiring these plumbing lines. Extreme Caution mu factory systems when installing communication cables in betties that do not have rfornted by installed telephone. and cable TV tacks. This r of work should only be pe trained and qualified personnel. Pogo -55- r KUI'l V HA IVU. 5 Mfg -22-2M, 15:28 FROM:WBS FLAY p. /ERHIE Z. 715 38li 2831 Wick° bidino Systems. Inc. Niles. Anda }i av r ; March 22, 200I To whom it may concern; rlay. cn tin r --- TO - 3r-V25:A.170 eTO:3r-V25:A.170 f .6QP'BOQ W fill F&M Shed P.0BK.W 71"Awl FAKIIS-. -536 Accessory structures such as garages, awnings carports v'te. may bn atmchcd to Wick Building Systems horses as long as it is done io accordance with the inatruebons ' provided in Wick Building Systems, Inc. installation manual. Refer to Section !X, Accessory Structures, on pagc 55 of this manual. Thcre is an installation manual provided with each home. s' erely, ; ''� Lie[1Ai3 %ae5 Engineering / QA Manager A PWI of WCt e90ft SyMfW. bre CITY OF FRIDLEY: The following information is submitted to help in reviewing permit application data for the construction/installation of the pre -fab home at 5427 4th St. N.E., Fridley, MN 55421. Previously, we submitted the Banker's Package, plus a house plan drawn on the property survey. This was for your consideration of the lot split and to make certain the new house construction would confirm to City of Fridley requirements. Subsequently, we were informed of the requirement that an attached garage can not exceed more than 5 feet in front of the house structure. After working with city staff, a 10 x 24 three season porch is being added to the front of the living area, opposite the garage with a ventilated crawl space under it, to meet the set -back requirements. The city required a full basement under the house, but has stated that only a proper crawl space is needed under the porch. Porch plans attached are being submitted accordingly. The lot split has been completed and the property recorded with the City of Fridley and Anoka County. Attorney Jim Doran — (612) 379-5378 completed this transaction. The lot 5427 0 St. N. E., for which this permit is being submitted, is legally owned by John and Madonna Vasecka.The other parcel, 54310 St. N. E. (permit application to follow ), is legally owned by Irene and David Vasecka) The building permit for this property is being submitted by myself, Mary Vasecka, sister and sister-in-law of John and Madonna and daughter and sister of Irene and David, respectively. The house is to be situated on the lot, per survey attached — Advance Surveying & Engineering Co. — Exhibit A. 952-541-0500. The house has been constructed following code requirements with an attached garage — i.e. fire walls etc. Marshfield (a Product of Wick Building Systems, Inc., P.O. Box 530 — Marshfield, WI 54449) is the builder. They have provided a statement about the addition of garages and porches — copy attached. In conversations with Denny Lafs, (Marshfield engineer 1-800-950-9575) he has stated he would be available for any questions the City may require beyond the fax provided — Exhibit B. He would prefer that requests be forwarded in writing: FAX 715-384-5346. Also being submitted is information regarding state seal — Exhibit C. The house itself was purchased from Aspen Ridge Homes of Blaine Minnesota and they will be responsible for installing the home on the foundation. Aspen representatives, Harold or Cory, may be reached at 763-783-0340. Floor plans/blue prints — Exhibit D. as well as a Banker's Package — Exhibit E. The foundation, slab and sidewalks will be installed by Scandy Concrete — a licensed contractor in the State of Minnesota — Bill — 612-282-8465 or 612-529- 1110. Copy of foundation specifications attached — Exhibit F. The porch/garages are being installed by Todd — 612-710-2456, another licensed contractor. Exhibit G — specifications, Exhibit H — 3280FD9F.gar — Porch plans and Exhibit I — 3280F60A.gar — Garage Plans. New sewer and water lines will be installed. We feel that with the age of the old line, and tree root problems, in the past new lines are desired. Per the lot split requirements and a discussion with City of Fridley staff it is agreed that any trees that have to be removed for the construction will be replaced. Any excess dirt removed will be on the property for landscaping/terracing activities at the rear of the property. This will be reviewed with city staff and any requirements will be followed. The surveyors felt that very little excess dirt will be left, as the previous home site had not been filled in completely. If needed, the dirt will be removed from the property. The driveway covering will be asphalt. If you have any questions or need additional information, please call me, Mary Vasecka, at 763-572-0645 or 763-572-2025. City of Fridley 6431 University Ave. NE Fridley, MN 554324383 763-571-3450 11 -Apr -01 Special Assessment Search And Statement of Charges TO: On all that tract or parcel of land lying and being in Anoka County, Minnesota described as follows to wit: Parcel No: 23-30-24-34-0021 5427 4TH ST Lot: 22-25, Block: 11, HAMILTONS ADD TO MEC LEVIED SPECIAL ASSESSMENTS This is to certify that I have examined the records in the office of the Clerk, City of Fridley, Anoka County, Minnesota, and for such search, certify that the following special assessments appear unpaid with respect to the above described tract or parcel of land: Term Certified Initial Interest Remaining Current Current Project Number Project Description Type (Yrs) Date Amount Rate Balance Principal Interest 9100-0000-00 OO REG SA(Water/Sewer 5120 15 12/31/1960 $1,087.98 5.00% $0.00 $0.00 $0.00 4000 -0005 -OA OO SS bv-0'1%r 4400 20 10/31/1966 $553.49 6.00% $0.00 $0.00 $0.00 6000-1971-01 01 ST 6000-1971-01 00 ST 6500 10 05/15/1972 $360.00 7.50% $0.00 $0.00 $0.00 6400 10 05/15/1972 $1,627.00 7.50% $0.00 $0.00 $0.00 Amount Certified to Anoka County Auditor for Current Year Taxes Is: $0.00 PENDING SPECIAL ASSESSMENTS For the purposes of this document, the City of Fridley has determined that an assessment is considered pending after the City Council passes a resolution ordering the improvement, the approval of plans and the advertising for bids. This is prior to the City Council adopting the final assessment roll. If you seek further information, you should do so upon your own independent inquiry. Any amount given as to pending assessments is informational only and may or may not be the amount ultimately assessed. Term Initial Interest Estimated Project Number Project Description (Yrs) Year Rate Pending Amt. NONE MISCELLANEOUS FEES Description Status Date Fee Amt. NONE UTILITY CHARGES You shall be responsible to verify the status of any outstanding utility charges. To check utility charges ( water and sewer) contact Fridley Utility Billing Department at 763-572-3529. The records referred to above are public and may be inspected by anyone during regular business hours. The search of these records was made by the undersigned as a public service on request. The undersigned certifies that the above indicated searches were made and are believed to be accurate, however, the undersigned or the City of Fridley does not insure the accuracy of the above statements and does not assume liability for errors and/or omissions. The above figures are good through November 15, 20 Date Prepared: April 11, 2001 By Page 1 of 1 I . / SUBJECT P City of Fridley 31738 AT THE TOP OF THE TWINS BUILDING PERMIT '16U COMMUNITY DEVELOPMENT DIV. 572-3604 r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBERREV DATE PAGE OF APPROVED BY 612-571-3450 910-F/5 4/13/01 JOB ADDRESS 5427 4 Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22,23 11 Hamilton's Addition to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John/Madonna Vasecka 5427 4 Street NE 651-415-9536 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 j1 NEW ❑ ADDITION ❑ ALTERATION O REPAIR O MOVE O REMOVE B DESCRIBE WORK Construct a 60' x 27' Foundation for Manufactured Home; Construct a 24' x 24' Garage; construct a 101 x 24' Forc ono House. 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on print. Provide a hard surface driveway. Provide sod in the front and side yards. Provide city with copy of verifying survey before setting home on foundation. Paid Park Fee of $750.00. SEWER & water locations: See Engineering Department WARNING SEPARATE PERMITS REQUIRED FOR: Before digging call for WIRING HEATING all utility locations PLUMBING AND SIGNS 4540002 REQUIRE® BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 AND VALUATION SURTAX Fire SC ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $153,722 $76.86 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 STATf OR LOCAL LAW REGULATING CON- $1,296.15 $1,150.00 STRUCTIO OR HE PERFOR NC OF CON CTION //pp- PLAN CHECK FEE T TAL FEE ,e,-y �� $2,676.73 + PF 91GNATURE OF CONTRACTOR OR AUTH A GENT IDATE, WH N PIRWAY VALID ED THIS IS'Y!;QUUR/PERMIT <LOG S-GNA LURE OF OWNER ,IF OWNER BUIL DERi iDAiEi NSF' r�ATE I . / NEW ADDN ] CITY OF FRIDLEYEffective 1/1/2001 ALTER (l SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 6.2-3604 Bldg Insp BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name 8 Ad ress: �v 9 tj Tel. #.� ,5 arr��y� Contractor. Address: i E# P ' ® f� ©l Att ch to � ap�cation, a to urvey f the .-- -� ` lot, with the proposed construction drawn on it to sc�dfi�. �' G6 DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft., GARAGE AREA: Length Width �Height Sq. Ft. ��G DECK AREA: Length Width� Iigt(Grou�n/d X, . �Sq. Ft. OTHER: / u SG V! ui� q '4) /l 40 Construction Type: Estimated Cost: $ 7. e74-60 Driveway Curb Cut Width NeededA/ Ft. + 6 Ft = 36Ft x $ • �ri� =$ DATE: APPLICANT: Tel. #.__� CITY USE ONLY - Call (763) 672-3604 or Permit Fees if mailing in application Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: 5" Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $:50/$1,000 Valuation $ //SO"dQ $1150 per SAC Unit $ ✓ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. 'B" Above $---.$450.00 Conservation Plan Review $ -r6. O Fee Determined by Engineering $--== Agreements Necessary [ ] Not Necessary [ ] s ,'i�a2G•73 CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763.572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work JOB ADDRE r\ Effective On January 1, 2001 V e OWNER Rate TOTAL BUILDING USED AS e&� ev24 $ 30.00 $ ESTIMATED COST 000 r PERMIT NO. 11-16 -/ $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. C, BTU HP EDR $ 25.00 $ Fuel Total Connected Load 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. $ .50 $a5 �'6__— Burner Trade Name Size No. BTU HP EDR 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. H EATI N Signed DATE 6 "/ F'6 Approved By IBJ/ Rough -In Date Final Date M BACK SIDE MUSTV3E FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 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) v HEATING CO: Signed By: Date:. 2 �/ CITY OF FRIDLEY INSPECTION DIViSION ' 3,' 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 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ o6x)o $ 10.00 $ 10-00 $ 10.00 $ $ 10.00 $ $ 25.00 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. $ .50 $ '4/©.S0 JOB ADD OWNER VA Effective On January 1, 2001 BUILDING USED AS ESTIMATED COST PERMIT N0. 6 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Wat(�(Warm TradeName Size No. BTU HP EDR Fuel &AS Total Connected Load Burner Trade Name Size No. BTU HP EDR 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE -7-13-0 1 HEATING CO )AA j (& 5 A&_ Signed axe TEL # Approved By/ L, Rough -In Date Final Date BACK SIDE MUST BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 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 : NEW I ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �,� �� s� /� F, Legal Description: Owner Name & Address: Tel. # Contractor: 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 I Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ ,1 Driveway Curb Cut Width Needed: �Z t. + 6 Ft =3�Ft x $ _ $ 7' �S• G a DATE: �- ^02 - d APPI-7 Tel. # A� 3 'S95 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ --- -Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 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: March 4, 2002 Mr. John Vasecka 5427 4 Street NE Fridley, MN 55421 Re: Final Inspection at 5427 4 Street NE Contractor: Brian Mobile Home Service & Mikes Heating & AC Dear Mr. Vasecka: Permits were issued on July 13, 2001 and July 18, 2001 to install a furnace and air conditioner at your address. According to both the 1991 Uniform Mechanical Code and Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by these permits. The final inspections were conducted on July 16, 2001 and the following items were noted which had to be completed before we could approve the construction: 1. Anchor steel posts to floor beam. 2. Provide house numbers on structure. 3. Suvnort ABS drain line. ✓. a av�auv iacuaui u.aa� ava vwru. 6. Install ladder for egress window well. The permit fees that were paid cover the inspections to make sure the work was completed according to the Codes. We need to inspect the building so we can final out the permits. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DAVE JENSEN Building Inspector x4es- CJS S: � t ?A , + 542 37th Ave N.E. Minneapolis Mn. 55421 Pager 012,969-6928 i CPQ Uc.# BC -20233912 N SUBJECT P . City of Fridley 33191 AT THE TOP OF THE TWINS BUILDING PERMIT t COMMUNITY DEVELOPMENT DIV. SEC. RECEIPT NO r PROTECTIVE INSPECTION NUMBER FEV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 763-571-3450 910415 10 / 21 / 0 2 JOB ADDRESS 5427 4 Street NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 22,23 11 Hamilton's Addn to Mechanicsville SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE John Vasecka 5427 4 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO 3-D Builders & Restoration 542 37 Ave NE, Mpis., MN 55421 612-802-8337 20233912 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 JJ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 6' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WIffila ULM AIINIVINIJ Before digging call f®F all utility locations 454.0002 RF-0111P, F P BY LAW 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 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 $745 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE POVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $.75 ST TION O HE PERFORMANCE OF C S13t}?RUCT]ON $32.65 PLAN CHECK FEEV TAL FEE ® �- iicers $5.0 38.90 S R FCONTRACTORORAUTHORIZEDAGENT WHE PRO Y VALIDA D THIS IS YOUR RMIT zz S-GNATURE OF OWNER,IF OWNER BUILDERi IDATE, B ipsp pA NEW (] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �'%�� '' Legal Description: Owner Name & Address: Tel. # Contractor. e 'S -> tLTX " *- MN LICENSE # -2� ) 2— Address:. S — Address:.S A -Z-- -'?7 V�-c- OL • njIj2Ls SAN r—1 Tel. #,fel 2- V)10 �s 3-7 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 r Width HgUGround L� Sq. Ft L292 OTHER: Construction Type Z1stmated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE:C� Z- APPLICANT: �"'� Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ 2 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1200 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 [ J Not Necessary [ J TOTAL $ STIPULATIONS: