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PRE 2010 DOCS• City of Fridley, Minn. BUILDING PERMIT N® 316113 Date: ..L. .�. �...... ... .......... Owner ............ ...... .... Builder..(2.�.�:........................... Address ...................................... Address ............................................. LOCATIONi��CXOF BUILDING No. . L� �.1. Street ..... .................... ........ Partt ..... ............ Lot ..��.. Block ............... Addition or Sub -Division .. ... .. .. ............ ,+ .. .. Corner Lot Inside Lot X ......... Setback :f .:�. ®.. eyard .. !..: t... DESCRIPTION OF BUILDING To Used a if I :........... .... Fro��.... ® Depth f?[.If-. N� Height �.�' � Sq. Ft. ?l Q... Cu. Ft. /.. if l !. .................... Front ........ Depth .... ../ Height ........ Sq. Ft......... Cu. Ft. ........ Type of Construction ................... Awt. Co /.C�.07 �/. ...... To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $. J. � ...... permit is hereby granted to ................... ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. �Al 0,04 1 VA NOTICE: This permit does not cover the construction, Installation or alteration for wiring, pItt6v0fng, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE REMARKS: Capacity Sq. Ft. E.D.R BTU H.P. lU Sigaed_,i; Hy i l POST 1M-8-58 Business Phone No Application for Power Plants and Healing, Cooling, Ventilation. Refrigeration and Air Conditioning System and Devices PARTIAL RATE SCHEDULE Dept. of BldgsPhone SII 4-7470 (, o GRAVITY WARM AIR: RATE TOTAL Locailo. Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace$ ............................. 5.00 City of Fridley: Repairs & Alterations—up to $500.00 .................. 5.00 $ The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances Repairs &Alterations each add. $500.00 ............... 2.50 $ and ruling of the Department of Buildings, and hereby dedares that all the facts and representations stated in this application are true and correct. MECH. WARM AIR a Fridley, IIB;nn- , 195— Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ �6, F each add. 60,000 BTU ....................... 2.00 $ Owner 195— Replacement of Furnace ............................. 5.00 $ Kind of Building �� % 195_ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ Used as To be completed about Z - STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Estimated Cost, $ �® Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Old-fNew. Building Permit No. Each add. 200 sq. ft. IDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR Hot Water .................. 2.50 $ DESCRIPTION OF WORE OIL BURNER to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule'` HEATING or POWER PLANTS—Steam, Hot Water, Warm Air _No 'I e A d GAS BURNER (up to 400,000 BTU) 5.00 Trade Name Size No !r v ....................... 04P.° _ca Arv® 0 V0 GAS PIPIN (Up to 3 Fixtures) ;:-9•®° 1.50 Capadty Sq. Ft. E.D.R ''' 7 AQBTU H.P. .......................... (Add 50c each over 3) $ Total Connected Load 7 60 �� � 2 Kind of Fuer AIR CONDITIONING 1 BURNER — Trade Name 5- Size No FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE REMARKS: Capacity Sq. Ft. E.D.R BTU H.P. lU Sigaed_,i; Hy i l POST 1M-8-58 Business Phone No Ddb z..� HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.U. Construction No. I Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No Yes—No 19— I / Fl.l r . Room I Lenl:th j -:t Width y Heiaht olF" II FU Aid Windows and Doors—Crackage and Area �() T Width Height No. of Lineal ft. Area No. of panne of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No.of pane of -pane lights of crack sq. t0 e4 ® P e Coef. Btu Infiltration Coef.1 Btu Infiltration Glass Glass a� c yg as. Exp. wall l o Glass `4 Net exp. wall 42 , i Exp. wall F & �P ' p IS'Al Ceiling Net exp. wall Net exp. wall e Floor I e) lk,-f e Int. wall Int. wall Ceiling Ceiling M,69 Floor Floor ' Total Btu. 1 7 Required sq. ft. E.D.R. or sq. ins. WA. Leader area J1.1 ,_ 7/.Abom I L.enath z I Width c; Height 17 Windows and Doors—Crackage and Area �() T Width Height No. of Lineal ft. Area No. of panne of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack aq. ft. Width Height No. of Lineal ft. Area No.of pane of -pane lights of crack sq. t0 6� q 00 e Coef. Btu Infiltration / Btu ),99 Glass Glass a� c yg as. Exp. wall l o `4 Net exp. wall 42 , i 2) 45 cPd Int. waU p IS'Al Ceiling Net exp. wall Net exp. wall e Floor I e) lk,-f e Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Room I Length Width A ,3 Height 6 - Windows andDoors—Crackage and Area Width Height No. oL Llaeal ft. Area No. of Dane of page lights of crack eq. ft Btu Infiltration 32 M ® a /b Glass �► Exp. waU Net exp. wall 1 g� Int. wall Tbtal Btu. I 1 40 15; . Required sq. ft. E.D.R. or sq. ills. WA. Leader area MINNEAPOLIS. MINN. Insulation Kind How Applied ou......, i t e.....1. Y 13 W;Ath 4,4 HP;aht A�` Windows and Doors--Crackage and Area Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack aq. ft. Width Height No. of Lineal ft. Area No.of pane of -pane lights of crack sq. t0 6� q 00 e Coef. Btu Coef. Btu InfiltratlOn Infiltration Glass a� c yg as. - le, Glass `4 0 v Py Exp. wall e) p IS'Al Net exp. wall Net exp. wall I e) lk,-f e Int. wall Int. wall Ceiling Ceiling nn Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area a FI.I-. 7= Room I Lenath 0 P Width 7 Height 7 Windows and Doors—Crackage and Area Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No.of pane of -pane lights of crack sq. t0 6� q 00 e Coef. Btu Infiltration / 19 Infiltration Glass �� 5,S_,O Exp. wau `4 Net exp. waU 1,0 I/ d") e) Int. wau Ceiling Net exp. wall Floor Int. wall Total Btu. 1 �14 a/ Required sq. ft. E.D.R. or sq. ins. W.A. Lreader area A R..I Length Width e Height Windows Ad Doors--Crackage and Area Width Height No. of Lineal ft. Area No.of pane of -pane lights of crack sq. t0 6� q 00 e OV 3 1Y Coef.1 Btu Infiltration 3 Glass 1,0 Exp. wall ?Vi c - Net exp. wall Int. wall Ceiling Floor Total Btu. �r� y Required sq. ft. MIL or sq. ins. WA. Leader arca CI1Y OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ti•...:..'�er Fixtures Future Fixture Opening -L-w Fixture, Old Opening Catch Basin Water Heater - to 99,C00 BTU 100,030 BTU to 199,000 BTU Water Softener New Ground ?..:r. Old Building Electric rater Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 Each add. $100.00 or fraction x $3.00 $ X $2.00 $ v N $ ,y $5.00 q x y d x Water d, x i� $7.00 .0 x $5.00 sro+ c •'Ci N o x $3.00 $ -.4 C $ Heater M $ r c r. i u w - c r Le ' ..� i.' a 3 O of L -I Er 4J N N N N .0 0 0 .,, 0 r 3 u U a u. v w ro b v r w a ro a? ro u i �. ro y o .as 'lec vyi © m m 1 1st 2n3 3rd -�i th (R) = Future Coanection Opening Connected with Sewer 1 (*) = New Fixture, Old Opening I Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ti•...:..'�er Fixtures Future Fixture Opening -L-w Fixture, Old Opening Catch Basin Water Heater - to 99,C00 BTU 100,030 BTU to 199,000 BTU Water Softener New Ground ?..:r. Old Building Electric rater Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 Each add. $100.00 or fraction x $3.00 $ X $2.00 $ x $2.00 $ r. $5.00 $ x $5.00 $ x $10.00 $ x i� $7.00 $ x $5.00 $ x $5.00 $ x $3.00 $ x $1.00 $ x $10.00 $ $5.00 $ $2.00 $ State Surcharge $ .50 TOTAL FEE $ ;I S U REINSPECTION FEE • (5]0.09) Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work, in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correc OWNER /l/LtivYl KIND OF BUILDING USED AS TO BE COMPLETED ABOUT Fridley, N1. � — _ , 19 24�' ev� ESTIMATED COST / OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company <--1�- �e 'CL ------- Signed Signed By _`yL Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PErMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 1 SUBJECT PE IT NO. City of Fridley 16 612 AT THE TOP OF THE TWINS BUILDINGPERMIT r REC T NO 1 rry _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 63,-73 r PROTECTIVE i I � 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/2/82 JOB ADDRESS 6054 - 4th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5, 6 4 Hyde Park SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Michael Westcott 6054 - 4th Street N.E. 571-4710 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 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Asphalt VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $227 $.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 SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.50 SIGN TU OF NTRAC ORAUTHO IZED N (DATE) AF 4 WHEN PROPE VALIDATED THIS IS YOURyP ML -_ BLDG INSP I)A SiG A URE OF OWN9Rj1J-OWNER BUILDERI IDATEI 1 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PERMTS (New. Alterations, Additions, or Repairs) OWNER: ,�icli � e � j�,�s7e � BUILDER: ADDRESS: _ ��®��f�� S�� e ADDRESS: TEL A0: _E71— z/ 7 / D TEL NO: Construction Location STRIZT NO: Q f'� STREET: e LOT: . _ �, �p BLOCK: _ �� ADDITION: Corner Lot: Inside Lots Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION �00Ps Front: Depth: Height: Square. Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: YL Estimated Cost: $ Z710,00 7b Be (bripleted: - eo ® �e Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Mie undersigned hereby males application for a permit for the ...,ork- herein specified, agreeing to do.all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. .- DATE: [ "L..- SIGNATURE: Stipulations: Aq-� TV 1 SUBJECT P City of Fridley 27376 AT THE TOP OF THE TWINS BUILDING PERMIT r L------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �� 150 r 1 I NUMBER REV DATE PAGE OF APPROVED BV 1 CITY HALL FRIDLEY 55432 � 0 1.j 612-571-3450 910-F15 18/24/98 JOB ADDRESS 6054 4tk_S_trRPt NR 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5. 6 4 lRydp Park SHEET 2 PROPERTY OWNER MAIL ADDRES4 ZIP PHONE 3 CON RACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK south Reroof house and garage 19 S Tear-off; Reside west and-&U-t*side - storm damage 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. 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 MOT. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2084 @ $1.04 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $74.75 Fir SC $2.08 PLAN CHECK FE TOT LFEE .87 OF CONTRACTOR OR AUTHORIZED AGENT IDATEIN P P IS %"R PERMI 1-�� BLDG NSP NATHISSIGNATURE MATE Si1ATURE O WNER OF OWNER BUIL OERI IDATEI NEW , L ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY DNG PAND DUPLEX S R-1 AND R-2BUIL ConstructionAddress:kly� /,�%ijz� T Legal Description:� Owner Name & Address: oh% (vc---. K- YIV Tel. # 47-)- -oZ Contractor:N 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: ,k) vc i 9 AV SQ / ;�,ev - 6t` i _ �r U Construction Type: l`fZ Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ _ $�'� DATE: F APPLICANT:`--=— `�z— Tel. # C�(Z-pZ If /* �,� CITY USE ONLY Permit Fee a Of> $� 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: i CI] Y OF FHIDLEY INSPEUTIUN DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 titeclive un January 1, iyy:i APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR . . Urinal ....... Shower �Tra Wash �`'r'`��y>< loo F r aXl�:. Drain u Auto. Washer » ��>..... :: :.: .......R , Gas an e. e � �G� . >': Water Heat r C�.( Gas Ele cStones ..... Basement Floor 1 Floor 2 00 3 Floor Floor or 4 PLUMBING FIXTURE RATES: NO New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range Gas Dryer Back Flow Preventer_Required ( )Yes () No Type RATE TOTAL JOB ADDRESS �63� ( jt I� $ 7.00 The undersigned hereby makes application for a permit for the work herein $ 4:00 specified agreeing to do all work In strict accordance With the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I% of Value of Fixture or Appliance / State Surcharge $ .50 TOTAL FEE $ l 5 I , 199y Owner Building Used As���fc!P�-eat Estimated Cost VW- c5n PERMIT NO. PLUMBING COMPANY �- SIGNED BY �—e_(/� TEL NO.7S�`1�L/� P� ApprovedBy Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 F63) 572-3604 FAX: (763) 571-1287 ADDRESS : 6054 4 ST NE PIN : 233024210101 LEGAL DESC : HYDE PARK : LOT 5 BLOCK 4 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PERMIT O.: 004-01339 DATE ISSUED: 08/16/2004 VALUATION : $ 8,000.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE.CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE 10 WINDOWS WITHIN EXISTING OPENINGS - INSTALL ONE EGRESS WINDOW. STATE LICENSED CONTRACTOR 1 APPLICANT A A CONTRACTING (20122824) 12425 53 ST N STILLWATER, MN 55082 OWNER HYUN JU JUN 6054 4TH 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 granting of a permit does not presume to give authority to violate or cancel the pro . ns of any other state or local law regulating cons4ti, P performance of construction. , Bldg Insp, BUILDING PERMIT FEE 153.25 FIRE SURCHARGE 8.00 STATE SURCHARGE, VALUE 4.00 LICENSE SURCHARGE 5.00 TOTAL 170.25 SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [) CITY OF FRIDLEY 4/4/0'? Effective 4/1/2004 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 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Co 12 Legal Description: Owner Name & Address: 11.e� 7 M Tel. #_.2�®� Contractor. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE # Tel. # o����5' Attach to this application, a Certificate of SurV6)rof tFie — lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft Hat/Ground So. Ft ��woJ7� c jr ✓./ w fILjjC//v v t—rvJ- \j Construction Type: Ce� (J Estimated Cost: $ , mo Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:OVAPPLICANT: Tel. # Z p( 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 Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - $ Fee Schedule on Reverse Side 65% of Permit Fee .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: I N CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (763) 571-12N7 ADDRESS : 6054 4 ST NE PIN : 233024210101 LEGAL DESC : HYDE PARK : LOT 5 BLOCK 4 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMINO.: 2004-01060 DATE ISSUED: 07/07/2004 VALUATION : $ 4,000.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A FURNACE (WARM AIR, JANITROL, 60,000 BTUS) AND AN AIR CONDITIONER. # A/C UNITS 1 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALL) APPLICANT SILVERNAIL ENTERPRISES LTD 6603 36 AVE N CRYSTAL, MN 55427- F JAI 1 HYUN JU JUN 6054 4TH ST NE FRIDLEY, MN 55432 4000 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 granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. pplicant Date Bldg InspLl�ffiUm Dat l ny HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 60.50 PAID WITH CHECK # 15157 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4 CITY OF FRIDLEY BUILDING INSPECTION 6431 UrgaersityAve NE ` Fridley, MN 55432 a 763572 3604 FAX 763-5711287 m CD i 0 w J ra LL 0 6 Cr LL o, RKE MEDULE ResklentlaI Furnace She/ and Duca. Work. Burner & also Repiacenwnt Furnace Gas Piping (New Furnace, Freplac% Insert) Can Range Gas Dryer *Air Conditioning- All Sizes _P 3-7l Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, CDOUNG, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES J 0 B ADDRESS Effe Total i l $10.00 $ $25.{30 $ All Other Repairs or Atteratiorts (List on Back) 1% of Value of Appliance or Work Narirnum Fee $15.00 for Residential or 5% of cost of Improvemertit whichetwer is greater on work less than $500.Co Cornrnerdal/indw aVinstitu " nai 125° of Value of Appliance or Work (List on Hack) Minimum Fee $35.00 for CornmerciaVindustriaVirmtitutional REINSPECTION FEE $50.001HOUR State Surcharge TOTAL FEE A -Air CondMoners can not be placed in side yard +w'ithout written approval N from edjolning property owner -COPY W City Budding Used ESTIMATED PERMIT NO DESCRIPTION Of FURNACEAND BURNER #F of Heating M tscircle Clue (Steam) (lint MihaLe(Warm AI i Trade Dame Size No. BTU Q 6 c.,O HP EDR Fuel c`®L Total Connected Load —_� Burner Trade Name BTU Size No. HP EDR The undersigned hereby makes application for a permit for the work herein speciled agreeing to do aN work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representatkm&stated in this application are true and oorrext HEATING OD FAX # m FILL OUT BACKSIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE f-, Approved 6qr yel #k' %63 � J j_Po Date el - 0 Rough -in Date Final Date SUL-01-2004 14:20 FROM CITY OF FRIDLEY TO 5228127 P.03/05 FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. YES 7 DDNNECTOR AND COMSA$TION AIR VERIFICATION When replacina an wdaEna furnace, 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 (k No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes M 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 Fumaca 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 manuf'acturer's specifications. Yes ( No( } When required to Install a now combus#Ion air._it will be sized and installed to most the current codes and manufacturer's specifications. Yes No( ) When Installlrre a new venting sirstem the undersigned hereby verifies that It Is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes V} 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( ) Aoollence Tvoe and SIzelCommon Yent and Vent Connector Infonnation Appliance #1 Type eJ �?. C"'' `� BTU input an Assisted o at Appliance #2 Type BTU Input ran Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Tdal 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 : ' CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 571-36U4 VAX: (763) 571-1287 PERMIT NOr-2 04-016f DATE ISSUED: 09/16/2004 ADDRESS 6054 4 ST NE PLBG FIXTURES (NEW OPENINGS) 0.00 PLBG FIXTURES (EXIST OPENINGS) PIN 233024210101 0.00 WATER HEATER - ELEC 0.00 LEGAL DESC HYDE PARK GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 LOT 5 BLOCK 4 0.00 STATE SURCHARGE, PLBG FLAT 0.50 PERMIT TYPE PLUMBING PAID WITH CHECK # 3002 PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 200.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL ONE BATHTUB. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 0 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALC) 200 # WATER TRMT APPLIANCES 0 APPLICANT NYGARD PLUMBING 7435 HWY 65 NE FRIDLEY, MN 55432 OWNER HYUN JU JUN 6054 4TH 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 provisions of any other state or local law regu construction or the performance of construction. Applicant' �', Date PLBG PERMIT MINIMUM FEE 15.00 PLBG FIXTURES (NEW OPENINGS) 0.00 PLBG FIXTURES (EXIST OPENINGS) 0.00 WATER TREATMENT APPLIANCE 0.00 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 PLBG REPAIR/ALTERATIONS 0.00 STATE SURCHARGE, PLBG FLAT 0.50 TOTAL 15.50 PAID WITH CHECK # 3002 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 n 6431 University Ave NE / 1 * Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range" Gas Dryer*` Back Flow Preventer Required ( )Yes () No Type $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance 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. DATE: , 20_a OWNER d G F BUILDING USED ESTIMATED COST --- - C.2�" r— PLUMBING COMPANY I PERMIT NO.-1�-��•� 4 ) Approved By -J State Surcharge $ .50 MINIMUM FEE FOR TOTAL FEE $ ss:�r COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT; VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 terminatidn. 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 Furnice V6nting Tables for fan assisted and natural draft appliances. I 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 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 tAX: (763) 571-1287 PERMIT NO.: 2004-01618 4qq � DATE ISSUED: 09/16/2004 ADDRESS 6054 4 ST NE PIN 233024210101 LEGAL DESC HYDE PARK LOT 5 BLOCK 4 PERMIT TYPE ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. PANEL AND ENTRANCE REPLACED. 1;1 APPLICANT HARD ELECTRIC SOLUTIONS 5730 DULUTH ST #136 GOLDEN VALLEY, MN 55422 - OWNER HYUN JU JUN 6054 4TH ST NE FRIDLEY, MN 55432 ELEC AMP SERVICE FEE 30.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 30.50 PAID WITH CHECK # 1484 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 granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.