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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: 119=14! l.P _ Owner:(.....�_...�,�K��.-..+�.:.��`_"�! .__.._..._.._._. Address Builder Address / ,��ly LOCAT ON OF BUILDING IfCZNo. Z.0.77— Street __.�� +t�__ SEt._..._._._...._ ... Part of I.e ....._...__..__.___.. __._......___------ _ Lot .......... ....... Block ....._.................. ................. ddition or Sub -Division ....._... .. . .......:_......-• ..........e... .. Corner Lot .......................... -........ Inside Lot ....._ .... Setback ....._. .,, .� .._........ eyer .....�e ._.......................................... _........... Sewer Elevation....._............._............._......._..._..........._......._...._......._...._........ Foundation Elevation DESCRIPTION OF BUILDING To Used f �j�' .. Cu. Ft.._.- •- ----- ,�i Front .�,��_. Depth ....i� . Height ....'L-_.. Sq. Ft. l X.-iG� .... ................... ..---------------._.......----.. Front ....._............._.. Depth ........-..eight ............ Sq. Ft. .... _............. _ Cu. Ft....................... Type of Construction ......: .._............-._. Est. Cost....................._._........ 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. In consideration of the payment of a fee of $., ..__..:._ .:.., permit is hereby granted to. ..................... _........._. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violatign of any of the provisions of said ordinances. ,-I A .n 1' ) Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Nems. 1b i Owners. Name Builder Address~ Address -LleO 464 oula W.1c.94 LOCATION OF BUILDING No. Street Part of Lot Lot 3 Block Addition or Corner Lot Inside Lot_Zi_ t Back / Side -Yard l� SEWER ELEVATION FOUNDATION EMATION Applicant attach:to-this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front VDepth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction ' Estimated Cost To be completed. 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 and ruling of the Department of Buildings, and hereby declares that all the facts and representa= tions stated in this application are true and correct. DATE SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) i 41 M11NDERF.4wGrqEEiapqcy CO.,INC. ENGINEERS AND SURVEYORS LAND ®URVEYING SOILS TESTING CIVIL &. MUNICIPAL HNGINEERING LANO PLANNING 6418 -SGT" AVENUE N. MINNEAPOLIS 27, MINN. KE 7- BG377 (� copiptificalit 41pU Q qpwv41vY SURYE`I FOR Tom 5I L+I.115 N � I rr, SC I 1_ In, I I � LCAT 3-7 BLK. 2 UPLAND 2"'D ADO'N. WE HERESY CERTIFY THAT T1415 IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF T.NE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF NMY, THEREON, ANO ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND.' MINDER ENGINEERING CO., INC. DATED THIS [MY M Nov- A0.1�59 EN611IfiE,,RS AND YOR • //,Q City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 110, DESCRIPTION OF WORK '� �- f% Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ®!� Y F: z z `e2 Q VI tTj z W O J W O z z New Fixture Old Opening .............. N WATER M. GAS ELEG Catch Basin ............................ 3Ei x 3.25 $ ...... Z 3� cu New Ground Run Old Bldg . ............ �o c3 $ t9 °d O (�0 RATE TOTAL x $1.50 $ 1st 3 Fixtures .......................... Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st 2nd _ 3rd 4th • Future Connection Openings Connected with Sewer � New .Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ®!� Number Fixtures ...................... x $1.50 $-6? Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL x $1.50 $ 1st 3 Fixtures .......................... Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code TOTAL FEE $ City of Fridley: 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 and ruling of the Department of Buildings, and hereby declares that all thefac and representations stated in this application are true and correct. Fridley, Minn. eon1 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Permit No. 3 ROUGH FINAL d a 2M 7-59 No loll Application for Pourer Ptants and Heating, Coding, Ventilation. AeFrigeratlon and Air Conditioning Systems and Devices ? , 1- /) ) 7 PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 9-G 3 each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace ............................. F.00 Repairs & Alterations—up to $500.00 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ FTEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ ) GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ LLL Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $- � ROUGH FINAL City of Fridley: 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 and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Mrinn-�� 19W Owner moi^ "C—L 1 i u ) Kind of Building r Used as To be completed about Estimated Cost, $ Old—New. Permit No. Permit DESCRIPTION OF WORK HEATING or POWER PLJANTS--Steam, Hot Water, Warm � No Trade Name 0�nMQ-k:iS–' � !�Adei.:- Size No- I 0 Q G tj Capacity Sq. Ft. E.DD.R� BTU G H.P. & Total Connected Load 3 0 " t `� Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Sign SSW By c ,. 42 2M 7.59 Business Phone No 10 HEAT LOSS CALCULATIONS DEPARTM!iNT O BUILDINGS 1�1H�FRIDLEy, MINN. Weathe:d:,ips Construction No. f Insulation Guide I - - - -- -- ! . -7__ Windows Doors Reference Out. Wall Int. W.III T ('oiling Roof Floor i� )iind How Applied -- -- - - _ - , es -1 F1.1 J&.L,,1 U_4 Room I Length J Width I Z - Height i -F.., - � - Room j Length `4 Width J l u Height Windows and Doors---Crackage and Area - Windc,ws and Doors--_Crackage and Area ,_— 1 0 1I Wt11 }Irt6hl Nn of Llurai f[ Area - �5 •Ith II tghl No of Llneel et. Area No. of pane of pane Itgh1a of � rack eq ft No rt . ne of tenr• Ightn of Brack sq. ft -2— — - - --- Coef. Btu Z-Coef. Btu , Infiltration Infiltration -Glass -- E L Glace $>ep: wail e•, c' ►� � ty t= t t- ._ I �-' (" t ; -� , � � � -- - - - -. - --- -- -- -- --- - - ___ ._.- Fap. wall Net exp. wall -- - p j U X74 i✓ 11 t _ Net ex wall Int. wall !� Int. wail Gelling ------ �Ls,:, IL, -,_� ;" �I Ceiling-_____.._..-.-----_-- - (7 t IG IZ Int Floor L t 1Floor - -�—� 121 l _Total Btu. _ 1 i a Total Btu. __ 5 Required sq. ft. E.D.R. or sq. ins. W.A. Lead,, area _ �J _ Required sq. ft. F.D.R. or sq. ins. W.A. Leader area I — - - --- -- --- -- Fl�� Room Len th b Height ht E Room I - _ I - g t--5 iLength d 1 I - Width Height z Windows and Doors---Crackage and Area ` L — -� _ Width Height No pe Lineal ft Area , I Wind ws and Doors-Crackage and Area No of pane of pane Ilghts of crack aq. ft. I imv1, Height No of Lineal ft Area - 14- I Nn. of peon M pane light s t of crack eq ft. L L G L 4- t L L4 30 1- 1� 16 tt Infiltration --- — 5 : Coef. L• Btu c t G Glass ( cc, I y C- r , S Net exp. wall I Coef. Btu - Infiltration _ Int. wall 4 C Glass Ceiling _Exp. wall _ Floor 14 ; C �,r, r 0 c' f Total Btu. - ---- ailing � F Required sq. ft. E.D.R. or sq. ins. W.A. Leader area N.1 Koom I Length `- �-- W Idth } = Height ; "• ' - Windows and Doors---Crackage and Area Width— Height No. of T Llnel e[t. Area No. of pane of pane Ilghta of crack sq. ft — 12. t C St` ( cc, „ C, G I Coef. Btu - Infiltration _ _ 4 C Glass 0 _Exp. wall _ -Ti . C` .1-tA tI Room l Length F Net exp. wall Height c`'W'l C �,r, _ Int. wall ----- ailing ;,r69 LL „ Infiltration I___ ._ _Glass _ - Fxp. wallNet exp. wall Int. wall 3 Z Z Z 3 I k, 12. t C St` ( cc, „ C, G I jG Floor , Floor Btu. 9 (t _Total Required sq. ft. E.D.R. or sq. itis. W.A. Leader area -Ti . C` .1-tA tI Room l Length F Width F Height c`'W'l Windows and Doors---Crackage and Area Coef. Btu Width Height - No of Lineal ft. Area No of pane or pane light, of crack eq. ft. - Infiltration - -- 4 Glass - -- ---.- -.Gla-ss wall Net exp. -wall _ ------ __ In_t. wall Ceiling „ C, G S C jG Floor , 7 alai Btu.1 3 4B I) Total Btu. CI Retlli)red sq; ft. F_D.R. or sq. ins. W.A. Leader area Required aq. h. E.D.R. or ns. WA der TYPICAL SLAB DETAIL10 _ 4 C C 2 2 66 x 10 LLZ io ~tire m esh Grade, 2-v 4 Re -Bars c C - - to : 45° 12" Min, e,, Min. The above is a substitute design for frost footings, however, itis not yet accepted by the State as an amendment to the Uniform Building Code, Section 2905,a. Therefore upon using this method of construction, I agree to hold the City of Fridley harmless of any possible claim for foundation failure or structural damage caused by foundation failure. mess Property Owner 77 Date Address of rriperty/Legal Desc. s • .. ,. - is City of Fridley, Minn.. T7� 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: October 31,1972 Owner: _ Don Nelson Builder Su.ssel_ enmPany Address 6271 -5th Street N.E. Address 1850 Como Avenue LOCATION OF BUILDING No. _.._b2.7_l_ _..._ Street — Part of Lot Lot .__.....37_._._.._ Block _. _ _._..._ _ _.___.9.._...._ Addition or Sub -Division _ upland 2nd Add i t iota Corner Lot ___._ _ _ Inside Lot — X Setback — Sideyard Sewer Elevation Foundation Elevation _...._. DESCRIPTION OF BUILDING To be Used as: - Garage Front 181 _ Depth _2.21 _ Height _ _LO' _ Sq. Ft. 1915' Cu. FL _3960.: Front . — Depth Height Sq. Ft. Cu. Ft. Type of Construction Wood Frame Est. Cost _ $1793 To be Completed 60 days Stipulatinns: Set garage elevation to drain to street. Provide a hard surface driveway. 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 a'11 provisions of ordinances of the city of Fridley. \ .70 Stafie Surcharge In consideration of the payment of a fee of $--Z-- 50 , permit is hereby granted to SusSel CDMMaUy to construct the building or addition as described above. This permit is granted upon, the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings 'Within the city limits and this permit may be revoked at any time upon violation of any of the)? of ss3d ordinances. Inspector CLARENCE BELISLE r NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to an the Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION# OR ADDITION BUILDING PERMIT CITY Of FRIDLEYj MINNESOTA OWMIS Lj 1-_j E L__S <2, &,j BUILDER : fs U -!F-s Cg'.4 ADDRESS %'Z_::Z i 5� k S - ki - E_ - AVORES9: ( 9 —43cD <c c2 1-1%,o ay E- - W4 LM 3 7 LOCK: z AIMITION i u P COMM LOT., XMM LOT; k S$TBACKS SIDEY44RD. Affji,vAtqt attach to tbAg fo3=_Vo Certificates of Survey of Lot and proposed ImAlding location dress 4m the" Car-tificates. To Be 110" As: DESCRIPTION OF BUILDING I S - �Depth Z -Z-' 'Height: I Square Feet; _3q4 Cubic Feeti - 34 C. o _fi'ront-. Depth; Height: - square Feet; Cubic Feetj_ Tyfe of constructions ea &Stimated Cost: -7q11- s���//�j sem,/ji � l I L R To 7q1q- To ft "toted; G4 0--4 5, TM undarpigned hereby makes application for, a pe=it for the, work herein *pepjfj*,c1, agreeing to do all work is stftct accordance with the My of fft4jey 0r4$*ances and TutSW ipf Oe Department of Bui�dinss, ayW hereby dealareq that all the facts 4wd representations stated In this application axe true, =4 correct, PAT&; SIGNATURE: (Om Revwva S14e For Additional Inforap-ti r �01 SUBJECT P City of Fridley 23361___ AT THE TOP OF THE TWINS BUILDING PERMIT r �• _ COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. r � NUMBER DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7�_ 5/11/95 JOB ADDRESS 6271 5 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 37 2 Uplands 2 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nelson 6271 5 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Right Way Roofing Inc 16475 45 Ave N Plymouth MN 55446 557-8678 3999 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 0 ADDITION ❑ ALTERATION p REPAIR O MOVE ❑ REMOVE xx 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. If 2nd layer, it can be the 2nd but not the 3rd. 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 $2,240 $1.12 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $54.00 Fire SC $2.24 PLAN CHECK FEE TOTALFEE License SC $5.00 $62.36 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PAOPERL VALIDATED THIS IS YOUR PERMIT n , BLDY INSP F)A E _ SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) r �01 NEW (] Effective 1/1/95 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2-� s� Building Permit Application ConstructionAddress: (o c-7 Legal Description: Owner Name &. Address:. �Q, l��i-^ . ....(�� ( S_ / •.. Tel..# Contract Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE # . VV(Tel. #��� Attach to this application, a Certificate of Survey of the lot, with. the proposed construction drawn on it- to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Corner Lot (]. Inside Lot [ 1 Type of Construction: Approx. Completion Date: _ Sq. Ft. Sq. Ft. Sq. Ft. Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ �QL <40 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT:Tel. # J!� -,7(9 CITY USE ONLY Permit Fee $-Sq- 0E) Fee Schedule on Reverse Side Fire Surcharge $ Q .001 of Permit Valuation 0 / 10th % ) State Surcharge $, ,�, $.50/$1,00 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ 5, CD $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.0 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary I ] Not Necessary [ ] TOTAL $k4� '7�L STIPULATIONS: . s ' SUBJE4T City of Fridley 29137 AT THE TOP OF THE TWINS BUILDING PERMIT � S CEIPT • COMMUNITY DEVELOPMENT DIV. -7 (� r PROTECTIVE INSPECTION SEC < / 1 � NUMBER REv DATE PAGE OF APPROVED BY = CITY HALL FRIOLEY SS432 612-571-3450 910-F15 4/2/99 / JOB ADDRESS 6271 5 Street NE 1 LEGAL BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. ILOTNO. 37 2 Uplands 2nd Addition SHEET I 2 PROPERTY OWNER MAIL ADDRFS$ ZIP PHONE Howard Osgood 6271 5 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO To Gun Inc 5014 Parrish Ave NE, Rogers, MN 55374 428-4559 20155030 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 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X B DESCRIBE WORK Reroof House & Garage 22 SO Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. Permit inspection Cards Will Be Mailed To Homeowner To Post SEPARATE PERMITS ARE REOUIRED 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 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 @ $.94 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,885 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHAR E PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEETOTAL E Lice $5 .32 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT ,DATE, ENP P 0 T IS IS YO PER IT - G BLD ,NSP f DATE S-GNATUREOFOWNEA,If OWNER SURDEA, ,DATE, MAR -25-1999 16:14 FROM CITY OF FRIDLEY TO NEW [ ] ADDN [ J CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 4226 P.01i02 Effective 1/1/99 ConstructionAddress: 6271 <.5-'1* S-1. _ \� Legal Description: Owner Name & Address: Contractor: TOP GUN, INC. Address • n n„ PA RISH AVE NE Ej Tel. # UCENSE/1 20/63030 Tel. #M012-) g2.8—�S�g •, -rill JU%2114^yV(Jy Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF RWROVEBIENT LIVING AREA: Length Width Height I Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: %� - : 7..42CvZ - Estimated Cosh$ UU (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft — Ft x $ _ $ DATE: .30 q APPLICANT: Tei. or6 /2 Permit Fee $ 0, f6 Fine Surcharge $ /1-915 State Surcharge $ SAC Charge $ License Surcharge $ ,- C) Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 6 7, STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $1050 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 [ J Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIVISION `� Biu Effective On January 1, 1999 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES e . JOB ADDRESS 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 Ai§o Replacement Furnace $ 30.00 $6 representations stated in this application are true and c�� Side Vent — Fill Out Back) k) Gas Piping (Needed with new furnace, $10.00 $ - but not replacement) OWNER Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ PERMIT NO. / 1 ESTIMATED COST%�®®� ®� L *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (UST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Wate arm Ai Trade Name Size No.A m1a.07 —3 Commercial/Industrial BTU HP EDI 1.25% of Value of Appliance or Work $ Fuel A�S Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ •� ANDERSON HEATING & AIR GOND HEATING COMPANY 4.347 Oentra9 Avenue N.E.' MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION ®1q$S, 52'; By el No. #7 REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 ned PLUS THE $.50 STAT -'SURCHARGE REINSPECTION FEE $42.001Hr Approved By Rough—In Date __ Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURJA written permission from adjoining property owner. CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1: Has been carefully examined Yes a No ( ) 2. Is free from rust or deterioration Yes (I.-I'lNo ( ) 3. Has no foreign objects. lodged within Yes (y�'No ( ) 4. Is securely supported Yes No (. ) 5. Meets all current Code requirements for size and total BTU's connected Yes 41d No ( ) 6 Has total heating BTU's of 0 00 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 (rte R Pm arlrc List List ALTERATIONS Being Done: ANDERSON HEATING & AIR HEATING CO: 4347 Central Avenue N.19=1C"WIRW�M Signed By: Date: 7— CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 11, 2002 Howard Osgood 6271 5d Street NE Fridley, MN 55432 Re: Final Inspection at 62715" Street NE Contractor: Anderson Heating & Air Conditioning Dear Mr. Osgood: A mechanical permit was issued on July 6, 2000, to install a furnace at your address. According to the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/ls G►YOE FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 18, 2002 Russell Ofsthun 6271 5t' Street NE Fridley, MN 55432 Re: Final Inspections at 6271 5 h Street NE Contractors: Anderson Heating & Air Conditioning Dear Mr. Ofsthun: Mechanical permits were issued on July 6, 2000, to install a furnace at your address. According to the 1991 Uniform Mechanical Code, final inspections shall be conducted on the work authorized by these permits. As of this date, no inspections have been called for. The permit fees that were paid covers the inspections to make sure the work was completed according to the Codes. We will keep your permits open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permits "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. ENSEN Inspector DJ/ls O CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 11, 2002 Howard ood C .�� io 6271 Streeeet NE Fr' ey, MN 55432 Re: Final Inspection at 6271 5t' Street NE Contractor: Anderson Heating & Air Conditioning Dear Mr. Osgood: A mechanical permit was issued on July 6, 2000, to install a furnace at your address. According to the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/ls :;i i Y OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2002 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 " JOB ADDRESS of RATE SCHEDULE OWNER C) 6i lQ If Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Re's i CQ c,& Also Replacement Furnace $ 30.00 $ / (— (Side Vent - Furl Out Back) ESTIMATED COST PERMIT NO. Gas Piping (Needed..with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. - BTU HP EDR *Air ConAiionniin-g - All Sizes $ 25.00 $ Fuel Total Connected Load t-i"l 11 �1R a -H-eN All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Applia=nce or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all- the facts and representations stated in this application are true and correct. TOTAL FEE DATE �OLO MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO �PAZ REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.56STATE SURCHARGE Signed s52�, TEL # FAX # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date00� written permission from adjoining property owner.