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City of Fridley, Minn. BUILDING PERMIT N° 3145 Date: .......:�. ..- ...... ......... . Owner 4 :� �.a, a �'..�'�.:� Builder��.... .... ... . AddressAddress ............................................. Y LLOCATION OF BUILDING No.407,h..... ... Street 4. .. . 4'�'j� . ....................... Part of Lot ................. .......... . Lot ......1 . Block ... ............ Addition or Sub -Division e� ... Corner Lot ............ Inside Lot ............ Setback:...... Sideyard ....� �...... .:. DESCRIPTION OF BUILDING To be Used as: 9 .. .... Front ../.. Depth ........ Height ..... ! .. Sq. Ft./ Front ........ Depth ........ Height .. o..�.. Sq. Ft. ...... Cu. Ft. Type of Construction ''�...... Est. cost .�� . ® To be Completed !: . a...... . & 'V44.' �-- I— In consideration of the issuance to me of a permit to construct thEy building desribed above, I agree to do the proposed work in accordance with the description above s4foand in mpliance with all provisions of ordinances of the city of Fridley. .............. ....... ................. O In consideration of the payment of a fee of $.1�... t . permit is hereby granted t A:-: 9."�'( 6.3?'!sJ'..... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. �f Building spector In NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plum g, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. Z�. Id � 0 Vrk A) ,(3A �J LSE L Sol fo— t 4 c.or w — SLOC k Al ?OA)Afy A 4 ,j_A -K ELAAID lfooli CLAY, Alk go e Jle i � TLC u ie Alk go e 8 0 0 City of Fridley, Minn. BUILDING PERMIT N® 3 915 �:- ..'� Date: ..... ... ... ........... 4 . . . Owner ....... ......... Builder . ................. ........... Address ...................................... Address ............................................. LOCATION OF BUILDING No. Street Street ...... ... Part of Lot ............................... Lot ............ Block .................. Addition or Sub -Division ....................................... Corner Lot ..A ....... Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING o be U as: / ..... ... Front P.? Depth 'Height .� Sq. Ft � Cu. Ft.$ �® ..........rte.. Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction ................... Fiat. Cost. ��� ~®. �. " . 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 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. .. Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. , e APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners _ Name f�_ ,� CT- iI/17,�L Buil der Address �5_RID —6 -S I--- _ . Address _ saLe-z. LOCATION OF BUILDING No. -f-179 p Street Part of Lot , Lot _ Block. Addition or Sub. Div. i Corner hot. iZT,5_ Inside Lot Set Back f Applicant attach to this form Certificate of Survey of Lot and proposed build1g ,loc6tion. ' DESCRIPTION OF BUILDING To be used as 6,4416r� - '' Front 2 a f Depth_ Height Sq. Ft. Sa Cu. Ft. 5-o/,4 zY Front Depth Height y Sq. Ft. Cu. Ft. - X9 s fiovk!;�3417VAl Or Type. of Construction FK.A","=-: DN evN`R� Es Aced Cost 5;©� y. To be completed R4 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. Date Tay g7 RT l 9- 57q Signature Z_'� (A Schedule of Fee Costs can be found on the Reverse Side) • City of Fridley, Mian. BUILDING PERMIT Date: June 31 1965 ,_ M W�. - " � *64 LOCATION OF BUILDING N0.5980 Street 6th. street iT. T. Part of Lot Lot 1 Block 4- Addition or Sub -Division Bbnny Addition Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: Front Front Type of Construction • Storm Damage Repair CJ DESCRIPTION OF BUILDING N° '7699 Depth Height Sq. Ft. Cu. n Depth Height Sq. Ft. Cu. Ft. __._ Fst. cost —35.9-00.00 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 i accordance with the description above set forth and Dani 1 with ail provia�tons of ordinances of the city of Fridley. A GL✓ _ l _ _ �'O—/� O In consideration of the payment of a fee of $ 10a00 , perauit is hereby granted to D• HA1�et8rl Coos Inc. ress condition to construct the building or addition as described above. This permit is granted upon en, in all work �einin around and � the personM or whom any pisargt thereof, shall agents, i pall�respectsand to tthhe ordinances of Fridley, Minnesota ceding lda tion, 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 ordinances. NOTICE: Uh pwn* don net aowr the eonetrueie, hutatlafiee for wMag, p1 mbine, Bn hesdne, sewer or wafer. Be suns ft see the BuiMing Mgaefor for soparafo permits for these Ilam. APPLICATION FOR BUILDING -PERMIT CITY OF FRIMEY9 MINNESOTA OWNER'S 'NAM 6414'' 3UtLDER .� ADDRESS J, %P, ADDRESS le -PI .5 LOCATION OF'BUILD%9G No. Street Part,.of- Lot LOT,,_ BLOCk.. ADDITION OR SUBDM9 Corner ot toside-=�. .Setback Side-yiid SEWER ELEVATION FOUNDATION ELEVATION_ Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF 1),FMDIN G To be used as: 'S Front— Depth hHeight, Sq. Ft Cu. Ft. Front Depth Height Sq, Ft Cu. Ft... Ty0e,brf Coaa.trtidtion 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 aedbrd4nee-with-the City of Fr'idley'ordinances and rulings of the Department of Buildinis, ihd'hereby declares that all the facts 'and representations stated in this application -are tpe* and correct. DATE SIGNATURE 6,� 12 i - (Schedule of Fee Costs can be found on the Reverse Side). 01 SUBJECT PERMIT City of Fridley 18678 AT THE TOP OF THE TWINS BUILDING PERMIT _ R Ir • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY -•- L• 612-571-3450 910-F15 10/2/86 10B ADDRESS 5980 - 6th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 Bonney Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vern Handel 5980 -, 6th Street N. E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Contractor 6331 Riverview Terrace N.E. 574-9966 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 X 8 DESCRIBE WORK Reroof Dwellin 9 CHANGE OF USE FROM TO STIPULATIONS Rpof can be the 2nd layer but not the 3rd. Install ridged galvanized valleys.. 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 Z ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,200 $.60 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- $20.50 STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $21.10 SIGNATURE OF CONTRACTOR OR AU ORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP q TE SIGNATURE OF OWNER OF OWNER BUILDER) ,DATE, 01 N£V� [ ] City of Fridley Effective 4/1/8c ArM. I ] R-1 AND R-2 ALTER. I ] Building Permit Application Construction Address: 517 80 4 tA S� Legal Description: L©7— f '6Loc-(t owner Npme a Address: u 4E � f a A"V d � L — Tel. f Contractor. �cec�„4 ZD 7`�FISf &' -Tel. f 5'? "�i�6 Address: 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: Corner Lot [ ] Inside Lot [ l Ft. Yd. Setback Side Yard k. Setback Type of Construction: F- C2oo F /. /" ro u S c Estimated Cost: $ 12- C3 a. too Approx. Completion Date: i01-3,0Z��' Alt. A Alt P Proposed Driveway Width If New Opening Is Desired: - $ - $ See Back Page for Explanation DATE: z I® E6 APPLICAI:T:. Tel. # CITY USE ONLY Permit Fee c®.S� Fee Schedule on Reverse Side Plan Check i 25% of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $475 per SAC Unit Park Fee Fee Determined by Engineering Sewer Hain Charge Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: NEW [ J Effective 5/26/93 a�0� ADDN [ J CITY OF FMLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application Construction Address: % A) � Legal Description: Owner Name & Address:/ori�� e su low e cec��vss 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. LIVING AREA: Length GARAGE AREA: Length Coiner Lot [ J Inside Lot [ J Type of Construction: Approx. Completion Date: DESCRIPTION OF R PROVEMENT Width Width Width Height Height HgtlGrmmd Sq. Ft. Sq. Ft. Sq. Ft. Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ (Cost on Back) Driveway Curb Cut Width Needed: _Z,,g I Ft. + 6 Ft = 2eg. R- Ft x $ ' %ct3 = $ DATE: ,,4vt��2 APPLICANT: ��� ��� Tel. # 7/— yoo 7/ Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ J Not Necessary [ TOTAL $ STIPULATIONS: O, SUBJECT PERMIT NO. City of Fridley _ �r AT THE TOP OF THE TWINS BUILDING PERMIT 22478 r _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. ` NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/4/94 JOB ADDRESS 5980 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vern Bandel 5980 6 Street NE 571-4003 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 Construct a 24' x 22' Slab to Move Existing Garage Onto 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Variance approved for setback from the street side of a corner lot. )NAR Before digging call for all utility locations 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,200 $.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 29.00 Fire SC $1.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $30.80 SIGN TUBE OF CONTRA .TOR OR UTNORIZED AGENT IDATEI l/ [ZWRU1Fr12ayj1DA,,DTHISTEIS YOUR PERMIT qAT SiGNATURE OF OWNER IIF OWNER BUILDER) 1 A TE O, NEW ( j Effective 1/ 1/94 ADDN CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: _ =t��90-- (o S %- �0�— ------------------------------ Legal Description: Owner Name & Address: ��� ��`� Tel. # Contractor: ev" MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length r Width �� r Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. .OTHER: Corner Lot [ ] Inside Lot j ] Ft. Yd Setback Side Yard Setbacks l 5" Type of Construction: Estimated Cost: $� �-�,,�� � S l�� Approx. Completion Date: (Cost on Back) ��,//� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ C� n _ $ DATE: %% � % APPLICANT: ' Tel. # s^ 7/ CITY USE ONLY Permit Fee $ Zq — Fee Schedule on Reverse Side Fire Surcharge $ A cg;�C .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 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: SUBJECT PER City of Fridley � $ AT THE TOP OF THE TWINS BUILDING PERMIT i � EIPT NO.. 1 ` _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/6/94 JOB ADDRESS 5980 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 1 Bonnv Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vern Bandel 5980 6 Street 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. �qT� Bahl Movers Inc 141 90 Ave NE, Blaine MN 55434786-5650 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 Move garage to new location on same property 9 CHANGEOFUSEFROM TO STIPULATIONS WARNING Before digging call for all utility locations 454.0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING MOT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED N/A WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 N/A STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $15.00 SIGNATURE OF CONT FACTOR OR AUTHORIZED AGENT IDATEI ROP RLY VALIDATED THIS IS YOUR PERMIT BLAS INS _•`0A TE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI CITY OF FRIDLEY MOVIIN?� ° ] OR WRECKING [ ] APPLICATION Job Address:- 6 S 4 -F_ Legal Legal Description: Owner & Address:: r Tel. # Contractor: VV1 o &F T, C- Tel, # Address: i ( a"e 4)- c _ State License # DESCRIPTION OF BUILDING Living Area: Length Width Garage Area: Length Width Other: Length Width Estimated Cost $ City Water/Sewer 571-3450 [ ] Height Sq. Ft. Cu. Ft. Height Sq. Ft. Cu. Ft. Height Sq. Ft. Cu. Ft. Approx. Completion Date UTILITIES TO BE NOTIFIED Mpls. Gas Company Northern States Power U S West 372-4720 [ ] 566-9120 [ 1 663-6000 [ ] Water Bill Paid: Yes [ ] or Collect [$ Moving Route: ] Initials The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representation stated in thi application are true and; correct. Date Moving: Principle Building into Fridley . . . $ 80.00 AcxXMsory Building into Fridley . . . $ 20.00 NiniZZI Fee: $15.00 Through, within or out of City . . . $ 15.00 Wrecking: For each 1,000 cubic feet or fraction .$ 1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. PEENUT FFB: r SITE PLAN NEW [ ] Effective 5126/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 *�Ykb Building Permit Application Construction Address:G�<� Legal Description: Owner Name & Address: %fWAi Tel. #,5-- 71- Yoe, Contractor: MN LICENSE # Address: LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF 11"ROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Grouad Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: `)�,j ,F71, a® (Cost on Back) Driveway Curb Width Needed: Ft. + 6 Ft=Ft x $ $ r , DATE: ' /1 APPLICANT: Tel. # 6`7/- f1e e Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: 1� SUBJECT City of Fridley 22772 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. r � �"'1 CITY HALL FRIDLEY 55432 IL"'" NUMBER REV DATE PAGE OF APPROVED By ,'' 612-571-3450 910-F15 8/3/94 JOB ADDRESS 5980 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 SHEET 1 Bonny Addition 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vern Bandel 5980 6 Street NE 571-4003 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Timbercraft 215 SW Old Hwy 8, New Brighton MN 55112633-8611 2624 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 0, ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 23' x 12' Addition to Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. Provide smoke detectors adjacent to all sleeping areas and in basement. WARNING Before digging call for all Utility locations 454-0002 SEPARATE PERMITS REQUIRED FOR REQUIRED BY LAW WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $20,000 $10.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE GOES NOT SU TO GIV UTHORITY TO VIOLATE OR CANCEL THE eq ON- PROVISIO S O Y TATE OR LOCAL LAW REGULATING CON- 0, $207.00 Fire SC $20.00 STRUCTI N P O R CE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE �j 6 License SC $5.00 $242.00 S NATURE 7ONTRACTORORAUTHORIZEDAGEN ATEI WHEN UPER V (DATED IS IS YOUR PERMITWNERIIF BLDG INDATE OWNER BUILDER( IDATEI 1� NEW (� ADDN CITY OF FRIDLEY ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: '598 v (9�1 '�)' • /" Legal Description: Effective 1/] /94 Owner Name & Address: Mks uyu) iN 'A/ Tel. # 0 3 Contractor: N LICENSE # 26 z y Address: ;�- S -W , c9 ./ . L�v lu&ld /� '. Tel. # . 3 3 ^ c46 �l 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 2 Width. l I Height Sq. Ft.c-" GARAGE AREA: = Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of C nstruction: Estimated Cost: $ 2-© Oct o Approx.. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: ____ DATE: 9 / F / APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Ft. + Ft =t x $ _ $ Tel. # 633 l -CIT/IU ONLY $ &� 0�_? • 00 Fee Schedule on Reverse Side $ (96,00 .001 of Permit Valuation (1/10th%) $ Ck $.50/$1,000 Valuation $ $800 per SAC Unit $ , 5--00 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Pian Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary ( ] $ L' ,1A N I t d►�► �2 �-120.T � I�N.V�'10 �2. 11 N qq J r ►I R • JMA,5 Vf-P N 8AIUd%-e.� 5180 -G-' s� N, P, PA,'dr-j , MN A 1 AA ° MANL& fac-[UkneG Tp-jkSses S * b a.s A�•a ��- 1.:..1, " a ` w►.� i N K rh SD T �i "r � Sim � 'a�, J 5 • �(� wa�l `foi, 0• C, • s%� odiN� Floakl)01 -' S /'/R,• 10 coue�ses bloc. • (�'U.S �1 L � Ate'► �l ��oo'F 0 010�� ii 3 Poo 3> Cop cweie �)oo/� i a3 ' RELOCATE PATIO co fV MR.& MRS VERN BANDEL TIMBERCRAFT REMODELING 5980 6TH ST. N.E. PROPOSED PORCH ADDITION FRIDLEY MN. 7/7/94 - -•-•- 23' MARVIN- 0CM3256 2W MARVIN CCM 3256 2W DINING ROOM PORCH ADDITION 12'X 23' O FRAME Pi s KITCHEN RELOCATE EXISTING WINDOW ,, 14 "-' .., EI QQ I %.. W-4 CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Aiso Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - Ali Sizes All Others/Repairs_& Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1% of Value of Appliance or Work Rate TOTAL $ 20.00 $ $ 10.00 $ 10.00 $ 10.00 $ 10.00 $ tin JOB ADDRESS %6� (/r 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 andrrect. a ,199 $�� BUILDING USED AS ESTIMATED COST _ PERMIT NO. / (� DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name _ TOTAL FEE /$ S ,yam BTU HP MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE �/� REINSPECTION FEE $30.00 Tp ,.,fly f' *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Size No. EDR DEMDAM INDOOR AIR QIUALM. INC. HEATING COMPANY 2619 COON RAPIDS, f3QULEUaRp COON RAPIDS, i+iN 55,133 Signed By Tel No. 7 -,5 C) 4 Approved Ba— Rough -in Date Final Date 140 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( i No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: V,n DEFENuABLE R AiR OUAI-1 IT. INC. 2619 GOON RAPL,`. HEATING COMPANY C "t �� 6 2 Signed By nUY✓ C^� Date D ��A e ;1,4 Gl>nt"-c/,� V-1 a SUBJECT City of Fridley 2 7 3 8 7 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ ~ PROTECTIVE INSPECTION SEC. REVT8/25/98 ATE PAGE OF APPROVED BY CITY HALL FRIOLEV 55432NUMBER 612-571-3450 910 - F15 JOB ADDRESS 5980 6th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 Bonn Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vern Bandel571-4003 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Horizon Exteriors 1333 - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION XR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (30 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS UNderlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2502 $1.25 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 Fire SC $2.50 PLAN CHECK FEE OTAL FEE Licen S 5.00 $83.5 SIGNATURE OF CONT FACTOR OR AUTHORIZED AGENT IDATEI PR PERL BLDG SP ATED Y1,W YOUR PERMIT r nATE SIGNATURE OF OWNER TIF OWNER BUILDER) IDATEI a NEW ADDN [ ] ALTER ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /98 Legal Description: l I Owner Name & Address: Y eryl ��✓I�Ie� 5e1z0 -fin S� . NE Tel. # 5 ®o Contractor: Vwiuo &iC�i 0yS MN LICENSE # Zo0127� 5 Address: 6 crus--r,'a-9 Tel. # MO -3500 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ X50 2 Y! (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: B 2l ` APPLICANT: Tel. # 8'70.3200 -7,1 ? Permit Fee 25° Fire Surcharge C?6 State Surcharge SAC Charge 5 License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ ,3 5c TOTAL $-3-sem STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT City of Fridleyd ", 283 8 5 TWINS BUILDING PERMIT 572-4THE RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC f PROTECTIVE ! ` 6 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/22/98 JOB ADDRESS 5980 6th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 1 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vern Bandel 571-4003 3 CONTRACTOR MAIL ADDRESS 425-4737 ZIP PHONE LICENSE NO Twin City Exteriors Co.I59,369-4081 2539 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 O ADDITION O ALTERATION Qc REPAIR O MOVE O REMOVE B DESCRIBE WORK Repair siding on west side - storm damage 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. 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 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 $500 @ $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $21.00 Fir SC $.50 PLAN CHECK FEE FEE Licens S 5. ;TO/JAL 7.00 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI EN ROP VA I LWjrD THIS IS SOUR P Iy�T BLO -NSF' � L//D /TATE S-GNATURE OF OWNER..F OWNER SUILOERI IDATEI NEW - [- J Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstnictionAddress:�� Legal Description: Owner Name & Address: Tel. #��%/-QQ` Contractor: i t1 7-yX 7 25A l D leS MN LICENSE # Address: IO 6a ZQM42Y •l.) ,/l R. SP1 �531� Tel. # �Ol X73% Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: * Length Width Height Sq. Ft., GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: c Construction Type: ORALA&P-Fztimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ * = $ DATE: ZQ /- q9 APPLICANT:Tel. # .S- CITY USE ONLY Permit Fee $ (5? % 00 Fee Schedule on Reverse Side Fire Surcharge $ . O .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1;000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ r. O $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 [ J ©d TOTAL $ % STIPULATIONS: CITY OF FRIDLEY PERMIT N .: 2004-01967 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 10/25/2004. (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 5980 6 ST NE PIN : 233024210051 LEGAL DESC : BONNY ADD : LOT 1 BLOCK 4 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS I # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALC) 200 # WATER TRMT APPLIANCES 0 APPLICANT PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) 0.00 0.00 H P PIPEWORKS 3670 DODD RD STE 100 PLBG FIXTURES (EXIST OPENINGS) 0.00 EAGAN, MN 55123- WATER TREATMENT APPLIANCE 0.00 (651) 365-1340 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 35.00 GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS 0.00 0.00 0.00 OWNER BANDEL VERN G & D A TRUSTEES 5980 6TH ST NE STATE SURCHARGE, PLBG FLAT 0.50 FRIDLEY, MN 55432 TOTAL 35.50 PAID WITH CHECK # 10031 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 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 provisions of any other state or local law regulating construction or the performance of construction. Applicant Date // Bldg Insp�1,_-JIDIQkey, I SEPARATE PERMITS RL36UIREdFOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLE'Y" INSPECTION DIV. 431 University Ave NE Adley, MN 55432 1 763) 572-3604, FAX (763) 571-1287 L n Effective Ap,it 1, 200,1 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT h.IADW All IRARPR nP PIXTI IRFC Til RF INgTA.I I Fri ON EACH FI ()0R WE ILUMBING FIXTURE RATES: NO. RATE Wash Imo-.;>'�■R_;r_ Wash Floor < Auto. ` ti i �.�>..{4(Qti Gas ISG<> water Fleeter ^-iii •-•yj--\,,>Yw - 2 :''-•:�.5..�'i.-: � <K <ViA.0.> .:U�(<-1i:S[ .� T FL J• ''j Y^-. V .,, Drain > . Washer >-x"= Ran a "::`! -; Gas Elec Storiesy_<:< Urinal Shower::` :.:.. -L- < Tra': :.= and rulings of the Building Division, and hereby declares that all the facts _ ., `oa:-=` ,:�a{•� fN i and representations stated in this application are true and correct. {;t\a.r' .24Lr::'Y ::->. i(x<Y_O'w�•tt>SFi%ji<Cii' <zjyt>a+.n7'»Basemen ca%xx:-r::,rry.•;u.?�<<vv.�iu<f.Odoj::;=�TX<.'� } Ain Water Leader $10.00 • i zitgati»:\:d � '........- .��-••._•: _...._. .' ... ... Y � -SLC>.��.•,.-jXS„%K l?: •• ._ y,Yv M,> ':.aO_n::: •'•'J' :t<Ji. W-{h�i::J>:{-VOil ioiwvii<�ic: •R :k?a?�CiY;iR%:• Floor 1 '<J:{X tea'; :_.-J_iC:.GNC:Yr:. $35.00 -FG ti:S- R -C io2•p. ,_. Jnr .s .<i_ r�:c.Y:.j_?v!lc.^.: -?ntii Ydia�<;a,' iG4.i:vOXfL?j-0<% 'j>%t Y}^lCr!L%>a. X:yjj'%.}.., _.•: W..>M.>,Y> }itYja�^Y:?,+'ni{S. A-pKy>>< '-i'J:•>4\W:!{%0:=iJK, vY.-._;_. :>�\j--:•.TCA'.. tCI�%j{%\?GN)�ji,NF. �4i;.W�%l"iJY!:.QO''.t0�%<C:Q)F{J\j f>L%..2X\?w�i:-C�-v.-<;. L.C:_iY�:Cjdi is\iLiiY<ZF-h%i Floor 2 $10.00 ESTIMATED COST U-f� .� lack Flow Preventer Required ( )Yes () No •4j:�t%..N:.Y y-:G� - >• Q •�+.. i-p'=�jY=>i:>t. ,:2Rv9:iY,.J%J> - h<:.Y_:G _j���vn'AVj-vG 4WX7::.S'->Y?. "l?vA\l _�O/ '_uN!{C:NY:LYij<G"<??-: 0,: '-1 eA,w '-±C..:,ffJ^�.%a:j -vL- �!;$�=A ):1ry PLUMBING Floor 3 SIGNED BY VMALt9LI TEL NO 461 :; :...,<J.<rJ.>... /� . ;YiY.j:ry�:Yi Y'w•,?--i..... -vn<lp?vJq Y'y::0>XN.:..'Y':w.'•vYi - h<.._ �A-y':-G{hYS iC!C?W.C<^?S4 •wJj:=NY :Gi%O:�:v'4Y Y.L�LtiiA YC iv->.J!>'{>j.N Floor 4 _v\ 'JC_X,J-f.< >. X9J:-rid V NYx> i'.. , •:. :- ^GPs:^.>...._.: :. W:.00::; J _.O?>: )):1<GO% ;;n ILUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESSQ -fJ-C) 01,-k, aO , �lln. �� Y ��• law Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein )Id Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes leer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Ilow Off Basin $10.00 and representations stated in this application are true and correct. :atch Basin $10.00 } Ain Water Leader $10.00 DATE: )d A/ A pump/Receiving Tank $10.00 W Vater Treating Appliance $35.00 OWNER LL Vater Heater -Electric $35.00 O Vater Heater -Gas”„�� $35.00 -34s�,m BUILDING USED AS navy? - .? t )as Range" $10.00�)� & d PERMIT MO.—� 3as Dryer"` $10.00 ESTIMATED COST U-f� .� lack Flow Preventer Required ( )Yes () No COMPANY! Type $15.00 PLUMBING OU teinspection Fee $50.00/Hr SIGNED BY VMALt9LI TEL NO 461 m kLL OTHERS AND/OR REPAIRS AND ALTERATIONS `1 1.25% of Value of Fixture or Appliance Nr Approvers By Rough -In Date Final Date NState Surcharge NI MINIMUM FEE F R ANY PLUMBING/GAS PERMIT IS $16.00 or 60% OF COST J TOTAL FEE OF THE IAfiPROV MENT WHICHEVER IS GREATER ON WORK LESS THAN $300 JOMBUSTION AIR SHALT. BE PROVIDED PER UMC SECTION 504(AA) AND TABLE $-A. "PROVIDE COMMON VENT INFO ON BACK SIDE 135.E JUL-27-2004 10:50 CITY OF FRIDLEY P.03iO3 FILL IN COMPLETELY FOR REPLACEMENT FUEL BUIkNING APPLIANCE PERMITS COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When r6placing an existing furnace, the undersigned hereby verifies that the vonting has been examined and is free from rust, deterioration, obstru6tions, and is s6curely 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 V1 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. SGA-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 manufacturees specifications. Yes () No ( ) When required to install a new cormbustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When ihstalling a new venting s stem, the undersigned hereby verifes that it i's a lifted -assembly and meets the current codes and manufacturer's: specifications. This does include AGA-GAMA Category I Central Fumice Yes ( No( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type Z flea, f C? v r, _ BTU Input Fan Assisted or Nat Nat Appliance #2 Type BTU Input I=an Assisted or Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Tatai Btu Input _ Common Vent Type Vent Height _ _ Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Applia!'tce #2 Vent Connector Height -ft length ft Diameter in Type ADpliahce #3 Vent Connector Height ft Length _ ft Diameter _ in Type II HEATINGCO: Signed By:Ik 1. Date: /l1 /P/V TOTRL P.03 *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date CITY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 6431 UnlversityAve NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 763-572-3604 FAX 763-5711287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES ��1'56C) (� fi-- 'S�- t, Q- 10B ADDRESS RATE SCHEDULE Fee Total i�cA d Residential -c owner �'� "i't- Furnace Shell and Duct Work, Burner & also Replacement Furnace $35.00 $ Building Used As Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST PERMIT NO Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. *Air Conditioning -All Sizes $25.00 $ BTU HP EDR Fuel Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Burner Trade Name Size No. Minimum Fee $15.00 for Residential or 5961 of cost of BTU HP EDR Improvement whichever is greater The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for CommerciaVindustrial/Institutional and representations stated in this application are true and correct State Surcharge $ HEATING TOTAL FEE Sign Sign REINSPECTION FEE $50.00/HOUR FAX # Date [Q.) *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date FOR REPLACEMENT FUEL BURNING APPLMCE PERMTS FILL IN COMPLETELY COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VER IF When LapIacing an extstlno fummace, the undersigned hereby verifies that the venting has been examined and is tree from rust, deterioration, obstructions, Yes O No( ) and is securely supported and firestopped velar® required. The venting systsm is plasticlPVC and meats all current codes and manufacturerYes () No ( ) specifications Including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit Is a listed Msembiy and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan Yes t) Not } assisted and natural draft appliances. ,fir=Mbustion air is sized and installed to meet the current codes The � Yes() Na ( ) and manufadurer's specifications. When required to Indetl a DOW comb ssttoOalL. It will be sized and installed Yes (} NO( ) to meet the current-&-o-des, and manufacturer's specifications. When IngWIlnu a wygntinS_tem 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 Fumscse Yens () NO( } Venting Tables for fan assisted and natural draft appliances. vent connectors sized and installed correctly aft is the common vent and an appliance has been removed from the common vent and vented Yes () No( } separately as per current codes. gQpitaLicg Tvag acid $ivelCommon Itgrig and gint eo or In#off Appliancaa #1 Type BTU Input _ - Fan Assisted or Net BTU Input Fan Assisted or Nat _ Appbr= #2 Type Appliance #3 Type BTU Input Fan Assisted or Not Total Appliances Tdal Btu Input . - Common Vent Type Vent Height Diameter _,�„�, inches Diameter ft i Appliance #1 Vent Connector Height �ft Length ft Diameter ft length t n Type - In Type ...._..--- Appliance #2 Vent Connector Height _ f Diameter . Appliance #3 Vent Connector Height ^_. fl Len9 �.--- In Type ----- ALTF RA t rI HEATING Signed By: Date: