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PRE 2010 DOCSe �I 0, Date Owner Address J ../ 01, BUILDING PERMIT Village of Fridley, Minn. N° 2121 Address......................................... 1 LOCATION OF BUILDING °TITo. . 1 .�... Street . s .,e# ... .................... Part of Lot ....................... Lot :..... ... Block ... .......... Addition or Sub -Division/. M W, -,t Corner Lot .... ..... Inside Lot . .. Setback .. ?'... Sideyard..r�`,�•' ........ ....... . To be Used as: e ................. �I Type of Construction In considerat the proposed wor ordinances of the In the express con done in, around Fridley, Mmnes In the village 1v ordinances. DESCRIPTION OF BUILDING Front .... Depth ...Iieight ......... Sq. Ft......... Cu. Ft......... .rront ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ........ .............. Est. Cost ............ To be Completed . 9CA, n of the issuance to of a permit to construct the building described above, I agree to do in accordance with the description above set forth and in compliance with all provisions of Mage of Fridley. c i of the payment of a fee'of permit is heby granted to o construct the building or hd ditibn as, described above. This permit Is granted —ubon yin tithe person to whom it is granted and his agents, employees and workmen, in all work I upon said building, or any part thereof;, shall conform in all respects to the ordinances of regarding location, construction, alteration, maintenance, repair and moving of buildings with - and this permit,may be revoked at any time upon violation of any of the provisions of said Building Inspector NOTICE: i This permit does not cover the construction, InstaIlatlon or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. 0 L City of Fridley, Minn. BUILDING PERMIT N° 2 Date: 4-(�---/ —.-. -- #7 A Owner: oe? Builder ... . . ......... Address Address TI OF BUILDING No. Street ...... . ........... - ----------- Part of rot Lot ..... ....................... . ........ Block .......... ............... : ............... Addition or Sub -Division Comer Lot ...... ................... . ........ Inside Lot .-•--------................._........ Setback •-----............._......._..._.._.... Sideyard Sewer Elevation .. ................................. ............... ........ ............. . ...................... Foundation Elevation .................. DESCRIPTION OF BUILDING To Used as• Front Depthg/ ofv- Height 0 sq. Ft. Cu. Ft. Front ..................... Depth ...Height ...................... Sq. Ft......_............._. Cu. FIL ...................... �A C6-r1J —' be Completed ................... . ......................... Type of Construction Est. ............... TO 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 violation of any of the provisions of said ordinances. 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 home. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name a,,ICE Builder Address 4�r e-/ - ,�� Address LOCATION OF BUILDING No. �� � Street &- 'l Part of Lot Lot Block Addition or Sub.Div. Corner Lot—Insi,de Lot t Back Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: ���1Front ` Depth Height ,.. Sq. Ft. Cu. Ft, Front Depth Height Sq. Ft. Cu. Fit. 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 facteand presenta- tions stated n this application are true and correct. DATE /X/11 SIGNATURE ';5 r,_x- �Z—i�?' (A Schedule of Fee costs can be found on the Reverse Side.) / 'or A �A I� l ;7 City of Fridley, Minn.. is BUR DING PERMIT Date: _ June 16, 1965 Owner: Robert E Rapp Builder 3©0c5r3 No '7903 Kermit A. Hill Const. Address 6061 6th St. N.E. Address 3027 Morgan Ave. No. LOCATION OF BUILDING No. 6061 street 6th St • 14.E. Part of Lot Lot 5 _ __ Block 1 Addition or Sub -Division . BoBny Addition Corner Lot Inside Lot Sewer Elevation Setback Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Home Front Depth Height Sq. FL Cu. Ft Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est Cost _$15x500-00 __ To be Completed • Repair Storm Damage • Approved by council on June 14, 1965 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 ances of the city of Fridley. /gj - '0 // _."? /kr , /J In consideration of the payment of a fee of 2 10.00 . permit is hereby granted to KERMIT A. HILL 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 pert thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ALLEN G. JENSEN Building Inspector NOTICE: V& pwmh don not emm the candmethe, IesteQs m hr wM M ppm& on 6estieo, serer or men Be ars to see the Bai ftne &Wsdw for npwde permit for thea Berns. r ppp��� gg APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME_ �E/�T .� /C_4 BUIILDER r- ADDRESS gag, 49 ""Zr /s.G AnDRESS 3c-" LOCATION OF BUILDING No. Street Part of Lot LOT BLOCK ADDITION OR SUBDIVISION Corner Lot Inside LOT x Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as: Type of Construction To be completed DESCRIPTION OF BUILDING Sq. Ft. Cu. Ft. Front Dept T�Height Sq. Ft. Cu. Ft. Estimated Cost The undersigned hereby makes application for a permit for the work 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 4a -I a— SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side), We the under signed hereby give our permission for the ajoining property to extend beyond regular building permit reguirements. This would include side lot footage and the bringing forward of the garage structure. Signature _ -- - - ------------------------ Address:------------ We the under signed hereby give our pemission for the &joining property to extend beyond regular building Permit requirements. This would include side lot footage and the bringing forward of the garage signatur I Address 1 November 25# 1966 Mr. Kermit dill 1552 Sumter Minneapoli go Mimiesota Re: Fireplace Dear Mrr. Hill: In regard to leakage of fireplace at 6851 - 6th st. v. E., this is in violation of code. Please contact this office before December 2 far an appoint- ment to meet with you for a possible solution and correction. An appointment around 8 am. would be suitable for Mr. Rapp and I hope convenient for you, also. Yours very truly, Building Inspector CM/hr / rl � V a SUBJECT PERM I City of Fridley 12654 AT THE TOP OF THE TWINS BUILDING P E R M I. RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. t � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 /29/74 JOB ADDRESS 6061 6th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED' DESCR. 15 1 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Glen Huebner 6061 6th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SAM --Z-ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Playhouse 7 CLASS OF WORK JJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 6' x 10' x 8' playhouse 9 CHANGE OF USE FROM TO STIPULATIONS XX 1. Attach to permanent foundation SE?ERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGH,& TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, wood VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 60 4.80 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 $ 300 5O 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- : X5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $5.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIW EN PRO ERY A A E HI IS YOUR PERMIT -IDATEIr . SIGNATURE OF OWNER IIF OWNER BUILDER) BLDG WSP DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : G t e w► H,& e b q_ Y BUILDER: ADDRESS • 1,01.1 IOC Sfi Ale ADDRESS: NO:. STREET: LOT: BLOCK : ADDITION: 0 CORNER LOT: INSIDE LOT: %` SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: & Depth: /y fr. Height: J?' Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Wood. 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 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: "`� Y X50 157 N —SIGNATURE: (See Reverse Side For Additional Information.) A-j-TACr+ "Tb FO U,u Q1Vgn 0e1--' Pff2r&'jCr SUBJECT PERMIT -- City of Fridley AT THE TOP OF THE TWINS PERMIT r BUILDING RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 `� /---1 CITY HALL FRIDLEY 55432 �.--- • •�� NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 7-29-7 JOB ADDRESS 6061 6th Street N.E. 1 LEGAL . LOT N�15 TRACT OR ADDITION SEE ATTACHED DESCR. 7BLOCK I 1 SHEET 1 Bonny Addition 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Glen Huebner 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. .q AME 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING attached to house 11 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS 1. Provide frost footings. SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS - 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 ZXqdwood 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 $1700 000 .85 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- 10.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $11.05 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ---EN PRO R V I ATE HIS IS YOUR PERMIT SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) DG INSP DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: Gleam h!KebAe..r BUILDER ADDRESS:— & U G % / TL- ST, //f ADDRESS: NO:. STREET: LOT: BLOCK: ADDITION 13 Pop, CORNER LOT: INSIDE LOT: x ETBACK: SIDEYARD: s Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: G,ecc•+ taws Front: epth: 12-' Height: 7' io'' A--M,qc pq *t 46 Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Vea WaJ�- Estimated Cost: $ 1 %Od 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 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:5 SIGNATURE: (See Reverse Side For Additional Information.) P v � SUBJECT P City of Fridley 6 7AT THE TOP OF THE TWINS BUILDING PERMIT(1112"6 R • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 7/16/98 JOB ADDRESS 6061 6th St I LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 1 Bonny SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Glen ZEBU Huebner 571-3231 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dan Natkn Fxterjors 7189 Riverdale Rd., Hpls, MH 55430 1 20060494 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 13 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 25 SO Tear-off 9 CHANGE OF USE FROM TO STIPULATION S Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 2085 1-.-Ei6- $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 Fre SC $2.08 PLAN CHECK FEE FEE S 7TAL 82.87 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI EN R Y VALI A D THIS IS YOUR Pfi,�A'�� SIGNATURE OF OWNER OF OWNER SUILDERI (DATE I 9L INSP DATE NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Owner Name & Address: � 1&� Tel. # -,!!5 Contractor: P18:R:Wd01G KO EXTERIORS MN LICENSE # Address: 71 ROOd • nes.. new Tel. #LIC, 200MM22 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 th Hgt/Ground Sq. Ft. OTHER: �W' 1 '7 Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 7�/%j���%/%' Estimated.�"se�"I'- Approx. Completion Date: �2_ Q (Cost on Back) Driveway Curb Cut Width Needed: Fpt.6 Ft = Ft $ _ $ DATE: `2 / APPLICANT: Tel. # CITY USE ONLY Permit Fee $ 'f �(� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ ✓ $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ CJ $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: E7 0 b CITY OF FRIDLEY INSPECTION DIViSION "I� X431 University Ave NE Effective On January 1, 2000 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 - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work JOB ADDRESS 6(5 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and $ �S S0 representations stated in this application are true and /rrect. DATE /� HEATING CO — �"Qwpr r��€�,���2M?n w'M ii, ®ibiLw�F_ sm. g Signed JUTAIMMM�, EL # ,, ��f� 4�a t _ Rough -In Date Final Date a� *Air Conditioners can not be placed in a side yard without Approved By written permission from adjoining property owner. OWNER +Uv /-Iry41- �`� (::;TL)e_�' Rate TOTAL BUILDING USED $ 30.00 $ (� ESTI MATED COST , PERMIT 0./ $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and $ �S S0 representations stated in this application are true and /rrect. DATE /� HEATING CO — �"Qwpr r��€�,���2M?n w'M ii, ®ibiLw�F_ sm. g Signed JUTAIMMM�, EL # ,, ��f� 4�a t _ Rough -In Date Final Date a� *Air Conditioners can not be placed in a side yard without Approved By written permission from adjoining property owner. COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date C,CtYOP FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 11, 2002 Donna Stone 60616" Street NE Fridley, MN 55432 Re: Final Inspection at 6061 6t' Street NE Contractor: Standard Heating & Air Conditioning Co. Dear Ms. Stone: A mechanical permit was issued on June 16, 2000, to install an air conditioner 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. �/� ,;I %7 Building BUILDING Permit No Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-5012-4977 FAX EFFECTIVE 1-1-2010 DATE/ L' 1c-) YOUR E-MAIL ADDRESS Gt-l?W i�5 fc�Y� �/ • V�� srrE ADDREss WW (Dlt ' NE THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: Donna c&One. TENANT ADDRESS: boto( btl .Si. I�g CTI'Y Fr� _STATE_J1 f_ZIP 5$4 PHONE: CONTRACTOR NAME: CMW C00'C- Lx -ttM SUBMIT A COPY OF STATE LICENSE # 20(0 �-9 3 EXP DATE 120 YOUR STATE LICENSE AND CERTIFICATE OF �n� ADDRESS: 1(o Lail E NCITY �- t.ALS STATE MN zip -i54 Ca INSURANCE PHONE 61a- 3 FAX(glj 9(e gall PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED - WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING JXOTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION , NIAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: &Ok8c� PA -ho 46ft ciaor wim e4m-a's W(Aany-i SIZE OF IMPROVEMENT LENGTH & — WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 13 HOUSE & GARAGE 1 _ Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2_ Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑Fascia and proposed project. 2_ Two sets of construction plans WINDOWS IN EXISTING OPENINGSAiY ❑No LOCATION OF WINDOWS 3. Energy Calculations FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED 1 C.- NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S JS�/3� _ 1--45 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Davable to: Citv of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all wor which requires review and approval of plans.lz�f ,, ,�^ SIGNATURE OF APPLICANT PRINT NAME ErtG La X Jr 1 DATE (01Z/10 91 I PLEASE NOTE: SEPARATE PERMITS ARE REOUIRED FOR PLUMBING. ELECTRICAL AND MEC:t1ANIUA.L WORK I