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PRE 2010 DOCS0 City of Fridley, Minn. C WELDING PERMIT N® 3905 Date: .. -.. ...OrP. - ................. Owner ....................................... Builder .:........... .:.......................... Address ...................................... Address ............................................. / LOCATION OF BUILDING No. /.. /.. Street ..... &% ...... . ............. Part of Lot ........ ............ .. .. Lot ... ,� Block ..........1....... Addition or Sub -Division � a � Corner Lot ............ Inside Lot .,X ........ Setback..��?..� � �deyard ................ DESCRIPTION OF BUILDING To be Use � ti . ... ....... Front .. ... Depth q.l ' b Height /.! ... ) Sq. Ft. 110:k Cu. Ft.'Re Q O ........... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cm Ft.. .. Type of Construction ................... Est. Cost. /..c?..? XP.n. To be Completed ................... In consideration of the issuance to me of a permit to construct the buil desribed above, I agree to do the proposed work In accordance with the description above set forth and compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $.R®. 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. i 2W1ffMfs -, : 1�.1M NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, I A� sewer or water. Be sure to see the Building Inspector for separate permits for these Itema. 14 APPLICATION FOR BUILDING PERMIT ITY OF FRIDLEY, MINNESOTA Owners-.NamBuilder ' Address '7 a _ Address CATION OF BUILDING Nc4/42Z Street Part of Lot Lot Block. Addition or Sub. Div. Corner Lat Inside Lot S t Back Applicant attach to this form Certificate of Survey of Lot and proposed building location: DESCRIPTION OF BUILDING To be ued as Front Depth y Height Sq. Ft. Cu. Ft. . Front Depth weight 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 representations stated in thi application are true and torr ct. Date. Signature (A Schedule of Fee Costs can be found on the Reverse Side) City of Fridley Cry Apptication for Plumbing and Gas F*Nng Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK l Number. Kind and Location of Fixtures Locatio�� l e Z-3 PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 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) ...... x 2.00 > ®® New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code 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. Fri lley, Minn- "., 19� Owner /J2 19— Kind of Building19 I Used as To be completed about Estimated Cost, $—,` RW–New. Building Permit No- qL q P 0 Signed r,lry�Pf By� Business Phone No %%• _$ ^ .2 1 6 JUN 2 5 1959 R®ugh Description $ ................. TOTAL FEE E � �� 11 POST IM -12-58 nQa Z Z O yaW W Z • WATER HTR. [t aa �p F N GAS ELEG Base 1st / 2nd 3rd 4th — • Future Connection Openings Connected with New Fixture. Old Openings I Sewer Cesspool Z-3 PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 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) ...... x 2.00 > ®® New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code 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. Fri lley, Minn- "., 19� Owner /J2 19— Kind of Building19 I Used as To be completed about Estimated Cost, $—,` RW–New. Building Permit No- qL q P 0 Signed r,lry�Pf By� Business Phone No %%• _$ ^ .2 1 6 JUN 2 5 1959 R®ugh Description $ ................. TOTAL FEE E � �� 11 POST IM -12-58 City of Fridley, Minn. BUILDING PERMIT N? 6223 - nate: /i ��-�-- Owner: Builder - Address Address LO-�.�,t�CATION yyO.��F BUILDING No. Street . �-�' — Y,��ZZ2&A ._._... Part o Lot Lot ^ _ Block Addition or Sub - Corner Lot _ Inside Lot _ _tback ideyard Sewer Elevation F dation Elevation DESCRIPTION OF BUILDING To Front Depth Height ___ Sq. Ft. Cu. Ft. 71 Depth HeightW.Sq. Ft. t. Cu. F Type of Construction Fast. 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 ail 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. '01.0% •1 Building Inspector NOTICE: This permht don not eover the eoeslrucHoe, 6atAW= for may; 'MUasbteo, en heath% sewer or water. Be sun to no the Building laspector for separate permits for thea hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA c Owner's Namm 6' Builder Address 6,1 q l — n1 —D : j4cmdmwsly / LOCATION, h OF BUILDING No. % 4 Street Part of Lot Lot % ,� Block Z__Addition or Subdivision Corner Lot Inside Lot A-- Saetback' ' W.t'_�= Side -Yard 1-W&I ELEVATION 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 s; Front Depth Height ` rb Sq. Ft. 6 Cu. Ft. (r/ & &-0 Front Depth Height Sq, Ft. Cu. Ft. Type of Construction Estimated Cost -,,Z-3 6-0 To be Completed a —/ — 1/5 31— 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 /P —4 SZG11iATURF. '�s.C�� (Schedule of Fee Costs can be found on.the Reverse Side). X2Cnoo, -of e BLOck ADDRESS lV/ _.__..YALUATICK ADD. TYPE do - ;z Al., s . ...... .. . ................. . ...... . ....... . ..... . . . ............ . . . . . . ........ . .. . . . . ....... . ................ ... . 0 S�? me),,c W,' /A lleevxe QWV C 0,7 lvp-S.4 • n cc r74e -7- AZfCeocer'le, 14 0 zli f R 0 /V r 07-80 l--ArR Ir Olt CO 170,' em 17 /71,e s,4 COA2 c re /a 49r, Ve A, Oca le" e e 46/1;P! -An 4 49 r" ve 4 -, ,Ve • • City of Fridley, Minn. BUILDING PERMIT Date: June 4,p 1965 N? '7'735 Owner:Al' Reiman Builder Th -OMS_ S. S111da Address 141 6th Street N. E. Address IM 6020 Wynnwood Road LOCATION OF BUILDING No. 61y1 Street 6th Street N. E. Part of Lot Lot 15 _ Block 1 Addition or Sub-Division_Uplan�2nd Addition Corner Lot _ Inside Lot y Setback — Sideyard Sewer Elevation Foundation Mevation To be Used as: Front Front DESCRIPTION OF BUILDING Depth Height Sq. Ft. Cu. Ft. Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost 1.98,,00 __ To be completed Storm Damage Repair In consideration of the issuance to me of a permit to construct a building described above I agree to do the proposed work in accordance with the description above set fo and in [�mpliaace with afl provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ , permit is hereby granted to ZMW S • Sil�rts 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, is all work done in, aroundLta d uponFridley, Minnesregard nwiordanc�o .dty ts and this permit may be revoked at any time upon violation of any of the provisions of said AU—en Jensen Building Inspector NOTICE: 1hh Penh don cot cmu Nis conafree8on, butatlaNen for wMM& pbmbise, an bsadng, sewer or water. Be wn to see the BWMIne bqw for for separate pamHs for thea Hems. OWNER ' -S ADDRESS & o APPLICATION FOR, BUILDING PERMIT CITY OF FRIDLEY, mnw.son LOCATION OF BUILDING Street Part of Lot_ LOTS BLOCK ' ADDITION OR SUBDIVISION j,bh�pdj a,! Corner LotInside LOT Setback Side -Yard SEWER ELEVATION FOUNDATIOR ELEVATION Applicant attach to this form Two Certificates of Survey o£,Lot and proposed building location drawn on these Certificates. - DESCRiPTtON 01' BUILDING! To be used as: Front Depths Height Sq. Ft. Cu. Ft. Front Dept ,..Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost e/_7j� To be'completed The undersigned hereby makes application'lfor a permit -for'rhe work herein-spiecified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of -the Department of BtAldings, and hereby declares that all: -'the facts and representations stated in thiel`application are true and,�correct.' DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). - ar TOPS FORM 3450 LITHO IN U. 6. A. on Proposal Proposal No. FROM was S. Silvis Sheet No. 692b tlynuwood Abed Date May 22, 1965 Xple., lInn. 55422 544-3919 . Proposal Submitted To Work To Be Performed At Name 4phonse ftJman Street® Street 6Ul 6th St. I1. E. _ City State Date of Plans _ Architect City Fridley State mid e_ Telephone Number_ We hereby propose to furnish all the materials and perform all the labor necessary for the completion of -Replace 160 ft. of galvanized gutter past entire e�rtari,ar Remove all wet insulation from attic Pe�laca ' ?b -insulate entire ceiling ft -set coin hnniaMMt ramve 17 sq. of roofing Check and r®pair electric mystem for inwn®et Repair sheathing and rafters AdJust front door frame Replace 17 aql of roofing. Re -set & cilk all basement windowa Remove all sidiniff Replace one combinatiin door -Repair sheathing aW studding Adjust rear door Replace all siding Re -hand kitchen cabineti FOPla.ce face boards Re -set kitchen window Replace roof fleshing Adjust ttim on kitchen window All material is guaranteed to be as specified, and Continued on reverse aide the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars ($ ). with payments to be made as follows: Total amount due on completion Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge'over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our Control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by Contractor" Respectfully submitta-`- Per Note — This proposal may be withdrawn by us if not accepted within ten days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Accepted — 9 Signature Date _ Signature i. ..� TOPS FORM 3450 LITHO IN U. 6. A. on Mrg i PA{ t 111"11116s kltdift floor - i14 'iskY y,' llgrl's bath Floor • � ' �s y ftPlaun trim li. _ _ r Jbtqw Where needed PAeoorate kitchen, rear bedroom,, living rom balls and ibplace kitchen sink 1t -point weeks is basement Wall Waco thermppan • e • _ k d rt Aeplace eight eombination units Asplace all broken glass and screen Building permit M Q Job. clean-up and debris removal rE' Overhead and profit a "a Total cost ,498.00 Erf Six thousand four hundred ninety eiSht and no/100 b YiiIF^� Y s Contractor to pay owner the following amounts when th e completed. specified Work is Paint exterior of house $345,00 Paint exterior of garage 10000 • t .; '* Necessary decorating on interior walls 140.00 ' E Salvage on garage materials 200.00 All work must be completed to the tisfaction of all inspecting agencies.'Total dueowner ' #785.00R� r � - i G .'fir -a')'>��---� � � � l_- - J • Y. by a,. ty ♦ S l Y 4L++ 4' a. t r 1rtc� ;� - - •yvrr �fl n C� y SUBJECT PE2 City of Fridley �0 2 AT THE TOP OF THE TWINS BUILDING PERMIT f 1 7 COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r i = CITY HALL FRIDLEY 55432 NUMBER DATE PAGE OF APPROVED BY 612-571-3450 910415 77 4/30/90 JOB ADDRESS 6141 - 6th. Street N.E. I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED 15 1 Upland 2nd Addition SHEET DESCR. 2 PROPERTY OWNER MAILADDRESS ZIP PHONE 571-8175 Gary Martin 6141 - 6th-Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK C$ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 1V x 2ae Shed in Rear Yard 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 $1,000 $.50 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- $25.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $25.50 I a MATURE OF CON ACTOR/OR UTHORIZED AGENT IDATEI W N PRO ER LI TED THIS IS Y1�O/QUR PERMIT BLDG INSP GATE iGNATURE WNER 0F OWNER BUILDERI IDATEI C� y NEW dQ Effective 1/1/90 ADDN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: � - �5 T Legal Description: Z or / RL/C % �%,/� c\ 2 �. +�' Ad`. T o �o Owner' Name & Address: C -A /2 -� �- . � � - J , Tel. Contractor: _�� Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length Width Height Sq. Ft. GAPUVM AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. anmR: -!�Xe �2 j 20/ 12-' / Ga ' 2 Ga Corner lot [ ] Inside Lot Ft. Yd Setback Side Yard Setbacks Type of Construction: Q! .� Es • ._ - " Approx. Completion Date: _� /1,7 0 f + Proposed Driveway Width If New Opening Is Desired: DATE: - 3 C) 0412 APPLICANT: `� -� ✓�A,E CrrY USE as i Permit Fee State Surcharge SAC Charge Driveway Escrow Fee Schedule or $.50/$1,000 Val $600 per SAC Ut Alt. "A" or All Park Fee $ Fee Determined Sewer Main Charge $ Agreement Nece; T IAL STIPULATIONS: -77 � l '-// �7� 577, SUBJECT PE RM( City of Fridley ` 0/ AT THE TOP OF THE TWINS BUILDING PERMIT r RE IPT NO. � • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC r � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/8/95 JOB ADDRESS 6141 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 1 1 Uplands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Martin 6141 6 Street NE 571-8175 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO First Choice Exteriors 2405 Annapolis Ln N Plymouth MN 55441 553-1918 4266 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 RI ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install basement egress window 9 CHANGE OF USE FROM TO STIPULATIONS Window must comply with the State Egress 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 $2,200 $1.10 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 NY OTH STATE OR LOCAL LAW REGULATING CON- $74.75 Fire SIC $2.20 STR CTION O HEP R *ANCE OF CONSTRUCTION 't PLAN CHECK FEE License SC $5.00 TOTALFEE $83.05 SIGNATURE OF CONTRA OR OR AUTHORIZED AGENT (DATEi WHEN PROPERLY V (DATED THIS IS YOUR PERMIT SP DATE SIGNATURE OF OWNER )IF OWNER BUILDER) IDATEIBLDG NEW ADDN [ ] CITY OF FRIDLEY ALTER [SCJ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: b / y l 5 -t (- Effective 8/l/95 Legal Description: Owner Name & Address:G r /�� r7��- r t y [, f w r ✓%�1d� Tel. # ,S- ? / ' F 2 J Contractor: ; ` s f C ®t CMN LICENSE # q Address: a q o � Z- P 1 X , -w L)7`h Ilk) s,J'y 4/ / Tel. # Sj` 3 -19, (,' — 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: / V1 s'f'4 / ( &J4 I— P-7 4- j!F9 ,,_a , ) l.,_) i o w Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ crr Approx. Completion Date: / / .10 -'r- j (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: /I �� APPLICANT: 7� _ Tel. # Permit Fee $ r%`%- 9S, Fire Surcharge $ �2 C) State Surcharge $ /, to SAC Charge $ License Surcharge $ C7� Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ C3, OS STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 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 [ ] CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES I A)E JOB ADDRESS (!� T 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 Also Replacement Furnace $ 30.00 $ _W100 representations stated in this application are true and correct. (Side Vent — Fill Out Back) -- _ 6.1996 Gas Piping (Needed with new furnace) $10.00 $ , OWNER Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST c �� PERMIT NO.! 42/ *Air Conditioning —Ail Sizes $ 25.00 $C41--A 00 _ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State 'Surcharge .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $�� RLAINE HTG. A1C & ELECT. INC. 13562 CENTRAL AVE. N.E. HEATIN OMP ANOKA, MN 55304 MINIMUM FEE FOR ANY HEATING[ COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed Tel No. C� PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE R STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE t>. CHD NEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes �No ( ) 2. Is free from rust or deterioration Yes K 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 KNo ( ) 6 Has total heating BTU's of 3Y4 dx, v UJ—( 1< 14t-le- All 4t/z All other BTU's & 0, ,9a v '900 PU co -4C,. -RW—4-c TOTAL BTU's 7. Has a liner been provided for water heater �{ Yes 6(� No ( ) S. Has combustion air been provided for water heater Yes_�J No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: n k'e �,raa4�s:n ELAINE HTG. A/C .& ELECT. INC, 13562 CENTRAL AVE. N.E. A.'49KA,, MN 55304 IAO C AIR CONDITIONING HEATING HOUSE HEATING TEST RECORD Ari � ELECTRK. INC. ADDRESS ���[ j OCCUPANT ��� HEAT LOSS DATE HTG. INET. SOLD BY Electrical Work By TYPE OF HEAT GA FA HW STEAM SPACE HTR. APT. FLOOR CITY / R1 SUBl3RB INSTALLED BY IN Baas Line By UNIT HTR. OTHER MAKE AV GAS DESIGN MAKE OF BURNER CONVERSION Model 06 Model Serial --ZA91!9-10 B Max. BTU Rating INPUT KE OF FURNACE Model CONTROLS THERMOSTAT & 4g %- 9 7 Heat Plug Valve i/J Limit-__&-±d?iLXa Limit Setting Fan Setting 067� Pilot Type e Pilot Make - _T A= Pilot Model '1771 -7 - Pilot Timing T j? CG- L. W. Cut Off Pressure 0`5� (� a Percent CO, � Input CFH © Percent 0, q Stack Temp. Percent CC, Form 235 Vent Shea -we OC KIND OF LINER Draft Hood _/.G l4f frlrt,�N F7171 01711, CW,mnay Location a4l'yoney Ck-metructlon .1 Outsida 066 1-3sted _ Company TefMing W•rime ai TGatoa SUBJECT City of Fridley 24594 AT THE TOP OF THE TWINS BUILDING PERMIT r RE r � _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/24/96 10B ADDRESS 6141 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 1 Uplands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Maxine Martin 6141 6 Street NE 571-8175 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dale R Bauer Contr 8674 Greene Ave S Cottage Grove MN 459-5469 20023198 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 S Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the 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 $2,062 $1.03 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- Fire SC $2.06 STRUCTION OR TH ERFORMANCE OF CONSTRUCTION $74.75 q c� �%`-4 PLAN CHECK FEE TOTAL FEE L- 7`� License SC $5.00 $82.84 SIGNATURE OF CONTRACT OR AUTHO IIZEDAGENT IDATEI WHEN PROPERL?VDATED THIS IS YOUR PERMIT NSP PATE SIGNATURE OF OWNER iiF OWNER BUILDE RI IDATEiBLDG NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddres 2. *X E Legal Description: Owner Name & Address:Z44yrrA Tel. # !S-, 7/-S— Contractor: DAIL, llez?jj Y,- MN LICENSE # E)o09319 9 Address: Co --}ice �yve Tel. # SrP 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 GARAGE AREA: Length Width DECK AREA: Len W_ id OTHER: �� `� Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: o4 � Poo P Height Sq.. Ft. Height Sq. Ft. _ Hgt/Ground Sq. Ft. Side Yard Setbacks Estimated Cost: $ _ C)� '-, �)' Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft Ft x $ _ $ DATE: APPLICANT: Tel # 4/3 Permit Fee Fire Surcharge State Surcharge SAC Charge -icense Surcharge :)riveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY r $ 1'`� ?� Fee Schedule on Reverse Side $ G' .001 of Permit Valuation (1/10th%) $ D3 $.50/$1,000 Valuation $ $900 per SAC Unit $ . 00 $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 [ ] From: 7634124285 Page: 213 Date: 6/23/200810:42:53 AM Building BUILDING Permit No.: inspections RESIDENTIAL APPLICATION Received B= -4 763► -572 3604 Date =20 CITY OF FRIDLEY DATE 1411WL18 YOUR E-MAIL ADDRESSd anrt�trn pl i1 B %%moi •erpn SrrF. ADDRESS _ �Pg �' 6" LJ Ti -1I5 APPLICANT iS: D OWNER CTOR PROPERTY OWNER/ NAME: r .* :fj in TENANT ADDRESS: LIM 40d—ky- 6-� C1TY STAT IPM2�S�?— PHONE: CONTRACTOR NAME:Ine F&�,? 5dy 2 ne— _i SUBIViIT A. COPY OF STATE LICENSE 11Z iM9r WDATEQA ��'''�j�J�- /� YOUR STA77 LiCENSE �-,�� � ADDRESS; !-ld� l -_.*.7.. s -here- �f � ��1'[Y STATEW...TP_&S%J!�Fi WrM AFMICA71ON pHt1NE . RAS PROPERTV TYPE SINGLE FAMILY/NEW CONSTRUCTION SiZE TWO FAMiLYMEW CONSTRUCTION STORIES PERMIT TYPE E3 ADDITION O GARACiE/SHED W5 11 BASEMENT FINISH O ROOF RAIN TILE ❑ DECK ❑ SIDING ❑ OT14ER ❑ SVaNTMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION A. CFJREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Jyj�i�q, W 1J JW Il SIZE OF iMPROVEMENT LENGTH WIDTH HEIGHT � cpm It 329EM Q HOUSE ONLY NUMBER OF SQUARES 0 HOUSE cit GARAGE SASEM M UMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Pian PROPOSED SIZE: PROPOSED HEIGHT: ❑ DETACJiED GARAGE 2• 3. Proposed floor plan List of structural memt+ors to be used SIDING clsoa t FOR NEW CONSTRUCTTON INCLUDING DRCKS, ❑ Aluminum ❑ Trim .ADDITIONS- 1. & ED312 9 SUBMIT: Site PwAurvq stowing the existing sb ucwm O Other ® Fascia and poposed project MONDOTo 2, Two sets of ennwaction plans iN EXSTiNG OPENINGS ❑Yes 17No LOCATION nr u"NDOWS 3. Enew Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTA•LLED9/Ab tiS NUMBER OF W1NbOWS F• ALL FEES ARE BASED ON VALUATION, INCLUDWG THE COST OF LABOR AND MATERIALS: (USINGTHE X977 U.B.0 FEE SCHEDULE) TOTAL. JOLT VALUATIONS Rrks) n OrCLTPANr-V TSF 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 651/b of Building permit Fee -001 tiles tate total job valuation .0005 x Permit Valuation Minimum. $.50 $5.00 (State Licensed Residential Contractors) $ 1675 per SAC Unit (Plans to MWCC for determination) ft+6 ft= ftx$21=$ $450 Conservation Pian Review Fee Determined by Engineering Agmemont necessary ( ) Non Necessary ( } Make checks n"able to- City of lridiev Attue TRTS rS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply fbr a building permit and I acknowledge that the information above is complete and accur4e; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Consbvcdon Codes; that I understand this is not a Permit but only an. application for a permit and work is not to start withotrt a permit; that the work will be in accordance with the approved plan In the case of all work which requires review and approval of plans.