The URL can be used to link to this page

PRE 2010 DOCSCity of Fridley, Minne BUILDING PERMITS? o 4539 Date: Owner: _....... ....:.'% _.. �. ................ Builder ....._......._....._.. ... __. Address ��o�_._ __I ._ Address _ .._... 01" TF BUILDING No..... Street ............ Part of Lot Lot ...---... .._........ Block....._......_ _....------------------ Addition or Sub-Division� ..... // -� - ! Corner Lot ----..... Inside Lot ....._.._.��....... Setback .........._......_........ Sid yard ....._..._f:... ......... Sewer Elevation ........... ................................................. _....__...._............_..._... Foundation Elevation DESCRIPTION OF BUILDING To Used as: Front Depth .. _ Height . .. Sq. Ft. .143Z Cu. Ft. '211 _ ........... -......... ......_......._......._..... Front ...................... Depth ........... ,, Height ,r........�.... _.. Sq. Ft. ...................... Cu. Ft. ..... _........... .._.. Type of Construction ....'•--*&.� Est. Cost. a,�...i — ................ To be Completed ....._............. _............. ........ -........ CAUTION THIS PERMIT DOE; NOT gUTHO ;I; E VIOLAT- ION 0'1--, ANY PRI Vt� TE LAND COVEINANTS AND EUILDING RESTRICTIONS. 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 $p[ �.__.:....:----, 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 tim�-upon liolation I any of the provisions of said ordinances. /� ,1,�' /d J 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 hems. 4 APPLICATION FOR BUILDING PERMIT ,CITY OF FRIDLEY, MINNESOTA LOBATION OF BUILDING No. Street /o - • t'ex't of Lot Lot Block , Addition or Sub. Div. fez Corner Lot_4Inaide Lot_ Set 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 34ed as: Front � Depth -� � Height / Sq. Ft. �� _Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft, Type of Construction Estimated Cost To be completed_�_sl�J The undersigned hereby makes application for a permit for the work herein specified, - agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all�,the- facts and representa- tions sst/tate/d/J in this pr�rlplication are true and corre \-- w ..•.r.• /X / � � O / si [TfAT. TT l�%%'��.� i''��—e.�� of Fee costs can be found on the Reverse Side.) 0 City of Fridley Application for Plumbing and Gas Fitting Pemdt v Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK ,v ,� y` Number, Kind and Location of Fixtures Location [� a �"®— C2rea M F Y Z j Z D�k d �U� z� Z W aU' • • WATER HTR. ELEC. s iii ��F 3 o� go t� d3 f�9 �a 0 R N GAS to Base 1st 2nd _ 3rd 4th • Future Connection Openings Connected with Sewer New Fixture, Old Openings Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixturesc� .............. 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) ......Z x 2.00 $ 2 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 Description ................................................$ TOTAL FEE $ City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn %V� 19 0 Owner 1 9=22L�� Find of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Permit No.�2 d01 G Signe By Business Phone No ROUGH 4 i 0? ;� ` 6 i) FINAL X42 2M 7-59 Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIA Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM , Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water ........ ......... 8.00 $ 2.00 5.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ r C)o 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 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ REMARKS: , — 6 P-(- c . 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 fticts and representations stated in this application are true and correct. Fridley, A nn. e. ^► ,e � y 195_ Owner R �"` t v��lL: s- t '? 195— Kind of Building `'�-ri- 195— Used as To be completed about Estimated Cost, $ Ll— Old—New. Building Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name -11 t Size NoAl CapacitySq. Ft. E.D.R BTU H.P. Total Connected LoadZ# Z a Kind of Fuer BURNER — Trade Name_ Size No Capacity Sq. Ft. E.D.R BTU H.P. Signed �� f..+. __ C�� ► f -. P9 /d li POST 1M-12-58 Business Phone No • • is Date: Owner: City of Fridley, Minn. BUILDING PERMIT May 20, 1969 Clifford V. Zak Jacobson Builder Same Address 6240 6th St. N. E. Address Same LOCATION OF BUILDING No. 6240 Street 6th St. N. E. � Part of Lot Lot — 5 __ Block 2 Addition or Sub -Division .__ _ Upland 2nd Addn. Corner Lot ,_ Inside Lot Sewer Elevation Setback --- Sideyard Foundation Elevation DESCRIPTION OF BUILDING e-1 70- N° 10238 To be Used as: Garage Front __L2' 22' Depth _L6L Height 10' Sq. Ft. 572 Cu. Ft. 5720 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost __-1300.00 __ To be Completed In consideration of the issuance to me of a permit to construct the building descripd,,�above I agree to do the proposed work in accordance with the description above set forth 7d �jn co p ith a'II provisions of the city of Fridley / I f� /� , .4 In consideration of the payment of a fee of $ 9.00, permit is hereby granted to Clifford V . Jacobson 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 andmoving ofbuildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. d� Clarence Belisle NOTICE: M permit does not cover the construction, h►sb&Mon for whine, plumbing, gas hating, seller or water. Be sun to see the Building Inspector for separate permits for thaw Dona. ,APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME LCQI� T l'' 1, tib d /, BUILDER ADDRESS '�" ADDRESS - LOCATION OF BUILDING 110. STREW al, LOT .,A� LOCK T �� ADDITION OR SUBDIVISION q 2L -2,/ X,70a CORNER LOT INSIDE LOT Fes. SETBACK SIDEY,ARD �- o,r ,,._. SEWER ELEVATION TOP OF FOOTING 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 Pront _Depth �I �, Height /® Square feet Cubic Feetr- Front Depth Height ~Square feet Cubic Feet Type of Construction. Estimated Cost / aor)'c �I I*III I E To Be Completed III " fas The undersigned hepeby makes application for a permit for the work herein specified, agreeing to do all work in strict accordanoe-.with the City of Fridley Ordii=ces 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 G - S3GNATURE I Irl III III .TII I�I�. I III I *. IU (Schedule of Fee Costs can be found on the Reverse Side.) b9� LoadPlolunny ARTS PPi9hnvy {CS j1'5. land SLckeymy flnYWUt k I I's J z Sot/3 Test';1Y EN"Glik"4EERING, INC. iffanoc!a Cl VI/ b- A funIcipal weenny Enyineers Sur veyors lhereby cerh& fhot 6.5 Is o true and ecrad repre3en1dion Ora survey Ohe boundaries el",'he abaye k,;c7r;hed�. �.7j r,r?,Ie o�f bo;ldf�y5, #rreva, YI'5l'ble ef,,roocbmealf ffzyn or en--u&,land. As surveyedme Ali8 by SUP j%ICf Ul� 6AN rr reINC INC. c P. C, tit lhereby cerh& fhot 6.5 Is o true and ecrad repre3en1dion Ora survey Ohe boundaries el",'he abaye k,;c7r;hed�. �.7j r,r?,Ie o�f bo;ldf�y5, #rreva, YI'5l'ble ef,,roocbmealf ffzyn or en--u&,land. As surveyedme Ali8 by SUP j%ICf Ul� 6AN rr reINC INC. J SUBJECT MIT NO. City of Fridley . .3614 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. ` COMMUNITY DEVELOPMENT DIV. _______ L PROTECTIVE INSPECTION SEC. r 32- 1 , NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 8/8/95 JOB ADDRESS 6240 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 5 2 Uplands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clifford Jacobson 6240 6 Street NE 571-3222 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 Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 10' x 8' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 I 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 $685.60 .50 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 $26,50 Fire SC .69 PLAN CHECK FEE TOTAL FEE 27.69 SIGNATURFyOTRAC OR AUTHORIZED AGENT IDATEI WHEN P�� VA DATED THIS IS Y UR PERM BL G INSP 1 TE S.GNATU F OWNER OF O NER SUILDERI IDATEI J NEW [ ] Effective 1/ 1/95 ADDN (] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 3 Z_ Building Permit Application Construction Address: 41,to Lt-"- S� G• �,,.i d 1 c y i� h ��i_,� 3 y Legal Description: Owner Name & Address: C ►; rUd_V 4 Y. J IUA42 sm Tel. # f 7 1 - 3 2'- L Contractor: Address MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length / o ' Width T ` Hgt/Ground R OTHER: Sq. Ft. Sq. Ft. Sq. Ft. �(,, Jr7 Corner Lot [ ] Inside Lot bd Ft. Yd Setback Side Yard Setbacks Type of Construction: Wood, Estimated Cost: $ S 66 + Approx. Completion Date: E ► �'^�' " &eS �® (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft n Ft x $ _ $ DATE: 3 APPLICANT: Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ �v .001 of Permit Valuation (1 / 10th %) State Surcharge $ . JV $.50/$1,00 Valuation SAC Charge $ $850 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 city of Fridley 8 363 571-DTHE TWINS g� ILDING PERMIT (r2 E� ` 1 `v COMMUNITY DEVELOPMENT DIV. ______ r PROTECTIVE INSPECTION SEC. -71,A i-_ A CITY HALL FRIDLEY SS�32 NUMBER REV DATE PAGE OF APPROVED BY ��"', __J L ` 612-571-3450 9t0 -F15 10/22/98 10B ADDRESS 6240 6th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 1 Uplands, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cliff & Linda Jacobson 571-3222 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of MN 3118 Snelling Ave S Xpls MN 55406 721-6628 2179 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 O NEW O ADDITION O ALTERATION Qc REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof• Siding and fascia 8 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $16,673 $8.33 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 $249.75 Fire SC 16.68 PLAN CHECK FEE TOTAL FEE 279.76 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATE- WHEN PROPERLY IDAT D THIS IS YOUR PERMIT Ir 9 BLO 'NSF' rIATE SIGNATURE OF OWNEROF OWNER BWLDERI DATE, h1LW 1. IadPk WleCUve 1/1/94 ADDN (AWYbL4 CITY OF [-RIDLEY A1�I LR SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application o llstr action Address: U - ((� � t �y � �` � o/% � . /L/ n% -- Legal Description: -- Owner Naive & Address: �l �� G!� Pa �a Cod Som Tel. /I�- Contractor:—.jQC'�� 6� �n __ MN LICENSE- Address:--_3& ICENSEAddress:--_3& .Sii e��•� o. s. �,�/S !?/ft% ss -/0 (o Tel. # Attach to this application, a Certificate of Survey of the /g lot, with the proposed construction drawn on it to scale. �o r 1 �� DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Corner Lot I I Inside Lot Ft. Yd Setback Side Yard Setbacks T e of Construction: .51d,,, rf5e140 et�a`ivr� -,0s Estimated Cost: $ 16 T Completion Date: 117 ;�' ( Cost on Back) Sq. Ft. Sq. Ft.- Sq. t.Sq. Ft. (0 7.5, �06 Driveway Curb Cut Width Needed: Ft. + G Ft = Ft x $ _ _ $--- DATE,: -_DA'Z'E: _ 8/o 'rs' APPLICANT: Tel. // 7,?-/- (v (o a- 9' .. Permit Fee Fire Surcharge Siate Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge •1'O7'AL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side `.001. of Permit Valuation (1/101h%) $.50/$1,000 Valuation $ $800 per SAC Unit $ <70-4'y $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Fee Determined by Engineering $.-_..__.---------__-_-- Agreement Necessary I I Not Necessary I 1 ft CITY,OF FRIDLEY INSPECTION DIV. U0 6431 University Ave NE ' Fridley, MN 55432 is APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS_ �;'A 46 5 r g1 New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 d 4� , 20 rJC Sump/Receiving Tank $ 7.00 ® ej) � Water Treating Appliance $10.00 Owner L. Water Heater -Electric $ 7.00 Water Heater -Gas" _ $10.00 Building Used As�� Gas Range*" $10.00 Gas Dryer** $10.00 Estimated Cosh PERMIT NO. Back Flow Preventer Required ( )Yes () No ,1 c I'¢ `�� Type $15.00 PLUMBING COMP ►1 Reinspection Fee $47.00/Hr SIGNED BY - I- - TEL N0.01 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance C;4- Approved By Rough -In Date Final Date State Surcharge $ .50 TOTAL FEE $_4 - ,S0 MINIMUM FEE ANY PLUMBING[GAS PERMIT IS S20,00 PLUS THE �ATIE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the BTU Input Fan Assisted or Nat venting has been examined and is free from rust, deterioration, obstructions, BTU Input Fan Assisted or Nat and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer Total Btu Input 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 manufacturers 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 manufacturers 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 it Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 11, 2002 Clifford Jacobson 6240 6 h Street NE Fridley, MN 55432 Re: Final Inspection at 6240 6`h Street NE Contractor: R. A. Johnson & Son Dear Mr. Jacobson: A plumbing permit was issued on October 25, 2000, to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections 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 permit 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. incerely, iA JENSEN �Ag Inspector IRIS ' SUBJECT i City of Fridley 7319; 57 AT THE TOP OF THE TWINS P, BUILDING PERMIT r - NO. DIV. --- __ _ COMMUNITY INSPECTION v INSPECTION SEC. 572-3604RECEIPT r � � PROTECTIVE 1 � � NUMBER REV DATE PAGE OF APPROVED Br CITY HALL FRIDLEY 55432 612-571-3450 910415 7/5/01 JOB ADDRESS 6240 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 5 2 Uplands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clifford Jacobson 6240 6 Street NE 763-571-3222 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Residential Dream Builders Inc 915 Kingsview Lane N, Plymouth, MN 55447 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 612-221-3497 20227509 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install two basement windows - one that will meet egress requirements 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED 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 $3,500 $1.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOR U 1 TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVIS NS O ANV OTHER STATE OR LOCAL LAW REGULATING CON- $97 25 Firepc $3.50 STRU ION O THE PERFORMA OF CONSTRUCTION PLAN CHECK FEE TOTAL EE '1 Licens SC $5.00// 07.50 S-GNATURE OF ON-RACTOP OA AUTHORIZED AGENT iDATE- MEN PROPS LIDATED T IS IS YOUR PERMIT s rO _ S,GNATURE OF OWNER..F OWNER BUILDER, iDATE. :.BLD NSP IFHATE e 01 JUN -21-2000 15:33 FROM CITY OF FRIDLEY TO 6172397 P.02%03 NEW (1 Effective 1/1/2000 ADDN (] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER M SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: (p240 Se'`' ST: r4E E2u u iE�i , MN '55,02 - Legal Description: Owner Name & Address: 0%flrat o Twa sso-%4 _ S4,1Le Ag A4�.O f6 Tel. # 5-71-52ZZ Contractor. 't -Am RA10e9S lNc- MN LICENSE# ZoZ2?50 1 Address: IS Kr,Q5 t/(.gZj -L-N rl. Plv,ad0T 1%461 5447 Tet. # �Qi2�221-34�1i 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: IORTAII L. &me-N'f V W00 Estimated Cost: $ � W 1717+_ „ a w Ett$ 1 of Tt(�M -� Mead 9;tyrt,Ess Driveway Curb Cut Width Needed: Ft = Ft x = S DATE: &--"-O/ CITY USE ONLY - Permit Fee Fire Surcharges _ State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Tel. #f 6 tZ7221- 3498 (763) 572.3604 for Permit Fees if mailing in application $ f'7 �� Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $ /. $.50/$1,000 Valuation $ $1100 per SAC Unit $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above E $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary , - TOTAL $ o s STIPULATIONS: /1 (A►�tS►l�- W4.11 FjAp ry sh;eping room shall have at least on window with a sill height of not more than .� 44" above the floor and shall provide not less than 5.7 sq. it of openable area with a Min, hOW of 24" irl a - i- -!W! ►'-- r JJ-� 1. W Ok-t Tye �`+ !:k'[Ka�l WINbOkk) 1013AeXvd41+l I=Nb;►��1, VAtJ6 r��t � / ._. � . u ,�y."2�� c�+� f%r'Car.ra;�tt�rl �,gMjPS ►� ��— Mevj VItAYL, 51iVICk � AUAM(MI-I 'CRIh9 6vW- �Nadp rte►, WJI- Wl1E� IAJ ,ry L3 gt:Uck / r- KIL I Q �N104 Sei 4osd►� fP 7-qO O l �/i hi 5X93 . L-ag_o� CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace Fireplace)nsert) Fireplace insert Gas Range Gas Dryer _aTOElive 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS ��(! Fee Total 1 Owner $35.00 $ Building Used As $10.00 $ *Air Conditioning -All Sizes $25.00 $ All Other Repairs or Alterations (List on Back) / 1% of Value of Appliance or Work A /, o 0 $ I ✓� Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater on work less than $500.00 Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional ESTIMATED COST PERMIT NO DESCRIPTION OF FURNACE AND BURNER # of Heating Unit Circle One (Steam) (Hot Water) (Warm Air�� ,� Trade Name 64 1) Size No. 061 BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU IRM Size No. _ EDR 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 5tpted in this appliggtion are true and correq$. i State Surcharge $ (if permit fee is over $1,000 multiply by .0005) _ r TOTAL FEE $ �' S *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 HEATING CO Tel #�e3 296-0`3 / FAX # V �c l�� r% ' 7 Date �' `7-44 Approved by Rough -in Date Final Date $15.00 $ $10.00 $ $10.00 $ *Air Conditioning -All Sizes $25.00 $ All Other Repairs or Alterations (List on Back) / 1% of Value of Appliance or Work A /, o 0 $ I ✓� Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater on work less than $500.00 Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional ESTIMATED COST PERMIT NO DESCRIPTION OF FURNACE AND BURNER # of Heating Unit Circle One (Steam) (Hot Water) (Warm Air�� ,� Trade Name 64 1) Size No. 061 BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU IRM Size No. _ EDR 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 5tpted in this appliggtion are true and correq$. i State Surcharge $ (if permit fee is over $1,000 multiply by .0005) _ r TOTAL FEE $ �' S *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 HEATING CO Tel #�e3 296-0`3 / FAX # V �c l�� r% ' 7 Date �' `7-44 Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and 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 existina 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 HEATING CO: Signed By: Date :