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PRE 2010 DOCSoo 040i w City of Fridley, Minn. BUR DING PERMIT No 3303 Date: ..... 9. y ..� .............. Owner ....................................... Builder ....... ....... ..................... Address ...................................... Address ........ ........ .......................... Z �LOCATION OF BUILDING No. ®.� . / Street . 7A. Yfr ......................... Part of tLot...Block... .......... Addition or Sub-2Division ..... ... . . ... ..... Corner Lot ............ Inside Lot ....�..... Setback .� �.... Sideyard .l �. •. r a........ . DESCRIPTION OF BUILDING To be Used as: / ' �'� 8, o 0 . ......... Front i° . Depth .... Height ..... . Sq. Ft. ®..... Cu. FL17!; o �o ..... .... ........ Front .. ®.� Depth .. Height ..... Sq. Ft......... Cu. Fto�%?R�...- — Type of coon ........... ]Ilei^X�V-!?-qpe. To be Completed .... ®�� �'........ ..... , ........ s" 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. ...� .................... ?/ j Da In consideration of the payment of a fee of $.... 1......, permit is hereby graded 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. _y e : .�. Zi ds . Buildipg Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring,mbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. 60M Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $— each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines --to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $ Each add. 200 sq. ft. IDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR Hot Water .................. 2.50 $ OIL BURNER to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE REMARKS: Dept. of Bldgs. Phone SII 4-7470 99/-72:�C, JW - A/` 4,� - 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. FricUey_ . - in" / 9195-1 Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. 330-3 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, H. afar, arm Air` o ®� Trade Name ems"' s- Size Capacity //SSq. Ft. E.D.R-!®� BTU H.P. Total Connected Load 7� f S� Sind of Fuel-� BURNER — Trade Name Size No— cap ty ocapadty Sq. Ft. E.D.R BTU H.P. Signed By. 11 post 1 M-8-58 Business Phone No D-36 -QW7i, &� �allgvzj �' k , I I y 5 r e, HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips , ide •S.H. e.E, Construction No. Gu d�owss Doors Reference Out. Wall I Int. Wall Ceiling Roof Floor Kind Fl. I o. Room I Length /g' Width/ -L' Height 9" F1.1 Room Windows a Doors—Crackage and Area c; ad 0 Windows and Doors --4 Width Height No. of Linea! ft. Area crack �� mf 167Y % /0. -0 Width Height of Dane of pan lights of crack eq. ft. Btu No. oP Dane of Wane I I ToW Btu. /Q Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room 1 Length / Width a No. c; ad 0 / Width Height No. of Lineal ft. Area No. of pane of pane lights of sq. ft. crack �� mf 167Y % /0. -0 Infiltration Infiltration Coef. Btu Infiltration Coef. �p Infiltration /� - A? g Glass W/D Glass / /to., 3,05® Exp. wall Exp. wall Heit+tht e' / 140 Ceiling Net exp. wall 1-o ,o® Floor " Int. wall Int. wall Ceiling Ceiling / Floor Floor ToW Btu. /Q Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I otal Btu. Room 1 Length / Width a Height d-' Windows and Doors--Crackage and Area Exp. wall / Width Height No. of Lineal ft. Area No. of pane of pane lights of sq. ft. crack �� mf 167Y % /0. -0 Infiltration Infiltration Glass 31P Exp. wall Coef. Btu Infiltration /� Av Ceiling W/D Glass Net exp. wall /to., 782 Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Exp. wall Heit+tht e' �' 140 Ceiling Net exp. wall 1-o ,o® Floor " Int. wall ®® Ceiling �© / Floor I otal Btu. �a a Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Glass M.1 Room I Length a' Width ' Height ' Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area 140. of pane of pane lights of crack sq. ft. Exp. wall / Coef. Btu Infiltration Infiltration Glass 31P Exp. wall Ceiling Net exp. wall 129 j Int. wall Av Ceiling Total Btu. Floor Net exp. wall Total Btu. 782 Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Room I Lenirth /I' Width f® i Heit+tht e' MINNEAPOLIS. MINN. Insulation How Applied i /,2 , Width /®' Height,?' a and Area Aneal ft. I Area of crack/ sq. ft. Btu Infiltration 4al 1.714 Glass a?/ / / O Exp. wall / Net exp. wall Btu Infiltration Int. wan 31P /V/,W/ Ceiling /0 129 Floor Av Total Btu. Exp. wall Net exp. wall Required sq. ft. E.D.R. -or sq. ins. W.A. Leader area r Fl.l a Room I Lenirth /I' Width f® i Heit+tht e' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. No. of . d e / / O Coef. Btu Infiltration X07 31P /V/,W/ Glass Glass 4r49 Exp. wall Exp. wall Net exp. wall _ r J–!9,0 Int. wall 140 Ceiling /Ga 1-o ,o® Floor " % ®® Total Btu. Required sq. ft. E.D.R. or sq. itis. W.A. Leader area / Fl. A Room I Le.th //X-1 Width f©/ Height, Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pa lights of crack sq. ft. / / O Coef. Btu Infiltration Glass Exp. wall W/ Net exp. wall 140 In;ld Inc. wall Ceiling Floor �© / Total Btu. I ,-C xa !I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area D•56 _ HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS f Weatherstripsf .S.H.V.E. Construction No. Guide `eWindows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor `des—No I ` Yes—No 19_ FI Room Leng th ' Width,/^/ Heights" II FU Tow Btu. I e6 a Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Windows an oors—Crackage and Area Coef. Btu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Glass Exp. wall Coef. Btu Infiltration 4iE Jly o f Glass Ed AMD Exp. wall Net exp. wall Int. wall Ceiling Floor /Z® 7 74 Tow Btu. I e6 a Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Celhng Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i` Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area URVEAPOLIS, MINN. Insulation Kind How Applied Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of lights !t. Area No. of Dane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq.-ft.-E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. I Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. his. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. h. E.D.R. or sq. ins. W.A. Leader area 63-84-116051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE m PLUMBING FIXTURE• RATES: NO. RATE > ¢ x $3.00 q c^at_re Fixture Opening vWater $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ :safer ;eater - to 99,000 BTU x $5.00 $ w e •-Ci rJ N O x $7.00 u, ro 3+ New Ground a"an Old Building w boN Electric Water Heater Heater O a+ ••+ C .-i 'J C W E •a .�C J W O $4E N U G iC S it C 3 U •" O , V fD O W O • 4 it N C N C O O J M J N N cn r U r. n 3 0 N w U M, 22 0 O ;--1 as lee '9t ::d gr 11 y_d i I 4 t1 (R) - FL•tare Connection Opening Connected with Sewer (•} = t:ew Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE• RATES: NO. RATE TOTAL N%= --her Fixtares x $3.00 $ c^at_re Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ :safer ;eater - to 99,000 BTU x $5.00 $ =OJ,OGO B:J to 199,000 BTU x $10.00 $ Hater Softener x $7.00 S New Ground a"an Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x . $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 S REPAIRS & ALTEZATIOXS First $103.00 $5.00 $ _ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTIOIQ FEE 0.00j Job Address 6331 7th. St. N.E. Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and ccrreet Fridley, Mn. 4/7/81 , 19 OWNER KIND OF BUILDING frame USED AS TO BE COMPLETED ABOUT 4A7/81 ESTIMATED COST 50.00 OLD - NEW BUILDING PE&v..IT NO. PERMIT NO. �n Company �°' � - Signed By MINNEGASC® Tel. No. ROUGH IMP. Date FINAL INS?. Date APPROVAL FOR PraMIT MINTMUM FEE FOR ANY PLU2+.SING PEW= IS $7.50 pLUs $.50 STATE SURC:MpG E V SUBJECT PE4ee^'•4T-N0—.-­ T-N0—. - City of Fridley City V 22480 AT THE TOP OF THE TWINS BUILDING PERMIT r - COMMUNITY DEVELOPMENT DIV. _ ~ PROTECTIVE INSPECTION SEC. Eq NUMBER REVDATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 5/5/94 JOB ADDRESS 6331 7 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 3 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ronald Persell 6331 7 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lloyds Home Improvements Inc. 1012 42$ Ave NE, Col H is 55421 788-5602 1798 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 J3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (Tear-off) 25 Squares; cover soffit & fascia 9 CHANGE OF USE FROM 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. 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 $6,300 $3.15 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- $90.00 Fire SC $6.30. STRUCTION OR THE PERFORMA CE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $104.45 SIGNATURE OF CONTRACTOR OR AUT;7 NT (DATE, PR PER /f��V�ALIID` ESD THIS IS YOUR PERMIT �f' aTHr BLDG INSP J GATE 4 SIGNATURE OF OWNER iIF OWNER BUILDER( (DATE( V NEW ADDN [ ] CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 6331 - 7TH. ST. NE Legal Description: Owner Name & Address: RONALD PERSELL Contractor: LLOYDS HOME IMPROVEMENTS, INC. Address: 1012 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: AVE. NE.. COLUMBIA HEIGHTS.MN. 55421 Effective 1/1/94 Tel. # 571-4613 MN LICENSE # 1798 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # 788-5602 Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: TEAR OFF & REROOF , COVER SOFFIT �Sffijed Cost: $ 6,300.00 Approx. Completion Date: JULY 25,1994 W (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # } CITY USE ONLY Permit Fee $ ei r O, 66 Fee Schedule on Reverse Side Fire Surcharge $ 30 .001 of Permit Valuation (1/10th%) State Surcharge $ . 1 $.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 PE City of Fridley 96994 AT THE TOP OF THE TWINS BUILDING PERMIT � REC • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 6/19/98 JOB ADDRESS 6331 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 3 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ronald Persell 6331 7 Street NE 571-4613 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 RHRISIDE= Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION QX REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof West side of House 12 S Tear -off (STORM DAMAGE) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 MOT. 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 1 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 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW 21.00 Fire SC $.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $22.00 /11 TURE OF CONTRACTOR OR AU EDAGENT IDATEj P OPERLY VAL TED THIS I OUR PERMIT- "'-'// ��� GATE S,GNATURE OF O N F OWN BUILDER) cDAYE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �Q ConstructionAddress: 1-�,,3 3 I YI) L- Legal Description: Owner Name & Address -1__4Z,,,,, a I C S , �� se j � � � � e`�i Tel. # s -2 / — 4 6 r� Contractor: o� a I A S s I I MN LICENSE # Address: 6 3 3 I �' Yh S -�- , Tel. # . 7 / — 4 6 r3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: cof ction Type: DESCRIPTION OF EMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Driveway Curb Cut Width Needed: Ft. + 6 Ft = (Fee Schedule on Back) Ft x $ = $ DATE: A — Z9 - 9? APPLICANT: Tel. # CITY USE ONLY Permit Fee $ c;,2/ 0 0 Fee Schedule on Reverse Side Fire Surcharge $ S� .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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 $ �' 00 STIPULATIONS: TOTAL FEE $ 2�- Sb PLUS THE 5.50 STATE 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 replacina 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 : CITY OF FRIDLEY INSPECTION DIVISION 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 - 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 Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 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 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 2000 JOB ADDRESS 6351 %T`_� S T 4y - �__ OWNER 7 All ^0 c- 7 7C_a. SCm- TOTAL BUILDING USED AS -A.0 '`',, c 0 Z ESTIMATED COST 3 o St 1--t PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units ( Circle One (Steam) (Hot Water) arm Air $ Trade Name C.gc %' C- cL Size No. 80v2�,, BTU &51010a HP EDR $ Fuel dv ^a G � s Total Connected Load Burner Trade Name Size No. $ BTU HP 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ 30 DATE HEATINGCO Signed TEL # 61 z---7 Z 9-18172 -18 %72 Approved By16 Rough -In Date Final Date 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 Twe 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: 04/02/2004 FRI 13:21 FAX. •�; ELDER JONES Q001/001 NEW [ ] CIN OF FRIDLEY Effective 411/2004 ADDN [ ] 6431 University Ave_ NE, Fridley, MN 55432 (763)_572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: (D -'6r JI_ - 'S� 0 r\� i. 2 . Legal Description: 1 Owner Name & Address: '3'n_�P�- � f.L�SC�(�7 Tel. #`� lc3 - S� ••l� �3 Contractor. MN LICENSE # 201 W 3 -1 -1 Address: RENEWAL BY ANDERSEN Tel. # LOS I' c. (Dq _ y T� 1920 COUNTY ROAD "C" WEST ROSEVILLE, NIN 55113 irate of Survey of the .i 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 HgUGround Sq. Ft OTHER:r _ q (." nv�rir•, .-,C (1 11:,A . f A. •c -�'� Construction Type: Estimated Cost $_ 131 bO 9 Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x DATE: )s �os APPLICANT: Tel. # `'ZJo�' % • �QQ y� Call (763) 572-3604 for Permit Fees if maTng in application. Fax to 763-571.1287 N using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side $ 65% of Permit Fee $ .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $ $1350 per SAC Unit $ Q $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 [ ) $ �� �' l03 STIPULATIONS: fq NEW [ ] CITY OF FRIDLEY EfftctiVe 4/1f2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION Construction Address: (, 3 Legal Description: Owner Nam6 & Address: Tel. # -7(o ':� S7 Contractor fidid asst Roofing & Siding MN LICENSE# fi---))0:1-7-7 Address: 313 .Iefferson Hwy. Tel. # -7 (o -3 '%? 9409 iy 55310 - LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: ►A + / S stimated Cost: s off- -2 0 C Driveway Curb Cut Width Needed: Ft.�+ 6 Ft = Ft x $ DATE: 9 / � J oS APPLICANT: —.I/_L_ - - 1 -''gra Tei. #x(03 Call (763) 572-3604 for Permit Fees if mailing In application. Fax to 763-5714287 N using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side $ 65% of Permit Fee $ ,?, 7 <:�> .001 of Permit Valuation (1/10th%) $ /_ $.50/$1,000 Valuation $ $1350 per SAC Unit $ av $5.00 (State Licensed Residential Contractors) $ Alt "A" or Alt 'B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ j Not Necessary [ ] $ o{ rSTIPULATIONS: G� 9-7 Il 4 -7 U 3 -6-M- ' '7 Building Permit Fee BUILDING See Back Page for Fee Schedule Permit No Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION $ Received By: 763-572-3604 $ CITY OF FRIDLEY Kg ad: DATE_! � 09 YOUR E-MAIL ADDRESS Kr i 5-4tn A mj mmaeie han&nn xl 1 - SITE ADDRESS [D341 TWI G+ N1< Curb Cut Escrow THIS APPLICANT IS: O OWNER XCONTRACTOR Erosion Control PROPERTY OWNER/ NAME: Jai 1Ylet i55tx. 9,ic t -a& Park Fee TENANT ADDRESS:_(o'5441 -`;41 5+ N& CITY Fv-A) km STATEI%hkIP_r^ „'J&Z $Agreement PHONE: Total Due CONTRACTOR NAME: 6 5 STATE LICENSE #_ 2014337-7 EXP DATE _ 3/311 M SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS:_S_e(iAq LCf= ` ei UP_, CITY'rO-n K�L-b STATEr*klP_ 5 gW WITH APPLICATION PHONE - 3 - FAX PROPERTY TYPE USINGLE FAMILYINEW CONSTRUCTION SIZE O TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE O ADDITION O GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF 1EA DRAIN TILE 13 DECK ❑ SIDING O OTHER ❑ SWIMMING POOL TYPE OF WORK: O NEW ❑ ADDITION %MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Ins -fiat l n1Uj rl+il p txx•]c1 SL1 M{a j7(Lm p SU.S-4Pt'Y I SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. 13OOFING, O HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I . Existing Floor Plan PROPOSED SIZE: O DETACHED GARAGE 2. 3. Proposed floor plan List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffa ADDITIONS. & PORCHES SUBMIT: O Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures O Other ❑ Fascia and proposed project. 2. as Two sets of construction plans IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS•DESCRI13E SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED 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 VALUATIONS 7 1:1.0 0 OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ crp $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $Agreement necessary ( ) Non Necessary ( ) Total Due $71o Make checks payable to: City of FridleyAttach Stipulations 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 a permit and work is not to start without 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. SIGNATURE OF APPLICANT : i ce/% -�% PRINT NAME 41r5r/rn /.clil� DATE 01-Y OF .*pi-WaL C4tL Whet) pvMit-Fie •'s �� ycc ��� � L i2c, —OUNId I Ad ZS:ZI7:Z 90OZ/SI'Z :a;ea —8/6 .a6ed £tI££09LO91•lWoJd CA iN akl. �_.,u�.1N6���.. _.... nos LOCATION! 8341 7th St NE Fridley, MN 55432 v G A S kE eI�( �9�'klnr . M,� �r-- I 06Ow8 C* -j (fug. =M(z tec I �#- �0&av� M�' idqsA kyi , 'r i�4 IMUS"4 LABELS: A- 26ft lawnscape, could charge per Joe. JAVA\cr� -1eA �c b SPECIFICATIONS: 1. Install WaterGuard sub -boor drainage system as indicated in Job drawing. 2. Install SuperSump pump system with cast Iron pump, liner, airtight lid with airtightfioor drain, CleanPump Stand, and WaterWatch alarm system. 3. Install k:eGuard to prevent floods from frozen discharge line. 4. Install CleanSpaca Wail System on walls as shown. 5. Install WallDud VVindow Well Drainage system. 6. Install Additional Footage for LawnScape, 25ft out by tree. Subject to change after snow melt 7. Demo out 231t of finished wail for cleanspace wall and waterguard to be Installed. 8. Discharge is up and out 1 12 pvc CONTRACTOR WILL: 1, Cut finished walls as necessary to Install system property. Homeowner to restore walls. 2. Fold carpet back to Install system and can not be responsible for the condition of the carpet. CUSTOMER WILL: t. Pravkie proper dedicated electrical outlets for all pumps, and other electrical devices to be Installed 2. Move Items 4 feet away from ADDITIONAL NOTES: REVIEWED FOR CODE COMPLIANCE �. BLDG Inspect®ry Signature Date PAGE 2 OF 4 ... r.. r....... . r....... _t .... .., . Wd £g:Zt?:Z 900Z/9/Z:91?8G �g/£ :a36ed £t?££9Z9LM :wad JOB LOCATION: 6341 7th st NE Fridley, MN 55432 WaterGuard Supersurnp IceGuard Cleanspace Wall System P4 Wellouct Window Well Drainage it well duct PAGE 3 OF 4 Nd Sg:ZI7:Z 900Z/92 :GIBG 6/t? Gmcf W 4 For 911fice Use Only Complete Basement Systems We Make Basements Dry, Livable, & Safe www.myc*Mldebasentent.com (800) 638-5285 (507) 625-3293 54004 Loren Dr. Mankato, MN 56001 FAX:(507) 625-3343 20143377 DATE: 0111512008 suBmrrmo To: Joe & Melissa Richard ADDRESS: 63417th at NE Fridley, MN 88432 JOB LOCATION: 83417th st NE Fridley, MN 55432 Svstem Features WeterGumd 25 ft WaterGuard Port TrenchDrain TriSafe SuperSump 1 UltraSump SmartSump iceGuard 1 LawnSoape Outlet Zenwall BrightWall FloWChek FloodRing ThennalDry Wall System CleanSpaoe Wali System 25 ft ThermalDry Floor Matting Clramoal ThermalDry Carpet Mocha ThermalDry Carpet Sandstone ThermalDry Tile Canyon Beige ThermalOry Tile RainChuts RainChute EZ Pend.lnstali �?jUa. Foreman Job# 0S ;17Th P.LNolice Dep.Date Date Paid Dep.S $ Dep.Ck# Ck # PreLlen TD �Intn! 8 Gnelf�speee Spielags4tm - •r -- - - ._.. ..._. LawnScape Downspout E_xt. DryTrak CleanSpaoe CleanSpeoe Drainage Matting CleanSpace Vent Covers GsanSpaceSmartDrain CieanSpace WallCap FlexiSpen 4' Flex' en S FlaxiSpan 6' Everi-ast Basement Windows SunHouse window Enclosures WellOuct Window Well Drainage 1 SaniDry Upright SaniDry CSB San]Dry Ducts Scapewel Power Brace Lateral Dmin Extra LewnScape 25 demo 1 Custom 5 I fully understand and accept the transferable warranty provided, which covers only the areas of the basement addressed and does not cover water damage. Partial perimeter systems carry a limited warranty. Sump pumps are covered by a separate manufacturer warranty. Installation of the system does not include painting, finished carpentry, extending discharge Arles, electrical work, or replacement of floor file or carpeting. Contractor cannot be responsible for frozen discharge lines without an IceGuard, condensation, damp spot discoloration, water once pumped from horse, window well flooding, or fuel tanks or lines. Customer shall grant contractor a 60 dayright to remedy y problem after reported. Homeowner responsible for moving objects away from walls a Some dust should be expected from work Payments to be made in full upon completion. X EMAIL: irichard6645@hotmail.com HOME: 763.671-8080 WORK: - CELL: 612-2458054 FAX: - INSTALLATION DATE: -0 DETAILED DRAWING ATTACHED Type of wall: Block Existing wan finish: Sheetrock. Over studs Existing floor finish: Concrete Discharge line length away from house: 25 feet We Propose to furnish material and labor -complete in accordance with above specifications, for the sum of Total $3,717.00 Deposit requlmd 20% $743.40 Deposit paid $0.00 Due Upon Installation $3,717.00 Each product is warrantled by the product manufacturer, not the contractor. All work will be completed according to standard industry practices. Proposals are contingent upon strikes, accidents, delays, son or structural conditions, or other circumstances which may make performance of this Proposal impossible, in which case contractor may stop work unless a change order Is signed.Any change from the above specifications Involving extra costs will be done only upon signed change orders, and will be an extra charge over and above the Proposal amount. Cut workers are covered by Workers Compensation Insurance. The Property Owner assumes all responsibility for damages due to breakage of any hidden fueltutility services lines, though we will attempt to avoid such damage. All Proposals are based on the Property Owners description of the problem. This Proposal may be clihoeledd atcrLWbacter determines It cannot be performed due to any condition or situation described above. Authorized signature: o �_ Date Acceptance of Proposal—The above prices, specifications, conditions and separate warranty are Proposal may be withdrawn by us If not accepted satisfactory and are hereby accepted. You are authorized to do the work as specified Payment will be made by X as outlined above. A full perimeter system was recommended X A TripleSafe Pumping System was recommended X Signature X: Date Customer Is aware of wamatdy X lt PAGE f of 4 _I .. .._I 1 ... .-.. -1-. . --. .-- -- --. . Wd £9:Zb:Z 800Z19%Z :9180 �9/Z .aBed fiti££9Z9L096 :1110Jd