PRE 2010 DOCS0 0
BUILDING PERMIT
Village of Fridley, Minn. No
Date ..H.J. ..........................
Owner .. .....Builder
Address .(. '.. Address
2939
'...........
..... j. R.i.T......... ... �. .
LOCA ION OF BUILDING
f
No. !.. Street ..�.. ...................... Part of Lot ....... .......................
Lot .. 1. ......... Block . ..........Addition or Sub -Division Ate. ..
/
Corner Lot ............ Inside Lot ............ Setback .. ...... Sideyard
DESCRIPTION OF BUILDING
To be Used as:
V..... Front Depth . IieighSq. Ft.16acu. Ft. ........
.....�.............. Fpnt ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft......
Type of Construction........ Est. 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 all provisions of
ordinances of the village of Fridley. � 0
In consideration of the payment of a fee of $.. .... permit is hereby granted to ...16;L. � . .......
....................... 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 village limits and this permit may be revoked at any time upon violation of of the provisions of said
ordinances.
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, pluml
sewer or water. Be sure to see the Building Inspsetor.foe-separate permits for these items.
i< T h c
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loon
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City of Fridley, Minn.
BUILDING PERMIT N® 3449
Date: . W .. ... 5� . � .. � .� .......
Owner./. p.. ...) .. ..� Builder .... ...................................
Address 6APS .�7 Address .............................................
LOCATION OF BUILDING
s 9J1
No. . d or�.. / Street . �:� q.. .. ....2 ......... Part of Lot ...............................
.................
Lot ............ Block .................. Addition or Sub -Division ................ 1...11...1
Corner Lot ............. Inside Lot .>4 ...... Setback .0-6d>F Sideyard ... ................
DESCRIPTION OF BUILDING
To Used as: f . r
.... ..... Front A 0 Depth Z7. ®Height ./d �-:O Sq. Ft. : 3�� Cu. Ft. 3:4 . �
.................... Front ........ Depth ........ t ..... Sq. Ft. ........ Cu. Ft. ........
Type of Construction F�"` :mss ..... mit. cost.... ...... To be Completed ...................
In consideration of the issuance t0L me of a permit to construct the building detribed above, I agree to do
the proposed work In accordance with the description above set forth and In compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of.�.��..' ., permit is hereby granted to ...................
......................... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, In all work
done in, around and upon said building, or any part thereof, shall conform In all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
City of Fridley
SUBJECT
64
AT THE TOP OF THE TWINS
PERMIT
71!P
t
BUILDING
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 = �
CITY HALL FRIDLEY 55432
%•J
NUMBER
REV.
DATE
PAGE OF APPROVED BY
612-560-3450
910-F15
1/12/78
JOB ADDRESS 6851 - 7th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
15
2
Lyndale Builders 7th SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Gerald Tollakpon 6851 - 7th Street N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Nedegaard Construction Co., Inc. 111 - 45th Avenue N.E. 560-0070
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 Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Finish basement
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATEpPERMITS REQUIRED FOR WIRIN
NoQ.I6a mpm- rL uP 141 HE -011- `FuL2 -�G AND SIGNS.
c-A &TTa,v. 94.W -11c 1ji Bdr, Roup.
C3� Im0,m ww.g �� � 3e Cisco VArri ` �gQ,gA�
w oo "., iL E ®ue p 0 �1ti,Io 4 1= 1 rcCr- 4t-- X wv1
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
SQ. 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
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
$8,000
$4.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
ES NOT UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS ANY OTHER STATE OR LOCAL LA REGULATING CON-
$48.00
STRUCT R THE FORMAN OF CONSTRUC N.
.X
PLAN CHECK FEE TOTALFEE
29MR $52.00
S16-NATLTREOFCONTRACTORO AUTHORI AGENT (DATE)
WHE PRO RL D THIS IS Y1OU1R. PERMIT
BLDG. INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
• CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTE=RATIONS, ADDITIONS, OR REPAIRS)
OWNER: 9kpAw o:L 4C -so d
Address: klc-t - A-9.
_
BUILDER:
Address: -
Tel. No.O
No.: Street: '% S?� I►c�
LOT: I BLOCK: �_ ADDITION: ,C qA g_uPcA� x,25
CORNER LOT: INSIDE IAT: SETBACK.: SIDEYARDS:
Applicant attach 'to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
�SSEpW-Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
cc
Type of Construction: Estimated Cost: $ ado.
To Be Completed: 1 Mo uqv-+-
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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. See reverse s' a fa additional information
DATE: J—I Z - %k- SIGNATURE:
Stipulations:
0
).0
O
t i i Y OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PIER41T
C` C`
I
Job Address 0F •J / ` � ��
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the vork herein
specified agreeing to do all work in strict accordance with the city ccdes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and oorre:
Fridley, Mn. T �A' % 2- , 19
OWNER
KIND OF
USED AS
TO BE COMPLETED ABOUT A #
PARTIAL
RATE SCHEDULE
,n
ESTIMATED COST
PLUMBING FIXTURE RATES:
m
RATE
TOTAL
oLDJ- NEW BUILDING PERMIT NO. PEMT
U
R=ber Fixtures
K
d
%.
$ OU
Water
A
e
a
$2.00
$
Company
u
E
c
rs
m
4
m
ami
ro
G.
Gam.
Heatex
N
.r
w
.v
u
J q
4
q
C
x
o�
C
en
.+
4j
W
u
W
O
C
u -4
u
C
a
100,000 BTU to 199,000 BTU
H
$10.00
$
p-
p
.1
N
h
C
N
•.f 7
O
O
A� N
3
1.� N
CM
Electric Water Heater
x
$5.00
$
Date
�
GAS FITTING FEES:
c
raj
0
3
W 0
o r..
c
fn
.•+
U.
ed to
U w
a 3
0,ro
�
ro
c9
++
O
;as
kec
e
I
x
$10.00
$
APPROVAL FOR PERMIT
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
'st
each add. $100.00 or fraction
$2.00
$
MINIMUM FEE FOR ANY PLUMBING PER'42T SS $7.50 PLUS $.SO STATE SIIRCMLv=
.
State Surcharge
$ .50
TOTAL FEE
$-
2n•'
($10.00)
,
3rd
4 t.'i
(R) = Future Connection Opening
Connected with Sewer
{') =New Fixture, Old Opening
Water
C` C`
I
Job Address 0F •J / ` � ��
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the vork herein
specified agreeing to do all work in strict accordance with the city ccdes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and oorre:
Fridley, Mn. T �A' % 2- , 19
OWNER
KIND OF
USED AS
TO BE COMPLETED ABOUT A #
PARTIAL
RATE SCHEDULE
ESTIMATED COST
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
oLDJ- NEW BUILDING PERMIT NO. PEMT
NO.
R=ber Fixtures
x
$3.00
%.
$ OU
/
c
Future Fixture Opening
x
$2.00
$
Company
c„
New Fixture, Old Opening
x
$2.00 0
$
C`
Signed By
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
Tel. No.
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Ran Old Building
x
$5.00
$
ROUGH INSP.
Electric Water Heater
x
$5.00
$
Date
�
GAS FITTING FEES:
FINAL INSP. p`2 - l S - ? pi
1st 3 fixtures
x
'$3.00
$
' Date
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
APPROVAL FOR PERMIT
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
MINIMUM FEE FOR ANY PLUMBING PER'42T SS $7.50 PLUS $.SO STATE SIIRCMLv=
.
State Surcharge
$ .50
TOTAL FEE
$-
REINSPECTION FEE
($10.00)
,
���,"E HEATING HOUSE HEATING TEST RECORD
AIR CONDITIONING
AND ELECTRIC, INC.
ADDRESS "S I 'A 0 6
OCCUPANT
HEAT LOSS DATE HTG. INST.
SOLD BY P-1 I ®w•.s w c
Electrical Work By ' ,
TYPE OF HEAT GA FA 5C WN'j STEAM_ SPACE HTR._
GAS DESIGN
MAKE
Model%�t va.LoLcp
Serial
INPUT 10 ®0
THERMOSTAT
Valve
Limit
Limit Setting _
Fan Setting _
Pilot Type
Pilot Make _
Pilot Model _
Pilot Timing _
L. W. Cut Off
Pressure Percent CO,
Input CFH —Ua-avo Percent O,
Stack Temp. _ 10-S d Percent CO
Form 235
APT. FLOOR CITY f' SUBURB
OWNER
INSTALLED BY
Gas Una By _
UNIT HTR. OTHER
CONVERSION
MAKE OF BURNER
Model
Max. BTU Rating
MAKE OF FURNACE
Model
Vent Size
®vC'
KIND OF LINER 'C SIZE NONE
Draft Hood Regulator
Filters Size it k,; -SX Number
Chimney Location Inside iQ Outside
Chimney Construction
Smoke Bomb Wiring
Draft Test Tag
Door Pressure Ughting Inst.
Date Tested
Company Testing
Name of Tester _
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1, 1995
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS fS A)E-
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 ar
Furnace Shell and Duct Work, Burner -
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 20.00
$ 0-60
representations stated in this application are true and correct.
Jr o2td 1995
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace) $10.00
$
a_Kson
OWNER 0(l
Gas Range $10.00
$
I
e /t,
BUILDING USED AS 6 nL
Gas Dryer $10.00
$
d
ESTIMATED COST 3,2 f)®. To PERMIT NO. A
*Air Conditioning - All Sizes $10.00
&Wf S(o3&JX e)a,q �%M
$ /0.0 U
DESC131PTION 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 ff3-&o
Trade Name rualn+_ Size No..0
Commercial/Industrial
BTU 6n, o 0 c0 HP EDR
1% of Value of Appliance or Work
$
Fuel A)Ar- AA-5 Total Connected Load _.��5� 800
State Surcharge
$50
Burner Trade Name Size No.
TOTAL FEE
$�0'
BTU HP EDR
BLAINE HTG, A/C & ELECT. INC.
13562 CENTRAL AVE. N.E.
HEATING COMP NY ft ANOKA, UN 55304
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
i7 No. -76 &-QQQ
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
Signed By -
PLUS THE $ 50 STATE SURCHARGE
REINSPECTION FEE $30.00
Approved Rough-In Date Final Date
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
NOTE: 411 through 418 required when using a side vent furnace.
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes { }
No
( )
2.
Is free from gust or deterioration
Yes ()
No
( )
3.
F �
Has no foreign objects lodged within
-- z
Yes ()
No
( }
4.
Is securely supported
Yes ()
No
( )
S.
Meets all current Code requirements for size
and total- BTU's connected
Yes O
No
{ }
6 Has total heating BTU's of
All other BTU's
TOTAL $TU's
7. Has a liner been provided for water heater Yes ( ) No ( )
8. Has combustion air been provided for water heater Yes ( ) No ( )
Remarks: -.
List ALTERATIONS aging Done:
HEATING CO:
Signed By:
Date:
,11
SUBJECT
of Fridley
23405' 34Q5
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
Ir?City
� • COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC
/"'1 CITY HALL FRIDLEV 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
�"' ��j 612-571-3450
910-F15
5/26/95
JOB ADDRESS 6851 7 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12
2 1
Rice Creek Terrace Plat 4
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Gerald Tollakson 6851 7 Street NE
571-4129
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
MIlton Johnson Co 525 Lowry Ave NE, Mpls., MN 55418
781-9548 2083
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
6 DESCRIBE WORK
Soffit/fascia; gutters
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.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
MOT.
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
ISTALLS
I 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
$2,870
$1.43
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 42.87
STRUCTION OR THE PERFORMANC OF CONSTRUCT) N
$54.00
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$63.30
IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
E Q RL VALIDATED THIS IS YOUR PERMIT
k I&d
BLDG IN
-�
DATE
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
,11
NEW [ ] Effective 1/1/95
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress:
Legal Description:
Owner Name & Address: G' E/2 "g -C d Tel. # 6-7/ — 54/ d -y
Contractor: �/ &7"�� �� IV-,,uS e2 � Co . MN LICENSE #
Address: T,9--,577 Gocu% c/ �L .0 _Tel. # ��/
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
STIPULATIONS:
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:
Comer Lot [ ] Inside
Lot .[ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction:
S , so le-_. 10- Estimated Cost: $ 0-'jP7-g
Approx. Completion Date: - �' ` y.T -z---f:!5
(Cost on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: ,S x cAPPLICANT:
Tel. #
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/ 10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$850 per SAC Unit
License Surcharge
$ _S
$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:
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
1 J L
Effective On January 1, 1995
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace $ 20.00 $
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace) $10.00 $
Gas Range $10.00 $
Gas Dryer $10.00 $
*Air Conditioning - All Sizes $10.00 $
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work $_L5 - 00
Commercial/Industrial
1 % of Value of Appliance or Work
JOB ADDRESS 6851 7th Street NE
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 ar
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
5-31-95 1995
OWNER
BUILDING USED AS dwel 1 i nCL /
ESTIMATED COST 150.00 PERMIT NO. ( 1
I Pi
1 • • , :► : •
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name
Size No.
BTU HP EDR
$ Fuel Total Connected Load
State Surcharge $.50 Burner Trade Name
BTU
TOTAL FEE $ 15.50
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $ 50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
HP
Size No.
EDR
HEATING COMPANY Blaine Heating, A/C & Elec
1356g Central Ave NE Anoka MN 5530
Signed By�.� ,u-4-11 . ate_ Tel No. 757-6200
Approved By. ough-In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
NOTE: Ill through U8 required when using a side vent furnace.
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes () No ( )
2.
3.
4.
5.
Ri
7.
8.
Is free from rust or deterioration
Yes ()
No (
)
Has no foreign objects lodged within
Yes ()
No (
}
Is securely supported
Yes ()
No (
)
Meets all current Code requirements for size
and total BTU's connected
Yes ()
No (
)
Has total heating BTU's of
All other BTU's
TOTAL $TU's
Has a liner been provided for water heater
Has combustion air been provided for water heater
Remarks:
List ALTERATIONS in Dg e:
Install exhaust fan in lower bathroom
HEATING CO:
Signed By:
Date:
Yes () No ( )
Yes () No ( )
'
SUB.IECT
City of Fridley
185071/1
THE TWINS
'
EU ILDIN�
PER�/l
`��'A=��T�QF
fr _.--_- COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC
r � � PROTECTIVE
I
NUMBER
REV
DATE
vAGE OF
APPROVED BY
i
I I CITY HALL FRIDLEY 55432
612-571-3450
910-F15
11/3/98
JOB ADDRESS
6851 7th Strapt NIF
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1 12
1 Rice Creek
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jerry Tollakson
571-4129
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Milton Johnson Co. 525 L7RI-9548
2083
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
O NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and gazebo (25 Sq) Tear-off; Fascia
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
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
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
2142
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$74.75
FiAe
PLAN CHECK FEE
TOT L EE
OFCONTAAC OROR AUTHOIRIZEDAGENT IDATEI
E�ROP
VALID HIS IS
�R&IGNATU
AGN U T O NEA iiF OW BUIL DER i-'-IDATE,
Lp
MATE
N LSV .. 1.A Effective 1 / 1 /97
ADDN [-I 'CITY OF FRIDLEY
ALTER ( J SINGLE FAMILY AND DUPLEXES R -I AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 6851 7th Street N.E.
Legal Description:
Owner Name & Address: Jerry Tollakson Tel. # 571-4129
Contractor: Milton Johnson Co.
MN LICENSE # 2 n 8 3
Address: 525 Lowry Avenue N.E., Mpls. 55418 Tel.# 781-9548
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:
• Tear off and re -roof
Construction Type: house / fascia/ tear off Estimated Cost: $ -
and 're -roof gazebo 25 sq. (Fee Schedule on Back)
Driveway Curb Cut .Width Needed: Ft. + 6 Ft = Ft x $ -. _ $
DATE: APPLICANT:
CITY USE ONLY
TCI. # 781-9543
?ermit Fee $ T- %J5 Fee Schedule on Reverse Side
-ire Surcharge $ . / .001 of Permit Valuation (1/10th%)
hate Surcharge $, d $.50/$1,000 Valuation
QAC Charge $ $950 per SAC Unit
.icense Surcharge' $5.00 (State Licensed Residential Contractors)
)riveway Escrow $ Alt. "A" or Alt. "B" Above
,rosion Control $ $450.00 Conservation Plan Review
'ark Fee $ Fee Determined by Engineering
ewer Main Charge $ Agreement Necessary [ ] Not Necessary [ )
TOTAL $z2=126_1
nPULATIONS: