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PRE 2010 DOCSCity of Fridley, Mian.. N° 10271 BUILDING PERMIT Date: . k,n e q, 1969 owner: Bill Shaw Bider Clemron, Inc Address Address 4411 Central Ave N. E. LOCATION OF BUILDING No. 1310 Street __ 52nd Avenue N. E. _ part of Lot Lot ._._.5 Block 2 Addition or Sub -Division .___- Marion Hills 2nd Addn. Corner Lot , Inside Lot — x Setback 35' _ Sideyard 10' 18' Sewer Elevation . _ X43.83 _ 946.83 approx . Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 401 Depth 2616" Height 20 Sq. Ft. 1060 Cu. 1:'t 21,360 Gargge Front 22Depth 222' Height 16' Sq. n 1484 Cu. Ft. 4840 Type of Construction _ _ Frame Est. Cost __L3 Oj000.00 _ To be Completed SEWER LOOATION - 61' East of Manhole WATER LOCATION - 50.7' East of Manhole In consideration of the issuance to me of a permit to cons0AW the building the proposed work in accordance with the description abov t rth and in ordinances of the city of Fridley. �� ewer Connection I agree to do provisions of In consideration of the payment of a fee of $ 46.00 , permit is hereby granted t , Clemron, Inc. 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. YBuildim Inspector Henry/P. Muhich NOTICE. Tbis permit doss not ewer fits construction, installation for wWog, plumbing, as heating, sewer or water. Be sure to sss the Building Impostor for separate permits for thew hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA %M'S NAME BIIILDER ADDRESS ASS 7 v LOCATION OF BUILDING N0. - STREF7i'_�: LOT .,S BLOCK ADDITION OR SUBDIVISION/ CORMS LOT INSIDE LOT,_k,-SETBACK. SIDEYARD SEWER ELEVATION TOP OF FOOTING 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: Front � -e5� Depth �gc�e -.!5; Height Square feet /� ..ZUZZOubic Feet ^� -c•.._•-,�� �� Front .!% Depth 7 -6) Height Square feet Cubic Feet Type of ConstructionEstimated To Be Completed The undersigned hereby makes application for a permit for the work- herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and is resertations stated in this application ar true and correct. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side. ;�� , . w 6 r City of Fridley Application far Plumbing and Gas Fitting Permit Dept. of Bldgs.- Phone SM -3450 DESCRIPTION OJWORK Number. Kind and Loc n of Fixtures Now Fixture, Old Ope='-r-P PARTIAL RATE iCHEDULE Sewer Cesspool M PLUMBING 1 -16'0RE RA r3: NO. RATE 12_f x $200 Z F,=re Fixture O} -==ng ............ . N 0. $��. New F.r.;.-e Old Crening .......... WATER HTR. O < a i heater (UF 99,000 BTU) ...... x $3.00 i= X x $3.25 6 +� �' ' 7 Z '? 0 0 N GAS ELEC. GAS FITT:`T ; FEES: NO. RATE TOTAL le. 3 Fc':;res . .......... .. .... � x $200 $ Ad,'_!=nal Fixture_ .......... .:...... x $ .75 $ Gas R=Ze to 199..-V BTU .............. x $5.00 Base 1st / I 2nd 3rd 4th - Future Con: a Z, One -P-= nae w Now Fixture, Old Ope='-r-P PARTIAL RATE iCHEDULE Sewer Cesspool REPAIRS & ALTERATIONS—Refer to Code Des:r;��n .......... I ....... ...............$ TOTAL FEE $ 9 - �.i>�scc�•�S'I s�:"..iia>w��-"s9 .�*fi ..tea... e .. -- City of Fridley: R_ I The undersigned hereby makes application for a permit for the wort herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all tpe fact and representations stated in this application are true and correct --. n RHruPv Minnn / J — C/ 190 Owner _ S YS A1K—/ "I IF Ql^ Kind of Building iFJu"%- � Used as DL RX� To be completed about / Estimated Cost, $ / Cy Old New Building Permit No /4" 171 Permit No. Signe B l.fJ Y1_ � d n. Business Phpne No Y 3 /� 5- 7.3 3 3 s, ROUGH FINAL 42 I PLUMBING 1 -16'0RE RA r3: NO. RATE Fixtures ... .... ...... x $200 �TOT� F,=re Fixture O} -==ng ............ . x $1.50 $��. New F.r.;.-e Old Crening .......... �x $1.50 ... ...... ........ x $3.25 $ heater (UF 99,000 BTU) ...... x $3.00 $ 3 _ New :7-=d Run^. :d Bldg. ...... x $3.25 $ Ele r4 Water Rea -tor a $200 $ GAS FITT:`T ; FEES: NO. RATE TOTAL le. 3 Fc':;res . .......... .. .... � x $200 $ Ad,'_!=nal Fixture_ .......... .:...... x $ .75 $ Gas R=Ze to 199..-V BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Des:r;��n .......... I ....... ...............$ TOTAL FEE $ 9 - �.i>�scc�•�S'I s�:"..iia>w��-"s9 .�*fi ..tea... e .. -- City of Fridley: R_ I The undersigned hereby makes application for a permit for the wort herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all tpe fact and representations stated in this application are true and correct --. n RHruPv Minnn / J — C/ 190 Owner _ S YS A1K—/ "I IF Ql^ Kind of Building iFJu"%- � Used as DL RX� To be completed about / Estimated Cost, $ / Cy Old New Building Permit No /4" 171 Permit No. Signe B l.fJ Y1_ � d n. Business Phpne No Y 3 /� 5- 7.3 3 3 s, ROUGH FINAL 42 I N° 49'74 Original Permit f®r YLUMBING AND GAS FffTiNG N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for I Permit inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee $ .�� . DESCRIPTION OF WORK II Number, Hind and Location of Fixtures Stories E W F O a J 3 U a Z K 7 --- t m 6 7 m F Z ro 6 0 O Y Z N = O O Q C �i F Y F Z❑ C O ❑ W w O I fQ K Z O 6 J Z a❑ 2 Z F O! 6¢ U m 3 Z Q❑ K J % O LL 6 G. W m Z < Q WATER HTR. OAS ELEC. Basement 1st p f 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for 3 Openings Permission is hereby granted O; %-v ' to do the plumbing and gas fitting in the building described in the statement hereto at d, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. Roughing in Inspection Date By Order Of The Inspector Of Buildings nspector. Final Inspection Date Inspector. ��K �4z IM -6-66-V City of Fridley C.Aa,�1217 ,19� Owner vf-r� Location Kind of Building Used as To be Completed O s /.2r— , 19-&—,? Estimated Cost $ ZA " • �J Old -New. Building Permit No. /W 02 7 / Inspector of Buildings. APPlka fon for Power Pests and HnaHng, Goofing. Ye it iow%w'0' ra o and. Air Conditioning Systau and Devises PARTIAL RATE SCHEDULE GRAVITY WARM AIR: URATIC TOTAL. Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnaee ............................ 6.00 Repairs & Alterations—up to $500.00 ............. '..... 6.00 $ Repairs & Alterations each add. $500.00 . 3.00 $ MECH. WARM AIR $� � Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $_ Repairs & Alterations—up to $500.00 ................ 6.00 $ Repairs & Alterations each add. $500.00 .............. 5.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & lines—to 400 sq. ft. EDR Steam . .. . $10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 8.00 $ Each add. 320 sq. ft. IDR Hot Water . . . ........ ... 3.00 $ OIL BURNER—to 3 gal. per hour .. ... ... .. ..... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to M,000 BTI) .............. '....... ' .. 800 $ ' over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE OT�L 1st 3 Fixtures ..... ................ x$ 200 $ Additional Fixtures ............... x .75 $ Gas Range to 199.000 .......... z$ 6A0 $ AIR CONDITIONING FAN HEATING SYSTEM See Fee Ssh�nb VENTILATING SYSTEM_ ALTERATIONS do REPAIRS TOTAL FEE $ 4L ROUGH �y�� FINAL G' Dept. of HldgL Phon4 OW -3450 0 City of Fridley: The undersigned hereby makes application for a permit for the work herek specified, agreeing to do all work in strict accordance with the City Ordinance; and ruling of the Department of Buildings, and hereby declares that an the facts and representations stated in this application are true and correct. Fridley, Minn- Owner Kind of Building Used. as% G To be completed about Estimated Cost, $ Old £fie uilding Permit No.O i— 7T pwmit No. DESCRIPTION OF WORE HEATING or PO PLANTS --,Steam, Hot Water Warm Air No Z Trade Name �. Size No— Capacity Sq. Ft. E.D.R Z&Jmp BTU .P. Total Connected Loads 57R,21 Siad of Fuc f Jell BURNER —Trade Name_ Size No. ��z'.'. Capacity Sq. FL ED R- 4 ' BTU H.F. (REMANK"-Z_� - gii�dY At W1=1_71! CO H &wT1 N 13 r+3 B. 4637 CHICAGO AVE. MINNF-APOL113 Business Phone Original-0 PERMIT for Power lasts and Heating. Cool- ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of i Heating Plants to b installe ltered—repaired Make � - , Size 1 ✓ v 2� ; Oil fired—, Coal fired—, Gas fcred___ZG—; Gas Authorization No. Remarks J" /. , �� , Approved Final Inspection Date , 19_ Inspector �8��7 - - Pest N° 456. Fee $ /7' e-0 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. �� .19-4--.7 Owner Location Kind of BuildingtJ How Occupied t���► Work to be Commenced ,19 To be Completed 0-0-c ,196 Estimated Cost, $ 7(.,o .:ra Old -New, Building Permit No. 10. -7-21 Permission is hereby granted to o t ' to install—erect—use the material and devices described in the above statement. This permit is granted upAn dhe express condition that the berson to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings. 0 261 , Inspector of Buildings 42 2MIWN Appflcation for Power Punt: and Healing, Cooling, Ventilation. ReNgeratioe and Air Conditioning Sptanni and Devices PARTIAL RATE SCHEDULE :RAPT" WARM AIR: RATR TOTAL Furnace Shell & Duct work .... ... ....... .. $10.00 = Replacement of Furnace 6.00 $ Repairs & Alterations—up to $,500.00 600 $ Repairs & Alterations each add. $500.00 3.00 $___ !TECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU .. .. ..$10.00 $-- each add. 60,000 BTU . .... 3.00 $ Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ RePairs & Alterations each add. $500.00 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 § Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam &00 $__ Each add. 320 sq. ft. IDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6,00 $ over 3 gal, per hour—See Fee Schedule JAS BURLIER (up to 199,000 BTU) 8.00 $ over 199,000 BTU See Fee sche o GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 200 $ Additional Fixtures a .78 $ Gas Range to 199,000 X$ 5.00 $ UR cOZfDrr[OIMaa PAN HEATING SYSTEM VENTILATING SYSTEM &LTERATIONS & REPAIRS ROUGH FINAL Seo Fee Schedule O Ga 5 el TOTAL. F 1E Dept. of Bldm Phone 860-3480 0 City of Fridley: The undersigned hereby makes application for a permit for the work hereir specified, agreeing to do all work in strict accordance with the City Ordinance: 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 ley, Minn_ lf," Owner Kind of Building Used as _ –I _ -- -- -_ To be completed about __ ���Ai� Estimated Cost, $__— I�✓ �__ Old—New. Building Permit No. Permit No- DaON OF WORK HEATING or POWER PLANTS --Steam, Bot Water, Warm Afr—No Tiede N9•++e Size Ne_ Capacity Sq. Ft. E,DA BTU gp Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft ED R- BTU HP. ���TH,L�tVO COMPANY 1400 CONCORDIA, ST. PAUL, MINN. Business Phow Nok,o ("N"Ks--ovep .. 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 JOB ADDRESS 1316- 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 $ JlJ representations stated in this application are true and correct. (Side Vent — Fill Out Back) ,1996 Gas Piping (Needed with new furnace) $10.00 $ OWNER A L.l(AY� Gas Range $ 10.00 $ BUILDING USED AS LaLii k Gas Dryer $10.00 $ ESTIMATED COST�� % � *Air PERMIT N0. Conditioning — All Sizes $ 25.00 $� 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 Wate arm Air) L nom' Trade Nameawu,,�CO3n Sk Size No.Aub j Commercial/Industrial BTU._M,OM HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. BTU HP EDA TOTAL FEE `f I_ I�"" HEATING COMPANY IldaJ& l/� d4y &-i Ii7 C° MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 SigneNI'lat�Tel No. -/(� PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr ApprotByRough—In Date Final Date "J`'' k *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 CHMINEY 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 3. Has no foreign objects lodged within 4. Is securely supported 0 Meets all current Code requirements for size and total BTU's connected Has total heating BTU's of _/0 , 19,E— All other BTU's ' a-0 �2 TOTAL BTU's Has a liner been provided for water heater Has combustion air been provided for water heater Yes (moo ( ) Yes ( ) No Yes (,-�A�o ( ) Yes ( ) No ( ) Yes () No ( ) Yes () No ( ) HEATING CO: Signed By: Date: 11 0 HOUSE HEATING TEST RECORD / 3/v �,o , 011 ADDRESS - � r �� APT. FLOOR CITY -SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. IN SOLD BYINSTALLED BY Electrical work By Gas Line By TYPE OF HEAT GA FA -X, --HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN /j CONVERSION MAKE MAKE OF BURNER Mod.l Model Serial �+� T-rpB-S�Z b Max. BTU Rating INPUT /fla MAKE OF FURNACE. Model CONTROLS 5-, 01 THERMOSTAT Heat Plug Vont Site Valeo 3 KIND OF LINER SIZE ^�' NONE Limit z®0 Draft Hood Regulator Limit Setting Zom� Filters Size ZD Numier Fan Setting Chimney Location Inside Outside Pilot Type It—=��� Chimney Construction Pilot Mak. .uJ Spillage Pilon Model �l'�lt�/z� Smoke Bomb wiring L� Pilot Timing Draft Test Tog L.W. Cut Off Door Pressure Lighting Inst. Pressure —Percent CO Date Tested Input CFH It9"t7 2 Percent OZ '/ Company Testing Stuck Temp. �� Percent CO Name of Test Certificate of Compentency_ # o ��% �— SUBJECTP N0. City of Fridley 2281-6 AT THE TOP OF THE TWINS BUILDING P E R M I T Ir? COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC r NUMBERREV DATE PAGE OF —3D71 APPROVED BV CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/24/94 JOB ADDRESS 1310 52 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 2 Marion Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Redmen 1310 52 Avenue NE 571-4140 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft 3118 Snelling Ave, Mpls., MN 721-6628 2179 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 J7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling; soffit & fascia 9 CHANGE OF USE FROM TO STIPULATIONS Ventilation must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $7,991 $4.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $7.99 RUCTION OR THE PERFORMANCE OF CONSTRUCTION $99.00 PLAN CHECK FEE TOTALFEE License SC $5. $115.99 SIGNAT EOFCONTRACTOR 0 THORIZEDAGENT 1 ATEI 71H OPN LY VA IDA 1NSP D THIS IS PERMITSIGNATURE GATE OF OWNERoF OWNER BUILDERI IDATEI NEW ( ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 1310 5 oZ A O'E 'U, �' Legal Description: Effective 1/ 1/94 -36�� 7� Owner Name & Address: Dqu 114 A ed M e - h 1310 i?2y� Tel. # -�7/—y/yo Contractor: Joq n e ml MN LICENSE # ,1/ 7 9 Address: 3 P 9 S a e- //Y , n Q U�L /4 Tel. # ;7,:2,/ - 64.,? Attach to tGis 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: ;Gl ; ngc au '4 -14 c "`- $ Corner Lot (] Inside Lot [ ] Ft. Yd Setback Side Yazd Setbacks Type of Construction: Sewer Main Charge $ Estimated Cost: $ % Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft- = Ft x $ = $ DATE: 91,1V19y APPLICANT: Tel. # 42/-6 42 Z CITY USE ONLY Permit Fee $ q9, 00 Fee Schedule on Reverse Side Fire Surcharge $ °� (?q .001 of Permit Valuation (1/10th%) State Surcharge $ , 00 $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ 57,00 $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 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 JOB ADDRESS 1310 a OWNER Rate TOTAL BUILDING USED AS�,cP�;.nD $ 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/Fir *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On May 10, 1999 ESTIMATED COST PERMIT N0. 13%,:6 DESCRIPTION OF FURNACE AND OR BURNER No. of.Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name a 4— Size No. BTU 3V ,App HP EDR $ Fuel Ccs 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 VbIARNIare'true and correct. $ dba Reside Center License # 20090911 2700 N. Fairview Ave. HEATING CO '.� o.,w&%.MN 55113 651433-2561 Signed d DATE % Approved ByAllRough-In Date Final Date/Y/ c I CHDJNEY 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 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connected Has total heating BTU's of Yes () No ( ) Yes No Yes () No ( ) Yes ()No() All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) S. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: Building BUILDING Pelnnit No.: P7 Inspections RESIDENTIAL APPLICATION Rewv Y:- 763-572-3604 CITY OF $0 D 763-502-4977 FAX EFFECTM 1+I� 9 DATE q-31-01 YOUR E-MAIL ADDRESSI YkAaGly SITE ADDRESS tat o 5-Z1220 AzuE. THIS APPLICANT IS: O OWNER JACONTRACTOR PROPERTY OWNER/NAME l�a3rzt2� 171R�Ne_ AD TENANT ADDRESS: l31 O 52 Pt�c E CITY— ADDRESS: 1�%2( Y STATE "AZip' 6 -L 1 PHONE: 5-71 9140 CONTRACTOR tic-) STATE LICENSE # 2► 5-SLe7 T5- EXP DATE I 0 SUBMIT A OF YOUR STATE IO.IPY AND CERTIFICATE OF ADDRESS:13�1 ($rJ iiO.1,2 13 W/7 �C ►7, = D l t". CITY J a`*q INSURANCE PHONE "I LCI -S' L44 t o G20-) FAX (®:3- z5 H AT PROPERTY TYPE 66SINGLE FAMILY/NEW CONSTRUCTION SIZE 0 TWO FAMIL.YMEW CONSTRUCTION STORIES PERMIT TYPE 0 AMMON 0 GARAGE!SHED I] WINDOWS 0 BASEMENT FINISH J1 ROOF O DRAINTII E 0 DECK 0 SIDING 0 OTHER O SWIMMING POOL TYPE OF WORK: 0 NEW HOME CONSTRUCTION l3 ADDITION AMAINl'ENANCFAMPAIR 0 REMODELING DESCRIBE WORK BEING DONEiEP-0yf-0711 S12 E OF DAMOVE4ENT LENGTH WIDTH HEIGHT SQ FT BOOKING 0 HOUSE ONLY � NUMBER OF SQUARES JqHOUSE & GARAGE BST REMODELING SUBMIT: 1. Existing Floor Plan GARAGTI.4 0 ATTACHED GARAGE 2. Proposed floor plea PROPOSED SEE: 13 DETACHED GARAGE 3. List of structural members tote used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, I1VG ADDITIONS & PORCHES SUBMIT: 0 VVmylinyl 0 Aluminum OSoffit 0 Trim 1. Site Plan/Survey showing the existing structures 0 Other 0 Fascia Z and Imposed nstr at Two seta of construction plans VVINpows 3. Energy Caloulatians IN EXISTING OPENINGS DYes ONo LOCATION OF WINDOWS OR FOR NEW OPENING&DESCRIBE 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 VALUATION $ L45v - %a 40 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 $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 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 Dae $ , ! Make cbmks payable to: City of Fridley Attatrb Stipuladoxis THIS IS AN APPLICATION FOR APERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the weak 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 on site, that the work will be in accordance with the approved plan in the case of�rork requires review and approval of plans. L,� S104ATUREOF APPLICANT PRINTNAMELVONl� �t9Ni l�'-S IIATE ��3 '�O9 Building PLUMBING. Permit No.2WIDUW Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY D��:E C 200 DATE 124 11e 109 YOUR E-MAIL ADDRESS SITE ADDRESS —i,wt L a S ©wee.✓ THIS APPLICANT IS: 0 OWNER ONTRACTOR Dave Redman PROPERTY NAME: 1310 52nd Avenue Northeast OWNER/ ADDRESS:Fridle MN 55421 TE ZIP TENANT y� PHONE: 7635714140 CONTRACTOR NAME: STATE LICENSE # 67 EXP DATE SUBMIT A COPY OF YOUR STATE �Wt/ CITY i' rl 0 /.f STATE1LIP SSYO� ADDRE�M7 LICENSE WITH PHONE 403 FAX g l l 1 Z7 -- 112q APPLICATION PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK % PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. Mis.should_reflect only.the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = >•FID"ROJECTS WHERE LABOR EXCEEDS$500,TM ARE BASED ON $10.00 PER FDITURE,'EXCEPT-. VI RRE NOTED :FIXT-U FES:-.(INDICATE TOTAL NUMBER OF EACH BELOW) . BATH SWKA AV _FLOOR DRAINS _ SHOWER _ WATER PIPING —BATHTUB _ GAS PIPING (mm maumsE) _ SWIMMING POOL WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINKWATER CLOSET BACKFLOW PREV. ($I5) DISHWASHER =LAUNDRY TRAY TWATER HEATER ($35) FOR IRRIGATION WATER METER OTHER A Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15,00 = $ Number of fixtures @ $35.00 _ _ x $35.00 = $ 3S.Oo TOTAL DUE $ State Surcharge = $ .50 Total M!.O 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 applic ' n 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 1 o w ' r uires review and approval of plans. (� SIGNATURE OF APPLICANT W / PRINT NAME Jed' /i/004/ " DATE 12//(, City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977