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PRE 2010 DOCS9 +'C• of F4 rjq1 �at�d�GT Permit No. AT THE TOP OP TK TWINS PLUMBING PERMIT T APPL I CA T IG�J � -------- CGP�k§UNITY DEV�LCr4AEPIT DIV, PROTIECTIV$ tM CT10M DIPT, CITY WALL FRi®L€V p64�2 NIT.E&�I �gv. pATE Pk@E 07 at�a120vED er i..o..d�..� „,I @I&-BGIO-34,5® 9,10- 0 2 1S 73 7. 1 800 Job Address 3 Ce ner Address Phone \� -2 7&r 0®d esti Con actoj Address Phone Cil GZ Kind of Building Use Completion Date v ES Lima te3-Nst Plumbing Fixture Rates: NO. RATE TOTAL — u = p W ' - ° —� /02`00 Number Fixtures x $2.00 �Cc'C> Future Fixtures _ -,3 x $1.50 asNval! I I 4 • New Fixture -Old Open. x $1.50 U ql _ Q Catch Basin x $3.25 8 v Water Heater -99 BTU 000 x $3.00 36 O ' •581W Ground Run Old Bldg. x 3.25 I 1 'MNlva( I . I ( I I I Elec. Water Heater x $2.00 I SN1Stl9 � ND1VD� Gas Fitting Fees: ,F.a .,. SN17a0 'U GD aooM 1St 3 Fixtures �� x $2.00 �Q Q .a saaMo/+s� I I I Additional Fixtures x $ . 75 O �ab lnlnoe W. Gas Range -199,000 BTU x $5.00 to ,, I+svnn I I o 0 Repairs & Alterations - IG © See S)1NIS i Description: Code I 4 U I SNlsro �I ( I State Surchar&e °50 f sans Ll —, 1 1 .e TOTAL FEE $ 0 0 I N1V T The undersigned 'hereby makes application for a permit s•lvwan l for the work herein specified, agreeing to do all work S13SOlD e in strict accordance with the City Ordinances and rulinL, a31vM C) I of the Department of Buildings, and hereby declare that � - all the .facts and representations stated in this Qapplication are true and correct. . p � .l 73 d M S igi ture Date ' / -N3- 76-1-1- " City of Fridley AT TME TOP OP TME TWINY tL-------- cowlwMlTr oevEl..oPweMT 01v, I PROTECTIVR MI11tCT*4 MPT, ---� CITY MALL MOW 11044 N. F. 53rd. Ave. 53-8)i-879.01 PLUMBING PERMIT APPLICATION s Phone Larry Steffen Contractor MINNEGASCO Address X33 MARQUETTE AVPhone N or building Frame etion Date 11-27-73 se Res. Gas Fitting Fees: 1st 3 Fixtures Additional Fixtures x $2.00 x $ .75 Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Customers Dryer Code 5.00 State Surcharge ��or.Chae] .50>z .50 TOTAL FEE $ 5.50 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 rulinj of the Department of Buildings, and hereby declare that all'the facts and representations stated in this application are true and correct. Signature 9DTt18�7€cA� Date P, .10.00 Plumbing Fixture Rates: NO. RATE TOTAL .Number Fixtures x $2.00 $ Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 Catch Basan x $3.25 _ Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures Additional Fixtures x $2.00 x $ .75 Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Customers Dryer Code 5.00 State Surcharge ��or.Chae] .50>z .50 TOTAL FEE $ 5.50 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 rulinj of the Department of Buildings, and hereby declare that all'the facts and representations stated in this application are true and correct. Signature 9DTt18�7€cA� Date P, 53-8l -s-915.51 EUNECT PLUMBING PERMIT APPLICATION 41,2 Joo Aaaress City of Fridley AT THE TOP OF TME TWIN$ 136 N. E. 53rd. Ave. r r L ------- COMMUNITY DEVELOPMENT DRV, 1 i PROTECTIVE MIAECT*M bEPT l .---� CITY HALL BRIOLRY $*Olt 53-8l -s-915.51 EUNECT PLUMBING PERMIT APPLICATION 41,2 Joo Aaaress 136 N. E. 53rd. Ave. ner Address Phone Larry W. Steffan Contractor Address Phone MINNEGASCO 73 MARQUETTE AVENUE Kind of Building Use MPLS.A MINN. Frame Res. Completion Date stimate ost 10-30-73 10.00 +f Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x$2.00 $� i Future Fixtures x $1.50 841OVID 11111 ( ` I I no I New Fixture -Old Open. x $1.50 O '1ddYl Catch Bastn x $3.25 QrO I i XI'd Water Heater -99,000 BTU x $3.00 .*BIN I ! Ground Run Old Bldg. x $3.25 Btla, m •n"Ival I I � I �I j I Elec . Water Heater x $2.00 8"Isra i I� HDirD I I I I w Gas Fitting Fees: iO C ®Iilraa I I OD 3 0 "OO1jI 1st 3 Fixtures x $2.00 10 u l Stl3Mo11$ l l l l l Additional Fixtures x$ o,� .75 IVtl t"noe •l I I I I I >,"laa i Gas Range -199,000 BTU x $5.00 a HMI I l l i Repairs & Alterations I ( See 8�"Isl I I I I Description: Install Gas GrillCode 5-00 .NIBYYI I I I a� State Surcharge gla$s 6 e Surcharge .BOO .50 I TOTAL FEE $ 5.50 l I H�va I I I! !The undersigned hereby makes application for a permit sry"RI°I I I I for the work herein specified, agreeing to do all work 9i39°,D in strict accordance with the City Ordinances and ruling uaiYM I 1. I of the Department of Buildings, and hereby declare that all'the facts and representations stated in this application are true and correct. R Signature V0A9M Date � _� Z' City of Fridley AT TME TOP OP TM[ TWWO rL'------- COMMUNITY pEV[LOWNT DIV. PR0T9CTIV2 010ftCT10N 09►TT CITY MALL FRIOL4V 0602 53-8),-S-915.51 4UP ECT PLUMBING PERMIT APPLICATION Job Address - v c 1' 31 1 i 1 Ovu 136 N. E. 53rd. Ave. owner Address Phone Larry W. Steffer 755-6670 Contractor Address Phone MINNEGASCO 33 MARQUETTE AVENUE Kind of Building Use Frame Res. MPLS., MINN. Completion Date lEstimatedCost 11-26-73 `o w 0 E3 RQ E Gas Fitting Fees: 1st 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range -199,000 BTU 1 x $5.00 5.00 Repairs & Alterations See Description: Code State Surcharge0 ,' CIa�`1w A Surcharge .500 .50 TOTAL FEE $ 5,50 !!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 declare that all'the facts and representations stated in this aPPlid�.�,..*mp.jmm t e an ' co ct. 4u . 'S ignature Date Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 Catch Basin x $3.25 Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range -199,000 BTU 1 x $5.00 5.00 Repairs & Alterations See Description: Code State Surcharge0 ,' CIa�`1w A Surcharge .500 .50 TOTAL FEE $ 5,50 !!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 declare that all'the facts and representations stated in this aPPlid�.�,..*mp.jmm t e an ' co ct. 4u . 'S ignature Date City of Fridley SUBJECT PERM) le 1230 AT THE TOP OF THE TWINS-- D I' I D I N G D C D� A I T , r DV r LR'v1 I RECEIPT NO COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. / W S CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAOE OF APPROVED BY 612-560-3450 910-F15 8/30/73 JOB ADDRESS 136-53rd Avenue N.E. 1 LEGAL LOT NO. BLOCK 4 1 TRACT OR ADDITION SEE ATTACHED Carlson's Summit Manor North Addition DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James R. Lund Construction 7709 Woodlawn Drive N.E. 784-2597 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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Construct a 2 x 0 Dwelling ana 25 x Garage 9 CHANGE OF USE FROM TO STIPULATIONS Drywell as per City specifications to be approved by the Engineering Department and installed before the rough in inspection can be okayed. Provide a hard surface driveway. Provide a verifying survey before capping. All lumber to be stamped to meet Codes. As per soils analysis of March 22, 1972, soil investigation borings 4011 deep must be made in Uexcavation prior to approval of footing. City not responsible for foundation failure due to onsite soil conditions. SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 960+70+550 23,750 Total 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 $19,542 9.77 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF 'ANY OTHER STATE OR CAL LAW REGULATING CON- 44.00 275.00 STRUCTION OR THE PERFORMAN OFC N TRUCTION. PLAN CHECK FEE TOTAL FEE - � �� 328.77 Si NATURE OF CONTRACTOR ORAUTHORIZED A NT )DATE) W EN PROPERLY VALIDATEDr,iHIS IS YOU PERMIT BLDG )NSP �� DATE SIGNATURE OF OWNER I IF OWNER BUILDER) (DATE) H Yln 0 l W � � Q e t -r- Z__ p Fv LEGAL D ESCR I PT ION A LOT 41v BLOM 1, CARL, SON ' S SUMMIT -MANOR NORTH ADDITION. WE. HERCIBY CERTIFY THAT THIS IS A' TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDA.R-IES-OF' THE LAND ABOVE DESCRIBED AND OF - THE LOCATCON OF ALL BUILDINGS9, IF ANYW. THEREONt AND ALL VISIBLE ENCROACHMENTS -9 IF ANYO FROM OR ON SAID .LAND* .. AS SURVEYED: BY US TH`i S 3RD DAY 00 ,3ULYt 1973 ! x A MINN* REG. NO. 56... - - . - - .a, w. 1 F 36, 5�1�,) POO-,) CIVI'VI"97 T APPLICATION FOR RL•SIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF I-R1DLLY, MINNESOTA OWNER I S BUILDER • ADDRESS: ADDRESS: NO.,-.- T STREET : LOT:BLOCK: � ADDITION:_ �pti-�Frv� r' �Ic�n„vw.' � lid CORNER LOT: INSIDE LOT: _SETBACK: TSIDEYARD:� 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 -Front: � L) Depth: "�;� �� Height ti Square Feet L ��,�,Cubic Feet: Depth: Front: ' r Height: Square Feet; ''-j Cubic Feet: Type of Construction: Estimated Cost: $ To Be Completed: Ir The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in st:tict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that .ill the facts and representations stated in this application are true and corrt•ct. DATE: 7!� M T) 5 WNATU (See Reverse Side For Additio 1 Info on,) t' ' )„ yygg - X 001FICATE OF SURVEY',-", SVRVG FOR y J LAND MRVEYORS • '1 e�,�a;`�►+*d_$ JAMES LUND CONST., INC - J, NSF e /p `�� - r � 417 r t = • p p� LEGAL DESCRIPTOR: ...LoT.- 4,v fb Qom_ 1 ,. CARL SON � S SUMM IT MANOR MORTH .44 �i ADDITION,, WE HERESY -CERTIFY_ TtNAT THIS IS A TRUE AND CORRECT REPRESENTAVION-� i�' ��, OF A SURVEY Of i'HE SflU% 4E: S.---OF,`Tl4C LAND. ,ABOVE. DE.Sl3;iti Ate: SRR` THE LCCAT [ON: Of ALL llU j,LD t 1.F XNY THERE0149 AND ALL - V S!' L �k 1ENCROACHMENT.S1 If AMY* f.ROM ` OR ON SAID.. L:Alsl�# IBIS SURVEYED"_uii - y` TIAs° 3RD. DAY JuLy, 19 `3, I t ��� S"f' � - �� �V" - • . - � I v ., . ,. -c - +'Yi..w:D' v' �'.•���%iY.T•sit d - L _ 4.-. -: ' ,'s '��-,'�, �.g }N....r}�y..j Application for Power Phuft and Heating, Cooling, VenoceAns Rehi - - 01108 and Air Conditioning Syd nes and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE 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 $—_ _ MECIL WARM AIR %O Furnace Shell & Dunt Work to 120,000 BTU ...... ..$10.00 $ each add. 60,000 BTU .................... .. 3.00 i 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. FMR Steam $10.00 $. __ __ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00 Each add. 320 sq. ft. EDR 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 199,000 BTU) 8.00 $ S� over 199,000 BTU See Fee Schedule GA3 FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 200 $ ,A Additional Fixtures a .76 $ Gas Range to 199,000 X$ 600 $ AIR CONDITIONMa 6 FAN HEATING SYSTEM See Fee Schedule V ITELATING SYSTEM$ ALTERATIONS & REPAIRS TOTAL FEE $ �_ ROUGH FINAL—4— -3 — % 1 (SURCHARGE $_o50) / 7, s7-0 Dept. of Bld9L Phone NO -M City of Fridley: M 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-- % -�� 19 Z3 Owner Kind of Building ._�� ^�^_ S5 Used as . _ "'_ To be completed about s� 7:3 Estimated Cost, (� Old New Building Permit No. Permit No. T % ®�U DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, arm. Air o Trade Named Ary.l S� No. fy J s Capacity Sq. Ft. E.D.R BTU H,p _ 1 Total Connected Load ��0 Kind of Fue �f BURNER — Trade Name Size Cappaci Sq. FL E.D.R BTU Hr. (REMARKS—OVER) �7. T -1-3 2 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. i` Weatherstrips A. Guide E. GidConstruction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— % F1.1 /_ 111/7 n,.� Room I Length J A Width /.Q Heittht A>II / Fl.l � �� Room I Length 9V Width `7 Height � Windows and oors—Crackage and Area Doors--Crackage and Area Width Height No. of Lineal ft. Area No.ofpane of pane lights of crack sq. ft. 0-- J7t0t p 2 p ly O d [� Coef. Coef.1 Btu Infiltration 1 9-2.60 Glass 12®0 Glass Glass Glass b Exp. wall Exp. wall e3 15' Int. wall Net exp. wall Int. wall Net exp". wall 10 polyb Ceiling v 9101FO LM 16 Floor Ceiling �f i Total Btu. j; Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Windows an Doors--Crackage and Area Width Height No. of Lineal ft. Area No. ofpane of Dane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. �. 56 Coef. Btu Coef. Btu Infiltration Glass 60 /6,810 Glass Glass ✓r fk90 Exp. wall e3 15' Int. wall Net exp". wall Ceiling O " Int. wall LM 16 27 0 Ceiling �f i Net exp. wall Floor Ceiling I L N 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area / 171.1 o f -t-- Room ILensith f Width /2 Height 5F Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. ofpane of Dane lights of crack sq. ft. L L/ 6 39d- 7 � Coef. Btu Infiltration Btu ko Glass �- p Exp. wall Glass Net exp. wall 7 101D e3 15' Int. wall L Ceiling / Net exp. wall Floor LM 16 Tbtal Btu. ft. E.D.R. or sq. ins. W.A. leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. /G v® 39d- 7 � Coef. Btu Infiltration / :3 Infiltration 60 ,> b Glass _5 5 e3 15' Exp. wall L Net exp. wall Exp. wall LM 16 27 0 Int. wall Net exp. wall Ceiling I L N 17— {c ` �--' Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 `'12 =r-JRoom l Length )b Width /�2 Height sr Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. G 3 P, rm 39d- 7 � Coef. Btu Infiltration / :3 Infiltration C C 7 9'Q Glass _5 �S �" �3 a`'• Exp. wall M9 - Net exp. wall Exp. wall LM J-0- 1770 Int. wall Net exp. wall Ceiling I L N fr'L LZ A Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.1 j e -A Room I Length 16 Width /O2 Height Windows and Door&—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. I' - t.39 39d- 7 � Coef. Btu Infiltration _O Glass Exp. wall ®2 Net exp. wall ® 10 Cc 7 0 Int. wall Ceiling a J w 3 p -, Floor Total Btu. v Required sq. ft. E.D.R. or sq. ins. W.A. Leader area CITY OF FRIDLEY ao- APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND Furnace Shell & Duct Work to 100,000 BTU .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 4.00 $ ' 7.00 $ Repairs & Alterations -up to $500.00 � � ' ��2C� Ale GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 $ Boiler & Lines up to 100,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00- $ AIR CONDITIONING FAN �,F FAN HEATING SYSTEMS $ see ee schedule VENTILATING SYSTEMS IA®Q ALTERATIONS & REPAIRS $ State Surcharge $ .50 TOTAL FEE $� 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 correct. Fridley, Minn. A -3,i I , 19 7 OWNER ( Y>f/ , �%� �L 11 1 + _ RIND OF USED AS TO BE C ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PEP14IT NO. DESCRIPTION OF FURNACE/BURNER BEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Capacity Total Connected Load BURNER - Trade Name Sq. Ft. EDR Size No. BTU HP Kind of Fuel Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date ($10.00 � �t � C;2.-IdAl) Company FINAL INSP. Date Signed By Q' p ' Tel. No. APPROVAL FOR PERMIT / WO �� MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE u SUBJECT PE City of Fridley 15 8 61 AT THE TOP OF THE TWINS BUILDING PERM I T r IPT `y------- COMMUNITY DEVELOPMENT DIV. 41 1✓ PROTECTIVE INSPECTION SEC. If 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/4/80 JOB ADDRESS 136 - 53rd Ave. NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Carlson's Summit Manor N. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leroy Pul'u 136 - 53rd Ave N.E. Fridley 55432 561-3236 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Kilgore Siding C- 6393 HimM 65 r-ri dl ey 51;4-12 R71971-ra 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 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. Aluminum 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 R-1 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 $1,800.00 .90 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU ION OR THE PERFORMANCE OF CONSTRUCTION. 1 PLAN CHECK FEE TOTAL FEE A SIGNATURE OF CONTRACTOR OR AUT ORI ED (DATE) PROPER V LIDATED THIS IS YOUR PERMIT 7 . _ 9 BLDG IN DATE SIGNATURE OF OWNERIJF OWNER BUILDERI (DATE) u CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) 0651NER• BUILDER: ADDRESS: ADDRESS: TEL NO:. TEL NO: 71 -• Construction Location STREET NO: �le STREET: rjay, v ` Ail LOT: � BLOCK;/ ADDITION: as - � Corner Lot: Inside Lot: Cr Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION L Front: Depth: eig t: Square Feet: Cubic Feet: Type of Construct Zb Be Completed: Front: Depth: Height: Square - Feet: Cubic Feet: �imated Cost: _$ Alt. A Alt. B Proposed Driveway Width I£ 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 repres tions stated in this applicatio are true and correct. e - 7l DATE: �° SIGNATU Stipulations: tipulations: U _ . /Z •O 3s-. SUBJECT PER City of Fridley 7 6 7 2 AT THE TOP OF THE TWINS BUILDING PERMIT r �• COMMUNITY DEVELOPMENT DIV. ______ r 1 v PROTECTIVE INSPECTION SEC. �� -11 CITY HALL FRIDLEY 55432 064_E NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/10/98 JOB ADDRESS 136 53rd Ave NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Carlson's Summit Manor Nort A dation SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leroy Pul u R Same572-1077 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Exterior Design Service 6391 Monroe St NE FridlRy 55412 571-2180 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 0 NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK = Reside house & garage; Replace trim 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 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 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 $3,400.00 $1.70 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ $7.25 Fire SC $3.40 STRU O OR THE PE O E OF CONSTRUCTION. PLAN CHECK FEE TOTAL F Licen§pIC $5.0 $97.35 SIGNATURE OF CGNTRACTO AUTHORIZED AGENT IDATEI EN P PER LIDATE IS IS PERMIT BLD INSP / I/ I GGG BATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: z �_( 'yr Legal Description: " ypu Owner Name & Contractor: t Address: afZZ '222 '�/Z� � �l/4 &.391 A �/l (je_ 94 -- .Attach to this application, a Certificate of Survey of �q -32r/ lot, with the proposed construction drawn on it to k Tel. # — d LICENSE Tel. #% DESCRIPTION OF IMPROVEMENT LIVING AREA: _Length - - -- ----- -- Width - - _ H_el _ GARAGE AREA-' Length Width Height Sq. DECK ARgA: Length Width Hgt/Grouunnd�- Sq. Ft. OTHER: %/`� /jy✓�'-���Y/ems - -- Construction Type: ` stimated CosV: (Fee Schedule on Back) � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $� DATE: — l APPLICANT: Tel. # Permit Fee, Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $-�-E Fee Schedule on Reverse Side $ 0 .001 of Permit Valuation (1/10th%) $ ?0 $.50/$1,000 Valuation $ $1000 per SAC Unit $ .00 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] s '7, 31— - M. '.ITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 2000 3431 University Ave NE _ COOLING, VENTILATION, !ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, 763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE. tesidential Furnace Shelf and Dict Work, Burner - Also Replacement Furnace (Side Vent - Fig Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer Air Conditioning • All Sizes All Others/Repairs & Alterations (LIST 0.14 BACK) -e% of Value of Appliance or Work :ornrsercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 30.00 $ 25-00 Stave Surcharge TOTAL FEE 1 I � 4 .1� ■ .: t.• • . ► ■ . :EINSPECTION FEE $47.00/Nr Air CorgAtioners can not be placed in a side yard without eritten permission from adjoining property owner. TOTAL S. S $-_ 50 u N BUILDING USED AS ESTIMATED COST __ 'ERMIT NO,_____� T DESCRIPTION PE R ACE AND OR E19RNER � No. of Heating Units_...— Circle One (Stearin) (Hot Nater) rrrr Air Trade Mame Size No. BTU O lIl`Z-RD HP _ EDR v � Total Connected Load Burner Trade Nacre_ _. Size No. BTU_____ HP _ .–_.__--- EDR . The undersigned hereby ;Hakes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. o DAT! Approved,. Rough-ln Date Fiat Date 9 -ire -vk I rlLL OL111 BACKSIDE EQR STACK VERIFICATION ON REPLAC MENT EUEtNACE m r N Ze ' d "1x101 COMMON VENT. VENT CONNECT014 AVD AiR VERIFICATION When replacing an existing f Trance, the undersigned hereby verities that the venting has been examined and is free from rust. deterioration. obstructions, and is securely supported and firestopped where required. Yes (4 No ( ) The venting system is plastic/PVC and meets all current -codes and manufacturer specifications Including sizing, length, number of elbows and termination. Yes (-rNo ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AOA-GAMA Category 8 Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (4'No ( ) The existing combustion air is sized and installed to meet the current cosies and manufacturers specifications. Yes (-"o ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturefs speciftoations. Yes (4 -No ( ) When install(ne�a new ,entin_g stistea», the undersigned hereby verifies that It is a listed assembly and meets the current codes and manufacturers speclticatlons. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (moo ( ) Is the common vent and vend connectors sized and installed correctly after an appliance has been removed from the =mmon vent and vented separately as per current codes. Yes (— Appliance Type and ft - Common Vest aee� Vent ConrteCt4r Information Appliance #1 Type i^ ._ BTU lnputq Fan Assisted or Nat Appliance #2 Type BTU input Fan Assisted or Nat ��..., Appliance #3 Type_ BTU input Fan Assists or Nat Total Appliances Total Btu input Common Vent Type Vent Height -®- Diameter _ inches Appliance 01 Vent Connector Height ft Length ft Diameter in Type Appliance 02 Vent Connector Height ft Length ___ -A Diarneter in Type Appliance #3 Vent Connector Heiqht ft Length ft Diameter in Type ALT�MI(ONS: ttJescrikg? __._ HEATING C Signed By: ZO/ZO'd 5098681. 01 A31a18:1 -40 AlM WONA 89:Zt 0002 -ZZ -CON NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax State Surcharge BUILDING PERMIT APPLICATION $.50/$1,000 Valuation SAC Charge z34 Z& / \I Construction Address: _ Legal Description: $5.00 (State Licensed Residential Contractors) Owner Name & Addr�es,Is: & Tel. # - 6 %� l0 7 % Contractor MN LICENSE # �DvTa65 Address q WTel. # l0 51 -cW �0 I 1 $450.00 Conservation Plan Review Park Fee $ Attach to this application, a Certificate of Survey of the Sewer Main Charge lot, with the proposed construction drawn on it to scale. Agreement Necessary [ ] Not Necessary [ ] 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✓LU�I/y'�GJGi'!S Estimated Cost: $ �a 0 0 b Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$, D i Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee 12 - Fee Schedule on Reverse Side Plan Review $ 65% of Permit Fee Fire Surcharge $ . ®d .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1350 per SAC Unit License Surcharge $ 5,0 $5.00 (State Licensed Residential Contractors) Curb Cut Escrow $ Alt. "Nor 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: