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PRE 2010 DOCS• 0 - BUILDING PERMIT Village of Fridley, Minn. Date..'c�'! 1 ~..!.......................... Owner .... mco-aJS..... a.to vr'erL ... Address ... iv.a..... 5, ,A ................ r LJ N° 2842 Builder ..... ...................... Address ...� V 4 ... a ... I . LOCATION OF BUILDING No. .. cl ...... Street ..... 1.,3 X .......................... Part of Lot ....................... Lot .... 9.......... Block ...... Z,....... Addition or Sub -Division ... . Corner Lot ............ Inside Lot ... Setback ............ Sideyard .......................... DESCRIPTION OF BUILDING To be Used as: .4l? (.o,�4:...... Front . 4 6 .. Depth . .L . Height .. / Sq. Ft. J.�.� Cu. Ft. ........ ..................... Frontt,........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ........ Type of Construction .. FIS. Est Cost .... �.r ......... pp 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. ljoe'.Y '�o U'I I I I I * 51 �­ I 1 0. �-= I I I I I I * I I I I I - In consideration of the payment of a fee of $. i . . 6 � ermit is hereby granted to . W .. :e41' .�:...... . ...G.1id 4.�IL..... 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, alters ' tenance, rron' d moving of buildings with- in the village limits and this permit may be revoked ata time up n violatj)�y 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. qd 3 Vv - City of Fridley, Mian.. N9 9750 BUILDING PERMIT • Date: ....._.May 21, 1968 u • owner: _ Florian ey Builder Sap — Address �72.53,2L Ave • Address Same LOCATION OF BUILDING No. _572 — Street � 3' Avenue —_ part of Lot Lot _._._.g.._....r__ Block _^__2__ Addition or Sub -Division — Tem= l P Terre 2ndrr� n _ Corner Lot w Inside Lot _ _. _ Setback Sideyard -- Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Gaxage Front 221 Depth 241 Height 10° Sq. Ft. 528 Cn. Ft 5280_ Front Depth _ _ Height .— Sq. Ft. Cu. Ft Type of Construction Est. Cost 11200._—,$1600 _ 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 m accordance with the description above set forth and in compliance with ;hprovisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 8.00 ., permit is hereby granted to Fl ori._ Jan.ey 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. �. r Inspector CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, Plumbing, gas heating, sower or water. Be sure to see the Building inspector for separate permits for these Nems. /A I APPLICATION FOR BUILDING PERMIT CZIY OF FRIDLEY, Mn=$OTA A OWNER'.$ NAME -1-za � /,a d1 4 it G' �BLfILDER• ADDREss .-�—.2z ADI)RESS- S' LOCATIOI4 OF i BUILDING ; N0.- , LOT ;" BLOCK - , .+•. :ADDTTibN Ott MID"IVISUNo CORR LOT INSIDE LOT SETBACK SIDEYARD �tE_ SEWER ELEVATION TOP OF FOOTING Applicant attach ppthis fA* Two Cerx3.fica ai. of'$u vef`bf Lbt--414 proposed building' locatton drawn. on. theso Certl ficates . DESCRIPTION OF BUI+OING` To Be Used As: 4•.1. Z— Front 2 7- Dept tri Height _ � Square feet Cubic Feet Front Depth` Height. N Square. feet__ Cubic Feet f, - ' ' sem/ Type of Construction Estimated Cost 12 4 ® �6 6 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 representations stated in this application are true and correct. DATE © G � _SIGNATURE _ (Schedule of Fee Costs can be found on the Reverse Side). ' " CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1997 Fridley, MN 55432. APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES JOB ADDRESS '379, S!qW Pit) 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 $ .ice representations stated in this application are tru and correct, (Side Vent — Fill Out Back) % 'T ,1997 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER, Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work $10.00 $ $10.00 $ . $ 25.00 $ State Surcharge TOTAL FEE .50 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr BUILDING USED AS r&t& n J, ESTIMATED COST /_ 06 So PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No, of Heating nits Circle One (Steam) (Hot Water) a ir) Trade Name i' Size No.�15(�6q 1/ D3 _76 BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR . BLAINE HTG. A/C ELECT., INC. 13562 CENTRAL AVE. N.E. HEATING P ANOKADel N 55304 Signed B No. ` S142LO Approved By Pn Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FO STACK VERIFICATION ON .written permission from adjoining property owner. REPLACEMENT FURNACE Remarks: . List ALTERATIONS BeingLDone: HEATING CO: Signed By: Date: ELAINE HTG. A/C ELECT., INC. 11-/H`9% CHIMNEY 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 Yes No ( ) 3. Has no foreign objects lodged within Yes (oC) No ( ) 4. Is securely supported Yes No (. ) 5. Meets all current Code requirements for size Yes ( No ( ) and total BTU's connected 6 e Has total heating BTU's of r o U All other BTU's 4Q,Q0Q TOTAL BTU'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 BeingLDone: HEATING CO: Signed By: Date: ELAINE HTG. A/C ELECT., INC. 11-/H`9% 614ANE AIR CONCONDITIONING HOUSE HEATING TEST RECORD AI AND ELECTRIC. INC. ADDRESS 67',P, 5�3 4L 446, OCCUPANT J AN GrS HEAT LOSS DATE HTG. INST. ! /--w�J-� SOLD BY Al-41AX, Uzi Electrical Work By SLtail 14T/ TYPE OF HEAT GA FA HW STEAM SPACE HTR. MAKE GAS DESIGN Model _�st/� t/ 0,2!�j 070 Serial INPUT 21,01 97 CONTROLS THERMOS,,T""At/T Heat Plug Valve teV �i®taGF� Limit CT��✓!s� Limit Setting No Fan Setting 7 Pilot Type Pilot Make Pilot Model Pilot Timing LSC L. W. Cut Off Pressure _ ° Percent CO, Input CFH Percent O, , Stack Temp. 3 Percent CO Form 235 APT. FLOOR CITY Pl LC- SUBURB OWNERIi ,Jr -t/ INSTALLED BY f�i 1 Lll fres Gas Line By UNIT HTR._ OTHER CONVERSION MAKE OF BURNER Model Max. BTU Rating MAKE OF FURNACE Model Vent Size KIND OF LINER SIZE NONE Draft Hood 1 AI- b lA C- l (l Regulator Filters Size (/n Number 1 Chimney Location Inside Q Outside Chimney Construction z Smoke Bomb Wiring �! Draft Test Tag Door Pressure Lighting Inst. Date Tested Company Testing Name of Tester 01 SUBJECT City of Fridley 214 2 9 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. I i V -------I r I PROTECTIVE INSPECTION SEC. I CITY HALL FRIDLEV 55432 NUMBER REV DATEPAGE OF APPROVED BY �"'"� 612-571-3450 910-F15 7/3/92 JOB ADDRESS 572 -- 5311 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Temple Terrace Second SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Florian Janey 572 - 531� Avenue NE 572a-9026 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW �] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construction of a 15" x 131 Addition to Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. 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 $2 OOO $l .00 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- $45.00 Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $48.00 SIGNAT OFCONTRA TOR OR AUTHORIZED AGENT IDATEI WH P PER Y AL TED THIS IS YOUR PERMIT BLDG INSP DATE SiG ATURE OF OWN RIIF O NNER SUILDERI IDATEI 01 NEW [ ] ADDN CITY OF FRIDLEY ALTER [� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Effective 3/1/92 m1pCQ f'0,/'0,e--Q-- Owner Name & Address: �� o ®®�' �� �' Tel. # z ®� Contract r ' MN LICENSE # Address: Tel. # 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: 15� Corner Lot [ J Inside Lot [ J Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: z - y -- DATE: % — 4--q Ft. Yd Setback Side Yard Seth acks Estimated Cost: $ # !r o d Ft. + 6 Ft = Ft x $ (Cost on Back) = S APPLICANT: �� Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 24,00 .001 of Permit Valuation (1/10th%) State Surcharge $' e $.50/$1,000 Valuation SAC Charge $ ----- $700 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ f`,�o STIPULATIONS: , e- t MINE R ENGINE�]��TG �O.,INC. ENGINEERS AND SURVEYORS LAND SURVEYING MUNICIPAL ENGINEERING: 6418-56 T" AVENUE N. MINNEAPOL15 2T, MINN. KE 7- 3637 s .2 9 1 j �k 1 �s o 1 j I ! SOILS TESTING LANG PLANNING �r I e ✓ i I ri i R7�� WE HEREBY CERTIFY THAT TH15 15 A TRUE AND CORRECT REPRESENTATION OF N SURVEY OF THE BOISNDARIES OF THE LAND ABOVE DE5CRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON , AND All VISIBLE ENCROACHMENTS, IF ANY, FROM ORLON SAID LAND. MINDER ENGINEERINCI CO., INC. DATED THIS DI.Y of Sed /6'In ELI6I*'i7-sv .S k"o SURYE:YOR.S 3 8; i Every sleeping room shall have at least one window with a sill height of not more than 44" above the floor and shall provide not less than 5.1 sq. ft. of openable area with a min. height of 24" and a min. width of 2r? , I, W. - W W � n 41 e'v 77 GcJ W- Z O PICK-UP CONST. WASTES DAILY Ile ST'GRE IN AN APPROVED MANNER l I(A � Y.€ AI. L REFUSE��'L! w I W SUBJECT A215WIT NO. City of Fridley 26203 AT THE TOP OF THE TWINS BUILDING PERMIT r RE EIPT NO. �• _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � � F � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L �\ 612-571-3450 910415 6/10/98 JOB ADDRESS 572 53 1/2 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 1 Temple Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Florian A Janey 572 53 1/2 Avenue NE 572-9026 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 Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace six windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement rwindows can not reduce clear openable area any less than what was existing. Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,500 $1.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $87.25 Fire SC $3.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $92.50 SIGNATU OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY IDDAATED THIS IS YOUR PERMIT 6 ? NSP e 6YO"C _ DATE ,,G TURE OF OWN OF OW R BUILDER) iDATEiBLDG w I W NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: 14 -Z - i 17 �• �4 e ��� �s Tel. # b/ Contractor: - O 4�!? end MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EVIPROVEMENT Tel. # 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: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ � SO U (Fee Schedule on Back) Ft x $ _ $ DATE: G fib_ �� APPLICANT: ry �%� Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ - .-,?�—Fee Schedule on Reverse Side $ 3,E .001 of Permit Valuation (1/10th%) $ oS $.50/$1,000 Valuation $ $1000 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: g Via. S� Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] .S9Z i°z6"" SUBJECT. City of Fridley 2 9 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. ����r PROTECTIVE 1 � sip REV DATE FPAGF OF APPROVED BY _ CITY HALL FRIDLEY 55432"0 612-571-3450 [910-F`15 9/22/98' JOB ADDRESS 572 53$ Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Temple Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Florian Janey 572-9G26 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Northern Crest, Inc. 8245 Polk St NE Spring Lake Park 55432 792-9364 20098415 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0, 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage (23SQ) Tear -off 9 CHANGEOFUSEFROM 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 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 1 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 $1,971.00 $.98 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 LOCAL LAW REGULATING CON- $62.25 Fire SC $1.97 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALAtE •,1��° Licens SC $5. $70.20 S-GNAfURr6F tON7AACTOR OR AUTHORIZED AGENT iDATE, N OPE Y ALIDA D HIS I$/fO�R=�� PATE S-GNATURE OF OWNER..F OWNER BUILDERi iDATE, NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 572-531/2 Ave . NE Legal Description: Owner Name & Address: Florian Janey Tel. # 572-9026 Contractor: Northern Crest, Inc. MNLICENSE# 20098415 Address: 8245 Polk St. NE Tel. # 792-9364 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EAPROVEMENT 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 -shingle house and garage Construction Type: 23 square s hi g l e s Estimated Cost: $ A 7 1 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 9- 2 2- 9 8 APPLICANT: Tel. #792-9364 CITY USE ONLY Permit Fee $ l o? Fee Schedule on Reverse Side Fire Surcharge $ l `% .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 $ 1,20 . STIPULATIONS: 1 sueJEcr PE City of Fridley 3 3 3 7 2 AT THE TOP OF THE TWINS BUILDING PERMIT r ' 1 RE O. COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � NUMBER REV DATE PAGE Of APPROVED 8Y CITY HALL FRIDLEY 55432 763-571-3450 910-F15 3/17/03 >/ JOB ADDRESS 572 53 1/2 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. g 2 1 Temple Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Florian/Betty Lou Janey 572 53 1/2 Avenue NE 763-572-9026 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Brunn Remodeling Co Inc 2161 108 Lane NE Blaine MN 5544 763-780-0323 4016 a 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 O ALTERATION E)REPAIR ❑ MOVE ❑ REMOVE x❑ 8 DESCRIBE WORK Construct an 11' x 20' Sunroom Fo er Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS WARNING REQUIRED FOR: Before digging WIRING HEATING call for all utility locations PLUMBING AND SIGNS 454-00o2 U1 1f LAW 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 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 $15,985 $7.99 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 LOCAL LAW REGULATING CON- STRU9TION 265.25 Fire SC $15.99 OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE EE TOW.0-1 �j7�03 Licens$5.00 $.23 SIGNATURE OF CON-RACTOROR AUfgrRIZEDAGENT iDATE, ENOP Y ALIDAT HIS I UR ERMIT S-GNATURE OF OWNER,.F OWNER BUILDER, iDATE. -WL-06 NSP nar NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: S7 Z 53"z- A;'J P- ►�►>= Legal Description: Owner Name & Address: FLOILIAt-1 t3PTYY 1,40 3APli;'r Tel. # - v7Z'9b 2G Contractor: c o. 1 sJ c- MN LICENSE # 40 1 G Address: 214 l 11$x" Lnj NF. Tel. # 763- 7�8 -43 Z3 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 '26 o Height Sq. Ft. 2- Za �C GARAGE AREA: Length Width Height Sq. Ft 5 1 DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: A-0 0 67764, SdNti� w� i�a1c�'` Estimated Cost: $—Az--� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 3.17 -71v z APPLICANT: Awlr* vi go-) -)r`I Tel. # —763" -2110 - 03 Z 3 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 Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ i;4944 1 •D- Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $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 [ ] MNcheck COMPLIANCE REPORT Minnesota Energy code MNcheck software version 3.0 COUNTY: Ramsey STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 2-27-2003 DATE OF PLANS: 2-27-03 TITLE: Energy Calculations PROJECT INFORMATION: Florian and Betty Lou Taney 572 53 1/2 Avenue Fridley, MN COMPANY INFORMATION: Brunn Remodeling Co. Inc. 2161 108th Ln Ne Blaine, MN 55449 COMPLIANCE: PASSES Pe rmi t # checked by/Date Required UA = 134 Your Home = 126 5.6% Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R -value R -value u -value U ---------------------------------------------------------------------------- CEILINGS WALLS: Wood Frame, 16" O.C. GLAZING: Windows or Doors, Above Grade DOORS FLOORS: Over Outside Air SLAB FLOORS: Heated, 3.5" insul. HVAC EQUIPMENT:' Furnace, 91.0 AFUE HVAC EQUIPMENT: Air Conditioner, 13.0 212 38.0 0.0 437 19.0 2.0 2 64 0.350 2 20 0.350 136 30.0 0.0 64 10.0 6 SEER ---------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building pplans, specifications, and other calculations submitted with the permit.application. The proposed building has been designed to meet tt�e, requVements of the Minnesota Energy code. Bui 1 de r/Designer., Date 2-) 10 3 CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 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) 11Jo of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective January 1, 2003 JOB ADDRESS 5 -7Z `.7 l -z A 05, Alt:--­ OWNER t: OWNER Rate TOTAL G zC�1,12 CN `c BUILDING USED AS � $ 30.00 $ ESTIMATED COST!��-�� /Z Sd G. O d PERMIT N0. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel Total Connected Load 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. 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. DATE A (f9IL 15, ZGa H EAT NG r✓ L , !`' 65? 1-4 4 rl l '11"Q L 4 VA L % Jq L Sig e TEL # FAX #�o Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED Whenlacing an�ting , 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 plastictPVC 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 cnmhnstinn air is sized and installed to meet the current codes and manufacturers specifications. Yes( No( ) When required to install a new cnmhustinn air_ it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When iostaWnn 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 #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 M Al TFRATIANS- (nnsetrihal �,�� ¢ �vl��'Gl �� AIV D Z f ZC-7"0 ZJ &Z TZ) ,A j2D r -r1 v tj HEATING CO: Signed By: -t[AnnAAS t:%P 1 6 L n/► Date : 15- � *0� 3