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PRE 2010 DOCS1-1 City of Fridley, Minn. BUILDING PERMIT Date:.. /�.. ...... ............... owner ....................................... Address ...................................... 0 N® 3504 Builder m ... ..... .................. ............ Address ............................................. LOCATION OF BUILDING No.1.... Street .J.. 3... ... ...... Part of Lot ............................... Lot .... Block ... j ............. Addition or Sub -Division .[. ......Y- ....2...... Corner Lot ............ Inside Lot ............ Setback ............ Sid ........................... DESCRIPTION OF BUILDING To be Used as , r y Front (°.. Depth ' ,Height . /% 0. ��Sq. F't /• Q .I . Cu. Ft / �.q O • .................... Front ........ Depth ........ Height ........ Sq. Ft......... Cu. Ft. ........ Type of Construction ................... hist. Cost . .......... To be Completed ..............:.... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city .of Fridley. X. .... ............�° . In consideration of the payment of a fee A. ! �'�.., 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. ..... ... Buil r NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumb) , gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Item Appfication for Power Plants and Heating, Cooling. Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 11000 '8.00 each add. 60,000 BTU ....................... 2.00 !� Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ t Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... C GAS FITTING FEES: NO RATE TOT_&L 3 Fixtures .....................42Wz �$L�50�$1st Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ r City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridl Owner Kind of Building Used as— 99"4(21 To be completed about Estimated Cost, $� Old—0 Building Permit No. 195- 195- 195— DESCRIPTION OF WORK HEATING or POWER team, Hot Wates Warm —No Trade Nam Size No awl Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load-, e _ s Kind of rue i BURNER — Trade Nam Size No 1� Capacity Sq. Ft. E.D.R BTU H.P. REMARKS: OQED-11 POST IM -12-58 n.ss z,� s �� HEAT LOSS CALCUL TIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide 4r4ows I jfts Reference Out. Wall Int. Wall Ceiling Roof Floor _ e7sesNo Ye Ngo 1 rr�. _. PI_I wJ RMT tPnoth Wlrlth 'a Npivht .r ii j Fl) ia. 17 Windows and Doors—Crackage and Area v Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. / 3-2- go J, (o' F'i Ql 3 o r3v *;0 .2 JCoef.j Btu / 4, Coef.Btu Infiltration Exp. wall ®2 X t Net exp. wall 3 y Lj 9(90 Glass S-6 Ceilin Floor -s- 5-61 02 S-0 Exp. wall / Net exp. wall / Jol Net exp. wall Int. wall Exp, wall 13 0 22 0 Int. wall Net exp. wap Ceiling Floor / v Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I ' / Fl.l Room I Length /.?_ Width 9 Height k Windows and Doors—Crackage and Ana Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. �0 y J C14,2 ,a JCoef.j Btu Infiltration 4, Glass () �r Exp. wall ®2 X t Net exp. wall d U Int. wap S-6 Ceilin Floor Exp. wall Total Btu. WS -S K Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 LUZ& Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of Daae lights of ograc sq. ft. I 14 J J C14,2 ,a Coef.1 Btu Infiltration 2, 1 .2 - Glass Glass () �r Exp. wap X 4 t Net exp. wall 0 d Int. wall S-6 Ceiling Floor Exp. wall Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 3741®? i FRIDLEY, MINN. Insulation Kind How Applied t __--L e . / TV/:Jai. !" L]e:..l.s Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. J C14,2 ,a Coef. Btu Infiltration 3 Coef. Btu Infiltration t3 S t ?,33 v Glass 0�0 S-6 SO Exp. wall 119.2i Glass Net exp. wall / Jol Int. wall Exp, wall Ceiling Floor IF Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area - , Room I Length J. -3 Width '7 Height k Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal Lt. Area No. of vane of pane lights of crack sq. tt. J C14,2 /6 3 ;t .2-0 Coef. Btu Infiltration 3 Glass S o 3 O Exp. wall I XP S•6 Btu Net exp. wall v41,10 Int. wap Ceiling Floor 13X Total Btu. 2 &0 Required sq. ft. E.D.R. or sq. ins. WA. Leader area i L9 I / ' / . 4 0--1 r -....sl. 9 al W Ath /.• 14.6h► Windows and Doors--Crackage and Area Width Height No. of Lineal Lt. Area No. of vane of pane lights of crack sq. tt. J C14,2 /6 3 ;t .2-0 CoeE Btu Infiltration .3 3 13X � S � Glass Exp, wall Net exp. wap / v (-.0 0 Int. wap Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 17 SUBJECT RM City of Fridley .14475 AT THE TOP OF THE TWINS BUILDING DCRvI r 16 RECEIPT NO. i YCOMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 ) � /-"1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ,.j 612-560-3450 910-F15 11/16/77 JOB ADDRESS 589 - 5332 Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 22 1 Temple Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerald W. Tol=an 589 - 53' Avenue N.E. 561-1551 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 Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 12.51 Shed 9 CHANGEOFUSEFROM TO STIPULATIONS Shed must be on permanent foundation or tied down permanently with ties. SEA 4A'"fjMVR6 ,REQUIRED Wk rllj►iil�il7, HEATAGIP1-i 1 ND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 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. $300 $.50 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 S RE OF CONTRACTOR ORA THO D ENT (DATTE) WHEN PROPERLY VA (DATED THIS IS YOUR PERMIT SIGNATURE OFOWNER IIF OWNER BUILDER) IDATEI - - BLDG It, DATE • CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS. (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: BUILDER: ����� y Address: Address: No. -w % LOT: - —t) Street: BLOCK: � ADDITION: CORNER LOT: V INSIDE LOT: 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: v� Front: Depth: Height: �U Square Feet: Front: Square Feet:: Type of Construction: LV ®® `/ To Be Completed: / -..-W "? A." Cubic Feet: Depth: Height: Cubic Feet: Estimated Cost: $ J, �� 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 side dditional inf�n. ' DATE: / SIGNATURE: Stipulations: PF� tz kA I I-T� �. 0 0 r M 'SGDTE D40 CO,,91NCO INDIER- FA ENGINEERS. AND SURVEYORS LANO 15vQlvplfeINo CIVIL b. NAUNICIPXL. EMOINVE12046 6418-SCTN AVENUE N. MINNEAPOLIS V. MINN. KE 7- 3637 *IF ! -7 - � --' 67 1 oe- 7LT -5 City of Fridley SUBJECT P �35n AT THE TOP OF THE TWINS BUILDING PERMIT r R E C MPTW6. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 f\ NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 8/21/81 JOB ADDRESS 589 - 53� Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 1 Temple Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerald Totman 589 - 5331 Avenue N.E. 572-9108 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 Ek NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 30' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. WARLl MING SEPERAT Below MON C811 local utilities HEA %N� f pER T TELEPHONE - ELECTRIC - GAS Etc-' Atume��� � �U� REQUIRED BY LAW Aft SIeiy�.FOR .mit 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 $6,804 $3.40 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERM ITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $62.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $65.90 SIGN TURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPER VALIDATED THIS IS YOUR PERMIT BLDG INSP D E Si ATURE OF OWNER IIF OWNER BUILDERI ID TEI CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: ADDRESS: 606 TEL NO: Z— L BUILDER: 9� ADDRESS: TEL NO: Construction Location /� .STREET NO: o STREET: �_� , _ , 4wyLUT: `� Z BLOCK: ADDITIONC���J�� /I/ir.G.� Corner Lot: Inside Lot: 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 CA AG Front: f Depth:( Height: Square. Feet: r), Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: r Estimated Cost: $ a To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Mie undersigned hereby makes application for a permit for the �.,ork*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 applicatjon-fare true and correct. DATE: Z -2 O I SIGNATURE: /( _ Stipulations: L Ar MlNDEn FXGDZR IN Cr CO-IINce ENGINEERS AND SURVEYORS LA/`IO SUQVtYtluo S0I1-3 TESTING CIVIL L. MVNICMAL ENOINEMMO LANG PLANNING 6418-5GTM AVENUE N. MINNEAPOLIS TT. MiNN. KE 7- SG,37 rd - f t C. } •tom '� ��. A Ai WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SUQYEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OFTHE LOCATION OF ALL BUILDINGS, IF AMY,'THEREON, AND AL1 VISIBLE ENCROACHMENTS, " IF AMY, FROM OR ON SAID LAND. MINDER ENGtNI=En lw- L 1 i 1 T-�;r &('c9"7 Gt to r 5 SUBJECT PERMIT NO City of Fridley o 7920 AT THE TOP OF THE TWINS BUILDING PERMIT ECEIPT NO. • COMMUNITY DEVELOPMENT DIV. 1- >,.------- 1 1 PROTECTIVE INSPECTION SEC. 1 ( i 1 "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/22/85 JOB ADDRESS 589 - 53�i Avenue N. E. 1 LEGAL LOT NO. OR ADDITION SEE ATTACHED DESCR. 22 IBLOCKRACTT 1 Temple Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gerald Totman 589 - 531� Avenue N.E. 572-9118 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Geroge Johnson Co. 5410 21 Girard Avenue N., Bxooklyn Center, MN 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 566-2351 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair Roof 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 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 $900 $•50 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- T CTI OR THE PERFORMANCE OF CONSTRUCTION. $16.00 PLAN CHECK FEE TOTALFEE ,� $16.50 SIGNATURE CONTR RORAUTHORIZED AG T (DATE) WHEN PROPERLY AIDATED THIS IS YOUR PE MIT BLDG (NSP e� i DATE - SIGNATURE OF OWNER( IF OWNER BUILDERI (DATE( 5 NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address: Legal Description:_ Owner Name a Address: Contractor Address City of Fridley R-1 An R-2 Building Permit Application Effective 4/1/84 Tel. # 0)'—V7 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: - Corner Lot [ ] Inside of [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date:�� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: %��'�-���- Tel. # CITY USE ONLY Permit Fee 16-6 C) Plan Check $ State Surcharge $ SAC Charge $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS• Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] v r' CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Effective On January 1, 2001 3 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763.572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES L RATE JOB ADDRESS 5FL ' �.� � AIE_ SCHL'DULIE r k Residential Rate TOTAL OWNER A bev- -� � %S "—'�--- Furnace Shell and Duct Work, Bumer • BUILDING USED AS Also Replacement Furnace $ 30.00 $_ (Side (Side Vent - Fill Out Back) Gas Piping ESTIMATED COST PERMIT N0. 14 7/6&8 (Needed with new furnace, $10.00 $ but not replacement) DESCRIPTItfN Gas Range $ 10.00 OFF RLM M AND OR g�roNga - - Gas Dryer $10.00 $ No. of Heating Units__Circle One (Steam) (Hot Water) arm A Trade Na Size No. *Air Conditioning • All Sizes $ 25.00 $ s BTU ®� HP Fuel_N�C�_Total EDIT Connected Load All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Burner Trade Name Size No. $ BTU H P EDR 'y Commercial/Industrial s 1.25%, of Value of Appliance or Work Y. $______ The undersigned hereby makes application for a permit for the work herein L specified agreeing to do all work in strict accordance with the City Codes an State Surcharge � g S 50 rulings of the Building Division, and hereby declares that all the facts and TOTAL FEE ��- � $ y,� `,d representations stated in this application are true and correct. DATE AINIMUiId rff VOR ANY HEATINQ/COOLING/VENTILATION IEFRIORATION/AIR CONDITIONING PERMIT IS $25.00 HEATING f� �,,,��, . — ' 7/ ILUS THE .50 STATE SURCHARGE Signe TEL # 3— % - .EINSPECTION FEE $47.00/Hr Air Conditioners can not be placed in a side yard without i -ritten permission from adjoining property owner. Rough-in Date _Final Date -(J% Approved lfA� BACK SIDE MLE IN ON VENT SIZE. -VENT NNECTORS AND COMBUSTION AIR VERIFICATION JUN -08-2001 14:06 FROM CITY OF FRIDLEY TO 4979249 P.03/03 COMMON VENT MM OHN OR AND COMBUSTION AIR VERIFICATION Mien arta M.gxbft tom, the tatdw*9fted hereby veers that the veft has beim amfined and is free from rust, deterioration, chdructions, and is y supported 2W 40081oppW where required. Yes oq NO( ) The venom system Is pM 9#dPVC and meets all current codes and manufacturer specifications including sizing. length, number of elbows and termination. Yes() No W . The undersigned also verify that the Mplacement Unit is a Asted assembly and meeth the MK# d codes and mans moons. Tills does include AGA -LAMA Category 1 Central Furnace Venting Tatbles for fart assisted and natural draft appliances, Yes No( ) The 9WIRG combustion air Is sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When required to install a new combustion air. wig be sized and irwtalled -it to meet the current codes and manufacluter s spedtications. Yes No ( ) W en runwyenow MMWM the ung hereby vies that it is a listed asswft and mem the Current Nodes and ntartUfadur s ZVOWUUMMIPAR This does inducts AGA-GAMA Category t Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (� No( ) Is the cArrunon vent and Vent cu o ctors sized and instated correctly atter an aplartce has been removed from the common vent and vented separA* as per award codes. Yes ( ' No ( ) Appliance Tvpe and SLmCommon Vent and MOM Connector Information Appliance E1 Type -+- 4 u- BTU input _� Fan Assisted or Nat Appknoe 82 Type BTU input Fan Asst Appliance 93 Type BTU Input" Fan Assisted or Nat or Nat Total Appliances _.� Total Ow lout Common Vent Type Vent Height _ Diameter inches Appartve 01 Vent GovsteCW Height _ft Length _ft aarneter `_in Type Awe t2 Vend Connector t W -W tt Length ft Diameter in Type ApPifa%u a *3 Vett Corte ft Length.1t Diam*er _ In Type. ALTERATIONS: (t>sscrlbe) HEATING CO: Signed Sr. Date:. ' C ,O 1 TOTAL P.03 SUBJECT RMIT NO. City of Fridley 32701 AT THE TOP OF THE TWINS BUILDING PERMIT r RE IPT i ♦ COMMUNITY DEVELOPMENT DIV. V _____ r � PROTECTIVE INSPECTION SEC. "0.-1 CITY CITY HALL FRIDLEY 55432 1 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910415 6/17/02 JOB ADDRESS 589 53 1/2 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 1 Temple Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO US Restoration Contractors Inc 93 W Little Canada Rd, Little Canada MN 55117 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 651-765-9785 20325484 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 Reside House; Reroof House 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. 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 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 @ $5, 765 $2.88 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. Fire SC $5.77 RUCTION OR THE PERFORMANCE OF CONSTRUCTION $125.25 PLAN CHECK FEEOTAL FEE _ Licens SC $5. 0 $138.90 SIGNATURE O 'RAfi0a0RAUTHORIZED AGENT IOATE) H P LY VA ID TED THIS IS YOUR PERMIT aiI - &T( BOG INS MATE SIGNATURE OF OWNERdi OWNER BUILDER) IOATF, NEW (J CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: `A C? AVE NE e v Legal Description: Owner Name & Address: Tel. # Contractor. US 5:76r ti C'o,-� -V,g XXON LICENSE # :4z) 3 � S Vw V Address: q3 LJ e Cep, hG dc, Tel. # (a4-1) --7& S - 9 7 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: �/ ��..L Construction Type:_ 92e. - (Z o Estimated Cost: $ 9 -,Y -00 - Driveway Y©O Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: �//zA a APPLICANT: l tay - Tel. # 6012) -71 S - 2 7G� Call (763) 572-3604 for Permit Fees If mailing In application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge %oZ 6-> �C ITY USE ONLY - $ Fee Schedule on Reverse Side $ �977 .001 of Permit Valuation (1/10th%) $ Q - r 6 $.50/$1,000 Valuation $ $1200 per SAC Unit $ r $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 [ ] TOTAL $ /s / STIPULATIONS: SUBJECT City of Fridley 33076 AT THE TOP OF THE TWINS BUILDING PERMIT E , RECEIPT �y _ ____ COMMUNITY DEVELOPMENT DIV. �I °� I. PROTECTIVE INSPECTION SEC. �° 6®4 ®j Of NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 9/11/02 JOB ADDRESS 589 53 1/2 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 22 1 Temple Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Staples 589 63 1/2 Avenue NE 763-571-0272 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK a O NEW 0 ADDITION O ALTERATION x REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Replace windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform 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 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $4,500 $2.25 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE 118.00 _ IGNATURE FCO 7RACTORORAUTHORIZEDAGENT (DATE, E M g INS 'Y VALI ED THIS I UR P MIT aw nATE 5GNATU E OF OWN R,F OWNER BUILDER, ID T NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Cohstruction Address: )0�- Legal Description: Owner Name & Address: Contractor. 5-3 �2 c,,..- W 6— Tel. # 7(3 x' 71 O Z7 2— 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: Construction Type: L Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE: / 1V.- APPLICANT: Tel. #�l Call (763) 572-3604 for Permit Fees if mailing In application or 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 Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Fee Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] STIPULATIONS: