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PRE 2010 DOCSCity of Fridley SUBJECT jPERMj480 ® AT THE TOP OF THE TWINS BUILDING PERM I T r ilameirrwO- • COMMUNITY DEVELOPMENT DIV. �,.------. r PROTECTIVE INSPECTION SEC. 9�.�0�-- 1 i � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY --"'�'� ,•J 612-560-3450 910-F15 7/14/78 JOB ADDRESS 233 - 57th. Place N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 10 1 City View Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Helen Szyplinski 233 - 57th Place N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Cochran Construction 1404 E. 21st Street 870-9865 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 22' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. SEPERATE PERMITS REQUIRED FOR MR1Nf. HEATIM PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 352 3520 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, NO. DWLG. UNITS OFFSTREET PARKING 1 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 $2i 800 $1.27 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- $14.08 STRUCTION R THE PERFORMAN E O=NSTR TION. \' O� PLAN CHECK FEE TOTAL FEE $15.35 GNATURE OF CONTRACTOR OR AUTHORIZED AGENT ATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT `I ' BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) zo I Ve -X AA 6--? e6 v i 1 m • CITY OF FRIDLEY APPLICATIm FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: Address: 2,3& vo ' No.: Street: BUILDER: Address: Tel. No. �l� ��♦� LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEXARDS: 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: �GF�P�dy� Front: 16 Depth: Height: toe Square Feet: 1350 Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: T/Gi /7?P Estimated Cost: $ �26 0 0. 00 To Be Completed: �3/, `7 g 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 for additional information. DATE: SIGNATURE: Stipulations: 'ne IS3� SUBJECT PER City of Fridley 0 20381 AT THE TOP OF THE TWINS U I L D I N r p E R AA I BUILDING D ,j \J 1 1� 1 1 CEIPT NO. _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r ; CITY HALL FRIDLEY 55432 NUMBER DATE PAGE OF APPROVED BY 612-571-3450 910-F15 f7i 5/22/90 JOB ADDRESS 233 - 57th- Place N.E. 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 , 10 , 11 1 City view SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kevin Raatikka 233 - 57th Place N.E. 572--2184 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 ❑ NEW ❑ ADDITION ❑ ALTERATION E� REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 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. Vinyl ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 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 $1,10.0 $.55 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- $27.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. AN t7HECK FEE TOTAL FEE 7 $27.55 SIGN lu OF CONTRACTOR RIZEDAG T IDATEIWHEN PROPERLY V (DATED THIS IS YOUR PERMIT BLDG (NSP 4AT SiGN UREOFOWI ERIIF WNER DER( IDATEI NEW [ ] Effective 1/1/90 ADDN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: r,�33 XV 14 Avec I /'/ol £�z �itl Legal Description: Owner Nene & Address: Contractor: Address: _ ��"/ (fh / iU c- Aw Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. .: "«• 030 I!V 1110 71 lyi LIVIM AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DBCR AREA: Width Hgt/Gro nd Sq. Ft. OTHER: Mz ), t / // �) a= Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yarn Setbacks Type of Construction: c/ Estimated Cost: $ Ile Approx. Completion Date: Proposed Driveway Width If NewOpeniriy I Desired: Ft. $ $ 'ISidth + 6' See Back Page DATE: APPLICANT: Tel # Jf -� / 2 CITY USE Y Permit Fee ()0 State Surcharge $ � � SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ P4M01a : y * � . Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT City of Fridley (02 6 3 5 9 AT THE TOP OF THE TWINS BUILDING PERMIT f T COMMUNITY DEVELOPMENT DIV. e ` _ r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/25/98 / / JOB ADDRESS 233 57 Place NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9,10,11 1 City View Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Willie Lawrence 233 57 Place NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Knight Construction 4808 Lamplighters Ln, Minnetonka MN 55345 470-1649 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20022883 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 Reroof House & Garge (22 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 $1,834 $.92 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHO ITV TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P OVISI SOF ANY OTHER ST TE LOCAL LAW REGULATING CON- $59.50 Fire SC. $1.83 ST CT ON OR THE PE FORMA O CONST CTION )P'�I �� PLAN CHECK FEE License SC $5.00 TOTAL FEE $67.25 S NATURE OF CONTRACTOR OR AUTHORIZED AGEN MATE) WHEN PROPERL ALIDATED THIS IS YOUR PERMIT 44 NALONATURE OF OWNER OF OWNER BUILDERI IDATEi iNSP OaTE NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress : Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION s�'-7 � Pl . Effective 1/1/98 ' <q P-10? Owner Name (&/Address: Tel. # Contractor: MN LICENSE # Address:. 14 `i o •� � ��^ S � � �c�+- Tel. # 't�,_,- LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Le 2 CDC CA:T .(, \\ gth Width Hgt/Gro��und Sq. Ft. Construction Type: Estimated Cost: $ T3 y g (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: 31 4; NVC S t c Tel. # LA 21- --12-1( CITY USE ONLY Permit Fee $ �� Sri Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ . 22 $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1000 per SAC Unit $ �a 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 4L % 9 5'--' ITY OF FRIDL�Y INSPECT SUN DIV. 431 University Ave NE ridley, MN 55432 63-572-3604 Effective On Jan 1, 2001 Co APPLICATION FOR PLUMBING AND GAS FITTING PERMIT COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE MARK NUMBER OF FIXTURES TO BE INSTALLED UN EACH t-LUUK PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures $ 7.00 rr`<:>:<:: Wash` : Floor .k. - Auto. ...{kc0::r� :? Gas :<.:... Water Heater A specified agreeing to do all work in strict accordance with the city codes • �:a?ic;;t:.; Urinal •` Shower Tra i`kti-••:i DrainWasherlElecStories a Rana vGas Catch Basin qq�� ::::�li••iY,J,/:, CS n -� / :i�eA'vf: •,9,?•i •:.'s'.J{;{'.i::. i:i:{{{.::•::?vi.'•:•i:•:! Sump/Receiving Tank Basement ��` L� Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Floor 1 _ r � �''..::. $10.00 Building Used As Gas Range" ............. .;;::v.:::{•::�: Gas Dryer" $10.00 Estimated Cost, PERMIT NO. Back Flow Preventer Required ( )Yes O No f t/ I F o0 r2 $15.00 PLUMBING COMPANY Reinspection Fee $47.00/Hr SIGNED BY / — TEL N0. - 1.5% of Value of Fixture or Appliance '�:S?•v s::•iii . . Floor 3 State Surcharge $ .50 $PLUS MINIMUM FEE OR ANY PLUMBINGIGAS PERMIT IS S20,00 THE &.4 STATE SURCHARGE Floor 4 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE 2-2)3 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures $ 7.00 s" The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 CS n -� / Rain Water Leader $ 7.00 —,20 Sump/Receiving Tank $ 7.00 ��` L� Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 _ Water Heater - Gas" $10.00 Building Used As Gas Range" $10.00 Gas Dryer" $10.00 Estimated Cost, PERMIT NO. Back Flow Preventer Required ( )Yes O No f t/ Type $15.00 PLUMBING COMPANY Reinspection Fee $47.00/Hr SIGNED BY / — TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS�� 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ .50 TOTAL FEE $PLUS MINIMUM FEE OR ANY PLUMBINGIGAS PERMIT IS S20,00 THE &.4 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 plasticlPVC 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 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, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a 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 Type and Size/Common Vent and Vent Connector Information 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 ALTERATIONS: (Describe) HEATING CO: Signed By: Date : sueJEcr P IT City of Fridley 32133 AT THE TOP OF THE TWINS BUILDING PERMIT f `�� tr __��_ COMMUNITY DEVELOPMENT DIV. ® ` RECEIPT NO. rr ' a /, / U7/ e PROTECTIVE INSPECTION SEC. L'✓� r( NUMBER REV DATE PAGE OF AOPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 9/5/01 10B ADDRESS 233 57 Place NE 1 LEGAL LOT NO.BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 ,10,11 1 City View Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Willie/Naima Lawrence 233 57 Place NE 763-574-9337 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 ❑ NEW ❑ ADDITION ❑ ALTERATION q REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Basement bathroom alterations 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMS fS REQUIRED FOR: WIRING r"FLANSiNt SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OFC NST. 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 1 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 $1,000 $.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- $38.75 License SC N/A STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTA FEE Fire $ .00 $40.25 SIGNATURE OF CON • AACpA OR AUTHORIZED AGENT IDAf ENRO E IDAT MIS UR P SGNATUf7E OF OW NEFi�F OWNER BUIL DE Ri DATE, BL 'NSP NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: ..' � , ,(- L� "ZLf, Legal Description: _ Owner Name & Address: LIke Al «tct Tel. ##�3 Contractor. MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Length Width �1112�� Height Sq. Ft. Hgt/Ground Sq. Ft. Construction Type: f Ja W Estimated Cost: $ e 0,�" Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: APPLICANT: �� Z/A� z4gNC� Tel. # E -575 f % CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 61-0 .001 of Permit Valuation (1/10th%) State Surcharge $ , �Q $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1150 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 [ ] $ I'm 1 C 4_ �► W P /m q 4 � 4 16- Q V i zw� aa3: CID CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR )CA 1st)( Effective On January 1, 1999 710W�Clel PLUMBING FIXTURE RATES: NO. New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type "ruz [S��"z- RATE TOTAL $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 JOB ADDRESS The undersigned hereby makes application for a perm it for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner W ► \V l e' Building Used As S° -"^O— ciS G`OoQe . Estimated Cost Q -0c) PERMIT NO. l 3 PLUMBING COMPANY�1$� 11999 Reinspection Fee $42.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance T Approved By Rough—In Date Final Date L!� State Surcharge $ .50 SID MINIMUM FEE F ANY PLUMBING GAS PERMIT IS $20.00 TOTAL FEE $0�,_ PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. CITY.,OF FRIDLEY INSP N DIV. 6431 University Ave N JE Fridley, MN 55432 572-3604 �APPLIC �i/off ATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Wash, :C.�C�11k:::::: Floor h...:::;:.; Auto. Unna I er Tra Y ....Drain ? Washer Effective On Jan 1, 2000 Gas I Water Heater Range >€`' Gas 1EIec " PLUMBING FIXTURE RATES;, NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range"* Gas Dryer"' Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00- $7.00 .00$7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance �® State Surcharge $ .50 TOTAL FEE $V� 1. ' I JOB ADDRESS C;�-3 _3 5-7 ®ZL— 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 Building Division, and hereby declares that all the facts and representations stated in this application are true;/�o ct. '2%2e" Owner Building Used) Estimated Cost PLUMBING CC SIGNED B Approved By Z(ar� PERMIT NO. / .✓ ®`� COMBUSTION COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACKSIDE -r- CI7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 March 7, 2003 Mr. Willie Lawrence 233 57 Place NE Fridley, MN 55432 Re: Final Inspection at 233 57 Place NE Contractor: McGuire & Sons Dear Mr. Lawrence: A plumbing permit was issued on October 4, 2001 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh