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PRE 2010 DOCSL] 11 City of Fridley, Minn. BUILDING PERMIT Date: — Oct. 15, 1968 _W N9 998'7 Owner: Delman Pouliot Jr. Builder Same Address 70 58th Ave. N. E. _ _ Address Same No. Lot 1 LOCATION OF BUILDING 7 00Stmt 5 8th Ave . N . E . part of Lot . Block I Corner Lot —_ Inside Lot Sewer Elevation — — Addition or Sub -Division . Donnay's Lakeview Manor — Setback ___ Sideyard _.._ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 22' Depth —24' Height _10' Sq, n 528 Cu, Ft. 5280 Front Depth _ _ Height ._ _ Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _ $14..00___ 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 afl provisions of ordinanc�a of the city of Fridley. In consideration of the payment of a fee of $_ , 8. QQ _._.., permit is hereby granted to— Demon Pouliot, Jr. 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. Clarence Belisle tn't-11Q. ° NOTICE: M permit does not cover the construction, Whliation for whbg, phnnbing, gas heating, ower or water. Be ams to as the Butldino Inspector for separatt permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER oS NAME tQ.E.4 �lAit/ _l �oc/G/Z� 7 d,�. BUILDER ,�i�.cE iPGFcS.�gGt/ ADDRESS %OD -.058'4 ADDRESS ,f9,?? 1// LOCATION OF BUILDING NO o 7 D -O STREET 5'6 -z -L &y -.t . LOT % BLOCK ADDITION OR SUBDIVISION �i✓/i/�g Y�5 �,Q�FY/�Gt� n/I,4nleIle COR -%'M LOT-- INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF FOCTING Applicant attach to this fors. Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ��R�9GE Front -!;,z Depth 24-1 Height /D 10 gquare feet 2 Cubic Feet Front s z?c) Depth Height Square feet Cubic Feet Type of Construction Estimated Cost To Be Completed ��e a /-577-- /9(g 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 /6 / SIGNATURE <s -O (Schedule of Fee Costs can be found on the Reverse Side. • - J T 6-s 44 ININ n 6-s 44 sueJEcr PERO. City of Fridley o168 3 AT THE TOP OF THE TWINS _gUILDING PERMIT LU ____ COMMUNITY DEVELOPMENT DIV. D `,O r PROTECTIVE INSPECTION SEC. 9y HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 11/2/82 10B ADDRESS 700 - 58th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 6 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alberto Bulatao 700 - 58th Avenue N.E. 571-9188 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Daniel R. Cameron Co. 7200 - 79th. Avenue North 425-7841 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 % B DESCRIBE WORK Reroof dwellin cfara e 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be second but not third layer. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt 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 I 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 $938 $� c�0 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 OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- PRATIOR $ 17.50 TTHE PERFORMANCE OF CONSTRUCTION. y� PLAN CHECK FEE TOTAL FEE $18.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPER VALIDATED THIS IS YOUR PERMIT J 2 BLDG )NSP ATE SIGNATURE OF OWNER( IF OWNER BUILDER) (DATE) CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATICri FOR RESIDENTIAL BUILDING PERMITS (New, Alterations. Additions, or Repairs) OWNER: 44416-d-7-0 13§LA7-Ao BUILDER: DANIEZ- C�4AF—YZo -w (� ADDRESS: 200 A V E 6�9 , ADDRESS: `72Z� Ay e N o TEL N0: �L% 1 - i! TEL NO: 512T -7 o"9'1 Construction Location • STRITT NO: STREET: LOT: BLOCK: — ADDITION: `S LAAf 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 Front: Depth: Height: Square Feets Cubic Feet: Front: Depth: Height: Square Feet: Cubic Deet: Rape of ConstructionsAL eW,-,q L % Estimated Costa $ Rb Be Onr.�pleted: 3 Z. Alt. A Alt. B Proposed Driveway Width if New Opening Is Desired: $ ' $ SEE RBVERHE SIDE OF SHEET . Mie 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 h eby declares that all the facts and representations stated in this application a true d correct. DATE: �� 2 - S �, SIGNAToIE: Stipulations: SUBJECT City of Fridley142_ 19019 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 � 1 � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY J�' 612-571-3450 910-F15 6/23/87 JOB ADDRESS 700 - 58th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 6 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alberto B. Bulatao 700 - 58th Avenue N..E. 571-9188 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Carlson Brick & Conrete (CONTRACTOR NOT LICENSED IN FRIDLEY) 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 JO ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a brick front on dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan W Vi Au Before digging call local utilities TELEPHONE. ELECTRIC. GAS Etc. REQUIRED BY 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 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,850 $1.43 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. $38.50 PLAN CHECK FEE TOT.-AL FEE $39.93 SIG E C TRACTOR OR AU RIZED NT IDATEI . WHEN PROPERLY V DATED THIS IS YOUR PERMIT BLDG INSP /f)ATE SIGN TUBE OF OWN IIF OWNER BUILDERI (DATE) NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ Building Permit Application Construction Address: Legal Description: Owner Name & Address: -�-� Contractor:- � -�-� Address: 700 2916 AivG OT NLl S Tel. # 'C✓�—g $ Tel. # �' trTri--Co . uta o.�K- 25% of Building Permit Fee 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: N Corner Lot [✓7� Inside Lot [ ] Ft. Yd. Setback Type of Construction: Approx. Completion Date: -,A 11NJ1�7o �9 1 Side Yard Setback Estimated Cost: $ 0'&-A ^' 2 66.0 a Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: Z 0--S7 APPLICANT • '� Tel . ✓� 71 -9 18 S CITY USE ONLY Permit Fee $���� Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ - $ 525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] c � TOTAL $ 7 STIPULATIONS: 1 XG071 . 3 �,U AA x'19 �r Rv VA. r...... - . -AO-A *A,3.pO:3 31oz-.)ooh --aL '1an�1 uAcx�� 05001A C~i7C)f4 6,vW m s.�0i�.�. x�rv�bvC� '�G�A�Dd 4 r � , n U I r _ a SUBJECT PERM City of Fridley 19972 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. `L ------- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � ` CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 6/29/89 JOB ADDRESS 700 - 58th. Avenue N.E. I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 Donnay Is Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alberto B.ulatao 700 - 58th. Avenue N.E. 571-9188 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 Ej ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install masonry fireplace 9 CHANGE OF USE FROM TO STIPULATIONS Footing must be 12" thick and extend V on all sides of fireplace and' rest on undisturbed soil, Chimney, must be V higher than any roof portion within 101. 21' clearance to all wood on inside and 11' on exterior. Provide fire alarms on both levels of house. 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 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 ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $2 9�0 $1.45 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- $54.0.0 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE f $55.45 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) _ WHEN PROPERLY V I ATED T IS IS YOUR PERMIT �L - 'Ud, BLDG ,NSP f1ATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] ADCN [ ] AL't'm [ ] i-1 AND R-2 Building Permit Application Effective 5/1/88 COnstriction Address: `700 S-P,7t- ArV0' VAC- V2 f n L`7 1-d i�-P SS •3 2 Ifigal Descrj ption: 17?--� Owner NaMe & Address: -:ZC"5 SSTA- — 4c = Tel. -s 71-- 9 (& S % tV) rt s 3 Z Contractor: _ _ ��r4Z <-�rl fc •1 S G N �= Tel . # 2- Aadre,.s: 2f H- a v Attach to this application, a Certificate of Survey of the lot, with the proposed constriction drawn on it to scale. Fc�&, LTvM AREA: iength Width Height Sq. Ft. GRMM AM: Lehi Width Height Sq. Ft. E= AM: length Width Hgt/Ground Sq. Ft. OTMM: 21� 32 Ldsr-- 1Z-- -- 7f,7,xj e✓ Corner Iot [ ] Inside Iat [�] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $_ Z- Gi , Apprrox. Completion Date: Proposed Driveway Width If New openiM Is Desired: Ft. $ $. 6' See Back Page DATE: APPLICANT: Tal. # -E-71,9186 Permit Fee $ -1900 State Surrharge $ t, SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ To►rAL ��S.�QS ULATIONS: CITY DBE �Y Fee Schedule on Reverm Side $.50/$1,000 valuation 2500 $575 per SAC Unit ac-S.C8 Alt. "A" or Alt. "B" Above t �� Fee Determined by F3�i rr�ari rrT ��10 v Necessary [ ] Not Necessary [ ] D Fra (� �j�v Flu SriS O►� FrLa 64-6es (j)J 0 So1(" ® CY}aMueY mja-, 1F- 'c?' -T#D-k4 P"Uy (20of- w ►A t%'.) l0, q6 A -LX-.. W vu o GAJ -r r4Jri �w 0 j `f oN F ak Hv J:sc Proposal Proposal No. FROM r Sheet No. icj (A c r !v five N0 Date I q 2.11 Z.; Proposal Submitted To Work To Be Performed At Nam tea. d� 4 �9 1_e9Q Street 76 0 ,-Tr f _ Idae /v 16. Street 76 o 59 + U �'= kv- City eA L F State d4 Tr;/ f Date of Plans Architect City ✓" 1OZ4-,61 Stat A.) Telephone Number___,_3_-2 -W We hereby pro se to furnish all the materials and perform all the labor necessary for the completion of 4C- X' i 4-t- HA L, G:AS t'4 Z R fLjdP�t � �6 n rVI4U T,4 i 1 I All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars E$ 9 with payments to be made as follows: Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Cwner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out by &'� ?L81< C P �_L_s a � ! ' Respectfully submitted--..,, Per Note — This proposal may be withdrawn by us if not accepted within days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Accepted Signature Date Signature+ TOPS FORM 3450 17 LITHO IN L. S. A. - _— SUBJECT City of Fridley 20785 AT THE TOP OF THE TWINS BUILDING PERMIT � REC • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 9a 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 4/26/91 JOB ADDRESS 700 - 58th Avenue NE T LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 6 Domay c s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alberto/Helix B.ulatao 700 - 58th AVENUE NE 571-9188 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Arvid Carpentry 6711 Quincy Street NE, Fridley 55432 571-5652 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Res iden til 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X B DESCRIBE WORK Construct a 1V x 16' Addition 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. Tristall one smoke detector on each level of existing house. WARNING Before digging call for all utility locations SEPARATE PERMITS REQUIRED FOR454-0002 wig,'!NG, , lEATiNG, PLUMBiNG REQUIRED BY LAW AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 $18,900 $9.45 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 ANY OTHER STATE OR LOCAL LAW REGULATING CON- $197.00 Fire SC $18.90 STRUCTION. TRUCT9=�:� PL FEE TOTAL FEE /1$225.35 � )moI SIGNATURE OICONTRACTI OR AUTHORIZED AGENT IDATEI WHEN PR PER Y A A D I IS Y D PERMIT BLDG )NSP MATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATEI NEW [ ] Effective 1/1/91 ADDN ]'j 1-1 AND R-2 ALTER �[ ]" Building Permit Application Construction Address: `?0-0 Ck TY AV&h M -6 Iq Legal Descripticn: Omer Nene & Address: j L AE Zry 4 � 4 & V GAJ' p Tel. Contractor: Qizi D A RPte" M l Tel. MWIM AIM: GARAGE AMM: `AREA: :r -r(/ 3 # p0-a''L-ft. Attach to this application, a Certificate of Survey of the lot, with the proposed c:onstru cticn drawn on it to scale. Im gth :�.0 P , y Corner Lmt Inst& l Type of Construction: _ Appmx. Completion Date: 7kr Width Heid Width Height Width Hgt/GroUnd r- I')?( I`( -'318 K sq. Ft.° Sq. Ft. Sq. Ft. .'Ft Yd Setback Side Yard- Estimated ardEskimated Cost: d 4""r �.. Proposed Driveway Width If New Opening Is Desired: Width See Back Page m DATE: : `.m b.' ! CriJLaW: �7' d? � � �; Lf yr- aETY UBB Permit Fee $ N' -)1W Fire Surcharge $ I t �w V State Surcharge $ �. SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ t�M�4 1 M !-��• Fee Schedule on Reverse Side - .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Ellgi n�ri m Agreement Necessary [ ] Not Necessary [ ] 1 �� 0a O OCA- 4j 1oo 17x� ts2"00 /5 c7 Qd T CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: 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 NO. RATE TOTAL $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer. Required ( )Yes () No Type $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance / ' State Surcharge .50 JOB ADDRESS 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 and correct. 1991 Owner Building Estimated Cost cro- PERMIT NO. /09// PLUMBING COMPANY h>_'I—/'� ✓� SIGNED BYD�</*/WTEL NO.T � -0 llly cL. 16J�12 / 5-37A 0,,/,q C,/,qAy ., jo 5S_3%(c I Approved By d & I Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE PLUS THE $.50 STATE SURCHARGE R-/7.�-q CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.00 $— $10.00 $10.00 $ $10.00 $— $10.00 $10.00 $ "Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50— TOTAL FEE s15,50 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS -700 - Se6 hvP I& 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are tfue and correct. l0 _ .5, ,1991 OWNER hawo &C4 / et '/-a o 15-7/ -i1 I `K BUILDING USED AS ice" ESTIMATED COST 1-5-7 c P. PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY A*w /7E �1 � d- Signed By Tel No. 536 ` o6 6 Approved By Rough -In Date Final Date 13 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 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 ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks ,-PAM R List Alterations Being Done: HEATING COMPANY Signed By Date CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 November 6, 1991 Mr. Arvid Krogsven Arvid's Carpentry 6711 Quincy St NE Fridley, MN 55432 Re: Final Inspection at 700 - 58th Avenue N.E., Fridley Dear Mr. Krogsven: On November 5, 1991 we were called to make a final inspection on the room addition at the above address. As you know the project is not totally complete and the following items were noted which the Code requires to be completed before the project can be finaled; 1. The exterior soffits must be enclosed to keep birds and other animals out of the attic. 2. Install covers on all electrical outlets. 3. Install smoke alarms on both levels of the house. 4. Insulate the rim joist. 5. Every dwelling unit shall be provided with a kitchen equipped with a working kitchen sink. 6. Raise the handrail, on the stair leading to the basement, from 32 inches to the current Code requirement of between 34 and 38 inches above the stair nosing. When these items have been completed, please call us for a reinspection. If you have any questions, please call me at 571-3450. Sincerely, D CLARK Chief Building Official DGC/mh CC: Alberto Bulatao 700 - 58th Avenue NE 1 CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 December 30, 1991 Mr. Arvid Krogsven Arvid's Carpentry 6711 Quincy St NE Fridley, MN 55432 Re: Addition at 700 - 58th Avenue N.E., Fridley Dear Mr. Krogsven: Please be advised that on May 1, 1991, the City made two inspections of the above addition. The first inspection was in the morning when a high water table was observed. The contractor was informed that he should raise the footing somewhat; widen the width from 20 inches to 24 inches; and that a drain file system should be incorporated into the plan. The second inspection was made at 1:30 PM and the footing forms were approved for pouring the concrete. If you have any questions, please call me at 571-3450. Sincerely, _�`_ _•cam. Chief Building Official DGC/mh CC: Alberto Bulatao 700 - 58th Avenue NE GNOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 . (612) 571-3450 • FAX (612) 571-1287 April 17, 1992 Mr. Alberto Bulatoo 700 - 58th Avenue NE Fridley, MN 55432 Re: Final Inspection of Addition at 700 - 58th Avenue NE Dear Mr. Bulatoo: Final inspections of the building and plumbing work for the above noted addition were conducted on April 17, 1992 and the construction was approved. The electrical work has not had a final inspection. If you have any questions on this matter, please feel free to contact me at 571-3450. sincerely, CLYbE E. WILEY Building Inspection CEW/mh CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR .::. Urinal Shower : <> ::.. :.�:.�.Floo r . Drain : AutoG asWash : .:Gas WasheStories a >:. i: Water Heater ElecRan Basement $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric Floor 1 Water Heater — Gas $10.00 Gas Range $10.00 Gas Dryer $10.00 FI oor2 Type • $5.00 Floor3 F loon 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas $10.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer Required ( )Yes () No Type • $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I% of Value of Fixture or Appliance /• o v State Surcharge $ .50 TOTAL FEE $.11.90 JOB ADDRESS '749 Y'4�• 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 and correct. Owner _& LA cs Building Used As Estimated Cost 4-1 y , 1993 PERMIT NO. ' ,j LQ /d PLUMBING COMPANY og±)04e- NiVlbirU Qj SIGNED BY TEL N0. Approved By uc Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450. FAX (612) 571-1287 March 2, 1993 Mrs. Alberto Bulatao 700 58th Avenue NE Fridley, MN 55432 Re: Construction In Fridley Without The Required Permit Dear Mrs. Bulatao: I have been trying to contact you by telephone without success and I have not received a return call from you from the messages I have left on your answering machine. Mie reason I have been trying to contact you is that we need the name of the contractor ding the remodel work at your home to have him obtain the required permit so that we can make the proper inspections. Please contact me at 572-3602 so that this problem can be resolved. Thank you, CLYE9 E. W= Building Inspector CEW/mh SUBJECT PE City of Fridley 217 65 AT THE TOP OF THE TWINS BUILDING PERMIT ' • COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. -7443 r � I NUMBER REV DATE PAGE OF APPROVED BY i � S CITY HALL FRIDLEY 55432 ,'j 612-571-3450 910-F15 3/19/93 JOB ADDRESS 700 58th Ave NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ] 6 1 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nelia G Hulatao 700 58th Avenue NE 571-9188 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sam 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 [k ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 16' Plant Room and a 12' x 7811 bathroom in basement 9 CHANGE OF USE FROM TO STIPULATIONS Bee notations on plan. 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 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 $SOO $.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- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $16.00 SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT IDATEI ��aHPRO LY. A DAT THIS IS YOUR PERMIT BLDG INS GATE SIGNATURE OF OWNER OF OWNER BUILDER, IDATEI NEW [ ] ADDN [ ] - CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 7©0 - 51? >4 Effective 1/1/93 -W743 M Legal Description: L o f Byte, C� SDG k ,SIX C6J7axn� s 14*G view l �lQto�C_ Owner Name & Address: //4-- /A .loo - Tel. # .5 71- q/& Contractor: 7V'ricrlk-11 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: 1 441�- 141"' /(R` )e l% f ,arm / Z "K Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks _ Type of Construction: ,-aw UZL ,,,, - �/,�, m� Estimated Cost: $ Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + 6 Ft = (Cost on Back) Ft x $ = $ DATE: 3 % �J APPLICANT: Tel, # h Permit Fee Fire Surcharge State Surcharge $_Z�.r00 $ s5-0 $ .15-0 SAC Charge $ - License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt: "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] sueJEtr E City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. � i V _-__-_ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE TrN SEC. ! 7� E - NUMBER REv DATE PAGE Of APPROVED By V 55432 612-571-3450 910415 9 18/98 10B ADDRESS 700 58th Ave NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 6 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nelia G Schaff 571-0697 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 x B DESCRIBE WORK Reroof house & garage (32SQ) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State 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 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 $2,742.00 $1.37 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 $74.75 Fre SC $2.74 PLAN CHECK FEE T7T/EE $78.86 SIGNTUR 'pn TO A U HORIZEDAGENT IDA Ei EN PROP LID T IS R PEi;MI 5O B iNSo s !Z - r�AtE Si NATUREO�OWNER��o NEA URDER, ATEi 4 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: l V 58 Ade— 1V C-, Legal Description: n Owner Name &Address: e,� A Tel. # 6 Z S i l 6 6 cj 7 Contractor: Dw nk>' , - MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: 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 Length Width Height Length Width Hgt/Ground Re, f -on -c— Driveway Curb Cut Width Needed: +e -r o F -F Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ a27,? 7? (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ r5 � n DATE: I Q jiglqO APPLICANT: Tel. # (� (z S�71 ' 07 7 -7- CITY USE ONLY STIPULATIONS: Permit Fee $ `7 - �� Fee Schedule on Reverse Side Fire Surcharge $ .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 [ J TOTAL $ '16-06 STIPULATIONS: C14SOF FRIDLEY INSPECTION DIViSION �p 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 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ � •n $ 10.00 $ $ 10.00 $ $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ $ a5 00 $ .50 $ Effective On January 1, 2001 JOB ADDRESS_ —I DO SS,++) [�V_4 J4 OWNERV1n��d,�S BUILDING USED AS 6L VlI,4Y1n-, ESTIMATED COST U PERMIT.NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units • Circle One (Steam) (Hot Water) aF ) Trade Nam i Size No. ' _ BTU_ � , x-17 HP EDR Fuel Total Connected Load Burner trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE A/C ELECT,2.INC. 'RAL AVE. N.E. L (D-4nz, 1 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 plastic/PVC 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 andVentConnector Information Appliance #1 Type �'I a.1�1�1C�C BTU Input , �� � WVFan 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) LLLVw\/AL +Z) BLAINE HTa. A/C ELECT., INC. 13662 VENTRAL AVE. N.E. HEATING CO: AMgKA, MN 66304 Signed By: Date: �, MIA HEATING AIR CONDITIONING �miii 'IMIC �f Q AND ELECTRIC, INC. ADDRESS ! 0 �v e tJ c 9r, d �R OCCUPANT DL -9 HEAT LOSS DATE HTG. INST. SOLD BY1 e 0 Electrical Work By ; TYPE OF HEAT GA FA HW STEAM SPACE HTR. p GAS DESIGN MAKE 41'rd e Model �5 S- W V 09 / _ . Serial 09 A $ Y q 19 INPUT DB, coo THERMOSTAT. Limit Setting t Fan Setting Pilot Type SGO` Pilot Make larvN Pilot Model '/ f Pilot Timino 14.57- see - /CONTROLS Heat Plug Chimney Co— "-ti- ROUSE BEATING TEST RECORD APT. FLOOR CITY SUBURB OWNER liCk cin INSTALLED BY 641 /J e- Gas Line By % ;IX UNIT HTR. OTHER CONVERSION Vent Size KIND OF LINER Ak SIZE NONE Draft Hood Ce Regulator LOLJ Filters Si� Number Chimney Location Inside Outside L.W. Cut Off Pressure 3 S X�iJ t.j Percent CO,, Input CFH g'gi ®gyp Percent % 19 l® Stack Temp. Percent CO 130®M F. Smoke Bomb Wiring YI Draft Test Tag -J� Door Pressure Lighting Inst. Date Tested 7—o/ Company Testing Name of Tester moi+ C e V Pressure 3 '-S -Z,j ") L Percent CO2 i Input CFH 919,000 Percent 02 Jr Stack Temp. 3 S Percent CO 3 � �'1 CI7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 March 29, 2002 Thomas & Neila Schaff 700 58 Ave NE Fridley, MN 55432 Re: Final Inspection at 700 58 Avenue NE Contractor: Blaine Heating Air Cond Electric Inc. Dear Mr. & Ms Schaff: A mechanical permit was issued on May 14, 2001 to install a furnace and air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. 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 Building BUILDING Permit No.. l� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Retktit, 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE )(4/16 �- YOUR E-MAIL ADDRESS C R O W N t L U F F Ci M C A S T e N k—T SITE ADDRESS o J - rS AQ �_ NE, r-iZl ID L FLY THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: N E L:1 P. S C N P 1= F TENANT ADDRESS: I S 5 I W D'4D. C:.T CITY FP, I P L E Y STATE �` LIP S PHONE: CONTRACTOR NAME: CROWN F L U F k N T r K f P,)S ,E S N C STATE LICENSE # O N 1 Z EXP DATE J SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: la/Se a`®I IS S ISS / 6' P 1 4C)6?- iib CITY Ch Nw FI_ 1 N STATEMINZIP. S` 31 INSURANCE PHONE 6i i' SN O' 3 _�k- 63 FAX 1(. _?-__')a 3 — O9 9 PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ O FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION . ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH,tOOF ❑ DRAIN TILE 13DECK ), ❑ RIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: 11 NEW HOME CONSTRUCTION ❑ ADDITION ANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Y`"MK, SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING Q Q HOUSE ONLY S BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia t. and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes [No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ '� , See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $�y $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ ea U Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case o\�ahl nkkwhtch recLuires revt'ew and approval of plans.SIGNATURE OF APPLICANT LJ PRINT NAME �Au r ` �' L oy� �I DATE 18 10