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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. N� 2065 g Y Date ........................... I� f , Owner ..�.. .... Builder ........................................... Address 10...p .... ,, ..! Address ......................................... LOCATION OF BUILDING No. .... ?: .. Street ,,.art. ..... .......... Part of Lot ....................... Lot ........... .. Block ................ Addition or Sub -Division ....................................... Corner Lot ............ Inside Lot ............ Setback ............ Sideyard .......................... DESCRIPTION OF BUILDING To be Used as: i Front .,A. of.. Depth .,. Height „1t. Sq. Ft......... Cu. Ft........ . ............... Front ........ Depth ........ Height +......... Sq. Ft......... Cu. Ft........ . Type of Construction ,,�rEp,y^y urEst Cost .. foo -'00.0w. ......... 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. �"]/l _0 .07 ,. In copsideration of the payment of a fee of $. f, . , permit is hereby granted to a to construct the buildings 6r �ad dition as described above. Thermi't granted upon . e 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, shallconform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. 1 +► �..yw. 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. � ate f Application for Power Plants and Heading. Cooling, Ventilation, Reftigeration and Air Conditioning Systems and Devices WzX PARTIAL RATE SCHEDULE 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 ............ 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 $ A STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ 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 BTL) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ 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 $ REMARKS: Dept. of Bldgs. Phone SII 4-7470 �^ Location / 1 d � , 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. Fridley, Minn egLe'-3z 194 � Owner � 195— Kind of Building Used as 195_ To be completed about Estimated Cost, $ Old-- Building Permit No. -R- 0 61 6�- DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name L0 _ VSize No- AC? rV Capacity Sq. Ft. E.D.R / BTU H.P. Total Connected Load C1 RAY i nd of Fuel - BURNER — Trade Nam � Size No Capacity Sq. Ft. E.D.R BTU H.P. Signed By i� DANLEN, INC. Mels. � 11 POST 1M-12-58 Business Phone No , P9P- f�J-9225' 1/I SUBJECT City of Fridley 9769AT tR THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ` 1 � I CITY HALL FRIDLEY 55432 ti.__.11.' �•� NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 12/9/88 JOB ADDRESS 660 - 59th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 3 Donnay`s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ray Kukowski 660 -- 59th. Avenue N.E. 5717029 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hugg Construction 16191 Round Lake Boulevard, Andover, MN 55304 421-2785 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 13r x 14"4' Addition and a 9e x 10411 Porch Addition 8 CHANGE OF USE FROM TO STIPULATIONS See notations. on plans. Provide fire alarms on both levels of existing house. d Y R a t♦ r,,: ?�.J� il�� Li •�,Fye -0 Cr Before digging call local �t6�i�e1 TELEPHONE - ELECTRIC d GAS E r,. SEPARATE PERMITS REQUIRED FOR WRONG, HEATING, PLUMBING AND SIGNS. REQUIRED BY LAa"" 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 $15,000 $7.50 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 $157,00 SIG TUREOFCONTRAC OR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VAL ATED T IS IS YOUR 9PERMIT fQATE GNATURE OF 6f4NERAFOW DER) tDATEi 1/I NEW I ] City of Fridley Effective 5/1/88 ALAN R-1 AND R-2 ALTER [ ] Building Permit Application Oonstruction Address: D Jra }-6 A U e_ /0 e Legal Description: Lo+ 6 bock 3 &nags LQ kew-W G�`lr�hor Owner Name & Address: Aay Au ko ws k � 1010 o Jrq �`� A U e !U � Tel. ,§jj-jDaq Gbntrac or : u A a C-6 I Tel. # �� 2 765 Address: _1619 1 9n u nd Ln ke .61y L ni,260- /%l 9) Attach to this application, a Certif icate of Survey of the lot, with the proposoed construction drawn on it to scale. rymength 13' Width 141 G&MGE AREA: Length DECK AREM Length Width Height Height Hgt/Ground 1'441 Sq. Ft. It Sq. Ft. Sq. Ft. Corner Lot [)I Inside Lot [ ] Ft. Yd Setback " Side Yard S Type of Construction: k,4 -c- o Q AMO N Estimated Cost: $ Approx. Completion Date: �Ta n o 15, IRAQ `��Qfa 34- 9-9-9 2 = S, 01 �Alt. A� Proposed Driveway Width If New Opening Is sired: Width + 6' RM I T 30oiS 97 Alt. B See Back Page DATE: APPLICAM: Tel. # CITY USE ONLY Permit Flee $ jaq.50 Fee Schedule on Reverse Side State Surcharge $ os -0 $.50/$1,000 Valuation SAC Charge $ $550 per SAC Unit Driveway Escrow $ Alt. "All or Alt. "B° Above Park Flee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary I ] Not Necessary [ ] ti 0 rv; Pe:, o a 3a.SO <<7�� fz e t Dov �i ?e Ot- V_ r a cc -N AD Floar,T-o" ZA cr - cs u C- ; 06 r e- /\ 4 (;�-b Z7- SC k -- c4 110 SUBJECT I City of Fridley �5 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC r 1 1 r ; 1 CITY HALL FRIDLEY 55432 i NUMBER REV DATE PAGE OF APPROVED By ,---n ---- A L 612-571-3450 910-F15 5/8/96 JOB ADDRESS 660 59 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 1 Donna 's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ray/Mary Kukowski 660 59 Avenue NE 571-7029 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ted Stillwell Construction 2701 Yogimmit-P Avp q. qt T.miiq Pqrk MN 99416 413R 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 938-6206 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 Construct a t t Addition to Garage; Reside House 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $12,000 $6.00 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- $187.25 Fire SC $12.00 STRUCTION OR THI PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ,X1 License SC $5.00 $210.25 NATURE OFCO ACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERL A1.I DATED THIS IS YOUR PERMIT _ 0 o ` BLD INSP TATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 110 NEW (] Effective 3/1/96 ADDN ,SCJ -CITY OF. FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Applications/per ConstructionAddress: 660 S -F94' . -IV, �. Legal Description: Owner Name & Address: Contractor: Address: 0 Tel. #`ir' MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width � r Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: pec► �P f Comer Lot)K Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction:6,1 Estimated Cost: $ Approx. Completion Date: 4r C (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6t. = Ft x $ _ $ DATE:' (v APPLICANT: Tel. # R 3 of (®l 06 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 2 j Fee Schedule on Reverse Side $ �2, 0-0 .001 of Permit Valuation (1/10th%) $ • Ou $.50/$1,000 Valuation $ $900 per SAC Unit $&,2-�< $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 [ ] . _Az CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning -AII Sizes Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS SCO 4.946 Fee Total OwnerA_ , wtv Ak&15k V-1$35.00 $ 35.00 Building Used As $10.00 $ ESTIMATED COST PERMIT NO t $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ 25.00 All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater. on work less than $500.00 Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air Trade Name Size No. $. DO BTU 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 $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ .50 HEATING CO_ $ 00.50 Signed CIZI ` xa,.x-4Tel # -7fo3 751- Of 00 FAX # 763Date �09 *Air Conditioners can not be placed in side yard without written approval from adjoining property owner- copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by t"\Rough-in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMQN VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 (1K 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 10,00,0 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 y._�___ Common Vent Type e�rss .67 Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length 3 ft Diameter in Type S • ZO Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) 11"Ir' A& -✓of P11C XtlwP T l oLilt / HEATING CO:x— Signed By: Date : 4 Building Equipment Installed MECHANICAL Permit No. ' ' � InspectionsRESIDENTIAL APPLICATION Received By: 763-572-3604 __AIR TO AIR EXCHANGEER $15 _GAS FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 D ' FURNACE $35.00 UNIT HTR $10.00 _CHIMNEY LINER $10.00 CITY OF FRIDLEY _DUCT WORK $10.00 763-502-4977 FAX EFFECTIVE 2-19-09 DATE 4'2-81 YOUR E-MAIL ADDRESSQ Id {aCc�S� pwt�� A% �' "'f�LI I1'K.CO►�1 SITE ADDRESS Lo !- THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: 0. 0 ESN NIS ADDRESS: �O�o 5c)#-4/¢LW A.CITY-- CITY Fy►l�-�A+t� STATE�iI�ZIP`JS�32 PHONE: '1(03 ' S-11-702°1 CONTRACTOR COMPANY NAME: 5LA-b u&ba.-1 CONTACT PERSON: 017 SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE WITH ADDRESS:_nSjb0r►' LJ4-AAF- CITY FYtdA!l STATE NN ZIP` 5432— APPLICATION PHONE �1l0-'ik:-i4-fo100 FAX ']b3-�1gS4 - 44.9A PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑W )(REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTUR XCEPT }�' RE NOTED. FIXTURES: INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG l'AO 7t,.HE MODEL:'355CA\10420&0 SIZEIBTU 60%000 MFG: 6.�.� MODEL: Zeb WkO2.4 SIZEBTU Z —1 bN lJ MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 RANGEIOVEN $10.00 __AIR TO AIR EXCHANGEER $15 _GAS FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 FURNACE $35.00 UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS _GAS DRYER $10.00 HEATER $35.00 _DUCT WORK $10.00 _POOL _GAS PIPING $10.00 VENTILATOR $15.00 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICA PRINT NAME Vri.jQ �-'r7 DATE 4 D-1Gl City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 S I I 1 Heating coolillg EQUIPMENT SIZING CALCULATIONS FOR: 660 59th Ave NE, Fridley Zone Descri pti on SqFootage Heating Requirements Cooling Requirements Ventilation Requirements main 1,200 36,000 BTUH 1.71 Tons CFM per Sq Ft base 1.000 12.000 BTUH Tons Bedrooms BTUH Tons BTUH Tons 0 BTUH Tons Totals 2,200 48,000 BTUH 1.71 Tons 15 Prepared by Suburban Air - 4/5/09 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS XISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.