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PRE 2010 DOCSCity of Fridley SUBJECT ®1334 AT THE TOP OF THE TWINS BUILDING PERMIT ` R�EIPf -NO COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. ( CJ 1 I � CITY HALL FRIDLEY 55432 • ,'J NUMBER REV. DATE PAGE OF APPROVED By `---- 612-560-3450 910-F15 12/31/7$ JOB ADDRESS 1578 - 61st Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Shady Oak Manor SHEET 2 PROPERTYOWNER MAIL ADDRESS zip PHONE Briar Homes, Inc. 8535 Central Avenue N.E. 3 CONTRACTOR MAILADDRESS zip PHONE LICENSE NO. Same —7ARCHITECT 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 8 DESCRIBE WORK Construct a 26' x 40' Dwelling and a 24' x 24' Gar) e SAFETy" DO NOT PLANT OR ?� O JT �� 9 CHANGE OF USE FROM TO PROVAL OF THF ciT'1 ©F F�dtJLI STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. Reduce total structure length to meet the required 17.5' corner lot side yard setback requirement. SEWER LOCATION: 90' South of Manhole (S. Inv. 928.81) —IMPORTANT— Wye Elev: 932.13 NOTIFY THE FRIDLEY ENGR. Top of Footing: 935.13 Minimum with a 35' setback DIVISION REGARDING CURB WATER LOCATION: 10' South of sewer service. REMOVAL AND REPLACEMENT iSEPERATE PR;.'� AT DRIVEWAY OPENINGS. a:' REQUIRED FOR WIRING, REATING, PLUMBING AND SIGNS. Before diggiiia ci,!i €, I ti! TELEPHONE - .'= r: s.iL - 0A FOUL'. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 R-1 2158 + 636 21,760 + 6, 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, $ 34,$OO 17.35 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVI ONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. - $52.02 $325.00 STRUC ON OR THE PERFORMANCE OF CONSTRUCTION. r PLAN CHECK FEE TOTALFEE $394.40 Naru FCONTRACTORORAUTHORIZED AGENT— (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT] r BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) L Ries Etc. IVY Kc see 741S WAYZATA dLVM MINNEAPOLIS, MINNESOTA. It EgtAs. Ilaj .. i For E'NDR .V/P. GAWEI, CONTRACT0PL , INC. ' A ' Avc. �j� "VISION SAFETY CONTROL ZONE"_ j IVF DO , NOT' PLANT OR PLACE ANY. I THING IN THIS AREA WITHOUT AP- F'ROVAL OF THE CITY OF FRIDLEY. —IMPORTANT . i NOTIFY THE FRIDLEY ENGR. 1 DIVISION REGARDING CURB 1 ��a REMOVAL AND REPLACEMENT. Dr ;;AJt3 ffjVE*1,4Y OPENINGS. UIlk a Lot 4, Block 1, H 1 SHADY OAK MANOR; ScAle: 1"-301 Ilk r `Q r if 1 /// WAR? ING p '') Before digging call local utilities TELEPHONE - ELECTRIC -GAS Etc. REQUIRE® BY LAW `1 Drain e U><:/:r� Eoseme�f -a Ca a ' 77.86 _ IR �p a -. 10e hereby certify that this is a true a "d correct representation of a survey of !the bo,,nmaries of the land above described and of the location of all building if any, thereon, and all visible encroachments, if any, from or on said land. : ja ted t'n i 5 15th day of December i967 EGAN, FIELD b NOWAK, INC / s 1.� ors 4,11-; y F 1 1 P -. 7 / ��Ok �/�. by . r 9 A 4 1 0 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: BUILDER: ADDRESS : :� �l/ &�� ApDRESS : NO:. /T O e STREET: /S A do /�`E • LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK:_ SIDEYARD: a Applicant attach :o this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING Se Used As: Front: Depth: Height: a z/'fg y Square Feet: Cubic Feet: Front:. Depth: �_"� Height: "`\e) 0136 6 76 Square Feet; Cubic Feet: Type of Constructionk®13� �}� Estimated Cost: ti' m To Be Completed: �%') S ao 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 Biildz.ags, and hereby declares that all the facts and represe t-�or"s stated in this application are true and correct. DATE: \� — �� - S (See Reverse Side For Additional Information.) vrRrnir - S-.t,o L Lf t?, /D' 30 • o ,39 y. L/d ( 1) RIO Lr -4L Tore Srr"Op"C L -t• 4-rW Pro 0"4ruT Tic Rt a4l"o Il.; �niuuiw for Soek WIA•0 Ir 8 = g 27Z Ala _ �K 140 Z,�® vo 00 3 9 5! yo T-7, _ Z, CAN, FKM"LD NOW: SURVEVORq- x � 7N15NAY2A7A dLVQ rye�J MINNEAPOLIS, IS. MINNES0? �. • EgTAl. 1111 , I For E•N'Dr, P. GAK—,:T. CGNnU-kCT0F.:3, INC. Av6-. - ; 1`oa SrR `� �_• ,boa ., • � +� DE",CRIPTIGN : ! Lot 4, Block 1, SHADY GAK tf,ANM; 771- „ r11 a �, h SCAle: 1. 30' i ;% ` •Z ! y I Orairyare U�:/:�yE Seme�f r1 f 77.86 f • , f,e nhr+�v certify that this is a true a d correct representation of a survey of! he bc,;.caries of the land above described and of the location of all buiIding4 ;if ary, tr,ereon, and all visible encroachments, if any, from or on said land. %ateC rnr5 '.Sri; day Of December 1967 - , EGAN, F I Elp S N0WAI iNC , ury,6yors 4 1 cook No by f—f /':�..,' f• r J 5: Fn.9�nf� Pn•....,.q !i7 �... T. .:3 r-'•�,....- 'L...� t�%.. e. r".�� rR�± n. -''..nem �j ie F' -t., -....e+ -'Only q� , asiY 7e. Gi ''s�'m ii ��r'v.i b �,..:_ri:+ �o:.a�-1S hw"'.oei.tw�.o �'tr.'@e4 ar•;m .10 bl Wiy iraGr"r•t+crs it '.�,J 6vi►i cad 6•=5.8 '3s6• L^nYfaCtv.ti.ti.� oF-�.id"v.at� (o,d m� Sul atb:vu..,3 PARTIAL RATE SCHIEDULE GRA v WARN AIR. RAA-&. TOTAL Faraace ShelI do Dura Worcs $10.00 $ Rep'acement of Furnace 6.00 $ Papa: -c & All ratans-- up to 5300.00 611* S Repass & A!terations each add. 5500.00 3 o q xzC2i W AR.H AM ftrnace Shen & Duct Worst to 120,000 BTU each add. 00,000 BTU Replacement of Furnace Re—,airs & Ah-atioru--up to $500.00 Repairs & Alterations each add. $5M.00 STEAM ex HOT WATER SYSTEM Fs^.acr She'1 & L:nes_ to 400 sq. ft ?.DR Steam • Furnace Shy & Line ---to 640 sq ft. EDR Hot Water Each add 200 _Q. ft. EDR Steam Each add. 320 sq. ft EDR Hot Water OIL BUPKEP.—to'3 gaL per hour over 3 gal. per hour—See Fee Schedule GAS BURNER (up to M,000 BTU) over 193,000 BTU s," roe Schedule GAS FITTING FLE3: NO RATE TOTAL x$ 200 $ �`� ® O .75 X3 5.00 $ State Surcharge .50 ase Fee rkbadzae TOTzL $LZ� O .$10Ott $ 1000 S. 6.00 S 6.00 $ 3.00 $ e, 0 ren $ 1000 S. 3 on $ 3.00 $ 6.00 S 5.00 $ S� 1st 3 Fixtures Additional Fixtures Gas Range tD UQ8. M AIR CONDITIOXIJNGr FAR T=- TI& It v "_­TII.AT=3 fiYYTT. ALTcRATTG.'M & F.s"'rA Z3 MAL- .$1000 AL aDopt. of Bld;a. Phom 53-3—n1_0 /s"7? G/- ¢vF City of Fridley: The limlersigned hereby maces application for a permit for the -work Sere spectfie•d agrreir.g to do all work ,n strict accordance with the City Ord:na:.c and r::ling of the Depar tmf•nt of Bu:ldmSs, and her^by declar_s that arl the fzc and repr'aPntati .•s statrd in this app'ucation Pre true and correct. Fridley. Trinn r 770 Owner - ®� s� � O /—Y F Kind of Building 0� � e /1v �' USedas ac Cs S/ To he completed about Estimated Cost, S Old—hew. Building Permit No. Permit No. �:t•: t'iti0:3 OF won= FEEA77NG or POWER PLAINTS--Stea.rn, Piot 'mater, Warm Air No Trade Name ;1PI /'A® L _ Size � Capacity_.. _._ ` .,Q. Ft. E.D.R BTU /l01 O®0 0 � Total Connected Load -Si R 7 G Mnd of Fuel BURNER — Trade Name Size Ido capacity 3q. rL E.DR- BTU- Y (MOSAaxs—otisa) City oY Fridley dp APPllcetion for 6 IUM-- 11219 C�d Gas F'ai?>nS Perlia, Dept. of Bldgs. Phone SOO.34M DESCRIPTION OF WOrM, �B 'l 71 Hum! er; Kind and Lc<rKon of Fixtures —mss City of Frfdley.. o N TF RATE TOTAL I r ? � 1-3.� N!; r . Future Fixture Opening ........... Z� z 83 Jc S� o 3r• o U � Q. pN i 7r u6 0 • N WAT[R NTA. GAS MC. $ Water Heater'Up to 99,000 BTU).... l x $3.00 $ �' �:f' �• New Ground Run Old Bidg.......:. x $.3.25 $ Eloctri.c Plater Haatar. .....:....... : $2.00 S sl.S FITTIXG FEES: NO. RATE TOTAL 1st3Fixtures ......•••••••••••• ---L-xS2.00 List _------ r $ Gas Raage to 199.000 BTU ........... x $5.00 G 2nd 3rd 4th Fut=w Ce.aaee:5ea Gp:.ain,^s New Fixture. Old Openings PARTIAL RATE SvHEDULE SmFrar 0 Cesspool Cl LUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ _._ x $2.00. $ Future Fixture Opening ........... . x $1.50 $ _. New Fixture Old Opening.......... x $1.50 $--- Catch Basin .................... x $3.25 $ Water Heater'Up to 99,000 BTU).... l x $3.00 $ �' �:f' �• New Ground Run Old Bidg.......:. x $.3.25 $ Eloctri.c Plater Haatar. .....:....... : $2.00 S sl.S FITTIXG FEES: NO. RATE TOTAL 1st3Fixtures ......•••••••••••• ---L-xS2.00 $ Additional Fixtures ..........•..... _------ x S .75 $ Gas Raage to 199.000 BTU ........... x $5.00 G The undersigned hereby makes application for a .permit for the- work her ei specified, agreeing to do all work in strict accordance with the Citnc Citi Ordinance and ruling of the Department of Build!ngr; and hereby declares ttia: all the favi and representations stated in this applicatson are true and corree Fridley, Minn , L —2 •� 1f� 6 Owner2-�a'�- Kind of Building Used as s� �� r C �._.. r.. To be completed about Estimated Cost, i Old Building Permit No. _Permit NO. ew. SignedBy 5� v Business Phone No 7 5 S 277 ROUGH FINAL 2-- Z I'..T'PAIRS is ALTERATIONS—P.af•r to Coda .50 State Surcharge .Description ................ c .......................$sem / , o TOTAL FEE - ® . 0 560-3450 Cit .y of `.{;jl,y ANOKA COUNTY 6431 UNIVERSITY AVENUE NE March 24, 1976 FRIDLEY, MINNESOTA 55432 Briar Haemes Incorporated 10134.Central Avenue N.E. Blaine, Mn. 55434 Re: Final Inspection at 1578 - 61st Avenue N.E. Dear Sirs: A final inspection was made of the above structure on March 23,:1976 and the following items were noted and must be completed before the structure can be finaled out; 1-`i. Post house numbers on structure. 2. Provide garage floor �- 3. Provide a hard surface driveway. 4. Provide sod in the front and side yards. L.S. Provide door closer on door between house and garage. Pro tLde ,lght craw"p_�c1�. }, 7 Provide joist hanger on outside of patio deck.2 �. 8. Provide permanent posts on patio. r/"r 49. Provide 42 inch frost cover on footing on south and east wall. We will expect items #1, #5, #6, and #7 to be completed by April 16, 1976 -and items #2, #3, #4, #8, and #9 to be completed by June 1, 1976. If you cannot complete these items by the appointed dates, please contact us. Reinspections will be conducted on or about the appointed dates to determine compliance. Sincerely, no- DARREL G. CLARK Community Development Adm. 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 56432 Briar Homes Incorporated 8535 Central Avenue N.E. Blaine, Mn. 55434 Res Final Inspection at 1578 - 61st Avenue N.E. Dear Sirs: TELEPHONE ( 612)571-3450 A final reinspection was made on May 13, 1976 of the above address. It was noted that all items listed in our March 24, 1976 letter were completed and approved (item #6 was deleted). It was noted however, that the grading of the lot by the structure was not done correctly as a 6 inch space was not left between the wood of the house and the grade on the house exterior. This 6 inch space has to be provided and we will expect this to be corrected by June 14, 1976. A reinspection will be made on or about June 14, 1976 to determine compliance. If you cannot complete this item by this date, please contact us. Sincerely, RON HOLDEN Building Inspection officer DH/mh SUBJECT 5�!t;:� City of Fridley 2 0 4 332 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. � r I /"'1 CITY HALL FRIDLEY 55432 IL....A', NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/19/90 / � JOB ADDRESS 1578 - 61st Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Shady Oak Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul/Linda.Pugsley 1578 - 61st Avenue N.E. 574-1854 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121 x 15k Porch and an 8" x 12t Deck. 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for On all new roofs or tear-offs all utility locations 2nd replacement roofs, Sate Code requires that 2 layers 454-0002 of 15 Ib. felt, MVRd together, be installed to a point 24 inches REQUIRED BY LAW -UP f W exterior wall line, or the use of other apMved laymed Membrane. SEPARATE. PERMITS REQUIRED FOR WIRING, HEATING; PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 $3,550 $1.78 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- $63.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $64,78 SIG ATUREOFCONTRA TOR OR AUTHORIZED AGENT MATEi HEN PROPERLY V IDATED THIS IS YOUR PERMIT BLDG iNSP MATE Si NATURE OF 21NER iIF O VNER BU LDER) IDATEi NEW [ ] Effective 1/1/go ADDN DQ R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: [ / 1 141�8 I A) I f - legal Description: kO+ J4) Bloe-K /, 5haav Oa x man ad', aecdrzlL�v 1'ecoreed pj,4+ -/hereof, 6?nd -5-jT,,j-k I*fl 4nolira -lenInTI, Mion e Owner Nam & Address: bV I P- =L :J" Pva-Jaev Tel. # 4/ /-5 7P 6 Tf 4Ve - i Contractor: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF UVIM AM: length Width GARAGE AREA: Length Width D= ARMA r`>arqth 1,2t Width OTHM: Weem Anreh 11, 'COW -1c Height Height Hgt/Grmn-d 6 --Cj - ri i— Sq. Ft. Sq. Ft. Sq. Ft. 6Wx Corner Lot [1/j Inside lot Ft. Yd Setback s Side Yard Setbacks 3 17 d - Type of construction: WOOJ ftn-,e Estimated Cost: $ A6;�It� Approx. Completion Date: - J-L))V IS -S I S ---74j Proposed Driveway Width If New Opening Is Desired: Ft. $ $. 1 Width + 61 See Back Page UUT: 6- 0 APPLICANT!': kd�2 Q I &ek 'Tel. Of V Permit Fee State Surcharge $ SAC Ouirge Driveway Escrow Park Fee Sewer Main Ciarge SrIPUlATICNS: CM USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit A Alt. -�.-' ' I" or Alt. 11,B11. Above Fee*.Mtermined by Engineering Agreement Necessary Not Necessary -acsO 00f 4A) ^ � ' | � � poo VA 1.-----'------ ------7 --- -- ...i�_ cill i i (I-- I C^, 0 6-1 Q 7►`;�i .. _.. 7416 111 / - 0000, WAV i' i I F� I � � r.: ►� axra ,� I I 1 i R 120 o ve 11,t � d&m Cir, 1`-.. S�v�e�' X — I ; i; ax8 ZOOS - I All POSTS IIxG TreATF D sero" Cowcve , /all EKposea FP.Am-iNG oemy Ines;sTA-mT Waal yX6 Posi ���.j�i AVO e4A cCAcvt� P4, V I► K.w F Sze . li i i I' ^, -2)t /0 yA RAC3A�S - - - - - i - ax4 .1000, ' Uuable j I a��b _ axto yxly y : Il�-PO4 Ilk o Aur AI I� Ile e�W►�" Dee .i �_�� +�O �►�. _ _..._. _._ . -. _.. - — ----- - -- -- JET -96140 - - j stYAQs - .! liou6le axG Car --- - - — - i Tow e a ( -- -- — flou,blc ax6 x' CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE _ Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 6-7 L 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS SCHEDVI �� S a� The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are:true and c rect. (Side Vent Fill Out Back) a 01995 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER tj Gas Range $10.00 $ BUILDING USED AS_ Gas Dryer $ 10.00 $ ESTIMATED COST �`�Co PERMIT NO. % y *Air Conditioning — All Sizes $ 25.00 $ QESCRIP_TION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name_ 6 Q'c <,s Size No. Commercial/Industrial BTU 613. HP EDR 1.26% of Value of Appliance or Work $ Fuel V G Total Connected Load State Surcharge $l50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ 5 . ':0 HEATING C PANY MINIMUM FEE FOR ANY HEATING/COOLIN+LVENTILATION e _ REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE R STACK VERIFICATION ON 0)100 w written permission from adjoining property owner. REPLACEMENT FURNACE 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done HEATING CO: Y� . �' Signed By: Date: 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 O 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 7. Has a liner been provided for water heater Yes ( No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done HEATING CO: Y� . �' Signed By: Date: SUBJECT PERMIT NO. City of Fridley 30650 AT THE TOP OF THE TWINS BUILDING PERMIT R COMMUNITY DEVELOPMENT DIV. r I PROTECTIVE INSPECTION SEC. 63 I � NUMBER DATE PAGE OF APPROVED BY i CITY MALL FRIOLEY SS132 j L 612-571-3450 910-F15 1/31/00 JOB ADDRESS 1578 61 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 1 Shady Oak Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul/Linda Pugsley 1578 61 Avenue NE 574-1854 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of MN Inc 3118 Snelling Ave S M ls. MN 55406 612 721-6628 2179 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 f� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace window; reside house; trim 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. 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 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 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 $10,000 $5.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW Fie SC. $10.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $181.25 PLAN CHECK F TOT FEE Lic e C $ 201.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HENP&.Rr VALID TE HIS IS YOUR PERMIT S,GNATURE OF OWNEROF OWNER BUILDER, IDATEI gyp -INSP qA TE V NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-3 # 1? BUILDING PERMIT APPLICATION VV foonstructionAddress': S 7 —% �/ / V -p A Legal Description: p ,412 au/4 Z1 - 4z' Name &Address: Tel. # 5 7 `I' Ies y Contractor: Pat P A -A' 67e MN LICENSE # a/%g Address: &//l ,J�V1�lhg kkAi& S ��t RAf S ip Tel. # ((W) 7a/ -GGA -1 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:A Estimated Cost: $ /Q I W/ n dOW (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 1as/00 APPLICANT: 4Tel. #(%12) %' 1-104opl /3/ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $.✓Ii,a�- $ V- /0' 00 $ 00 $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] 40OTAL STIPULATIONS: $ 'g0% v26 CITY OF FRIDLEY INSPECTION DIV_ 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT tuacnve Lon jan i. cuuu PLUMBING FIXTURE RATES: NO. RATE New Fb*lures Old OpW". Now Fbduae amokponow Blow OIf ewin Ga h BOM Rain Waley Leder S4*wgwfR-w%-p* rb To* VftW Trw&q Appl ow YYaler Nor 49ocUtc VINK NNW o GW* � Gin Rwo~ Gm Dryer" Bed* Flow Pre"nW R"ubed ( )Yes () No Type $ 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.W Reinspecbm Fee $47.00Mr ALL OTHERS ANDlOR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appkwm TOTAL FEE TOTAL JOB ADDRESS / `J -7 Sr (o / Sr Cj-,Q A J�-- aD,00 saG,S� The hweby mWm appNcWm for a pennd for the work herein specilled apresinp to do d wail* in 9W accord m wMh the city cods$ and ruNW of the BuNft Division, and hereby decle am Md al the fade and I op @soMations dated in #ft application aro We and corred. / -aS 2Qr Bud&V Used As Esdolded Goer PERMIT N0. PLUMBINGGt>tANY� '' r Y r i 1yYesbi1��, SIGNED 46y--�Raugh4nDm* `' ' TEL N0. %� "`1 a / `SE Approved FkW Date ! Oi COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE f �� i mom= ammom- PLUMBING FIXTURE RATES: NO. RATE New Fb*lures Old OpW". Now Fbduae amokponow Blow OIf ewin Ga h BOM Rain Waley Leder S4*wgwfR-w%-p* rb To* VftW Trw&q Appl ow YYaler Nor 49ocUtc VINK NNW o GW* � Gin Rwo~ Gm Dryer" Bed* Flow Pre"nW R"ubed ( )Yes () No Type $ 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.W Reinspecbm Fee $47.00Mr ALL OTHERS ANDlOR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appkwm TOTAL FEE TOTAL JOB ADDRESS / `J -7 Sr (o / Sr Cj-,Q A J�-- aD,00 saG,S� The hweby mWm appNcWm for a pennd for the work herein specilled apresinp to do d wail* in 9W accord m wMh the city cods$ and ruNW of the BuNft Division, and hereby decle am Md al the fade and I op @soMations dated in #ft application aro We and corred. / -aS 2Qr Bud&V Used As Esdolded Goer PERMIT N0. PLUMBINGGt>tANY� '' r Y r i 1yYesbi1��, SIGNED 46y--�Raugh4nDm* `' ' TEL N0. %� "`1 a / `SE Approved FkW Date ! Oi COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE I G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 October 17, 2001 Mr. Paul Pugsley 1578 61 Avenue NE Fridley, MN 55432 Re: Final Inspection at 1578 61 Avenue NE Contractor: Lee Stull Plumbing Dear Mr. Pugsley: A plumbing permit was issued on January 31, 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 plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Plumbing Code. 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 expire the permit and no further action will be taken. To set up the inspection, or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DAVE Building DJ/mh Building Inspections 763-572-3604 DATE SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT MECHANICAL RESIDENTIAL APPLICATION �13 CITY OF FRIDLEY ❑ OWNER ME:1po_.�j _\ DRESS: \S-), .__ ..-. -71 `72 CONTRACTOR I COMPANY SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE CONTACT PERSON: LICENSE # YOUR E-MAIL ADDRESS MIE jjCONTRACTOR :-moi., nvi CITY STATE EXP DATE ADDRESS: 13562 cENTRAL AVE NE CITY ANOKA STATE nNZIP 55304 PHONE 763-757-6202 FAX 763-757-6701 Permit No.: Received By: Date Recd: TYPE OF WORK: 1 ❑ NEW FAMILY ❑ TWO FAMILY ,REPLACEMENT DETAILED DESCRIPTION OF WORK `"'S _k c - ❑ TOWNHOUSE ❑ ALTERATION/REMODEL '0-. A .o i t A n e PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor—x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG:V V MODEL: k —®� SIZE/BTU —15 O MFG: MODEL: - o?Ll SIZE/BTUj ti MFG: MODEL: SIZEJBTU FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 �A/C $25.00 NEW GAS GRILL $10.00 AIR TO AIR EXCHANGEER $15 �P CE $3(WO D) $35.00 _GAS UNIT HTR $10.00 BOILER $35.00 POOL HEATER $35.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 ®P. ..�9axv.+�"1xSN4"Z �Yw�tiiT�,urk'E Q '�h /(�" _ _„ -.. ..L'iYJ.�.'htini4�a+�a++{,.. iW✓v, e..;,g: ra' r.,y...':ti"".. ....r,.., .:: :, .:...,,�..... .,..... .... — Permit Fee $ Number of_fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $, W Number of fixtures @ $35.00 x $35.00 = $ � S ' O State Surcharge = $ 50 Total = $ C0,50 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 MinnesotaConstruction 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 APPLIC PRINT NAME_ROGER HOFFHEIN DATE �O6 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 '141_57'_z604 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS '6EXISTING 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 1FGC 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 r combustion and make up air calculations