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PRE 2010 DOCS• City of Fridley, Minn. OURDING PERMIT N® 6481 Date: 676 f' Owner:4&42�114— Builder Address Address — LO TI NOF BUILDING No. Street _.,C_ Part of Ip _ .q of i Lot _� Block Addition or Sub -Division ��" Ltd Corner Lot Inside I. of � Wtbac ._..__ Sideyard Sewer Elevation Fo dation Elevation DESCRIPTION OF BUILDING To U e,l�as: Front Depth & Height . _L _ Sq. Ft. Cu. Ft. Depth eigot �_ Sq. Ft. cu. Ft. Type of Construction __.._ Est.�� �7 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 accordancewith the description above set fo and in compliance with all provisions of ordinances of the city of Frl In consideration of the paynwnt of a fee of $ �_� ., permit is hereby granted to— to cpnstruct 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 sal building, or any 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 vie In of any of the provisions of said ordinances. rN .').A , Building Inspector NOTICE: This permit does net cover the conorudtlon, huhWen for wiring, plumbing, gas heating, sewer or water. Be sere to see the BulMh* hupemr for separaoe permits for these items. 0- K �:P, 7 (-* s-- It Ptt'hi"k 401 110T T ZE —S Oh ADD. e-:, /740 r1 C3 s 4 So -v EFA C ID li lij APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA O EW S NAME BUILDER ADDRESS ADDRESS LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side Yard ter. SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed 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. (Schedule of Fee Costs can be found on the Reverse Side). • Date: JUNE 18, 1965 KENNETH L. City of Fridley, Minn. BUILDING PERMIT Builder Address 608 - 63rd Avenue N. E. Address PEMTOM, INCORP. 121�7/ N° "7965 2716 River Hills Drive Burnsville, Minnesota LOCATION OF BUILDING No. 608 Street 63rd Avenue N. E. Part of Lot Lot 16 Block 9 Addition or Sub -Division Christie Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Constriction st, Cost __$18, 000 To be Completed is REBUILD HOUSE ON PRESENT FOUNDATION • 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 -get forth and in compliance �j a�l provisions of ordinances of the city of Fridley. 1`1,� In consideration of the payment of a fee of1� 0.00 , permit is hereby granted to Pemtom, Inc. 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, Minnesotalocation, construction, alteration, maintenance, repair and moving of buildings within nthe city limits permit may be revoked at any time upon violation of any of the provisions of said ALLEN G. JENSEN Building Inspector aonCEs Sk pumb does eel sewer the condrocMm, hubdIdlon for vdrk* phmbing, ges hating, sewer w water. Be euro to me the Buihling hega for separate pwndta for thea Nene. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, mni son OWNERS NAMEk CTAA k,_W(Y r EN BUILDER ADDRESS 1 -3 Uo,42 ADDRESS LOCATION OF BUILDING`L�� No. '(L7 6� E—Street Part of Lot LOT . ^BLOCK ADDITION OR. SUBDIVISIO Corner Lot Inside LOT�_A�Setback Side -Yard" SEWER °ELEVATI011T ' l+OUNDATION ELEVATION Applicant -attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be use as: DESCRYPf10W OF BUILDING Front Depth Height _ Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cos �." � C� a La To be completed 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 Buildingi,'afid hereby declares that all the facts and representations stated in this applic"ion are true and correct. DATE IGNATURE_ (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT City of Fridley 7�744 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT � • COMMUNITY DEVELOPMENT DIV. ,:------, p 3 3 r , � PROTECTIVE INSPECTION SEC. / / t = /1 - CITY HALL FRIDLEY 55432 �""� , �'� NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/2/91 JOB ADDRESS 608 - 63rd Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16 9 Christie Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Brian Wolf 608 - 63rd Avenue N.E. 572-9338 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. MR 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 �7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a, 2Ql x 181 Deck Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, s►�p�'Q yC Before d(ggittg ca(I or all utility locations 454.0002 .Q/y REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $2250 $1,13 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- $54.OQ Fire SC $2.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $57.38 S^IeJGNATURE OF CON i RA OR�O9R AUTHORIZED AGENT (DATEI (:j�=..WHPROPE ID D THIS IS Y UR ERMIT ��() BLDG (NSP r)A SiGNATU RE OF NN'ER IIF OWNER BUILDER (DATEI NEW [ ] Effective 1/1/91 ADS] 4�GI�'� R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: 6 O -6� UF' Legal Description: Owner Name & AdddoeL Gtr®14- Tel. # S 7a- - 9 3 3 e Contractor: S !qM ra # Address: %0 Attach to this application, a Certificate of Survey of the lot, with the proposed coition drawn on it to scale. 0, r_ sr, 8!4M •:� •) IYr 1,4111 L1YnG ARBA: Length Width Height Sq. Ft. MUUM AMM: length Width Height Sq. Ft. DBCR ARBA: length oto � Width i e Hgt/Gr -d 2k:.� SSI. Ft. OMM: ��K X 2,2--E- 2-2-26 Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 7 HCl Approx. Cm pletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: APPLICANT: /t�° Tel. # r-7> 433 Permit Fee Fire Surcharge State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Main Marge STIPULATIONS: $ SY, 00 QTY BBB O1�Y 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 Engineering Agreement Necessary [ ] Not Necessary [ ] r ZZS�' ins �Ycx� SUBJECT PE City of Fridley 217 2 9 AT THE TOP OF THE TWINS BUILDING PERMIT r 6. COMMUNITY DEVELOPMENT DIV. �.���_ V r � PROTECTIVE INSPECTION SEC. V I 1 NUMBER REV DATE PAGE OF APPROVED BY "'1 CITY HALL FRIDLEY 55432 ti' ---A, ' 612-571-3450 910-F15 2/5/93 JOB ADDRESS 608- 63rd Avenue NE I LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 9 Christie SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian Wolf 608 - 63rd Avenue NE 572-9338 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 �7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12k x 121 Shed 9 CHANGE OF USE FROM TO STIPULATIONS Shed must be 3k from side or back property line or off from any easement. Shed must be securely anchored to the ground by either a foundation or tie downs. 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 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 $600 $.50 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- $17.00 Fire SC $.60 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $18.10 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI .ROP LY VAL DtTFA THIS IS YOUR PERMIT nEN f�� DG I SP MATE SIGNATURE OF OWNER OF OWNER BUILDERi IDATEI NEW [ ] Effective 1/1/93 ADDN [ ] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: p s- 6 13 " /3 (/ E /t./ Legal Description: Owner Name & Address: r) 2 r4k, Tel. #_5-72- - Contractor: 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: : /f a r-) I a Comer Lot [ ] Inside Lot [ ] Type of Construction: IVO O Approx. Completion Date: Driveway Curb Cut Width Needed: DATE: /y'/ `P " Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ 600 (Cost on Back) Ft. + 6 Ft = Ft x $ APPLICANT: i� ,.. �-;� �=�� � Tel. # f-7;11 •-`t 3 3ff CITY USE ONLY Permit Fee $ 17,106 Fee Schedule on Reverse Side Fire Surcharge $ , 60.001 of Permit Valuation (1/10th%) State Surcharge $ '0,45'0 $.50/$1,000 Valuation SAC Charge $ X19- $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ -10" Alt. "A" or Alt. "B" Above Park Fee $ -401 Fee Determined by Engineering Sewer Main Charge $ t!9� Agreement Necessary [ ] Not Necessary [ TOTAL STIPULATIONS: a SUBJECT PER -- . City of Fridley -"2228 AT THE TOP OF THE TWINS BUILDING PERMIT , _7 --. r 7' i � RECEEIlPPTTNO. _ COMMUNITY DEVELOPMENT DIV. tr PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY A 612-571-3450 910415 1/13/94 / JOB ADDRESS 608 63 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 9 Christie Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Brian Wolf 608 63 Avenue NE 572-9338 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 C1 ALTERATION ❑ REPAIR D MOVE ❑ REMOVE 8 DESCRIBE WORK Basement Remodeling 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan, 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 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 $1,000 $.50 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- $25.00 Fire SC $1.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $26.50 SIGNATURE ORN,-,,RA.CTORORAUTHO� AGENT (DATE) 1lyHEN PROPERLY ALIDATED THIS IS YOUR PERMIT / -A �t BLDG INS OATS SIGN TUBE OF OWNER OF OWNER BUILDER IDATEI A NEW [ ] Effective 1/1/94 .ADDN [ j. CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1' AND R-2 Building Permit Application" Construction Address: D % 05 Av Legal Description: tor- 1(o P� to c/< 12 I7V t 5 T4 Owner Name & Address: 21Z -',41v 1,4r Guo 4 Tel. # 5 7a Contractor: S F_ j F_ y� /���/ (� �dN LICENSE # Address: 3,30 K �/.'3 d Tel. # Attach to this applic 'on, a Certificate of S ey of lot, with the proposed construction drawn on it to scale. l 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: Mop E L 64-5 E lNoru i --__ Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ I 0 0 0 Approx. Completion Date: STIPULATIONS: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: I to APPLICANT: Tel. # E 7 2 --9 3 3 f CITY USE ONLY.. Permit Fee OWL $ '. 5 Fee Schedule on Reverse Side Fire Surcharge $ /?2 .001 of Permit Valuation (1/10th%) State Surcharge $ ':-o $.50/$1,000 Valuation SAC Charge $ $800 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 ( ] TOTAL S� $ �' STIPULATIONS: r i i 0 i fi • s ; I �armlot - t- - - - - r - L rTi _ S - - •r kb T ---, --T"---- ..T-,_., ....-rT ,--- T- 0 i fi • s ; I oL kb IA I ' �IZ 4� i f I f 7 I i I I lI i I I wn T ---, --T"---- ..T-,_., ....-rT ,--- T- CONSTRUCTION PLANS 1) 2x2 walls 16" on center attached to block using adhesive. 2) Treated 2x2 on bottom Tc// -o . i 3) 1 1/2" foam, -insulation between 2x2 Is a �Lr}� %�� CCc.'�vZ• ��� �� ,1x 4) Remove paneling from existing walls & replace with sheetrock 5) Remove sheetrock from ceiling & replace with drop ceiling 6) Box in I beam and maybe make wall from support to existing wallsX�'� 7) Outside wall next to stairs I plan on using 1x2's and 3/4" foam insulation in order to leave stairs as wide as possible. Currently the stair width is 3ft +- a couple inches. 8) Will be placing used -carpet from the main floor on the basement floor. PRICE TAG $1,000 76 - 2x2 1.28 97.28 6 - 1x2 10.00 7.3 - 1 1/2 foam 1.98 144.54 4 - 3/4 foam .89 4.00 35 - 1/4x4x8 sheetrock 3.05 106.40 8 - 2x4x7 2.66 13.28 - ceiling 350.00 725.50 �..i i 1 yr rnivLrzi nvormajiviv uiv. 6431 University Ave NE Fridley,V.N 55432 512-3604 tnecuve un uanuary i, i vvj APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMRFR OF FIXTtIRFS Tn RF INGToI I Fn nM Peau M nnM :SAI. '• 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. Gas Range Gas Dryer Back Flow Preventer Required ( )Yes K 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 $5.00 TOTAL JOB ADDRESS 3 A), 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 rulings of the Building Division, and hereby declares that all the facts and representations stated In this application are true and correct. Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance .1�6�' State Surcharge $ .50 TOTAL FEE Owner %'/vL' Building Used As /VAS 1/� C, Estimated Cost � .! c PERMIT NO, 7 0 PLUMBING COMPANY. )"AIA T %a 6"s✓!5 SIGNED BY ,®� �/ TEL NO, ?/ 9 - ;>CP,3 0 Approved a�gugh—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE :.::r:.:.:.>;:•:::::::.:'.�`a 1. .5 :Urinal �'u?• �`� Shower h r t1�1s'i� Wash . t1.[t>....... T ra Y r Drain >�:�t>f•+wl'�: ..:�. t'.I:..::: Auto. � �"�•::::>: Gas 5........ Was e �':•:•.•.'1�::::::: 9 Mse��� 'iI�ti`:>>;?':` Water Heater ole Stns Gas Elec Basement s ment F loor t _ Floor 2 N.: Floor -3 >: Flo 4 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. Gas Range Gas Dryer Back Flow Preventer Required ( )Yes K 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 $5.00 TOTAL JOB ADDRESS 3 A), 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 rulings of the Building Division, and hereby declares that all the facts and representations stated In this application are true and correct. Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance .1�6�' State Surcharge $ .50 TOTAL FEE Owner %'/vL' Building Used As /VAS 1/� C, Estimated Cost � .! c PERMIT NO, 7 0 PLUMBING COMPANY. )"AIA T %a 6"s✓!5 SIGNED BY ,®� �/ TEL NO, ?/ 9 - ;>CP,3 0 Approved a�gugh—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT P City of Fraley 2659 6 AT THE TOP OF THE TWINS BUILDING PERMIT 11-1 REC COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �/ /d�� r 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J` 612-571-3450 910-F15 1 8 JOB ADDRESS 608 63rd AV. NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 g Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wolf 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Exterior Design Service 6391 Monroe St NE, Fridley,MN 55432 -____ 3237 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHON LICENSE NO. S 9/ .40 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION X3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and arae 21 SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 $1751 $.87 D S NOT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P O SION F ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $1.75 S U TION R THE E ORMANCE OF CONSTRUCTION $56.75 PLAN CHECK FEE TOTAL FEE "<< License SC $5.00 1$64.37 S ATUREOFCONTR TOR OR AUTHORIZED AGENT IDAT $ WHEN P/ROPERL ALIDATED THIS IS YOUR PERMIT v BL91b, $NSP s PATE S,GNA&RE OF OWNER OF WNER BUILDER$ (DATE$ NEW [ ] Effective 1/1/98 ADDN [ ] CITY. OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 0 F- 63 "� Al, �J> �- Legal Description: Owner Name & Address: Oo� E o� - 6,3 �o�d• .ro -Tel. #. Contractor:z ., 'e V )®' '5-0 Y v )4 e /MN LICENSE # - Address: �� �/ 'Wever® C. %� �/� %�.ilVy syi, o —Tel. # 16J - 3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EIAPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length DECK AREA: OTHER: Width Height 7th' Hgt/Ground f Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: wee lt-e tEstimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: - f - APPLICANT: Tel. # C' / - 3 a 0 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 1, 6 .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 [ ] TOTAL $ W-32 STIPULATIONS: SUBJECT City of Fridley (177 AT THE TOP OF THE TWINS BUILDING PERMIT NO. 'r ' • _ COMMUNITY DEVELOPMENT DIV. ��: '---- PROTECTIVE INSPECTION SEC r � 6 LIMA 2 1 i NUMBER REV DATE PAGE OF APPROVED By /--'1 CITY HALL FRIDLEY 55432 �'� 612-571-3450 910-F15 11/18/94 JOB ADDRESS 608 63rd Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 9 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian Lori Wolf 608 63 Avenue NE 572-9338 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 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE R 8 DESCRIBE WORK Install basement bathroom 9 CHANGE OF USE FROM TO STIPULATIONS See 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 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 I 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 $400 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $.40 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $15.00 PLAN CHECK FEE TOTAL FEE $15.90 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI HEN PROPERLY � BLDG SP V IDATED THIS IS YOUR PERMIT r 1 )A E SIGNATURE OF OWNERUF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application b2� Construction Address: (O - l03 Ct,, e , Legal Description: Owner Name & Address: L o r-,' w d I Tel. # Contractor: — Address: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: SZa-n� V X Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yazd Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: ` H _ q H APPLICANT: uu Tel. # Ufa y- &-7 r, Permit Fee $ t,5. 67 Fee Schedule on Reverse Side Fire Surcharge $ ..001 of Permit Valuation (1/10th%) State Surcharge $� , $.50/$1,000 Valuation SAC Charge $ $800 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 [ ] TOTAL $ STIPULATIONS: F,A"T GcJTti%)©4J� " I /,.,; C,plu 7 r�✓� �L s -5;044 t FsFivS /v -e/ p a� N e e D r X l� s4Gt S T` /".¢-lt..f C N F,A"T GcJTti%)©4J� " I /,.,; C,plu 7 r�✓� �L s -5;044 t SUBJECT r -PERMIT NO: -,- City of Fridley 27557 AT THE TOP OF THE TWINS BUILDING PERMIT � � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ i - U PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED By CITY MALL FRIDLEY 55432 612-571-3450 910415 9/3/98 JOB ADDRESS 608 63rd Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 9 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lori Wolf 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Cross Replacement Windows 500 E Travelers Trl #500 Burnsville 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 O NEW O ADDITION O ALTERATION x:W REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 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 10862 $5.43 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. $174.75 Fire SC $10.86 PLAN CHECK FEE IOTA EE Lic S $5.0/ 6.04 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI EN 0�VALIDHI$ 1$ MIT L G NSP LATE SIGNATURE OF OWNEROF OWNER BUILDERI IDATEI NEW _ G ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY /1 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 1 / ConstructionAddress: r �7r ( A I �f— Legal Description: Owner Name & Address: [�� L,,� 01 jr Tel. # Contractor: Cro gS Rp T2 1 a Le ez_"- � W t Aov-) 9&MN LICENSE # l r�" Address:_ Ar�- Attach to this application, a Certiicate of+ rvey of the lot, with the proposed construction drawn on it to scale. Tel. # 5�3'2% 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. X OTHER: Construction Type: VS �A, erov. Q estimated Cost: $ t ® , Q) 1 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 3 IS APPLICANT: te— i Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY 0<111 f $ l ' S Fee Schedule on Reverse Side c/ $ l U . �J� �- .001 of Permit Valuation (1/ 10th%) $ $.50/$1,000 Valuation $ $1000 per SAC Unit�1 v $C L) $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 [ ] ' SUBJECT NO--- City of Fridley5 8 6 AT THE TOP OF THE TWINS BUILDING PERMIT (17 f 16. � COMMUNITY DEVELOPMENT DIV. ____ .v ------ f -; PROTECTIVE INSPECTION SEC. ----I CITY HALL FRIDLEY 55432 NUMBER NEV DATE PAGE OF APPROVED 8V L J` 612-571-3450 910.F15 5/13/02 JOB ADDRESS 608 63 Avenue NE 1 LEGAL LOT NO. 13LOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 9 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Brian Wolf 608 63 Avenue NE 763-572-9338 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 B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION Cj ALTERATION ❑ REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Construction of a pergola over deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 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 $500 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTEE SIGNATUREOFCON-RAC T OR AUTHORIZE? AGENT iDATE. EN R P L ALID ED HIS IS YOUR PERMIT BLDiNSP DATE �GNATURE OF OWNER,IF OWNER BWLDERI iDATE, NEW [ J CITY OF FRIDLEY ADDN (] 6431 University Ave NE, Fridley, MN 55432 ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 6 J � Effective 1/12002 (763) 572-3604 Bldg Insp Legal Description: Owner Name 8 Address: B� j� 7 ,,�j' ' Tel. # ;D Contractor. 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: i?" /- /, /-, '� � 4 1;L) �< *` . Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ DATE: XAPPLICANT: %,,.A` z! Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 7631571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by 'Engineering Agreement Necessary [ ] Not Necessary [ ) STIPULATIONS: 9— shade shelter - the big picture "0 0 fµ N california redwood association homeowners builders merchants forests reference redwood I homeowners I shade shelter I big picture Page 1 of 1 (�"(J-"t)0 c l o s e 10(�7 Z97 b /LX this page last updated.• May 02, 2001 7 w4-.5 AJ0 i ko aX .1 9- a`x 6 http://www.calredwood.org/homeown/shelter/shelterbig.htm LA >c, ws" 6 v woC'1�C', I-AO,7,00 4/27/2002 Will use the above ground cement platform. 4"x4"x 12' posts at approximately 16 feet apart for width and six feet on depth. The ones closest to the house will be three feet from the outside house wall. 2"x8"x22' connecting these posts with 6" bolts 2"x8"x6' connecting the front and back posts. Across the top will be 2"x4"x8' spaced 1 foot apart. There will be a one foot overhang on both sides of the 2x8's. Across these will be 2"x2"x8' spaced 4 inches apart for the 22 feet length. I will cut holes into the deck to drop the posts to the cement �se7l-T�V�platforms. Will frame around these posts in order to securely replace the decking boards: �. i FRIDLEY INSPECTION DIViSION Effective On January 1, 2001 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 Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge $ .50 TOTAL FEE $ z. 50 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. 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. x ,;1,41 DATE 2-dz�? --e?� TEL # .V/ --`thy Z% ZZZ Rough -In Date Final Date BACK SIDE MUST BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION JOB ADDRESS LV( Mfel RAL, I UC RATE SCHEDULEf -.)A r OWNER I Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED ASI��IL Also Replacement Furnace (Side Vent - Fill Out Back) $ 30.00 $ ESTIMATED COST 7 -717� PERMIT NO.— O. Gas Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. *Air Conditioning - All Sizes $ 25.00 1 $mac, BTU HP EDR Fuel Total Connected Load Ali Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. lqo of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge $ .50 TOTAL FEE $ z. 50 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. 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. x ,;1,41 DATE 2-dz�? --e?� TEL # .V/ --`thy Z% ZZZ Rough -In Date Final Date BACK SIDE MUST BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION OMMON VEF: W.'7 ;ONNEC". -JR AND COMB' `%`ERIFICA TION When r :placing an ex 3ting fu r_ince, the; rndersigned hereby verifies that the v�:nting has been examined and is free from rust, deterioration obstructions, ao J is s -surely supported and firestopped where required. Yes( )ado Th -iv„— �-ig system is r' ,.ati°-'PVC and mec is all current code.. and manufacturer specific tions including ,.izin( , length, numl er of elbows and te:.mination. _ Yes O No ( ) The unr - rsigned also v, rifier that the repiz ,ement unit is a IW J assernbAy and, nc ' J the current c)des and manufact ,rev's specifications This does inclvde -GA-GAMA C `,,gor • I Central Fur race Venting Table: for fan assisted -,rd natural draft ap.t iliances. Yes O No { ) Thr exls''._rng combustl �n - is sized and ;jstalled to meet th cl.-=rent coups ar ',man,, Jacturer's spe-lfrca° ions. Yes O No ; ) V. sen rec ,?irad to instal a v .v combustia n air, it will be size . and irs3ta;lud to ,feet the current codes anJ manufacture.,'s specifications. Yes( ) No( ) V, :an in -,,tailing a nev;! gena. dig system, ti fl undersigned her by verifles that it' a listed assembly ar d m ets the currer codes and manus ,clurer's sl. ,cifications. This does include AGA-GAr aA Category I Cent: al Furnace V: Aing'i'ables for fan = : is°r,d and natural draft appliances. Yes( ) I ,j ( ) I- .he cc•anmbn vent anal ver,` connectors zed and installed c rrecliy after an -ppli6 ^ice has been r mo• od from the c ammon vent and v, -Zted separate;'y as per currer t cos s. Yes( ) l - ( ) Applim ce -I me and Size; ;ommon Vent ate Vent C :nnector Information P.., liana:: 4I 7.ype E ;"U Input Fan Assizled or Nat Appliance #2 typeFTU Input _ Fan Assisted or Nat Appli-inco #3 type E TU Input _ Fan Assisted or Nat Total Appiances .� _ Total 3tu Input Com: ionVent Type_,_ „ Vc nt Height inches Appli,,;a~, , #1 apt Coni :ctc• Height .t Length ft -'iar.,eter in Type _ Appli.,nc - #2rpt Coag ^cte° Height t Length ft [',ameter in Type Appli ,,nc -: ##3 V-nt Cor: - :ctoi Height t Length ft tjiameter in Type HEATING CO. Signed By: 1.31 University Ave NE idley, MN 55432 63) 572-3604, FAX (763) 571-1287 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MART[ All 1UP1=0 ng: SZIYTI IRPA Tn RF INATAI I Fr) ON EACH FLOOR LUMBING FIXTURE RATES: ew Fixtures Nd Opening, New Fixture eer Dispenser low Off Basin ;atch Basin lain Water Leader ;ump/Receiving Tank Vater Treating Appliance Vater Heater -Electric Vater Heater - Gas** ;as Range*" NO. RATE 3'as Dryer** lack Flow Preventer Required ( )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 $15.00 teinspection Fee $47.00/Hr kLL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL JOB ADDRESS ID n L! 3 rd tj 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 Building Used AsA , / Estimated Cost PERMIT NO. ! " C-) PLUMBING COMPANY SIGNED BY TEL NO. (J2 Approved By Rough -In Date Final Date $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 $L PLUS THE $.50 STATE SURCHARGE 310MBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE Urinal ----------------------------- :,.�.:�.�::::: Wash <> Shower j....�..•••.�> Tra :tom:���' .:.::::: Floor ��:ii�.�•���>.. Auto. :. Wash s €` Gas �i�>`�<.. ��...-... `` • . Ran e � Water Heater `�<.. < Gas Elec Stones l�i�'= Basement Floor1 ::::.;.::,:.,:.;....:..:. <::..,..:... :::.;:..:.:.�:::: :...:.... • Floor 2 - - >>`> Floor < Floor 4 > LUMBING FIXTURE RATES: ew Fixtures Nd Opening, New Fixture eer Dispenser low Off Basin ;atch Basin lain Water Leader ;ump/Receiving Tank Vater Treating Appliance Vater Heater -Electric Vater Heater - Gas** ;as Range*" NO. RATE 3'as Dryer** lack Flow Preventer Required ( )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 $15.00 teinspection Fee $47.00/Hr kLL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL JOB ADDRESS ID n L! 3 rd tj 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 Building Used AsA , / Estimated Cost PERMIT NO. ! " C-) PLUMBING COMPANY SIGNED BY TEL NO. (J2 Approved By Rough -In Date Final Date $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 $L PLUS THE $.50 STATE SURCHARGE 310MBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE