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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: / owner: • ° # �* Builder Address Address LO I I it DING No.. Street • � �� Part of Lot � .r+ Lot __ Block __ _ Addi or Sub -Division Corner Lot ...... Inside Lot _44ei _44S.etbaclt Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used • � F Front .Depth -t,/ Height. Sq. Fi. Cu. Ft.O� � Front _ Depth H ght Sq. Ft. Cu. Ft. • b. Type of Construction Est. Cost 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 grdinanoes of the city of Fridley. In consideration of the payment of a fee of $j9j_ , permit is hereby granted to 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. � °. ] Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. .1 10 4 � . " .. APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MINNESOTA owner vs Name Builder , Address Address 44,E o LOCATION OF BUILDING No. /4/- 7 Street c Part of Lot Lot / $lock. Addition or Subdivision — -� Corner Lot Inside Lot Setback_,_3S 6 „Side -Yard /0 SEWER ELEVATION FOUNDATION ELEVATION 840 Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction �__ ¢- _Estimated Cost To be Completed 04 40Z_ /57e The undersigned hereby makes application for a permit for the work herein specified$ 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. D /1 G / SIGNATURE 4X (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley APPtication for Plumbing and Gas Mting Perndt Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORE 147 – 63rd 6 Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... 8 x $1.50 $ 12.00 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening ............. - x 1 -nn -- — Catch Basin _ 0U' W O R N WATER HTR. GAS ELEG Base_ ✓ —_ x .50 $-- Additional Fixtures ....... x 2.00 $-- 1 to 200,000 BTU .............. — 1 Gas Range 1 1st 1 1 1 1 jDiEposal 2nd 3rd — 4th • Future Connection Openings New .Fixture, Old Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... 8 x $1.50 $ 12.00 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening ............. - x 1 -nn -- — Catch Basin _ TOTAL NO. 1,50 GAS FITTING FEES: x $1.50 $-- —� 1st 3 Fixtures ...... . • ............ —_ x .50 $-- Additional Fixtures ....... x 2.00 $-- to 200,000 BTU .............. — Gas Range REPAIRS & ALTERATIONS—Refer to Code .........$ ".". Description TOTAL FEE $ 15 50 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, 11Rinn. September 11 is 61 Owner Paul Schwaztz Cons-. Co. Kind of Building Frame Used as Dwelling To be completed about December 4.1961 Estimated Cost, $ 300.00 Old—New. Building Permit No�Permit No. Signed STAIDADD PLUMBING A APPLIANCE -3 r_ FINAL d z 2M 7-59 Application for Power Plants and Heating. Cooling, Ventilation. 19Mgeration and Air Conditioning Systems and Devices 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 $ b.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 $ 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 BTU) ....................... 5.00 $ 5.00 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ 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 $ 14.50 ROUGH Plan R-1 on file f FINAL Dept. of Bldgs. Phone SU 4-7470 Locaifon 147 - 63rd Way N. E • 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, inn Q_9Fi_ , 19 61- Sq. 1 Owner Kind of Building Fr Used as Res. To be completed about 10-26-61 Estimated Cost, $ 4:)U u Old—New. Building Permit No Permit No. �' / 10 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No 1 Trade Name Westinghouse Sie No GUE-100 Capacity. Sq. Ft. E.D.R I BTU H.P. Total Connected Load 45.631 Kind of Fuel Gas BURNER — Trade Name Size No Capacity Sq. Ft. EM.R BTU H.P. (REMARKS -OVER) Signed FRED VOGT & CO. HEATING 9 AIR CONDITIONING By6:530 Wes? e St. *We. V-3767 St. Louis Park, Minnesota �y-w, 4 z 1M 7.59 Business Phone No i 0 f • S1 City of Fridley, Minn.. BUILDING PERMIT N° _6523 Date: Owner: s , Builder �[. -- Address Address _��L 10 OF BUILDING 1v0. _ street v ->_ P �,LOt Lot Block AdSb O Corner Lot W Inside Lot Sotback Sideyard Sewer Elevation ____ _ _ _ _— F dation Elevation DESCRIPTION OF BUILDING To U _ KAZ Front Depth Height ZA0 Sq. Ft. CU. Ft. Front Depth Height _ Sq. Ft. Cu. Ft. Type of Construction Fast. CostTo 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 city of Fridley. I six "'C' LY Cg In consideration of the payment of a fee of -1_� , permit is hereby granted to..._.. 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 lactation, construction, alteration, maintenance repair and moving of buildings within the city limits and this permit may be revoked at any time ordinances. , f�/�1 i f upon vi a13 n of any of the provisions of said Building Inspector /07 • NOTICE: Sic pentdt does not corer the construc8on, ins d6fion for w1rhk& phrmbinB, gas heeling, cower or water. Be sure to no the Betldh* hapeetor for separate poufs for then Hems. APPLICATIO14 FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS ,A=, L 43 itlptif /IZ 6LdLv, ADDRESS LOCATION OF BUILDING No. Street���� Part of L A411 V Lot Block Addition or Subdivisi Corner Lot Inside Lot X etback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: FrontZ Depth .a .Z ¢� Height / o Sq. Ft. aco Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 21,76 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). 91-8h= . L15051 LIIT Uh MIUMT APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Job Address 1L7 63 WAY iw Department of Buildings City of Fridley Tel. #571-3450 r PLUMBING FIXTURE RATES: NO. RATE o w 9 1Heater 94 tA S to" x y • Now Fixture, Old Opening __ x $1.00 w� g Catch Basin A u $ Nater Heater - to 99,000 BTU, x $5.00 $ 100;000 BTU to 199,000 BTU x � m "41 w x .4 � � Now Ground Run Old Building x t� o as lec $5.00 - .4 GAS FITTING FEES: 1st 3 fixtures x $3.00 $ _. Additional Fixtures __ x $1.00 $ .Gas Range to 199,000 BTU x 510.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fracticn '1st $ state Surcharge c $ .50 TOTAL FEE $ Zad 3rd 4th ' (R) - Future Connection Opening Connected with Sewer �•) = New Fixture, Old Opening Nater PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL lumber Fixtures $3.00 S Future Fixture Opening • x $1.00 $ Now Fixture, Old Opening __ x $1.00 $ Catch Basin x $5.00 $ Nater Heater - to 99,000 BTU, x $5.00 $ 100;000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.90 $ Now Ground Run Old Building x $5.00 $ Electric Water Neater -X $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ _. Additional Fixtures __ x $1.00 $ .Gas Range to 199,000 BTU x 510.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fracticn $1.00 $ state Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE (S30.00) The undersigned hereby makes application fora permit for the work herc specified agreoing•to do all work in strict accordance with the City Cod, and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and co, Fridley, Mn. . 4-27-77 , 19 OWNER MAX FINKEL KIND OF BUILDING frame USED AS res TO BE COMPLETED ABOUT 5-4-77 ESTIMATED COST 10.00 OLD - NEW BUILDING PERMIT NO. PF.A1'IIT NO. company� Signed By Tel. No. }LOUGH INSP. Date FIN4L INSP. Ditto APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 Glass "A" Surcharge .500 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 VONDITIONING SYSTEMS AND DEVICES JOB ADDRESS ,f fT L2 Z)// LAM /V RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the aci Dt Work, Burner - C�L� city codes and ruling of the Building Division, and hereby declares Rept Furnace $ 20.00 RLefEio $� that all the facts and representations stated in this application are 1�1 &io �3?� true and correct. NOV 2 ,1991 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER � Gas Range $ 10.00 $ BUILDING USED AS 41 i Gas Dryer $ 10.00 $ ESTIMATED COST 0-0-0 -00PERMIT NO. C *Air Conditioning -All Sizes $ 10.00 $ DESCRIPTION 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 Size No. Commercial/Industrial BTU HP EDR 1 % of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ chmc,id & Sons Elec., Inc. dba (;-Idcn Valley Htg. & Air Cd HEATING C ANY �9 14mt gFead ay MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION j Crystal, MN 55429 REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed By Phone 535-201tel No. PLUS THE $.50 STATE SURCHARGE (�Co(� Date 2 - REINSPECTION FEE $30.00 Approved By Rough -In Date Final *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 6. Has total heating BTU's of Dry All other BTU's r TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY _ .p L" c. UU 5i62 Wesi Broadway Signed By Crystal, NIN 55429 Floone Date P,. s 1. Has been carefully examined Yes No ( ) 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes (.X" No ( ) 4. Is securely supported Yes (,/11*' No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ) No ( ) 6. Has total heating BTU's of Dry All other BTU's r TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY _ .p L" c. UU 5i62 Wesi Broadway Signed By Crystal, NIN 55429 Floone Date P,. s '1 o7 SUBJECT PE --41, City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. 1 V r PROTECTIVE INSPECTION SEC. 1 � � NUMBER REV DATE PAGE of APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/26/95 JOB ADDRESS 147 63 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 2 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Max Finkel 147 63 Way NE 571-2890 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO North Central Builders 7401 42 Ave N, New Hoe MN 55427 533-6168 3763 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 Reside Dwelling; soffit & fascia; gutters & downspouts 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING 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 $4,000 $2.00 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 887.25 Fire PLAN CHECK FEE TOTALFEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PAOPE^Y VALIDATED THIS IS YOUR PERMIT 40D G INSP FATE SIGNATURE OF OWNER,,F OWNER BUILDERI IDATEI '1 o7 NEW Effective 8/l/95 ADDN CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2��y Building Permit Application - - Construction Address r' Legal Description: — Owner Name & Address: /". �C �/1 Tel. # Contractor: �Q C�EIf/TIQi¢� _!/% 12s _ MN LICENSE # 3x'4 3 Address:_�ftD/- �vZ/7� �viE. /Y� ,t/ E t�Z- Tel. # .S3.3 -6100 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: - Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction* 0 Estimated Cost: $ 41,00D. _ Approx. Completion Date: � �� � (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x $ DATE: - APPLICANT: 0 533 - l� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ON. $ . �S' Fee Schedule on Reverse, $of Perri Val iatina_ , /$1,000 Valuation $ $850 per SAC Unit S $ S, p 40 $5.00 (State Licensed Residential Contractors) 9� $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] S 9y.a.s ,.,,:::: •,,,, . STATE OF MINNESOTA FTtIE DEPARTMENT OF COMMERCE 133 East Seventh St `fit? i St Paul, MN 55101 (612) 296-6319 BtTILDINo CONTRACTOR ID#3763 BUILDER INDIVIDUAL PROPRIETOR Expires: 03/31/1996 ROBERT G NORCROSS 7 Mrs CE doc by 3/`31196 DBA: NO CEN'T'RAL ALDRS 7401 42ND AVE N NEW HOPE MN 55427-0000 M -Ai CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 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 (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) 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 State Surcharge TOTAL FEE $ .50 MINIMUM FEE FOR ANY HEATING/COOLI�ENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner, Burner Trade Name BTU HP Size No. EDR HEATING COMPANY /1r Signed By Tel No.-�� Approved ByRough—In Date FILL OUT BACK SIDE F R STACK VERIFICATION ON REPLACEMENT FURNACE Final Date I� ' I - % ? Oat JOB ADDRESS The undersigned hereby makes application for a permit for the work herein Rate TOTAL 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 $ 30.00 $ representations stated in this application are true and correct, $ 10.00 $ ' OWNER S %� S� 0 $ 10.00 $ BUILDING USED AS $ 10.00 $ ESTIMATED COST '�y- c� PERMIT N0. $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) a'=Cv Trade Name x)— 6.1, Size No, BTU HP EDR $ Fuel Total Connected Load State Surcharge TOTAL FEE $ .50 MINIMUM FEE FOR ANY HEATING/COOLI�ENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner, Burner Trade Name BTU HP Size No. EDR HEATING COMPANY /1r Signed By Tel No.-�� Approved ByRough—In Date FILL OUT BACK SIDE F R STACK VERIFICATION ON REPLACEMENT FURNACE Final Date I� ' I - % ? Oat Remarks:. op List ALTERATIONS Being_Done: HEATING CO: Signed By: Date: CHIIVINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. . Has been carefidly examined Yes O No ( ) �, 2. Is fine 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 ( ) b Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) S. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks:. op List ALTERATIONS Being_Done: HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Effective On May 10, 1999 Fridley, MN 55.432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE Residential Rate TOTAL OWNER_,11, �',Ae c Furnace Shell and Duct Work,. Burner . BUILDING USED AS_ R.es:, Also Replacement Furnace $ 30.00 $ (Side Vent • Fill Out Back):. Gas Piping (Needed with new furnace, r $ 10.00 $ .�--� � ESTIMATED COST PERMIT NO. ����� but not replacement) �r �( Gas Range DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ ' Gas Dryer $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. *Air Conditioning • All Sizes $ 25.00 $ BTU HP EDR Fuel_ Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ The undersigned hereby makes application for a permit for the work herein State Surcharge $ specified agreeing to do all work in strict accordance with the City Codes an _ .50 rulings of the Building Division, and hereby declares that all the facts'and TOTAL FEE $ ��5� representations stated in this application are•true and correct. MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO EFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed DATE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from Approved By Rough•In Date Final Date adjoining property owner. / FILL OUT BACK SIDE F R STACK VERIFICATION ON REPLAQEMENT �3 P-5 C. ?ass e4> 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: Signed By: Date: CHENi E TEY 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 O No ( ) 4. Is securely supported , :._. Yes ( ) No ( ) 5. Meets all current,Code requirements for size, and total BTU's connected Yes O 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: Signed By: Date: CITY OF FRIDLEY INSPECTION DIViSION 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 Rate TOTAL $ 30.00 $— $10.00 $10.00 $$10.00 $— $10.00 $10.00 $ *Air Conditioning - All Sizes $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work 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 $ .50 JOB ADDRESS_ 14? 6 !�xV CU A^-( OWNER /-f,4)c F/,A JKC-- L BUILDING USED AS btu C- Z -L- l �Jc ESTIMATED COST Effective On January 1, 2001 PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Trade Name BTU HP Circle One (Steam) (Hot Water) (Warm Air) _ Size No. EDR Fuel Total Connected Loa 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. CON'[RNC M Mi. SM 400ANOMtM - DATE � - I vi of CRMAL.1111H 1422 HEATINC�O Sign TEL # iW :5 *Air Conditioners can not be placed in a side yard without Approved By/C/4— Rough -in Date Final Date written permission from adjoining property owner. BACK SIDE MUS BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION CITY OF FRIDLEY PERMIT NO.k 2004-00485``1 " 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 04/13/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 147 63RD WAY NE PIN : 153024420054 LEGAL DESC : EVA ERICKSON RIVER MANOR : LOT 15 BLOCK 2 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE VALUATION NOTE: INSTALL GAS PIPING FOR GAS FIREPLACE (MAJESTIC, 30,000 BTUS) APPLICANT HEATING PERMIT MINIMUM FEE 15.00 MASTER GAS FITTERS STATE SURCHARGE, MECH FLAT 0.50 2263 N MCKNIGHT RD S TOTAL 15.50 NORTH ST PAUL, MN 55109- PAID WITH CHECK # 9717 (651)748-8277 OWNER FINKEL MAX E & BRUNHILDE K 147 63RD WAY NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regul ' constru tion or the performance of construction. App 'cant Date .12 Bldg InspL�� Dat F� r SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE `G d �� EfLective January 1, 2003 3 Fridley, MN 55432 APPLICATION FOR FIOWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES � FAX (763) 571-1287 r - JOB ADDRESS � 7L/ / �7 &3 wet E, RATE SCHEDULE nn ' OWNER Residential Rate TOTAL n I Jea-7L Furnace Shell and Duct Work, Burner - BUILDING USED AS 1/� eSj Also Replacement Furnace $ 30.00 $ JJ f lboo- 0U PERMIT NO. -1 00'- �Qy� (Side Vent - Fill Out Back) ESTIMATED COST 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. BTU _ HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) 1 / Burner Trade Name A4 e s��-_ Size N 1. C -- _j 1% of Value of Appliance or Work $ BTU�� GC.� HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and _ representations stated in this application are true and correct. TOTAL FEE -5-0 `�"��`7" �� DATE a� i r� 171 a MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO *er REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 651-71V-9.2 -7 PLUS THE %S0 STATE SURCHARGE Signe TEL # FAX aS/ REINSPECTION FEE $47.00/Hr p _ -_ *Air Conditioners can not be placed in a side yard without _ - __�"�► Approved Byc I� Rough -In Date Final Date written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Building $ BUILDING Plan Review Permit No.:(? Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By: ' 763-572-3604 $ CITY OF FRIDLEY License Surcharge Dat"' 7 63-502-4977 FAX SAC Charge $ 1 Curb Cut Escrow $ EFFECTIVE 1-1-2011 Erosion Control $ DATE /1� YOUR E-MAIL_ MAIL ADDRESS C 14 S�;7 �°P A% e— GO >Lr"Z y61-1' D AJ . 0 96 SITE ADDRESS Sewer Main Charge $ THIS APPLICANT IS: ❑ OWNER CONTRACTOR $ PROPERTY OWNER/ Nom: 9NwNtf Q,OoOv \-W-burn TENANT ADDRESS: 133 qy. \\\V CITY 1 STATEjD!&ZIP Sb42 PHONE: CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # Z.0 5 !& 0 k 01r LEAD CERT NUMBER n\dh'S - 2 °l \ 0 S ' AND CERTIFICATE OF ADD S: 40A 0 \O L CITY iy%N be%—A STATE�IZIP S �t INSURANCE Pxo 11' Sal 05% `1'PWJ3Zo 74AX 1 • S - \00\ PROPERTY TYPE ❑ SINLE VAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS gBASEMENT FINISH ❑ ROOF ❑ DRAINTILE CFi'fRvr2eS TO YA-4E't-r49l at!) ❑BECK ❑ SIDING ;MOTHER ❑ SWIN[M[ING POOL a ev It' ao& TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR )MMODELING DESCRIBE WORK BEING DONE:%-C"NA ty%4-1 %01 %&.,. QA CitAt- Sam.. SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFING ❑ HOUSE ONLY 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 SUBMTf: 1. Site Plan/Survey showing the existing struchnes ❑ Aluminum ❑ Trim and propel project[3 Other ❑Fascia 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: �y 11YG THE 199+ a 18 �6 U.SC OCCUPANCY TYPE TOTAL JOB VALUATION $` 3 5v . _ �. � Permit Fee $ ° a� Plan Review $ _0114 0 Fire Surcharge $ '�' Surcharge $ I q License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ LAA, ZT— See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $5.00 $5.00 (State Licensed Residential Contractors) $2230 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks navable to: Citv of Fridley Attec 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 ty of Fri ey and with the Minnesota Construction Cases; that I understand this is not a permit but only an application for a permit and work "to start without a permit on site; that the work will be in accordance with the approved plan in the case of alll k whi requires re and approval of plans. SIGNATURE OF APPLICANT /y / r A ,, _ ^ WJNT NAME ///.�r► S cel DATE 3 �y �i Building Permit Fee BUILDING See Back Page for Fee Schedule Permit No.: Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION $ U Ls Received By: —` 763-572-3604 $ 3 1 It- CITY OF FRIDLEY License Surcharge Da*""dS ff P �� 763-502-4977 FAX SAC Charge $ - Curb Cut Escrow $ EFFECTIVE 1-1-2011 Erosion Control $ p DATE y - .z.2 // YOUR E-MAIL ADDRESS At1AAW-0i0L/s, ORS►d46e11**GUdti1mOR0'DI�tC�.G7y $ SITE ADDRESS /Y% 451° & AY Wi Sewer Main Charge THIS APPLICANT IS: ❑ OWNER JOCONTRACTOR Total Due PROPERTY OWNER/ NAME: k TENANT ADDRESS: /V7 631' &ANI Ar CITY &1si y STATES AJ ZIP.OY32 PHONE: 7L 3 - S7/- 2190 CONTRACTOR NAME: 0N0FA^',0 J AliA116Ows SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # 20 diM4 7X LEAD CERT NUMBER A1.4 r- 4 096 9'- O AND CERTIFICATE OF ADDRESS: 5100 AlW✓. /69+/.t sio.li CITYA/&J ND/d STATE#1A)ZIPJ15V2Jf INSURANCE PHONE 6 S - 57 - aOZ FAX PROPERTY TYPE 'ILSINGLE FAMILYMEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PER HT TYPE RADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE $DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION RLADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: '01010 061Tlb d OF A/ iiw-c D soe 801&0 AW9 PJATFsii M 4 pfiTJO A001A SIZE OF IMPROVEMENT ., LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 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 ❑soft ADDITIONS. 1. & PORCHES SUBMIT: Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Other ❑ Trim ❑ Fascia and propos proles 2. Two sets of construction plans WINDOWS 3. Energy Calculations INEXISTING 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: (USIN U B.�EE SCHEDULE) TOTAL JOB VALUATION $ /.?,.?Do —N OCCUPANCY TYPE Permit Fee $ l q. Z5 See Back Page for Fee Schedule Plan Review $ aC 51 65% of Building Permit Fee Fire Surcharge $ U Ls .001 times the total job valuation Surcharge $ 3 1 It- .0005 x Permit Valuation Minimum $5.00 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2230 per SAC Unit (Plans to WCC for determination) - Curb Cut Escrow $ ft + 6 ft = ft x $25= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 2 I Make checks uavable to: Citv of Fridlev 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 f)f 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 of all JWork W2�2 equires review and approval of plan*. /� SIGNATURE OF APPLICANT PRINT NAME Lr1/& L"dLL SAM DATE Q- •t R -// APPROVAL INSPECTOR SIGNATURE H a House Existing patio door *All piers 18" w/22" bells* 11' Existing deck / / *Steps & railings to code* 2 3ly- iRtUN OA(k1 1O`' FA Nominal 11' x 11' patio room with a single slope roof *Floor joists 2x8 @ 16" OC treated *Rimmers dbl 2 x8 treated on sides, 3.25x12.375 treated glu-lam on front & back *Joist hangers on all *Ledger board attached to house with 5" Ledgerloks; 2 @ 16" *Flooring under room 3/4" OSB T&G *Posts 6 x 6 treated under room, post base & post to beam connections *Treated plywood bottom w/R1g fiberglass insulation in platform Approx. 19" above grade I'll have elect - lsc. Champion Windows of Minneapolis CUSTOMER: 5100 Hwy 169 N.; Ste. B Max & Hilda Finkel New Hope, MN 55428 147 63rd Way NE Phone: 763-574-2054 Fridley, MN 55432 Phone: 763-571-2890 Creation date: 9/22/11 Revision date: By: Steve Collier a-!- House Existing patio door *AII piers 18" w/22" bells* 0 1 11' N 3' -- Existing deck / t / *Steps & railings to code* FA Nominal 11' x 11' patio room with a single slope roof *Floor joists 2 x8 @ 16" OC treated *Rimmers dbl 2 x8 treated on sides, 3.25x12.375 treated glu-lam on front & back *Joist hangers on all *Ledger board attached to house with 5" Ledgerloks; 2 @ 16" *Flooring under room 3/4" OSB T&G *Posts 6 x 6 treated under room, post base & post to beam connections *Treated plywood bottom w/R19 fiberglass insulation in platform Approx. 19" above Champion Windows of Minneapolis CUSTOMER- USTOMER5100 5100Hwy 169 N.; Ste. B Max & Hilda Finkel New Hope, MN 55428 147 63rd Way NE Phone: 763-574-2054 Fridley, MN 55432 Phone: 763-571-2890 Creation date: 9/22/11 Revision date: By: Steve Collier Glass & screen ELEVATION ter Nominal 11' x 1 V patio room with a single slope roof *Floor joists 2 x8 @ 16" OC treated *Rimmers dbl 2 x8 treated on sides, 3.25x12.375 treated glu-lam on front & back *Joist hangers on all *Ledger board attached to house with 5" Ledgerloks; 2 @ 16" *Flooring under room 3/4" OSB T&G *Posts 6 x 6 treated under room, post base & post to beam connections *Treated plywood bottom w/R19 fiberglass insulation in platform Approx. 19" above grade Champion Windows of Minneapolis CUSTOMER: 5100 Hwy 169 N.; Ste. B Max & Hilda Finkel New Hope, MN 55428 147 63rd Way NE Phone: 763-574-2054 Fridley, MN 55432 Phone: 763-571-2890 Creation date: 9/22/11 Revision date: By: Steve Collier Glass & screen ELEVATION Nominal 11' x 11' patio room with a single slope roof *Floor joists 2 x8 @ 16" OC treated *Rimmers dbl 2 x8 treated on sides, 3.25x12.375 treated glu-lam on front & back *Joist hangers on all *Ledger board attached to house with 5" Ledgerloks; 2 @ 16" *Flooring under room 3/4" OSB T&G *Posts 6 x 6 treated under room, post base & post to beam connections *Treated plywood bottom w/R19 fiberglass insulation in platform Approx. 19" above grade Champion Windows of Minneapolis CUSTOMER: 5100 Hwy 169 N.; Ste. B Max & Hilda Finkel New Hope, MN 55428 147 63rd Way NE Phone: 763-574-2054 Fridley, MN 55432 Phone: 763-571-2890 1" ='V Creation date: 9/22/11 Revision date: By: Steve Collier � t t S lolinsoll sarveyor's Certificza�� ate xvCq., 0 -�,--moeq )04-: /-ja-to i)ewetop*ent Co. HARRY S. 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