Loading...
PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT 11TH G33 j Date: Owner•PGAN%a _ Builder Address _ Address _ ffifW% T OF BUILDING No StreetPart of Lot li►__ Lot Block Additio r Sub -Division Corner Lot —_ Inside Lot _ Setback _ Sideyard_,� Sewer Elevation _____ Foundation Elevation DESCRIPTION OF BUILDING To Use — Front Depth Height Sq. FLIA3 Ca Ft , ll Fend,,, Depth H ght Sq. Ft. Cu. Ft. Type of Construction Fast._ To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $—.-___, 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. _ r tlm-11 Building Inspector NOTICE: TMs permit does not cover the construetion, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, M7WWOTA Owner's Name ,f• Builder "'..c 491 Address Address , A—Z/D o? o LOCATION OF BUILDING No. Street lw,-,e �±/ Part of Lot Lot Block Addition or Subdivisione.,&,:,- v Corner Lot Inside Lot X Setback 1S o " Side -Yard /d '-0 " -?,'c " SEWER. ELEVATION FOUNDATION ELEVATION Y-344 Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING i Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Constructio 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 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. DATE G A A / SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) ai', City o4 Fridley Application for Plumbing and Cas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORE Location 158 - 63rd Way Number, Kind and Location of Fixtures II NO. RATE TOTAL Number Fixtures ....... 7 x =y ZZ Future Fixture Opening ................ �Z �T}z p� $ New Fixture Old Opening .............. m • • WATER HTR. x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 2.00 New Ground Run Old Bldg . ............ x 3.25 $ 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 $ Base 1 1 +1� 1 lot 1 -1T171 1 is os 2nd _ 3rd 4th • Future Connection Openings I Connected with Sewers® New Fixture, Old Openings Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... 7 x $1.50 $ 10.50 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 2.00 New Ground Run Old Bldg . ............ x 3.25 $ 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 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 14.00 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do an work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn June 17 19 61 Owner Paul Schwartz Const. Co. Kind of Building Frame Used as Dyaelling To be completed about Sept. 1591961 Estimated Cost, $ 800.00 /�f Ol New Building Permit No 1532 Permit No. / / ; STANDARD PLUMBING APPU PCs; Signed �6 C1 By Business Phone No '.jJe 8 3589 ROUGH v 2 v FINAL .QW42 2M 7-59 Application for Power Pkmts and:. Healing. Cooling. Venti1ation..Refrigeraiion twid Air Conditioning Systems and Devices 1411111,01 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 $ Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 each add. 60,000 BTU 2.00 Replacement of of Furnace ............................. 0.00 $ 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.()() GAS FITTING FEES: NO RATE 1 •ZQTAL 1st 3 Fixtures .......... ........... x $1.50 $ O 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 FINAL Dept. of Bldgs. Phone SII. 4-7470 Location 158 — 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, Minn 6-27-61 19 Owner -Rai-13 Sabwartz Cong trnr_ti nn f:n_ _ Fr• Kind of Building Used as Res. To be completed about 7-27-h1 Estimated Cost, $ 450,00 Olde -Building Permit No. '75- `37 Permit No. XS o . 10 , .•°, r. ,r6=e HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade Name Westingiouse Size No GUE-100 Capacity Sq. Ft. E.D.R_ I MM BTU H.P. Total Connected Load 459631 Kind of Fuel - Gas BURNER — Trade Name Size No Capacity Sq. Ft. E.D.ft BTU H.P. Plan R-1 (On file) Signed By a z 2M 7.59 Busine1ffR% 6530 West Lake St. , WE. 9-6767 Sk Louis Park, Minnesota (REMARKS—OVER) 1, City of Fridley, Minn. BUILDING PERMIT Builder Address N?(:::5886 L I OIFI"LDING No. Street 4A ParV Lot Lot ___ Block �Ad on or Sub- i on -�.__ L�-�--✓moi or Corner Lot - Inside Lot Y" Oftack < Sideyard -�—�-j Sewer Elevation ____ Fodadation Elevation DESCRIPTION OF BUILDING To U Front Depth -. Height Sq. Ft. 3-:z Cu. Ft. 1,O o t Depth _Height _ Sq. Ft. Cu. Ft. Type of Construction Est. Cost 449-4.-�"�r...�.�. To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $-4,F----, 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, Niinnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at anyupo vio f any of the provisions of said ordinances. A 111 1 Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be sure to sae the Building Inspector for separate permits for these Nems. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name uilder .. ✓ 4 / .. ► Lam_ LOCATION OF ,BUILDING No. / J2 Street( Part Lot Block Addition or Subdivision of Lot Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: _FrontDepth �'� Height Sq. Ft. Cu. Ft. 3 J Front Depth Height Sq. Ft. Cu. Ft. Type of Construction " Estimated Cost 7 To be Completed �g -- r — 0/ �® 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. _,% _ e� DATE ';-4?' — 1 -)-- (Schedule of Fee Costs can be found on the Reverse Side). z a V d . LLBLOCk ADD'RE6S ! '^ , ' 61E � -�.� /� VAL�ATICNADD. TYPE /-� ,;I k L r sr' i i u �% 0) lz_ I lJ c— +A� L A e I- r_s SCC 012 D .Fl?c/✓T �^��� -Ir TY ...................._.................._.._................................................................................................................................................................................................................................ 0 SUBJECT P MIT NO. City of Fridley o 19436 AT THE TOP OF THE TWINS BUILDING PERMIT _ i � 1 L'______ COMMUNITY DEVELOPMENT DIV. y r PROTECTIVE INSPECTION SEC.O i L ,•� CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY •--.� 612-571-3450 910-F15 5/3/88 10B ADDRESS 158 - 63±.d Way N. E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Peter Cecko 158 - 63rd Way N.E. 571-2876 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 ❑ ADDITION ❑ ALTERATION J7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (16 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged Y g galvanized valleys. On all new roofs or tear-offs and replacement roofs, State Code requires that 2 layers of 15 Ib, felt, mopped together, be installed to a point 24 inches UP from exterior wall line, or the use of other approved underlayment membrane. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Asphalt THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS 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 $800 $• 50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $21.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $21.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ... HMPROPERLY V ID TED THIS IS YOUR PERMIT SIGNATURE OF OW R IIF OWNER BUILDER) DATE) BLDG )NSP n E NEW City of Fridley Effective 5/1/88 ADDN R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address:_ A,�q C&/ Legal Description: Owner Name & Address:_A" eELei'G /�'G�-�.�a� oxy ,r/_ eF Tel. # 15-;7/-26-7a Contractor: Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIPTION OF IMWEMgff LIVTM AREA: 1ength Width DECK AREA: Length Width 01MERe At lel Leight Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. CDrner Lot [ ] Inside Lot t4 Ft. Yd -Setback Side Yard Setbacks Type of Construction: A4:541 A�� Vim`"' Estimated Cost: $ �% Approx. Completion Date: �' 2� ���(f3oo- 00 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ �Widthh + 6' See Back Page DATE: �� APPLICANT (�� : Yl7/� . c5` ' Tel. QTY USE OILY Permit Flee Fee Schedule on Reverse Side State Surcharge $ $.50/$1,000 Valuation SAC Charge $550 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Flee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: N SUBJECT City of Fridley 2 ; AT THE TOP OF THE TWINS BUILDING PERMIT r ' COMMUNITY DEVELOPMENT DIV. I PROTECTIVE INSPECTION SEC. r 1 I ---1 CITY HALL FRIDLEV 55432 NUMBER E7 DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/10/96 / / JOB ADDRESS 158 63 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 1 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Pete Cecko 158 63 Way NE 571-2876 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO D & D Home Improvement Inc 7401 Central Ave NE, Fridley MN 55432 784-7543 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 4840 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION p ALTERATION REPAIR ❑ MOVE ❑ REMOVE 11LL 8 DESCRIBE WORK Install basement bath, closet and egress window 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Egress window must meet State Egress Code. 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 1 STALLS I GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $6.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $12,000 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $187.25 Fire SC $12.00 STRUCTIO OR THE RFOR E OF CONSTRUCTION PLAN CHECK FEE TOT FEE 610z& License $5. 2 0.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ROP , INSP VALIDATE T IS IS /Y R PE�RIMIT • 4G TATE _ SiGNATUREOF OWNERIIF OWNER BUILDERI IDATEI N NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 A Building Permit Application 1 ConstructionAddress: / L id.U)M V Legal Description: Owner Name & Address: FE te— L. ff (1'K Q Tel. # Contractor: D _ & D Home improvement, Inc MN LICENSE # 4 R 4 0 Address: 7401 Central Ave NE Fridley, MN 55432 Tel. # 784=7543 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF UNAPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot JM Ft. Yd Setback Side Yard Setbacks Type of Construction: &Seweat't Qglho&et g6jsSEstimated Cost: $ , 0VV Approx. Completion Date: �L— I — q% .(Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: %® APPLICANT: Tel. # TOTAL STIPULATIONS: $ Uzi . •w CITY USE ONLY Permit Fee $ 6 7 Z Fee Schedule on Reverse Side Fire Surcharge $ c.) .001 of Permit Valuation (1/10th%) State Surcharge $ C . $.50/$1,000 Valuation SAC Charge $ $900 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: $ Uzi . •w wi ;, r, �� �_ G 3.a ,ay o 44 At zz�f,&s Ao�rp ��D home- Z7-rrjp , qg`1-'l sSys' I CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 Effective On March 1, 1996 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR <>»?; :..at h.. . .:``.....' .. ;Gas Showar e.::............:.... Floor Auto. Waer Heater a Th Urinal Drain Washer ��i(t<<� Gas Elec PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 t) Old Opening, New Fixture $ 4.00 0 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance �,j,()a State Surcharge TOTAL FEE $ .50 JOB ADDRESS 15% 103 A4 LA4 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. C- -13 - , 1996 Owner Building Used As Estimated Cost _ ��©� PERMrr NO. PLUMBING COMPANYDs�-(����� °P/um ��CO v SIGNED BY G �� _ TELNO.��t/S✓� Approved By Rough—In Date Final Date $Sa�o PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. SUBJECT City of Fridley 11 I 26636 2 6 6 3 6 AT THE TOP OF THE TWINS BUILDING PERMIT r R NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �'' 612-571-3450 910-F15 17/16/98 JOB ADDRESS 158 63rd Wa 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Eva Erickson River Manor SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Peter Cecko 3 CONTRACTOR American Roof ift'L&°`De t. 23624 St Francis Blvd, fit. FranENN"MN 6y NO 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 753-7451 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Y7 REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof houseTear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 MOT. 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 D CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNI THI TY F ORK WILL BE COMPLIED WITH WHETHER SPECIFI HEREIN NOT. THE GRANTING OF A PERMIT 1834 .92 DOES NOT PRESUME GIVE A HORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF AN OTHERS ATE OR,,.L'OCAL LAW REGULATING CON- STRUCT N ORT PE (III NCE O 'CONSTRUCTION. 9.50 Fire SC $1.83 PLAN CHECK FEE TO Al FEE License 5, 67.25 SI VA RE OF CO ACTOR OR AUTHORIZED AGENT 1 A I P 0 VALID T D THIS IS YOUR PERMIT - BLD IN SP l/ I GATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEi NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Effective 1/1/98 Owner Name & Address: Tel. # Contractor: L CR,,'� MN LICENSE # ZO l Q Address: �j 2. S f'�f`Y2-..�9 C L) 61 L -j k. MJ �Sr'N6Tel. # 25: -7 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: Len Width Hgt/Ground Sq. Ft. OTHER: On F rr S � . Construction Type: Estimated � C7 Estimated Cost: $ /C -O-) 3 � `' - (Fee Sche on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x = $ DATE�IAPPLICANT: IS 31 CITY USE ONLY STIPULATIONS: 9' Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ - c3 3 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 00 $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 r� $ / STIPULATIONS: -Mire= 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 *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.255o' of Value of Appliance or Work T�O U5-7 (0, Effective On January 1, 2001 JOB ADDRESS I�� ��.� " IoV °� P�L lei OWNER_ ?ckr Rate TOTAL BUILDING USED AS � e,5 $ 30.00 $- ESTIMATED COST LN:DQ PERMIT.NO. /L16�Q $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units_ Circle One (Steam) (Hot Water)arm Air) $ 10.00 $ Trade Name 17)LLt ,D Size No. o2o-1 r BTU 15L -LO HP EDR $ 25.00 $ !�,Fuel_ I64 -t- r Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 10 -910 -DI HEATING rl tr Signed TEL # "l(c 7� t ' C ZV Approved By Rough -In Date Final Date -.2 tJ l BACK SIDE -MU9T BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Yes V) No ( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer including length, number of elbows and termination. Yes () No`` specifications sizing, ll �� The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) The existing combustion air is sized and installed to meet the current codes Yes () No ( ) and manufacturer's specifications. When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturers specifications. Yes)) No( ) When installing -a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) ff4 Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type q J BTU Input 7 5000linAssisted sisted or Nat 29A Appliance #2 Type BTU Input o� Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type ti//211- Vent Height_ Diameter �, inches Appliance #1 Vent Connector Height 7,ft Length _3ft Diameter�in Type_ Appliance #2 Vent Connector Height _eft Length _? ) , ft Diameter Y in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type 'ERATIONS• (Describe) -e�77 �- sl>•z��-r. %5 O� c� ems_ .� d Building PLUMBING Permit No.: U - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DFMcPj_ DATE 55 - go- 0_7 YOUR E-MAIL ADDRESS SITE ADDRESS 15 9 10 5, A ~J, THIS APPLICANT IS: ❑ OWNER f CONTRACTOR PROPERTY NAME: OWNER/ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: L'� r' ✓ q h , STATE LICENSE # qg EXP DATE ` SUBMIT A COPY OF YOUR STATE ADDRESS: 3Z2i I 5 ' CITY_STATFI-I/I.ZIP_5_ 1 LICENSE WITH PHONE J O —1'� — ad ri 1 FAX APPLICATION PERMIT TYPE , SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW *EPLACEMENT DETA L D DESCRIPT N OF W RK ^ ►,v 1 u d� X �� -qe° 71A CSA s, ii - .,_ �-- 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 IjMBER OF EACH BELOW) ( BATH SINK/LAV DRAINS SHOWER WATER PIPING _FLOOR T BATHTUB PIPING rhraa) c m-/jceivsr:)_ SWIMMING POOL WATER SOFTNER ($35) —GAS _ CLOTHES WASHER _ KITCHEN SINK 2 WATER CLOSET _ BACKFLOW PREV. ($15) _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER dpi x Permit Fee $ Number of fixtures @ $10.00 - — x $10.00 = $ !20 Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ , THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and 1 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 1 understand this is not a permit but o a plication for a permit and wor is not to start without a permit; that the work will be in accordance with the approved plan in the e o k which es iew' nd approval /� i - SIGNATURE OF PRINT / - r APPLICA NAME Qy� l DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977