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PRE 2010 DOCSE •• City of Fridley, Minn. BUILDING PERMIT N® 6465 Date: (0 Owner: Builder Address Address ��-�OCATIONOPW ILDING No. Street - �._��f' Part og Lot � Lot _ _ __ Block Addition or Sub -Division Corner Lot Inside Lot _ _ Setback —_ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Front -� Depth Height Sq. Ft. Cu. Ft. lmt Fro t DepthFe :4H ght Sq. Ft. Cu. Ft. Type of Construction Est. __ P 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. 'ti1_ -- In consideration of the payment of a fee of $ ,permit is hereby granted to— thto construct the building or addition as described above. This permit is granted upon e express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any Bart thereof, shall conform in all respects to the ordinances of Fridley, Mitmesota reg gg location, construction, alteration, maintenance, repair and moving of buildings within the dty limits anthis permit may be revoked at any tine upon violatio�Y any of the provisions of said ordinances / \ /' l Building Inspector NOTICE: Me permit doss not cover the construction, hwhMon for whine, phmdaing, ens heathM sewer or water. Be euro to as the Building Icor for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, KD4NESOTA Owner's Name Builder Address Address_______ LOCATION OF BUILDING No. �� Street G��r-5 Part of Lot Lot Block Addition or Subdivision. Corner LotZL- side Lot Setback Side -Yard J'® SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Depth 2:L I Height l Sq. Ft. Cu. Ft. .Front Depth Height Sq. Ft. Cu. Ft. Type of Construotion. 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 i SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas Facing Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures N ar Z �t�Y Zz pZ �`Z� O WU' z • P • N WATER HTR. GAS ELEG LL Lo t�ci <3 Ud (�9�c �0 Base 1 1 1 1st 1 1 1 1 1 Dis 0s al 2nd _ 3rd — 4th • Future Connection Openings Connected with Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIBTUAE 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: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU............ REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL — x $150 $ 1.50 x .50 $ — x 2.00 $ Dept. of Bldgs: Phone SII 4-7470 Location 134 – 63-2 Way 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 May 8 6319—. Owner Paul Schwartz Const, Co. Kind of Building Frame Used as Dwe l l i na To be completed about Oct. 121963 Estimated Cast, $ 500.00 /� Old New. B 'ding Permit No p� & 216 to �gPermit No. � 5igned_SYli D P�� D UM A Aif�q�PLIXICE CO, By Business Phone No We S 3589 ROUdH � � 2' — �- FINAL Description................................................$ TOTAL FEE $ 14.00 42 2M 7-59 Application for Power Plants and Heating. Cooling. Ventilation. ReFrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 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 $ 8.00 each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM . Furnace Shell & Lines—to 400 sq. ft. IDR Steam ..... 8.00 $ 3 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 $ 55.00 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 LOUGH FINAL Location 134 - 63z [slay 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, Alin. 5-21 , 1963- Owner g63- Owner Paul Schwartz Construction Company Kind of Building 1+ r • Used as Res • To be completed about 6-21-63 Estimated Cost, $_ __ 450.00 Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK BEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No- 1 Trade Name WestingbousA Size No_ GM -100 Capacity Sq. Ft. E.D.R I OOM BTU H.P. Total Connected Load 45001 Kind of FueL Gas BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) By 42 ZM Business Phone E t'� City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Location— WATER – 632 Way Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ 3 x 1.20 $-3.60 N 8 U �+aa5 O - J. w ? • • N WATER HTR. GAS ELEC. 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code °d(70 TOTAL FEE $_I. 60 Base 1st 2nd Ad it on to a mi t # 2766 _ 3rd 4th • Future Connection Opeaiags Connected with Sewer E] New Fixture. Old Opeaiags Cesspool F] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ 3 x 1.20 $-3.60 New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ..:.............................................$ TOTAL FEE $_I. 60 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do 411 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 May 23 , 19 63 Owner, Paul Schwartz Const. Co. Kind of Building Frame Used as Dwelling To be completed about June 15'1963 Estimated Cost, $ 100.00 Old ew. B 'ding Permit No � �`� —t— Permit ROUGH' FINAL az 2M 7-s9 By SANDARD RUE131HOU Business Phone No e 8 3589 City of Fri University Fridley, Mi Dear Mr. Je It is our f at the befo settling wh WALNUT 7-9971 J. SCHWARTZ ii CONS rAITUCTION CO. 4020 MINNETONKA BOULEVARD SUITE 103 MINN11 EAP O LIS 1 6, MINN E S O TA January 13th, 1966 ey enue esota Attentions Allen Jensen Re 134 63k Way ` N. E. en: ding that the condition :!which you have called to our attention �mentioned address, is not improper construction, but normal Ch is not the contractors responsibility. i Yours very truly, ;PA J. TZ CDNST. CO. u J. Schwarz II Appffautba for Pourer Pkmft and Heating. Cooling. VenilWon. ReNgembn and , Air Conditioning Sptem and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $300.00 ................... 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MEC*. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 5.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & l Ines—to 400 sq. ft. EDR Steam . .. .$10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 ' $ Each add. 320 sq. ft. EDR Hot Water ..... ........ ... 3.00 $ OIL BURNER—to 3 gal. per hour ... ..... ...... ..... 6.00 $ over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 199,000 BTU) .......:...... '......... 8.00 $ o-0 over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x$ 7.00 .� $— " Additional Fixtures ................. x .75 $ Gas Range to 198,000 .......... x$ 800 $ AIR CONDITIONING $ u ro FAN HEATING SYSTEM See Fee Schedale VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ �� ROUGH FINAL Dept. of Bldo. Phone 860-3480 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 applicationtrue and correct. Fridley Owner Kind of Buildin Used as To be completed about Estimated Cost, Ol New. Building Permit No. Pwmit No. DESCRIPTION OF WORK SKATING or POWER PI ANT --Steam, Hot Water, Warm Air—NQ Trade Name Size No Capacity. Sq. Ft. E.D.R BTU H.P. Total Connected Load Bind of FueL� BURNER Trade Na -P Size No. WO,.L6 -301-49 Capacity 7� Sq. Ft. E.D.R-BT1J �� ®,. ®� NZIP Off"RKs—uveal �I Y PERMIT for Power Plants and Heatin Cool. Sa-s g' Permit - - - ing. Ventilation. Refrigeration and Air Fee $ ,� : ® 4766 Conditioning Systems and Devices Office of the Inspector of Buildings DESCRIPTION OF WORK No. of_ Heating Plants to bens lle ltered—repaired Make 1�1 , Size _ - L - - � -®� ; Oil fired—, Coal fired ; Gas fired ; Gas Authorization Remarks Approved Final Inspection 19_ Inspector City of Fridley City of Fridley, Minn. Owner Location LN - Kind of Building - dQ - How Occupied � ➢: p L � ✓' Work to be Commenced—, 19— To be Completed d ,19-'5-26 Estimated Cost, $ 42 ® 0.6 Q Old New, Building Permit No. Permission is hereby granted to y to install—erect—use the material and devices described in the above statement. This permit is granted upon thi, express condition that the p son to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specificat' ns s forth in the approved application for this permit on file in the office of the Inspector of Buildings. n (Q� -��a ✓��, Inspector of Buildings R City of Fridley, Mm. -114 7 8 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Dates June 5, 1972 Owners Paul Kumera Builder Sussel Co. Address - 134 633; Wax N,E'Address 1850 Como Ave. St. Paul LOCATION OF BUILDING Na 134 Street 634 Way N.E. _ Part of Lot Lot $ 3 Block 2 Addition or Sub -Division Eva Erickson River Manor Corner Lot Inside Lot Setback __ ` Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 28 Depth 22 Height 10' Sq. Ft. 616 Cu. Ft 6160 Front Depth Height Sq. Ft. _ __— Cu. Ft. Type of Construction Frame Est. Cost 2290.000 To be Completed — 90 days Provide Bard Surface Driveway 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 pr+dihances of the city of Fridley. G 4�x In consideration of the payment of a fee of ;--Ll . 00 permit is hereby granted to Sussel Co 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 � e city limits and this permit may be revoked at any time upon viol tion of any of the provisions of said CLARENCH BELISLE glding Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to sI the Building Inspector for separate permits for these items. r r. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: N(A,u�Q 1(ykd- BUILDER: :;r°v_-5S "J ev ADDRESS :_/,3V ADDRESS: /8 5 v o NO:. 1.3J4 S TREET : ( 3 i LV /U, LOT: BLOCK: ADDITION; 4"vim tri 4 sakS CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: F DESCRIPTION OF BUILDING Front: a Depth: �;?Clp_ Height: /o Square Feet: 61(- Cubic Feet: 6 46, C) Front: Depth• Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: aP To Be Completed: 9p The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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. DATE: S - % Z SIGNATURE: (See Reverse Side For Additional) Information.) l 1,14 l y • rg'' , J ' ':7 .,r '. �? s�' ° s� :) K ;.: Gf�,rt5 y1:�ri..:*fr •' T2'.�i'i c =`S �.,'f'l ;'�.-.'" i� moi•"'R,.2'', • �v ":.:y 441 .f t �� o. 5 r..r h' � �a4,�,.yr .�,'A•A �1'. ' �91 ;' �� .Aj a• i''� �.�� SMADLMY j C Y i j c.'I � T`.l'' •' eG Ac,•�. .: �.'� !�[. i N. M�' Ir 4. �, i' ' '� � l�'R �1 �. 9 {. i ' _ . •. � ; T y' _ T tic t bt•r 9 < ri'' Y y 'tt p ! 1 $' �r 9999tiNttll AMO wlltltrb! qt. d i�q+P". r4 kty v yi .it sl'141 >' Y. .i•awl<ar .- � • l�tw A1IiMYt wOYTN • `,A ,,. t�.�•„��,'( �r• .. ,~ j ' �.� �i,'! t��•• 9�tP� •�r.,......-._:-�. _ � � • r o „' t° :•�y[ rte` A3 WA. t 1 75 c ti . fat -tai 1-3--7 57-74- t�- vepFe 5et) t;��i�n ��'-� surv�� -•:.�f. �'�T:�'..P�L��"�___ 1rV;r� IE�lCkSah�S_ RIVER h'1N/iJQI�', Fw1P1�1L�'Y.y.�s svhv c 4 � •'•t � . 1,, [; � .r'' . s�°r�A`•r t r : '[t 7t �'i4'� �N,f r.4 '.�a' _._.c.,.,.qr,•.� _ 4 �^'s!i a �.. ^ ♦ R r3., •,'.'[bye -xa... - -«« sr:tarzWa'�w-�+r-+�ca:.'� xadur+D. - ,dam B.i,.ic. i • _Ya ; THE SUSSEL CO. 1850 COMO AVE. ST. PAUL CALL: 645-0331 SALESMAN L L !L CONCRETE WORK ORDER NAME J /A Q L KuErs-x\ PHONE # JOB ADDRESS �3`/ 6 3 ? wAY N,k BLDG. CODE AREA FXI DLEY FOR OFFICE USE ONLY CONTRACT DATE 2--2-6-7-2- CONTRACTOR ERV S 7 JOB #f Z-- -Q!5 SIZE 2-2 )e Z -2 Nip' ALLR✓lSUSSEL JOB # ( g"7 7 CONTRACT # 300-40-'1 JdPermit bySvss 4 ❑ Legal Description ❑ Lot ❑ Blk ❑ Add'n ❑ value Z790 ,Type Const. FeA,n k RSquare With Aouy C,8�'- ❑ Rods N Mesh /Sod Rem. - By.5vSse�L._ ❑ 5 -Bag Mix 6 -Bag Mix 9 Tamping ❑ No Tamping PI`A.B.U.4®50 PE. -2 ::::Z.40 2-Startings Points Only 3 S.P.L. S.S.P.L. R.P.L. Alley House F. Street Other EKCONDUI'iA SAE 4teea4c 6* CK O.H. Dr. Offset / '6 ' Iq S.D. Location 1'6 a-•Bi6 rs 4 Windows a71 INDICATE THE ITEMS BELOW ON LAYOUT I CO" 1'►C2 �TCmS 4Z-„ ^g„ c f G . P6,,:!,rL 11J E-&,�tE PGE2 P -A2 IN /leiq)METEP, o r- 5LA.3 7a It Ti En T o. 13/ 2. N' -Pi E2 , I s L4 ousc POF.CONTRACT �.Z �% : '"I�("" 44- DIRECTI N CITY OF FRIDLEY APPLICATION FOR PL MBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLO:'3ING FIXTURE RATES: NO. RATE TOTAL .... _''er Fixtures x $3.00 Water d ... Future _ ixtare Caening x $2.00 $ .:e . .fixture, Old Opening r. $2.00 $ Catc.. Basin x I?(:ateX R hater 'cater - to 99,COO BT•J �_ x $5.00 $ �® ,GO,C,GO =1 to 199,000 BTU X $10.00 Water Softener x ;a:. :ieC New Ground R... Old Building x 4r $ Electric +:a=er Heater x $5.00 $ GAS FIT -11.:G FEES: - x $3.00 $ A!ditio nal Fixtures x $1.00 U 0 Gas Range to 199,000 BTU x $10.00 $ I n3 13r' I I I ,4th = Future Connection G.enina Cor"nected with Sewer New in re, G'^ O?_ :rg i 'dater PARTIAL RATE SCHEDULE PLO:'3ING FIXTURE RATES: NO. RATE TOTAL .... _''er Fixtures x $3.00 $ Future _ ixtare Caening x $2.00 $ .:e . .fixture, Old Opening r. $2.00 $ Catc.. Basin x $5. CO $ hater 'cater - to 99,COO BT•J �_ x $5.00 $ �® ,GO,C,GO =1 to 199,000 BTU X $10.00 Water Softener x $7.00 $ New Ground R... Old Building x $5.00 $ Electric +:a=er Heater x $5.00 $ GAS FIT -11.:G FEES: 1s _ 3 fixtures x $3.00 $ A!ditio nal Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ Rr?AIRS & ALTERATIONS F_rst �'_GO.GO $5.00 $ each add. $:00.00 or fraction $2.00 $ State Surcharge $ .50 TOTA:. FEE $ F•6C-) RE-'1:SPEC_:0:: F E • (S10.OG) Job Address 15 (o !j0partmcnt of Buildings City of Fridley Tel. 1.'-571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all wor' in strict accordance a:th the City Codes and rulings of the Departient of Buildings, and hereby declares that all the facts and representations stated in this application are tr-ae and correct Fridley. -i0 . 19� OWNER U 4T44�L� KIND OF BUILDING N USED AS TO BE CO!QLETED ABOUT V )Q� z z ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PEMIT NO. Company Signed By Tel. No.�� % 3 ROUGH INSP. Date FINAL INSP. - C% Date APPROVAL FOR PERMIT MININ.UM FEE FOR ANY PLUMBING PERKIT IS $7.50 01 suaJECT-PER O. City of Fridley i4 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIP_T N0 • COMMUNITY DEVELOPMENT DIV. z.---'---� � PROTECTIVE INSPECTION ,r r SEC. 1 I 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 11/21/77 JOB ADDRESS 134 - 631j Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Paul Kumhera 134 - 633 Way N.E. 560-4195 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION 5j ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel basement 9 CHANGE OF USE FROM TO STIPULATIONS SE' ERATE PERMITS REQUIRED FOR WIRING, HEATINGr PLUMBING AND SIGNS, 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 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 $.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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDTEI 01 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: P.h y C- KUM MC RA . Address : / 3� G�i4 BUILDER: Address: �1 I/Tel. No.: 1D — s No.: % % Street: le 3 LOT: 3 BLOCK: Z ADDITION: �/,�N Ral4 Itolta CORNER LOT: INSIDE LOT. SETBACK: SIDEYARDS: 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: 10,F141 T- ,A Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ SOU Ta Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE: 1 :t1 7 7 SIGNATURE: Stipulations: 71 Svc rKI1)LLY APPLICATION FOR PLUMBING AND GAS FITTING PEWIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS X $3.00 X $2.00 X $2.00 x $5.00 x 05.89 x $10.00 x $7.00 b, $5.00 Water a1 0� m A b w L. Cl c a -4. n O Wren .4 V .� a a -1 w Heater .+ a a a .,k u d H C 4 Lj J C C C� 1/ 7Uww p N. L N rj `N0O,i 'as kec u D m �m ( U) U asO? �Os+ Repl.X lst 2nd 3rd 4 th (R) = Future Connection Opening Connected with Sewer = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS X $3.00 X $2.00 X $2.00 x $5.00 x 05.89 x $10.00 x $7.00 x $5.00 x $5.00 x '$3.00 x $1.00 x $10.00 First $100.00 $5.00 S each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) Job Address 134 - 631-2 way NE Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. May 17 1978 OWNER Kumb e r o KIND OF BUILDING Frame USED AS Dwelling TO BE COMPLETED ABOUT June 1, 1978 ESTIMATED COST $225.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Fignar Plumbing Co. Signed By Tel. No. 561-2250 ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.SO PLUS $.SO STATE SORCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE It // GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: , Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 SM41 OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 1990999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: ltyma $12.00 7.00 7.00 4.00 TOTAL S $12.00 $ 4.00 $ 7.00 $ 7.00 $ 4.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 10.00 $10.00 $ Seo• 1st 3 Fixtures x S 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ ATR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $ 2 ROUGH INSP. Date FINAL INSP. APPROVAL FOR PERMIT I&IS REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Job Address /,;?L/- & 3 Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. i FrAdley, Minn. , 19 OWNER KIND OF BUILDING USED A TO BE COMPLETED ABOUT 61 ESTIMATED COST $�a 6L S NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWE PLANTS, Steam, Hot Wate Warm Air- o. Trade Name Size No. ��(/✓ �� /�� _'J Capacity Sq. Ft. EDR BTU HP Total Connected Load s4'7 Kind of Fuel BURNER - Trade Name' Size No. Capacity Sq. Ft. EDR BTU HP C Signed By Tel. No. CITY OF FRIDLEY Effective Date May 1. 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE F BMMW replacement furnace) $ 20.00 Gas Piping J% � $ 10.00 (piping needeH with new £ nace) Gas Range $ 10.00 Gas Dryer $ 10.00 • Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations li of Value of Appliance or Work COMMERCIAL/INDUSTRIAL It of Value of Appliance or Work State Surcharge Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. TOTAL Job Address �3 J Z_ 4W v ' $90)00 Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley $ Tel. #571-3450 $ 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. $ Fridley. Minn. 19 OWNER �Q �r r _ l S KIND OF USED AS $ TO BE COMPLETED ABOUT / / — r �- ESTIMATED COST G2l!5�1 $ . 50 - NEW BUILDING PERMIT N0. PERMIT NO. $ DESCRIPTION OF FURNACE/BURNER HEATING or POWER ANTS, Steam, Hot Water Warm Air, No, Trade Name rn.r Size No. Capacity V F Sq. Ft. EDR BTU HP <4 6, Total Connected.4 Kind of Fuel BURNER - Trades Na Size No. &p) 7-9 Capacity Sq. Ft. EDR BTU HP SUPERIOR CONTRACTORS INt?. Company 6121 42nd Avenue No. `► MN ism Signed By a®� Tel. No. �3 7— oc--ff / Fill out back side for stack verification on replacement furnaces CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (e) No ( ) 2. Is free from rust or deterioration Yes 6() No ( ) 3. Has no foreign objects lodged within Yes k) No ( ) 4. Is securely supported Yes (J No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes (X) No ( ) 6. Has Total heating BTU's of All other BTU's v U TOTAL 0 0 U �✓ Rema rk s a hin :e 6121 42nd Crystal, Avenue No. MN 66422* Company Signed By Date l 0 -a-- — I � SUBJECTIT NO. City of Fridley 23925 AT THE TOP OF THE TWINS BUILDING PERMif ' '- �• RECEIPT NO. COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC. r � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 12/20/95 JOB ADDRESS 134 63 1/2 Wav NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 1 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rosemary Rumhera 134 63 1/2 Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Beissel Windows & Siding Co153 E Thompson e 18 451-6835 6453 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 X1 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside X91JU House 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 $2.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,000 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- Fire SC $4.00 STRU,G OR THE ,PERFORMANCE OF CONSTRUCTION $87.25 PLAN CHECK FEE TOTAL FEE License SC $5.00 $98.25 SIG ATUREOFCONTRACTORORAUTHORIZEDAG NT IDATEI WHEN PROPERLY VATPD THIS IS YOUR PERMIT BLDG SP a Y,b' DATE S�GNATUREOFOWNER,iFOWNERSUILDERi IDATEI NEW [ ] Effective 3/1192 ADDN [ ] CITY OF FRIDLEY ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND . R-2 Building Permit Application n Construction Address: Legal Description: Owner Name & Address: /��!fi/�� Contractor:�'SS�I Address: ,/ ,� 3 ue V � �Iffiv F511 3 --,lx Gv Tel. # MN LICENSE #60' �S Tel. #��%��S Attach to this application, a Certificate of Survey of the K 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: & ii e, /J a 5 e Corner Lot [ ] Inside Lot [) Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 049 11e�� Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: �� APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee Sewer Main Charge $. TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 ' per SAC Unit. $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary ( ] Not Necessary ( ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) $10.00 Gas Range $10.00 Gas Dryer $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 3 ?.'� tate Surcharge TOTAL FEE l7� TOTAL MINIMUM FEE FOR ANY HEAT] NG/COOLINGNENTILATION 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. Effective On January 1, 1997 N JOB ADDRESS -VA, 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. � , _ l 7. ,1997 BUILDING USED AS ESTIMATED COST PERMIT NO. a DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR . Diamond Power Mect Irc. HEATING COMP 8375 Sunset Prang Parkllff Signed By G_A-4A Tel No. 7 6- �-%— Lf Z9j Approved By Rough—In Date Final Date FILL OUT BACK SIDE FIR STACK VERIFICATION ON REPLACEMENT FURNA E &1771% - vo oy 6 -6(t -'o k12- _ � S-0 Z Remarks: List ALTERATIONS Being Done: /�Pfyl�j lot '/C/ is� SSS HEATING CO: Signed By: Date: CFEMMY AND STACK VERITICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes O No ( ) 2. Is free 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 ( ) 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: /�Pfyl�j lot '/C/ is� SSS HEATING CO: Signed By: Date: SUBJECT P MIT NO. City of Fridley 36091 AT THE TOP OF THE TWINS PERMIT � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. 1 v PROTECTIVE INSPECTION SEC. r --1 ?�� CITY HALL FRIDLEY 55432 NumBER REV DATE PAGE OF APPROVED By L J` 612-571-3450 910415 8/20/99 JOB ADDRESS 134 63 1/2 Way NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 1 Eva Erickson River Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rosemary Kumhera 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Beissel Window $ Siding 153 E Thompson Ave W St Paul 55118 451-6835 6453 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION ?YC REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE F EOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR COP DITIONING THIS PERMIT BECOMES 4ULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT CU FT AUTHORIZED IS NOT COM AENCED 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 1 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 $6000 $3.00 DOES NOT P MET IVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO ANY OT ER TE OR LOCAL LAW REGULATING CON- TRUCT THE PERF AN OF RUCTION $125.25 Fire SC 6.00 1 PLAN CHECK F E TOTAL E Lice S $5.10 .25 SIGNATURE OFC TAA TOA OR AUTHORIZED AG T iDATEi HE P ALIDA IS / �I$ 5QMIT S-GNATURE OF OWNEAtIFOWNER BUILDER) iDATEi B G NSD gArE NEW[ADDN ] ALTER [ v]S Construction Address: Legal Description: Owner Name Ad ess: Contractor: 5 / I Address: /5"3 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Driveway Curb Cut DATE: f` 2,c;,' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Effective 5/10/99 CITY OF FRIDLEY � SINGLE FA 19LY AND DUPLEXES R-1 AND R-2 �'0 BUILDING PERMIT APPLICATION i Tel. # J MN LICENSE # 5�5'_3 CcJS� !�ti Tel. # qS/ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Length Needed: APPLICANT: Width Width Width Height Height Hgt/Ground Estimated Cost: $ Ft x $ M.� Sq. Ft. Sq. Ft. Sq. Ft.. `O rF R Tel. # Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed.. Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Enginee Agreement Necessary Not Necessary CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On May 10, 1999 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Urinal Wash :>::..tt1t::::;.: ra iinJ:ix�it?f'Stories------------ :Shower T ,.Was.. :. >. "=x`<:_>:- r:<.;.:::. Floor Drain : =' ate:::::::: Auto::..:;_::;:~ Water Heater::.:;ry'� sQi''..;.: ::<::::.Gas Elec n Basement r:<:+::::<::Basem :.::.;:.:::.::.::: Floor 1 11F Floor 2 Floor 3 Floor 4 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*" Gas Range" NO. RATE Gas Dryer*" _ Back 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 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge k>I;•1Irt�144 TOTAL JOB ADDRESS ZfS OWIJ15Z t315WIJ $,20.50 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 • and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct KUMHERA, PAUL /7-8 1999 134 63RD 1/2 WAY NORTHEAST FRIDLEY, MN 55432 Owner- (612) 574-955002 Building Used As Estimated Cost 1 o 0 PERMIT NO. IJ / / 6_ PLUMBING COMPANY t�o Pi—omawe' "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) D TABLE 6-A. M UM SIZE 9 SQ INCHES. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 NO. RATE TOTAL JOB ADDRESS 6#1EIN�� 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** Gas Range" Gas Dryer"" _ Back Flow Preventer Required ( )Yes () No Type $ 7.00 The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 $ 7.00 1//7 , 2000 $ 7.00 KUMHERA, PAUL $10.00 Owner 134 63RD 112 WAY NORTHEAST $ 7.00 FRIDLEY, 11N 55432 $10.00 Building Used As_ (612) 574-C--,02 $10.00 $10.00 Estimated Cost qoz. co PERMIT NO. $15.00 PLUMBING Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE ZO. CIa SIGNED BY I�orbl��v�nb►� Approved By TEL N0. 277 Final Date 1 u ► ��I it 0: :► u= ►% Z1 kTi It M yit COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verges that the venting has been examined and is free from rust, deterioration, obstructions, and is securely. supported and firestopped where required. Yes O No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer t specifications including sizing, length, number of elbows and termination. Yes O No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date: Building PLUMBING Permit No. • d - I Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE YOUR E-MAIL ADDRESS SITE ADDRESS S.wu aJ �r/.fG✓ KatlileeiNtusyski -d�'Ie'�1 THIS APPLICANT IS: ❑ OWNER CONTRALTO 13S G3 1 %2 Way NOTt11E1St PROPERTY Nom: Fridley, MN 55432 NST ADDRESS: 7635728881 ESTATE ZIP TO PHONE: nnLnn wuM CONTRACTOR NAME: NOR R1 OM PI M_R C 0. SUBMIT A COPY OF -1-1 -1 STATE LICENSE # SG (p (61 J)WE YOUR STATE ADDRESS: STATE ZIP LICENSE WITH PHONE*!�GAVMLmwe.-s' APPLICATION PERMIT TYPE SINGLE FAMILY 17 TWO FAMILY ❑ TOWNHOUSE 0 NEW REPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK Q GIS PER MS 1613.665 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.shouldreflect only -the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = =°•FORaPROJECTS WHERE LABOR EXCEEDS'$500'TEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT: JMRE NDTED .:FIXT-IRES:1.(MICATE TOTAL NUMBER OF EACH BELOW)IN BATH SKII AV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR _ GAS PIPING (vEED cmirczvvst) SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15) _ _ _ _ DISHWASHER =LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15,00 = $ Number of fixtures @ $35.00 x $35.00 = $ 3f. OD 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 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 anapp ation for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case o 1 worktich requires review and approval of plans. �y SIGNATURE OF APPLICANT PRINT NAME e DATE J 1,694 ffrRP yy¢ ry q p g A �e,g-�§�I•2��F6.*..® fE$ G9 .P� m R 8� g 6 lei �, �. 6�" ___ Clay of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building AUCHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 � CITYOF LEY M 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE 9— 3- 1 rJ YOUR E-MAIL ADDRESS SITE ADDRESS 113 y G,,31 , L., J A 4 c--) C THIS APPLICANT IS: 13 OWNER '000NTRACTOR PROPERTY NAME:OWNER/ ADDRESS: ((n3 1�j, l .1 A ` ' t -)C: CITY 12 14 (.� STATE �'- ZIP L TENANT PHONE: '8 6 3- 6 `74 - 9 S b -A CONTRACTOR COMPANY NAME: 1T "i e_ ti SUBMIT A COPY OF CONTACT PERSON: r r YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: dcxq %S tom'( a- c ti :�"L a- e CITYSTATE M—ZIPS y 4 APPLICATION PHONE -7 V1 '7 J'q a 19 1 FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: o NEW REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK A o •&- C M of c 6�A 'Y FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALCIS PER MANUAL J 2006 ASHRAE HANDBOOK 01y Equipment Installed MFG: IL %/ to MODEL: JA Pn jAa- SIZE/BTU eQ.�0 V) MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 _FURNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 -DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 4 f � �+ .. � ? ee I. t V�i� i• �,Z ^V,!sft� ��'$ *tp i4.��{ �Sg}{ f SE�. 4 a� i+4 �1�F -� �f= s�.. L � �' �zsz � 1.z3�.1SV' u 'G'c';.�•73 '�` "�'. t� E L... �� ::5 .�� e'S.4°'i� :� 3 k�f5'., :x ,u !a i:.��tN� 1�Y$ .-:�i 's i:7 �,.ay [ ��.vtjL THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work wh' h requires review and approval of plans. SIGNATURE OF APPLICANT tea. D PRINTNAMEy •'.c DATE V APPROVAL INSPECTORS SIGNATURE DATE 7P EASaE: rc�TE: s� E ° ` . ,s`ARE. RE .UI DTO Ia BW- rELECTRIC ;11!iE ANTE I, �D : City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, T\I 55432 763-572-3604 FAX: 763-502-4977.