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PRE 2010 DOCSCity of Fridley T AT THE TOP OF THE TWINO tL--"'--- COMk1VNITY pEVELOsNpENT OIY, POCUCTIVQ V1ZftCY*R B'd/T, CITY HALL FRIOLCY OOQio OIA'JEGT Permit No._ PLUMBING PERMIT ,APPLICATION -r18A 1 0 12/15/73 1 1 1 1 800 ion eaaress -- Owner Address Phone Plumbing Contractor A ress Phone Kind of Building Use Completion Date n st imated cost Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures _ 2 x $2.00 I r1 ®c Future Fixtures 2= X.$1.50 D� New Fixture -Old Open. x $1.50 Catch- Bastn x $3.25 _ Water Heater -993,000 BTU L x $3.00 d O Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2:00 Gas Fitting Fees: lst 3 Fixtures x $2.00 `L 6 O r Additional Fixtures x $ .75 Gas Range -199,000 BTU x $5.00 Repairs &-Alterations See Description: Code State Surcharge .50 TOTAL FEE $ a; d undersigned hereby makes application for a permit the work herein specified, agreeing to do all work trict accordance with the City Ordinances and ruling he Department of Buildings, and hereby declare that the facts and representations stated in this ication are true a correct. 711 gnature Date •City of Fridley SUBJECT PER AT THE TOP OF THE TWINS BUILDING PERMIT .1247�- r ,, 1 `v ____�_ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 13/18/74 y� 10B ADDRESs1357 - 64th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Parcel B 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE A. L. Williams Cont. 947 - 86th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 39' Dwelling and a 19' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. SEWER WYE: 63' West of Manhole Wye Elev: 867.40 Top of Footing: 870.40 Minimum Inv. Elev. of Manhole: 867.65 WATER LOCATION: Approx. 10' West of Sewer Service SEPERATE PERMITS REQUIRED FOR WIRINGS HEATING, PLUMBING AND SIGNI TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 $-1 1020+418 25 460+4180 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 21 958 10.98 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- (I$ OO 300.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 8.98 SIGN ,4TUREOFCONTRACTORORAUTHORIZED AGENT (DATE) EN PROPERLY VALI AT IS IS YOUR PERMIT �• r BLDG INSP SATE SIGNATURE OF OWNER IIF OWNER BUILDER) --(DATEI O. APPLICATION FOR RLSIDENTIAL, ALTERATION, OR ADDJTf0N BUILDING PERMIT CITY OF 1-1:1 UL1.:Y , MINNESOTA OWNER I S NAME. _ BUILDER ADDRESS: 7, 4) ADDRESS: - NO: ^�T STREET • LOT BLOCK: a ADDITION: 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. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: 3 Height: Square Feet: Cubic Feet: �5 , ��o o Front: Depth : 2---- Height: I Square Feet; Cubic Feet: q/OU Type of Construction: O Estimated Cost: $ a /, c/�C . oo To Be Completed: _ l� 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 ,i11 the facts and representations stated in this application are true and corr,ct. DATE: S IC;NATURE: (See Reverse Side For Additional Information.) (�8 �Q0 �� y8 coo . �� 9 S, It CERTIFICATE OF SURVEY JAMES L. KURTH LAND SURVEYOR 4201 N.E. STH STREET COLUMBIA HEIGHTS 53421 7811-5004 I H[RZ&Y CLRTIFY THAT THIS SURVLY. PLAN, OR R[PORT WAS PREPARED RY Mt OR UNDER MY DIRXCT SUMPIVISION AND THAT 1 AM A DULY R[OISTWimo LAND SUR OR .YNDER THIE LAWS OF THC STATC OF MINNEHOTA DATE l - - ' ~14 SCALE I"= ml..", ESO REGISTRATION NO. 5332 o _ IRON MONUMENT 734 0; � is � • • .. \ �. / ��''� �� ct ,' I .� O "A" The west 75 feet of the east 184 feet of Lot 20, Block I, Spring 'Valley .Addition "B" The west 75 feet of the east 109 feet of Lot 20, Block I, Spring Valley Addition "C" The east 34 feet of Lot 20, Block I, Spring Valley Addition 0 IAI Al X70, P P) 6) V. . - A V �1110ff 11 1 F4 ,�'-MATITT WARM ASR: 2ATZ TOTAL Y urnace Shen A Duet rwc & ..... .. $10.00 Replacement of Fiancee 6.00 ; Repairs & Alterations --up to J.5M.00 6.00 Repairs & Alterations euvh &LA. OD 3.10 0----_ ---- 5 VA3M AM O Shell A Duct r .rk to 12a, MAF6i.lY3A , each add. 60.x.. BT' 3M Replacement Of Furnace CIM Repairs & Alterations, --up to $M.00 300 ; Repairs & Alterations each add $600.00 300 = j"�or HOT WATER BTBTEM Furnace Shell & Lines --to 400 sq. ft. LDR Steam $10.00 a. -- Furnace shell & Line --to 6W sq. ft. EDR Hot Water 10.00 $� Each add. 900 sq. ft. EDR Steam 3.00 Each add 390 sq. ft. EDR Hot Water 3.00 $_ _ AIL BURNER—to 3 gal per hour 600 over 3 gal per hour—See Fee Schedule GAB BURNER (up to 189,000 BTU) LOS i� Vol over 199.000 VM Bao Fee ffidiadde GAB MMNG FSSB: NO RATS TOTAL 1st 3 Fixtures x$ 200 $ A � Additional Fixtures x .76 ; Gas Range to 199.003 X$ 6.03 ; AIR COlID1TION=0 FAN HEATING STSTMBee Ew r `OEN t LATING STSTEM ¢ ALTiERATIONB & REPAIRS TOTAL 1M # P7 imp MO WH EINA16 `-7, s jig D@t. of Ridge. Phone SB04M X7,5"7- 6 X-�z gj,�& 4 &, City of ftway: The undersigned hereby nukes applicatIon for a permit for the work hareb specified, agreeing to do all wort: is strict .e mwith the City w and ruling of the Department of Buildings. an -d hereby dechm that all 21ne fnv and representations stated in this application are true and Fridley, Ma Kind of Building Used: as _. _.. Z-il�_ To be completed about __1 —72�- -� Estimated Cost, $_ _ 'Zo-ton OW --Neer. Buildit Pmni4 No. Formit No--L-0Si7— DuscannMION or MGM HLLATING or POWER Hot Water Warm Afr No Trade Nano Size 100-d-12- 105 - Capacity Sq. Ft. E.D A /101-5� "BTU 8.P Total Connected Load �`�9 Riad at Ene BURNER —Trade Nam Size No Capacity Sq. Et. IE.D BTU Mr. larru:Ks-ovuq _ a 3 -7 D•56 a z Z� HEAT LOSS CALCULATIONS"%` -ff DEPARTMENT OF BUILDINGS Weatherstrips A.S.H. .E. Guide Construction No. Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind Yes—No Yes—No 19_ FRIDLEY, MINN. Insulation How Applied Room I Length Width / 7 Height S' II 1 Fl.l Room I Length , 3 Width j Height -,V Windows Ad Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height I No. of Lineal ft. Area No. of pane pane Ilghts of crack sq. ft. >of .3 4- r ,-3 2 — 1 174 Coef. Btu Infiltration g, Coef. Btu Infiltration Infiltration ��, 3'? ),/4v Glass Ceiling U11 1 Glass ea Exp. wall 57 Exp. wall 3 k Net exp. wall / ' Zd I I % Int. wall 2 Ceiling -5-9)7- - ! y / A. 91 Floor Floor Ceiling x 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room I Length /, Width Heisfht dr Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height I No. of Lineal Ft Area No. of pane of pane lights of crack sq. ft. 3 ') - . Coef. Btu Infiltration g, Coef. lCoef-I Btu Infiltration Net exp. wall fid' / 7 1 a Ceiling U11 1 Glass Floor 8 Exp. wall 57 Exp. wall 3 k Net exp. wall / A3 old Net exp. wall Int. wall 2 Int. wall y y / A. 91 Floor Ceiling x Floor I otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I FI -I Room I Length 422 r, ,Width ,c— Hmiaht k -- Windows Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. /3• o - . Coef. Btu Infiltration g, Coef. Btu Infiltration I , z Net exp. wall fid' / 7 Glass Ceiling U11 1 �® Floor 8 Exp. wall 57 Exp. wall 3 k Net exp. wall / A3 old 13 2 Int. wall 2 Ceiling y y / A. 91 Floor Ceiling Tbtal Btu. . Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows an Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. No. of pane of pane lights of crack kre,&,,, - . Coef. Btu Infiltration g, Coef. Btu Infiltration I , z Net exp. wall fid' / 7 Glass Ceiling U11 1 Glass Floor Exp. wall /-v v/ Exp. wall 3 k Net exp. wall / A3 old 13 2 Int. wall Ceiling / 3 y �+ A. 91 Floor Ceiling Total Btu. 17�3 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.ko AJ Room I Length -/.r 4- Width ,A-4 Height S-' Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. a fl I l X13 J,50 Coef. Btu Infiltration g, Glass Coef. Btu Infiltration Net exp. wall 334� Int. wall Ceiling U11 1 Glass Floor Exp. wall 3 k / Net exp. wall Int. wall Ceiling Floor 7 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I N7_I a , d R.,nm 11.:nath r — Width o-, _ 14&;aht V Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 141. Coef. Btu Infiltration g, Glass 7,0 Exp. wall iy / Net exp. wall Int. wall Ceiling U11 1 1,3 J/05FX Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area SUBJECT FERMI City of Fridley - AS AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT N ------- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j J\ 612-571-3450 910-F15 111/2/83 JOB ADDRESS 1357 - 64th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joseph Nelson 1357 - 64th Avenue N.E. 571-3317 3 CONTRACTOR MAIL ADDRESS 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 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install cchi nney and wood burning stove 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 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 $100 $.5O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.50 SIGNATURE OF CONTRACTOR THO EDAGENT IDATEI Y - - WHEN PROPERL ALIDAT THIS IS YOUR PE MIT BLDG INSP DAT TORE OWNERIIF W UILDERI (DATE) CITY OF FItIDLCY Effective Aug. 1, 1981 ' APPLICATION FOR RESIDENTI& BUILDING PEPUf ITS (New, Alterations, Additions, or Repairs) OWUER: �0-& ADDRESS: 105- TEL N0: BUILDER: -s7z ADDRESS: TEL 110: Construction Location STREET NO: STREET: ZZZ/—A- 6-e LOT: /, BLOCK: T ADDITIO:J: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION _ cont: 'Square Feet: ' Front: Square Feet: Type of Construction: To Be completed: Depth: Cubic Feet: Depth: Cubic Feet: _ Height: Height: Estimated Cost: $ Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE PZVF.RSE SIDE OF SHEET Zile undersigned hereby makes application for a permit for the %ork 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 represen t.Ztiens stated in this application are true and correct.4 f D"=: // 2 - r?7 SIMATUIE : Etil�ulations Effective Aug. 1. 1981 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer • Air Conditioning (all sizes) RATE TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ All Others/Repairs and Alterations It of Value of Appliance or Work S COMMERCIAL/INDUSTRIAL C') m It of Value of Appliance or Work $ State Surcharge $ .50 TOTAL M $ /P `2 Reinspection Fee ($15.00) $ Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without written perwission free adjoining neighbor. Job Address Department of Buildings, 6431 University Ave. N.E., Fridley. NN SS432 City of Fridley Tel. 4571-3450 The undersigned hereby makes application for a permit for the work herein specified aqreeinq 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. OWNER � � A16-15 LL/ r KIND OF BUILDING yI 9 ` e- ��-1-q USED AS TO 8E COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT N0. PERMIT NO.�✓ DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Not Water, *arm Air- No. Trade Name size No. Capacity Total Connected Load BURNER - Trade Name Sq. Ft. CDR BTU HP Capacity Sq. Ft. EDR Kind of Fuel Size No. BTU HP Company Signed By Tel. No. / determines the property owner had the right to have the sign, this co result in a problem for the City. MOTION by Councilman Schneider to direct the administration an City Attorney's Office to prepare a report for the next meeting regardi actions which may be taken to solve this problem. Seconded by Councilman arnette. Upon a voice vote, all voting aye, Mayor Nee declared the mo on carried unanimously. Councilman Schneider stated he received calls frausever residents in the area and hoped an agreement could be reached between Brickner and Mr. Skinner which would eliminate the need for Mr. Skinner7o keep up the signs. Mr. Newman stated one procedure would/wo rge Mr. Skinner with violation of the ordinance. He stated ttake a minimum of four months knowing there are certain constitfenses. He stated the ultimate result is Mr. Skinner could bordered to physically remove the signs. Mr. Newnan stated ary action would take a minimum of six months through the courts Obuncilman Schneider stated it seems a most expedient way for the signs to be removed is to have an agreement tween the two property owners, Mr. Brickner and Mr. Skinner. Mr. Qureshi, City Manager, st ed he has met separately with Mr. Brickner and Mr. Skinner and tried o put forth a proposal that is fair to both parties. Mr. Qureshi sta d Mr. Brickner accepted this proposal, and the City is awaiting a respo from Mr. Skinner. M.r. Qureshi stated if Mr. Skinner accepts the pr sal, there wouldn't be a need for any signage. Mr. Jim McCulloch, 185 Heather Place, stated the code says Mr. Skinner is in violation. H felt, if this was the case, the City should take some action and the de enf or eed. Mr. Newmann ated he is recommending no action be taken until the next meeting the constitutional issues can be reviewed. Mr. oulloch stated he would like a program by the next meeting to get this mat,eer settled as quickly as possible. Mayor Nee stated the code is basically for commerical signs. He stated this is a sign of a different gender and that raises the question of whether or not it is covered under the stark reality of the letter of the lava. Ms. Meierbachtal stated they appreciated the Council's attention to help solve this matter and would like to proceed with a solution no matter hos long it takes. WATER PROBIM - 1357 64TH AVENUE: Mr. Joe Nelson, 1357 64th Avenue, appeared before the Council regarding the water problem at his residence. Mr. Nelson stated he realizes this is the -3- 1. wettest May on record, but he has an estimated $3,000 in damages to his basement and felt the storm sewer system was a contributing factor as it has became ineffective over the course of the past 30 years. Mr. Nelson presented a drawing of holding ponds and the storm sewer system in effect. Mr. Nelson stated water runs down Mississippi all the way from Arthur Street, and the storm sewers on Creek Park Lane run across the park, and end up in the holding area behind his home. He stated this holding pond, over the last 30 years, has filled in and presently there is only an area about 10 by 50 feet. Mr. Nelson stated the City has given him assurances something would be done by ditching or a drainage area going west to Old Central and then proceeding south on Old Central to Moore Lake. Mr. Qureshi, City Manager, stated at one time, there was discussion about a storm sewer system for this area, however, because of the costs, most residents didn't want to proceed and the project was dropped. Mr. Qureshi felt if the City can obtain permission, there is a deep lot north cf Mr. Nelson's property and a logical area where the City could do some ditching to divert the water to the west, along Old Central, and put culverts under paved driveways for the runoff to drain to Moore Lake. Mr. Qureshi stated this wouldn't be a perfect solution because of the shallowness of the depth from his hone to the lake which are both about the same elevation. Councilman Schneider stated Mr. Nelson questioned if this ponding area was ever an official holding pond. Mr. Qureshi stated it was not and presented 1959 aerial drawings which shows a swampy area, but never in public ownership or any type of control. Mr. Nelson stated he had met with Mark Burch of the City's Engineering Department, other members of the Engineering staff, and Councilman Schneider and would like to thank then for their concern and help in attempting to resolve this problem. He stated he would like support of the Council for an expedient solution to this problem. Mr. Qureshi stated permission would be needed before they can go on private property to provide an outlet for this water. He stated any influence Mr. Nelson may have to expedite the City's efforts would be appreciated. MJTION by Councilman , ' trick to waive the reading of the public hearing notice and open the public . Seconded by Councilman Schneider. Upon a voice vote, all voting aye, Nee declared the motion carried unanimously and the public hearing opene :20 p.m. Ms. Sue Jackson, Chairperson of the Charter Common, stated the -4- rm SUBJECT PERMI City of Fridley 18112 AT THE TOP OF THE TWINS BUILDING PERMIT _ r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 i � 1 ,"'1 CITY HALL FRIDLEY 55432 IL'"""� NUMBER REV. DATE PAGE OF APPROVED BY 3 612-571-3450 910-F15 7/16/85 JOB ADDRESS 1357 - 64th Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 Pa cel C Bl k 1, Spring Valley Addition SHEET 2 PROPERTY OWNER MAILADDRES$ ZIP PHONE Joe Nelson 1357 - 64th Avenue N.E . 571--3317 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 2218" x 26'8" Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plans on centerbeam size and outer beam size. Use Treated Wood. 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 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 $2,000 $1.00 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 ATE R LOCAL LAW REGULATING CON- PROVISIOVRgPERANC $32.50 TRUCTIOCO F CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $3.13 $41.63 EOF N' A TORORAU MORIZE ENT IDATEI WHEN PROPERL - IDATED THIS IS YOUR PERMIT BLDG INSP -)— OAT SIGNATURE OF OWNERoF OWNER BUILDER) (DATE) rm NEW ADDN. [ ] ALTER. [ ] Construction Address:_ Legal Description City of Fridley R-1 AND R-2 Building Permit Application Effective 4/1/84 v Owner Name & Address: Tel. # Contractor: d�s� Tel. # --S Address • 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. Ft. DECK AREA: LengthWidth Hgt/Ground Sq. OTHER: mad Corner Lot [ ] Inside Lot Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: J �✓ APPLICANT: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL Tic Tel. # VrY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] _ per,. fir IL Ln K_"TWLNE . A-°; - � �.� hC$^ ..b'''ra. G•hi t. � . S �y k-7, _ MfA ? S>✓1 � i-:slR'""i �+��'�'1Lt �4 � f... ,'�_ MI TA •S `f1M " SM JF dW lam- � '` ,��° � ''#�; ,, y, y.. 1Ax •,�' s- s. ._ MCI • ,. � � l• i�► Jam';• � �7�� '.. ��i,. "D"`� The West 75.0 feet Of tAs -�' Brock 1, Spring Valley "C" The gest 75.0 ®f the' seat 10.� Block 1, Spring Valley ittwo Awft,; r Letters are for 1pt9Pe""m only b�f for ansferof title* r Ap iY 3 29 SUBJECT PE._ City of Fridley 19556 AT THE TOP OF THE TWINS _ BUILDING PERMIT r I RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �� I 1 . � L ,,� CITY HALL FRIDLEY 55432. L J` NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/23/88 JOB ADDRESS 1357 - 64th AVenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. arcel "C", W 75' of E 109' of Lot 20, Bl. 1, Spring Valley AddnsHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joseph Nelson 1357 - 64th Avenue N.E. 571-3317 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK Construct a 42' x 12' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS Variance approved by Council 6/20/88 for a 5.5' from 17.5' Sideyard setback. VAR 88-10 Provide a hard surface driveway. tilittc5 SEPARATE PF dib�ing call local u PERMITS REQUIRED FOR g�fcrE Eta. WERII�G, I�'EATENG, PU_j',�6i3ING ►IVa Q,+GI��S. ELEC I RIC -GAS ,j EL,EpNONE . LA PE�t�1i ED SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $8350 $4,18 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT , DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION$OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $112.18 SIGNATU OACON%POR A ORiZEDAGENT (DATE) t WHEN PROPERL V LIDATED THIS IS YOUR PERMIT M 8 BLDG iNSP BATE ATURE OWNERUF OWNER BULLDERi (DATES 29 r¢Cm, Tirt As7 '• r• �, P ,�}°. W7 '�' ,� r ' s r aAy �X'� .--t �a+_`'��F�,B��r r. '�' '� � d � � � i u' .� �s I M Ar w' z `� low kil 40, y lllf e IT TL ISO Ak fy III. T Ji r %Y r ^Y 1 I Y , ^i r t, - i I " vat n.0 ■."t of .� � -q(" l 't, ?P ,y� � AYIt''h4 f •'-r F r a k S 'C" The vati .fl *fit o1` Block 1. SpAte Valley ill* x Late" } t t it ".;a -x r.r..+�3 r..�� s.wrrr�We-...:- -. ,,.raias+�rf�.+- •-'--�wieiei.mw�.-x+rrn� --.. ..-... ;4 MR I I ADDN l' ALTER I I Construction Address --z,, Legal Description: City of Fridley R-1 AMID R-2 Building Permit Application Effective 5/1/88 Owner Name S Address:- P`sOIA- Tel. Contractor: :!5� e I F Tel, # Address: %��// �� Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. EESCitIPPION OF IMPROVEMENT • Length Width Height Std. Ft. GREAGE AREA: Length -.�LZ Widt,, 12 � Height 6' � Sg. Ft. DECK AREA: Length Width Hgt/Ground Sg. Ft. 101ke gain (brner Lot Ipf- Inside Lot I I Ft. Yd setback Side Yard Setbacks Type of Construction: �r �l' d �r/� Estimated Cost: S TOM • 0 U Approx. Completion Date: 2.f;7_ Proposed Driveway Width If New Opening Is Desired: $' W' + 6' f/APPLIaW: C Permit Pee $ /Icv.oc State Surcharge SAC Charge 8 Driveway Escrow 8.. - Park Fee8 Sewer lain Charge 8 TOM CITY USE CILY Alt. A Alt. B 8 See Back Page Tel. # ��-�� Flee Schedule on Reverse Side $.50/$1#000 Valuation 8550 per SAC Unit Alt. W or Alt. 'B" Above Fee Determined by Engineering Agreement Necessary I I Not Necessary I ] (oe�ixbe /% s TO � s— 21,.00+ (46'.00 200 G3 �� 5 ? 0 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 March 1, 1996 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 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 Typei�ll�� 5' $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ JOB ADDRESS �� The undersigned hereby makes application for a permit forthe work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Buildin Estimated Cost .1996 PLUMBING COMPANY :57, SIGNED BY PERMIT NO. f// TEL N0./��✓ l/ Approv ' y Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT ISS $20.00:; 20 0 PLUS THE'"$.50 SATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. FRIDLEY CITY COUNCIL MEETING MINUTES OF MARCH 29.2004 PAGE 4 Mr. Bums, City Manager, reported that bids were opened on March 17, 2004. The low bidder is Ron Kassa Construction of Elko, Minnesota in the amount of $71,000. The work includes remedial sidewalk repair, replacement of concrete street panels, and repair and replacement of concrete curbing destroyed by utility repairs, and reconstruction of driveway entrances. Staff recommends that the bid be awarded to Ron Kassa Construction in the amount of $71,000. RECEIVED BIDS AND AWARDED THE CONTRACT FOR THE 2004 MISCELLANEOUS CONCRETE REPAIR PROJECT NO. 355 TO - RON KASSA CONSTRUCTION IN THE AMOUNT OF $71,000.00. 8. Resolution No. 2004-27 receiving final plans and specifications and ordering advertisement for bids: Woodside Court Street Improvement Project No. ST. 2004-2. Mr. Bums, City Manager, explained that the City is constructing the extension of Woodside Court as part of the Theilman plat that was approved last year. All costs will be paid by the current developer, Jeffrey Cruz. Staff recommends Council's approval. ADOPTED RESOLUTION NO. 2004-27. 9. Approve Change Order #1 for the 2004 sanitary and storm sewer lining project Mr. Bums, City Manager, stated the City's contract for the 7e Avenue sanitary sewer lining project is suggesting we line the entire'638 feet of 36 inch sanitary sewer linelon 75th Avenue rather than do a combination of joint sealing and lining as previously planned. The Public Works Director recommends we spend an additional $24,505 to make this change. The continuous lining is being offered at a good price and will provide a smoother interior and more permanent solution. Staff recommends Council's approval of the change order. 10. Approve amendment to License Agreement between the City of Fridley and Joseph and Linda Nelson,1357 — 60 Avenue NE (Ward 2). Mr. Bums, City Manager, stated in 1997, the City approved a license agreement with the Nelsons that allows them to install and maintain an irrigation system and driveway that encroaches on a City easement. The attorney representing the Nelsons in their negotiations to sell their property has found a discrepancy in the legal description of the easement which clouds the title to the property. The motion before Council corrects that legal description. Staff recommends Council's approval. APPROVED AMENDMENT TO LICENSE AGREEMENT BETWEEN THE CITY OF FRIDLEY AND JOSEPH AND LINDA NELSON. c AGENDA ITEM CITY COUNCIL MEETING OF MARCH 299 2004 QTY of Fway TO: William W. Bums, City Managerw/PW03-033 FROM: Jon ti Haukaas, Public Works Director DATE. March 26, 2004 SUBJECT: Amendment to License Agreement In 1997, the City approved a License Agreement to Joseph and Linda Nelson, 1337 64"' Ave NE, allowing them to install and maintain an irrigation system and a driveway in an area encroaching on a City easement. The Nelson's are now in negotiations to sell their property and the Title Attorney has found a discrepancy in the legal description of the easement which clouds the title. The attorney has proposed the attached Amendment to License Agreement to resolve this problem. The City Attorney, Community Development Director and myself have reviewed the amendment and agree that this correction is in the best interest of the City and the property owners. Recommend the City Council approve the attached Amendment to License Agreement so we can have it recorded at Anoka County on this property. JHH:cz Attachment STATE OF MINNESOTA COUNTY OF ANOKA AMENDMENT TO LICENSE AGREEMENT THIS AGREEMENT, dated this _ day of March, 2004, by and between the City of Fridley, a municipal corporation (hereinafter referred to as "the City") and Joseph J. Nelson and Linda P. Nelson, husband and wife (herenafter referred to as "Nelsons'. WHEREAS, the Nelsons are owners of the west 75 feet of the east 109 feet of Lot 20, Block 1, Spring Valley Additlon, Anoka, Minnesota (hereinafter referred to as the "Subject Property"); and WHEREAS, the City and the Nelsons previously entered into a License Agreement dated July 16, 1997, and recorded with the Anoka County Recorder of Deeds as document no. 1293081 granting a license for maintonanco of a lawn irrigation system (hereinafter referred to as the "License Agreement"): and WHEREAS, that agreement erroneously described an utility and road easement reserved by the City as a 34 foot street easement over the entire width of said property; and WHEREAS, the correct legal description of the City's utility and road easement is set forth In a document dated February 22, 1974, recorded with the Anoka County Recorder of heeds as document no, 405434 as follows: A street and utility easement described as follows: All that part of Lot 20, Block 1, Spring Valley Addition lying southerly and easterly of the following described line: Beginning at the northeast comer of Lot 20, Block 1; thence west along the north line of said Lot 20 a distance of 34 feet, thence south along a line parallel wRh the 34 feet west of the oast the of said Lot 20 a distance of 115 feet thence deflect to the right along a line in a southwesterly direction to its point of intersection with the south line of Lot 20, said point being 44 feet west of the southeast Comer of said Lot 20. All lying in the south had of Section 13, Township 30, Range 24, City of Fridley, County of Anoka. State of Minnesota. NOW THEREFORE, it is agreed between the parties as follows. The parties agree that description of the Easement held by the City of Fridley set forth In the License Agreement was for descriptive purpa9es only, and the License Agreement was not intended to, and does not expand, reduce, or otherwise modify the �rtd granted and legally described In the Easement created by document dated February 22, 1974, recorded with the Anoka County Recorder of Deeds as document no. 405434. All other provisions of the License Agroament shall remain In full force and effect. IN WITNESS THEREOF, the parties to this Agreement have affixed their signature to this Agreement on the date first mentioned in this Agreement. CITY OF FRIDLEY HY: Its Mayor BY: Its City Manager STATE OF MINNESOTA ) )3.8. COUNTY OF ANOKA ) The foregoing was acknowledged before me this _,,, day of March, 2004. by , the Mayor, and by , the City Manager, of the City of Fridley, a Munldpal CoMoratton organized under the laws of the Etats of Minnesota, on behalf of the Municipal Corporation, Notary Public Seal: Joseph J. Nelson Unda P. Nelson STATE OF MINNESOTA ) ) Ms. COUNTY OF ANOKA ) The foregoing was acknowledged before me this _ day of March, 2004, by Joseph J. Nelson and Linda P. Nelson, husband and wife, who personally appeared before me, to me known to be the persons described In and who executed the foregoing Instrument and acknowledged that they executed the same as their free act and deed. Notary Public Seal: Building MECHANICAL PermitIvo —c _ Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 4,,9(Z>-7 DATE ` 2 JQ YOUR E-MAIL ADDRESS u SITE ADDRESS I �S`1 to I iii/ 2_ /") f— THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: `,' C � W ti l � i-g_,,V , S 2 ADDRESS: I JS �, `) -T'�- A-V Q hl C CITY STAT) ZIP S _�L OWNER/ TENANT PHONE: -1 b 5 5 7Z- 2S S d CONTRACTOR COMPANY NAME: �-MN e SUBMIT A COPY OFMirintsmijulilp4j CONTACT PERSON:89 10 Wentworth e. 111114' 55420 YOUR STATE STATE LICENSE # 521191 LICENSE WITH ADDRESS: ITl' STATE ZIP APPLICATION PHONE FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK \a,1-jL- qqA 1/n Gt C1L i4C J�1S4-,nj AQV-', kou e—.f_ ZZ C>0 -'L u C_ ou;fe: r (o >W 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 should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: � 2.1/1 h h K MODEL h 3 f�p7 0 SIZEBTU % ® 006 MFG: k gg1n D A MODEL: O 3 ®U2- ` SIZE/BTU 2--Tb /v' 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 _C FURNACE $35.00 _GAS UNIT HTR $10.00 LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 PERMIT FEE PROJECTS FOR UNDER $500 ` PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 1 x $25.00 = $ 7-S • ov Number of fixtures @ $35.00 1 x $35.00 = $ 35 -0 v State Surcharge = $ .50 Total = $ b 0 . S O 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 cas _wwornk whi h r uires revi w and approval of plans. SIGNATURE OF APPLICANT Kk PRINT NAME 7 PLEASE NOTE: 'SEPARATE PERMITS REQUIRED FOR BUILDING, ELECTRI AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS L &XISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. Building Inspections 763-572-3604 MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY perrmmh No.: 7 � Received By: D DATE I o & / CJ / YOUR E-MAIL ADDRESS SITE ADDRESS S i ~ Y X.05 = THIS APPLICANT IS: ❑ OwNER ACONTRACTOR MFG: ' e MODEL: PROPERTY NAME: e v e �^' I (� G c(lG "i' STATTT&2ZIP OWNER/ CITY r ADDRESS: /_7 �� V �— TENANT PHONE: 11 - S� o FIREPLACE (WOOD) $35.00 CONTRACTOR COMPANY NAME: _FURNACE $35.00 DRYER 510.00 POOL HEATER 55.0D CONTACT PERSON. q� two _GAS PIPING 510.00 SUBMIT A COPY OF YOUR STATE STATE I ICENSE U W"no EXP DATE _GAS E LICENSWITH ADDRESS: 6011 CITY ST ATE ZIP APPLICATION PHONE 651/d33- FAX PERMIT TYPE TYPE OF WORK: FAMILY ❑ TWO FAMILY ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK ❑ TOWNHOUSE ❑ ALTERATIONIREMODEL or PER MS 16B.665 the permit fee is a minimum of SI5.00 or 5% of the total cost up to 5500.00, whichever is greater, for the only the cost of labor ) improvement, installation or replacement of a residential fixture, excluding the fixtures. ('This should reflect 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 $ I D.00 PER FIXTURE, EXCEPT WHERE NOTED. FDCTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MFG: ' e MODEL: SIZEIRTU Equipment Installed MFG: C o , - MODEL: SIZEBTU SIZFJBTU A/C 525.00 MFG: MODEL: FIREPLACE (GAS) 515.00 GAS RANGEIOVEN S10.DD GAS GRILL TO AIR EXCHANGE ER 515 FIREPLACE (WOOD) $35.00 GASNEW 0.OD GAS UNIT HTR $10.00 _AIR _BOILER 535.00 _FURNACE $35.00 DRYER 510.00 POOL HEATER 55.0D CI�IEY LINER 510.00 _GAS PIPING 510.00 VENTIIATOR 515.00 DUCT WORK 510.00 _GAS r PelTnit Fee $ Number of fixtures @ $10.00 x $10.00 — Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 = x $35.00 = $�5 _ State Surcharge = $ 50 Total = $ S, 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 Mmnesota -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 which requires review and approval of plans. ��- SIGNATURE OF APPLICANT PRINT NAME City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES .�nF r* �en�es mom11-1 1. Combustion Air (See note below) .00 a. Oil or solid fuel IMC Chapter 7 with MN Amen '=�r�a b. Natural Gas or propantUGC Chapter 3 with MN Amendments 2. 1&e -up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new copstruction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manua]. D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used. for combustion and make up air calculations aLi G1YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 25, 1997 Fritz Knaak, Attorney Holstad, Knaak and Larson, P.L.C. 3535 Vadnais Center Drive Suite 130 St. Paul, MN 55110 RE: Hold Harmless Agreement for 1357 64' Avenue NE IST -113 Mr. Joseph Nelson has requested permission of the City to place 4Y2' of his new driveway onto an unimproved right-of-way. I have included a small site plan to better illustrate Mr. Nelson's proposal. I would like to have you review the hold harmless agreement Mr. Nelson has prepared for our files. Mr. Nelson is aware that approval of this document will occur only after we have had the opportunity to review and comment and/or revise. Thanks in advance. Sincerely: CITY' F FRID tt J. Hickok Planning Coordinator C-97-110