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PRE 2010 DOCSSUBJECT - NO. City of Fridley WRE�c' rEIT 1428'7 AT THE TOP OF THE TWINS BUILDING PERMIT IPT NO. ` `y ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � i �l �•�': CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY L"'•� � ,'J 612-560-3450 910-1715 18/12/777 JOB ADDRESS 1385 - 64th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne E. Parks 1385 - 64th Avenue N.E. 574-1835 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 Ejj REMOVE 6 DESCRIBE WORK Wreck garage (36' x 28' ) 9 CHANGE OF USE FROM TO a STIPULATIONS 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 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING '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, $50.00 NONE 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. $7.50 PLAN CHECK FEE TOTALFEE $7.50 SIGNATURE OF CONTRACTOR ORpTDIHORIZEDAGENT (DATE)EN R ERLY VALIDATED THIS IS YOU PE MIT L-0�A,_'�Z BLDG INSP DATE SIGNA URE OF OWNER (IF OWNER UILDER) (DATE) City of Fridley Permit No. ij AT THE TOP OR THE TWINS r , L, WRECKING PERMIT APPLICATION Receipt No. ------- COMMVNITY DEVELOPMENT DIV, r i PROTECTIVE WI-CTIOM C -317T. CITY HALL FAI©LEY 0G4*3 �j 613-000-34ZO NIAWi I3 REV. OATS PA9C APPROVED BY 900 Job Address j Z g S ^ Rot. 14� Legal Lot No, Block No. Tract or Addition Desc. 19, j S Property OwnerAddress Phone c_i �? . �. �3 g - lob 5`7 y - / 83 Contractor Address Phone �. kS 13 s- f.1�.�. Description Front ! DepthHeight Sq. Ft. Cu. Ft. of Bldg, (�` No. of Dwelling Units Taxes Paid Tax Receipt No. Estimated Cost of Wrecking To Be Completed Utilities Notified: State whether notified and date . Minneapolis Gas Company Engineering Department 372-4850 Northern States Power Company Customer Business Office 330-5540 Northwestern Bell Telephone Co. Business Office 332-4112 Approved By Water & Sewer Department: All Bills Are Paid Services Are Disconnected The undersigned hereby makes application for a permit to wreck the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby declares that -all facts and representations stated in this application are true and correct. Contractor Date City of Fridley SUBJECT P 1428 AT THE TOP OF THE TWINS BUILDING PERM I T • r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. w1 I 1 = � NUMBER REV. DATE PAGE OF APPROVED 1 CITY HALL FRIDLEY 55432 ,`1 612-560-3450 910-F15 8/12/77 JOB ADDRESS 1385 - 64th Avenue N.E. 1 LEGAL LOT N BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne E. Parks 1385 — 64th Avenue N.E. 574-1835 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 8 DESCRIBE WORK Construct a 24' x 28' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Call for footing inspection before pouring concrete. Provide rafter truss design before capping. 8" x 8" footing with anchor bolts 6 feet on center required. 4" minimum foundation must be below grade. Provide wire mesh in garage floor. SEPERAlt pERmits REQUIRED FOR WINK WARNING HEATING, PLUNIRM AND SIGNS- Before digging call local utilities TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW 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 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]- 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 $4� 972 $2.48 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- $26.88 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. . PLAN CHECK FEE TOTAL FEE $29.36 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) 1-WAEN PRQPEALY VALIDATED THIS IS YOOUR Q\! r +E�RMI ■ BLDG INSP 0A7E SIG TURE OF OWNER (if OWNERBUILDER) (DATE I CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) MIER: S BUILDER: CLAIA 0 t Address: j r, - .(� )� J� , _ Address: ico E b1i £- Tel. No..: No.: 139Street: rp y P U4 /0.1;—' • LOT: BLOCK: ADDITION: A 1rQ 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: 1j W quare Feet: i Depth: 8 r --Height: /O Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: '6vL-CL Estimated Cost: $ S,y 7z•$o 4b 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: Stipulations: 3. 8 0 SIGNATURE: =x *0 cdo & I-r-5 t / qb 07 Z�,3� 6431 UNIVERSITY AVENUE N.E., FRI®LEY, MINNESOTA 56432 TELEPHONE ( 612)571-3450 a October 27, 1977 F�> e 3 �e E Mr. Wayne Parks 1385 - 64th Avenue N.E. Fridley, Mn. 55432 Re: Final Inspection on Garage at 1385 - 64th Avenue NE Dear Mr. Parks: A final inspection was made on October 25, 1977 of the garage at the above noted address and the following items were noted which must be completed before the structure can be finaled out; 1. Provide a hard surfaced driveway by June 30, 1978. 2. Complete painting of trim by November 25, 1977. 3. Install sill under garage service door by November 25, 1977. We will expect the above items to be completed by the scheduled dates when reinspections will be made to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, ON HOLDEN Building Inspector RH/mh 4 June 28, 1978 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 56432 TELEPHONE ( 812)571-3450 Mr. Wayne Parks 1385 - 64th Avenue N.E. Fridley, MN 55432 Re: Final Inspection at 1385 - 64th Avenue N.E. Dear Mr. Parks: A f inal inspection was made on June 26, 1978 of the garage located at the above address and the only item not completed was the installation of a hard surface driveway. We will expect this to be completed by August 1, 1978. If you have any questions on this item, please contact me at 571-3450. Sincerely, RON HOLDEN Building Inspector RH/mh CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 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 STEAM 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 RATE $12.00 7.00 7.00 4.00 $12.00 4.00 7.00 7.00 4.00 TOTAL $ S $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 10.00 GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 (over 199,999 BTU See Fee Schedule) GAS FITTING FEES: let 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING FAN HEATING SYSTEMS VENTILATING SYSTEMS ALTERATIONS $ REPAIRS ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT f� S See Fee Schedule $ S S State Surcharge $ .50 TOTAL FEE $ Zu •"So REINSPECTION FEE (.510.00) Job Address Vb s (o6 -1-A AyEr 1� - 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. /� �y Fridley, Minn. � l�� , 19,1 OWNER WAYu r T it"_S KIND OF BUILDING WOOD �rP,IatUIE USED AS E S l EIV ��► TO BE COMPLETED ABOUTT� /1�/ ESTIMATED COST T h lt-0 OLD - NEW BUILDING PERMIT Nb. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Aik- No. Trade Name TR Pkoe Size No. 4tAVVAr0b Capacity Sq. Ft. EDR BTU 00D W. HP Total Connected Load 4Z,9 OO Kind of Fuel BURNER - Trade Name' Size No. Capacity MAMMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Sq. Ft. EDR BTU HP Company �{► �O'�� Signed By Tel. No. CITY OF FRIDLEY APPLICATION FOR HEATING REPLACEMENT CHIMNEY AND STACK VERIFICATION THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM. LOCATION L'4'J, WJE DATE `1. jl OWNER VJAYOE 602c. -b ADDRESS 13465 4vd IJ G The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined 2. Is free from rust or deterioration 3. No foreign objects are lodged within 4. That it is securely supported 5. That it meets all current Code requirements for size and total BTU connected 6. Total Heating BTU All Other BTU TOTAL REMARKS HEATING PERMIT # 4-2,� 00 "F 40, u)�TEr2 4�EaiF2_ L/ SIGNED4W Lice by 911 L41&"' Address go Telephone 5f6, -(0700 Fridley City License # 14013 SUBJECT PERM City of Fridley 158 3 AT THE TOP OF THE TWINS BUILDING P E R M I T r ECEIPT NO. `v ._____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. Q 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE OF APPROVED BY 612-571-3450 910-F15 7/15/80 FPAGE / / JOB ADDRESS 1385 - 64th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne Parks 1385 - 64th Avenue N.E. 574-1835 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson CO. 2513 Central Avenue N.E. 781-9548 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 0 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof. Install ridged galvanized valleys. 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 $2' 000 $1 00 Y 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 TOTAL FEE $13.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY V THIS IS YOUR PERMIT DLIDATED ��%l7 BLDG INSP GATE SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI CITY OF FRIDLEY - APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: VVri,r P ADDRESS : / 3 $S- - / L/ Ad L TEL NO: i BUILDER: ` L9� , y 0 fqt,3 -se ,J ADDRESS: TEL NO: Construction Location STRICT NO: STREET: LOT: BLOM: ADDITION: 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 Front: Depth. Height: Squane.Feet:_ Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Estimated Cost: $ d—" lb Be (bmpleted: 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 r-uliiigs of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and reor ect. DATE: �% - / S � SIGNATUPB : Stipulations: a6bN- O &kUr"k' STATE OF MINNESOTA DEPARTMENT OF HEALTH 10-30 = 91 ABANDONED WELL RECORD 1. LOCATION OR YELL• 4 MINNESOTA UNIQUE WELL NO. (leave blank if not known) County Name HENNEP N Township Naar To nshi Number Range Number Section No. Fraction 4. WELL DEPTH (completed) Date sealed N E k kof y FRIDLEY 30N sr 24W Wr 28 SW NE SW 10' 4" ft. 10/24/91 Numerical Street Address and ity of Well Location or D1sS ad S. DRILLING METHOD (if known) Intersection 10 Cable tool 40 Reverse 7W Driven 100 Dug 1385 -64TH AVENUE O H, FRIDLEY, MN 55432 G Hallow Rod 50 Air B❑ Bored 110 ' 30 Rotary 60 Jetted g❑ Power Auger W section grid I--- 1 mi I& 2. PROPERTY OWNER'S NAME KYLE OR MICHELLE BLOMBERG Sketch map of well location 6. OBSTRUCTIONS Wel( obttrue Led 0 Yes 0 No Obstructions removed ❑ Yes ❑ No If obstructions cannot be removed. contact MOH E before sealing. T 7. USE k .i. 1❑ Domestic 4[3Monitoring So Heat Loop 2Z Irrigation U Public S❑ Industry 3E3 Test Well So Municipal 10❑ Commercial 7❑ Air Conditioning 110 Mailing Address if different than property address indicated above SAME HARDNESS OF 3. FORMATION LOG COLOR FORMATION FROM If not known. indicate formation log from new well or nearby well. . REMARKS. ELEVATION. SOURCE OF DATA - CASINGS REMOVED, CASINGS PERFO MEASUREMENTS TAKEN AT BASEMENT FLOOR... DISTRIBUTION OF COPIES: STATE OF MINNESOTA LOCAL CITY CUSTOMER FILE CUSTOMER COPY MALENKE WATER SERVICES OTHER OTHER FFICIAL ABANDONED WELL RECORD (May be used for Property Transfer) TX1PCWAf17s PITA NZIN DMW B. CASINGS) 1❑ Black 40 Threaded 7❑ 2N Galy. 5[3 Welded 3E33 Plastic q3 Stainless Steel TO 1-1/4" in. to 10' 4ft. in. to ft. 9. SCREEN N Screened well from _ ft. to _ ft. (If known) ❑ Open Hole from _ ft. to _ ft. 10. STATIC WATER LEVEL j)R:j ft. ■ below ❑ above 10/24/91 land surface Date Measured 11. WELLHEAD COMPLETION 1❑ Pitless Adapter 4❑ Found Buried 20 Basement offset sm 3E Well Pit 12. GROUTING INFORMATION 1n Neat Cement 2❑ Bentonite 30 Grout material from _to_ ft. cu. yds_ NEAT CEMENT Q 14' .75 GAI 13. NEAREST SOURCES OF CONTAMINATION 15 fees NW direction SEWER type Well disinfected before sealing? 0 Yes 14. PUMP ❑ Removed Hot Present Type: 1[1 Submersible 3❑ •L.S. Turbine 50 Reciprocating 213 Jet 4❑ Centrifugal 6❑ 16. EXISTING WELLS (Please sketch locations of abandoned and active wells in remarks section or on back.) Other unused well(s) an property? ❑ Yes E No Abandoned: ❑ Permanent ❑ Temporary ❑ Not sealed 17. WATER WELL CONTRACTORS CERTIFICATION This well was sealed under my jurisdiction and this report iaW�Ubelief MALENKEATERSE S U0007 10.LI can 556 T°OMIa IOAD 81 — SftT N42O6 Address MAPLE GROVE, 55369 Name of SUBJECT r P -- City of Fridley 25339 AT THE TOP OF THE TWINS B U I L D I N G PERMIT T? RECEIP N -------COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 1 � NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/1/97 JOB ADDRESS 1385 64 Avenue NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kurt Olson 1385 64 Avenue NE 571-7735 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 J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 18' Shed 9 CHANGE OF USE FROM TO STIPULATIONS Shed must comply with the Fridley Zoning Code shed requirements for ` placement, height, and anchoring. 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 $1 000 $ . 50 W WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT Y' 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- $34.75 Fire SC $1.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $36.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIoe WHEN PROPERLY LIDATED THIS IS YOUR PERMIT a- NATURE OWNEROF OWNER BUILDERI IDATEIBLDG NSP r)ATE NEW [ ] ADDN [ ) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: 1 Effective 1/1/97 &-Pa5-33 Owner Name & Address: � ��� 06—yK %� � Tel. Contractor: MN LICENSE # Address: L Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Z� Construction Type: Qf.' 4� Estimated Cost: $ QQ (,Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + b Ft= Ft x $ _ $ DATE: - Z — ?APPLICANT: -- -7 Tel. # 6'7/ — 2 c STIPULATIONS: CITY USE ONLY Permit Fee $ %jam Fee Schedule on Reverse Side Fire Surcharge s—/"J' .001 of Permit Valuation (1/10th%) State Surcharge $ $.501$1,000 Valuation SAC Charge $ $950 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: SUBJECT PE NO. City of Fridley 88 77 0 AT THE TOP OF THE TWINS PERMIT BUILDING RECEIPT NO. :?1572-3604_NITY DEVELOPMENT DIV. .� ----- . -7 r � � PROTECTIVE INSPECTION SEC, 1 l CITY HALL FRIDLEY 55432 ��---;•� NUMBER DATE PAGE OF APPROVED BY ----� L 612-571-3450 910-F15 T7112/17/98 F/ 10B ADDRESS 1385 64th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 1 Spring Valley SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Curt Olson 571-7735 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Peak Roofing 11506 S Oakva e Minnetonka 55309 938-819020045301 a 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 FEk REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (19 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1628 .81 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OT S ATE OR LOCA LAW REGULATING CON- STRUCTION OR THE P ORMF NCE OFC UCTION 54.00 Fir/k 1.63 PLAN CHECK FEE TOT F E � - Licens C • .44 SiGN4 TUBE OF CONTRACTOR O AGENT JDATE, _ EN ROP VALIDA HIS ISYOURPERMIT r S.GNATUREOFOWNER,IFOWNERBWLDERi iDATEi BL NSP TATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Narr Effective 1/1/98 Tel.# 'D-)I- Contractor: D)I" Contractor: Ve '�,y IC)ZA MN LICENSE # 2D7)Lj �3 p � Address: \ S �1 40 Tel. # ' i 3 6.5 � So Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: f S L..) Construction Type: 77 y� -z�, �� o Estimated Cost: $� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # Permit Fee $ S'7`: to 6 Fire Surcharge $ 46.3 State Surcharge $ f SAC Charge $ License Surcharge $ -S--00 Driveway Escrow $ Erosion Control $ 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 $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT City of Fridley 33766 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. ,1 ` r E PROTECTIVE INSPECTION SEC. � CITY HALL FRIDLEY 55432 NUMBER REV DATE OF Fr APPROVED BY L J` 763-571-3450 910.F15 8/5/03 / JOB ADDRESS 1385 64 Avenue NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 I 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kurt & Andrea Olson 1385 64 Avenue NE 763-571-7735 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW tj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 281 x 23' Addition with basement 9 CHANGEOFUSEFROM TO STIPULATIONS See notations On plan. WA ING QEPARATE PERW's 18efore digging Call for REQUIRED FOR; all utility locations WIRING HEATING 4540002 PLUMRINd ANP SI61168 FOIJINIFID BY LAW 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $ 56,259 $28.13 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. $692.75 Fire $56.26 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL E $ .j4 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE. N=Ev IDAT HIS IS Y R PERMJd.. �v + S u E OF OwNERoF OWNER BUILDERI (DATE, _ BSR MATE LDG N NEW [ ] CITY OF FRIDLEY ADDN [y 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 7h Ava- E_ Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 571-1287 Fax Legal Description: lcrr- % ;L I- S'.Ar, n!5 'JC-Ak-z-A Owner Name & Address: Y, 3 c-,- C'n 4 Tel. # ^7to 3 - S 7 1- 7-739— Contractor 739 - Contractor. MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length �`� Width 2 Height mar / 7 XX� LIVING AREA: St 1 Sq. Ft. —.�- GARAGE AREA: Length Width Height Sq. Ft. Z7 1 3` d1 DECK AREA: Length IyVidth Hgt/Ground Sq. Ft. OTHER: 5 C,!/� C� l S -� - t _ I �4, 70 Construction Type: 10c-koll Estimated Cost: $ ® 52o4 sto Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: ?-06-0_3 APPLICANT: /! % - Tel. # %G�3'S71-77�J — '&Z— c'sdF Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ -7 7 1 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. 'B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] i _Ie 19 4 x a+ _ _ _ _ w ._ _-• F- a Jul - aJul IO A3 10r34p MRSTERt PLUM®I!`G INC X061— . 1, ALX IVS 3 522294545 IF.SiA .. aloe - _ _ • i•l.ae R� dT � Yom' • •m i 9 //ssyypp����yyyp . -"�`- - rat the atruc t&Mg to 8M br-11t. 1. "' ' ®-95 f � ''- _ _ire 1 -no 7- . f bat err ,-Iq_ f 41tie�x 4 or- MW 3 azes" 601-09 grade �m at' �r� r x _ - - 6. t®= or sar for d 1 inf t J t;. T. Lin. It. of Infi I&Mt1w, for- rug 3® Allow ncs For k:Ltahen and bath fam fens 46M MM fens 4200 an BR - Q for 1. Maplacqw- u 42 dis affil M am- rataL-lose r4w Y Add x (22—W - ,,,M,,,,.Iq-1��,, �q ] not loan above, GZ1 -• - -``- _ _ �s.�? �,a. - -• ahs � ii5�- tM : d WOZIM app"cont fac •- bp mer• r "go � 4o04"+ :PZaW ii! D&Wporft or-- th& , Aj i _j: : Jul 15 03 12:20p Help U Build 6517621285 FJul 10 03 10:34p MASTER PLUMBING INC 9522264545 tl1 �Ae vT_V M9nT FP O`l !*M THn 9'Ni^ i47CCCO�fa4"J' P.2 R Ss eck-Web: h4echeatC8! Fgtdl eIIC . : • i • • page i Of i saris i KmmOve WE — coos: age® xmc �$ FcoolingMt3ti6trift96 . F..grogcg: %ercaes i$O! 93r (Won-Etic) 9�L0 AFUIE 7S -a AFUE Air Canclietoner_ E14Ctic ren& i Ayr 20.0 SEE#t 10.0 SEER Jul 10 03 10:34f+ MASTER PLUMBING IMC 95OZZ64545 p-3 PC901" NUINAW Cha fhADam a00 Vtr�aaa 3S Rte+ � 1 d Dasa YJ:uitled.reic Ano�ra STA -TE= ZONE: 2 CONSTAI TYPE- DAYL-:07 IDM3 C = Passss Masia<aua.� = O Yaps Ham D UA, = O 0 Oslo Raw r Than Cad.: (UA) cacass (s'lasag Area at Cavity CoUL or-cwjcw A Vague K-Vahra il-FaCkW UA Y c high aW: i'arved E r a Air, 93 AFUB ®Ik IO CVCM a i'A : Th- proprio' boikling eget mad .Acle is aMdUMCM with sbe hashliaffi Ph&=.Medficatiums. and other +* Vie. aa....� 'rhs Enrrim mq"iccaaants i m IiESrfrasfcVsaaiaa 33 Rs�ase id (lso rmacAy AAECwMar dacc* and to mply with the'y Et - . _ I -d SGZTUSL TS9 PIT -6 n aTaH dST: T COST T-f- Jul 15 03 12:21p Help U Build 'Jul 10 03 10:34p "RSTER PLUMBING IMC TYPE: Su gle Famfly VRTLN4=A 6517521285 p.3 9522264545 p.3 Permit N rte,. • Jun 11 03 t l : 05a Tony Brown 651-752-1285 SPECS FOR: KURT AND ANDREA OLSON Date: 06-08-03 FOIL Kurt and Andrea Olson 1385 64m Ave. NE Fridley, MN 55432 763-571-7735 Home 651-635-2826 Andrea's Work 612-418-5052 Suit'$ Ce31 61.2-760-6902 Mdree s Cell Emil.: silversawjn�,mn.asom HELI' U BIURD, INC. 2697 East County Road E., Suite 440 White Sear Lake, MN 55110 (651) 269-4369 Cell Phone (651) 65M971 Business (651) 762-1285 Fax Line Email: hubinc(i-hotmail_com JOB: 1385 64" Ave. NE Fridley, MN 55432 p.5 ]DIECTIONS: From 1-694 take State Hwy 65 North. Then right on old central Ave. NE. Follow to 60 Ave_ NE Then right or E to jobsite at 1385 64" Ave NE. Legal Description: Lot 12, Block 1, Spring Valley PID►#: Submit building permit application at: Fridley City Hall Address: 6431 University Ave_ Frid1ey, MNI 55432 Phone # 763-572-3604 Building Inspector. Rave Jensen Phone # 763-3072-3603 Perak id%rmntion: Phohv# 763-572-3604 We hereby submit specifications for: A new addition approximately 644 finished square feet. The addition will have 9' tall walls on the main level and 9' foundation walls in the basement. The roof will have a 10/12 roof pitch with floor trusses as per plan. BASE COST TO INCLUDE TSE FOLLOWING: WATERPROOFING Watchdog spray applied foundation coating on exterior of foundation applied from top of footing to top of grade on the exterior. Customer to do. FINAL APPROVED FOR CONSTRUCTION SIGNED: SIGNED: 4 DATE: Jun 11 03 11:06a Tony Brown 651-762-1205 SPECS FOR: KURT AND ANDREA OLSON Date: 06-08-03 I . Sheetrock main level walls and ceiling. Main level to have 9' walls_ 2. Flat ceilings, no texture. 3. Vaulted ceilings as per plan. 4. Plant shelf at S' height off fir. in bath above face frame linen closet. MILLWORK 1. Princeton style maple base (3/8"X41/4"& standard maple casing (1/2"X21/4"). p.8 2. Entry door(s) to be Thermotrue brand 36" wide standard height, insulated, textured fiberglass 6 - panel door with a 6-9/16" jamb. Front entry door to have sidelights and transom above. All exterior doors to have deadbolts. All exterior doors to have 6 9/16" jambs. All extension jambs to be pre -applied. Main level to have Marvin Integrity 6' patio door. 3. Kwikset bright brass polo style doorknobs. Exterior to be Kwikset Titan series bright brass polo style. FLOOR COVERING 1. 2 L/a" X %" Pre -finished Brazillian Cherry hardwood floor in the main level living room as per plan. 2. Vinyl flooring in the new bathroom as per plan. ALLOWANCES 1. Light fixtures: $200.00 2. Towel and tissue holders: $100.00 3. Vinyl flooring: $22.00 per yrd. Homeowner Help -U -Build, Inc. FINAL APPROVED SiGNfIf): 4 SIGNED: DATE: Jun 11 03 11:05a Tony Broom 11 SPECS FOR: KURT AND ANDREA OLSON 651-762-1285 p.7 Date: 06-0&03 HEATING 1. ,� Replace existing forced -air gas furnace and install and tie in ductwork for upper level addition. 2. Install Central Air. PLUMBING 1. ' Tie into existing sewer and water lines for new bathroom. 2. White colored Cedarglass or equal standard 5' fiberglass bath tray with stamped tile pattern per plan with delta or equal showerhead and faucet. 3. White colored American Standard or equal, 1.6 gallon water closet located per plan - ELECTRICAL 1. Replace existing 100 amp panel with new 200 amp panel and tie in existing wiring. 2.. Basement finished per code. 3. 3 exterior outlet(s) per plan. 4. Wire 3 exterior lights per plan. 5. Standard electrical wiring meeting minimurn code requirements. 6. Wire upper level to code. 7. White color switches, outlets and plate covers. S. Wire for two ceiling fans in living room vault. INSULATION I. R-38 fiberglass batts in house addition ceilings, R-19 5-1/2" friction fit fiberglass batts in exterior 2"x 6" house walls. R 113-1/2" friction fit fiberglass batts insulation inside basement energy walls around perimeter of foundation. Poly vapor barrier all areas as required. Air chutes as required FINAL APPROVED DRYWALL FOR CO TS T,1UCTI `lN. SIGNED: 3 SIGNED: _-- DATE: Jun 11 03 11:05a Tontj Brown SPECS FOR: KURT AND ANDREA OLSON 651-762-1285 p.6 Date: 06-05-03 DRAIN TILE 1. Exterior 4" perforated plastic flex line Iocated around perimeter of addition set in a gravel base. FOUNDATION 1. Addition to have 13 courses of standard 12" block per plan. OPTION: 9' poured walls. 2. Standard 8" X 20" poured concrete footings. 3. Rock face block above grade. GARAGE 1. ATONE SHINGLES 1. ELK Driftwood 25 year asphalt shingles. Color to match existing. 2. 12" X 12" roof vents per code, 151b. Felt & ice and water shield. SIDING 1. Addition to have double 4" lap vinyl siding. 2. Tyvek applied to new addition. DECKS/ PORCHES WINDOWS FINAL APPROVED 1. Marvin Integrity Brand, Pebble gray color, tow -E glass,o gyie�oi0 With 6 panel grids on top of window only.. SIGNED: SIGNED: 2 i DATE: CIiYOF FRIDLEY INSPECTION 6431 University Ave NE Fridley, MN 55432 (763) 572.3604 FAX (763) 571-1287 DIVISION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES –Y Z JOB ADDRESS��] L T– OWNER RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $:n&D (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) 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 $ State Surcharge $ .50 TOTAL FEE $��_ MINIMUM FEE FOR ANY HEATING/COOLING/yENTILATION 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. liifective January I, 2003 BUILDING USED ESTIMATED COST PERMIT NO. /:Z)c" DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units ._ Circle One (Steam) (Hot Water)m Air Trade Nimpl Size No. -- BTU HP EDR Fuel —Total Connected Load Burner Trade Name Size BTU HP ED 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. HEATING M Approved By �� Rough -in Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED Wh on gipn an emin ine tvranna, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Yes (X No( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yei�4 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 Yes No( ) assisted and natural draft appliances. TheImmicHnn rgImhmantinn airis sized and installed to meet the current codes Yes () No ( ° and manufacturer's specifications. When required to Insta 11 a nmu rnmho intinn air.it will be sized and installed Yes No to most the current codes and manufacturer's specifications. ( ) When 1tlo Wtal inn a naw ymitinn SN92M, the undersigned hereby verifies that it is a fisted assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Yes (r) No ( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes ( No ( } separately as per current codes. AAnnf a ne ;Aing and S efcnmmnn Vent and Vent_CnnnActnr Infmmatinn Appliance #1 TypeBTU Input Fan Assisted or Nat TU Input Fan Assisted or Nat Appliance #2 Type Appliance #3 Type BTU Input ________Fan Assisted or Nat Total Appliances --- e Total Btu Input Common Vent Type - - Vent Height Diameter_ inches Appliance #1 Vent Connector Height ft Lengm— 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 N HEATING Signed By: /0 Tjo L --C- -- �- -e' rV Date: _I— CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 Effective On Jan 1, 2003 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NI IMRFR nF FIXTURES TD 6E INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas" Gas Range" NO. RATE TOTAL I Gas Dryer**' Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS. 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE JOB ADDRES 714 Ali C� 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. /' /Z— , 20E:�jl/ %0.00 Owner k"7— olsoh Building Used As 4 C Estimated Cost PERMIT NO.����,� PLUMBING COMPANY S e C -F SIGNED BY TEL N0. Approved By _r-Ij Rough -In Date Final Date $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 $ ®�� PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE atwa THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When re la inp,an Pxistinn firanrfs, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( ) No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) 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 exietinn cnmh ,_ctinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a now _nm6 ,ctinn air it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When onstaffinn a new ventinQyye _m, 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( ) Ar nrianna Thy n and Appliance #1 Type Si7P1Cnmmon Vent BTU Input and Vent Cnnnectnr Information 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 HEATING CO: Signed By: Date: ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE VALUATION # ELEC WATER HEATERS CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763) 572-3604 FAX: (763) 571-1287 1385 64TH AVE NE 133024420016 SPRING VALLEY LOT 12 BLOCK 1 PLUMBING RESIDENTIAL ADDITION/ALTERATION PERMIT NO.: 2004-00033 DATE ISSUED: 01/14/2004 0 VALUE OF FIXTURE/APPLIANCE # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS # GAS DRYERS 0 # GAS RANGES # OF NEW FIXTURES 4 ENTER VALUATION # WATER TRMT APPLIANCES 1 APPLICANT OLSON KURT E & ANDREA R 1385 64TH AVE NE FRIDLEY, MN 55432 OWNER KURT E & ANDREA R, OLSON 1385 64TH AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Annlicantil ,. Date PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIWALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 1 0 0 0.00 28.00 0.00 10.00 0.00 10.00 0.00 0.00 0.00 0.50 48.50 CITY OF FRIDLEY PERMIT NO.: 2004-00034 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 01/14/2004 5 -/Z -36U4 VAx: 17631,"/1-1Ltf"/ ADDRESS : 1385 64TH AVE NE PIN : 133024420016 LEGAL DESC : SPRING VALLEY ELEC CIRCUIT FEE (0-100 AMPS) : LOT 12 BLOCK 1 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. CHANGE PANEL, ADD ADDITION CIRCUITS # INSPECTIONS I # 0-100 AMP CIRCUITS 10 # 101+ AMP CIRCUITS 0 APPLICANT KURT E & ANDREA R, OLSON 1385 64TH AVE NE FRIDLEY, MN 55432 OWNER KURT E & ANDREA R, OLSON 1385 64TH AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Dated -04 ELECTRICAL PERMIT FORM FEE 1.00 ELEC PERMIT FEE - MIN (RESI) 0.00 ELEC AMP SERVICE FEE 0.00 ELEC CIRCUIT FEE (0-100 AMPS) 0.00 ELEC CIRCUIT FEE (101+ AMPS) 0.00 STATE SURCHARGE, ELEC FLAT 0.50 ELEC PERMIT FEE - MAX (RESI) 85.00 TOTAL 86.50 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 F63) 572-3604 FAX: (763) 571-1287 ADDRESS : 1385 64 AVE NE PIN : 133024420016 LEGAL DESC : SPRING VALLEY : LOT 12 BLOCK I PERMIT TYPE : BUILDING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOW/DOOR REPL PERMIT N .: 2004-01204 DATE ISSUED: 07/28/2004 VALUATION : $ 4,165.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. CONSTRUCT A 10'X T AND A 6'X 8' DECK AND REPLACE 9 WINDOWS WITHIN EXISTING OPENINGS. APPLICANT KURT E & ANDREA R, OLSON 1385 64TH AVE NE FRIDLEY, MN 55432 OWNER KURT E & ANDREA R, OLSON 1385 64TH AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law re ing co tion or the performance of construction. An licanDate�� Bldg BUILDING PERMIT FEE 111.25 PLAN CHECK FEE 35.10 FIRE SURCHARGE 4.17 STATE SURCHARGE, VALUE 2.08 TOTAL 152.60 PAID WITH CHECK # 1007 SEPARATE PERMITS RdOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW l ADDN [] ALTER [ ] Construction Address: Legal Description: cavy oiao y Rfoe7 CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION rh Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 5ff71-1287 Fax Vv '� V" �I Owner Name & Address: Tel. # Contractor. -5e �vV— MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT 7 A.— LIVING AREA: Length Width Od Height Sq. Ft. SNAPP GARAGE AREA: Length Width Height Sq. Ft DECK AREA: vfrl- Length jet Width i Hgt/Ground -3— r J Sq. Ft. 70 OTHER: D� �2 ®� r o,0 w f S� -(o Construction Type: P/eern Q26:'g, Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: f% Z3 oOar APPLICANT: Tel. # 16Y-r71-.7-7,W— Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge C�3yl'1��9��1► I A � Fee Schedule on Reverse Side II 65% of Permit Fee Ed O 0 4 c- .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 15` ;z . W STIPULATIONS: Jam, sT'� 1�r6e( R� ox 10 h�r- J�;s-r-SX S Cea $c,�-cam - - - - -- -- - — ---- --- - - - - - — --- ---- Ccs✓-� - -- Z � i o �'�, _ (� ac MM.-t"MOR - CGOIar C��Par IAJ� �1_�,�, Cdr►_ �O�,�r- — – ----------- --- -- --- - ciCEf S kAs C - E N ZOO �Et qq r.1 TVI `CP CODE -- -- - - -- - t. i PLIANCE— - - ---- — ---- S Inspector -- \< ab`104 -- - - - -- - -- -- - -