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PRE 2010 DOCSCity of Fridley, Minne BUILDING PERMIT N°(:46D65 Date: _.__ /. 6 Owner: .._....._...._. Builder ....._.._.._..._._..._. _ ...._.._._._..._.. _. __._ _ ._..__ —.._ Address Address A -1-..��.. CATJ8,N O BUILDING No.._XzStreet _.-.'_._ _._.:....:..z::__.,.-- ...r.`�./._..:.: Part of t .... ��._. Lot ..... _......... __.-- --- Block ..-•-•----..�............_................. Addition or Sub -Division.- s,�:.. Corner Lot ....._ ................... ......... Inside Lot ........... ........... Setback , �j__...._...:_....._. Sideyard ..:..:....... 5 '......._... - .._............. _......... Sewer Elevation ..... ........ _.............. ..._............._............._............_............_..._... Foundation Elevation DESCRIPTION OF BUILDING To W Used a raJ ... ..�. wT.:': _. ..... Sq. Ft..., Cu. Ft /'r'X .. Front ... Depth Height .. ..:... ...._..............---...----._........_......._.:... Fron ..... -............__.. Depth ......,:..:_-_:.... Height .... _.. .:..._.. Sq. Ft. ..... - ............ :_.. Cu. Ft. ...:_................. Type of Construction ..........�V� 11;x..... Est. Cost:df.`. .:...:. To be Completed ................ ._........... ........... ......... CAUTION THIS PEWAIT DUES NOT AUTHORIZE VIOLAT- ION OF Ai' `( ;';I :'ATL LAND COVENANTS AND BUILDINIG REST, ;0-i 1ONS. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $/.J...-•-.-, permit is hereby granted to ..... _..... ................................. _......._.. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violafil of any of the provisions of said ordinances. � AA �" ) Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building inspector for separate permits for these items. 4 Owners N Address 1/ L No. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING r of Lot #V Lot Block / Addition or Sub.Div. �t �,Y / I . 10, Corner Lot___Inside Lot_ t Back 36- Side. -Yard / 0 ' 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 Front 3 �L ; Depth, °AJL� Height O Sq. Ft. 7 ( 5_ Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost_/ 0 0 ® 0 0 To be 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 representa- tions stated in this application are true and__ggrrect. _ DATE C_a Ze /-s,. v —SIGNATURE A Schedule of Fee costs can be found on the Werse Side. r] City of Fridley Application for Plumbing and Curs Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK lV Number, Kind and Location of Fixtures I'o�tion ` �+ ffi m 0 Z z �O R • N WATER HTR. GAS ELEC. Base 1st 2nd _ 3rd 4th I • Future Connection Openings Connected with I Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 10. RATE Number Fixtures x $1.50 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 New Ground Run Old Bldg . ............ x 3.25 City of Fridley: The undersigned hereby snakes 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. J U L 25 1960 19— Owner eL`� ® / Kind of Building Used as To be completed about Estimated Cost, $ TOTAL Old—New. Building Permit No "�-"' �`� Permit No.��`v $ Signe�ONDDN PLUMBING CO $ By $ Business Phone No $ ROUGH - FINAL GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $-1 - -� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ �'- -� 42 2M 7-59 Application for Power Plants and: Heating, Cooling, Ventilation, ReMgeraVkm and � Air Conditioning .Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII, 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 $ MECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU .... . .................. 2.00 $ Replacement of Furnace ............................. ,§.00 $ Repairs & Alterations—up to $500.00 ................ 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM NO RATE TOTAL 1st 3 Fixtures ...................... Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ -!1-0 0 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50- $ ! C 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 PZE $ ! V, SO ROUGH FINAL LOCafIOn ! Z/ S 3 - U y "24 a �CR� 4. 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. �J Fridley, Minn.n 19� O Owner (� I Kind of Building X7.41 Used as To be completed about Estimated Cost, $ 6; O Old ew. uilding Permit No. 4eZ6 S Permit No. 1".6 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name E., Size No. /-/I a FO Capacity y. O o O Sq. Ft. E.D.R BTU H.P. Total Connected Load L? -3 2 6 ,Sl Kind of Fuel A , E BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Sign By. �42 2MI 7-59 Business Phone No APPLICATION FOR HEATING OR POWER PLANT AND SPECIAL DEVICE PERMIT PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ......................... 8.00 $ Replacement of Furnace ............................. 4.00 $ Repairs & Alterations—up to $500.00 ................. 4.00 $ _ Repairs & Alterations each add. $500.00 ............... 2.00 $ _ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........... 8.00 $ P each add. 60,000 BTU ........................ 1.00 $ Replacement of Furnace ............................ 4.00 $ Repairs & Alterations—up to $500.00 ................. 4.00 $ Repairs & Alterations each add. $500.00 .............. 2.00 $ _ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ _ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.00 $ _ OIL BURNER—to 3 gaL per hour ........................ 4.00 $ over 3 gal. per hours—See Fee Schedule GAS BURNER .......................................... 4.00 $� GAS PIPING (Up to 5 Fixtures) .......................... 1.25 $/ 7 AIR CONDITIONING 1 8 FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ REMARKS: TOTAL FEE $ r�- DepL of Bldgs. Phoneme Location T l iR Village of terse / ure- The undersigned hereby makes applic tion for a permit for the work herein specified, agreeing to do all work in strict accordance with the Village Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicationtrue correct. �� (�, Brookl Center, , , `� 193—W Owner 195.. Used as To be completed about Estimated Cost, $ Old Building Permit No. DESCRIPTION OF WORK HEATING orWER PLANTS—Steam, Hot Water, Warm Air—No— Trade ir—No Trade Name Size No W9 S'r Capacit%% Sq. Ft. E.D.R BTU H. P. Total Connected Load Kind of Fu BURNER —Trade NSize No— Cap_ Capacity Sq. Ft. E.D.R BTU H. P. Sign By, 1-411W1 2M-5-58 Business Phone No �� 7516 cscjjr�79 ,t 70 4 410 kIEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS r WeatherstripsGuidA.SJFLe Construction No. WindowsI Doors Reference Out. Wan Int. Wall Ceiling Roof Floor Yes--No ea-- 0 19— F11 _ Reem l.enoth Alf Width F2— Height S' II P"41.1 FI Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crank g4. ft. Width Height No. of Lineal tt. Area No. = or pane of pane 11"ts of crack sq. ft. A qq 1119) �L 30 Coef.1 Btu Inhitration� Glass Infiltration Glasg 'y Exp.wall Int. wall Exp; wall Net exp. wall 2- ( ?� Int. wall 1192 Ceiling Floor Int. wall ® Total Utu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ' FI.1 k,, Y5j4j Room ILength 9_ Width ., C 9 Heiaht :l Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crank g4. ft. Width Height No. of Lineal ft. Area N. = of pane of pane lights of er"It e4• fl. A ZZ Coef. Btu Coef. Coef. Btu Infiltration Glasg 0 Cams Int. wall Exp; wall 19 Floor Net exp. wall 1192 Int, wall Int. wall ® Ceiling Ix1b Ceiling Floor " Floor 5- XZ Total Btu. 64 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room I Length Width t (® Height KIWindows and Doors--Crackage and Area Wldeh Height No. of Lineal rt. Area Na of pane of pane 11. is or crack sa. tt. Btu Exp, wall Net `eup.1 In wall Ceiling 1- 9 a 112-1 3& 6 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Q-- (24�DSf C',�. P ` 6,�dAc fit, MINNEAPOLIS. MINK. Insulation Kind How Applied Q C I.W.A►A /9 ;tJ—t.a Windows and Doors--Crac e, and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crank g4. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Q�el ZZ Coef. Btu Coef. Btu Infiltration Infiltration 0 Cams Int. wall Glass Exp. wall Floor Net exp. wall 1192 Int, wall Net exp. wall ® Ceiling Ix1b 5r%® Floor Total Btu. ;?yy Required sq. ft. E.D.R. or sq. ins. W.A. Leader area m I ,, Rmm I Length it° q Width 12— Heisiht Windows and Doors--Crachage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crank g4. ft. WIdtG Height No o! Lineal ft. Area No. of pane of pane lights of track W. ft. ZZ Coef. Btu infiltration Glass Coef. to Infiltration Net exp. wall Int. wall Glass Ceiling Floor Exp. wall Net exp. wall ® I Ix1b Int. wall Ceiling 5- XZ Floor Total Btu. Required sq. h. E.D.R. or sq. itis. W.A. Leader area / Re*ttn 1 Length _ ?. .. Width l c/ Height Window and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crank g4. ft. Coef. Btu infiltration Glass 3(m / -' Exp, wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .t wap.. V 13v y �dAIV (!d Width height No. of Lineal ft. Area No. of pan. of pane lighta of crack sq. It. Coef. Btu SAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS --MINNEAPOLIS. MINN. r Tead*mtrips A.S.H.V.E. Infiltration Construction No. Insulation I Glass Expiiwall Guide Ceiling Net exp. wall -_ Windows I Doors Reference Out. WaU Int. Wall Ceiling Roof Floor Kind How Appliod Yes--�No yes:: --N0– 19- 4 MA -q-3 W:.1►t. ii L.—t.& 11 rl ! Rmm I L.enwth Width Height ..�r •.ww i ..e.,6... J !o .. wee. wap.. V Windows and Doors--Crackage and Area Width height No. of Lineal ft. Area No. of pan. of pane lighta of crack sq. It. Coef. Btu Infiltration Glass Coef. Btu Infiltration �� d Glass Expiiwall Ceiling Net exp. wall Floor �" 3 Int. 'Wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FIA Room I Length Width Height Windows and Doors—Crackage and Area . Width Height No. of I Lineal tt. Area No. of pane of pane lights I of track e0• ft. Coef. Btu Infiltration Glass - Exp:: wall Net exp. wall Int, wall. Ceiling Floor Totrll Btu. Required sq, ft. E.D.R. or sq. ins. W.A. Leader area e FI:� Rrtem iLeneth Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No: of pane of pane lights of crack aq. It. Coef. Btu Infiltration Glass - Exp: wall Net 'exp. wan Int. wall Geiling !<lo6r otal Btu. Required sa. ft. E.D.R. or so. ins. W.A. Leader area Windows and Doo rat and Area Width Height No' of Ltneal IL Area No. of pane of pane fights of crack sq. tL Coef. Btu Infiltration Glass - Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. h. E.D.R. or sq. ins. W.A. Leader area Flat Room I Length Width Height Windows and Doors---Crackage and Area width Height No. of Lineal It. Area No. of pane of pane lightp of crack sq. ft. ICAftf, Btu Infiltration Glass Exp, wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. itis. W.A. Leader area irl I Rnnm 1 i -&math Width Height Windows and Doors--Crackage and Arca WidthHeight No. of neat It. Area No• of pane of pane lights of crack aq. ft. Coef. Btu Infiltration Glass Exp, wan Net exp. wail Int, wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Lester area 0 *. 0 City of Fridley, Minn.. A-VIPEWIT Nt 6595 L 4, Owner: Buildi�- 1 i Address Address BNG ��C No. Street Part of t Lot _ _ __ Block Addition or Sub- Corner Lot _ Inside Lot _..__.E� -Setback Si eyard _. Sewer Elevation ___ _ _ — F09ndation Elevation DESCRIPTION OF BUILDING T •° Front _ Depth Height �� Sq. Ft. Cu. Ft. Fro ��D77eptheight _� , Sq. Ft. Cu. Ft. Type of Construction _�. S� Fst. � 1" rs, To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of �., permit is hereby granted to, to construct the building or addition as described above. This permit is granted upon the exprpdffion that the person to whom it is granted and his agents, employees and workmen, in all work done in, and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, rwithin tts and this permit may be revoked at any tion violatdoff o' any of the Provisions of said ordinances. NOTICE. Yhb permit does not cover the construction, hutaMon for whdng, plumbing, gas heating, sriver or water. Be sure to me the Building kqm tar for seperaN penmhs for these item. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OL ,sR' S NAME ,El V E /-' Jn 2 f_k BUILDER 6:� eco C.Pu S J � CO ADmnss /J,5.3 - or!` 2LI AA15 NE ADDRESS�,�,9ifoajot6ty LOCATION OF BUILDING No. I�K5 ..aa Street 'cJ IVF IVF Part of Lot Lot Block . Addition or Subdivis Corner Lot Inside Lot SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be us of ��j-+E Front .2-o Depth 2-2 r Height, Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction /::1041YI F Estimated Cost 1121V d34- To be Completed The undersigned hereby makes application for a permit for.the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 19 63 sicwun (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley, Minn. N9.9776 BUILDING PERMIT Date: — JIMe L,-1968 Owners _ Kenneth D. Jorgensen Builder Same Address 14_- 3 6e, AYe N.E. Address Same_ _ LOCATION OF BUILDING No. —14.53— Street _.__ 6 nue N.E__ ---- Part of Lot Lot Pari of Block -1(Racea_2-50) Addition or Sub -Division ..___ i -jet. 4dcn Corner Lot --- Inside Lot X _._ Setback Sideyard Sewer Elevation _ __ __ _... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Patio Front 22 t Depth 0' Height Sq. Ft. 220 icyL Ft, Front Depth _ _ Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost To be Completed • Located on survey with permit #4665 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 a& provisions of ordinano of the city of Fridley. In consideration of the payment of a fee of $ F - nn , permit is hereby granted to._._ XanAia-th ) - Jorgensen to construct the building or addition as described above. This permit is granted upon the express condition that thele prson to whom it is granted and his agents, employees and workmen, in all work done in, around and upon saibuilding, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any ordinances. ?upon violation of any of the provisions of said • NOTICE: This peneh does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sore to ase the Building Inspector for separate permits for these items. . 0 APPLICATION FOR BUILDING PERMIT CITY OF PRIaM- MINNESOTA-, I C, T OWN9R'S 140AMM _0A11V e T I/ O,JL & ADDRESS Ad, LOCATION.Ot BUILDING NO.' STREET LOT OCKADDITION, OR SUBDTVISiON 'v L tj COMER LOT UTISIDE LOT SETBACK, SIDEYARD_��_.. SEWER ELEVATION TOP OF FOOTING Applicant attach to thia.,.form Two Certificates of Survey of.Lot and proposed building*location*drawn oil these Certfficates. DESCR;PTION BUILDING ..,,Tb'Be Used As:. 10 Front a Depth_ Square feet Cubit: 'Feet Front Depth Height Square feet Cubic Feet Type of Construction To Be Completed The undersigned hereby makes application for a permit for the work herein .,,-specified, agreeing to do all work in strict.,accordance with the City of Fridley Ordinances and'rulings of the Depar* t'of Buildings, and hereby declares that all the facts and representati stated in this application are true and correct. DATE SIGNATURE (Schedule of Fee Costs can be found on the :4� City of Fridley Appicatim for Mmbing and Gs n Fi g Fwmiit Dept. of WdM Phone 980-3990 DESCRIPTION OF WORK Number. Kind and Location of Fishwas Low,= •at^'f�i m Y Fa 3 y 2Z � i f i "� i� 3 7 w 1 c • r s w WATER HTR. cAs ELEG Bax 1st -- — 2nd 3rd 4th— ° Future Connection Openings Connected with I ❑ Now Fixture, Old OpeningsCesspool�ei PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixture Opening x $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin x $3.25 $ Water Heater (Up to 99,000 BTU) .. x $3.00 $ New Ground Run Old Bldg. x $3.25 $ Electric Water Heater s $2.00 S. GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... .... x $2.00 $ Additional Fixtures .............. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS•—Refer to Code Description ...........; TOTAL F'EE City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn- //// '5;' _ 19zff Owner Kind of Used as To be completed about �r Estimated Cost, $ 1,5-e Old Building Permit No.— _ _. _—Pe t No.�� Signed. 2ZL Business Phone No ROUGH / FINAL_& / � — o6 9 SUBJECT PE -, City of Fridley 17457 AT THE TOP OF THE TWINS BUILDING P E R M I T _ r � RECEIPT COMMUNITY DEVELOPMENT DIV. J r 1 PROTECTIVE INSPECTION SEC. 1 � � ,- Il11 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j L „ 612-571-3450 910-F15 4/16/84 JOB ADDRESS 1453 - 64th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 4,61 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Arnie Oslund 1453 - 64th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. C & H Siding & Remodel 24055 Fillmore Street N.E., East Bethel 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 El ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPf`RATE PERMIT'S REQUIRED FOR HEATING, PLUM13ING AND SIGN& TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Vinyl 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 $5,000 $2.50 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 OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- •50.50 S U ION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $53.00 SIGNATURE OF CONTRALTO OR AUTHORIZED IGENT (DATE( WHEN PROPER (DATED THISIS YOUR FERMI �1d BLDG WSP � O E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] ADDN. [ ] ALTER. [,l Construction Address Legal Description:_ Property �1wne�A Adr.z. Contractor:— Address: City of Fridley �R-1 AND R-2 Building Permit Application Effective 4/1/84 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback ,� Type of Construction: P. Estimated Cost: $ Approx. Completion Date: T < �� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: APPLICANTTel. CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: 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 [ ] SUBJECT P City of Fridley _ k 7 4 2) AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIP ♦V _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE •^L)�/7 V I 7 I CITY HALL FRIDLEY 55432 1 NUMBER REV DATE 7/1/02 PAGE OF APPROVED BV 612-571-3450 910415 JOB ADDRESS 1453 64th Ave NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. See File 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Arnie Oslund,1453 64th Ave NE, Fridley, MN 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Solomon & Sons LTD, 12211 Olive St NW, Coon Rapids, MN 55448 763-754-5875 20266363 4 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 [R NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re -roof / tear -off (12 squares) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 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 9E COMPLIED @ 1 286.00 `P $.64 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK F ETOTAL FEE Lice 5.00 Jo$54.83 SIGN TURES FCON'AACTOAORAUTHORIZEDAGENT IDATE, H PR Y VALI ED THIS IS YOUR PERMIT 7 lam✓ �%� S-GNATURE OF OWNEA,IF OWNER BUILDER, IDATEi " OG INS Ali tE NEW [ J CITY OF FRIDLEY Effective 1/12002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: / (�Ake AOL-) Legal Description: r Owner Name A dress: Lol Tel. # Contractor MN LICENSE # Address: 12-2 Tel. 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 94 Width Hgt/Ground Sq. Ft OTHER: 1 S(Zb 8 2Z Construction Type: & 4,0 0q( --Estimated Cost: $��9l-U u� / ''01" Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: `l-OAPPLICANT: Tel. #0401-4 f-4 Call (763) 572-3604 for Permit Fees if mailing In application or Fax to 763-671-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ z/7, $ A� $ $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2001 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763.572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES "RATE SCHEDULE Residential' , Rate Furnace Shell and Duct Work, Burner Also Replacement Furnace $ 30.00 (SideVent -Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range -' $ 10.00 Gas Dryer . $ 10.00 *Air Conditioning*- All Sizes $ 25.00 All Othbrs/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. TOTAL $ .50 JOB ADDRESS /%ve. Ne OWNER—AetqtF OSLAdd P BUILDING USED AS/?QS/Jar's c..P_ ESTIMATED COST,02Qv PERMIT NO. ' DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle, One (Steam) (Hot Water) (Warm Air) Trade Name C4 i eye Size No. BTU 000 HP EDR Fuel AIA 7', GA _s Total Connected Load Y0, 4 6 n Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE c6_" I.Z HEATING CO C,5R WP.w7-&-4o.A Avg, sm / 131oe�e�Q7'o�, wia �g-y Signed9� �—"� ®� ;TEL #1 0- ) E6 Approved By ! Rough -In Date Final Date BACK SIDE MUST BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION ` When replacing an"existiria furance, 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 O No O 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 (PfN o ( ) 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 k 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 Y +BTU Input �d-_ c, u Fan Assisted or Nat Appliance --{--- #2 Type lyw e,�, Meod a BTU Input p o o o Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input ! 100 Common Vent Type - Vew P- Vent Height /off r?- Diameter, y inches Appliance #1 Vent Connector Height ft Length -a_ft Diameter -in Type GL4S.� c Appliance #2 Vent Connector Height ft Length J ° ft Diameter -in Type §4&fr C Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) Ch/.:T, oce i 'AS � c HEATING CO: Saye k& Signed By: �,., �� Date: L5 --/j -