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PRE 2010 DOCSVillage of Fridley, Iif mn. WELDING PELT N° 322 Office of INSPECTOR OF BUE1,I)INGS tea, Owner Architect Fridley, Builder �7 LOCATION OF BUILDING r/ ra No / Street r-7 - 9 4a art of Lot Lot i` Block AlAan or Sub -Divi•"" i Front —A' , D To be used as �, Permit is ANN 4r�,* FSCR,IPTION OF BUILDING !th - l4eight Stories Manner of Construction l p "�10-02' f!) 2 stimated Co To becompletedat ` , granted U LNVJ t%1IL the building 1Q ,y^ ^N'4."a escribed in the above statement. This permit is granted upon the express condition that person to' horn it ' granted, and his agents, employees and workmen, in all the work done in, around and up n said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. inspector of Buildings. AGRD+ EAMNT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, Minnesota, thi} rg day ofA.D. 19" ^ BUILDING PERMIT Village of Date Owner .... .. . Address .,/r,........ .............. Fridley, Minn. N° 2344 Builder...................................... Address......................................... LOCATION OF BUILDING No. . � �... Street -A I ..". ...... ......... Part of Lot ....................... R Lot ..... ...... LI .Block ................ Addition or Sub -Division Corner Lot ..... .... Inside Lot ....f:':..... Setback ............ Sideyard .......................... DESCRIPTION OF BUILDING To be Used as: FrontVb~ Depth ALr� Height.... Sq. Ft. .-A - Cu. Ft......... ..................,.. Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ........ Type of Construction -�.. Est. Cost ....�......... To be Completed ................... i 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 village of Fridley. &ress;'conditlon der of the payment of a fee of $./X .... , permit is hereby granted to �� . --A .............. .�..... to construct the building or addition described above. This permit is granted upon the 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 with- in the village limits and this permit may be revoked at any timpon violWon of any of the provisions of said ordinances.,6� .. Building Inspector NOTICE: This permit" does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water.' Be sure to see the Bullding Inspector for separate permits for these Items. City of Fridley SUBJECT ®13654 AT THE TOP OF THE TWINS PERMIT Z BUILDING ECEIPT NO. 16 -------COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 j NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 7/19/76 JOB ADDRESS 1487 64th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 ISpring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Milsten 1487 - 64th 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 ❑ NEW ❑X ADDITION ❑ ALTERATION 11REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 17' x 14' Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS This porch cannot be heated unless it meets the Energy Code. Frost footings are required. SEPERATE PERMITS REQUIRED FOR SIRING, HEATING, PLUMBING AND SIGNS. REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, SEPARATE PERMITS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD RE VENTILATING OR CONDITIONING. Wood Frame THIS PERMIT BEC DIES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT 60MMENCED 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 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. $1,000 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $7.50 STRUCTION OR HE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 SIGNATURE OF CONTPACTOA OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE roOGNATURE OF OWNER (IF OWNER BUILDER) (DATE) CITY OF FRIDLEY �7/ -6604 APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME: / L U CI(iIZ� LZ. L iL S7�C/BUILDER: SA -M . ADDRESS :1gj/ z,�OJ 14() W - ADDRESS: NO: I q 91) STREET: lPt F /V LOT: BLOCK: ADDITION: 5t)19Lg4Z ZL)/Z7,,0A CORNER LOT: INSIDE LOT:_ETBACK: 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: �. /,dFront : / % / Depth: Height Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: %Vma l) r/%p J41 Estimated Cost: $ 17-®O • Cff 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: 1 — 16�— 11� SIGNATURE: /` ��`��" it, 11IN64 ,. (See Reverse Side For AddQK itional Informa.ti .) v/ a AGREEMENT owner of the property located at,have no objection to the City allowing the construction of a to be located at �'1`O / �`�� X-;— without the required certificate of survey that the City ordinarily requires for all new construction. Signature Address 7l% Date REPORTED TO s tuiin cttso teminq an® aromnoenna i=cratory, Inc. 662 CROMWELL AVENUE ST. PAUL, MN 55114 PHONE 612/645-3601 REPORT OF: INVESTIGATION OF EXISTING PORTLAND CEMENT RESIDENCE CONCRETE SLAB 1487 64TH AVENUE June 7, 1976 FRIDLEY, MINNESOTA FURNISHED BY: Bob Mi sten 1487 64th Ave COPIES TO: Fridley, Minnesota LABORATORY No. 4-9112 GENERAL: This report presents the results of our recent investigation of the Portland cement concrete porch slab located at 1487 64th Ave, Fridley, Minnesota. We have been advised that an enclosed porch is planned to be constructed on the west side of the above residence. The porch will be placed on the existing concrete, structural slab presently located at about grade level. It is our understanding that recently some question has arisen concerning the load carrying capacity and integrity of the slab construction. As a result, we were requested by Mr Bob Milsten, to thoroughly investigate the slab and determine whether it could safely support the 40 psf uniform loading required by the local building code. CONCLUSIONS: Based on our inspection, it is our opinion that the porch slab will safely support a uniform loading of 40 psf. In our judgment, a sufficient amount of reinforcement steel is present in the concrete slab. According to the owner, the 5" thick topping layer was placed on the original slab about 3 to 5 years ago. Even though this topping has imposed an additional load of approximately 60 psf, no reflective cracking or spalling on either the top or bottom surfaces of the slab has since been encountered. In lieu of the relatively short span of the slab and its reasonably good condition, it is our opinion that the addition of the topping layer acted to increase the stiffness of the construction as well as its shear and flexural strength. INVESTIGATION PROCEDURE: On June 1, 1976, our laboratory conducted a visual inspection of the cast -in-place concrete floor slab located at 1487 64th Ave, Fridley, Minnesota. At the time of our investigation, a small access hole (measuring approximately 24" square) had been established through the south side of the 8" concrete block foundation wall. During our investigation, we visually examined both the top and bottom surfaces of the slab for evidence of corroded reinforcement steel, cracking, spalling and other evidence of distress. In addition, we carefully inspectec the perimeter foundation walls, and the cast -in-place concrete column provided beneath the center of the slab. The size and thickness of the footings beneath both the foundation wall and column were also verified. INVESTIGATION RESULTS: The porch slab measures approximately 14' x 16' in plan dimensions and is approximately 12" in thickness. The slab is supported along its perimeter by 8" thick, load-bearing concrete block walls. We have been advised that the original ... concrete slab was 7" in thickness and.. that at a later date a 5" thick, concrete topping layer was placed. It is our understanding AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES, ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS, AND AUTHOR- IZATION FOR PUBLICATION OF STATEMENTS, CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS 15 RESERVED PENDING OUR WRITTEN APPROVAL twin city testinq O,•MOIVtNO'h 'F ana engmeennq latmratcrLj, inc. 662 CROMWELL AVENUE TM. ST. PAUL, MN 55114 REPORT OF: INVESTIGATION OF E NG PORTLAND CEMENT PHONE 612/645-3601 CONCRETE SLAB TE: June 7, 1976 LABORATORY No. 4-9112 INVESTIGATION RESULTS: (cont.) PAGE: Two that this topping layer was approximately 3-5 years of age. An 8" diameter cast -in-place concrete column was provided at the midspan region of the slab. A concrete "drop -panel" measuring about 24" square and 5" in thickness was located at the head of the column. The footing provided for the column measured approximately 20" square. The footing for the perimeter foundation wall extended out approximately 8" from the interior face of the concrete block and was located approximately 6' below the exterior perimeter grade. The soil beneath the footing would be classified as a fine grained, gray sand (SP -SM), an outwash deposit from the Des Moines Lobe of the late Wisconsin Glaciation. During our inspection, we observed that several types of steel had been utilized for the slab reinforcement. The only distress observed in the slab was one hairline crack on the underside of the slab. However, in our opinion, this crack was due to the corrosion of a section of steel conduit located just below the surface. During our investigation, we observed no cracking in either the concrete column or the concrete block foundation walls. Twin City Testing and Engineering Laboratory, Inc 7anJ Pashina, lull Engineer Construction Materials Department Brian R Dobie, P.E. Coordinating Engineer AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES. ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AND AUTHOR- IZATION FOR PUBLICATION OF STATEMENTS. CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVED FENDING OUR WRITTEN APPRQVAL. 1 Called North Concrete 8„ Block Wall Cast -in -place -Concrete Footing --Z Cuitn ©Cti+ Cesanq Mw UrNOWISOMM IMMMUCOR1. QIG ,Cast -in-place 2411 square, Conc Concrete Column " Foo g 7 1/4" A 18Diameter _ _Thickness +— f hr-- 8" i 5711 i i — 7 ;Existing Residence PLAN VIEW - FOUNDATION CONSTRUCTION FOR CONCRETE PORCH SLAB ge 13'-711 SHEET 1 JOB N0. 4-9112 SCALE: 1"-5" DRAWN BY CHECKED BYBJP SUBJECT PE City of Fridley o 15372 AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT • _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8679 JOB ADDRESS 1487 - 64th Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 1 Spring Valley SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Milsten 1487 - 64t1i Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Professional Roofigq 7257 Yucca Lane Maple Grove 425-8233 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof structure 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be second but not third roof. Install ridged galvanized valleys. SEPERATE PERMITS REQUIRED FOR "Rmar- MEATIMG, PLUMBING AICD SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO 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 $1400 $.7O 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- $9.00 STRUCTION OR THE ERFORMAACE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE de—L-59 1 $9.70 SI ATUREOFCO RACTOR RAUTHORIZE GEN (D EI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 1 C-%611-129 BLDG INSP TE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: `�®13.o Jit �L- ADDRESS: % `lS '? / J x g' TEL NO: BUILDER: I o�s�z l�aoFii✓� ADDRESS: "U-5-7 S �-' e0 ANZ ?na zf�'/�' TEL NO: �nZ 5 92 3 � Construction Location STREET NO: 418r7 STREET: LOT: 41 BLOCK: ADDITION: �i L 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. DESCRIPTIO14 OF CONSTRUCTION Front: Depth: Height: Squane Feet: Front: Cubic Feet: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: W Estimated Cost: $ To 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. DATE: 7 7 SIGNATURE: Stipulations: 4 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPUGATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate TOTAL Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 $ 3o t;10 (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $ 10.00 $ ,C0 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 $q®'S'® MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 1997 JOB ADDRESS J —�, q! j% ,�� 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. IO�Za ,1997 OWNER BUILDING USED AS ESTIMATED COST PERMIT N0. c DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units i Circle One (St Trade Name AQmSYk®tJ 6 - BTU HP yam) (Hot Water) arm ' Size No. -7,5,600a 7 EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR HEATING COMPANY a7, n1 A -R I S14-CE—IMRU,C Signed By - 0 Tel No. 09t/— Z Ll i Approved By Rough—In Dale Final Date FILL OUT BACK SIDE FO STACK VERIFICATION ON� REPLACEMENT FURNA E Remarks: . List ALTERATIONS Beimg Done: HEATING CO: Signed By: Date: CHE%MY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: . List ALTERATIONS Beimg Done: HEATING CO: Signed By: Date: SuBjECTERMIT NO. City of Fridley 29500 AT THE TOP OF THE TWINS BUILDING PERMIT � `y COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 5/19/99 10B ADDRESS 1487 64th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Spring Vallqy SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Milsten 571-6504 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Nutzmann Bros Constr 736 1st Ave NW New Brighton 55112 651-628-0128 20043453 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 ❑ NEW ❑ ADDITION O ALTERATION M REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house (14 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with theState 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1199 $ .60 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- RUCTION OR THE $44.85 Fire SC 1.20 OF CONSTRUCTION PLAN CHECK FEE TOTALFEE CPERFORVANqE f/ �` l Lice a SC s 5 0 55 1$51.65 SIGNATURE OF CON•RACTOR ORA T ORiZED AGENT iDATEi WHEN PROPER VALIDATED THIS IS YOUR PERMIT _ _a,, ( Nsp - TF / -r)AT� S,GNATURE OF OWNER dF OWNER BUILDERI iDATEs NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description - Owner Owner Name &/A Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: r lip M Effective 1/1/99 b Tel. #Z-1,1 MN LICENSE ,� / �I / E ✓�i�' 11,1 %_5_%1Z_ Tel. # 6_5 -12S­012S Attach to this applicati C, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width H Ground Sq. Ft. Construction Type: e ,• t/� Estimat�d Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT. Tel. CITY USE ONLY STIPULATIONS: ° Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ _' .. .001 of Permit Valuation (1/10th%) State Surcharge $ f. ; p,, $.50/$1,000 Valuation SAC Charge $ $1050 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: CITY OF FRIDLEY INSPECTION DIV. 3431 University Ave NE9 I 9f 0 1 1�oj APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Fridley, MN 55432 pI 572-3604 t MARK NUMBER OF FIXTURES TO RF INSTAI I Fn nN FArH P nnR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE - TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 ego $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $m-550 JOB ADDRESS fMNIE d"', 61401E i? 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. MILSTEN, MARY 9 �/I� 1487 64TH AVENUE NORTHEAST / lJ 20- FRIDLEY, MN 55432 Owner (763) '571-6504 Building Used As 1 )E-61Ds j Com. Estimated Cost PLUMBING SIGNED BY . _ Approved PERMIT NO._� A��? Rough -In Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE �Ea �' VE F - I M PLUMBING FIXTURE RATES: NO. RATE - TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 ego $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $m-550 JOB ADDRESS fMNIE d"', 61401E i? 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. MILSTEN, MARY 9 �/I� 1487 64TH AVENUE NORTHEAST / lJ 20- FRIDLEY, MN 55432 Owner (763) '571-6504 Building Used As 1 )E-61Ds j Com. Estimated Cost PLUMBING SIGNED BY . _ Approved PERMIT NO._� A��? Rough -In Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furance, the undersigned hereby verifies that the BTU Input Fan Assisted or Nat'� venting has been examined and is free from rust, deterioration, obstructions, BTU Input Fan Assisted or Nat and is securely supported and firestopped where required. Yes O No ( ) The venting: system is, plastic/PVC and meets all current codes and manufacturer Total Btu Input 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 existina combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to Install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installina a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat'� Appliance#2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : 1 CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 March 14, 2003 Ms. Mary Milsten 1487 64 Avenue NE Fridley, MN 55432 Re: Final Inspection at 1487 64 Avenue NE Contractor: Norblom Plumbing Co Dear Ms. Milsten: A plumbing permit was issued on December 27, 2001 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 VAX: (763) 571-1287 ADDRESS : 1487 64TH AVE NE PIN : 133024420006 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PE X NO.:2004-0040 DATE ISSUED: 03/30/2004 VALUATION : $ 7,985.00 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. REPLACE NINE WINDOWS WITHIN EXISTING OPENINGS STATE LICENSED CONTRACTOR 1 APPLICANT RENEWAL BY ANDERSEN (20130983) 1920 W CO RD C ROSEVILLE, MN 55113- (763)502-4777 OWNER MILSTEN ROBERT W & MARY A 1487 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 Dates BUILDING PERMIT FEE 153.25 FIRE SURCHARGE 7.99 STATE SURCHARGE, VALUE 3.99 LICENSE SURCHARGE 5.00 TOTAL 170.23 PAID WITH CHECK # 034289 anrrucri In rnuvu 1 J nny v lr'ni/ r uzk w v1111 v i ren 1 r1t11V Ll J1i1�1DL' L C1L7v u. NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ l SINGLE FAMILY AND DUPLEXES R-1 AND R-2 L G BUILDING PERMIT APPLICATION L �' Construction Address: I �[ �" - U Q 4' (U Legal Description: Owner Name & Address:-�)Lb4'(--�- Tel. #7- Contractor.;wo�� 16u AAatxse, -�) MN LICENSE # 010130i� Address: i9 a o Coy n� -i ma C west, Tel. # ic51 •a(04.4 -f -+ Attach. to- this application, a- Certificate' of Survey af-the lot, with the'proposed constrEiction dravit bn it to scale. DESCRIR- flN OF I ROVEMENT ' _ . LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER:.n N � r1 r r, C/ f v-. r ir- n ` 1 �� -4"DrConstruction Type: Estimated Cost: $-4- Driveway iveway Curb Cut Width Needed: Ft. + 6 Ft = ____Ft x $ _ $ DATE: n 6qAPPLICANT: �'� Tel. # IS a •34.s - (CO4 4 - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control CP, 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 $1050 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 [ ] $jy- 10 -Z3 7��>� CITY OF FRIDLEY PERMITO.: 2004-00706 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/13/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 1487 64TH AVE NE PIN : 133024420006 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING VALUATION : $ 8,790.00 STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE FIRE SURCHARGE 167.25 8.79 LAMPERT EXTERIORS (20103953) 2786 N FAIRVIEW AVE STATE SURCHARGE, VALUE 4.40 ROSEVILLE, MN 55113 LICENSE SURCHARGE 5.00 TOTAL 185.44 PAID WITH CHECK # 5627 OWNER MILSTEN ROBERT W & MARY A 1487 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 concoction or the performance of construction. Ap scant Date Bldg Ins Dat t! SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. g---dJ700 NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDIS! [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: 4y NC- �o � Legal Description: Owner Name & Address: Roer f ATZ; S� vm Tel. # 7637 7 n 613--oly Contractor. �"e,64- Ex le, rem- S MN LICENSE # Address: 7& 11/21rr t,atevv Ak, Ac At At �Sl/ 3 Tel. #,K5-1 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 Height Sq. Ft. Length Width Height Sq. Ft Length MP_ - Sfae Hgt/Ground Sq. Ft. Construction Type: ✓ f44 t V- Estimated Cost: $ 7? Q Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: .5X0 APPLICANT: � � Jin Tel. # to S8'YS- 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 CITY USE ONLY - TOTAL Fee Schedule on Reverse Side 65% of Permit Fee .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 [ ] leg //Yp � STIPULATIONS: Building BUILDING Permit No.• dl ! 5 [nspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D ' :)ATE" v — 7 E-MAIL ADDRESS 44)C44V-�� � � • .�� }� iITE ADDRESS ;Al/Y�ODUR V PHIS APPLICANT IS: ❑ OWNER NTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: 1 C 'CITY r--9 L e Y STA IP _ PHONE: CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE S;�-�p YOUR STATE LICENSE ADDRESS: S-7— CITY STATE" ZIP 3 WITH APPLICATION PHONE Z FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISHOF ❑ DRAIN TILE [3PRO DECK IDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: EE — 1 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFINGy� ❑ HOUSE ONLY NUMBER OF SQUARES ' ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES 0,ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum 0titer a ❑ Trim ❑ Fascia 1. Site Plan/Survey showing the existing structures and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION. INCLUDING THE COST OF LABOR AND MATERIALS: VA 1997 U.B.0 FEE SCHEDULE) % OCCUPANC' Permit Fee $ Z2�' ['05 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ �cj ; p� $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ ?,q./ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor which req s r vi dap oval of plans. �(� /f p� �/ SIGNATURE OF APPLICANT - PRINT NAME /" 1 It**40— -• � V �� DATE tO �LJ /