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PRE 2010 DOCSCity of Fridley suaJEcr PE o 17846 AT THE TOP OF THE TWINS BUILDING PERM r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. 1 . , NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 '/­'11, .-•-� L 612-571-3450 910-F15 1/25/85 JOB ADDRESS 20 - 64th Way N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 2, 3 15 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS_ ZIP PHONE Herb Knutson Const. 11501 - 134 1/2 Avenue North, Dayton, MN 421-8257 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 JJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ -REMOVE 8 DESCRIBE WORK .MK Construct a 241 x 381 Dwelling and a 22' x 221 Garage 'SEPARATE PERMITS REQUIRED FOR 9 CHANGE OF USE FROM G . s FLUMEN114 „l,) MC''JIRINGTOHEAT MvC'derifying STIPULATIONS provide City with copy of survey before capping. Provide sod in the front and side yards.. Provide a hard surface driveway. Builder agrees to ensure that adequate drainage facilities will be maintained to prevent flood damage to newly developed property and existing buildings in this area due to surface wate runoff. Temporary facilities may be constructed due to winter conditions at time of project start but a permanent solution must be approved and completed before construction is completed and occupancy is established. SEWER LOCATION: (Approx. 8' Deep in Street) 47' E. of M.H. (E. INV. ELEV. 832.93) WYE ELEVATION: 833.02 TOP OF FOOTING: 836.52 Minimum AI WATER LOCATION: 10' E. of Sewer Service. THE CITY OF FRIDLEY DOES NOT GUARANTEE THE before digging calf (ora( utifri� r£L£PiiOJ£ ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS, m CLQ CTr;I GAS Eto THIS DATA IS FOR INFORMATION PURPOSES ONLY, REQUIRED ByLA � AND PERSONS USING THIS INFORMATION SHOUL'2. / 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 I 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 $53,250 $26.63 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 COW PERFORMANCE CONSTRUCTION. $295.00 $425.00 STRUCTION OR THE OF LAN CHECK FEE TOTALFEE \ $73.75 $820.38 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 7(DATEI WHEN PROPERLY LI DATED THIS IS YOUR P RMIT BLDG INSBATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) • NEW [� City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: v Legal Description: -- n-•� Owner Name & Address: Tel. °�=�1 Tel. # Contractor: o ��- #� Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Corner Lot [ ] Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length QL Width _ Height Sq. Ft. Length Width = Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Inside Lot EN . Ft. Yd. Setback S-7 Side Yard Setback )CD -SL Type of Construction: ���'� ��� - �� Estimated Cost: $ Nil Approx. Completion Date: Alt. A Alt B , Proposed Driveway Width If New Opening Is Desired: \(__ $ x $ See Back Page for Explanation DATE: APPLICANTS Q� �= Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge CITY USE ONLY $ ,66 Fee Schedule on Reverse Side $ 91.70 25% of Building Permit Fee $ Z4+` 3 $.50/$1,000 Valuation $ y s,ew $425 per SAC Unit $ �' Fee Determined by Engineering $ TOTAL ` $ 2 20.35 LA STIPULATIONS:e �o Agreement Necessary [ ] Not Necessary [ ] ao 1 n /10 All of Lot 3 and that part of Lot 2 lying West of the East 13.00 feet therec FRIDLEY PARK, Anoka County, Minnesota, ensionstogether acrosswith it ofthat theaEastfandthe Westtl: vacated alley lying between the above described property. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Neater Gas Range Gas Dryer NO. s I ALL OTHERS AND/OR REPAIRS AND ALTERATIONS Is of Value of Fixture or Appliance Reinspection Fee $ ($15.00) RATE $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 State Surcharge TOTAL FEE Ettectrve Aug. 1, 19u1 Job Address 1 Z104-1-1 Department of Buildings City of Fridley Tel. 1571-3450 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 Q� Fridley, Mn. , 1g�-, OWNER �iiriL1� , KIND OF BUILDINGJZ�r-� USED AS TO BE COMPLETED ABOUT ESTIMA/T-EDD COST l TOTAL OLD F NEW yUILDING PERMIT NO. PERMIT NO. 9� Company $ Signed $ Tel. No. S $ ROUGH INSP. $ Date :01 m $ a _ $ U $ x e APPROVAL FOR PERMIT Water o .ei a H .ci w e A w pa, w g� Neater w m w a e e 4 41 WuAga 'ggt u o au a'i o� ow 1.g 3 V a o s lec lot 1 I 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (�) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Neater Gas Range Gas Dryer NO. s I ALL OTHERS AND/OR REPAIRS AND ALTERATIONS Is of Value of Fixture or Appliance Reinspection Fee $ ($15.00) RATE $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 State Surcharge TOTAL FEE Ettectrve Aug. 1, 19u1 Job Address 1 Z104-1-1 Department of Buildings City of Fridley Tel. 1571-3450 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 Q� Fridley, Mn. , 1g�-, OWNER �iiriL1� , KIND OF BUILDINGJZ�r-� USED AS TO BE COMPLETED ABOUT ESTIMA/T-EDD COST l TOTAL OLD F NEW yUILDING PERMIT NO. PERMIT NO. 9� Company $ Signed $ Tel. No. S $ ROUGH INSP. $ Date $ $ FINAL INSP. 4,+� _ $ Date $ $ APPROVAL FOR PERMIT S S . So MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 `�� PLUS THE $.50 STATE SURCHARGE y 3_ CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N E . FRIDLEY. MINNESOTA 55432 • PHONE 16121 571-3450 July 2, 1985 Herb Knutson Construction 11501 - 134 Avenue North Dayton, MN 55327 Re: 20 - 64th Way N.E., Fridley, MN Dear Sirs: A reinspection was conducted on July 2, 1985 for the purpose of determining if the items outlined in our letter of May 30, 1985 had been completed. There are two items that still need to be supplied or corrected: 1. Submit a verifying survey to the City by July 15, 1985. 2. Regrade and resod the front yard along the wes-t property line. The drainage swale must be located on the property line and drain either to the front, over the street curb, or to the back, into the 'retention pond/drainage outlet. The only other acceptable method would be to get approval from the affected property owner to the west, to grade it differently. This must also be completed by July 15, 1985. Your cooperation in these matters will be appreciated. If you have any questions, please contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC: Mark Burch, Asst. City Engineer SUBJECT City of Fridley 30076 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. 9 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By L 612-571-3450 910415 8/18/99 JOB ADDRESS 20 64th Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt.2 & 3 15 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Smith 571-6124 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO American BldjZ. Contractors 12247 Nicollet Aate S- Bu3msville 55337 707-6959 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 X3 REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (20 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 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 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 $1748 $.87 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- STRUCTI OR PERFORMANCE OF CONSTRUCTION $63.15 Fire SC $1.75 /�, ��'7 PLAN CHECK FEE License 5.00 TOTAL FEE 1 $7V.477 SIGNsruREOFCON TRACTOR ORAUTMORIZEDAGENT (DATE. NOP ALIDATED IeR PER SIGNATURE OF OWNERoF OWNER BUILDERI (DATE, B G INSF' T1ATE . .. w L - J trlectrve 1111 98 ADDN[) CITY OF FRIDLEY ALTER [ ] 444)ff"iGLE FANMY AND DUPLEXES R -I AND R-2 BUILDING PERNIIT APPLICATION ,A v a � 5 ConstructionAddress. "?o Legal Description: Owner Name & Address: Tel. # I2- , 2 Contractor: -__j4-A4ej24 CAtJ 6 ct.l t.j)?CO6 GV�CrV/M .,. MN LICENSE #,2016 4 3 3 Address: ofd Allcm LL8-r-41/ S. &kAa✓lc-c-t-- Tel. # 612--7o 7 62Z 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. DECD AREA: Length Width Hgt/Ground Sq. Ft. OTHER: ,p Construction Type: Estimated Cost: S �� / ��r6 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ (o[2— 707-0"er DATE: / _ q i APPLICANT: ii� k�' Tel. Permit Fee Fire Surcharge $ - %S .001 of Permit Valuation (1/10th%) State Surcharge Erosion Control Park Fee Sewer Main Charge CITY USE ONLY $ Fee Schedule on Revcrse Side $ C� � $.501$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ U U $5.00 (State Licensed Residential C Driveway Escrow ontractors) $ Alt. "A" or Alt. "B" Above $ , $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] r f, t GI FY OF FRIDLEY IN61-E(; I ION DIV. Effective On Jan 1, 2000 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR I Was ......... Floor Gas Auto. Water Heater Stories . ... . ..... . .. Urinal - - - - - - - - - - - - - - - - ----- Shower Tra .0.0N....' Drain Dow Washer Range Gas jElec Basement ----------------- . . . . . . ..... . ...... ... ..... . . ...... .. ...... Floor I Floor 2 Omni sm ... . . . ................ . . . . .. . . .... . . . . ............... Floor 3 ........... .......... ... . . . . . . . . . . . . . ...... . ........ Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures $7.00 j The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $7.00 and representations stated in this application are true and correct. Catch Basin $7.00 Rain Water Leader $7.00 Co 200e Sump/Receiving Tank $7.00 Water Treating Appliance $10.00 Owner Water Heater -Electric $7.00 Water Heater - Gas** $10.00 Building Used As Gas Range" $10.00 Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required )Yes No Type $15.00 PLUMBING COMPANY Reinspection Fee $47.00/Hr SIGNED BY TEL NO..e7,f ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 'o09 1009- 1.5% of Value of Fixture or Appliance ApprovedBy Rough -in Date Final Date 4 State Surcharge $ .50 TOTAL FEE _51ZD $=, MINIMU ANY PLUMBING/GAS PERMIT IS $20.00 PI US THE S.50 TATE SURCHARG COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) t 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 existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type _ Appliance #2 Type _ Appliance #3 Type _ Total Appliances Common Vent Type _ BTU Input BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat 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 : W2 SUBJECT ePERMIT NO. City of Fridley 31208 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. i COMMUNITY DEVELOPMENT DIV.�,f try PROTECTIVE INSPECTION SEC. F � CITY HALL FRIDLEY 55432 NUMBER REVDATE PAGE OF APPROVED BY l 612-571-3450 910-F15 ___[7/17/00 JOB ADDRESS 20 -,64th Way NE 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 2 & 3 15 Fridley Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob $ Janet Smith 20 - 64th Way NE 3 CONTRACTOR MAIL ADDRESS 2936 Quail Ave. NO. ZIP PHONE LICENSE NO JW Williams Const., Inc. Golden Valley, NN 55422 612-791-0397 20125107 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 t ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Finish Basement 9 CHANGE OF USE FROM TO STIPULATIONS For stipulations, see attached plan. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE ME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES OVERNING THIS TYPE OF WORK WILL BE COMPLIED $25 OOO.00 $12.50 WITH WHETHER SPE FIED HEREIN OR NOT. THE GRANTING OF A PERMIT f DOES NOT PRESUME O GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PgOVISIONS Of NY O ER S ATE OR LOCAL LAW REGULATING CON- SC $25.00 STRUCTION HE PERF RMA CE OF CONSTRUCTION $391.25 re PLAN CHECK F TAL FEE %7- Lice e C 5 00 $433.75 SIGNATURE OF CON'RA OR ORA NORiZED AGENT tDATEi HE RO R VA ID D THIS IS Y P � _ 7r S-GNATURE OF OWNEROF OWNER BUILOERI iDATE. 8L G -NSP 0ATE W2 NEW [] ADDIS! [] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: x b yr--# Legal Description: Owner Name & Address: ,-/ 3 P -- STIPULATIONS: /3a - Effective 1/1/200 (763) 572-3604 Bldg I p i Tel. # ! Q -q MN LICENSE # e?,01951tJ7 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: W&4 00 Construction Type:a4v-lpEstimated Cast: $ D OO Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $Z/ _ $ DATE: 1,0-00 APPLICANT: �. Tel.(61A 7f1" 0396 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ F wcc. Fee Schedule on Reverse Side Fire Surcharge $ -'Z�,' ®® .001 of Permit Valuation (1/10th%) State Surcharge $ /.2. S'® $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control $ $1100 per SAC Unit $ 64 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above P $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary ( ] TOTAL s- STIPULATIONS: Y r : t T ' ' L t yy ' E' ,7Y•Y?, '• � t r ° '9F .S l +i y� °: Y' s. L �p L ld r u � ' • .v i � y°r 4 w n : da9 t FP„ . •� � it :w ,,,m:���` i�< 1 �`�3 . L q tr � ;.'�' 1z. i t P ♦ .y 4'+�'C'� ♦}1 5..��',. ti r tir n ti p•-4,;�':..!4j ,7„�si a .:,•� � ^� t �y y� i�r � � s °j. �'�t .,�r'� �: ';•1!>� ti v r r - i!• Y .. s 7C.. D� e',r. 4!� I. tCj• q}i, !i hµ+�� t, >� Shy �!% 1+� -.J' �'� >-t ?� y.. t t ,v i4 AL •N Mkt P1 .�t r >• ,ice✓ 1 ' ! .r+ r y `'4 fy� c r y + "+ TP,�,.�a •.jj �„ R 1'^,g t i,�rAA i ,* • f .y �htw L ! .1 A'' .rL:% 3Jv`�•: . 'k }yKi•` ..w ;t �'^4iR j' ,+. + 3ry .7'P" • > `• ••y ,i;..' .. ..''�.* :y? '� 'j '°j.t r, •.trkA1. b/d�/, •� � .+Y�..�. is y„°sy,. ��I°. +'�wq '• p ' •'.'rte'+ e2w- el Eli .. F �! % fir. r T Z ..��f ` ya M t-- r v1�sY°•, ^� `%MW . sem►? i:R `•' �•(�� � � �"^�Ya., r �,w.Is� t� a dIw ��•.� x"3 �,��ryU r '�°�� � a r'_1� o •i I Apt VIA UJ ' ,' ~ � ',h t, a a ' li: �Vtxi' , a Y $�° ,/ i ' •L. f(• f-•�'f"• ' • S v.a ,. � '►fj•+ .�. .: i. 1. �I � �,�' , `M pad •r�'�. L:r �° V y t ties jr1.'';&-, �' ti . ., • syr a „ 6_11,1 r�i• 1\ y .awe .. .I, b } � •. .4,•. 1 .'°,, = . '� u� a� t y ° y ! �� y LII • ' O � ' - '� � '•° • ��•. !� �. i t�� f�{• t �Y l��� to ., may, •:� P:Y � r r n� tia .. . ,� � o' • �'• c�]j's rhe !t .,ty�� . ���777 +Q�'�••r 4i dC; CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 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. Effective On January 1, 2000 JOB ADDRESS ' OWNERab����� TOTAL � BUILDING USED AS CCf:: . ESTIMATED COST C� C _00PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name 'Size No. BTU HP EDR $ Fuel Total Connected Load Burner Trade Name Size No. so- 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $D VOGT HEATING & AIR cONwIONING 3260 GORHAM AVE DATE ST. LOUIS PARK, MN 55426 HEATING 0 SALES 929-6767 SERVICE 529-4011 Signed c TEL # q�� J 766 77- dr-�Cuq% � Approved By Rough -In Date Final Date ®® COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing 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 () 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 installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length It 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 VOGT HEATINGAIR CONDITIONING 3260 GOR"A HEATING CO: ST. LOUIS PARK, MN 426 m. SAI.FC 09dA7R7 Qr-0 G nlift-emi • • 1 ...� i��l��Date CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 t'AX: (763)571-IZ57 ADDRESS : 20 64 WAY NE PIN : 153024410088 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-01806 pq 1 DATE ISSUED: 10/05/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER SMITH ROBERT F & JANET S 20 64TH WAY 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 regulating construction or the performance of construction. Applicant Date Bldg Insp Date. ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 118132 SEFARNI E FEKMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By- 763-572-3604CITY OF FRIDLEY Date Rec'd: DATE (o YOUR E-MAIL ADDRESS SITE ADDRESS S M*64 c urs THIS APPLICANT IS: ❑OWNER *0NTRACTO Janet Smith -Schroeder PROPERTY NAME: 20 64TH WAY NORTHEAST OWNER/ ADDRESS: STATE ZIP TENANT Fridley, 55432 PHONE: CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE Z & YOUR STATE ADDREs S CITY Dl1 STATE/GI�ZIP ssyoq �20 �7&�ezr_ke LICENSEOVITH pHONE�FAX APPLICATION PERMIT TYPE KSINGLE FAMILY ❑ TWO FAMILY - ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW XREPLACEMENT DETAILED DESCRIPTION OF WORK RgAL .c. "&111 160A. � PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500:00,: whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This.should_reflect. only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = 0".ROJECTS WHERE LABOR EXCEEDS--S500—FEES ARE BASED ON $10.00 PER FI)(TURE, EXCEPYWHI;RSNUT:ED-:FIXNMESa-. INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR _ GAS PIPING (NEED crj7ucEm)^ SWIMMING POOL WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ _ LAUNDRY TRAY TWATER HEATER ($35) FOR IRRIGATION _DISHWASHER WATER METER OTHER Permit Fee $ 35".00 Number of fixtures @ $10.00 x $10.00 = $� Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.60 = $ TOTAL DUE $ 1 .5-0 State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only 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 I work hich requires review and approval of plans.` SIGNATURE OF APPLIC PRINT NAME 'J* � IOC`j 10l ie" DATE L 0_3 �R 6=,Si..1AwNL^�§.VW H A�L�Efi" 14 &.� III!§il 8' fY[� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 P-3 Building �� MECHANICAL Permit No.: Inspections C� RESIDENTIAL APPLICATION a aived By: 763-572-3604RJAY 3 2�� % CITY OF FRIDLEY 1 / O O DATE \ YOUR E-MAIL ADDRESS SITE ADDRESS oao O THIS APPLICANT IS: ❑ OWNER VC0 CTOR PROPERTY NAME: babe r S YV� i �1n OWNER/ TENANT ll ADDRESS: d -�� STATE �1NLIP 5�3� a� �°�— �� �� C11y r i PHONE: -llo3`S-1 %' La kA� CONTRACTOR Co1vlPANY NAME: CENTERPOINT ENERGY SUBMIT A COPY OF CONTACT PERSON: JOANN Z INKEN STATE LICENSE # EXP DATE YOUR STATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE BITY "COON"'RAPIDS sTATEMN zIP55433 APPLICATION PHONE 763 - 757 -- 6202 FAX 763--757--6701 PERMIT TYPE & """''E FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK l,. r 4e- PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: ��i.�� MODEL: u P f4 -0-7 SIz>® s cC�O MFG: MODEL: L• O SIZE/BTU t z S MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 _, GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 1FURNACE $35.00 UNIT HTR $10.00 _GAS CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENT LATOR $15.00 s -Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 1 x $25.00 = $ Number of fixtures @ $35.00 k x $35.00 = $ 2S. State Surcharge = $ .50 Total = $ (e10.1SO THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and' accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. n �\ SIGNATURE OF APPLICANT �• Lf '1' NAME ROGER HOFFHEIN DATE k ' O(o - 0% City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.