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PRE 2010 DOCSY age !®f i'ey! ,MhM O 4 OM` ce d Owner Ar'chite Fridley, Minn., 1 BuilderU s LOCATION OF BUILDING,' � No,SOS Street Part o> Lo Lot Block Addition or .$ub-Division Front- .. De F Height Stories._ Manner of Construction To be used asTo- -M be coihpiat sW�sted -C O 0 641 + / u • Permit is here '•to to a the ' bWdin i des ri , � the above statement. This, permit is granted upon .the express on the ' n, to i¢hom it i$ g rasnted, and, his :agents, employees and 'workmen, in all the work:. done, in, and and ' upon ad bv9diag, or any part thereof, shad conform in all respects to the ordi- nai%es a$ Fe, reprding the 60w1 trucifop, ali%�eration, maintenance, . 3repair and moving of buildings within tbae city. , and this. permit may by revoked at any time` upon violation'of any of the provisions of said ordinances. '' etor of Buildings -77 1 AGR + + � AM - OMANSTAT RI' In conside 'on of the issue and delivery to ,!me by `the in--pector of Buildings of Fridley of the above pew i hereby, agree to do the prorfsed work iia accordance with the description above set", forth d according to the provisions the 6rdinances of ey, and, being Srst duly sworn, I hereby to and say that the facts stated byme and con ed the above permit are true astherein a„ ted. , . (I r- Subscazbed an sworn to before we at Fridley, ,�Ilnn ta, day o d°': •` Al City of Fridley, Minn.. N° 7722 BUILDING PERMIT 5 • Date: _ June 4. 1965 oma: Howard Larson Builder Meldan B 3�„�.ld ', Inc. Address 5o5 66 Avenue N. E. Address 6333 Ceargia N. LOCATION OF BUILDING No. 505 street 66 Avenue N. E. Part of Lot Lot 6 _ Block Addition or Sub -Division Bice Creek Terrace, Plat 2 Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. cost _ UP 500.00 To be completed • Storm damage repair r� U 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 of l provisions of ordinances oP the city of Fridley. In consideration of the payment of a fee of $ 10•0—Q permit is hereby granted to Me]_dan Eh3J1 de 8, Inc. 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 anypart 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 violation of any of the provisions of said ordinances. Allen Jensen Building Inspector NOTICE Ibis permit den Ret eowr the soastr cdoR, hutagadoa for wkb& plamblae, Bn headag, sewer w water. Be sun to no the Badding hope ter for separate pnmhs for these hems. WNNR�S ADDRESS APPLICATION FOR BtJ1LDING PERMIT ' CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING , No.'® , : ,yStreet4 t�s Part of Lot_ T LOT BLOCK ADDITION OR SUBDIVISION Corner Lot InsidP, LOT "Setback : Slde=Yard SEWER ELEVATION . FOUNDATION ELEVATION ` Applicant`atiach to this form Two Certificates of survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used. as r Front Depth Height Sq. Ft.. Cu. Ft, Front Depth. Height Sq. Ft. Cu.•Ft. Type of Construction Estimated Costo ®• e= To be completed_, The undersigned'{herebq makes application for a permit for the work herein specified, agreeing'to`dcs 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 statedfin this application are true and correct. DATE � G+s SIGNATURE (Schedule of Fee Coats can be found on the Reverse Side). 0 SUBJECT P O. City of Fridley 2 9 9 9 3 AT THE TOP OF THE TWINS BUILDING PERMIT 1 .......COMMUNITY DEVELOPMENT DIV.® RECE PT NO. r PROTECTIVE INSPECTION SEC. 1 1 � REV DATE PAGE OF APPROVED By = CITY HALL FRIDLEY 581$2NUMBER 612-571-3450 910-F15 8/4/99 JOB ADDRESS 505 66th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 6 1 Rice Creek Terrace Plat 2 SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO All Quality Const. 506 Polk Street - 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 MX REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (19 S) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 DWL.G. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1661 $.83 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- $60.10 Fire SC $1.66 TR CTION OR THE ERFOR ANCE OF CONST CTION PLAN CHECK FEE TO/TALE Licens C $5.0,9/.59 S,GNA TU E OF C • RACTOR OAGENT iDATE, HISIT,,! �ROALIOAT S-GNATURE OF OWNER,iF OWNER BUILDER) iOATE. Bl rATE NEW[ ]� ADDN [ l ALTER [ ] Construction Addre Legal Description: Owner Name & Ad Contractor: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Effective 5/10/99 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � C . BUILDING PERMIT APPLICATION � vl� ,4 1 Tel. # P MN LICENSE Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. _ Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. _ �p -F,Ak - Estimated Cost: $ / (0 C0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT•�)��, Tel. #C�-4- / CITY USE ONLY Permit Fee $ �6� Q Fee Schedule on Reverse Side Fire Surcharge $ /, (o .001 of Permit Valuation (1/10th%) State Surcharge $ $.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 $ i 9, . STIPULATIONS: CITY OF FRIDLEY PERMIT NO.: 2004-02120 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 11/18/2004 • (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 505 66 AVE NE R 6 ®7° 5 PIN 143024130017 LEGAL DESC RICE CREEK TERRACE PLAT 2 LOT 6 BLOCK 1 PERMIT TYPE HEATING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES I # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 300 APPLICANT HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK 0.00 35.00 SUPERIOR HEATING AC & ELECTRIC 2132 2 AVE N GAS RANGE FEE 0.00 ANOKA, MN 55303 GAS DRYER FEE 0.00 (763) 422-1721 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT GAS PIPING FEE TOTAL 0.50 10.00 45.50 OWNER LARSON HOWARD B & JOYCE M 505 66TH AVE NE PAID WITH CHECK # 1578 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 provisionso any other state or local law regulating construction or the p Orman a of construction. Applicant Date Bldg Insp a,� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning -All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Total JOB ADDRESS 51>5 � � AVIC, N e __fWC1 I Owner 1, i� r) o I Building Used As ESTIMATED COST �ti �� b() PERMIT NO $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) arm Air) Trade Name C QY ri tr Size No. $25.00 $ BTU U0 i DOO HP EDR Fuel Total Connected Load Commercial/Industrial/Institutional .. 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR Burner Trade Name BTU HP Size No. 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 $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ''. $ ,6o $46.50 *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE HEATING Tel #103'+90, 1-7,)4 Approved by.A Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 including length, elbows and termination. YeSX No( ) specifications sizing, number of The undersigned also verges 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. YesIX No( ) When required to install a new combustion air, it will be sized and installed YesX No ( ) to meet the current codes and manufacturer's specifications. 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. YesV4 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. Y4* No Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type OY-Ud int (L BTU Input uCV1WV Fan Assisted or Nat Appliance #2 Type BTU Input T Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances T Total Btu Input — Common Vent Type V 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: W b -e l� C 1'�t Lt Signed By: Date : o