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PRE 2010 DOCSs City of Fridley, Minn.. BUILDING PERMIT Date: November 3, 1970 owner: _ Myron Ostlund Builder Erco, Inc . Address 1400 - 66th Avenue N.E. Address 3231 Central 10880 LOCATION OF BUILDING No. 1400 Street 66th Avenue N.E. Part of Lot Lot Pt . of 14 Block Addition or Sub.Division Reyised Auditor's Sub, 10 Corner Lot _ Inside Lot _ X Setback 43 _ _ Sideyard 7_1� Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Basement & Front 22 Depth 45 Height 20 Sq. Ft. 990 Cu. Ft 19800 Garage Front Depth Height _ Sq. Ft. Cu. Ft. Type of Construction _ _ Frg= Fast. Cost MO. 0Q_ _ __ To be Completed 511170 Frost footing required on attached addition. Maintain minimum 18" elevation above street grade. Provide hard surface driveway. 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 :;h of ordinances of the city of Fridley. 2 In consideration of the payment of a fee of $1.00, permit is hereby granted to Erco 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 Igs 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 violation of any of the provisions of said ordinances. 6 s ^ Building Inspector HANK MUH.CH NOTICE This penait does not corer the coestroetioe, hwatiation for wine& pine, Bas htogng, sewer or water. Be euro to see the Building h"Vocter for separate permI- for these items. I- APLICATION FOR RESIDENTIAL, ALTE.ITION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: A6"4 BUILDER. ADDRESS: ADDRESS: -3 i j /' �AF7' NO • . I G U STREET • (' 21 LOT I Gp% BLOCK: ADDITION: �® CORNER LOT: INSIDE LOT:� /\ SETBACK: Y SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. �g ?O BESCRI�PTI/ON OF BUILDING ��, To Be Used As: — - _ t ,tr"�g.�`'*� uta `-""Y.�7 19 Front • Z Depth: Height • Z-40 3,4 Square Feet:- '7"F61 Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: $� To Be Completed: //7 6 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: SIGNATURE: _6��L'40'7 (See Reverse Side For Additional Information.) ? A �1 f' 1 �0 e, l',v Vo 1-9 P gy 19 Vv e lye_ 39 • HARVEY A. CARTWRIGHT Vmwi". ME GEM? O -Z (OL000 ANOKA COUNTY SURVEYS HENNEPIN COUNTY SURVEYS MINNEAPOLIS SURVEYS LAND SURVEYORS 8410 PALM STREET N. W. REGISTERED UNDER LAWS OF STATE OF 1-11NNESOTA SUNSET 4-7655 LICENDED BY ORDINANCE OF CITY OF MINNEAPOLIS OWNER 326 PLYMOUTH BUILDING FEDERAL 8-8721 INDUSTRIAL — JUDICIAL HENNEPIN AT SIXTH - MINNEAPOLIS 3. MINNESOTA BUSINESS — TOPOGRAPHICAL 6urlicpar's CITY LOTS — PLATTING MYRON OSTLUND COMBli-JING THE RECORDS OF J. E. HILL, CIVIL ENGINEER ESTABLISHED logo C. F. SANDHOFF CIVIL ENGINEER ESTABLISHED 1906 JAMES NELSON SURVEYOR ESTABLISHED 1922 METROPOLITAN LAND SURVEYORS. ISTAXIIIIII 11111. 460-- A/o WE HEREBY CERTIFY TH.,%T THIS IS A TrUE AND CORRECT PLAT OF A SURVEY OF THE EAST 83.0 FEET9FRONT AND REAR, OF' LOTS 6 AND 14,REVISED AUDITORS SUBDIVISION NumBER 10, ANOKA COUNTY, MINNESOTA ALSO THE: EAST 83®0 FEE OF OUTLOT A, DENNIS ADD ITION,A,40KA COUNTY9MINNESOTA ACCORDING TO THE RECORDED PLATS THEREOF ON FME AND OF RECORD IN THE OFFICE OF THE REGISTER IF DEEDS,AmOKA COUNTY,�"IINNESOTA AS SURVEYED 13Y US THIs.26TH DAY OF JULYV 1970. 4 SIGNED CAR MIGHT AND OLSOW 6 cj CA 14 COMBli-JING THE RECORDS OF J. E. HILL, CIVIL ENGINEER ESTABLISHED logo C. F. SANDHOFF CIVIL ENGINEER ESTABLISHED 1906 JAMES NELSON SURVEYOR ESTABLISHED 1922 METROPOLITAN LAND SURVEYORS. ISTAXIIIIII 11111. 460-- A/o WE HEREBY CERTIFY TH.,%T THIS IS A TrUE AND CORRECT PLAT OF A SURVEY OF THE EAST 83.0 FEET9FRONT AND REAR, OF' LOTS 6 AND 14,REVISED AUDITORS SUBDIVISION NumBER 10, ANOKA COUNTY, MINNESOTA ALSO THE: EAST 83®0 FEE OF OUTLOT A, DENNIS ADD ITION,A,40KA COUNTY9MINNESOTA ACCORDING TO THE RECORDED PLATS THEREOF ON FME AND OF RECORD IN THE OFFICE OF THE REGISTER IF DEEDS,AmOKA COUNTY,�"IINNESOTA AS SURVEYED 13Y US THIs.26TH DAY OF JULYV 1970. 4 SIGNED CAR MIGHT AND OLSOW 3 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: 4' RATE TOTAL Job Address 1400 -66th .venue NE Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley MECHANICAL WARM AIR: Tel. #571-3450 Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 Replacement of Furnace 7.00 $900- Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ /0, CP (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 ,� $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING FAN HEATING SYSTEMS $ see Fee Schedule VENTILATING SYSTEMS S ALTERATIONS & REPAIRS $ $ State Surcharge $ .50 TOTAL FEE $10 S_Y5 ROUGH INSP. REINSPECTION FEE Date G ($10.00) FINAL INSP. ! ' O d. Date APPROVAL FOR PERMIT ((� a MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 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. Fridley, Minn. 124 , l9aL OWNER Myron 0 st l t ar KIND OF BUILDING frame USED As awe l l ina TO BE COMPLETED ABOUT upon receipt of permit ESTIMATED COST —$2000.00 O.PLD NG NEW BUILDING NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Ait- No. O ne Trade Name Tap1jan Size No.-UR080D14 Capacity 80 , QQQBT [J Sq. Ft. EDR BTU 80, 000 HP 1 f 3 Total Connected Load ex i ,gt i ng Kind of Fuel na t Uma 1_ ''ate _ BURNER - Trade Name' Size No. Capacity Sq. Ft. EDR BTU HP RICHMOND & SONS db Company • % UAI EX e Signed By 14` Tel. No-""." 25-2000 CITY OF FRIDLEY APPLICATION FOR HEATING REPLACEMENT CHIMNEY AND STACK VERIFICATION THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM. LOCATION 14.00 -66th Avenue NE DATE 12/8/80 OWNER Myron Ostlund ADDRESS same The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined yes 2. Is free from rust or deterioration yes 3. No foreign objects are lodged within yes 4. That it is securely supported yes, 5. That it meets all current Code requirements for size and total BTU connected yes 6. Total Heating BTU All Other BTU TOTAL REMARKS _809000 4.0,000(water heater) 120,000 SIGNED ` LicerKee by am— Golden Address ��.„�' Cryatab MN 65 Telephone =11 10151'2m HEATING PERMIT # Fridley City License #�_ CITY OF FRIDLEY INSPECTION DIV, Effective On January 1;1993 6431 Unlversity Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 512-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 1400=66th Avenue N.E. RATE SCHEDLILE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct. ,1993 Gas Piping (Needed with new furnace) $10.00 $ OWNER Rick Kerner Gas Range $10.00 $ BUILDING USED AS Single Family Dwelling Gas Dryer $ 10.00 $ ESTIMATED COST $1800.00 PERMIT NO. r15c *Air Conditioning - All Sizes $10.00 $ • QESCRIPTION OF FURN C�j„ E AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Vie of AppWce or Work $ 18.00 No, of Heating Units . Circle One (Steam) (Hot Water) (Warm Air) _ Trade Name Size No. Commercial/industrial BTU HP EDR 1 % of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE1s 8.50 HEATING COMPANY D.J.'s 4eatine & Aix Conditioning MINIMUM FEE FOR ANY HEATING/COOLINGNENTILA 1 N REFRIGERATION/AIR CONDITIONING PERMIT IS $115.00 11 Signed By eiN 497-2661 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 Approved Rough -in Date Final Dateamlq_ pp B Y �g� *Alr Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY 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 Remarks List Alterations Being Done: Adding Gas Fireplace and gas line to unit. HEATING COMPANY Is Heating & Air Conditioning Signed By Date SGy' City of FridleyC'2 SUBJECT 4 8 1 8 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir �` v ____ COMMUNITY DEVELOPMENT DIV j PROTECTIVE INSPECTION SEC I � NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 12/9/96 JOB ADDRESS 1400 66 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt. 6,14 Auditor's Sub. #10 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Al Erickson 1400 66 Avenue NE 502-0250 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Dwayne Ford Construction 4830 104 Ln NE Blaine MN 55014 784-7263 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 ElALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X❑ 8 DESCRIBE WORK Construct a 14' x 12' Three Season Porch 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,337 $2.17 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- Fire SC $4.34 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $99.75 PLAN CHECK FEE TOTAL FEE 19 �mw - L ense SC "City" $106.26 SIGNATL OF CONTRA ,TOR ORA THORIZED AGENT (DATEI WHEN PROPERLY V DATED THIS IS YOUR PERMIT BLD ' 'NSP )ATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMELY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: ; Hoo 66"4, Legal Description: Owner Name & Address: L [ (' 1 C V 5o A Tel. # Contractor: u) MN LICENSE # P jl v1cA Address: / N /VZ , ��/,�-r��r° �SC�`� Tel. # 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 IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. S Cin eofc h/ Y - 9 x yam,, it Comer Lot [ ] Inside Lot Ft. Yd Setback Side Yard Setbacks Type of Construction: k ck) PC) Estimated Cost: $ a ; (300 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: - - APPLICANT: Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ y .001 of Permit Valuation (1/10th%) State Surcharge $�_ $.50/$1,000 Valuation SAC Charge $ $900 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 [ ] e TOTAL $ ,ZG STIPULATIONS: � V SUBJECT PERMLT_FO: --- City of Fridley 5 7 0 3 AT THE TOP OF THE TWINS BUILDING PERMIT � RE NO. I ' ______ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. -- r E i ...I CITY HALL FRIDLEY 55432 i A. NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 11/25/97 JOB ADDRESS 1400 66 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 & 14 Auditor's Subdivision 410 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Al Erickson 1400 66 Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dwayne Ford Jr Const 4830 104 Ln, Blaine, MN 55014 784-7263 20093308 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 24' x 14' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WAMMI Before digging 0111* all utility lota om 454- I REQUIRED BY LAW PARI VTM. I re REQUIR'FD FOR 1tIR1I1GG, HEA I i°��;, PLUMBING AND SIGNS, SEPARATE PERMITS ARE REOUIRED 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 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 $3,013 $1.51 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- Fire SC $3.01 STRUCTION OR THE PER ANCE OF CONSTRUCTION $87.25 ,P/ -�"�2 PLAN CHECK FEE License SC $5.00 TOTAL FEE $96.77 S16NA1yKOft'5NTFACTI5ROrUTHORIZEDAGENT IDATEI HEN PROPERLY VALI ED THIS IS YOUR PERMIT /CAe BLDG I ATE SIGNATURE OF OWNER, IF OWNM BUILDERI IDATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION V �� ConstructionAddress: lqo b � 6Ty Aug Legal Description: Owner Name & Address: Tel. # Contractor: OW R!� to ti F o r A 1(- MN LICENSE # -�Gy l 3 30 Address: 14 -30'j V IO Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width 14-1 Hgt/Ground ,2 Sq. Ft. OTHER: Construction Type: DE C ' Estimated Cost: $ 3UG p 3, iZ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: l - q APPLICANT: QYq'1 �, 4 �7o r Tel. # 1? -X07 6 3 CITY USE ONLY Permit Fee $ 7 Z Fee Schedule on Reverse Side Fire Surcharge $ '3. .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ e . �v $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: iy J 4 CY qls� 1 0 4— CY I. SUBJECT%WRMIT NO. ` City of Fridley 29595 AT THE TOP OF THE TWINS BUILDING PERMIT R PT NO. I COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 33 6® r PROTECTIVE 1 � i 1 "'1 CITY HALL FRIDLEY 55432 NUMBERREV DATE PAGE OF APPROVED BY 612-571-3450 910415 6/2/99 JOB ADDRESS 1400 66th Avenue NE 1 LEGAL LOT NO & 14 I BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. V.11;R0 I Aud. Sub- 410 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alan Erickson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Roy Dalbec & Son Roofing 4224 Dight Ave S Mpls 55406 884-2751 5164 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 X8 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (25 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 OCCUPANCYLOAD 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 1 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 2185 $1.09 DOES NOT PRESUME TO G AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR VISIONS OF A ir R L ALLAW REGULATING COW T UCTI E P F A O NSTRUCTION 83.25 Fixe SC [l 2.19 �y ^ PLAN CHECK F E T AL FEES SIGNATUAE OFC N'F+ACTOp OR AUTHORIZED AGE NT(!a/ THIS IS Y UPPER10 OWNER BWLOEQI jOATEi S,GNATUaEOFOWNER. OIF OA1E NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY C� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION (f`(01 Construction Address: Legal Description: Owner Name & Address: �% �/ Z . e /,/—t S O Z7 Tel. # Contractor: A�� .�-4 �! aC J® 2 422&'Z-- 5 MN LICENSE Address: qv�t/-- 2—z'�z% tel/, S® — Lng15s .SSqoTel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground_ Sq. Ft. OTHER:- e 5~Sy Construction Type: 00Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: G ( APPLICANT: , . �� Tel. # TOTAL STIPULATIONS: $ , S3 CITY USE ONLY Permit Fee $ -1'2� Fee Schedule on Reverse Side Fire Surcharge $ a. .001 of Permit Valuation (1/10th%) State Surcharge $ 1,C)9 $.50/$1,00 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 6--00 $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: $ , S3 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 y.25%, of Value of Appliance or Work JOB AD X 0 0 6( - Effective On January 1, 2000 t'4'9" a9 �17 OWNERLs 9'B� Rate TOTAL BUILDING USED $ 30.00 $ ESTIMATED COSTS®- PERMIT N0. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ s -� Fuel Total Connected Load 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. 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and orrect DATE HEATING CO 410 AAW - , WX Signed TEL # Approved By Rough -In Date Final Date o?S 60 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 manufacturers 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 manufacturers 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 manufacturers 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 it 'u, Type Appliance #2 Vent Connector Height ft Length ft Diameter irf" T. pe -� , .. . Appliance #3 Vent Connector Height ft Length ft Diameter MI. ,pe ALTERATIONS: (Describe) HEATING CO: Signed By: Date : • e- CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 August 9, 2000 Allan Erickson 1400 66" Ave NE Fridley, MN 55432 Re: Final Inspection at 1400 66th Ave NE Contractor: Standard Heating and Air Conditioning Co. Dear Mr. Erickson: A mechanical permit was issued on May 23, 2000 for the property located at 1400 66th Ave NE for an air conditioning unit. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical system. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, :NSEN Inspector