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PRE 2010 DOCSTHE ( ACCU THIS AND I VERIF 01 SUBJECT ER O. City of Fridley o 18-353- AT THE TOP OF THE TWINS BUILDING PERMIT _ r RECEI • ___ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � l1 i � /---1CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY ---_� 'j 612-571-3450 910-F15 3/27/86 JOB ADDRESS 1450 - 66th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Creekridge SHEET 2 PROPERTY OWNER MAILADDRES$ ZIP PHONE Jack & Sue Krichen 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Brickner Builders Inc. 6199 ftifiW Place N.E. Fridley 574-9871 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO, 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK VF p M N" Construct a 42' x 36' Dwelling and a 22' x 24' Garage 10T04 uiil+lir TELEPHONE - EEEG I fi iC .1 � 8 CHANGE OF USE FROM TO EQ p I ED3)-' STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey. SEWER LOCATION: "Y" 70' North of Manhole "Y" ELEV: 884.56 TOP OF FOOTING: 887.56 Minimum WATER LOCATION: In same trench as sewer. Paid $1,500.00 Park Fee ITY OF FRIDLEY DOES NOT GUARANTEE THE ACY OF UTILITY LOCATIONS AND ELEVATIONIS. ATA IS FOR INFORMATION PURPOSES Of,,'! -Y, ERSONS USING THIS INFORMATIO-N _&HOULa IT ON THE SITE. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 1346+520 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 $78,800 $39.40 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON- S O THE PERF NCE OF CONSTRUCTION. $370.00 Credit from SC$001 - � f PLAN CHECK FEE TOTALFEE O 92.50 $ 501.90 + PF SIGNATURE OF CO 0 OR AUTHORIZED AGENT IDATEI WH N PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP ATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 01 NEW City of Fridley Effective 4/1/84 ADDN. [ J R-1 AND R-2 j ALTER. [ ] Building Permit Application Construction Address: �/ r 6 6 yr- Legal Description: G+d T I / ♦, L 0Gx L Gle"drX 140 496 Owner Name 6 Address: �%�G,�' -�V ¢ �1 f AJ Tel. # Contractor: 4XI C.eye-oc %.OvG T.e1. #Jr Address: _ �% �! 9 �„�%/� C -IC 100/, ?!qt/bG E% 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. 1�_ GARAGE AREA: Length Width �'�' Height Sq. Ft. DECK AREA: Length Width Hgt/Ground _ Sq. Ft. OTHER: _ Corner Lot [ ] Inside Lot] Ft. Yd. Setback # r' Side Yard Setback 11P '` Type of Construction: Estimated Cost: $i A-7— a�'- Approx. Completion Date: % �6 7 ids goo Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: — $ -MMMM” $ See Back Page for Explanation DATE: �� p" APPLICANT: Tel. # Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL CITY USE ONLY STIPULATIONS: A1'0 P� 4-ee oF Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] A /Szo. no P • •i OWNER I � EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION Le 171/ SITE ADDRESS lyh) - &6 -- CONTRACTOR c °� �' z, �� -� � DATE PHONE T7 � _,9,f 7,' Determine working square footage of each. 1. Total exposed wall area . . . . I Y/ 3 sq. ft. x 2. Total roof/ceiling area /34 sq. ft. x '0,(a 3S/ _ Total exposed wall area above floor a. Total wall window area....,.•..,....; �•� b. Tctal. door area ................................ c. Total sliding glass door area................... d. Total fireplace wall area e. Total •wall • framing area (average 10%) ........... 1�7 f. Total net wall area above floor ................. •g. Total rim joist•area•................0.......... • Total exposed foundation area =y • h. Total foundation window area.... .......... -� i. Total net foundation area above grade........... 7 �• Determine "U" value of each wall segment. S . � X louts s�b. C X "U" _ d X Ilu se _ .01 f• q• X flu 11 ,V L 9. X IOU to 101/- . X foul Ll 39 ........... ...................Total If item #3 on previous page is the same as, or less than item #1,. you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = j. Total skylight area .......................... k. Total roof/ceiling framing area (average 1096) 1. Total net insulated roof/ceiling area......... fDetermine "U" value for each roof/ceiling segment. J. x "U = k' X "U" _ 7 X .,,U" 4..................................Total = If total of #4 above is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. +2. _ 3. +4. - � -4 s Viz'' - • i'S' _ __ __ - -- _l � �� l93 r 23.3-.0 3 2 06'�7 -7 SUBJECT P City of Fridley 18773 AT THE TOP OF THE TWINS BUILDING PERMIT _ r REC . • _____ COMMUNITY DEVELOPMENT DIV. — INSPECTION SEC.�� r PROTECTIVE J CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 12/31/86 JOB ADDRESS 1450 - 66th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 2 Creekridge SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jack Krichen 1450 - 66th Avenue N.E. 574-9596 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 ❑ ADDITION X❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finish.basement bathroom 9 CHANGE OF USE FROM TO STIPULATIONS provide a power vent for bathroom. Use treated bottom plates. SEPARATE PERMITS REQUIRED FOR WRING, HEATING, PLUMBING AND SIGNS. 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 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 1 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 $1, 000/6 $.50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $17.50 PLAN CHECK FEE TOTALFEE 4.38 $22.38 SIGNATURE PrONTRACT OR AUTbfO§OZED AGENT IDATE) WHEN PROPERLY V LIDATED THIS IS YOUR PERMIT Z LOG iNSP TE SiGNATU EOF OW RIIF OWNERBUILDERI IDAT a v 70 O N\ �+ C 9 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ J R-1 AND R-2 I ALTER. [ l Building Permit Application Construction Addri Legal Description Owner Name & Address: a �"� A `11 ` `' -` � "" Contractor: 1� an a. L 4 fr-_ .1--oo Tel. # Address: 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. 1 L d w «w S ts` 41L IC o a OTHER: i` n i' s. =1 Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback is A+a <� Estimated Cost: $ ®� Type of Construction: Approx. Completion Date:�� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ f E lana e%n DATE: / -&-/Z '1 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: See Back Page or xp APPLICANT• Tel.��-9S'�� CITY USE ONLY $ no Fee Schedule on Reverse Side $'1.25% of Building Permit Fee $ $.50/$1,000 Valuation $ $475 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ /v CP 6-0w r CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PEFMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE 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 Heater Gas Range Gas Dryer $ 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 Back Flow Preventer Required} Yes Type � %% //'..f� �%�Y;! S 5.00 TOTAL S �S ALL OTHCRS AND/OR REPAIRS AND ALTERATIONS 1t of Value of Fixture or Appliance $ Reinspection PRe State Surcharge $ .50 S (515.00) TOTAL FEE $ Effective Date May 1. 1988 Job Address sy � ve )'�r- Department of Buildings City of Fridley Tel. #571-3450 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 /1 �j% Fridley, Mn. , 19� OWNER Q w /+A- n< l^ A a /1%1 KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - BUILDING PERMIT NO. PERMIT NO. * /0 Company PAD ► i Signed By Tel. No. y 9 ROUGH INSP. Date FINAL INSP. —� ® l.,4A Date APPROVAL FOR PERMIT (106 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE W N U 0Water H i m m m ue w w w Heater u 5 -+i ow° o v► a� a� u 3 vri w u�3 c3 s lec lilt 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE 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 Heater Gas Range Gas Dryer $ 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 Back Flow Preventer Required} Yes Type � %% //'..f� �%�Y;! S 5.00 TOTAL S �S ALL OTHCRS AND/OR REPAIRS AND ALTERATIONS 1t of Value of Fixture or Appliance $ Reinspection PRe State Surcharge $ .50 S (515.00) TOTAL FEE $ Effective Date May 1. 1988 Job Address sy � ve )'�r- Department of Buildings City of Fridley Tel. #571-3450 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 /1 �j% Fridley, Mn. , 19� OWNER Q w /+A- n< l^ A a /1%1 KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - BUILDING PERMIT NO. PERMIT NO. * /0 Company PAD ► i Signed By Tel. No. y 9 ROUGH INSP. Date FINAL INSP. —� ® l.,4A Date APPROVAL FOR PERMIT (106 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF I-HiDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 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 Gas Piping (Needed with new furnace) GAS F�rN-&plate _—Wsttr- Gas Range Gas Dryer Rate TOTAL $ 20.00 $ $ 10.00 $ 16 &0 $ 10.00 $ $ 10.00 $ "Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ f .5® MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $ 50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. P- 2 ® -Clq ,1991 OWNER CK t� 61 M�e_n BUILDING USED AS d6V611lil ESTIMATED COST PERMIT NO. /1-5-0-3 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 C:ze No. BTU HP EDR BLAINE HTG, A/C $ ELECT. INC. HEATING COMPANY 13562 CENTRAL AVE. VKA' MN d4k�40304 Signed By Tel No. Approved By r Rough -In Date Final Date q FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE SUBJECT PERuT City of Fridley 2 7 716 AT THE TOP OF THE TWINS BUILDING PERMIT r I.R ` COMMUNITY DEVELOPMENT DIV. 1 v PROTECTIVE INSPECTION SEC. '! NUMBER REV DATEPAGE 9/11/98 OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 1450 66th Ave NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 2 Creekridge I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sue Krichen Same 574-9596 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Roofing & Siding 18979 Gladstone Blvd Maple Grove 55311 416-4804 20010277 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 O REMOVE B DESCRIBE WORK Reroof house & garage (32SQ) 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 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) 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 $2,742.00 $1.37 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- $7475 Fire SC $2.74 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEZ Lice a SC $5. $83.86 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT IDATEIENP DP�LIQ�&T�IjS PER �e,,!JSK L IN SP GATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI AUG -29-1998 10:04 FROM CITY OF FRIDLEY TO L44EW [ l ADDN [ ] CrrY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLE7MS R-1 AND R -a BUfmm PERMrT APPLICATION ConstractionAddress: Legal Description: _ Owner Name & Addt 'Ar% . . Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: 4164805 P.01r02 Effective I/l/98 MIL . iii.ip) j) I! �i l 4 Attach to this application, a Certificate of Survey of ha 3t lot, with the proposed construction drawn on it to scale. Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Q'.C'%IEIt: construction Type._RD2LDQ Estiroateed Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft m Ft x $ = $�„ / I c/h DATE: G AJ L APPLICANT:0 is To,, # H i LPL l b t/ TOTAL $ J ' 0 `e STIPULATIONS: CITY USE ONLY Permit Fee $ 7 4 • ` S Fee Schedule on Reverse Side Fire Surcharge $ a7 4 .001 of Permit Valuation (1110th%) State Surcharge $ $.501$1,000 Valuation SAC Charge $ $1000 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 $w Agreement Necessary [ Not Necessary [ ] TOTAL $ J ' 0 `e STIPULATIONS: CITY OF FRIDLLY INSNLU i iON UIV. 6431 University Ave NE Fridley, MN 55432 (763)572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NIIMRFR OF FIXTI IRFR TC) RF iPICTGi i Rn nni Gnru ci nno Eftective On Jan 1, 2UO2 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS(�(t�OrA-,)F New Fixtures $ 7.00 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 Q 21 .20___A Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner —:aw - Water Heater -Electric $ 7.00 Water Heater - Gas** _L $10.00 Building Used As yynQ _ Gas Range** $10.00 Gas Dryer** $10.00 Estimated CostPERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY QcCAjna,t,,�� Reinspection Fee $47.00/Hr SIGNED BY ilii TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS FAX #-1 0�/ 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge .50 TOTAL FEE $_O' b Ist PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE ` I THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON V NT' 'JNT CONNECTOR AND nQMR11RTION AIR V2RIFI ATION When re lacing an pYicting f urant a, 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 of No ( ) The ayisting combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes fl) No( ) When required to install a new cambi ishan air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes (,�(No ( ) When installing a new v _ntingsyc pm, 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( ) a 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. Apnlianr_p / Yes.{/) No ( ) Jypa and 4vp/Cammnn Vant and Vpnt r enn etnr 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 HEATING CO: Signed By: Date SuBjECT P I I City of Fridley 33511 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ______ I v PROTECTIVE INSPECTION SEC. r , NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 763-571-3450 910-F15 5/13/03 JOB ADDRESS 1450 66 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 1 Creekridge SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jack & Susan Krichen 1450 66 Avenue NE 763-574-9596 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improvement 8400 89 Ave N, Brooklyn Park, MN 55445 763-425-2227 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20039258 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 Replace 15 windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. 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 SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $22,204 $11.10 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 PROVISION ANY OTH TE OR LOCAL LAW REGULATING CON- $363.25 Fire SC $22.20 STR N O TME P ORM OF CONSTRUCTION PLAN CHICK FEE ' ice e SC $5.00 TOTAL FEE $401.55 SIGNATURE OFC N'RACTORORAUTHORizEDAGENT iDATE, HEN PROPERLY VALIDATED EJLDJINSP THIS IS Y UR PE MIT r)A f S-GNATURE OF OW NEA OF OWNER BUILDER, IDATE, NEW [ l K. �oZ ��j� Effective 1/1/99 ADDN [ l 5 8 9S = ,: CTl' �(9�) LE f,T D ., ALTER [ ] SINGLE FAMILY AND DUPLEXES R 1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 1�D — CQCo Illi._ Legal Description: Owner Name &Address: d -'S i . K,(` , �n o Tel. # 76r3 -LA 7c,/- 9 S9( ��..� ��m- �'1 Contractor: t1)i n,D L t'tp Ucnre 7irn 9rov relt`aA MN LICENSE # Address: "A quo- Sq�` a x � ►y VL"r t L .v an rl "VIAL (S Tel. # 7(_ - 1.25- .2 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EM PROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �7 00 Construction Type: o(C, n�, OSA cd U)j Estimated Cost: $ o`� �o�y (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $, DATE: 3 APPLICANT: 0AXW' "D Tel. # 7(o3' -/as - gv;L2% CITY USE ONLY y Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control 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 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: SUBJECT�-V-ERMITNO. l City of Fridley 33571 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. V ------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REVDATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F 15 6/3/03 JOB ADDRESS 1450 66 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 1 Creekridge SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jack & Susan Krichen 1450 66 Avenue NE 9 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improvements 8400 89 Ave N Brooklyn Park HN 55445 20039258 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-391-8311 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK a ❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 18' Porch Addition 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WARMING "efore doging call for all utility locations SEPARATE PERMITS 4 D 02 REQUIRED FOR: RE UI B Y LAW WIRINPLUMBIIN6 AND SIGNS 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 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 $3.87 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,745 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. $153.25 Fire SC $7.74 ST ON>I THE PERF C F CONSTRUCTION PLAN CHECK FEE TOTAL FEE Lice se SC $5.00 1 $169.86 SIGNATURE OF C0 ACTOR OR Au H RIZED AGENT IDATEI MEN PROPERLY VALIDATED THIS IS YOR PER IT SIGNATURE OF OWNERIIF OWNER BUILDERI IDATE- D INSD ffAfE NEW [ ] Effective 1/1/99 ADDN [ ] CIW OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2. BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: 2- Sa S �A In X017 �',� Tel. # Contractor: 1n MN LICENSE # �� Address; R�% ��`�' 61f V •��%�2C � ��6''/� Tel. # 71�. - gl- L1T 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: j` ' Length Width Hgt/Ground Sq. Ft. OTHER: �gc C� / ® v Construction Type: L72�) �Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE:APPLICANT: l S Tel. #_b3- L3 �ZIL)14 11 0 l STIPULATIONS: CITY USE ONLY Permit Fee $ A S ;6— Fee Schedule on Reverse Side Fire Surcharge $ �r %�� .001 of Permit Valuation (1/10th%) State Surcharge $ % $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 6.60 $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: MAR -12-2003 13:32 FROM CITY OF FRIDLEY TO 3916360 P.01i01 RONALD F. MEYER '"/-&3 - 391 - 360 LAIM. SURPEYDR tAN iSLi z"P.O SUOOwIMON o6{G1V Fla' 'r MJ PwONt 771.4596 OP.6FjlEffi7K ST. ST. PAUL. MINN. 53I01 I hereby certify that this survey was prepared by -me and that I am a duty Registered Land Surveyor under the laws of the State of Minnesota. Reg. No. 9051 Date:_/i/or. I o l=U0&te8 iron nonce at planed. Sea3.es 1" - 30* Lot 4, Block- 2, SRI=, Anoka Cmmty, lineeota. TOTAL P.01 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 tAX: (763)571-1287 ADDRESS : 1450 66TH AVE NE PIN : 133024130071 LEGAL DESC : CREEKRIDGE : LOT 4 BLOCK 2 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-00914 U911 Q. DATE ISSUED: 06/15/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. # INSPECTIONS 1 APPLICANT KNUDSEN ELECTRIC INC 3044 EDWARD ST N MAPLEWOOD, MN 55109 OWNER KRICHEN JACK P & SUSAN H 1450 66TH AVE NE FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 2070 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 worl 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 SEPARATE PERMITS KEQU1RED FOR WORK OTHERTHAN DESCRIBED ABOVE. Building PLUMBING Permit No.: O'7 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY eRV. -- DATE (C7 • C7 E-MAIL ADDRESS rYOUR SITE ADDRESS lJ'� C'� '7QC THIS APPLICANT IS: ❑ OWNER MCIINTRACTOR PROPERTY NAME:__S 4 Fr �C4r P,.3 OWNER/ ADDRESS: f `t 5Ci - Co� 1`T� CITY C� 1 STATE G'1 IAP 3 TENANT PHONE:(` CONTRACTOR NAME: STATE LICENSE # Y (i�EXP DATE— C� % SUBMIT A COPY OF YOUR STATE /L'_�C " � ADDRESS: / G% - ts9-e./,Je u CITY c STATE 4,'-W� A LICENSE WITH PHONES �� `lT— FAX APPLICATION PERMIT TYPE ,�� MSKG- `' ` LILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ACEMENT/)� y' DETAILED DESCRIPTION OF WORK6ao. 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) BATH SINK/LAV DRAINS SHOWER WATER PIPING _ _FLOOR _ —BATHTUB _ GAS PIPING wlu-n rirrurr:Nci:) _ SWIMMING POOL WATER SOFTNER ($35) _CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METERn OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ THIS 1S 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 re res review and approval of plans. SIGNATURE OF APPLICANT '/r V DATE C1 �' ( 011 �,Q+ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-3604 DATE °J-�- d S sm ADDRESS 1 y co THIS APPLICANT IS: PROPERTY OWNER/ TENANT AHCHANICAL RESIDENTIAL APPLICATION CITY OF FLEY k- A V%' M YOUR E-MAIL ADDRESS 13 OWNER-MCONTRACTOR Permit No.. Received By: Date: n NAME: J4 e -k- K e 1 0-%&,r% ,ADDRESS: 1,4 S ® t 2 E -CITY f- fL i r I st STATE j2�_ZIP S q 31- PHONE: i 63 S-7It- Q S 4- CONTRACTOR I COMPANY r-1LkI-I " Z SUBMIT A COPY OF CONTACT PERSON: C�+ r i s ( to YOUR STATE STATE LICENSE 11 EXP DATE ZINSS 41LICENSE WITH ADDRESS: l �i N G lro (D6t` Ay`• CITY (^ra_tC�� STATEt`9*� ESL APPLICATION PHONE ? L 3-? S q- 1 Q p FAX PERNIIT TYPE TYPE OF WORK: I O NEW FAMILY ❑ TWO FAMILY 56JEPLACEMENT ❑ TOWNHOUSE 0 ALTERATION/REMODEL PETALLED DESCRIPTION OF WORK ll s4► f2� Jat w� r� �A� IP 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 reilect;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 WHERENOTED: FDCT ,RESs (INDICATE TOTAL NUMBER OF EACH BELOW)3-Tb,.� Equipment Installed MFG: {�r ,� -� MODEL: l 87 4rJ A DJ t• SIZE/BTU MFG: a MODEL: 3s 3 CAV QYA_G b� SIZFJBTU SIZMTU 6 07 u o'- • MFG: MODEL: GAS _ 1 A/C $25.00 _FIREPLACE (GAS) $15.00. NEW GAS GRILL N $ 00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD):$35.00 GAs UNIT HTR $10.OD BOILER $35.00 TFURNACE $35.00 CHWgEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING 510.00 VENTIIATOR $15.00 b . 0 0 Number of fixtures @ $10.00 x $10.00 = Permit Fee $ Surcharge $ 0 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ �. Number of fixtures @ $25.00 t x $25.00 $ Number of fixtures @ $35.00 / x $35.00 = $ State Surcharge = $ .50 Total =$eoo..rn 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 Ck n t4 f2t-,A.to PRINT NAME �' r i s i a p�,_DATE S- City of Fridley ]Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 J. REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC NEW HOMESIADDITIONS 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 1FGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cboling 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