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PRE 2010 DOCSCity of Fridley17 SUBJECT 7 2 6 AT THE TOP OF THE TWINS BUILDING PERMIT r REC O. r ;------; COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 = 1 1--'S CITY HALL FRIDLEY 55432 %j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/19/84 JOB ADDRESS 1472 - 66th- Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 Creekridge SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Chris Luwther 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rodney Billman, Inc. 151 Silver Lake Road, New Brighton, MN 55112 633-0536 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. Same 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 55R6111 x 38' Dwelling and Garage SEPERATE PERMITS REQUIRED FOR WIRINS. 9 CHANGEOFUSEFROM HFATINGTOPLUMBIW% ANn OIGNS. STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey before capping. $1500.00 Park Fee paid by Brickner Builders- uildersSEWER SEWERLOCATION: "Y" 50" South of Manhole "Y" Elevation: 884.91 Minimum Footing Elev: 887.91 W ������ WATER IN SAME TRENCH @�� call local utilitfo Before digging - GAS E TELEPHONE -ELECTRIC 0.3 CITY OF FRIDLEY ODES NOT GUARANTEE e N& i' 1t p L � �� L� --,1:OF UTILITY LOCATIONS AND ELEVAtlotw � r � 4HIS OAIA IS FOR INFORMATION PURPOSES ONLY AND mR3C-,N.) USING r Swmw VERIFY THi wokJ11A iow to THE 51h 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 10 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 $114,450 $57,23 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $470.50 Credit From SCh001 TR CTIO R THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE $117.63 $645.36 IGNATUREOFF—CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY LI DATED THIS IS YOUR PERMIT i v �✓�-r��� ' i ��' l;✓4e BLDG )NSP DA S NATUR F OWNER IIF OWNER BUI ERI IDATEI ri 1 d NEW [�JJ City of Fridley Effective 4/1/84 ADDN. [ ] R-1 MR R-2 ALTER. [ ] Building Permit Application Construction Address: I ? 2_ 660 1"0'`� ~ Legal Description: " ;1- j- z&<e_-k "-7 -- Owner Name & Address: e w':t Tel. # Contractor: r��7 /`,'��/y�22� a(/;� 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 A, 3 >.3 LIVING AREA: Length -Q--4. Width VMW Height � Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot] Ft. Yd. Setback Side Yard Setback A0�"'�' Type of Construction: ? shy Estimated Cost: $� Approx. Completion Date: 9 5;-J Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: _- $ $ See Back Page for Explanation DATE: — APPLICANT: P Tel. 0_6 3 —_XeZ CITY USE ONLY Permit Fee $ e""p'5o Fee Schedule on Reverse Side Plan Check $ 17.(A 25$ of Building Permit Fee State Surcharge $ :5-0.23 $.50/$1,000 Valuation �p 6`' /��d� D SAC Charge $ Onrzo, t Fum R.�. $425 Per SAC U `d Park Fee $ ee Determined by Engineering Sewer Main Charge $ .— Agreement Necessary [ ]Not Necessary [ J TOTAL $ STIPULATIONS: y Effective Aug. 1. 1981 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct York, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Can Range Gas Dryer RATE TOTAL $ 20.00 S•O'D $ 10.00 S 16. S10.00 $ $ 10.00 $ e Air Conditioning (all sisesi $ 10.00 $ le, av All Others/Repair• and Alterations, It of Value of Appliance or Mork / S CONNERCIAL/INDUSTRIAL It of Value of Appliance or pork State Surcharge TOTAL SEE Reinspection Fee (515.00) Rough Inap. Date Final Inep. e-- ate Approval for Permit MINIMUM FEE ron ANY HEATING PERMIT IS $10.00 PLUS $.SO STATE SURCHARGE Job Address / / /2, '—ZL2 � a� Departmnt of Buildingsb 6411 University Ave. N.E.. Fridley. MN SS432 City of Fridley Tel. 1571-3450 The undersigned hereby naked 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. OWNER KIND or BUILDING USED AS �v $ TO BE COMPLETED AM" / 2 y r� ESTIMATED COST OLD .UILDIMG PERMIT MD. PSI841T 00. S �/ S DESCRIPTION OF FUMACE/BUIINER Attach stack verification fors with replacment furnace permits *Air Conditioners can not km- placed in side yard without written permission frac adjoining neighbor. HEATING or POWEERPLA,NT-S& Steen. Mot Nater.t• Air No. —/ Trade Name 1�v Ywd { Size No. Allye A Capacity V Sq. Ft. EDR STU 16 CaL�7 H* Total Connected toad Kind of Mel ` BURNER - Trade Name Site No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. �� D-rs HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION IVIINNFAPOLIS. Weatherstrips A.S.KVZConstruction No. Insulation GuideWindows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied if ea= Imo Yeo 19 Is Fl.1 X= Room I Length / U Width b Height Fl.) Room I Length I I Width Height X Windows and Doors—Crackage and Area W Height No. of Lineal f - Area or No. or pane of pane lights of crack sq. ft. % I Infiltration p Glass re Exp. wall Net e --p. wall D Iut. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl.1 A Fd 11 . Room I Length Width Wm ws and Doors--Crackage and Area Width Height No. of Lineal ft. Ares No. of pane of pane lights of crack q. ft. IC"Ll Btu Infiltration I L Btu Btu Glass Exp. wall Net exp. wall / lat. wall Ceiling i Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I 7-FLI 7M; Rnetn Illnath f-. Widtl—HHeiah� Windows and Doors—Crackage and Area �- - Width Height No. of Lineal IL Area No. of pane of pane lights of crack sq. ft. 14 Coef. Btu IC"Ll Btu Infiltration I L Glass p Glass Exp. wall / 0 / Exp. wall JIL lesf Int. wall Net exp. wan 17(o ' I u / (r Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. urs. WA. Leader area Windows and Doors—Crackage and Area �- - Width Height No. of Lineal IL Area No. - of pane of pane lights of crack q. it. 2 ,6 Coef. Btu Coef. Btu Infiltration I L Glass p Glass Exp. wall / 0 Exp. wall JIL lesf Int. wall Net exp. wall 44, 1-0 � Int. wall Ceiling Q Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Z FU Mac411 ARoom I Length *11-I Width HeiaLt 7 Windows and Doors—Crackage and Area �- - Width Height- No*o Lineal ft. Area No. of pane of pane lights of crack q. ft. 2 ,6 Coef. Btu Coef. to Infiltration L/ Y Glass & 0 Glass Exp. wall -A /fee Exp. wall JIL PH Int. wall Net exp. wallD Ceiling Floor Int. wall Ceiling 0 Floor Total Btu. �Ln Required sq. ft. E.D.R. or sq. itis. W.A. Leader area Fl_ Rmtn I Ilnath I 'ice• Width o V Height Windows and Doom—Crackage and Area Width Height No. of Linin it. Area No. of pane of pane lights of crack q. tt. 71 (41 Coef. Btu Infiltration 3. Glass 171 5(Y � is Exp. wall -A Net exp. wall JIL 10 1 lip Int. wall Ceiling Floor f Total Btu. Required sq. ft. ED.R. or sq. ins. WA. Leader area 9, 11om#0 Ddb a HEAT LOSS CALCULATIONS Weatherstrips, A.SJLV.L Guide WindowsI Doon Reference es— o YY—moo—Il 19— i M1 A2dWj i➢6 Rnnrn lanath DEPARTMENT OF INSPECTION NvM Construction No. Insulation Out. Wap I lat. Wall I Ceding I Roof I Floor Kind How 0 Width I& Height Windows and rs—Crackage and Area a No. W1111% Height No. of Lineal t Area of pane of pane Ilgbte of crack,.sq. ft. Pg (v(aQ /L Coef. Btu Infiltration Glass / Exp. wall to 0 Net exp. wall C Coef. Btu _ Infiltration Glass b Glass 13 e Exp. wall 14 I Net a :p. wall Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor O Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 7 w tv v_. F1.1 w i--6tRnom lsnath A Width 110 Height T Windows and Doors—Crackage an Area f -I- Height Width Height No. of Lineal ft. Area No. of Dane of pane lights of enck cep. It. Width Height No. of ,Lineal M Ana No. off pane of pane lights of crack Ga. ft. Width Height No. of Lineal ft. Area No. of pa{n/e of pane lights of crack W. fl. y Coef. Btu Infiltration Glass / Exp. wall to 0 Net exp. wall C 10 -2015 Int. wall Glass b Ceiling 33ac Floor 03(010 I Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 kite, h Room I Length ya Width f -I- Height Windows and Doors--Crackage and Ana Width Height No. of ,Lineal M Ana No. off pane of pane lights of crack Ga. ft. Width Height No. of Lineal ft. Area No. of pa{n/e of pane lights of crack W. fl. y M 0, 3 ti Coef. Btu Infiltration 1) 11 bo Glass b B 33ac Exp. wall A001 I Exp. wall Net exp. wall �'?,� Int. wall Net exp. wall Ceiling /D Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area I Fl.I f jo1-PV Room i Length sl Width V Height Windows and Doors—Crackage and Area �+► _ s Width Height No. of ,Lineal M Ana No. off pane of pane lights of crack Ga. ft. / .3' 0" G� r if—or Coef.1 Btu Infiltration 1p % 0 Glass Q /000 Exp. wall Z,qo �'?,� ,Lv 6 0 Net exp. wall '! /D `ZQ o Int. wall Ceiling Floor C 6 41 1 Z 2 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Fl.I / r if rmos Room I Lenath 14 Width It Heialit 4 Windows and rs--Crackage and Area �+► _ s Width Height • No. or Lineal ft. Area No. of pane ofpanelights of crack cep. tG V 0 Coef.1 &a Infiltration/ & Coef. Btu Class Q 1 y . Exp. wall Z,qo �'?,� ,Lv 6 0 Net ev. wall '! /D `ZQ o Int. wall Ceiling Floor aC/ =� I1 4 Total Btu. Required sq. ft. E.D.R. or sq. ins. YA Leader area 177_I Ara i V R..l lrnath /lav Width It/Height Windows and Doon—Crackage and Area N width Height No. of Lineal ft. Area of paceo! ns lights of crack sp. tt Coef. Btu Infiltration Q 1 Glace �'?,� ,Lv 6 0 Exp. wall Net exp. wall Z 10 1-106 Int. wall Ceiling _ Floor JU 0 I1 4 ITotal Btu. Required sq. ft. E.D.R. or sq. ius.. WA. Leader area CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Hear 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 NO. _ (P ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance RATE $ 5.00 S 3.50 S 1.50 S 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 S 5.00 $ 10.00 $ 10.00 Rainepection Fee $ State Surcharge ($15.00) TOTAL PEE TOTAL $ _Ko>co S S .50 Ettective Aug. i, i`Jbi Job Address r (® C9 ems_ 1,ACy-- 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 \\Fridley, Mn. 10 X� , 19 1 OWNER/ �L . e✓` /® ro C -0r1-5-S-T -C— KIND LKIND OF BUILDING 2- S-70 _ �A- 4 USED AS !� -i f® , - f A iv— P� TO BE COMPLETED ABOUT ® �/ Ss - ESTIMATED aESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed ey Tel. No. % -1 ROUGH INSP. Date FINAL INSP. l l il—eLe> Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE m Water Fpmp a gyp' a yto M a w Heater 54 �c u m O Ya al C .MCi 0 O ai yym p�q� a0i pm t� leC H U b 00 N i W N W U 10 3 l7 (7 O s � r lotf+a- 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 Hear 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 NO. _ (P ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance RATE $ 5.00 S 3.50 S 1.50 S 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 S 5.00 $ 10.00 $ 10.00 Rainepection Fee $ State Surcharge ($15.00) TOTAL PEE TOTAL $ _Ko>co S S .50 Ettective Aug. i, i`Jbi Job Address r (® C9 ems_ 1,ACy-- 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 \\Fridley, Mn. 10 X� , 19 1 OWNER/ �L . e✓` /® ro C -0r1-5-S-T -C— KIND LKIND OF BUILDING 2- S-70 _ �A- 4 USED AS !� -i f® , - f A iv— P� TO BE COMPLETED ABOUT ® �/ Ss - ESTIMATED aESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed ey Tel. No. % -1 ROUGH INSP. Date FINAL INSP. l l il—eLe> Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE CIVIC CENTER • 6431 UNIVERSITY AVE. N.E., FRIDLEY, MINNESOTA 55432 • PHONE (812) 571-3450 February 11, 1985 Mr. John Bogucki Rodney Billman, Inc. 151 Silver Lake Road New Brighton, MN 55112 Re: Verifying Surveys for New House Construction Dear Mr. Bogucki: In checking our files it was noted that we have not recejA*'ed verifying surveys for 445 - 63rd Avenue N.E., 475 - 63rd Avenue N.E., and 1472 - 66th Avenue N.E. We would appreciate your getting copies of these surveys into our office as soon as possible. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh O CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY. MINNESOTA 55432 • PHONE 1612) 571-3450 February 15, 1985 Rodney Billman Inc. 151 Silver Lake Road New Brighton, MN 55112 Re: Final Inspection at 1472 - 66th Avenue N.E., Fridley Dear Sirs: A final inspection was made on February 13, 1985 of the above -address and the following items were noted which must be completed before the structure can be f inaled out: 1. Provide sod in the front and side yards by June 1, 1985. 2. Provide the City with a copy of the verifying survey by March 1, 1985. 3. Provide house numbers on the structure by March 1, 1985. We will expect the above items to be completed by the scheduled dates when reinspections will be made to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, CLARK Chief Building Official DGC/mh d L.L1. z SURVE:'O111 LANG SURVi:Y1NG SuHGPVisiGN DasiGN TBLaPNONu 771•45645 085 Jff5816 ST. ST. PAUL. miNN. 55101 I hereby certify that this survey was prepared by me and that l am a duly Registered Land Surveyor under the laws of the State of Minnesota. Recd. No. 9051 Oate o Indicates iron monument placed . scales 1" = 30, Int 5, Block 2, CREr' MDGE, Anoka County, Minnesota. F 1t 9 SUv T* 0 0 Q� P r nr , P -o oTt nl & r. L ro. P ?7, C// (9 4. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Water: Stories Closet Urinal Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Bear Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** I $10.00 ° Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. JOV.7_1 11998 Owner (fq 2iS 57 7oZ i' j 1 3 Building Used As 14 °'" 'ic Estimated Cost �s9"0 d PERMIT NO. G PLUMBING COMPANY Reinspection Fee $42.00/Hr SIGNED BY/l��c� ��-2 TEL N0. Sia -0Pv°Zd ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5°le of Value of Fixture or Appliance a e � v � Approved By Rough -in Date Final Date 4eq State Surcharge MINIMUM FEE OR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ jo.SO PLUS THE $ 50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE a -A. MINIMUM SIZE 9 SO INCHES. susJEtr PERMI City of Fridley2 Z. 907 9 AT THE TOP OF THE TWINS BUILDING PERMIT i L Q' • COMMUNITY DEVELOPMENT DIV. i ------, fr� PROTECTIVE INSPECTION SEC. r /�� �; I - � NUMBEiI REV DATE PAGE OF APPROVED BY I i--.1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 3/25/99 JOB ADDRESS 1472 66 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 & 5A 2 1 Creekrid a Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Chris Lawther 1472 66 Avenue NE 572-1493 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Town & Country Roof894-9365 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20091282 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION OK REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage 37 S Tar -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 VVITHIN 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 $3,170 $1.58 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. $87.25 Fir SC $3.17 STRUCTION OR THE PERFORMANCE OF ONSTRUCTION Id PLAN CHECK FEETOTAL KA 't'A y5 Lice s S $ .00 SiG N// ATURE OF CON'RACTOR OR 4UTMORiZED AGENT I AiEi ENWPAdL OUR ERM v LOGAN" MATE S-GNATURE OF OWNEROF OWNER BUILDER, iDA?E. CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 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 Pipin (Needed with new furnace, ut not replac rent) Gas Range Gas Dryer T1 *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, 2002 JOB ADDRESS lZn� CCA J N E OWNER___4q & Ay S6r) TOTALi f BUILDING USED AS o 1os, �N ce ESTIMATED COST 9700'06 PERMIT NO. $ /0.00 DESCRIPTION OF FURNACE AND OR BURNER $ No. of HeatingUnits Circle One (Steam) �� ( ) (Hot Water) (Warm Air) $ Trade Name G>keicjr� Size No. QUI 70 BTU '30,000 HP EDR $ Fuel NG Total Connected Load 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 �S representations stated in this application are true and correct. DATE P` IR HEATING CO �/ �� /�/FS��C)E dhri �;i6E)14f Ccrj�10r Signed TEL # _d��� FAX # Approved By Rough -In Date Final Date aJ �a THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT VENT CONNFCTOR AND COMRIIRTION AIR V RIFT CATION When r _ la _ing an exit ing 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 manufacturer's specifications. Yes( ) No( ) When required to install a new comhustagn a04 it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a n _w v _n ing 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 #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: Mar -19-99 11:24A P_15 NEW [ ] Effective 1/1/98 A 1 SDN [ ] CITY OF FRIDLEY rp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 14/1,1 6(0 -6LAU-;-�, N -z-. � 1 Legal Description: t" pl--V a Owner Name & Address: C` (~ �' Tel. # /� 3 Contractor Ml N LICENSE # 0 -1- �/ oZ �. Address: / U . S %t{V Tel. # 7 `7� " 9 �Sr 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: v l cJG,� Construction Type: t` - -3�— Estimated Cost: $�?a, 466 STIPULATIONS: (Fee Schedule 6n Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: C APPLICANT: aLoTel. # 3 ig CITY USE_ ONLY Permit Fee $.0 Fee Schedule on Reverse Side Fire Surcharge $ . l .001 of Permit Valuation (1/10th%) State Surcharge $ X, $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ ��'af> $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: