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PRE 2010 DOCSCity of Fridley, Minn.. X BUILDING PERMIT Date: qgOwner: ._. r Builder _...._. _..._.._.._...__._ .____ ._...__.._ _..._ Address .. ' Address _.. ,Lae _. �_vt4-vtg ____..._.._.__..._.._......_ ..C N OF BUILDING No. ......._........ Street _._ _ _---- 3 -......_ ............._..._.._.._ Part of Lo ..... ---...__._..__..._. _..._..... ._ ___. _ Lot ..-.._..._ .._......_...---.. Block ............... ............. Addi n or Sub -Division Corner Lot ... ... :........... ......... Inside Lot .....- ..._........ Setback ..... r ?- -... -....... Sid and .. ••u ............. ---...... Sewer Elevation....._...____..___.......___.._.__......_..._..___..__..._._.__..._ Foundation Elevation DESCRIPTION OF BUILDING To),,ar Used Front!'..:------.. Depth ..._u y !. Height Sq. Ft. Cu. Ft. 11C�onstruction ot......_.,[.. f- Depth ..�.. H 'ght /ISq. Ft. ._ Cu. Ft.Type o ,!.... Est. Cost:. ��,t _ To be Completed .---__.---..__..._..._.._..-------....... CAiJTION �1THORIZE VIOLAT. THIS PERMIT DOE�A TS AND ION of ANY P ,, N i ` Lp,,,;p COVENAN BUILDIIAG 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 all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $.rt`:... ................., permit is hereby granted 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 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 any of the provisions of said ordinances. Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. LOCATION -OF BUILDING. No._ Street�o( Part of Lot Lot 9 Block S_ 4 ion or Sub.Div. o�•o _ mss Corner Lot Inside Lot .Pet Back -Side-Yard SEVIER ELEVATION.FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To'nbe used 'as: N - Front Z Dept1�5��7 C hIeight /3 ua . Ft. Cu. Ft. ZR Front_ Depth 21 Height Type of Construction 4--Cz� Estimated Cost ��.��® -_ ?— To be The undersigned hereby makes application for a permit for the work herein specified.9 agreeing to do all work in strict accordance with tPe City'Ordinances and ruling of the Department of Buildings, and hereby declares,that all the facts and"representa- tions stated in this appllication are true and sect. DATE �� t ', b .�. SIGNATURE' . - - =( h-� - 4- (A Schedule of Fee costs can be found on'the Reverse Side.) � • n LJ Application for Power Punts and Heating. Cooling. Ventilation. ReMpration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duet Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ UMM WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 each add. 60,000 BTU ....................... 2.00 $ _ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR. Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule a+ GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ f , Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE REMARKS: Dept. of Bldgs. Phone SII 4-7470 / �� Location 44F45)6 0/ �/1/ 1 ' 1` Q City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, M9nn _ 19 Owner AND%®,� 195— Kind of Building 195_ Used as To be completed about /n r! -T-y � Estimated Cost, $ slra' �?r Old a wilding Permit No. 7 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Wate armAird-No ATrade Name TELL Ivy h 10 - /� 7`4- /-.(1G1°R `Size No_ � Z%� Capacity Sq. Ft. E.D.R_ ,� � u BTU H.P. Total Connected Load % (9 °eKind of Fuel Z � a BURNER — Trade Name b"Size No Capacity Sq. Ft. E.D.R P a �el BTU H.P. Sign A Rll1 6 RL?P) 0 7- 11 POST IM -12-58 Business Phone No- City of Fridley Application for Plumbing and Chn Fitting Permit DESCRIPTION OF WORK Number. Kind and Location of Fixtures C� 6• tai < Y K Z '10S z WW ? 3tio2 r WATER HTR. gq < d �d 0O F N GAS ELEC. Base 1st 2nd _ 3rd 4th • Future Connection Openings I Connected with Sewer � Now Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RAI Number Fixtures ...................... x $1.50 Future Fixture Opening ................ x 1.20 New Fixture Old Opening .............. x 1.00 Catch Basin ............................ x 3.25 Water Heater (Up to 200,000 BTI) ...... x 2.00 New Ground Run Old Bldg . ............ x 3.25 TOTAL ?00 GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ /`$ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE Dept. of Bldgs. Phone SU 4-7470 City of Fridley: The undersigned hereby .makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicatio are true and correct. Fridley,Min- Owner vim' Kind of Building Used as To be completed about Estimated Cost, $ _ Old New. uilding Permit No. �? °7 Permit No. Signed By Business Phone No ROUGH FINAL -Q11042 2M 7-59 SUBJECT P3 City of Fridley 0 0 51 AT THE TOP Of THE TWINS BUILDING PERMIT `v COMMUNITY DEVELOPMENT DIV. '------ r � � PROTECTIVE INSPECTION SEC. 9 I � 1 1 "1 CITY HALL FRIDLEY 55432 �""�' �'' NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 8/12/99 JOB ADDRESS 80 66th Way NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 5 lEdgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jonathan Arntz 571-2013 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 Ag REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 25 SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 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 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 $83.25 If Fire SC 2.19 PLAN CHECK FEE TOT FEE X6.53 SIGNATURE OF DQN�TQR OR AUTHORIZED AGENT � [DATE, 9G� EN D ��AA �V� QUR T I$ I$�jP,IT NATU O O NEA.I QWNERBERI IDA Ei BlD 'INSP pAtE NEW[ l Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY 06 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 "\ BUILDING PERMIT APPLICATION 0 nn Construction Address: 4a 7`4 Zv,� Owner Name& Address: Tel. # Contractor: MNLICENSE# ,.�.�/'/,� 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: Construction Type: °?I 1'�-e(Ak 6:djgypQ &401¢ce1*,e4 7f Estimated Cost: $ �C�3�✓ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: g 9 APPLICANT: Tel. #/L) S-7 2 Ola TOTAL STIPULATIONS: $ CITY USE ONLY Permit Fee $ . �� r 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 STIPULATIONS: $ CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Effective On January 1, 200( Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS ASO — (o (oT" W� li 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 Rate TOTAL $ 30.00 $ $ 10.00 $-10. 00 $ 10.00 $ $ 10.00 $- $25.00 $25.00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work J::. epl,sCe, „ Commercial/Industrial 1.25% of Value of Appliance or Work 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. OW BUILDING USED AS__ ` Lu --e- 11; K) ce ESTIMATED COST 1�g dS 0 a ' O0 PERMIT NO. 145-yQ DES_ CRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE_ 4--y —0 j River City Sheet Metal, Inc. HEATING CQaa21a Umbird St NA. Signed Coon Rapids, MN 55433 TEL # �w Approved By Rough -In Date Final Date�75 V/ J CITY OF FRIDLEY INSPECTION DIViSION � Effective On January 1, 2002 6.431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING VENTILATION, (763) 572-3604 REFRIGERATION - AND AIR CONDITIONING SYSTEMS ANDDEVICES , n, JOB ADDRESS D� CQ VV RATE SCHEDULE j� kV l ll VLULtW OWNER lJ Residential Rate TOTAL Furnace Shell and Duct Work, Burner -/�-� Also Replacement Furnace 30.00 V BUILDING USED AS_ $ (Side Vent - Fill Out Back) $_�,U r, / ESTI MATED COST �� Y O • � 1�/ PERMIT NO.OQ Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER ` Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No.' BTU HP EDR *Air Conditioning • All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts'and TOTAL FEE representations stated in this application are true and correct. $TE �� q r® MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION FI -RINE HTG. A/0 ELE T, iNC� 1.1562 CENTrZAL A &A VE. HEATING CO ANOKAVE. N.E. REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE , Signed �. �- %.A— TEL #�tY?J REINSPECTION FEE $47.00/Hr FAX # *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date.' written permission from adjoining property owner. THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFNTVFNT GONNFCTOR ANn COMR1ISTION AIR VFRIFIr_ATION When rep a _i g 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 plasticlPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes' No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) The existing cnmbustinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes \ No( ) When required to install a new _omhustinn air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When int alli g a new venting system, the undersigned hereby verges that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes (�?No ( ) Appliance Type and Six _/ _nmmnn Vent and Vent enn _ctor Infermatinn Appliance #1 Type )r AW BTU Input �5,�� Fan Assisted or Nat I �1 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 inType Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type 50 Et-AINE KUL A/C ELECT., . 12562 CENTRAL AVE. N.E. HEATING CO: ANOKA, MN 55304 Signed By: en. Date: • �� r®