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it • 0 City of Fridley, Munn. BUILDING PERMIT N° 4203 Date: SUMMER 99 1959 Owner: ..................................................... -...... .......... ....... _............ -.................... Builder _ANDREW E HOHN Address ....._............._......... ___. _. _. _. _. _. Address 1000 Lincoln Terrace N. E. Minneapolis, Minnesota LOCATION OF BUILDING No.......... ................. street ....._...........66th Way...No..._E* ....... .................... Part of Lot ..... _.................. ____ _.............................. Lot ....._.14 ...................... Block ....-----..........---/�....................... Addition or Sub -Division .....-.. EdgMtOZ-QATAend..................... ......... ...... Corner Lot .................................... Inside Lot............Z...................... Setback ............... 5........... t ....... Sideyard ....._............I. .... -............. -............. ............ SewerElevation ................................................. ._........... .......................................... Foundation Elevation ................................... .............. .............. -............. _............. ... DESCRIPTION OF BUILDING To be Used as: _Dwelling..........-----...... Front ....._.� .1-.. Depth ...._2S_16" Height ..._19_x.....- sq. Ft. l s. -_.. Cu. Ft. 2Q,0.49 _G- age ............................... Front ......_lg....... Depth ...._22 t....... Height .... lo.t....... Sq. Ft......3..96.... Cu. Ft.......3s.96P Type of Construction .............. I Bme......................... Est. Cost......... 14,9 61....... ......... To be Completed ----- ----------- ................................. 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. C�� � ) �+(--d--t" `' In consideration of the payment of a fee of $.24..00 ............... permit is hereby granted to ..... _.............. ............. - ...................... ... ... ....... _.__......... ...................................... 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 of any of the provisions of said ordinances. i / Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 0 City of Fridley 14 Application for Plumbing and Gas F'i�tting Porn* Dept. of Bldgs. Phone SO 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ...................... x $1.50 ��TTOT��AyyLL� $ 12 x 1.20 Y F New Fixture Old Opening .............. 8� �n Catch Basin ............................ x 3.25 w Z `aa • WATER HTR. ...... x $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.5o �� Additionaj Fixtures .................... 0 S <�Z s 3 0°d 04n (90 R N GAS ELEC. iii ea� w 3� o u u v +� Base 1st v Y v Z. - 2nd 2nd 3rd — 4th • Future Connection Openings I Connected with Sewer [� New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ...................... x $1.50 ��TTOT��AyyLL� $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ 2.00 Water Heater (Up to 200,000 BTU) ...... x $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.5o Additionaj Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code 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 applicatiof} are true and correct. Owner �zz-j' Kind of Building Used as✓y"r To be completed about Estimated Cost, $ Old—N&f.-Building Permit No ` Permit No. 1/7 / 9 Signe ROUGH SEP 2 8 1959 FINAL Description .... ............................................ $— TOTAL FEE $, J� d2 2M 7-59 Business Phone No 19 City of Fridley Applicadion for Plug and G= R"bg Panum Dept. of Ridge. Phone MD -3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Base 2nd 3rd 4th • Future Comecdon Openings * Now Fixture, Old Openings PARTIAL RATE SCHEDULE PLUMBING FIBTU RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $-- New _New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) ... , x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water heater .............. x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures . _]�_ x $2,00 $ 2.00 Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU.. . x $5.00 install (1) gas grill 3.00 REPAIRS & ALTERATIONS --Rotor to Coda Description ....................... , .................... i TOTAL FEE $ 5-00 City of Fridley: 53-84-S915.51 The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn May 12, 1972 18. Owner - V+1=e Laver Kind of Building fMe Used as residence To be completed aboutMay 17, 1972 Estimated Cost, $ Old-3Vew. Building Permit No. Permit No. 67c,151 Sign,/d Z. By MIPIHEaAseeBusiness Phone Phone No ROUGH FINAL � Ma uV Surcharge .50¢ sueJEcr PER City of Fridley 218 71 AT THE TOP OF THE TWINS C--- BUILDING PERMIT i � RECEIPT _ COMMUNITY DEVELOPMENT DIV. Tr PROTECTIVE INSPECTION SEC. q� 9 lL7 CITY HALL FRIDLEY 55432 BER REV DATE PAGE OF APPROVED BY j 612-571-3450 rUM91 0-F15 5/25/93 JOB ADDRESS 81 66th Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 4 Edgewater Gardens, SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark/Karen Hyland 81 66th. Way NE 574-7464 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Holtan Kitchens & Remodeling 5026 Morgan Ave S, Mpls 929-9688 4777 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 C_j ADDITION Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 81.x 81 Deck and Interior Alterations to kitchen, dining room & family room 9 CHANGE OF USE FROM TO STIPULATIONS See notations. on plan, Before digging call for all utility locations 454-0002 REQUIRED BY LAW SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS, 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 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 I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $211850 $10,9.3 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $225,0.0. Fire SC $21,85 STRUCTION OR THE PERFORM CE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $262.78 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) W EN PR PE VA ID TE HIS IS YOUR PERMIT Z6 =rte OG INSP DATE SIGNATURE OF OWNERUF OWNER BUILDERI IDATEI NEW [ l ADDN [ ] ALTER[ ] Construction Address: Legal Description: Effective 1/1/93 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Owner Name & Address: 101AAK efA/b 9415,� 6� Glfrjb - Tel. # S7f - 701 Contractor: & t-7'A-�J A4 Z&naA&uA✓-�-- MN LICENSE # 4777. Address: FOA (v Tel. # ?Xf- f k fe 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. FL DECD AREA: Length 8Width 1?. Hgt/Ground 7 r Sq. Ft. T OTHER: z1he s o R- 4% t�/l- O df. riv Kl rrtf601/, ANA4 AM 4N.1b F*n nM. Corner Lot [ ] Inside Lot [ j Ft. Yd Setback Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Side Yard Setbacks Estimated Cost: $ . 0 Z /, (Cost on Back) Ft x $ = $ DATE: Zo T3 APPLICANT: Tel. # CITY USE ONLY r Permit Fee $ 2 2 3 t 00 Fee Schedule on Reverse Side Fire Surcharge $ / , __� 001 of Permit Valuation (1/10th%) State Surcharge $ �',� $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ 600 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not . Necessary [ ] TOTAL STIPULATIONS: P INDUSTRIAL COMMERCIAL CITY LOTS TOPOGRAPHICAL LAKESHORE IPLATTING Andrew Ho 176-106-42 N.C. H©IUM ASSOOI-AUS r1 ,zic CERTIFICATE OF'SURVEY Lana Swvtym 7101 I34h AVE. $0. i MINNEAPOLIS 23MINN. UN ion a.aM Hohn Shopping Ceptor West Main. Stree- - Anoka,:.:fnes t1 HArrison 1-63 0 `J 1 P• I.hereby certify that.this is a true and correct plat of a survey of Lot 14., Block 4, EDGEWATER GARDENS, Anoka County, Minnesota As surveyed by me this 4th day of August, 1959 A.D. N.C. HOIUM and ASSOCIA7S. , Inc. --- % CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR :atr sFloor Gas ��:T rHeater . ... nal i3':.S ower .••a a Drain . -washer �. RangeStonies Gas Eiec Basement Floor . Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4A0 $ 5.00 . $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I% of Value of Fixture or Appliance State Surcharge 50 JOB ADDRESS /f/ ME �7 riil %i The undersigned hereby makes application for a permit forthe 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. .1993 Owner Building Used As. cry V Estimated Cost NO. PLUMBING COMPANY SIGNED BY TEL N0. Sa —lo 17e Approved By Rough—In Date Final Date J MINIMUM' FEE 'FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ /� 5 � PLUS THE $.50 STATE SURCHARGE i CITY OF FRIDLEY INSPLUTION DIV. 6,431 University Ave NE a � Fridley, MN 55432 1 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer 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*" �_ $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL JOB ADDRESS i 4 .24e 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. aJ-:�. 3 / , 20 �e Owner Building Used As ":' Estimated Cos. PERMIT NO. /1 y r Cost PLUMBING COMPANY SIGNED Approved ByL , l/ Rough -In Date be -'o -* C -3a TEL NO. YA3<1 —L _ Final Dat mRm r ic Q -2n nRL) COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE 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 manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. 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 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 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 in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date: 1jA'-'W CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 October 17, 2001 Mr. Mark Hyland 8166 Way NE Fridley, MN 55432 Re: Final Inspection at 8166 Way NE Contractor: R A Johnson & Son Dear Mr. Hyland: A plumbing permit was issued on October 25, 2000 to install a water heater at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Plumbing Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection, or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DAVE Building DJ/mh