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PRE 2010 DOCSCity of Fridley SUBJECT r?15i55- AT THE TOP OF THE TWINS P, -BUILDING PERMIT, r _•_•__� COMMUNITY DEVELOPMENT DIV. r . PROTECTIVE INSPECTION SEC. r , 0--1 CITY HALL FRIDLEY 55432 L"•'� ,'J 612-560-3450 RECEIPT NO. � S NUMBER 910-F15 REV, DATE 4/30/79 PAGE OF APPROVED BY JOB ADDRESS 390 - 67th Avenue N.E. 1 LEGAL DESCR. LOT NO. 5 BLOCK 5 TR ACT OR ADDITION SEE ATTACHED Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Grant Olson 390 - 67th. Avenue N.E. 571-7138 3 CONTRACTOR MAILADDRESS 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 j] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof structure 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be second but not third roof. Install ridged galvanized valleys. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF AO PERMIT $500 $.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- STR CTION R THE:VPERFQRMAN E OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTALFEE B ' ���-��+�------ $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) T WHEN PROPERLY VALIDATEDIS IS YOUR PERMIT r BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY , APPLICATI01'� FOR RESIDE NTIAL BUILDING PERMITS (NEIN, ALTERATIONS, ADDITIONS,' OR REPAIRS) OWNER: � �� �' � BUILDER: Address: _ �� Address: Tel. No.: No.: cl ! O Street: `® �'� �� 10-0 F LOT: BL06K: ADDITION: 7JM-1 MOwWmAM CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ ,' 1-7e, '!b Be Completed: Q!:5 / — / Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict 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. See reverse siae�for,as]ditional in ozMation. DATE: ` C� - 7 SIGNATURE: Stipulations: 11 SUBJECT City of Fridley - 5 31 AT THE TOP OF THE TWINS BUILDING PERMIT _ i � • _____ COMMUNITY DEVELOPMENT DIV. i L - r PROTECT IVE INSPECTION SEC. 4/J 1 � 1 � I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j, 612-571-3450 910-F15 10/26/79 JOB ADDRESS 390 - 67th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. rj 5 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Grant Olson 390 - 67th Avenue N.E. 571-7138 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK 3 Id 9 CHANGEOFUSEFROM TO STIPULATIONS provide a hard surface driveway. SEPERATE PERi1�lIT43 REQUIRED FOR WIRING,, t'\•\FING, PLUMBING AND SIGNS. V, A1; Before digging all GAS Eallocal T�yELryEP�i01�Eq��+ LAW �� 13Y 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 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 $1,200 + $6,026 $3.56 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- $37.80 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $$ $41.36 SIGN RE OFCONTR To N IZEDAGENT (DATE) � WHEN PROPERLY Vgle}p ED T YOUR PERMIT /7 BLDG WSP ATE I NATURE OF OWN EA IIFO ER BUILDERI IDATEI OWNER: s ADDRESS: TEL NO: -STREET NO: LOT: �J CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) , x �2 BUILDER: , ADDRESS: 7O TEL NO: STREE BLOCK: Construction Location Corner Lot: Inside Lot: Setback: Sideyards: 9 Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: go Depth: Height: Square.Feet: Cubic Feet: / fue�__ Front: ` Depth: Height: Square - Feet: Cubic Feet: �C) C � Type of Construction: Com/ Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict 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 applic DATE:a — SIGNATURE: Stipulations: q t, �Aaa e �, YS URBAN Main Office 571-6085 6875 Highway No. 65 N.E. N a t N s s RING Minneapolis, Minnesota 55432 tac. South Office 890.6510 (1ud & Munk+pal Engineering • .Sod Testing • Land Surveying •Land Plavung 1101 Cliff Road Burnsville, Minnesota 55337 Certificate of Survey for 40^' rJT" Cj0J4Vgp rJ 40-1-11-0, . A -j ori ego tj.v. c� —7'5.v PLe.-r —115. U iM$Ay_ C� N /` � � 1 • h -r • h Nl'r46,1�7tt O nI hxW 11 6 5• L)T1NTY EAtiEM*P&r t 1� � •�� M F Ab.. 'BS.t� �PbAT 0. 00000T6+7 ► for MW?jV"6WT X24-m'w V- 025r ' r & OflPTIA L-,p'f ;5, tje,--we...►c fees is ar. -r�1Qtep'�40 fl?.X-;ofeurvey ��,,-�a�o. LdVrTY) I hereby certify that this is a orae and correct representatiof the boundaries of the above described land, and of the location of all buildings, thereon, able antras ants, if any, from or an sold land. As surveyed by me this!=day of itib • susuit lingin �,' Surveyors A1 b� l ' SUBJECT City of Fridley 2 84 91 AT THE TOP OF THE TWINS BUILDING PERMIT (-RECS"'TV0. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE i A ; ;'� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L --_. J` 612-571-3450 910-F15 11/2/98 JOB ADDRESS 390 67th Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 5 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Grant Olson 571-7138 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Erick Kallerup Constr. 7400 1st Ave S Richfield 55423 798-1647 7591 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 9R REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroof house and garage (28 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 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WQRK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2399 $1.20 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION 74.75 FinSC $2.40 PLAN CHECK FEE TO L FEE Lice 5 3.35 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT f, IOAT I ENRO BLDG INSP JF VALI THIS IS YOY P5YMIT DATE S-GNATURE OF OWNER,1F OWNER BURDERi 'DATE' 011 NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION -N ConstructionAddress: �h Legal Description: Effective 1/1/98 Owner Name & Address:; / A� 21S (f Tel. # �5 7 l — ?l Contractor:I CJ4 A'i ' G v �(� J� � �r�' /' �� MN LICENSE # 75- Address: 7 % � /y -r X vC , - Tel. # '-7" y * — 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: K r' Sq. Ft. Sq. Ft. Sq. Ft. S/"W= Construction Type: _ G n �' UZ %� Estimated Cost: $ ` (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 1/0a A�' APPLICANT: Tel. #701 Permit Fee $ • %L Fire Surcharge $ �O State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 October 17, 2001 Mr. Grant Olson 390 67 Avenue NE Fridley, MN 55432 Re: Final Inspection at 390 67 Avenue NE Contractor: Blaine Heating AC Electric Inc. Dear Mr. Olson: A mechanical permit was issued on June 13, 2000 to install an air conditioner at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work 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 Mechanical 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. DJ/mh 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 .. JOB ADDRESS 39 0 RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace 1 $ 30.00 $ (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning - All Sizes $ 25.00 $ Zc'_-� To All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ . Commercial/Industrial 1.25% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $2&_12 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47,00/Hr *Air Conditioners can not be placed in a side yard without written permission from :adjoining property owner. Effective On January 1, 2000 Aw OWNERS -T e✓ BUILDING USED A$ ESTIMATED COST PER IT NO. i 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 Size No. BTU HP EDR F� 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 HEATING COA(AiliE 9�4—(o Signed TEL #An —1-` Approved Rough -In Date Final 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 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 installina 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 : Building MECHANICAL Permit N Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY ' eMAP 2 8-2ngg DATE LZ t9 0 6 YOUR E-MAIL ADDRESS SITE ADDRESS ® 62±k-7 L1 THIS APPLICANT IS: ❑ OWNER keCONTRACTOR PROPERTY NAME: -M X �af, ��lCITY –O STATEei�LIP�Z ADDRESS: 329 6 �` �� NNS TO PHONE: CONTRACTOR COMPANY NAME: CONTACT PERSON: HEAT!.'O 8 C000NG rJV0 MAIC' SUBMIT A COPY OF �u Co. YOUR STATE STATE LICENSE # v -J�� LICENSE WrFH V.. ADDRESS: (7644=677—PITY STATE ZIP APPLICATION PHONE FAX PERK UT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK RITR-A C7 r,4 i2 JJ A CS V PER MS 1613.665 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) ��V�- Equipment Installed MFG: �7MODEL: -3`; 0 A AV 03C & O SIZE/BTU (o�— MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 $35.00 FURNACE $35.00 —GAS UNIT HTR $10.00 _BOILER LINER $10.00 DRYER $10.00 POOL HEATER $35.00 _CHIMNEY _GAS DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 171-50"a—M-11-71 Wp NOWN Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $_Z THIS IS AN APPLICATION FOR A PERMITNOT 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 a City of Fridley and with the Minnesota-Construction Codes; that I understand this is not a permit but only an applicati fora rt and wor is not to start without a permit; that the work will be in accordance with the approved plan in the case of w w r quires e i and approval of plans. SIGNATURE OF APPLICANT PRINT NAME 0-60f lboV FLAk DATE 3b-L �!g �(._ t E s ..: TPEI!vIlT,SN ARF UII�EDtBL 151I*i�:E.L+,OWEN City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 r. A V. 7c7 [nn An77 =1