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PRE 2010 DOCSCity of Fridley, Minn. BUR DING PERMIT 10.b -'M37 —f -4K Date .V... ... . Owner ....................................... Address ....................................... r 3552 10 Builder !'.�"� . rW ..' ci /' ........... Address... ��....................................... . �. R. ATION OF BUILDING /% No. .. !. � �.. Street ... . f.. ....-�7/1..... Part of Lot ......... ... ......... . Lot ........ B1ock ................. Addition or Sub -Division ..A Corner Lot ........'.... Inside Lot ............. Setback � ff� � Sideyard .�� 'a. ............... .. DESCRIPTION OF BUILDING To Used s • { ,�/ �,, -* _� • . ff cc t _ �f ; . Front .!. �. Depth !?4.Height Sq. Ft. /�+i�... 1. �rQL Ft. aC..�i OQJ Front ........ Depth ........ Heigh�t/ ... Sq. Ft. ........ Cu. Ft. ........ Type of Construction ................... Est. Cost. /.."`` . To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed 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$.:1./ ...... 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: This permit does not cover the construction, Installation or alteration for wiring, jiliot �nggas eating, sewer or watery Be sure to see the Building Inspector for separate permits for these items. Application for Power Plants and Heating, Coaling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM Alii Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $Z 2.00 $ 5.00 $ 5.00 $ 2.50 $ 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. IDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR Hot Water .................. 2.50 $ OIL BURNER to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE 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. L�jJ JUb Fricjley, Minn._ , 195— ..I . . _•1 195- 195— To be completed about '�17' 3 1 1959 Estimated Cost, $®' ew uilding Permit No. DESCRIPTION OF WORK HEATING Warm Air—No- ,Z Trade Name Size No-1������ Capacity Sq. Ft. E.D.R �d -*'®d BTU H.P. Total Connected LoadKind of FUe BURNER — Trade Name1C�,��>��� Size Capacity Sq. Ft. EM --214' BTU H.P. GEO. SEDGWi K HTG. & AIR-COND. CO 1001 Xenia Av. S. Minneapolis 16, Minn. Sign 11 POST IM -8-58 Business Phon No *City of Fridley, Minn. * BUILDING PERMIT N® 4152 Date: . Owner: ..................... .... -............. ---_-----------•--------- ------- ------ ------ ----- --------------------- Builder ............. - ------ - ..... __ _ ...._ Address Address .'TION OF BUI ING No.........l...... ... Street .... -.._C._............_............. Part of Lot ............ i... _.......... �..... Block ...............�--.... Addition or Sub -Division ......................_..._............ ......... Lot .......... . Corner Lot .................................... Inside Lot ............... __ ........... Setback ............................................. Sideyard Sewer Elevation ................................... .............. _............... ...................................... Foundation Elevation .................. DESCRIPTION OF BUILDING To be Us as: 1 " p e� ............ Front �-��-.......`�Depth'�..�"� Height A4�......f.�. Sq. Ft......Cu. F't...�Pl......T ......................................................... Front .. ------.............. Depth ........................ Height .................... Sq. Ft. . -- ............... Cu. Ft........................ Type of Construction ..................... ..... ................................ Est. Cost....1. ... _`- ' 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. In consideration of the payment of a fee of $1...�� ......... 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. Ar _ A 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. `Y' APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name YLU., Builder LOCATION OF BUILDING No. 9, C) Street &!z T_� au& Past of Lot Lot ,%a� Block Addition or Sub.Div. y Corner Lot Inside Lot__)�,_Set Back_ 3 Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location: Q/ `��A-0(-- DESCRIPTION OF BUMS)ING X v To be used as: Z2 �0_ Front o? 02. Depth Height Sq. Ft.Cu. Ft.8�� ' Front Depth Height Sq. Ft. Cu. Ft. t Type of Construction Estimated Cost I'_ Lf0 U "0 To be,completed U_I 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 representa- tions stated in this application are true and correct. A DATE r1_LXC 13 - SS SIGNATURE _N L VA"WA—cl V� (A Schedule of Fee costs can be found on the Reverse Side.) f s MINDER ENGINEERING CO.JNCe ENGINEERS AND SURVEYORS LANG SURVEYING SOILS TESTING CIVIL MUNICIPAL ENOINEECi1N0 LAND PLANNING 6418-SG'rw AVENUE N. MINNEAPOLIS 27, MINN. KE 7- SG37 of �r. I 714 F �i D5 `I v, M f r Iran LOT (S, C;,;G<. WE HEREBY CERTIFY THAT T1415 IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DE5CRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, ANO ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. MINDER ENGINEERING CO., INC. DATED THIS ONYOF L26-tcbrr A•0•1'5lb E13411JLER$ AND SURVEYORS by City of Fridley, Minn.. BUILDING PERMIT • Date: JULY 270 1965 Owner: GORDON ROACH Builder Address Address No. 720 Street Lot Block Corner Lot Inside Lot Sewer Elevation To be Used as: SWENSON, INC. , y / 7s— N® 8271 5462 Jackson St. I= NEW BRIGHTON, MI RNESOTA LOCATION OF BUILDING 67th Avenue N. E. part of Lot Addition or Sub -Division _ Setback ____ Sideyard - Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Construction Fat. Cost �$-7, 000,.-00 To be Completed • REBUILD AFTER STORM L� In consideration of the issuance to me of a permit to c the proposed work in accordance with the description above ordinances of the city of Fridley. I agree to do provisions of In consideration of the payment of a fee of $ 10.00&dhls�agents, is hereby granted to SWENSON, INC. to construct the building or additcribed above. This permit is granted upon the express condition that the person to whom it is granted 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, Minnesotalocation, construction, alteration, maintenance, repair and moving of building$ within the city limiia �d this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ALLEN G. JENSEN Building Inspector NOTICE: Uls permb don not corer the comdrucdon, b laWan for wkhte, plumbing, gas heating, sewer or wrier. Be sure to see the Building h opmor for separate pwm8s for than Items. APPLICATION FOR BUILDING PERMIT �71 CITY OF FRIDLEY, MINNESOTA OWNER'S N �� �� ; d Y` BUILDER ADDRESS ADDRESS LOCATION OF BUILDING N0. STREET �� � A Y t-�( of 1-0 8 PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION 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 s=0 L- 9-� Fron Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft../ Type of Construction Estimated Cos?� " To be completed 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. DATE_' '7 SIGNATURE (Schedule of Fee Costs can be found on th Reverse Side). ,a µ 9'} C® SUBJECT PERMIT NO. City of Fridley 15 3 6 AT THE TOP OF THE TWINS BUILDING P E R M I T i � `L ______ COMMUNITY DEVELOPMENT DIV. r PROTECTVE INSPECTION SEC. /y � �1 ` CITY HALL FRIDLEY 55432 NUMBER OF APPROVED BY , -__•� �����;,� 612-571-3450 910-F15 77TA/TE27PAGE /7/ / JOB ADDRESS 720 r- 67th Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 1 1 Brookview Terrace SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE James Kosse 720 -67th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dav-ko Home Improvement 1325 42nd Avenue N.E., Col. Hgts. 788-5850 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Regpidential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reside house and add trim 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REWIRED FOR WIRM" HEAT)hrl PLUMBING AN4 -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 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 $4,680 $2.34 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $30� 00 STRU 10 OR THE PERFORMAN OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE A $32.34 . SIGNATUREOFC NTRACTOR ORAUTHORIZEDAGENT V IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 8 SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI V BLDG INSP f1AT CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: ` ADDRESS: 12-0 - i TEL NO: STREET NO: LOT: BUILDER: Dat"01, ie'a h4tm t - k14 ADDRESS: L 2S i/ -Z L A-4- TEL -4_TEL NO: lPof ^ S-8So Construction Location STREET: BLOCK: ADDITION: 16/ r",� /j AA.&.= Corner Lot: Inside Lot: A Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO14 OF CONSTRUCTION Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Ct` Estimated Cost: $ 14 e v' To Be Oompleted: 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 a true and correct. DATE: ! SIGNATURE: 4A� Stipulations: 0 SUBJECT PER City of Fridley 5741 15. AT THE TOP OF THE TWINS B U I L DING PERMIT r � RE EIPT `COMMUNITY DEVELOPMENT DIV. 1 L -____ INSPECTION SEC. �J �7 PROTECTIVE 'CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE 15/23/807 OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 720 - 67th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 5 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James/Peggy Kosse 720 - 67th Avenue N.E. 571-5165 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 Res idential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 14' x 18' Deck onto Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS le EQv WARNMIS N�ggncall lcar mj�stNONiELECTRIC GAS Eft gtv REQUIRE© BY LAW 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 I 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 $58l $.5O 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE A Al $@. 00 SIGNA U REOF CONTRACTORORAUJi1_ IZED AGENT (DATE) WHEN ROPERLY V LI T H IS YOUR PERMIT P f1ATE SIGNATURE Pf WNEJIF OWN' B ILDERI IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) a OWNER: q C — 16 j 55e, BUILDER: a ADDRESS: ��` �% �� ADDRESS: TEL N0: TEL NO: Construction Location STREET NO: STREET: LOT: `D/ BLOCK: ADDITION: ' �' oz y ew- e V Q C (a - Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION t Front: Depth: Height: Square.Feet_ Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: Estimated Cost: $ J /• Zb 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 applicationsare�true and correct DATE: �' - If 0 SIGNATURE: Stipulations: oif'-V/ I?. Z.ro F, �04 M CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 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 72 C, 7� `��' g� RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $_,J0, Cf that all the facts and representations stated in this application are true and correct. ,19 Gas Piping (Needed with new furnace) $ 10.00 $ , C ' OWNER 1-k- �n Gas Range $10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ — ESTIMATED COST i C's ; C`! PERMIT NO. *Air Conditioning - All Sizes $10.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) No. Heating Units Circle One Water) (W�mAir 1 % of Value of Appliance or Work $ of (Steam) (Hot Trade Name - Size No. 3,"' ' Commercial/industrial BTU Z' 6" 0G-C) ` HP EDR 1 % of Value of Appliance or Work $ Fueld �, :� Total Connected Load State Surcharge $ .50_ Burner Trade Name Size No. BTU r-swe __ - EDR TOTAL FEE 410 WEST LAKE STREET I104N:APOLM, U4 BU03-ZNS PHONE&2+nn HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed By Tel No. PLUS THE $.50 STATE SURCHARGE GG�� Approved By� Rough-In Date Final Date REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACKSIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 4 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: y HEATING COMPANY signed By Date Yes ( ) No ( ) RESIDENTIAL LOAD CALCULATION Purchaser fej j M 14 „ 0- Sales Rep 10LIM Date l.► - I S - 3 Address tM 07 W -, L1 * kd' Aff Sq Ft gross wall Running walls below grade: x (Ft wall Ht)= below qrade 30 Sq Ft windows and doors below grade - V et wall below rade 00 Ql�_ - 11451 � Sq Ft gross wall Running walls above grade: x (Ft wall Ht)- above arade(lst floor) (1st Floor) Sq Ft gross wall Running walls above grade: x (Ft wall Ht)= above rade 2nd floor (2nd Floor) ISq Ft gross wall Total gross Sq Ft - above arade Sq Ft windows and doors above grade _®u et wall above !! grade Windows & Doors Sq Ft x SD HTM = /0 oBTUH Inf.(w&d x 1.3) ®Sq Ft x 3 s HTM = d� BTUH Net wall below grade ® Sq Ft x L HTM = O BTUH Net wall above HTM = 115 grade V� Sq Ft x� -' J ©BTUH Exposed Ceiling /DSV Sq Ft x ® HTM = ®BTUH Exposed Floor Sq Ft x ® HTM BTUH TU TOTAL Windows & Doors Sp Ceilings & Floors 8 3o , - yS �%Lw no � Y� 410 W. LAKE ST. 1072 PAYN E AVE. MINNEAPOLIS, MN 55408-2998 ST. PAUL, MN 55101-3892 612/824-2656 EATING AND AIR CONDITIONING CO 612/772-2449 'Serving The TSvin Cities Since 1930' ORSAT TEST RECORD ADDRESS ?® % � Ug 1,7yt CITY llf - OCCUPANT' , ef � OWNER DATE HTG. INST. .® 7-0--�3' INSTALLED BY -- GAS LINE BY h- TYPE OF HEAT: GA FAHW STEAM SPACE HTR. UNIT HTR. OTHER 7 AS DESIGN MAKE 'S) -o. / MAKE MODEL jJr-® Afi LQ VOA 04 4 ,d-- 4k b= MODEL Me A SERIAL I N P U T CONVERSION OF BURNER MAKE OF TING #a/ CONTROLS.-�'�" THERMOSTAT,, HEAT PLUG ,°s 4 VENT SIZE ego' VALVE,;',! p�� ��� KIND OF LINER SIZE?- NONE LIMITS a 6f//71 DRAFT HOOD <i REGULATOR S A�t�,r,Fu o/ LIMIT SETTING CHIMNEY CONSTRUCTION -FAN SETTING DRAFT TEST TAG ®,�� e,s <A,r`� � k` --PILOT TYPELIGHTING INST. ® �7 IC -a -f do-�O?'A PILOT MAKE PILOT MODEL PILOT TIMING ®,,-1 5 PRESSURE °S PERCENT CO2 DATE TESTED Z L o INPUT CFHG%'� PERCENT 02 STACK TEMP. PERCENT CO NAME OF TESTER r1 �- sueJEcr MIT NO. City of Fridley 25 741 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. / `^ r PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 12/22/97 JOB ADDRESS 720 - 67th Avenue 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 5 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim/Peggy Kosse 720 67 Ave NE 571-5165 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Western Remodelers Inc 2520 W Larpenteur, St Paul, MN 55113 645-1411 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 Ck REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer's specifications state wrap is not required. 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES VERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER EC FIED MER R NOT. THE GRANTING OF A PERMIT $8,000 $4.00 DOES N E ME TO GIVE UT ORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISI OF AN OTH R PATI OR LOCAL LAW REGULATING CON- Fire $8.00 STRUCT O THE E 61E OF CONSTRUCTION. $137.25 17 kAh%r- I ? z PLAN CHECK FEE Li TOT F $ $154.25 SIGNAT E OF CONT ACTOR O AUTHORIZED AGENT IDATEI N O ALIDAlfWTHIS IS YOUR PERMIT S,GNATURE OF OWNER of OW R BUILDER) (DATE) BLDJFINSP fDATE NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2� BUILDING PERMIT APPLICATIONTA S ConstructionAddress: `77-0 &7:.-;. Avc-7 ME - Legal Description: Owner Name & Address: P6 -66r' KoSSe Tel. # $- 7/ - 5-16'5— Contractor: 7(o5 Contractor: IN.Eg~ 5R4r4 6C- a A L-,- c-9 S --f-7,lC MN LICENSE # Address: 25-2-d Yv 1-4- P4-5 T�v A 5-r- FA-te- Tel. # Attach to this application, a Certificate of Survey of the lot, with the .proposed construction drawn on it to scale. DESCRIPTION OF EVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Estimated Cost: $ 94od Construction Type: j �N G 61d (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: /-I - z z - 9 7 APPLICANT: V Tel. # /0��7" lr� CITY USE ONLY Permit Fee $ ,:f7. Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $, dU $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ , is O $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 $ �✓r�-�'� STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1998 6431 University Ave NE � 9 C� Fridley, MN 55432 �� 3APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES 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** NO. RATE TOTAL JOB ADDRESS -79.0 6 -7 -it P'VZ Ne I Gas Dryer** _ Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE The undersigned hereby makes application for a perm it 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. ►ZJ�I ,1998 Owner ?e 6,c. Y ko S s t Building Used As _ ke 5 i of e -v, c.. Estimated Cost 499 �— PERMIT NO. P M PLUMBING COMPANY -Tiw. 5 Q vet }u► Qi LL_ Mini n N SIGNED BY , TEL N0. 71 - OA 1 y 0 Zd,00 $ .50 Approved By Rough -In Date Final Da MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00/v/l(o/p1 $ Ali• PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. SUBJECT City of Fridley 2 955 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. L/! r PROTECTIVE i A ; ���'�•� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By ---. L J` 612-571-3450 910415 3/24/99 JOB ADDRESS 720 67 Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 5 1 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim/Peggy Kosse 720 67 Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Western Remodelers 2520 W Lar, enteur St Paul MN 55113 (651)645-1411 3847 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 B DESCRIBE WORK Reroof House & Garage (22 Sq) Tear -off; Repair Siding 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. 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 REOUIREO 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 GOVE ING THIS TYPE OF WORK WILL BE COMPLIED $4, 385 $2.19 WITH WHETH S ECIFI HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT P S MET IVE AUT H TY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CMA GE PROVISIONS F NY ER S AT O LOCAL LAW REGULATING CON- $99 75 Fir C $4.38 STRU TION HEP R OR CONSTRUCTION -'����� PLAN CHECK FEE Lice $5. 0 TO7,s111.32 FEE S-GNATUR OF ON'RACTOROA AUT OR,ZEO AGENT ,DATE, EN=0-D T I OUR S.GNATURE OF OWNER OF OWNER B DER, ,DATE, ►' Bl G ,NSP r, tE NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 06 ConstructionAddress: 72-o % 7�t P, P S I � Legal Description: Owner Name & Address: i M r Pe 4 V ,1'4 S S r Tel. # Contractor: w P S-rPR<viA r� oPP lPePs !� C MN LICENSE # 7 Address: 7-Szo 4— 1_A1tPES-7f_vR SQ PPvL CS -105 Tel.# 651-6¢5`/4e// 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 f Width Hgt/Ground Sq. Ft. OTHER: Dn J V pp e DD Construction Type -p R aqU V)Estimated Cost: $ % fU (Fee Schedule on Back) U _ Driveway Curb Cut Width Needed: Ft. + 6 t = Ft x $ _ $ F DATE: 3 -24- 9_f APPLICANT:' Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: S 00 S S 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 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 11 CITY OF FRIDLEY `INSPECTION DIViSION 6431 University.Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTSAND 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 Piping (Needed with -new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning.- All .Sizes All Others/Repairs & .Alterations (LIST ON BACK) 117o of Value of Appliance or.Work Commercial/Industrial 1.2517o of Value of Appliance or Work Rate ITOTAL $ 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. OWN Effective Or January 1, 2001 BUILDING USED AS �S j Csu ESTIMATED COST JAI D PERMIT.NO. 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 $ .50 $ �5 srJ 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 an correct: DATE HEATING CO Signed , EW03-2995 /O Approved By Rough -in Date Final Date BACK SIDE MUST BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION 'AIR VERIFICATION N 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 ( ) _ . r 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 : G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763)'571-3450 - FAX (763) 571-1287 October 17, 2001 Mr. James Kosse 720 67 Avenue NE Fridley, MN 55432 Re: Final Inspection at 720 67 Avenue NE Contractor: Standard Heating & Air Conditioning Dear Mr. Kosse: A mechanical permit was issued on August 17, 2001 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 C!"11'OF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 (763) 571-3450 • FAX (763) 571-1287 • TTDfM (763) 572-3534 December 15, 2005 Mr. James Kosse 720 67th Ave Fridley, Mn 55432 Dear Property Owner. PW05-070 This summer, dirt material was placed without an approved Land Alteration Permit! on the properties of 710 and 720 67h Avenue and adjacent to 6568 Clover Place. I am sending this notice to all three properties as property lines weren't clearly identified. City Code requires the property owner to get a Land Alteration Permit' and submit a grading plan to place dirt material. At that time, we also review changes in the drainage pattem. Since the ground is now froze, the dirt material must be removed after the ground thaws. I would also recommend that you monitor the drainage and prevent flooding of adjacent properties during the spring melt. If the material is not removed by May 15, 2006, the issue will be turned over to the Code Enforcement office for resolution. Code Enforcement has the authority to write citations and take legal action. In 5 years with the City, 1 have always been able to resolve land disturbance issues with property owners without citations. If you cannot meet the deadline, please call me to discuss the matter at 763-572-3551. Sincerely, Layne Otteson, PE Assistant Public Works Director LO:cz NOV-14-2005 12:27 Building MECHANICAL Inspections RESIDENTIAL APPLICATION 7.63-572-3604 CITY OF FRIDLEY DATE —L, SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNERI TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE YOUR E-MAIL ADDRESS O OWNER )XONTRACTOR PHONE; C® e)S ® /=/__C%� COMPANY NA1NE:1 CONTACT PERSON: STATE. LICENSE if_ PHONE FAM1L"Y C TWO FAMILY TYPE OF WORK: I O NIEW <REPPLACEMENT DETAILED DESCRIPTION OF WORK EXP DATE CITY FAX S-7-212— 0315 p TOWNHOUSE 0 ALMRATIONM EMODEL P. 02/03 Permit No.: — �;u Received B W D� 6 200 ATEA 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. ('Phis should reflect only the cost of labor } Labor cost wader $300 = S15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS W}LERE LABOR EXCEEDS $500, FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT WHERE NOTBD. FDMJR1•S. (IN�DICfJATE TOTAL NUMBER OP EACH BELOW) Pi_ L� MODEL: SIZEBTU Equipment hatalied MFG: too: �y°'� MODEL: SIZEMTU t MFG: MODEL: .,. GAS RANGE/OVEN 510.00 C $25.00 I_FIREPLACE (GAS) SIS.00 AIR TO AIR EXCHANGEER SIS FIRMACE (WOOD) $35,00 NEW GAS GRILL $10.00 _BOILER $35.00 �FUMACE 535.00 —GAS UNIT HIR 510.00 CHMEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00GAS PIPING $10.00 VEMII.ATOR S15.00 _._ �� a �•a..si uw.r e,h+S: 'l iltI ' ' Pu+vbzs Permit Fee $__.— Number of fixtures @ $10.00 x $10.00 = Surcharge 5 _ ,50 Number of fixtures @ $15.00 x $15.00 = $ ,� TOTAL DUE S _ Number of fixtures @ S25.00 x $25.00 = $ Number of fixtures @ $35.00 _J_ x $35.00 = S__21�40 State Surcharge = $ .50 Total 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 40onstruction Codes; that I understand this is not a permit but only an applica ' 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 a wo which r vires review approval of p SIGNATURE OF APPLICANT � RIM NAME DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, NIN 55432