Loading...
PRE 2010 DOCSCity of Fridley, Minn. N° 9835 • BUILDING PERMIT Date: July, 19, 1968 • owner: H a n g e r t Builder S E T -a 1.d -no Address Address 6114 S t i n s nn LOCATION OF BUILDING No. 3 ; __ _—.. Street 67th tea; N E v _ _ Part of Lot Lot— 4 _.__ Block 2 _ Addition or Sub -Division ewatrClarde_nS Corner Lot—X.__.._.__ Inside Lot --- Setback Sideyard —_ 1 7 1 x 51 Sewer Elevation 8 2 3.6 0 __.__ Foundation Elevation _ 8 2 5 .16 DESCRIPTION OF BUILDING To be Used as: P G 1d 8 n r P Front 3 I _ Depth Height 20—..._. Sq. Ft.1 D. nO_ _ Cu. Ft. 2n.n2 0 A t t a r b e d garage Front _2 0 _ Depth _ 2; 2_...__ Height 10 _ _ sq. Ft.44 D cu. Ft ._._44.80 Type of Construction Est Cost1$ ,..5 Q ___ To be Completed y fall Sewer location on Rice Creek Way 791 N of Sewer Manhole Water Location 901 N. of Svwer Manhole In consideration of the issuance to me of a permit to construct the build g d cribed above I agree to do the proposed work in accordance with the description above set forth and co ante with provisions of ordinano� of the city of Fridley. In consideration 4 %U"t0oi a%Oe of $ 7, 7 0 0 , permit is hereby granted to Tempi 1 in 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 buil within the city limits and this permit may be revoked at any time upon violation of any of the provisions of d ordinances. Building Iter C'4�C- NOTICE: Ibis permit doer not cover the construction, hutalhdion for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for them hems. 3 -� r- 6 � �e 4'� It C. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MIIMESOTA OWNER'SZ BUILDER ADDRESS ADDRESS_� _ LOCATION OF BUILDING N0. 36 STREET LOT BLOCK ^�,— ; , .4DDIT �1, OR. SUBDIVIS ION CORTMR .LOT_I�?$IDE LOT ST$ACKV�;^SIDE$AIdD - — SXWER ETZVAT.ION :TIP OF FOOTING Applicant attach to.this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. D4Mn. �F .• BUILDING To Be Used As: Front 6/ Depth_' Height _ Squnke; feet�ti�,t Feet ,a a r,Fo :Depth ', Height. Square feet C2 Cubic Feet ' Type of,:Pons4.4-Xuc4Aon • ; ' y Estimated Cost10 . To Be The undersigned hereby ma'kgs.-application;,for a permit for the work herein specified, agreeing to do all work in strict accorda4ce with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declar b:t ,all the facts. and re,presentar*41§¢ , tated . in. this application are tr e d correct. DATE?ule ��_SIGNATURE i (Scheo Fee Costs can be found on a Reverse Side). n U N Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices y PARTIAL RATE SCHEDULE Dept. of Bldgs Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECIL 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. EDR 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 GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ 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 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ r b d ROUGH FINAL Location 35 67th Way N. E. 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, Minn 3' f j , 19 4' Owner SAm Templin Conatr. Kind of Building frame Used as To be completed about Estimated Cost, $_ - 817.00 / Old ' 1�T Building Permit No. ("� S3 5� Permit No. Alz 2 z DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Trade Name AFCO Size No GB1104--OHD Capacity Sq. Ft. E.D.R �t BTU H.P. Total Connected Load 4 0, 3 8 2 Kind of Fuei N at • G a s BURNER —Trade Name AF'CO Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signed Mill City Heating Co. .OeW <2 Business Phone No 544-1501 City of Fridley Application for Plumbing and Gas Ming Permit x Dept. of Bldgs. Phone 560-3450 -4 DESCRIPTION OF WORK Number, Kind and Location of Fixtures pp 01 !nz go Oudl 0U' Ute' Z • P • N WATER HTR. GAS ELEC. 3 j �� 3 3� c� <? u < �°j �� �p to Base ( -A- Llat 'at 2nd 3rd _ 4th • Future Connection Openings I Connected with Seweg-1111 New Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $200 $ ® • 00 Future Fixture Opening ................ x $1.50 $ 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 a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ......b Co— Additional .................. x $2.00 Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................................... ...........$ TOTAL FEE "1310 90 City of Fridley: 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 trues and correct. Fridley, Minn— A�j Owner • �� A ®L 1 l�/ Kind of Building Used as z To be completed about 3 r Estimated Cost, $ � z ts-wo Q 2 Old ew uilding Permit No �U 3 � Permit No. Signed��%NW 1JI4.w) �IKa SCJ By LA-00IC24ag� — Business Phone No- e ROUGH FINAL CITY OF FRIDLEY APPLICATION FOR PLUMBING, AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE W New Fixtures _ >. m Future Fixtures Frog $ 3.50 u yB Old Opening, New Fixture x w a $ Water S 4.00 M Blow off Basin _ $ 5.00 N FG m A $ Rain Water Leader W W $ Hydraulic Valve Heater S 5.00 4) top $ 5.00 $ Water Treating Appliance , $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range �_ $ 10.00 $ S910 j Gas Dryer v $ Back Flow Preventer Required. . . Yes ( ) No ( ) � $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance u State Surcharge - Reinspection Fee $ A al U � 3 � � U o as lec W al oa 3t 44 P-41 U, ca 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (') m New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures _ $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser S 4.00 S Blow off Basin _ $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve S 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range �_ $ 10.00 $ S910 j Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance S (� State Surcharge $ .50 Reinspection Fee $ ($15.00) TOTAL FEE $ 1A Effective Date May 1, 1988 Job Address � 2— (--\\MJF— 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. — , 191 P KIND OF BUILDING USED AS ,Z— -0-rj TO BE COMPLETED ABOUT ESTIMATED COST S G O G OLD - NEW BUILDING PERMIT NO. PER%J .JUdy 1CJ{D 7r� Minnegasco #342-5326 Company 700 W. Linden Avenue OX 1165 Signed By Minneapolis,MIN554403— ROUGH INSP. Date �Ter. FINAL INSP. Vzz Date APPROVAL FOR PERMIT 1P11@IMGA3C0 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT PE City of Fridley 20883 AT THE TOP OF THE TWINS BUILDING PERMIT i, EIP 11. COMMUNITY DEVELOPMENT DIV. / / r PROTECTIVE INSPECTION SEC. �� CITY HALL FRIDLEY 55432 NUMBER REV. PAGE OF APPROVED BY � J 612-571-3450 910-F15 IDATEATE 6/18/91 JOB ADDRESS 35 - 67th Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Robinson 35 - 67th. Way NE 572-1078 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central;,Avenue NE 784-7543 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 XO ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 161 x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for all utility locations 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS 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 $1,450 $ .73 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- $35.00 Fire SC $1.45 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $37.18 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHE PROP LY I AT THIS IS YOUR PERMIT INSP DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEST [ ] ADEN [ ] AMM [ ] legal Description: R-1 AND R-2 Building Permit Application - AIA kv, Effective 8/16/90 Owner Name & Address: Ti k'1 go b e h So t7 Tel. # d - /0 1 g Contractor: '00 �o m -f- z m p ec"e n+ Tel . # -7 ? Add-Nwe - Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. IPTICT OF II7Vd.N�TP LTV= AREA: length Width Height Sq. Ft. QNMM AREA: length Width Height Sq. Ft. EECK AREA: Length Width Hgt/Ground Sq. Ft. 07MM: Cbrnpx lot 00 Inside lot [ ] Ft. Yd Setback Side Yard Setbacgcs Type of Construction: / W Estimated Cost: $1A'XI Approx. CmTpletion Date: 3Oilt� Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page HATE: APPLICANT: Tel. # 17 1y—'7 5-4 Permit Fee $ S o® Fire Surcharge State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ srIPULATION,S : my USE ONLY Fee Schedule on Reverse Side .001 x Permit Valuation (1110th �) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ 1-4. 0, i,�' - JIO in (3 3 • C,-"� ,� cc'G�' n 9 o 6 � rz w �. oq s CA UJ T Q LL 0 M :+ !L CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572--3604 Effective On January 1. 1997 APPLICATION FOR PLUMBING AND GAS FITRNG PERMIT MARK NUMBER OF FIXTURES TQ RK INI.QTat I cn cis carni ci nno PLUMBING FIXTURE RATES. NO. RATE TOTAL New Fbdures Old Opening, New Fbmue Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Rscelving Tank Water Treating App3ianee �- Water Heater -Electric Water Heater - Gas** Gas Range** 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 Type . $15.00 Reinspection Free $42.00ft ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Future or Appliance JOB ADDRESS_ The undersigned hereby makes application for a permit for the work herein specMed agreeing to do all work M 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. M a 0 '1997 Owner5- 72 - t 137 Y Building Used As Estimated Cost LW PERMIT NO. PLUMBING COMPANY SIGNED BY �TEL N0. ';X_&' Approved By G Rough -In Date Final Date State Surcharge $ 54 lilHNlMUfiA FEE F R ANY PLUMBIN GAS PERdgT 20.00 TOTAL FEE a PLUS $.60 3 TE. SURCHARGE C� '*COMB1,1311ON AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SRE 9 SQ INCHES. ' ��1i(-9_C - d® IPis all � -> y... r X., Wash Floor Auto. `=:= Gas., 4- Water Heater 3tori� _ Urinal _._ Shower r Tray - Drain z Washer -'- Range ln.X �° . Gas Basemeht<- w . a _ g fast g; - -.��a � ,a. �-��'-nit 1,. : ��, Floor 1 ¢ F -". � s :' -.5+..$. -1ME .rioFb-r. Floor 2 _ 3 sbFloor ..:�..: FIOOr 4 ..!s F],=�+i d :•:z+;3f;s: Zesa :`:�•3_ S�F:� ai9i�{is•.C:S$4. S ,Fx? :s{'.'i;f.".: PLUMBING FIXTURE RATES. NO. RATE TOTAL New Fbdures Old Opening, New Fbmue Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Rscelving Tank Water Treating App3ianee �- Water Heater -Electric Water Heater - Gas** Gas Range** 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 Type . $15.00 Reinspection Free $42.00ft ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Future or Appliance JOB ADDRESS_ The undersigned hereby makes application for a permit for the work herein specMed agreeing to do all work M 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. M a 0 '1997 Owner5- 72 - t 137 Y Building Used As Estimated Cost LW PERMIT NO. PLUMBING COMPANY SIGNED BY �TEL N0. ';X_&' Approved By G Rough -In Date Final Date State Surcharge $ 54 lilHNlMUfiA FEE F R ANY PLUMBIN GAS PERdgT 20.00 TOTAL FEE a PLUS $.60 3 TE. SURCHARGE C� '*COMB1,1311ON AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SRE 9 SQ INCHES. ' ��1i(-9_C - d® IPis all � !4 !L i w I Q CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55482 572-3604 Effective On January 1. 1997 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 7L4 MARK Ni1M RFA nr. my'n imma Te% RC IIIQTAI I Mn nwe careu M ter% Storm :,. Urinal p� Basem®til s;, �`_ _ Shower 1114111 �'�-. 110-11 t �° z Tray _ vn.. y^Fzbi x Drain Y` ' _ `Washer: Auto. - y Gas Range r : Wateer Neater R 'S - - Gas asc .:. q R,. e 4r 9310-11 Floor 2 ih3: Floor 3 Floor 4 Ya. a�'e .. •k. .32 yV :.S» $•,•x?F: ,.�: .�kt'z't. PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 11�- 4 New Fbdures Old Opening, New Fbdure Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Surnp/Receivb9g Tank - Water Treating Appliance �- Water Heater-Flectric Water Heater - Gas** Gas Range" Gas Dryer'" Back Flaw Preventer Required( )Yes d } No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $42.00/Ifi' ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5°% of Value of Fbdure or Appliance 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. M Ii J Q F- O / ® , 1997 ,gam-- , Owner t'1 (� d -72 Building Used As Estimated Cost ��� PERMIT NO. - PLUMBING COMPANY SIGNED 13Y r��— TEL N0. Approved By Rough -In Date Final Date State Surcharge $ 54 MINIMUM FEE F R ANY PLUMWNQfGAePERhM TOTAL. FEE a PLUS (.50 3 TE SURCHARGE "COMBUSTION AIR SHALL BE PROVIDED P UMC UMC SECTION 504(A} AND TABLE e --A. MINIMUM SIZE 9 SQ INCHES. 1 re cl - d® -c r - SUBJECT P2 City of Fridley 6 3 8 8 AT THE TOP OF THE TWINS BUILDING P E R M I T Ir? RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 3160 `/ ^� „Uy 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 "'j 612-571-3450 910415 6/29/98 JOB ADDRESS 35 67 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim/Arlene Robinson 35 67 Way NE 572-1078 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Woods Construction Co 7728 Knollwood Dr, Mounds View MN 55112 786-2321 8737 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 R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $2,085 $1.04 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 R VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 [+ Fire SC $2.08 UCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE F License SC $5.00 $82.87 Si NATURE OF CONTRAVORO 4UTHORIZED Al WHEN PROPERLY IDATED THIS IS YOUR PERMIT i BLDG NSP DATE S,GNATURE OF OWNEROF OWNER BUILDER) IDATEI NEW [ ] ADDN [ ] ALTER [ l ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 Legal Description: Owner Name & Address: Tel. # L71 _ ! ' 0ZC Contractor: MN LICENSE # f .2 '/T.#Address:. V 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: Construction Type: Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ (Fee Schedule on eacK) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: i1 APPLICANT: ��/� �u �Q� Tel. # CITY USE ONLY TOTAL $ 5, STIPULATIONS: Permit Fee $ S� Fee Schedule on Reverse Side Fire Surcharge $_ mcg .001 of Permit Valuation (1/10th%) State Surcharge $ , U $.50/$1,000 Valuation SAC Charge $ $1000 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 $ 5, STIPULATIONS: CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 2000 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDMONiNG SYSTEMS AND DEVICES a JOB ADDRESS RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Mork, Burner - r BUILDING USED ASLA ��1C ID Also Replacement Furnace $ 30.00 $•�- (Side Vent - Fill Out Back) ESTIMATED COSTPERMIT NO. ` Gas Piping (Needed with new furnace, $10.00 $ but not replacements DESCRIPTION OF FURNACEAND OR BURNER Gas Range $10.{}0 $ _ No. of Heating Units Circle One (Steam) (Hot Water)arm Air Gas Dryer $ 10.00 $ Trade Name L 2hCOLZ Size No. Ga'7 BTU -75)CO HP EDR *Air Conditioni rig - All Sizes $ 25.00 $ Fuel)C)(:�� . CAOi� Total Connected Lead All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Mame Size No. 1% of Value of Appliance or Worts $ _ BTU HP EDR CommereiaUfndustrial A 1.25 � % of Value of Appliance or ilVor# $ The undersigned hereby makes application for a permit for the work herein LL spec agreeing to do all work in strict accordance with the City Codes an LL Slate Surcharge S .50 rulings of the Building Division. and hereby declares that all the facts and f=representations stated in this application are true aril correct. TOTAL FEE $ a� z= DATE LL VIIMMtM FEE IN ANY HEA'QINQfCOtfl.tNGLMTILATION HEATING CO Q ��a A 1 nA- WRf6IRUMMMIR CONDITIONING PERIIIIT IS MAI HE ffi.5D STATE SURCHARGE Signed TEL 3EINSPECTION FEE $47.001Hr bf r9 8 'Air Conditioners can not be placed in a side yard vvittraut Approved ByRough-tn bate Final date vri#ten permission from adjoining property owner. FILLO F STA VERIFICATION ON REPLACEINENT DEC -15-2000 15:32 FROM CITY OF FRIDLEY TO 6514266441 P.02/02 VENT 00-NNECT-09 DAI m FICATIO When PeRfacing anAXIAtingce, the undersigned hereby verifies that the venting has been examined and Is free from rust, deterioration, obstructions, and Is secwreiy supported and firestopped where required. Yom } No { ) The venting system is piasticJPVC and meets all current codas and manufacturer specfficatlons Including sizing, length, number of elbows and termination. Yes No( ) The undersigned also vermes that the replacement unit Is, a listed assembly 1 and meets the current Codes and manufacturer's specifications, This does Include ACA -©AMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No ( } The exigting air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( No ( ) When required to ,install a new eomhM tI0Q air, it wIU be sized and installed To meet the current codes and manufacturer's specifications, Yes No { ) When IMlilno a now venting mmdam, the undersigned hereby vermes that it is a fisted assembly and meed the current codes and manufacturer's specifications. This does Include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. yes ) No( ) Is the common vent and vent connectors stud and Installed conectly after an appliance has been removed from the common vent and vented separately as per current codes. Yes No( - Appliance #1 Type rl1'ly BTU Input Fan Assisted Appliance #2 Type STU Inputslated cr' Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances �_ Total Btu input Common Vent Type Vent Height ll*Dlameter_ inches Appliance #1 Vent Connector Height _�2_ft Length -5 , ­ft DiameterIn Typ$ Appliancel Vent Connector Height ft Length -_,ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: L Signed By: Date TOTAL P.02 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 Residential Furnace Shell and Duct Work, Burner Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with nein furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial A 1.25% of Value of Appliance or Work LL M $ 30.00 $10.04 $ 10.00 $ 10.00 $ 25.00 LL State Surcharge .~. TOTAL FEE c� 0 1EINSPFCTION FEE $47.00/Hr "Air Conditioners can not be placed in a side yard wiithout Ln vritten permission from adjoining property owner. i U W Effective On January 1, 2000 J013 ADDRESS(2D% OWNER A X51 Kwi nsm TOTAL BUILDING USED AS 02C1 1--k) S ESTIMATED COST 53=-M PERMIT NO.., ( 02 DESCRIPTION OF FURNACE AND OR BU ER No- of Pleating 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 EDP $ The undersigned hereby rmkes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Coles an .50 rulings of the Building Division, and hereby declares that all the facts and $ � representations stated in this application are true and correct. DATE CO I �-a b) Final Date :� ,i i; �'�� + i i.i ` i �. ] _ r�• �,_�laClrl_.� _ �i- x �.ii �� ii: �• `"'1 • � Q - � , � 411 0 1EINSPFCTION FEE $47.00/Hr "Air Conditioners can not be placed in a side yard wiithout Ln vritten permission from adjoining property owner. i U W Effective On January 1, 2000 J013 ADDRESS(2D% OWNER A X51 Kwi nsm TOTAL BUILDING USED AS 02C1 1--k) S ESTIMATED COST 53=-M PERMIT NO.., ( 02 DESCRIPTION OF FURNACE AND OR BU ER No- of Pleating 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 EDP $ The undersigned hereby rmkes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Coles an .50 rulings of the Building Division, and hereby declares that all the facts and $ � representations stated in this application are true and correct. DATE CO I �-a b) Final Date CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 k'AA: (763) 571-1257 ADDRESS : 35 67 WAY NE PIN : 153024110017 LEGAL DESC : EDGEWATER GARDENS LOT 4 BLOCK 2 PERMIT TYPE ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION PERMIT NO.: 2004-01773 DATE ISSUED: 10/05/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER ROBINSON JAMES L & ARLENE G 35 67TH WAY NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date" ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAIDWITH CHECK # 118132 SEPARA"I'E PERMI"T"S REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 YAX: (763) 571-1257 PRINTED WITHOUT ISSUING 11/16/2004 ADDRESS 35 67 WAY NE PIN 153024110017 LEGAL DESC EDGEWATER GARDENS LOT 4 BLOCK 2 PERMIT TYPE HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-02062 DATE ISSUED: VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. # A/C UNITS 1 VALUE OF APPL OR WORK 0 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 300 APPLICANT HEATING PERMIT MINIMUM FEE 0.00 FIRESIDE HEARTH & HOME FURNACE SHELL/DUCT WORK 0.00 2700 N FAIRVIEW AVE GAS RANGE FEE 0.00 ROSEVILLE, MN 55113 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 OWNER TOTAL 25.50 ROBINSON JAMES L & ARLENE G PAID WITH CHECK # 608032 35 67TH WAY NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating consauction or the performance of construction. ADDI ,-antes. It Date , SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 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 FAX (763) 571-1287 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) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 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. $ .50 $ ?Z5 -:S6 Effective January 1, 2003 JOB ADDRESS _ S � OWNER �' 1 Vy, BUILDING USED ESTIMATED COST PERMIT NO DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units._ Circle One (Steam) (Hot Water)( (Warm Air) Trade Name /Vey 4 U�%G Size No. : op BTU crCor, HP EDR Fuel ,V6- Total Connected Load Burner Trade Name Size No._ BTU HP ED The undersigned hereby makes application fora 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. ASW Reales DATE ftaf e"M MAARwo HEATING CO "b'"""' aosevft MN 551g Signed TEL # FAX # Approved By /! r Rough -In Date' Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED r,QMMQN VENZ VFNT _QNNFCTOR AND mmBIISTIm AIR VERIFICATION When n;eln acinn an eYin ink jpn _ _, the undersigned hereby verifies that the venting has been examined and: is free from rust, deterioration, obstructions, and is securelysupported and firestopped where required. Yes (' i No ( ) The venting system is plastictPVC 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 oyie4r`n r-nmh mfinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When required to in5ta11 a now rnmh ictinn air it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When innWing a new venting--.VSWm, 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 01 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 l Vent Height Diameter inches ApplWice #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 AITFRATIQNS- (nescribe) ft Length ft Diameter in Type HEATING CO: Signed By: Date: Building Inspections (�yrfd� 79 3-5 + 2-36 + BUILDING Perm' No. -._d RESIDENTIAL APPLICATION Rwei ed Hyl CITY OF FRJDLEY Dat DATE? � — .. YOUR EMAIL ADDRESS SITB ADDRESS -PHIS APPLICANT IS: D OWNER taiONTRACTOR TENANT AnUREss: 35 P� � RtA-) CITY F117' STATE Zip5S—Y3;? PHONE: � 7 a —iL)7 W , CONTRACTOR NAME: STATE Ltl ENSE it ©5 .S•"S (� S Exp DA'rE 3 i SUBMIT A COPY UN KI �I C i° O� CITY STATE—Z-55 IP� l3 `YOUR STATE LICENSE ADDRESS: S — WITH APPLICATION PHONE & S I - (p Q S ...3 (& 5-L) FAX `""• "--- - - - — 0 TWO FAMILYINEW CONSTRUCTION s«+Kuw ADDITION GARAGBfSHED INDOWS PERMIT TYPE 0 BASWI NT FINISH 0 ROOF 0 DRAIN TILE 0 DECK 0 SIDING 0 OTHER Q SWINIMING POOL TYPE OF WORK: d NEW U AD MON r7 MAINTENANCIVREPAIR MAMonmINQ DESCRIBE WORK BEING DONE. �LI'_�' I h DWS SIZE GF IMPROVEMENT LENOTHWT6TH %IEIG S • Ft. p HAUS ONLY R B :N'f RE NUMBER OF SQUARES ❑ H0JJSE & GARAGE I. Frosting Flu SUB r Pl ea C� ATTACHED GARAGE p�p,�;� 2, Proposed fl or pian PROPOSED 5172: _ ,- 0 DETACHED GARAGE 3. List of strut wal meanbws to be used PROPOSED HEIGHT: FOR NEW 4"ONSTRU "ETON INCLUDING DFT,GKS, 3IDaING []Soft INS R HESS ` La Vinyl i 1. Sita PIUPA d Trm Trit" ey showing Ate existing stmttues 0 Aluminum 0 And P project. 11 offier _„r_ 2, Two sats of cottmction plums WIN 3, P..rasrgy eel viakioes IN ETq T XISTTING OPENINGS is 11•No LOCATION OF W IN'DOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF — OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLED i h r r NUMBER OI 11ifINDOw5 AIJ, VIES ARE BASED ON VALUATION, INCLUDING TME COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FtE SCHEDULE) TOTAL JOB VALUATION S OD OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Sehddule Plan Review S 65% of Building Pernnit Fee Hire Surcharge $ .001 tunes the total job valuation $ .0045 x permit Valuation Minimum $.50 Surcharge $ $5.04 State Licensed Residential Contractors) I..i Surcharge $1675 SAC Unit (Plans to MWCC for dotenmi ion) r C - per Charge $ SACC C 8x$21-$ E $ _ t Escrow Curb Cut $ $450 Conservation flan Review Erosion Control $ Fee DeterMined by Engineering Park Fee Sewer Main charge S Agreement necessary ( ) Non Necessary ( ) Attach Stu tulations Thtal nue $_ Make cbecks a able to: Cl o!&!g!V THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCBSSEV I hereby apply for a building permit and I acknowledge that the information above is complete and accu conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes permit but only an application for a permit and work is not to start without a Permit; that the work will be In plan in the case of all work which requires reviews and approval of plans. SIGNATURE OF APPLICANT Wyw'`i NAJAE•. lte; that the work will. be in that I understand this is not e wcotdance with the approved r 97-1-3-6 Zd WdE©:VO LOOZ ZO 'Irf L8ZZZLS99L: 'ON XdJ FialpTai ,to h,�13: WONJ Engineering WATER AND SEWER Permit No.: 5"9 17 763=572-3551 PERMIT APPLICATION Received By 763-571-1287 fax Date WIn: OOT 0 9 20 CITY OF FRIDLEY EFFECTIVE 6/9/09 ©�,c7 APPLICTATION DATE: !t � YOUR E-MAIL ADDRESS: M / �= � � r� ee7 % e a ,sem THIS APPLICANT IS: O OWNER 9 CONTRACTOR JOB ADDRESS: IS & 7'4- e>" N F NEW CONSTRUCTION PERMIT# (IF APPLICABLE): PROPERTY NAME:_ '1 1 fv% Qo b , A S o � OWNER/ TENANT ADDRESS: CITY STATE ZIP PHONE: 7 43 -? 3 y — 7'7;. 9 CONTRACTOR NAME: a�D r e` S U 4-Z (, 4ie r �� c SUBMITA COPY OF YOUR STATE DRESS: 23o 7Gu b"f S♦ CITY wQ I-- STATE AWLIP S ri r o LICENSE WITH PHONE CELL PHONE: APPLICATION STATE LIC #rB*S STATE BOND: 4 98 0 G2=7__EXP DATE: ! �- 31 - ® 9 1. Narrative/written description: 2. Please attach sketch showing curb line, utilityjWe, building, etc. with distances. PERMIT TYPE F2619L SEWER CONNECTION PERMIT $50 ❑ WATER CONNECTION PERMIT $50 Q�� l O'A 0 WATERLINE REPAIR $40 q 0 ❑ SEWER LINE REPAIR $40 ❑ ADD STATE SURCHARGE $.50 -3 Lof ❑ SAC CHARGE @ $2000 = / �C) e OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST — SEE UTILITY BILLING SPECIAL ASSESSMENTS — SEE FINANCE WATER TAP — SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / WEEKENDS & HOLIDAYS $125/HOUR-BILLED THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinance's and codes of the City of Fridley. I understand this is not a permit but only an application for a permit and work is not to start without a permit. , SIGNATURE OF APPLICANT PRINT NAME: t!;-' DATE: /0- APPROVED BY. DATE: /0 COPY GIVE O: L Y BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENGIN EE G City of Fridley Engineering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3551 FAX: 763-571-1287 s( P71' r r xr t k y t A 1 •,bWy - d zE 4 � t ` 4 A PA i � r lNe i 3 -