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PRE 2010 DOCSCity of Fridley, NUnn. BUILDING PERMIT Date: 41 Owner: Builder Address Address AOYATIOU OF BUILDING No. Street Z42 Lot Block , ? Addition or Sub-DivisionAt Comer Lot •_" "� Inside Lot —,Setback, Sideyard� Sewer Elevation , Foundation Elevation DESCRIPTION OF BUILDING To Used Front Depth Height Sq. Ft.- Cu. Ft. �s Front Depth Height Sq. Ft. Cu. Ft. Of Construction Eat. _� 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 $R , 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, Minnesotit regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon vidlatiquif any of the provisions of said ordinances. ,-% 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 Inspejctor for separate permits for these Items. 4 t -rt APPLICATION FOR BUILDING PERMiT CITY OF FRIDLEY, MINNESOTA Owner's Name �/2 Builder /'/ C" Address Address --5-27 LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision � 4-1V Corner Lot __ �l/___Inside Lot Setback V Side -Yard j o SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: �L Sq. Ft. Cu. Ft. i V Sq. Ft. Cu. Ft. Type of Construction JA-Qx� z Estimated Cost�--P� To be Completed 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 representations stated in this a kation are true and correct. DATE f SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.)�J' City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK C/p G e %r � 141/10. A/E, Number. Kind and Location of Fixtures Lowidon G7 NO. RATE TOTAL Number Fixtures ...................... v x $1.50 $ Future Fixture Opening ..........•...... x 1.20 $ New Fixture Old Opening .............. x 1.00 Z , ` WATER HTR. $ Water heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 Q GAS FITTING FEES: a �j U'0 $ �4a �O R N GAS ELEC. $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st 2nd 3rd — 4th • Future Connection Openings Connected with Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... v x $1.50 $ Future Fixture Opening ..........•...... x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ /.So Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ .ssy0 TOTAL FEE $ G S-0 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 MAY 2 5 1961 19_ Owner Al / L L e 7'.y 13 L D A S_ Kind of Building " Used as To be completed about y�0' eS Estimated Cost, $ °% Old—New. Building Permit No Permit No. // Si gns OND® PLUMBING CO. By�� Business Phone No ROUGH ! �l FINAL d z 2M 7-S9 f 9 Y Application for Power Plants and Heating, Coding, Ventilation, .Refrigeration tind Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE 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 $� MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace #.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. IDR 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 $ HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $$�T ALTERATIONS & REPAIRS TOTAL FF.,E ROUGH FINAL Dept. of Bldgs. Phone SU. 4-7470 Location 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. Owner Kind of Used as To be completed about Estimated Cost, $ ,45*:7® wilding Permit No. —*7y Permit No. DESCRIPTION OF WORK HEATING dr4 Warm Air—No I - -.0Trade Nam Size NoXl' g � - V Capacity Sq. Ft. E.D.R.i� A 10'BTU H.P. Total Connected Loader �tsLfi Kind of Fwel -4&,0 BURNER —Trade Nam Siz No ' Capacity Sq. Ft ED BTU H.P. GO SEDGINICK HTG. & AIR-COND. C 1001 Xenia AV. S. Minneapolis 16, Minn. Signed A c; 1414 B <z 2M 7.59 Business Pone No (REMARKS -OVER) 11W HELOSS CALCULATIONS DEPARTMENT OF BUILDINGS NINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation I Guide, — I Windows Doors Reference Out. Wall Int. Wall Ceding Roof Floor Kind How. Applied es_N, I 7yesNo 19— F1.1, Room I Length Width Height,- 11 FU _.Room I Length, Width Height Windows and Doors—Crackage and Area . 'r, Width Height No of Lineal fi. Area No. of pane of pane llg�ts of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Glass ice kArea Exp. wall Coef. Btu Coef. Btu Infiltration Int. wall Infiltration Glass Floor f Exp. wall Total Btu. Net exp. wall Exp. wall F1.1 Room I Length Width Int_wall Net exp. wall Ceiling,_ Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1kRoom I Length p-, Width Height Windows and Doors—Crackage and Area Width Height No.FArea a sq. ft. No. of pane of pan lights e X11 1 I I I I Coef.1 Btu Infiltration Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Glass ice kArea Exp. wall Coef. Btu Net exp. wall Coef. Int. wall Infiltration Exp. wall Floor f Glass Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Exp. wall F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Lineal Width Height No ft. Area No. of pane of pane of crack sq. ft. lights Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. kArea Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall Net exp,. wall J1, Glass Int. wall Ceiling Exp. wall Floor Net exp. wall Int. wall Ceilingt, S Floor I Total BCu. Required sq. ft. E.D.R. or sq. inls; -W.A. Leader area -r — Windows and Doors—Crackage and Area Lineal Width Height No ft. Area No. of pane of pane of crack sq. ft. lights kArea Coef. Btu Infiltration Glass Exp. wall Net exp,. wall J1, v Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FIS. JRoom I Length "" Width Height, Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area sq, ft. No. of pane of pane lights of crack sq. ft- kArea Coef. Btu Infiltration Glass EXP. Wall Net exp. wall v Int. wall Ceilingtl Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft.Area No. of pane of pane lights of crack sq. ft. 16ejf. Btu Infiltration Glass Exp. wall Net exp. wall v Int. wall Ceiling Floor Total Btu. Required so. ft. E.D.R. or so. ins. W.A. Leader area T' is City of Fridley, Mian.. N° 8155 BUILDING PERMIT Date: - July 8,, 1965 Owner: Earl Bulger Builder Derksen Bldrs., Inc. Adder 540 68th Ave. N. E. Address 5231 Buchanan St, N. E. LOCATION OF BUILDING No. 540 Street 68th .Ave. N. E. Part of Lot Lot 1 _ Block 6 Addition or Sub -Division Rice Creek Terrace, Plat 4 Corner Lot — Inside Lot Setback Sideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Construction Est cost $131000.00 To be completed Storm Damage: Rebuild from Cap In consideration of the issuance to me of a permit to construct the building described a to do the proposed work in accordance with the description above t forth and in ce wi , al onp of ordiaanoes of the city of Fridley. /� In consideration of the payment of a fee of $ 10•� , permit is hereby granted to Derksen Bldrs. Inc. 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 g location, construction, alteration, maintenance, repair and moving of buildings within the city limits regarding permit may be revoked at any time upon violation of any of the provisions of said ordinances. Allen Jensen NOTICE: lhb pomdt does net cam the condmeg m, bdatlatlm for vdrht& plumbbg, ees h*s&& ower or order. So ame to ae the BuRdlae Wwwwr for apsrab pamhs fee thea item. r APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME e, 4 _v BUILDER - 1i tf_4-�� 4'1'&y� 'e1e . ADDRESS �X® ADDRESS_�� / ���f�`7'r✓��'�. LOCATION OF BUILDING NO. STREET. PART OF LOT — LOT r —BLOCK ADDITION OR SUBDIVISION 1/r", C I �� 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. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft.. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Ae®/iI Estimated Cost 1.3 e 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_ %/,jf / J_ SIGNATURE 1/4. — (Schedule of Fee Costs can be found on the Reverse Side). ti. * 0 A • b M 0 53-8lI-9-915.51 City of Fridley AT THE TOP OP TME TWIN$ PLUMBING PERMIT APPLICATION r'L-------- CONMVNITT DEVELOPMENT DIV. PROTECTIV[ INM110ECT10N MPT, l f �•_.` CITU HALL RR10L9V &$*X RRV. PATE P"E OF JAPDX—OWD 1Y Job Address - 18A 1 0 12ZI5/73 1 '1 800 510 N. E. 68th. Ave. ss Phone 3 -3o - 76 Earl Bulger Contractor Address MARQUETTE AVEND one MINNEGASCO ,733 PLS. MINN, Kind of Building Use Frame Res. Comp etion Date stimatecost 1-10-75 .10.00 Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixtures x $1.50 assral oo I I I � •�! New Fixture -Old Open. x $1.50 ,adr O Catch Basin x $3.25 x„ I Water Heater -99,000 BTU x $3.00 % •781NI I I I ! ' i Ground Run Old Bldg. x $3.25 saa, m— •MNwal I I � � I+ Elec. Water Heater x $2.00 y 9NI SY8 I N NOlYDI I ! .0 Gas Fitting Fees: �O o sNwaa I I I I ;3 p acq�al •� ��Qrr, lot 3 Fixtures x $2.00 W _ 0 u I !C10 sa3,%(Ma I I I ( Additional Fixtures x $ .75 !b 1NflOd ( ( I I HNlaol Gas Range -199,000 BTU x $5.00 IqBa NSVVMI I I Repairs & Alterations See I I I I I8XNI9I Description: Install Pryer Code 5.00 sNlsval I I I I a� State Surcharge Class "r 5- chargo .500 .50 I I TOTAL FEE $ 5.50 isni I N1Ya I I I ! !The undersigned hereby makes application for a permit slYNlanl I I I for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and Tulin aaaYM of the Department of Buildings, and hereby declare that all'the facts and representations stated in this •$$ application are true correct. ISO I dcand oasoevoo, ce. 110�_ Signature Date a 3 -3o - 76 SUBJECT PERU City of Fridley 21912 AT THE TOP OF THE TWINS BUILDING PERMIT i R C IPTM 0. , COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 19 3CD 1 NUMBER REV GATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/15/93 JOB ADDRESS 540 68th. Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 6 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bradley Bulger 540 68th Avenue NE 571-9299 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Backyard Building Systems 3030 N Hwy 61 Maplewood MN 55109486-929-4 A590 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 �Q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8. DESCRIBE WORK Construct a 161 x 12t Shed 9 CHANGE OF USE FROM TO STIPULATIONS Shed can be no higher than 14 feet and must be securely anchored to the ground. See notations on sketch. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 $2 400 $1.2.0 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT r 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- $54.00 Fire SC $2.40 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5-097 $62.60 SIGN EOF COt�-FACTO ORAD ED DENT IDATEI �/y VALIDATED THIS IS YOURPj=RM1T BLOC IN SP MATE SIGNATURE OF OWN RIIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/93 ADDN [ ] CITY OF FRIDLEY .44 10(3d ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Ru t/, C. Legal Description: c,l4 1 o c R i Ct ft -c& err .- P/ Owner Name & Address: �i�lq D (E�/ S ��' ��ee S L(0-�p `9u6 A,,.0 Tei. # :5 7/- 91;� y 9 Contractor: v ice n�� �S �eLnL MN LICENSE # QC Q 6590 Address: A/ 9 wq _� MfiD/eL'v6 C4 /V» 5S/09 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. ' OTHER: ShEJ $ Sewer Main Charge $ Corner Lot [4 Inside Lot [ j Ft. Yd Setback Side Yard Setbacks Type of Construction: aye d BpRn S+�l�� Estimated Cost: $ 0, (-/0 Q Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: 0�;�� Tel. # f-. U Permit Fee $ Q Fire Surcharge $ State Surcharge $ ) , Z O SAC Charge $ License Surcharge $ Q Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ 6-2,6A ('ITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] FILL CL�-,c tte�,,CSE A PLAT OF SURVEY 540 - GS'U! AVE. N.E. 0 FRIILF-Y1 MN v OVEFtACAD ELECTRIC, LINE W G 8 72 Ail E. K E. (5 o' R/W) xO 0 Y k" ►�o.o�� -y R=26.88 77, I --s' �4-lo' EA SEMEN'►" .I LoT to W 1$ M FENCE o I I V d �oFtTN LE. G END 1RoN PIPE. FOUND EKIs-nNG PIN FOUND Az A•S0 AI`1 32.14: C -10 P-9 MEAS. 4� �V� LOT 1 a '�- A= 1226' Zc � io , •�.� G Jp FENCE. ON LINE 59.8190 LoZ Z .C, PPED y2 Q5 IRoN .PIPE FLACEv a THIS SOPWe`f t5 FoR THE Exc-LvSIVF USPE OF BRAD Out -GE -P- , Tb DETERMINE, -TUFF- KoVse Lew-A-ricrt FoR A PMoPOSE1P ADO1'TIc>14. THF' SU&DNISICON P1 -A -r WA g F Rov I DED BY MR. BU I,G M. I hereby certify that this survey, plan, or report was prepared by me or under my direct supervision and .that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date & MAY'93Regi strati on No. ZI'774 'ents• 8" x 16" ....2 for $16.00 18" x 15" .......................................... $59.95 24" x 22" ............................................69.95 Flower Boxes: For Small Window ...........................$12.00 For Large Window .............................15.00 Shutters: For Small Window ...........................$12.00 For Large Window .............................15.00 24" x 24" Skylight: .................................. $79.95 Extra Set of Doors: ................................. $79.00 Extra for Wider Double Doors: 60" ................................................... $20.00 72" .....................................................30.00 Operating Loft Door: .............................. $49.95 Loft Sections: 8 x 2 .......... $30.00 8 x 4 ......... $50.00 10x2 .............40.00 10x4...........70.00 12 x 2 .............50.00 12 x 4 ...........90.00 16 x 2 .............80.00 16 x 4 .........140.00 12" Shelving: ......................................... $3..00 ft. 2 Piece Metal Ramp: ............................... $59.95 Extra 4" x 4" Skid:................................$2.50 ft. Double OSB Floor untreated add 600 per square foot Treated Floors: Treated floors include treated floor joist and pressure treated plywood flooring in addition to the treated skids which are standard on all buildings. Building Size Add for Treated Floor 8 x 8 ...................................................... $45.00 8 x 10 ........................................................56.00 8 x 12 ........................................................ 68.00 8 x 16 ........................................................ 90.00 10 x 12 ........................................................ 84.00 10 x 16 ......................................................112.00 10x2Q......................................................140.00 12 x 16 ......................................................135.00 12 x 20 ......................................................168.00 12 x 24 ......................................................200.00 16 x 16 ......................................................180.00 16 x 20 ......................................................224.00 16 x 24 ......................................................270.00 B buildings are constructed on your lot "\ with free delivery within a 50 mire rc.a:us 1 and designed to last for years. e e 2 x 4 door trim for maximum strength. e 72" continuous piano hinge for added strength. e Floor joists . acn ed 12" O.C.; 2 x 4 on 8' wide and 10' wide buildings; 2 x 6 on IT & 16' wide buildings. e 2 x 4 wall and rafter construction on all buildings except some IT & 16' wide buildings. e Horizontal panel joints protected with ZZbbar _flashing. o Built on treated 4 x 4 skids. Two are used on the T wide, three on the 10' and IT wide and 4 on the 16' wide. e Choice of black, brown or white self-sealing shingles. e 7/16 Inner -Seal siding with a 5 Year Warranty; prtme`d and ready to_ paint. _ 2year guarantee on workmanship from Backyard Building Systems SEE A COMPLETE DISPLAY AT •'1 i 1 ' Located at 3030 N Hwy 61 Maplewood between I--694 &- R --TM B"- - - ---- - - ACKYAO BUILDIN P� SYSTEMS Pr e e At An Aff"rdahle Quulih Ba,'k%'prJStorag KEITH Sales eP B�`Qresearrre 3030 N. HWY. 61 (612) 486- 9294 Maplewood, MN 55109 Backyard Building Systems does not; - Paint your building. • Excavate or prepare your building site for construction of your building. • Secure your building permit. BACKYARD BUILDING SYSTEMS 5590 222nd Street East - Hampton, MN 55031 (612)435-3886 2/93 BACKYARD BUILDING SYSTEMS A., Quality Backyard Storage At An Affordable Price Locally Owned Minnesota Company MN State Lic. #0006590 BACKYARD BUILDING SYSTEMS 5590 222nd Street East - Hampton, MN 55031 (612) 438-3886 CITY OF FRWLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 163) 572-3604 FAX: (763)571-1287 ADDRESS : 540 68 AVE NE PIN : 143024130035 LEGAL DESC : RICE CREEK TERRACE PLAT 4 : LOT 1 BLOCK 6 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-01299 DATE ISSUED: 08/11/2004 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. INSTALL A FURNACE (WARM AIR, BRYANT, 108,000 BTUS) AND AN AIR CONDITIONER. # A/C UNITS 1 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES VALUE (FOR MINIMUM CALC) 4100 APPLICANT MINNESOTA HEATING & AC INC 1070193 AVE N STE B MAPLE GROVE, MN 55369- 1 A/- ' BULGER BRADLEY S 540 68TH AVE 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 worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel th provisions of any other state or local law re,nstru ion or the performance of con c on. ADlig icantnt� . p Date r HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 17446 Lca Bldg Ins D �,L • SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0.00 35.00 0.00 0.00 25.00 0.50 60.50 'ITY OF FRIDLEY BUILDING IMSPECTION 24331 University Ave NE -ridley, MN 55432 .,63-572-3604 FAX 763-5711287 CL RAME SCHEDUlE lesidential 'urnace Shell and Dud Work. Burner & also Replacement Furnace Sas aping (mew Furnace. Fireplace, Insert) Sas Range 'aas Dryer "Air Conditioning- All Sizes V4-�95 Effective 4/1/2004 r� APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION a REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Q 0 JOB ADDRESS AV 'k) � EO M Owner � 2 © 12K' AOL, $35.00 Building Used Asx R Q S t irl C 1212,24 $10.00 $ ESTIMATED COSTPERMIT NO $10.00 $ $25.00 $ a Ill Other Repaus or Alterations (List on Back) 1% of Value of Appliance, or Work $ U Vlinkftm Fee $15.00 for Residential or 5% of cast of a mproverr-rit whichever is greater Of LL Pmmorcial/Industtial/Institutional 0 L25'al', of Value of Appliance or Work (List of Back) # Minimum Fee $35.00 for Commercial/Industr'raVinsCdutional � State Surcharge 3 # of Heating Unfs__I_ Circle One (Steam) (Hot Water)fiiil7o Trade 1Vam® t is aca sf Sze No BTU _:?0. HP K3 EDR -TZ Fuel jU C Total Connected Load CVO Burner Trade Name Size No. BTU HP EDR The u nderrsWined hereby makes application for a permit for the work herein specified agreeing to do adi work in strint acamdance with the City Codes and rugs of tate Builddng Division, and hereby declares that all the facts and representatlons stated In this application are true and correct. HEATING TOTAL FEE $�.�� Signed UO REINSPECTION FEE $50.00/HOUR. �A 0 �a1�l1RiC�!s *Air Conditioners ran can riot be placed in side yard without written appravbl A from adjoining property owner -copy to City i FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE APprov by Rough -In Date Final Date/a J AUG -10-2004 09:52 CITY OF FRIDLEY P.01a01 FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS When placing an eAstina furnace. the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and flrestopped where required. Yes � No( ) The venting system i$ plastic/PVC and meets all current codes and manufacturer specifications including siting, 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 -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) The 1tlnst combustion air is sized and installed to meet the current oodes and manufacturer's specifications. Yes No( ) When required to insfmil a n®w combuffition air, it veld be sized and installed to meet the current odes and manufacturer's specifications. Yes No( ) When insWillrit a new v®ntlna sorst=, 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 gent and vented separately as per current codes. Yes No( ) agpliance Tvos and Size/Cortlmon Vent and Vent Connector Infonnation Appliance #1 Type BTU Input >O 'c5m an Assisted or Nat - Appliance #2 Type e� �e�r�r.�� BTU Input Fan Assisted or Nat fi�ra Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances „ Tatat Btu lnput,/gM-f, ()7O) Common Vent Type g� Vent Height Diamete Inches p Appliance 01 Vent Connector Height` -S__ ft Length '3 ft Diamet \ \ y Appliance #2 Vent Connector Height W. ft Length ,Vfi Diameter min Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: ,'J-. TOTAL P.01