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PRE 2010 DOCS• City oFridley, F , Minn.• BUILDING PERMIT N0 4291 Date: ...... . ........ 7 ................. j .......... 7 .............. ................. Owner: .--. . ................... _..................................... ......................................................... Builder 9 ......... . . ......... .......... Address..... ............................. --------•------...........................---......._....._......-----------....... Address LOF01BU DING No....]_..... ...��..... Street ............ _ mss'- !.`..... .......... Part of Lot .. . Lot..........._......��................ Block .................��......................... Addition or Sub-Division�J�Ld�s.. r '..._....... .._� � v Corner Lot _..- .................... Inside Lot ....._ -------- .----------- ............ Setback .jv .fq..* ............ Sideyard ..._ ................................. _........... Sewer Elevation ................................................. -- ................. Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ,,{{�� ( �! _..................... Front !_...:..oDepth,�f-..C�. Height /._.�°.? Sq. Ft. °7. cu. Ft. ..3�� ...................._.... ................ Front Depth .....-..... Hepht Sq. Ft. Cu. Ft. Type of Construction . _.... Est. ost lam!/ 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. ,) — � F,r, In consideration of the payment of a fee of .........� P � � ......_.., 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 violationof any of provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or wafer. Be sure to we the Building Inspector for separate permits for these items. • Date: MARCH 7, 1967 City of Fridley, Mian.. BUILDING PERMIT Owner: _JAMES BRUDER Builder Address No. 969 ____ Street Lot ._._ 9 _ Block Address N9 915? 17-2s� L. W. SAMUELSON CONSTRUCTION, INC. 7800 EAST RIVER ROAD FRIDLEY$ MINNESOTA 55432 LOCATION OF BUILDING 68th Avenue N. E. _ part of Lot 4 Addition or Sub -Division BROOKVIEW TERRACE2 2ND ADDITION Corner Lot __ %__ Inside Lot — Setback 3 —_ Sideyard _._14.5 Vari 5 ance) Sewer Elevation _-._ INSTALLED __ Foundation Elevation _ DESCRIPTION OF BUILDING To be Used as: DWELLING Front 34 Depth __.25 Height _2O Sq, Ft 850 Cu, Ft 17, 000 GARAGE Front 20 Depth --.L5— 25 Height __10 Sq, Ft 5 00 CU, F, 5'0 0 Type of Construction _ FRAME Est. Cost _,_.._� 24, 000 __ To be Completed • DWELLING TO BE CONSTRUCTED OVER ESISTING BASEMENT VARIANCE OF SIDE -YARD APPROVED FEBRUARY 22, 1967. Inconsideration of the issuance tome of a permit toconstruct e d bed above, gree to do the proposed work in accordance with the description above set fo co ce with ovisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $_12 - 00 , permit is hereby granted to L. W. SAMUELSON 6' CONSTRUCTION CO. to construct the building or addition as des bed above. This permi granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done h►, 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 dty limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: This permit done not cover the construction, installation for whine, plumbing, gas heating, sawer or water. Be sun to no the Building inspector for aparah permits for these Rana. APPLICATION. FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BU:i ZER Z�ICX 1 �y' T ADDRESS ADDRESS -�� /�/eG, ,-J2 LOCATION OF BUS NG N0STREET C FART OF LOT 1 LOT BLOCK '7 ADDITION OR SUBDIVISION,P.G�l���IJ�E,2,�i .�'�A CORNER LOT IN LOT SETBACK SIDE -YARD SEWER ELEVATI0N=;1Jf7WZ-Z Aa> 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 Front >t- Depth �',® Height Sq. Ft. 1 0 Cu. Ft. D 24 (1 rte- Front Depth. eight �/^ Sq. Ft.` Cu. Ft.+1 ° C). Y Type of Construction / %— o Estimated Cost To Be 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 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). �' e /^ r Land Plonniny 3700ms s ppd'ME. Lund Surveyiny M;nneapolis 2/, Soils7eshi)y ENGINEERING, INC. "i,7fxo1a Cwi/ 6- AlumapalSUnsel4-6066 Enyinccrny Engineers f Surveyors bOUERS /fid e e- pe V'f G fo -- z 34 /* 2 IY-oA — _79.94 i r i Y pyF`• �. E a G, of e'• n -� S, rPupo"',c F1oJse N j= a 9 (0g If 4 I 4 it 51 ,� a ti tY L-+ t� 0 Q i r. Lp1 :__ 1_.`'.(�';i°,�J + i.�v°`j 1 E. i !A,�,,�_ i /hereby cerfiry /lief This is a Am and comd represenfofion o/'a survey q'fbe ba ndories or 14e 464M d6CJ'&d land, dnd oph /argfion ora!/ burldm9s , Nnreon , dnd o/l risible uw»achmdifs , ifony, �nm or cnw;d /end As surreyed by me flus - doy a.0. i9S2. SUB URBAN ENGINEERING, INC. Trea fi Surveyors 11 i y A: i I LarydPlmtniny 07S-Aomy •cs . Lmrd surwyfiny SMinne°Po/s32. ;'t ENGINEERING, INC. &W & Unidpal s(/asei4-066 Engineers Sur vecyors Mortgage Loan Survey for to 9s' 44. 15, y4. — 1 5L.�►EWSMT 1� 0 i Lf1 �C�UI,JflA•`T Ic9!• _ 1 , N (03 ��'� O►JL ,j�� N m i 'lK o D� r GO. 19 LCT , 5LOC-4., 4, I3(-ll00K I C --W ADD dT ION �A�C— 1" Z. 3-O • This ys o frac mrd cmrecf .epresenfafian ef'o surrr� atrihe Madames o�'fhe /mrd show ab5M&d and sf * krd/in of0/1 bwldkgs, »t1, �a�, a»d oU risifile rnuaatlim�err�s . r�ony, `i�rn or on sold 1�d.1%/iit srA^rey rs moat A►y/f/ m co�ettray rriffi 4 � /an naw e� pbrrd o1r fIn prgpey�ly � �, y n �s�►�d apt � � • �s� mo,�oye or J a� esf by �s � �' surlt,�aye. His and�Od av►d a�/ted nnnarr�arrrnts Jmre 6m►i�ced � die purpose �rlysh� /a`/�s orbn�+a�y ccrnrrs. &Wfhis . �E accv ARS AD SUBURBAN ENGINEERING , INC. f &yyineers Wd kr;jfW5 �,. by w v �J6©� a • r Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration ' and 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 $ O� 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 % ROUGH FINAL Dept. of Bldgs. Phone SII 4-7470 �l �j/� Location �j6� e,f Z " Gam, > C ` 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 Building a Used as D' To be completed about Estimated Cost, $ � Old—few. 'lding Permit No. ��� permit No. �eP& DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name JA a -ACE e No- Capacity Sq. Ft. E.D.R- 00en, BTU H.P. Total Connected Load cl. eQ ",Y Kind of rue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signed d $y n e; 2 COttDITIONI1�iC 91at dC Mh NEAPUL.S lfid MpNh� 4 � 2M Business Phone N� ' F Sa.", u eQ/s� 'o/V- HEAT VHEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MMN. A.H: . eatherstrips S. _ Guide IJ4- 70/1. Construction No. Insulation Windows Doors Reference Out. all Int. Wall Ceiling Roof Floor Kind How Applied s— o n &! o 19._ r -Room I LengflJ69 Width 11, Heigjj&2.r F1. f & Room Length Width Heig Windows ana Doors-Crackage and Area Windows and Doom--Craekage and Area Width Height No. of Lineal tt. Area Width eight Na of Lineal ft. Arca No. of pane of pane lights of crack sp. ft. No. of pane of pane llahts of crack q. ft. DL ICoef.1 Btu Infiltration -412 -gin 124 0 Glass Exp. wall Net exp. wall Int. wall' Ceiling Floor Eli Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI _ Room Lengthi Widtdlq I4eiellf _ Wi ws an -a Doom—trackage Ad Area Width Height No. of Llnenl Il. Area No. of pane of pane Ilghte of crack Btu Infiltration lCoef.1 Btu Glass 3.6 46 1,000 Exp. wall 1— 40 Ago Exp. wall Coef. Btu Net exp. wall- aInt. I Int.wall Ceiling Floor Tota-lBiu. - Required sq. ft. E.D.R. or sq. ins. W.A. Leadef area FI Room Lengt Width In ows a rs—Crackage and Area Width - No. a . of pane Height No. of Lineal ft. Area Ot Dane Ilghte of crack eq. ft. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins.'W.A. leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.I Room I Length Width Height Windows and Doors—Craekage and Area lCoef.1 Btu Infiltration 3.6 46 1,000 Glass 1— 40 Ago Exp. wall Coef. Btu Net exp. wall I Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.I Room I Length Width Height Windows and Doors—Craekage and Area A _ yr, Width Height No. of Lineal fl. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration ' Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. h. E6.11. or sq. iris. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area A _ yr, Width Height of Lineal ft. Area No. of pane of pane lights of crack p. tt. Coef. Btu Infiltration Glass Exp. wall Net exp. wa8 Int. wall Ceiling Floor t orar asu.<: _ Requirla.sq. ft. E.D.R. or sq. ins. W.A. Leader area UONSTROMS ''HTG. & AIR COND, ZINC. Job Noma. S0. �.f 0 h Mlg /=midm �laYgri. MtnetKplb la, alitla. 3s .. IItAT LO"<ALIYLATIOM Job Address 9 - 8 `"Wea"thentrips_ A Guider. Construction No. I Insulation down I&73 - Ref ce Out. Wap. Int. Wan Ceiling Roof Floor bind How Applied oNo zF .l A Room Leet:th Width If Height W. 11 -2 F1_1 R.I l...th 1 Width Heir<ht Windows and Doors -Crack Oe and Area Coef.1 Btu Width Height No. of Lineal ft. Area No. or pane of Dane Ilghto of crack sq. ft. jj— Glass Exp. wall so Coef.1 Btu Infiltration mp Glass Ceiling fib Up. wall --- - Floor Net exp. wall j. ig Int. wall . FI. Room I Length Width Height ,t... Ceiling Floor Floor Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area a,. F1.1 IM12, Room 1, Length 1j0 Kith Windows and Doors-�Crackasm and Area Ne. of pane .1 of pane I lights I of crack I on. ft. Btu Required sq. ft. E.D.R, or sq. ins: W.ALeader area 1 41111 AL Windows and Doom--Crackaae and Area Coef.1 Btu Infiltration 6 O Glass Exp. wall so Net exp. wall pHAI— fig Int. wan Coef. Btu Ceiling fib 0 Floor Total Btu. Required sq. ft. E.D.R. or Sq. ins. WA. Leader area FI. Room I Length Width Height ,t... Windows and Doors-Crackage and Area Floor Btu Required sq. ft. E.D.R, or sq. ins: W.ALeader area 1 41111 AL Windows and Doom--Crackaae and Area He*MMM Width Height No. or Lineal ft. Area No. of pane or tone ushu ofirach ". ft. Width Height No. at Lineal ft. Area No. of Pana of pane lights. of crack M. ft. +.� a=. �► ..► Coef. Btu Infiltration Coef. Btu Gla" Esp. wall 6 Net exp. wall Int. wall Ceiling O Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 413 r V -S.1 FM Rom I length w =- Width (aw' He*MMM Windows and Door --trackage and Area Width Height No. at Lineal ft. Area No. of Pana of pane lights. of crack M. ft. +.� a=. �► ..► CU Stn Infiltration Coef. Btu Infiltration Emp. wan Gla" W. wall Net ezp. wall Int. wall Ceiling 1+1iAim Floor Total Btu. Required sq. ft. E.D.R. or sq. his. WA. Leader area.Q 2.Fl.1 L & RomI Lenactth Width Height ! Windows and Doors-�Crackage and Area Width Haight o.of Llntal It. Arq No. of pant of pant Itghu of crack q. & CU Stn Infiltration Gla" Emp. wan Net exp. wan Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader arra SUBJECT City of Fridley ;)1449_ AT THE TOP OF THE TWINS I I D I N G p E R AA I T BUILDING r D �,J L �,J 1 1 r 1 1 1 1 COMMUNITY DEVELOPMENT DIV. '/ / _ v PROTECTIVE INSPECTION SEC. r JI•L 6 "II I �"1 CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/20/92 JOB ADDRESS 969 68th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 4 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Bruder 969 68th Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Thomas Roofing 6928 26th St W, St. Louis Park 55426 7097 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (15 Squares) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with -the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 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 $755 $.50 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 , TA E OR LOCAL LAW REGULATING CON- $21.00 Fire SC $.76. STRUCTIOZOR HEPERFO A E OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $22.26 HE R RLY,VA ID D THIS IS YOUR PERMIT SIG URE OF CO 9ACTORORAUTHORIZEDAGENT IDATEI SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI LDG INSP BATE NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: q c, i s Legal Description: 1 nK th t J /L Kk Owner Name & Address: - ! d P - Contractor: Address: Tel. # MN LICENSE # ?°0'7 �— �� Tel. # 15� Z (S�3 �2 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: 5 P PATI Comer Lot [ J Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks _ ®o Type of Construction: �Gl + Estimated Cost: $� Approx. Completion Date: (Cost on Back-) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: L APPLICANT: Tel. #�2 Cr, , 7' CITY USE ONLY Permit Fee $ • n® Fee Schedule on Reverse Side Fire Surcharge $ ?to .001 of Permit Valuation (1 / 10th %) State Surcharge $- .� O $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: le, CITY OF FRIDLEY INSPECTIOPI DIV. 6431 Unlvers� y Ave NE Effective On January 1,1-997 Fririfey, MN 554-32 AND GA, �2' FFMNG PERMIT 572-3304 D CON EAC -Hl FL( -14, -- Auto Gas ml t^rcgter 1 Ceater Range Fitt; Gas Elec F�c jo dc, V,,i7eo 1', lye. B -qy Ac 5 Of Vb OfF Ap plie i ce 11A PE RIM I T -7', 1 3TA -f F *'CCViBUc'Tl0N AIR SHAIJ- bt .A. 1�114 LJW14�1_ SUBJECT PER City of Fridley7932 AT THE TOP OF THE TWINS BUILDING PERMIT/'R PT NO 1 , COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE I . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 IL'""A 612-571-3450 910-F15 9/23/98 JOB ADDRESS 969 68th Ave NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 4 1 Brookview Terrace, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thor Prosser 55432 574-0182 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner Same 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 0 NEW O ADDITION O ALTERATION Ek REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Reroof house & garage (23SQ) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,971.00 $.98 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. Fire SC $1.97 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $62.25 PLAN CHECK FEE TOTAL F 12 $65.20 S�GNAT CO •R OR OR 4UTHOR4E0 AGENT ATEA N P PE L (DATED IS P .7 BLO SP OAfE SIGNATURE OF OWNER. 6 OWNER BUILDERS E� NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION u ConstructionAddress: 10 ,6 4-';L Legal Description: �r Owner Name &Address:2fZ:f GTel. # �( Contractor: wig �G� N LICENSE # Address: 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: Len �� ""'' Wid Hgt/Ground Sq. Ft. M OTHER: Yi/C�U D� Construction Type: Estimated Cost: $ /97/ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = x $ _ $ ' DATE: APPLICANT:Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ �• �-S� Fee Schedule on Reverse Side Fire Surcharge $ 1-9-7 .001 of Permit Valuation (1/10th%) State Surcharge $ �/c`� $.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 [ J TOTAL $ STIPULATIONS: 4 CITY OF FRIDLEY INSPECTION DIMS1ON Effective January 1, 2003 5431 University Ave N E Fridley, MN 55432 APPLICATION FOR ROWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 RATE SCHEDUL Residential Furnace Shell and Duct Work, Burner Also Replacement Furnace (Side Vent - Fill out Bark) Gas Piping (Needed with new furnace, but not replacement) Gas Ranee Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance ow 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 $ Sats® .50 $-55.5-0 I i cease d-- 315,E ilk i . �.i � � i � t • t ]' L'1. 1'IJ REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. PLA ' 9©.SCS JOB ADDRESS _ `y'o N o i' OWNER ®e -e o e -e V - BUILDING USED AS -14,e 5�<k e tAC1'0— ESTI MATED COST 4 3 3 CZ � PERMIT C f w RN m _, n No. of Heating Units ---L— Circle One (Steam) (Hot Water)arS�f m- it 4 Trade Size No. 610 STU 6 =9 HP ED R — Fuel Total Connected Loa *_%V iTk Burner Trade Name Size No. J, BTU Hf' ED 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 ai rulings of the Building Division, and hereby declares that all the facts and represeniations stated In this application are true and correct. `-' DATE !1-31-03 I-iEATINGCa ®a��P_`S AeoXkv-q krIN FAX 0 C' fly `i� rJ7 4J Approved 8� Rough -In Date' Final Date - FILL 4UT BACK SIDE FOR SIACK VERIFICATION ON REPLACEMENT FURNACE f�i THE DMOW MUST BE FILLED IN WHEN REPLACING FUEL BURNNG APPLIANCES OR THE APPLICAMN WILL BE RETURNED When la&-ing a -"Woo ft ra ,a the undersigned hereby verifies Mat than verMV hes been ermined and Is tree from rusk deterioration. obstruc9om, and is sem supported and flrestopped where required, Yes �a No ( ) The vo*V system is pk"WC and meets all current codes and manufacturer SpEMiCaj-q 9t1S including sizing, brigh number of elbows and termination. Yes (s No Qd) The'under>;Jgrned a so verifies Dist the repkicement unit Is a Wed assembly and nng t ft cunc+ mt codes and uwmufariuWs speoffiwallons. This doe& enclude AGA-C:AMA Category I Central Furnace Venting Tabbs for fan asgsW and nalutal draft w4mom Yes (Fs No ( ) The is sized and inSUMW to meet the current codes and marnir&.Phrref's app' tc;atiorts. Yes 00) No( ) whit r;rquked to jMtd&=KWmlV=#1nn 2jrjft wl1 be wrest and installed V flteO Me current odes and manufacturers motions. Yes" No ( ) 1Allirt the tundertsoved hereby verifies that itis a listed mom* and meets the current codes and rnanufac Wfers dlons. Ttis does indade AGA-GAMA Catagorp I Central Fumam Venting Tables for fon assisted and nakaat draft applkmii f. Yes" NO( ) la this common vent arr0 vert connwtom =ed and installed correctly atter an appbnce has been removed from tate common vent and vented sepntrd* as per =wt t codes. Yes () No Q0' App #1 Type flz e k+ a . BTU Input o mo Fan Asstrad or Nat, Appy O TWa Ettk ns c� BTU Input „2eFan As*ted a Nat AWAmce 03 Type BTU Input Far Assisted or Nat Tabd AppOenoes Total t hu Input Common Vent TVPB '= V CxA Vent Height3w ^ Diameterk inches Appliance #1 Vara Connector Haight --_,ft L ength , j._ft Diameter. 4 .in Type Q Appbm #2 Vent Connector Height-m—ft - Length —L_ -ft Diameter :V Type Type , z Applin m 03 Vont Connector Height _._ft Length ft Diameter .in Tye 1 ::7 : X 107'1 L.W i 8 77, 7, !HEATING CO:�, 4 egAx*q_ Date: 170r'4o'd 1E,`E629O , n1 €d Wd8£:20 2002 Z0 .6nd : 'ON Xdd : WONA NEW I l jD�" ✓ �r' " Cm OF FRIDLEY AGDN ] `! ' 6431 Uni�w ay Ave NE, Frk4ey, �N g� 32 AMLY AND PLEUS ALTER (] SING LE SING PERM TfON D R-2 Construction Address: Leo oescrlpfti — owner Name & Addre f /9 f9k- Jaw. /)F Tei. 0 MN LICENSE Attach to this application, a Certihc M8 of Survey of the lot, with the proposed =mirudion drawn on R to scale. mMCRIP710N OF NPROYENIENT Eftective 1/112002 (763) 9712.3804 Bldg Imo 20 - LIVING AREA: Longth ViIdth S4. Ft. t;A[aACE MEAa LQVth !_ Width - H�I�ht _.., ,__ sq. Ft DECKAREA: Lith _-- Vlrfdth ---- HgtlGround Sq. Ft N�si�ed Cost I Driveway Curb Cut Wckh Needed: Pfi + 6 Ft a Ft x $ _ $ DATE: % A 70L 0 Cail (M) S7Z4W far Permit Few If mailing in apg1192116n or Fax to 763-57 - 28T if using credit card and we will wll 1W ror Cud number. Crt7 USE ONLY - Perrnit Fee 97s 5 Fee Schedule on Reverse Side Fire Surdharge$ -3 .001 of Permit Valuation (1110th°lo) Smote Surcharge v $.501$1,000 Valuation SAC Charge $ 62 $1200 per SAC Unit $5.00 (State Licensed Residential Contradors) License Surcharge DdvmW Escrow $ -5, Art. W or Alt. 1IS" Above $ Erosion Control $ $450.00 Conservation Plan Review Park Fee $ . Fee Detern-Aned by'Engineedng Agreement Necessary [ Not Necessary j I Sewer Main Charge $_-_----� �Al 7, STIPUTAMONS: TOTAL $ . //, 16P 1W je�f-t / / Building Inspections 763-572-3604 763-502-4977 FAX DATE SITE ADDRESS THIS APPLICANT IS: OWNER/ TENANT PLUMBING RESIDENTIAL APPLICATION CITY OF F IDLEY 0 OWNER OCONIRACTOR PHONE: E-MAIL ADDRESS .nf, StTBWT A COPY OF YOUR STATE STATE LICENS> # CQMMM's EXP DATE LICENSE, BOND AND STATE BOND # W 3SW gE 1:12TIFICATE OF DATE CAbbRESS; INSURANCE 1 •� . PHONE 76p3 -25a-'?- ( PAX PERMIT TYPE )(SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: XNEW 13 REPLACEMENT DETAILED DESCRIPTION OF WOXK -rn(-Fri II ,1, cn n Pern;ft Received By. Date Ree'd: PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures, (This should reflect only the cost of labor) Labor cost under $300 = $15.00, Labor cost between $300 to $500 -cost of labor— x .QS = plus .50 surcharge OR FOR PRO]ECTS WHERE LABOR EXCF:E s $soo, FEES ARE BASED ON $10,00 PER FIXTURE, EXCEPT WHERE NOTED, FIXTURES: (INDICATE TOTAL NUMBPA OF EACH BELOW). MINIMUM FEE $15,50. _ BATH SINKJLAV FLOOR DRAINS _SHOWER _ BATHTUB _ GAs PIPING (NEED CITY LIC) � SWIMMING POOL WATER PIPING _ CLOTHES WASHER KITCHEN SINK _ WAT1~R. CLOSET T WATER SOFTNER (535) _DISIIWASHBR=LA�yRY.�X BACKFLOW PREV. ($15) _WATER EiEATER ($35) FOR IRRIGATION _ WATER METER — OTHM D17DhA7M tbt nn,n..n:....,.. ��.� �-.- ��- ... /JA41rlPV14UNl]I:'I'Ciay�Qll`•��':'¢.�5i:.^�".;::i;"�'•.:.' .. '•'.. FOR PROJECTS OVER: 5500 $ Number of fixtures @ $10.00 _ x $10.00 $$ sr a .SQ SUENumber of fixtures @ $15.00 _ x $15.00 = $ $ — OR Number of fixtures @ $35.00 _ x $35.00 = S 50) State Surcharge = S .50 arul�uvaulvi •7,17.7y 1QzJ =,`b' TMS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSM I hereby apply for a plumbing permit and I acknowledge that the information above is complete and aeelsate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that l understand this is or a permit and work is not to start without a permit on site; that the work will be in accordance not a permit but only an app 'Cation f with the approved Or in tho,4ase of all work which requires review and approval of plans. SIGNATURE OF ICAW �I PRINT NAME b. A gel . YI DATE�� APPROVED $ MAZ- Or - , w. DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Wd 6b:OZ:£ 800Z/9Z/£ :a3ear L/b'•eDed 6£LLZSZ£9L :walk"' Building MECHANICAL NICAL PermitNo.:&�. Inspections RESIDENTIAL "PLICATION [Received By. 763-572-3604 CITE' OF h+ RIDI�I'+ Y 763-502-49`77 FAX EFFECTIVE 2-19-09 DATE t' o�O Li E-MAIL ADDRESS NE SITE ADDRESS Cc� Lc g V� 1 v k THIS APPLICANT IS: 0 OWNER XICONTRACTOR PROPERTY NAME: . 0AL OWNER/ R/ ADDRESS Com^ N� CITY t Y- e-� i STATE YMLkIP � PHONE: �l (s+3 • S`l �! 1 CONTRACTOR COMPANY NAME: -- CENTERPOINT -ENERGY------ ENERGY--- -SUBMIT CONTACT PERSON: JOANN ZINKEN SUBMIT A COPY OF BOND 22013346 08/19/2009 YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS:9320 EVERGREEN BLVD NW SUITE B CITYCOON RAPIDS STATE MN ZIP 55433 APPLICATION PHONE 763-757-6202 FAX 763-757-6701 PERNIIT TYPE *SINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW fIREPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK "i �S rR a r v14Lt FEES ARE BASED ON $10.00 PER FIXTURE,XCE� PT WHERE NOTED. FIXTURES: (INDJCATE TOTAL NUMBER OF BELOW) Equipment Installed MFG: 4V a r r � � MODEL: "; nx\. C n 0 SIZ T 0 O MFG: MODEL: (-1 YN PA-7aZLk SIZE/BTU ko �S MFG: MODEL: SIZE/BTU _J_A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _BOILER $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DUCTWORKS/$10.00 —GAS PIPING $10.00 —VENTILATOR $15.00 s^ ,9 cF "3 ,+ a" 4£ b.+' - .4�' eF 4`" � � 'F" �'4'Y - (- ,�•+> 3C 4 S a . �1� '� rt� �.. ��;. ,y� Y � � k3"�S'� .y, C i `Ysi Y` t.:�?�: K N F � � {i.5 t a� �t+�.'G•+L 3 4 v. }'� t' �a ��MK u' ' _;.:. `x'4 �P4" d ,4" ,L�' � di..4 '-•w ? fv 8 61 x l,K yaB>}V$ ..�}'S� kj.Y'i,�. g S i,'i� +� ,,u etS'` y{ i.: f- 2 ,�' 1 � L, Yii. �84 ��-:,Y �• .. `y��l�' � �' Lf Y�:�,u x1..�' ft�� � g � ", �Z� S4x3 P4'�F^t `�`i .1"a 3�L� fr� S�"��Z tt:: . � } . ���a'e-Fi" M X>'��%:fk` _. �a 2. ��" �, �`�': ��� ��a -$. z «,.„�„s ��•: ,.. �. '� i.. t+� 2,>.ts��.. r � � �„r"a a� :X"k 4r„ ........... :a `;s*§,>.rx £',r3 r 'a . ?�.. is+`$' '`:� S4, �.; .... 4; ,L�,rri,�, s�i ,.; .✓ e< 's"�' M5,4b. N � ,,,{.,.�._ Trite , 4�`.. ' S. �4`�.. GT� "Y� .� ,'s�,..� c y� "g, Y x 4.?�.t.-v,f�L" Yl..c4 € 'IC' 2...Sv's `.i rr :' r .yyb. P 4ni'`.t� ,1 a�+ '.�;S.d Ji1'��"i'vf'•: "4+ n,�,. 1 >t•";. . y„.5'"' 1 : �� � tiz �'�,S -Y a'-. .7N � �t���:'" "iwi".e. d �b%r �'�';a F �, Xg6 k`.t �.. "Ft` � ,� �. a�.k� -{h•'�Y' rX �':� %d� �, .F �.}:. £Kt���'�` 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 Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approval of plans. approved plan in the case all work whi h r u;0;=PRrNTNAME SIGNATUREOF APPLICANT ROGER HOFFHEIN DATE / 4-�, `�.4I�T�j1���'�•:P���s�3`-.�, ����,`�,.���N.���.1711itVJl�vsa'fF� �_�»•> �'.S"�t`': ,I„�. x]Sa������R � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 elo, City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ZEXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2: Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.