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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT NA 6208 Date: OAQ Owner: �l' ./T.'a� / Builder Address s4ySMION S,05 Iy,U1LDING No. S#eet Part t UJI Lot _ block Addition or Sub-Division.Awe Corner Lot __— Inside Lot Setback Sideyard Sewer Elevation -- - Foundation Elevation DESCRIPTION OF BUILDING ; To Used Front O ' Depth Height _ Sq. Ft. Cu. ;f Depth Height Sq. Ft. Cu. Ft. Type of ctiou " , Est.. - '" G "�'�iro 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 �► accordance with the description above set forth and in compliance with all provisions of ordinances of the alty of Fridley. In consideration of the payment of a fee of $ ---J , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express conditi1 n 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 N/7 violation of any of the provisions of said ordinances. f�� J 1: Building Xnspector 7NOMEns,mh don not cover the eoastrucHoe, finh ation for rrkb& pli mbino, aaa hutlne, sewer or water. Be sun to seeInspector for separate permits for than home. City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK � Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ 0 New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 rf F Water Heater (Up to 200,000 BTU) ...... x 2.00 $ u� 8� ~Z E±c s3 o 7� t9 °1 7Z t9o� UN' is t90 F N WATER HTR. GAS ELEC. Base ( x .50 $ Gas Range to 200,000 BTU ................ x 2.00 $ j 1st 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings Connected with Sewer Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ 0 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 $ Additional Fixtures ..................... x .50 $ Gas Range to 200,000 BTU ................ x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE It 0 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 true andcorrect. / Fridley, Minn- C / _, 19 e—"0 - Owner Owner Kind of Building Used as ev 0, To be completed about �c Estimated Cost, $ Old—New. Building PermitNo Permit No. 3 eon By Business Phone No ROUGH FINAL 42 2M Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 GRAVITY WARM AIR: RATE TOTAL Low34on f� ' 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. IDR Steam ...... 8.00 Furnace Shell & Line --to 640 sq. ft. IDR Hot Water ... 8.00 Each add. 200 sq. ft. IDR Steam ...................... 2.50 Each add. 320 sq. ft. IDR Hot Water .................. 2.50 OIL BURNER to 3 gaL per hour ........................ 5.00 $ S over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM I a ALTERATIONS & REPAIRS TOTAL FEE City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn � � 195 ' Owner .-4 _195— Kind of Building _ 195_ Used as fir's:' s �?>•.� To be completed about Estimated Cost, Old'Suilding Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Wateil,�,, WarmA44-No Trade Name °{ . C to Size No Capacity a Sq. Ft. E.D.R- ' �V Tfn H.P. Total Connected Load— ° ' ` Kind of Fuel 5` } BURNER — Trade Name`F' �(- "Size No Capacity Sq. Ft. E.D.R BTU H.P. SivnPA~" By OfWll POST 1 M-8-58 Business Phone Corm ODS NEAT LOSS CALCULATIONS Weather trips S.H.V. ndows Do rs Guide eferen YJAo YTS—NO 19 Out. Wall UNAM. BUILDING DEPARTMENT e Construction No. –1 Int. Wall eiling Roof Floor 3 Height 1 FI.INIrie R. , MINN. Insulation Kind How Applied Room I Length 1,3 Width / O ` y Height )or"rackal?e and Area . No. f Pana f pine lights of crack sq. ft: �.. X 4 0A I I I I ICoef. I Btu Infiltration fid 2 " Glass a+ Exp, wall 3 X o Net exp. wall p o 4v Int. wall Floor _ Cell. Total Btu. / //1?—® 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 FI I F Room I Length Z, Width 3, Height a 1 Fl UIZ& d7 ._1 Rnnm I I onath a -f Width A Hoiaht ......... Door _....a... " — Crackage and Are ..._... ` Wi dows ai id Doors--prackagi lan Area Crackag D and Area Width Height Nof Lineal ft. Area No. f pane of pane ligo. hts of crack sq. ft. 3 (W (v _T 1 19 7 v 4470 3 Btu 2. Coef. L �Coef. / Btu Infiltration Coef. Btu Infiltration Glass Exp. wall g Z d Glass " Glass Exp. wall �b27 !FLD ' Exp. wall 3 i Exp. wall % Net exp. wail Int. wall Floor Ceil_ Net exp. wall Int. wall a ®' r! ( O Floor Evil 6 3 i? Co Floor C 'I , MINN. Insulation Kind How Applied Room I Length 1,3 Width / O ` y Height )or"rackal?e and Area . No. f Pana f pine lights of crack sq. ft: �.. X 4 0A I I I I ICoef. I Btu Infiltration fid 2 " Glass a+ Exp, wall 3 X o Net exp. wall p o 4v Int. wall Floor _ Cell. Total Btu. / //1?—® 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 FI I F Room I Length Z, Width 3, Height a 1 Fl UIZ& d7 ._1 Rnnm I I onath a -f Width A Hoiaht el . Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area I ` _ 1 n 1 // . . , D_.... I 1 ....,.,1. % — 196d6L. 1 - U-;-64 A ... 1 Windows and ......... Door _....a... " — Crackage and Are ..._... ` .._.o... 93 W'ndows a d oor Crackag D and Area ? by Q Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Btu 2. Coef. L L / Sol Coef. Btu Infiltration Glass Exp. wall " Glass Exp. wall Exp. wall % p Floor Ceil_ Net exp. wall Int. wall a 6 3 i? Co Floor C 'I el . Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area I ` _ 1 n 1 // . . , D_.... I 1 ....,.,1. % — 196d6L. 1 - U-;-64 A ... 1 Windows and ......... Door _....a... " — Crackage and Are ..._... ` .._.o... 93 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu o L y o ? by Glass Coef. Btu Infiltration Coef. Btu Infiltration /O Sol If 2 Z Co Glass Exp. wall TP .2 o a Exp. wall Net exp. wall p Floor Ceil_ Int. wall Floor ~Gail. Total Btu. D 2e*o Required sq. ft. E.D.R. or sq. ins. WA. leader area it Windows a d Doors-7Crackagq and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Z ?•© 0 1 20 Width Height IVo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2 ., 1 Coef. Btu Infiltration 3 ? by Glass Coef. Btu Infiltration Net exp. wall 1 Q Int. wall /O Glass er" Exp. wall Net exp. wall Int. wall Floor Ceil_ Total Btu. I S77 C, Required sq. ft. E.D.R. or sq. ins. WA. Leader area 1 FI_ I & A_ A Rnnm I Length IA Width 1 .ft Height I endows and Doors—Cracka a and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Z ?•© 0 1 20 Coef. Btu Infiltration 3 ? by Glass JV b ,y`b Exp. wall Net exp. wall 1 Q Int. wall Floor Ceil. Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Farm 91)5 HEAT LOSS CALCULATIONS BUILDING DEPARTMENT GOLDEN VALLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Windows Doors Guide eference Out Wall Int Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19 FI. I Room I Length Width Windows and Doors—Crackage and Area No. I of pane I of Coef.I Btu Infiltration 1 Glass Exp. wall Net exp. wall Int. wall Floor Ceil. 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—Crackage and Area Width Height No. of Lineal it. Area No. of pane of pane lights of crack sq. ft. I I Coef. I Btu Infiltration I Glass Exp. wall Net exp. wall Int wall Floor Ceil. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. I Room ( Length Width Height Windows and Doors—Crackage and Area 1idth Height No, of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Coef.I Btu Infiltration I Glass Exp. wall Net exp. wall Int wall _Floor Ceil. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A, Leader area FI. I Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of.pane of Dane lights of crack sq. ft. Coef.I Btu Infiltration I Glass Exp. wall Net exp. wall Int. wall Floor Ceil. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. I Room I Length 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. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Floor Ceil. Total Btu. i Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. I Room i Length Width Height Innitration Glass Exp. wall Net exp. wall Int. wall Floor Ceil. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Coef.I Btu SUBJECT City of Fridley ;.7,1855 AT THE TOP OF THE TWINS BUILDING PERMIf r RECEIPT N � COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. �� �/� 1 � i "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/15/87 JOB ADDRESS 249 - 69th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Rice Creek Plaza SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stephens 249 - 69th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Contr. 6331 RiverviewTerrace N.E, 574--99.66 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 C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling C24 Squaresl 9 CHANGE OF USE FROM TO STIPULATIONS 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1200. $.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2O. 50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �S 8� PLAN CHECK FEE TOTALFEE $21.10 SIGNATURE OF CONTRACTOR ORA HORIZED AGENT (DATE) WHEN PROPERLY LI DATED THIS IS YOUR PERMIT BLDG INSP �)ai SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI NEW ADDN. [ [ ] ] City of Fridley Effective 4/1/86 R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Z y G y 7; � ,A vz- e,`e° Legal Description: �a�' 3 1� Lo C- ( 2 ics c lecc- k 17CAZA- Owner Name a Address: -Sty (`� �� S Tel. # Contractor : '\ C A, R 13 As t t'1\46 S -Tel. i Y7 Address: 633 1 (Z cusp ViEw 7`iFr2 -- Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: K -E zyo F Estimated Cost: $ � Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE. 5 /51F 7 APPLICANT: Tel. 0 -s7�i''�d� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ ® Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ D $.50/$1,000 Valuation $ $525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] 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: Z:z -S Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: K -E zyo F Estimated Cost: $ � Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE. 5 /51F 7 APPLICANT: Tel. 0 -s7�i''�d� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ ® Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ D $.50/$1,000 Valuation $ $525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.00 -- $ .2 ,tQ $10.00 $ ,a� $10.00 $ $10.00 $ *Air Conditioning - All Sizes $10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS -9W 5 ' U qt A' 6LVLC V f - The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ') -:1 ,199' OWNERS BUILDING USED AS ESTIMATEDCOST 2-1 V , O G PERMIT NO. 22S DESCRIPTION OF FURNACE AND OR BURNER No. of Heating UnitsCircle One (S Trade Name-----Z/-v,-/— BTU ame - -/—BTU . enc, cr o HP aam) (Hot Water) arm Air Size No. 3970 EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING C N 410 VAMT LAP= S"WT 7�Signed By ' Tel No. Approved B l?— Rough -In Date Final Date itjuq n/ FILL OUT BACK SIDE FOR STACK 41FICATION ON REPLACEMENT FURNACE r- CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: � HEATING COMPANY ♦s i�1z Signed By • ' '• Date z- RESIDENTIAL LOAD CALCULATION 1. ) Purchaser Sales Rep V � Date Address "'Ft gross wall Running walls below grade x (Ft wall Ht)= 110 elow grade Sq Ft windows and 30 doors below grade ,D et wall below rade Ft gross wall Running walls above grade: x — (Ft wall Ht)= J,Vq�jSq above arade(lst floor) (1st Floor) Sq Ft gross wall Running walls above grade: x (Ft wall Ht)= above rade 2nd floor (2nd Floor) Sq Ft gross wall Total gross Sq Ft = above grade Sq Ft windows and doors above grade %p O Net wall above trade Windows & Doors Sq Ft x 4S HTM = BTUH Inf.(w&d x 1.3) 3 Sq Ft x 3 D HTM = `bp BTUH Net wall below grade Sq Ft x HTM = BTUH Net wall above grade G O'O Sq Ft Exposed Ceiling 1171• Sq Ft Exposed Floor Oi71- Sq Ft Windows & Doors X HTM = '7 � BTUH X HTM = �r%S BTUH x HTM = ')/7j� BTUH = M�TU TOTAL Ceilings & Floors 410 W. LAKE ST. MINNEAPOLIS, MN 55408-2998 612/824-2656 ADDRESS 2 9 I ? -/� OCCUPANT L -) - ea; HEATING AND AIR CONDITIONING CO WD ne Twfi cities sines im- ORSAT TEST RECORD toy - /U. /7.S - DATE HTG. INST. - 7 - c' INSTALLED BY 1072 PAYNE AVE. ST. PAUL, MN 55101-3892 612/772-2449 CITY F,- r d /c, OWNER _ ,m e% GAS LINE BY TYPE OF HEAT: GA FA)( HW STEAM SPACE HTR. a UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE 4� MAKE'OF BURNER MODEL /Yl >'- �1�7-36, 046d ka t, MODEL SERIAL TC91-1 IJ94 6� MAX. BTU RATING INPUT 4i 0 a Gd MAKE OF NAGE CONTROLS EL THERMOSTAT/4, HEAT PLUG VENT SIZE c VALVE A 114 � r KIND OF LINER 64,j&,/7,k SIZE -q-NONE LIMIT 400tyt& g- DRAFT HOOD ,;/7ae',o REGULATOR r LIMIT SETTING 0yej CHIMNEY CONSTRUCTION FAN SETTING Z;4, DRAFT yam$ TEST TAG PILOT TYPE ��� CO l, LIGHTING INST. PILOT MAKE l PILOT MODEL PILOT TIMING PRESSURE r.S PERCENT CO2 DATE TESTED INPUT CFH tl PERCENT 02 NAME .(1F TESTERETESTERSTACK TEMP'., : 'PERCENT-C.Q. , I CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE .Fridley, MN 55432 572-3604 "l APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On May 10, 1999 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR New Fixtures ... �:..... The undersigned hereby makes application for a permit for the work herein Wash < Shower Tra 19(C:::: :) 3d f11:<`<'::`:: F loot Drain �� Auto. ::•;�..::...`�A::.. �>><� R :::>>:: Washer A :. > _>: < Gas Range `:= �'�::... Water Heater Stones : •` .. <:lunnal .::-:>:., ' -fQS ::::<<v: Gas Elec Basement t $ 7.00 Rain Water Leader $ 7.00 NORBERG,DAN �/� 2fatX7 Sump/Receiving Tank $ 7.00 249 69TH AVENUE NORTHEAST Floor 1 $10.00 Owner FRIDLEY, MN 55432 Water Heater -Electric $ 7.00 (763) 574-0798 Water Heater - Gas'* $10.00 Building Used As Floor 2 1.1.11 Gas Dryer*' $10.00 LI(�r�ol* Estimated Cost `'y PERMIT NO. /gY� Back Flow Preventer Required ( )Yes () No Floor 3 $15.00 PLUMBING COMPANY tjo K6� 2 FL-OM&MG Reinspection Fee $47.00/Hr SIGNED BY TEL N0. ��2 '2 -7 �j033 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Floor 0 4 I Approved B Rough -in Date Final Date State Surcharge $ .50 `` TOTAL FEE$,Zo• 50 MINIMUI` 0111 ANY PLUMBINGIGAS PERMIT IS $20.00PLUS THE S.5d STATE SUR -CHARGE PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS_ _ S K(f,7 jj 5 QW A)15Z d EL©tJ r New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Facture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 NORBERG,DAN �/� 2fatX7 Sump/Receiving Tank $ 7.00 249 69TH AVENUE NORTHEAST Water Treating Appliance $10.00 Owner FRIDLEY, MN 55432 Water Heater -Electric $ 7.00 (763) 574-0798 Water Heater - Gas'* $10.00 Building Used As Gas Range*' $10.00 Gas Dryer*' $10.00 LI(�r�ol* Estimated Cost `'y PERMIT NO. /gY� Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY tjo K6� 2 FL-OM&MG Reinspection Fee $47.00/Hr SIGNED BY TEL N0. ��2 '2 -7 �j033 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance I Approved B Rough -in Date Final Date State Surcharge $ .50 `` TOTAL FEE$,Zo• 50 MINIMUI` 0111 ANY PLUMBINGIGAS PERMIT IS $20.00PLUS THE S.5d STATE SUR -CHARGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. GiYOE FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 October 17, 2001 Mr. Dan Norberg 249 69 Avenue NE Fridley, MN 55432 Re: Final Inspection at 249 69 Avenue NE Contractor: Norblom Plumbing Co Dear Mr. Norberg: A plumbing permit was issued on September 13, 2000 to install a water softener at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Plumbing Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection, or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh SuB.,ECT IT NO. `> City of Fridley 33120 AT THE TOP OF THE TWINS P, BUILDING PERMIT I RECEIPT NO. i - _____ COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC, 5,Y® AI r 1 1 ; r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55132 763-571-3450 910-F15 9/26/02 JOB ADDRESS 249 69 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 1 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan & Sophia Norberg 249 69 Avenue NE 763-574-0798 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Kingdom Exteriors 5301 East River Rd 4115, Fridley, MN 55421 763-572-0001 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20168211 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ O NEW O ADDITION O ALTERATION X REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (27 Sq) Tear-off 9 CHANGEOFUSEFROM 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 BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO OWLG. 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 ` $1.45 WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT _15140a- 'vv C�! DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License_§.0 $5.00 1 $9,Z,.59 NATURE OF CONTRACIaR OR AUTHORIZED AGENT IDATEi N I OPE Y LIDATED I$ IS YOUR PERMIT - -- f-1; -0 1- --,� d 2 S� NATURE OF OWNER�iF OL wNER BUILDERI IDATEI g INSP pArE NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R -I' AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ue 15 Legal Description: -Fc� M t Lq Owner Name & Address: Contractor: Address: Tel. # 747-57Y-07 9 k MN LICENSE #,6C-606 $ a / / cQ / Tel. # ? 6 3 – S%a --6yy ) 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: Construction Type: - royouso ,� q q ra � Estimated Cost: $ 5 C (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: - aY-a;- APPLICANT: 6vN ILohtdPQK Tel. STIPULATIONS: 4 . A CITY USE ONLY Permit Fee $ 3 . a s Fee Schedule on Reverse Side Fire Surcharge $ 5.8 1 .001 of Permit Valuation (1/10th%) State Surcharge $ J.,45 $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ -5 .00 $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 $-2a51 STIPULATIONS: 4 . A