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PRE 2010 DOCSCity of Fridley, Minn. N° 8874 • BUILDING PERMIT Date: JUNE 8, 1966 • owner: b.E0KW- LITZM Builder CXT ANDERSON CONSTRUCTION ro _ , INC Address 111 - 102nd Avenue N.W. Address 401 - 97thAy-enue N. W. Coon Rapids, Minnesota Coon Rapids$ Minnesota LOCATION OF BUILDING No. 180 Street 71st Way N. E. Part of Lot Lot 9 _ Block 2 Addition or Sub -Division . RIVERWOOD MANOR Corner Lot _ Inside Lot % Setback 35' Sideyard 12' Nest Side Sewer Elevation 839.26 _ Elevation 842.26 TOP OF FOOTING To be Used as: DWELLING ATT, GARAGE Type of Construction DESCRIPTION OF BUILDING Front 33' Depth 23' Height 22' Sq. Ft. 759 Cu, Ft. 16,698 Front 22 Depth 22 Height 10 Sq. Ft. 484 Cu. Ft. 42840 FRAME Est Coat _ $21, 000 To be Completed WATER LOCATION - 42' East of Power Pole SEWER LOCATION - 11' West of Water 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 fort�-� in compliance with all provisions of ordinances of the city of Fridley. 7 -A / , y A) In consideration of the payment of a fee of $ 21.00 , permit is hereby granted to CHET ANDERSON CONSTRUCTION CO. 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 buildin— within ngs with$city limits and this permit may be revoked at any time upon violation of any of the provisions of ordinances. said WILLIAM H. SANDIN Building Inspector NOTICE This pennN don net cover the construction, 6omMon for wMh& phamhinB, oa heath* awar or water. Be an to ase the BuNhis Iespect" for aparafe permits for these Nems. 7 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER Ck ADDRESS /—A aak VJ ADDRESS 4t0/ -7 a'a o LOCATION OF BUILDING N0. I g e STREET PART OF LOT LOT BLOCK ADDITION OR'SUBDIVISION CORNER LOT INSIDE LOT SETBACK m SIDE YARD / Z,— SEWER ELEVATIONI ELEVATION 3 Applicant attach to this form Two Certificates of Survey 6f Lot and proposed building location drawn on these Cert icate . (/ / G� -c titi cam - T � DESCRIPTTO OF BUILD To be used as; • 1: Front 47 Depth eight ` Sq. Ft. — Cu. Ft._ a Front °`-- DepthHeight Sq. Ft. - LCu. Ft. Type of Construction Estimated Cost,d ®� 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 z SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Heating. Cooling, Ventilation. ReMgeralion 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 $ each add. 60,000 BTU .....................I . 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 $1.5o $ 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 560--�3450 City of Fridley: v 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 sig true and correct. %%'� Fridley, inn Owner (7 -Z -A Kind of Building e Used as To be completed about 196 - Estimated Cost, $ / Ol wilding Permit No. Permit No New. � L C DESCRIPTION OF WORK HEATING or PQWER PLANTS—Steam Hot Wateci. Warm Air—No Capacity Sq. Ft. E.D.R d'—" BTU H.P. Total Connected Load Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) RAY N. WELTER H EATI N G CD. Signed 4637 81 168ASS AVE. By MINNE^POLIS 7, MINNEB/ A 42 Business Phone No- FGR City of Fridley, M rim 10709 BUILDING PERMIT Date: June 18 1970 Owner: Leonard Litzner Bider Roy Lund Builders Address 1$0, - 71st Way N. Address 241 - 42nd Avenue N.E - LOCATION OF BUILDING No. 180 Street 71st Way N.E. — part of Lot Lot 9 __ Block 2 Addition or Sub -Division .Pave rwo od Manor Corner Lot _ Inside Lot _ _—X Setback —_ Sideyard Sewer Elevation --_. Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Family Room AdditionFront 24'6"_ Depth 16' Height 2.0' Sq. Ft, 392 Cu. Ft. 7840 .— Front Depth Height — Sq. Ft. Cu. Ft. Type of Construction Frame Fst. Cost J4L20Q. _ To be Completed Aug. 30, 1970 In consideration of the issuance to me of a permit to construct the building described above, I a to do the proposed work in accordance with the description above set forth and in co liance with all pons of ordinances of the city of Fridley. - B '7 In consideration of the payment of a fee of $ 21.00 ., permit is hereby granted to Roy Lund Bldrs . to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. HANK MUHICH l NOTICE: Me permit does not cover the construction, Installation for whing, plumbing, gas heating, rower or water. Be sora to as the Building Inspector for separate permits for these boom APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : Jl Cy VAV-d 21 j2/V a 1- BUILDER: W®Y 111we / ,&) i t S ADDRESS: /?'0 -21 s� &-Ay /. ,�F ADDRESS:, c;2 )� / .14,11— NO: y1— NO• . 19- c) STREET • 7,7 s� k -,d Y AK f LOT: BLOCK: _'7 ADDITION: CORNER LOT: INSIDE LOT:_SETBACK: SIDEYARD: 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 As: /_-7,9M'fJX PO d 4t ,B��lrTio r� Front • 01� Depth: Height • ,.7Q Square Feet: Cubic Feet: �� Q Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: rA rWe. Estimated Cost:_ $ ��pp, 0�- To Be Completed: Ay,2 30 , lezo The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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:' _6 — / 1-- 70 SIGNATURE: (See Reverse Side For Additional Information.) •z • „ f 2 y .. rZ -0”*4 � -Y , _ sS. / 4! 7a.S i f - ; _ k F �C Y 4 4 k, � '� 2� �Y1. J Y a'F� s r y r `a4 Z'G'F } +tom ",.,• i r 3 ae t r r*a, 1 - ,-. �. 4" f +"' < o- r ,�, ., .rN, a . a s rK I- Y s 7 3 ,1. c k ='in'i' 'icr , s ' * v �n r r K S. �. !, °- a J } e t ' "Fx 'F+h��..x - 4 7 ,,: J I. � >. '� t' i v F . `::' - h }f a-'ot 4 kf r z� r - a Ir '` 5 r r" e w is ,.r ; o z t 'Y-, 1 p F �x ' r * '-JT 1Y- w -� ., F k L .'� k " r .G. "I ss. 3J -4. N ><- - . s'' �'� 1 i h- 'z a +� v, c i S +� a tT� r�. r 3. 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A k !� R . A. t �47I'il+'4..° ,N' 1 X 411 � � - , ., , , ,_ _ , . . , - I - 11 - . ,. . I. � I,-- u r 'S IT ^S€` I- 1 i_-_� __ �TrQ1f M _ r : I -or � '%ax.�. X. I-, " _., ... °?v �'... dl .'.1`" 'r' r ! r �' .. w.. ,�1} ,..-.. !=C'' .''..tr` 4^ W' W Y N 3 'I -T _ 'Y $.5i1 r,Mir } } i .. _$�a• _ . 1 ter,, ' KVO` 4 x +_ 4.. .. _ ryt r' _ _ _ i YG'.. ,,. �. r - Y 6 t t- Y A 1i1 �- 4 % l 8 3 v 1 S - } 'Y R r ',f " i r a i - ff.• .+ :C r* .'' r$} �` - t "� �' r :A` (5.' tee_. x y F + .c iy dr #:; - .' f ;' < � .;-r i t Si " , Rs tc _,c , F ' e ',p ti "F *�,.1'. 3 F �� v M n f.. F ,�: t J L£F r. id � ,a r ♦ r Y v r _ t, - F a.7. , l � .F ". x � z k � z s �, r e i, tE = i,' f. 'i a „� j s r .. 1 i il�+1e 4 i5 l 4 t + r. az a 3 7 " nxA , v" L '!. � it " _5f '" ' s r ti. :~ - a �, x y �, X41_4 ' I'.t�` 3'Z .r z;� P ry r sa PARTIAL RATE SCHEDULE GRAVITY WARM AM: 'I TE TO?" F1umace Shell & Duct Work .. ... ..... .. $10.00 $ Replacement of Flunace 6.00 $ Repairs & Alterations—up to $500.00 6.04 S Repairs & Alterations each add. $500.00 300 $ Deem WARDf AM. rurnace Shell & Duct Work to 120,000 BTU each add. 60,000 BTU . .. ...... Replacement of Flunace Repairs & Alterations --up to $500.00 Repairs & Alterations each add. $300.011 STEAM or HOT WATER SYSTEM ..$10.00 $ 3.110 6.00 $ 6.00 $ 3.00 $ Furnace Shell & Lines—to 400 sq. ft. F,DR Steam $10.00 $ Furnace Shell. & Line—to 640 sq. ft. EDR Not Water 10.00 $. Each add 200 sq. ft. EPR Steam 3.00 $ Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL 1a17RNME—to 3 gal. per hour 6.00 $ over 3 gal. per hour --Zee' Fee Schedule GAS SURRIQER (up to I ,000 RTU1 5.00 $ amr 199,000 BTU Sete Foo Schedule GAS FITTING FM: WO RATE TOTAL 1st 3 Fixtures _ x$ 7. 0 $ Additional Fixtures x ,qg $ _ Gas Range tb M.CW a$ 5.00 _ ®NWO ttate Surcharge '0 050 Ant COMM FAN BEATIM i$ FereschzAab VEM=AT=G STSTEN $ A.LTER&TIONS & l TOTAL Fm Dept. of B1dv. Phone 00-34M 0 - %/"2,1 City of Fridley: The undersigned hereby makes application for a permit for the work here specified. agreeing to do all work in strict accordance with the City Ordiffiana and ruling of the Department of Buildings, and hereby declares that all the fee and representations stated in this application are true and correct. Kind of Used as To be completed about, 5— Estimated Cost; $ Old New. Building Permit No. __ Permit No. HIATING or POWER PLANTS --Stearn, Hot Water, Warm Air—No Trade Name Sias No Capacity___. — Sq. Ft. E.D.R RTU W Total Connected Lood Wnd of P9ae1 BURNER — Trade HeSize Ido Capaci Sq. Ft. ZD to 41 �01 C6111, � cp 5�_2_140 r CITY OF FRIDLEY Effective Date May 1. 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Date HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. (1) AiA CGVI 'RESIDEN-TIAL RATE TOTAL ` Job Address 180 - 7W Way NE Furnace Shell and Duct Work, Capacity 3 ton Sq. Ft. EDR BTU 36, 000 HP Burner (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 Gas Piping $ 10.00 $ City of Fridley Tel. #571-3450 (piping needed with new furnace) BURNER - Trade Name Size No. Gas Range $ 10.00 $ The undersigned hereby makes application for a permit for the work herein Gas Dryer $ 10.00 $ specified agreeing to do all work in strict accordance with the City Codes MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00,Company*7-62'00 and rulings of the Department of Buildings, and hereby declares that all the PLUS $.50 STATE SURCHARGE facts and representations stated in this application are true and correct. * Air Conditioning (all sizes) $ 10.00 $ 10.00 Fridley, Minn. May 19, 1989 Attach stack verification form with replacement furnace permits 19 All Others/Repairs and Alterations Tel. No. OWNER Doug HeAmau0n 1% of Value of Appliance or Work $ KIND OF BUILDING FiLame COMMERCIAL/INDUSTRIAL USED AS Raident at 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT 5-89 ESTIMATED COST $1500.00 State Surcharge $ .50 TOTAL FEE $ 15.50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. 16 �G Reinspection Fee ($15.00) $ written permission from adjoining neighbor. 9 DESCRIPTION OF FURNACE/BURNER Rough Insp. Date HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. (1) AiA CGVI Final Insp. Trade Name ftyant Size No. 591AO36 Date Capacity 3 ton Sq. Ft. EDR BTU 36, 000 HP Approval for Permit /1r Total Connected Load Kind of Fuel BURNER - Trade Name Size No. f Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00,Company*7-62'00 PLUS $.50 STATE SURCHARGE 1 C E�e Ll - Signed By Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without Tel. No. written permission from adjoining neighbor. 9 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,) 2. Is free from rust or deterioration Yes ( ) 3. Has no foreign objects lodged within Yes ( ) 4. Is securely supported Yes ( ) No ( ) No No ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has •Total heating BTU's of All other BTU's TOTAL Rema rk s a Company Signed By Date CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS J�� �2/ New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 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 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Avner Water Heater —Electric $ 7.00 Water Heater — Gas $10.00 ,Q2) Building Used As Gas Range $10.00 Gas Dryer $10.00 Estimated Cost _[� PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $5.00 PLUMBING COMPANY�J&L> rrl,S 3r1 Reinspection Fee $30.00 SIGNED BY TEL NO: ` ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance 7 `T Approved By Rough—In Date Final Date s G State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 V TOTAL FEE $® PLUS THE $.5o STATE SURCHARGE City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT =322- Ir • COMMUNITY DEVELOPMENT DIV. VV ------, r � PROTECTIVE INSPECTION SEC. I � � CITY HALL FRIDLEY 55432 612-571-3450 NO. NUMBER 910-F15 REV DATE 3/16/95 PAGE OF APPROVED BY JOB ADDRESS 180 71 Way NE 1 LEGAL DESCR, LOT NO. 9 BLOCK 2 TRACT OR ADDITION Riverwood Manor SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Doug Hermanson 180 71 Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Suburban Roofing 13418 Crooked Lake Blvd, Andover MN 55304 755-0423 20007847 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 D REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WORK Reroof House (24 Squares) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,320 .66 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- R�CTION O ANCE OF CONSTRUCTION 33,00 Fire SC 1.32 PLAN CHECK FEE TOTAL FEE License SC $5.00 1 $39.98 NATURE OF CONTRACTOR OR AUTHO AGENT IDATEI WHPeVRqPERLY VAUDkTED THIS IS YOUR PERMIT BLDG MATE SIGNATURE OF OWNER dF OWNER BUILDERI IDATEI NEW [ ] Effective 1/ 1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: �Q 7 / C-�l a Legal Description: Co vL r - 0 ve-.- f?O o � Owner Name & Address: h �s o!� Tel. # Contractor: SL/ 46 yam.-, /��� -, MN LICENSE # `z o �`� 7 Tel. # Address:-®- ��'S-- air z .3 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 idth . Hgt/Ground Sq. Ft. OTHER: /-"v Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: Approx. Completion Date: z (Cost on Back) Driveway Curb Cut Width Needed: Ft.+ 6 = Ft x DATE: APPLICANT: Tel. # - z 3 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 1-3.2 .001 of Permit Valuation (1 / 10th %) State Surcharge $ - $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit .License Surcharge $ 0 $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 $ -q S STIPULATIONS: • CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate TOTAL Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30,00 $ (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ Gas Range $10.00 $, Gas Dryer $10.00 $ *Air Conditioning — All Sizes $ 25:00 All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without a written permission from adjoining property owner. 50 40 JOB ADDRESS 40 Effective On January 1, 1997 7u r'r 1 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 Builc;ing Division, and hereby declares that all the facts and representations stated in this application are true and correct. //— .1, 111997 BUILDING USED AS ESTIMATED COST %Z bl " PERMIT NO. � DESCRIPTION OF FURNACE AND OR BURNER No, of Heating Units / Circle One (Steam) (Hot Water (Warm Air) Trade Name Size No. p A BTU fb® 9,p® HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY .; 77 77 Signed B I No. 4 Approved By Rough—In Date Final Data FILL OUT BACK SIDE F STACK VERIFICATION ON REPLACEMENT FURN E NOTE: #1 through #8 required when using a side vent furnace. 4ee., CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported S. Meets all current Code requirements for size and total BTU's connected 6 Has total heating BTU's of All other BTU's _ 06 0 TOTAL BTU's J3 20t9n 7. Has a liner been provided for water heater S. Has combustion air been provided for water heater Remarks: rr l �( Yes (°A No ( ) Yes N No ( ) Yes N No ( } Yes r\ No ( ) Yes( ) - No ( ) Yes() No () N 4 Yes( NoON HEATING CO: Signed By: Date: f2_Z suBjEtT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. `v _����_ COMMUNITY DEVELOPMENT DIV. r " PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By ' 612-571-3450 910-FIS 4/30/99 JOB ADDRESS 180 71 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Riverwood Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Ista 180 71 Way NE 574-9023 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK JI NEW O ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 24' x 12' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WARING before digging can for all Utility locations 454-0002 REQUIRED BY LAID SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT $2,653 $1.33 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- $74.75 Fre SC $2.66 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE ZALFEE $78.74 SIGNATURE OF CONTRACTOR OR AUTNOR11z jffAGENT ATEI p Y VA ED THIS IS YOUR PER I �1 d2s��I& �/ j!rHE 559 ,� O - SGN4 TU O� OWNER,, NEA WILDER, IRATE, El INS OA TE f2_Z NEW [ ] ADDN [ ] ALTER [ l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 99C3 ,/ys iConstructionAddress: /,C,-1 e /r x mss- r - Effective 1/1/99 V' il r Legal Description: �C Owner Name & Address: c>;pe, y. rsr-,f —Tela # S- 7/�- ?P-2- Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: )( DECK AREA: OTHER: DESCRIPTION OF�"�'/'��''? Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground-'--3 'Sq. Ft. C99 �Cy I` J, Construction Type: l°�'�•rr��*.y* a�,�,��a� �'d�r. °'�"'.� Estimated Cost: $ Driveway Curb Cut Width Needed: rr® (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ DATE: ��� ��� APPLICANT: �� ��'"'� Tel. # .� ��= aP `� STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 9, .001 of Permit Valuation (1/10th%) State Surcharge $ /, 33 $.50/$1,000 Valuation SAC Charge $ $1050 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 $ STIPULATIONS: �ii�Ri9.` /075-9 Building BUILDING Permit No.: �- Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: % -/4 DATE / I— / L — doc- YOUR E-MAIL ADDRESS SITE ADDRESS 196 -71 4'- �,YO , %) e THIS APPLICANT IS: ❑ OWNER ACONTRACTOR PROPERTY OWNER/ NAME: rp- TENANT ADDRESS: 190 :216J LP) 4-41 Alf CITY STATE 5 PHONE: -763 1-7 7 " e'10a3 CONTRACTOR NAME: nm cffy Han 1=00ELiNalC. STATE LICENSE # -amIAW=fllXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONEOr"WAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH AROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:— p�- SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFINGq � d 3 T� ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes [No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ U�- See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ J,19,1 (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ S'& .001 x Permit Valuation (1/10%) License Surcharge $ ',e9c? $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $Agreement necessary ( ) Non Necessary ( ) Total Due $ 9 Make checks vavable to: Citv of Fridlev Attach Stipulations 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 approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DATE Building Inspections 763-572-3604 DATE 7 I © 17� MECHANICAL r CITY OF ' r 1' YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: O OWNER ,CONTRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION fro" -71st W PHONE: `7[a 2>- S 7 j- Permit Received By: lCt Date Rec' d: ✓I ' I AT 1!j ZIPS S4l3 Z COMPANY NAME: CONTACT PERSON: 8910AUenh-vorth Me - STATE LICENSE # Minneanelis- SAX ADDRESS: (952) 881-9000 Crr STATE ZIP PHONE FAX PERMIT TYPE l GLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERAnON/REMODEL DETAILED DESCRIPTION OF WORK I a fst_ AC_ w UA vi 0 13 AQ 0 ® PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: �, DaQL MODEL: 13gC1� b3 SIZE/BTU 3 (�, ODU MFG: MODEL: SIZEJBTU MFG: MODEL: SILEIRTU A/C $25.00 FIREPLACE (GAS) $15.00 . _GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 1 x $25.00 = $ 2-5-00 Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Total = $_7-5 -50 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 approved plan in the case of allc which t evi;T andpproval of plans. SIGNATURE OF APPLICANT City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 TE 2J OG REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propan&UGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. 1MC 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