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PRE 2010 DOCS5-7 7r" e . City of Fridley, M ma6 111-51, - ,, 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: Au991524e 1971 Owner: _ William V. X= Builder Sam Address _ 4534_11disonStreet N.E. Address Same LOCATION OF BUILDING Street 71st Way N . E . Pari of Lot Lot _ _.__l._ — _ Block Addition or Sub -Division Yar i all TQ=acg Comer Lot ... _....... _.__ Inside Lot -__.X Setback Sideyard :!elver -Elevation`'_ _ _._�_� %oP Q c 'd71AJC, DESCRIPTION OF BUILDING To be Used as: Dwell in Front 42 t Depth 26 t Height 20 Sq. Ft. 0921 cu. Ft. '=a$;a _ Front ._.221 Depth —_24.1 Height 191 Sq. Ft. 528' CSL Ft. Type of Construction Erg= Est. cost X32,000 To be Completed Jan. 300 1972 (,$0270) Stipulations: Provide verifying survey and hard surface drive. Set elevation average of 180 & 188 -71st Way VERIFY LOCATION OF "Y" BEFORE ISSUING SEWER PERMIT ,, (y 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 a& provisions of y Ordinances of the city of Fridley. , „ r „ In consideration of the payment of a fee of $,51.0.0—_, permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all Work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinanew of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings fiances. city limits and this permit may be revoked at any time upon violation any of the provisions of said NOTICE. This permit does not cover the construction, installation for wiring, plumbing, gas heating, tower or water. Be sure to see the Building inspector for separate permits for these items. 4 ,A APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : W L O"19 P117 A BUILDER • �/ �� / �s • R14 r AADRE$S: 4S 3`� InAb's6.j SK. NL. ADDRESS: SAtir t—� NO:. C STREET 7 / � WJ LOT: / BLOCK: ADDITION: ( l� CORNER LOT: INSIDE LOT:_x ETBACK: 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: 2b o ,u� G Front : % Depth : ' Height: / Square Feet: % ® F,2 Cubic Feet: 373 r Front: / Depth: Height: Square Feet;_ Cubic Feet: Type of Construction: 004 :fp-,4& Estimated Cost: 5 0.0-0 To Be Completed: d% A&) -3 ® l i 7 �-- The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stlict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated ig this applicatio: are true and correct. U : e T'y 0 G T '0 - p � K ek E 'L" A-0/2 -e-- DATE: Z SIGNATURE: (See Reverse Side For Additional Information.)- e /6 /_3 -' . i,3 c _. is L -and Planning Land Surveying Soils Testing Civil Engineering Municipal Engineering I I sm /� fir i A(-'rj 1 d, 6875 Highway No.65 N.E. Minneapolis, yij b Yt Minn. 55432 Telephone 784-6066 Engineers & Surveyors Area Code 612 for d! 7 1J L] r V1 <0 �'y 0.1 ;3. 4 Lr, :7Z it ;C .21 A ;A '37,5 Se Ir mm �A City of Fridley Applicatiom for Photbing and Gas Fitting Permit DESCRIP'T'ION OF WORK Number, Kind and Location of Fixtures Sewn * Now Fixture, Old Openings 910 Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ _,____��_ x $2.00 $ Id' O o Future Fixture Opening ........... x $1.50 $ `� New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) .... _�_ x $3.00 $ J O c) New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater . . ........... z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $200 $--2--Q 0 Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........... ........................ .... .....i TOTAL FEE ; (SURCHARGE $_.50) a .o� Dept. of Bldg*. Phone 560-34W City of Fridley: The .undersigned hereby makes application for a permit for the- stork 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 ala the fact and representations stated in this application are true and correct +� e Fridley, Wn. / Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. P• it No. Signed By ROUGH FINAL — -- - Al Business Phone No - ill,a ill i up g� V t�l • • WATER MTR. ELEC. Base o� 1st 2nd 3rd 4th - • Future Coanee!!on Openings connected with Sewn * Now Fixture, Old Openings 910 Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ _,____��_ x $2.00 $ Id' O o Future Fixture Opening ........... x $1.50 $ `� New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) .... _�_ x $3.00 $ J O c) New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater . . ........... z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $200 $--2--Q 0 Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........... ........................ .... .....i TOTAL FEE ; (SURCHARGE $_.50) a .o� Dept. of Bldg*. Phone 560-34W City of Fridley: The .undersigned hereby makes application for a permit for the- stork 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 ala the fact and representations stated in this application are true and correct +� e Fridley, Wn. / Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. P• it No. Signed By ROUGH FINAL — -- - Al Business Phone No SUBJECT City of Fridley 115 7 AT THE TOP OF THE TWINS BUILDING PERMIT i � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 NUMBER REV. DATE PAGE OF APPROVED BY ` CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/19/91 JOB ADDRESS 184 - 71st Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Marion Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Swanson 184 - 71st Way NE 571-2468 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Storm Sash Co 10825 Greenbrier Rd, Mtka RM 55343 546-8160 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 [2 REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Install a patio door 9 CHANGE OF USE FROM TO STIPULATIONS PEMAITS REO SEPARATE I GD•FOR ��t"5" WIRING, HEAT"G' PLUI'A TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 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 $1400.00 $.70 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $33.00 $ Fire SC $1140 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $35110 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDA, EI WHEN ROPERLY V L T IS YOUR PERMIT DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ]' Effective 1/1/9l ADDN I] CITY OF FRIDLEY `7 ALTER j ] SINGLE FAMILY AND DUPLEXES R-1 AND R -2U Building Permit Application Construction Address: / F y %/.,Z L% 6�-w Al E Legal Description: d/ Owner Name dt Address: Tel. Contractor: TWIN CITY STORM SASH Cal Tel. # 10825 GREENBRIER ROAD Address: MINNETONKA_ MIS NCS= 66M Attach to this application, a Certificate of Survey of the K with the proposed construction drawn on it to scale. DESCRIP'T'ION OF MPROVE14ENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: ,=LCjf G Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks —�� Estimated Cost. $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $. DATE: 71 APPLICANT: =:L, , Tel. # Permit Fee Fire Surcharge State Surcharge $ 33.&D $ /. yo $ _70 SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/51,000 Valuation $650 per SAC Unit Alt. 'A or Alt. 'B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 01 SUBJECT City of Fridley 21883 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. tr PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY "'j 612-571-3450 910-F15 5/28/93 JOB ADDRESS 184 '-` 71st Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 l Marion Terrace SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Timothy DeSutter 184 - 71st. Way NE 571-4637 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 ❑ NEW ❑ ADDITION C1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct deck stairs, tQ existing deck, 9 CHANGEOFUSEFROM TO STIPULATIONS Before digging cell for all utility locations A 454 0002 ,0e- REQUIRED BY LAW 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 $300 $.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 STATE OR LOCAL LAW REGULATING CON- $15.0.0 Fire SC $,30 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.80 GNATURE OF CONT R OR OR UTHORIZED AGENT (DATE) PROP Y VALI ATED THIS IS OUR PPEERMIITT br !! ePFJ "LNAT LDG INS ATE E OF OWNER IIF OWNER BUILDERI IDATEI 01 °�y.{N NEW [ ] Effective 1/1/93 ADDN a . �r; CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 1 g'-/ l sT w�Y. Legal Description: L-17 P62 Owner Name & Address: Tel. 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. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq.. Ft. T DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: 6 & 4 � 8 �& & � - L4 n Comer Lot (] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks Type of Construction:����, T/ 0 N o F s i IQs Estimated Cost: $ 3 0 0, © v= Approx. Completion Date:(Cost on Back). Driveway Curb Cut Width Needed: Ft + .6 Ft = Ft x $ _ $ DATE:, a i9 %3 APPLICANT: Tel. # 6 z., Permit Fee Fire Surcharge State Surcharge SAC Charge $ /5 o d $ '30 $ 's-0 License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation. (1/10th%) $.50/$1,000 Valuation $750 pet SAC Unit. $5.00 (State Licensed Residential Contractors) Alt "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary ( ] Not Necessary SUBJECT P City of Fridley 3 AT THE TOP OF THE TWINS BUILDING PERMIT 1 • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � � NUMBER REV DATE P AGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/1/95 JOB ADDRESS 184 71 Wav NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 1 1 Marion Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tim Dean 184 71 Way NE 572-0390 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Peachtree Construction Inc PO Box 49152, Blaine MN 55449 755-1925 1910 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 ❑ REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (20 Sq) Tera -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $1,500 $.75 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- STRUCT T PER RMANCE OF CONSTRUCTION $35.00 Fire SC $1.50 PLAN CHECK FEE TOTAL FEE l Is License SC $5.00 $42.25 SIGNAT EOFCO TRACTOR OR AUTHORIZEDAGENTIDATEI WHEN PROPER VA IDATED THIS IS YOUR PERMIT BL G INSP LATE SIGNATURE OF OWNERUF OWNER BUILDERI IDATEI NEW [) Effective 1/ 1/95 -ADDN [ ] CITY OF FRIDLEY 159 -z- -ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R -Z Building Permit Application C.cinctnt&innAddress Legal Description: Owner...Name fir. Address; Tel:- # Contractor:. Co s r-ti.c _ --7F-c- MN LICENSE.# Address: ! Ox -CA S � o� ► 4 . -s.-.- y y cl .. Tel.. # 7SS - I °i 2 S 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: C4_ re<' i Corner Lot [ ] Inside Lot [ ] Ft. Yd -Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ .S -y Approx. Completion Date: r (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: � " AS- APPLICANT: Tel. # 7-5-5- - /9 -2 -5 - 9ZsCITY CITY USE ONLY r Permit Fee $ �`5�� Fee Schedule on Reverse Side Fire Surcharge $ rte .001 of Permit Valuation (1 / 10th %) - State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ 1-'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 STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS �� �/ -7 / C. RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are trug and correct. (Side Vent - Fill Out Back) 1997 Gas Piping (Needed with new furnace) $10.00 $ OWNER. Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ` '> ' _ ESTIMATED COST 76A77c PERMIT NO. 93' *Air Conditioning - All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating nits Circle One (Steam) (Hot Water) a Air Trade Name O, Size No. g (oz�o Commercial/Industrial BTU— EDR 1.25% of Value of Appliance or Work $ Fuel 9& Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. TOTAL FEE � � $ ' BTU HP EDR MINIMUM FEE FOR ANY HEATING/COOUNGNENTILATION 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 written permission from adjoining property owner. Signed By Approved FILL OUT BACK REPLACEMENT Tel No.4 (� M Final Date 1 / - / 2 -17 -7 k 10 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided. for water heater Yes ( ) No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHEWNEY AND STACK VERIFICATION The undersigned hereby verifies that the _existing chimney or stack: 1. Has been carefully examined Yes O 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 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided. for water heater Yes ( ) No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: su9jECT IT NO. City of Fridley 30067 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910415 8/17/99 JOB ADDRESS 184 71st Way NE 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ] 1 Marion Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dean 571-4141 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Leger Roofing $ Constr. 12033 Louisiana Ave N Champlin 55316.22_1611 20022818 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 O NEW O ADDITION 0 ALTERATION X® REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage (20 S 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1748 $.87 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 $63.15 Fire SC $1.75 ` PLAN CHECK FEE TOE 7 Licens C $5.00/1$/ 7 5. TORE OF CON ACTOR OR AUTHORIZED AGENT rTE. _ EN ROPE LIDA HIS IS YOUR P�jyT _ •►Cj $.GNATURE OF OWNER.a OWNER BUILDER. .DATE.BL .N— gAiE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF F UDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ®� Construction Address: od�Z 71 Legal Description: Owner Name & Address: /` Tel. # Contractor: %— 6VL4-72t1CT 1� LICENSE # -.�00 Address: a 1s11�PVA P�Q' " 516 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF LM PROVENWM LIVING AREA: Length Width GARAGE AREA: Length Width DECK AREA: Length Width OTHER: C�os - Y Construction Type: Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. e `C�v e-EstimatedCost: t� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ i DATE: ee? APPLICANT. Tel. Permit Fee $ 653. /S - Fire Surcharge State Surcharge $ `T SAC Charge $ License Surcharge $ S • ® C) Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ D• STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State. Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (7b3) 571-1257 ADDRESS : 184 71 ST WAY NE PIN : 103024430004 LEGAL DESC : MARIONS TERRACE : LOT 1 BLOCK 1 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERM NO.: 2004-00891 DATE ISSUED: /11/2004 VALUATION : $ 5,510.00 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, CARRIER, 90,000 BTUS) AND AN AIR CONDITIONER. # A/C UNITS 1 # FURNACES # GAS DRYERS APPLICANT ACTION HEATING & AIR COND 8140 ARTHUR ST NE SPRING LAKE PARK, MN 55432 DEAN TIMOTHY T & SCHMIDT S R 184 71 ST WAY NE FRIDLEY, MN 55432 0 # GAS RANGES 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 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating coVstruction or the performance of construction. r1701p; q*1 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 # 8118 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. I 0 0.00 35.00 0.00 0.00 25.00 0.50 60.50 CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Fu,,mace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer Air Conditioning - All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for*Residential or 5% of cost of Improvement whichever is greater Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 19 4 7/ Fee Total Owner -7-'Lt i'+il IBJ Z C� $35.00 $ �— 66 Building Used As $10.00 $ ESTIMATED COST PERMIT NO s r $10.00 $ $10.00 $ $25.00 $ Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR DESCRIPTION OF FURNACE AND BURNER # of Heating Units [ Circle One (Steam) (Hot Water) arm Air Trade Name CASize No. BTU _ _">viHP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct $ HEATING Signed_ *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Tel # -%G 3 - 2 Rv -ct� `-/ �6 FAX # �6 3 N 10 - 7 ZZ Date 6 /111 L Approved b Rough -in Date Final Date C & v Y FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No 6-4 The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes (� No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes) No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 TypeBTU Input -7U0L'' Fan Assiste�dr Appliance #2 Type J- - ik. -L- BTU Input 1/a, Fan Assisted r N Appliance #3 Type BTU Input Fan Assisted or at Total Appliances �_ Total Btu Input / 30, Common Vent Type ` }h 1'"e -Vent Height ? �— Diameter Sr inches Appliance #1 Vent Connector Height ift Length ft Diameter in Typeyw Appliance #2 Vent Connector Height f ft Length 3 ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) Qortq, _ a.a 41C - HEATING CO: / Signed By: Date