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PRE 2010 DOCSCITY 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) as Range ���aiDer JOB ADDRESS 131y �� /a2 Q S/ Fri d le The undersigned hereby makes application for a permit for the work Rate TOTAL herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Building Division, and hereby declares $ 20.00 $ fib- v' that all the facts and representations stated in this application are true and correct. 5-13 _'1 991 $10.00 $ /o' � >> / /- OWNER � L!e [-50A LU -5 $ 10.00 $ , BUILDING USED AS /Ji' 1 $10.00 $ ESTIMATED COST PERMIT NO. J 16Y�) it 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/COOLINGNENTILATION 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. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam) (Hot Water) arm Air Trade Name 5� /,-Size No. A) U BTU --,1,6 -D U U HP EDR Fuel A)A-T 6-A-5 Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY xl✓ /A� Signed B _ el No. q,3 7 7517 Approved B � Rough -In Date �U renal Date -9-99 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The u#dersigned hereby verifies that the existing chimney or stack: 1. Has', been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Y ) No ( ) 3. Has no,foreign objects lodged within es (`) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected 6. Has total heating BTU's of / All other BTU's TOTAL BTU's Remarks HEATING Signed By Date Yes ( ) No ( ) V SUBJECT City of Fridley 21269 AT THE TOP OF THE TWINS BUILDING PERMIT r ' , CEIPT N COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. Cr � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910 -FIS 4/8/92 JOB ADDRESS 136 711� Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 SHEET Riverwood Park 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Comal/Mink Mahadeo 1365 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Tollefson Homes Inc. 311 Sunrise In Cham lin 867^4141 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 )J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 50't x 32F Dwelling and a 32• x 241 Garage (PERMIT DOES NOT INCLUDE DECKIN PERMITS SUPARAIE REQUIRED F014 9 CHANGE QF USE FROM T WIRING, EATING, PLUMBING AND SIGN), STIPULATIONS See. notations on plan. Provide City,copy of verifying survey. before . capping, Provide sod i'n the front and side. yards„ Provide a hard surface driveway. Paid Park Fee.of $1f50d,0.0 and 4 Driveway Escrow of $540.00, SEWER LOCATION. 17" W of MH @ Alden . Way (Tnv, 849.01) WYE ELEV; 848.90 TOP OF FOOTING; 852.0.0 Minimum WATER LOCATION: 41 to 81' E of S-ewer.Service RIi, Before digging call for THE CITY OF FRIDLEY DOES NOT GUARANTEE THE all utility locations ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS. 454-0VU2 THIS DATA IS FOR INFORMATION PURPOSES ONLY, REQUIRED 13Y LAW AND PERSONS USING THIS INFORMATION SHOULD VERIFY IT ON THE SITE. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 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 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 $127,300 300 $63.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT . PERMIT FEE SAC CHARGE Fire SC DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $737,50 $700.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $127.30 PLAN CHECK FEE TOTAL FEE g ,/�-- — 62,Licse SC $5.00 $1,633.45 +DW & P IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) EN PROPERLY V LIDATED THIS IS YOUR IT �R 1r s SIGNATURE OF OWNER i IF OWNER BUILDER) IDATEI BLD )NSP DAT' V NEW [ J Effective 3/1/92 ADDN (J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: ! 3 (e / �Z ��, Legal Description: �, i- y x V P r r,.� o o a r- L Owner Name & Address: 6,0 r eL 1 4 /Y1 I -e z) Tel. # Contractor:, I 1 e o )4a wtS 21-s- MN LICENSE # / 3Cp5 Address: :? 1 a r- \ , Y11 r. S S 31 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF B"ROV MIENT LIVING AREA: Length 50Width 32 Height i Sq. Ft. / Zg GARAGE AREA: Length 32 Width -2� Height Sq. Ft. DECK AMA: Length /e `Width Hgt/Ground Sq. Ft. OTHER: 43e,�t � /08Z Corner Lot [ ] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks Type of Construction: b --p a Estimated Cost: $ Approx. Completion Date: 3 /27,700 (Cost on Back) Driveway Curb Cut Width Needed: 3�LFt. + 6 Ft = 4o Ft x $ ® _ $ DATE: I — q Z— APPLICANT: Tel. # -Ro -7 - yr CITY USE ONLY Permit Fee $ ^7S 71D Fee Schedule on Reverse Side Fire Surcharge $ % Z Z/ 30 .001 of Permit Valuation (1/10th%) State Surcharge $ 5, 66' $.50/$1,000 Valuation SAC Charge $ rf OD , D d $700 per SAC Unit License Surcharge $ ® 0 $5.00. (State Licensed Residential Contractors) Driveway Escrow $ 00 Alt. "A" or Alt. "B" Above Park Fee $ DD Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $ 3 L,?3,-,I MAR—Z 1 -- 92 TUE 1 5: 1 0 COMIE;TOCK & DAVIS ��.� -- _ M ca\\ dot S. hi LOT 4, BLOCK 2, RIVERWOOD PARK, ANOKA COUNTY, MINNESOTA. HOUSE LOCATION ONLY NO FIELD SURVEY PERFORMED, THE CITY OF FRIDLEY DOES NOT GUARANTEE THE ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS. THIS DATA IS FOR INFORMATION PURPOSES ONLY, AND PERSONS USING THIS INFORMATION SHOULD VERIFY IT ON THE SITE. 1 hereby certify that this survey, plan plat, preliminary plat or report was prepared by me or udder my direct supervision and that I am a duly Registered Land Surveyor under the haws of the State of Minnesota. �y. e4 !*;Beat V., t fJ-t Reg. No. Date Job No. Book No. pm 4 ?�•o 0 JW 1 n 'f oxo N ,O i M � Z S. hi LOT 4, BLOCK 2, RIVERWOOD PARK, ANOKA COUNTY, MINNESOTA. HOUSE LOCATION ONLY NO FIELD SURVEY PERFORMED, THE CITY OF FRIDLEY DOES NOT GUARANTEE THE ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS. THIS DATA IS FOR INFORMATION PURPOSES ONLY, AND PERSONS USING THIS INFORMATION SHOULD VERIFY IT ON THE SITE. 1 hereby certify that this survey, plan plat, preliminary plat or report was prepared by me or udder my direct supervision and that I am a duly Registered Land Surveyor under the haws of the State of Minnesota. �y. e4 !*;Beat V., t fJ-t Reg. No. Date Job No. Book No. o�e5o7-cl6 rlllllv") pyw5- ,J COST 11 TX111VELOPP, AVP,I:A(,'l' ►u►► ('oQPUTAq►1oil O'rtlarli - SL TL ADDIi)wSS C 01 `litAC'lrlti o/% f� •.,� ��,, �' „� V, PFTO?f)r Tiotezia:tne uorl:itgee.* aqu"ra footaga 01, oaoh. 1. Totril expoa0d null axc,a......, 1� 7I •'sS sq. 26 'ibtal roog/coili.ric axen.0.000_ /p4r) sq• .ft. x @07 �, - Z704 Rb Wl oxpouud wrill arou aboyo i loor 11-52. a0 'zbtal wall Veiiulu►i al'0a•••••••••••••••.•••••.•••.•••••••.•••�.� %��. Y`I V• 'lb Uil door al•iyu. ••,'• "� -� """ u. 'ib$itl sliding; door u •ull.•••••. ••.•••.•••••♦•••.••••••••..•••• ��JI'' • 'ib.$al 11.r4plac•j wall arou..••••....••••..•••••.••••••.•••��•�• a. 'lip Cal hirtl l Xrutid.aa zsua ( uvo aE;c, ►) • ............... • ... • 0 0 0 0 ' /oc� 73 1114141 nat wall urea abovo floor••••••••••••••••••••••••.•�••��•• 0S+b'/ .• . '1 tal Am C. b joist area, ..•.••••••. go -seg too owe GRP .•••••••'.••.••••� 4i,12 '!beat 07-110cait foundation arca G'1 *-1-3 ho '90U9OUCdatiull door ttrL!!1•••••••••••••••.••••••.••••.••.•.1•••' i. TO%X f'pundation window arua (ii►cludea sliding cloora)........ ►1. mom 1165-14 J• TO W1 not f0undution aroa above Vni,de...... k. To twl viall framing, area (uvera6e 1L%) ........................ • S � 2. �, 1. 'Ib *l net wall 1'i'cu4lug "Ga••..•f•••••••••••••••..•...•.••..•,„0,Q4 ve'Wruauc IOU 11 value- 04' oach wall ucipfint U. 6 9.y4. X►►U it . 3S Z a 21 s a' a • /00.6,5 X uq ►'�' y IOU if k.Z9.'13 X'N II 9 ' 4-:2 0-64 111111 at3 3• • • • • •....... ............ • • • • • • • • • • • 0000 . • • •'!b It►� /:�1........ U tu-M Uw a►unu aa► or larq il•►an i Wm #l► you have mut the lntvnt of SW 6006 (c)v. Y ARN 1 mill 11 • 6 R 1-Inturior Air It Ila ` -68 (."t;1U11C RIMIF, It ��, 1211 Insulation II 1-Intc�cior .A1x' 1�Y11�t 2.06 1-1:n�:c:x'M Air 1�1i'lw cl 2 Shoo 1;roalc• 3-'31u Soft wood & G411 Iucul. -45 3..30 ' 2111' shootrock , 45 `4-E�c tklt for Ajt• VI Tia- -61 3- ?11.1n:.ilf�tion 4-41jerior A1r - IY lAE 36:08 1. Total ft 32.97 : ' 'Tota It 39. 7 Total U .03 Tota U .fly 29 3 14,11mo 41n11 I R 1-111turior Air FL 1111 2 ' 11 :%11ciu Crocic .45 3- So -ft Wood 6.Ud 4-25/3211 Aborbd. 5heathiug 2.o6 5-7/1611 >tlod. 1jun to Habd. .01 6-Extorio•r Air VI La .17 Total R 10.92 Tota -1 U .09 Inejulatud Vin.11 R 1-Inturior Air It Ila ` -68 2-41,-11 .� lootrocilc .45 3-'6" Inmilc.tion 19.00 4-25/32!1 Flburba. Sheathing 2.06 ,G Hdbct. 5r7%16i1 Mod. Derc .67 6rExturior Air Klm .12 Total It 23.03 Total U .043 Him Jni::t Ft --•----.-.v....-....�, . --- 1-Tllturlor ::ir bilin 2-611 1iwu1r:t1Q4l 19.00 3-1?;11 Soi't flood 1. E7 4-77161, laud. Dense Ubd. x..;67 5-L\turior Air Vilm Total It 4Q Totlil 1i •oA5 1-A Col•,o. block Uutuoulated Total It 2.12 'To tal U ,.q7 1-B Co1u1. Llocl: Strippulg /4" Foam Tnaul:.titioi, 'royal H 7.91 it `S40track. To t"I U .13 .. ,.. ,. � ,. 4'si3�'`�'�lTi�l'9�WV�C'�+�.v°3':d's±.7"H.y�f�.�'•'�+.'t�Y7:: �`:&7'�'iutl.�Y�l}i�f?.�°a t+'� 1��24�k�.".i��5:9$.�ia i ed�J.i�i� b.'' ....� :. •�;,,•a 41 Nf tog area �I040 ,=fir �+ 1'1 rl �� ti, tj.'�.�.q y f•1� .71• • 1 .. :�., • ii :' •. .. t+�•;• I' �I.•Il t Y,^•�•�''yf'. ,1�.v1.•. i ,.4', ` .i• 1 .Sy 6��f '�y1..y,S., M _ . �Q y. :..: '?i+:,,• } • �'" '� All" ,• •y'{i' �.�1►!� �t� Y• }R�i.l.! Z�sR/ }�•'A�S�.1•*!•.! � � 1 •'�`I1 � 7�) R ! • • • .. • • i' :,t� �, t1 ., ...,• i. t11;�;1, ta�,111t1'Y ,•!y I v.' _. ' �1• f• '1 .. r .. p• ,',Y :,A ,1 �("`► lj� ,1'�" 1'N i;.,; !) 1' ��0 � Roo'. • f.f .. *,4.1 A �.'... , ! ! "•yT! l7' /'r'(� ' ; ; > ' '+� !�t_�fr�il,•'L, i '�•y a.•. IIt�.i I1.�:r .. � ":�6. ' tl • ' ,'4�77�' �i�'`i'•t (,' �1.h'!'�a�i.'n .. >1..•I• •' H+f..,j'1a. •. ,,:t�f ,� ,. +h,l,, `.•.. R6 ne i er .e. 04 A e11 .. t1 1 Ulf '•%+1�51:��• �.flt'"�t:..•.Ofl'�irt'`.�1/; ��11'f'.1 ' ,"' 1}` rt.•ti: .'•;I 1 Kiril,.. r t .(1(,•df {7 •�� ,...:rAl•�;a . `', ,(f .,l • I•�•...; 1•,•I, '77 17 .L'' ;;. (ry�►I 1.• ta72� y 24.1 !�'�y ;;,1I , �fw'.r,•; r • .1' l . .1'.. .y . .i.�1� ''1 •.' 711 �'�• 4•1�� ♦ • 1 1. ' •t1 . • . • 1 • • .'• '•,. • 1•. • t,•rh •i �' .. .,,: y'. . i i.. .i •,�'I,l,:, wt�}�. 4#' #4 14 the � lea ....; �• �:'Ma • J?� r, � ti?�xi �2� yuu Y>•�ve rust , tie ������,��.A,',',� , �p�•y�}• 1i1tEil'YlQ.'w �1 � r • ',��'II �fia.. {,•` .4'7•• .i, ►'�'��i Q'�. ��t,!•i,.!.,►►,'" .i .�. �•'11.j� t� '�1v4jjO q Dodi •:jl,, '�.. I. t,''•�k.. 1. r�'•/'•�: p X0 1 unvc�lul�p ayatent n lh*4, the v0gep fat U��.t ,''.ypY xh� Eutu ��'�fA;y. ,• �', ,�?;.giiill not Lo g•eaiurE�aQ.�' 0 sill �.. t �'e L► ��j�!+ I + �. !f.,. ; a. ' t.', �'�7!•!'•tt. f; "�,/1 IF it1l �r��((�IP��., - � .. .:.i•«�li'11�5���!'�'w�i�'d •, J.'� •�'''�qip: rr,yi {it•,.,1 ,t ;i �'�. „�l" 't'1, ,:. p•I�:' •i Jim;IIS: '"+, �� :',;'..',.•�,1.`'. .r,l •'(: Y Y(:R•�;�af. �.t. 'r 'iwon. '� kt•�','�'.. Milli,111l1f.: .1.r' G•i'': �• •'',: �Ir: r w • .• ' �,:'t+:�ti+'�.t,''+;b�?''x'1.1•'(;1' ,.1-,; .. I. •, •,I;/ ' '•h ., .,.1, ,� .1• ...'li '11{.1.•'.111' •''.'11 e,•., rar >tIu 1 mr auiaaar,,., m.. v u, 1 r': �,* �, ilwm .e�.�wwaa.n�a2.•aroaa.,. ma.n w„�n. ac.a . „ �'•' �:,�`Fa'•,+;rduy!'. .r�� �.,- ,:.j''; 1�IIdItCRAlr1' WWD CASlilo; t „ i ouDlo 35 2 �i � 4. x��u��a.. DQ4419,.Fl4zpQ ..327 air Ui„rMT,�i010 12fj2 36 12611628 a. o0 3.55 10.0c) ,F;.' 2.81 11636 � •��•N .r 11642 ArbS. 1� 40 40z 24 40X 24/36 4.44 4bx1 a. 2. 84 3.06 -ITUT 12036 IP42 1AT40 419D6p 17172 124 2u 12436 12111 12460 U UUUB-Lufut•IC It"n.UOY15 81jV4Q,.--lazad -' it ,:.:.i•., DQ4419,.Fl4zpQ • +y51.28 .47 2.12 a• �8' 4, '.. ,,_ ;• 20 �� Ui„rMT,�i010 LIallip 36x ro a. o0 3.55 10.0c) 36X2436 12.00: ' .� ' ,,�•zJ�i , 33 6.66 40z 24 40X 24/36 4.44 4bx1 5.55 6.66 10.66, 48x 24 33 4.24/36 24x1 24x 210 5, 5.66 20.00 � U24 '8.00 2424/36. I, 1.416. 10.00 22 2t�x2D ` ` 7.77 2dx 24 28x24/36 9.33 11.66 S0, IT Ob' LI CHT AREA' 4.62 • 5-41 6.00 4931 . 5.59 ,. 5.55 7.51. 9.42 Ll—T 4q; _ T O1L!(8iT I,lT3EA 3246 32420 >kr',T,; 7911 •' 3424 32X,2 36 a• �8' 4, '.. ,,_ ;• 20 �� S6�ci6 13 36x ro a. o0 36424 10.0c) 36X2436 12.00: ' 66 40x 20 40z 24 40X 24/36 16.66 4bx1 48x � 10.66, 48x 24 16.33' 4.24/36 16.00 20.00 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 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 /3(c Z New Fixtures 16 $ 7.00 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 I L Water Treating Appliance $10.00 Ownery e ' S �^ s Water Heater -Electric $ 7.00 / Water Heater - Gas _j_ $10.00 10.OD Building Used As Gas Range $10.00 Cost grOd Gas Dryer $10.00 Estimated -PERMIT NO. Back Flow Preventer Required ( )Yes () No h��N 9-&—_ Type $5.00 PLUMBING CO NY w q Kot actin F Rein ee $30.00 SIGNED ��'� TEL N0. qz 7 --2-32-1 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance Final Date :2� � Approved By Rough -in Date State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ ��•S� PLUS THE $.50 STATE SURCHARGE 1 //� ®�l``�b9- 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 JOB ADDRESS ?J -7 L RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 20.00 $ Gas Piping ( ) $ 10.00 $ Gas Range $10.00 $ r D Gas Dryer $ 10.00 $ la *Air Conditioning - All Sizes $ 10.00 $ �� e All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work v„ 115 Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ -V` ® O MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 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 th app ation are true and correct. i0 99 OWNER�— BUILDING USED AS '�3' i 1' ` r" ESTIMATED COST PERMIT NO. 2103 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name BTU HP Size No. EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP: EDR HEATING COMP Signed Approved ByRough-In Date LJ Tel No. }34- 77-4 -7 Final Date :z- 7 - Z� *Air Conditioners can not be placed in a side yard without -k i 0 3 (5 5/ written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 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 Signed By Date CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 July 13, 1992 Mr. Jerry Tollefson Tollefson Homes Inc 311 Sunrise Lane Champlin, MN 55316 Re:, Final Inspection at 136 - 71 1/2 Way NE, Fridley Dear Mr. Tollefson: A final inspection was conducted on July 10, 1992 of the above address and the following items were noted which must be completed before the structure can be finaled: 1. Provide sod in the front and side yards by August 1, 1992. 2. Provide a handrail return on basement stair by August 1, 1992. 3. Provide access panel for 2nd floor tubs by August 1, 1992. 4. Provide roof vents on low side of roof by August 1, 1992. We will expect these items to be completed by the scheduled date and a reinspection called for. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, CLYDE E. WILEY Building Inspector CEW/mh 01 SUBJECTPER NO. i cty of Fridley 9662 AT THE TOP OF THE TWINS BUILDING PERMIT `- __--_ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. \�Ji CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED BY L f\ 612-571-3450 810-F15 6/10/99 J013 ADDRESS 136 71 1/2 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 1 Ri verwood Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Comal Mahodeo 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO American Bldg. Contr. 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 ❑ ALTERATION X® REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house 29 S Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 $2535 1,27 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 TME PERFORMANCE OF CONSTRUCTION $83,25 ire SC $2.54 PLAN CHECK FEE TOTAL FEE License SC $5.00 1$92,06 SIGNAT REOFCONTRACTORORAUTHORIZEDAGENT (DATE- WHEN /PRROysPERLY BOATED BLDG/ -NSP - THIS IS YOUR PERMIT OATE S.GNATURE OF OWNER,,; OWNER BUILOERI IDATEI 01 NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FANMY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Q� Construction Address: / 36 7/ /, 1✓eu /I/L Legal Description: Owner Name & Address: �� A 4 0J'f0 1-56- 7 d- i✓!y 1L5- Tel. # 5'y 7 - 0/ 12 - Contractor: 7In.er�u, 1��; ���� ©,��%1�c��s MN LICENSE #-zo14,q3k3 Address: /2Z17 &'A(d Avg 5- %K,!fsr, 7-k AA5Y337 Tel. # 707 -On 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: -7-9 s /7axsx Gam/ 7. pa -- Construction Type: 1--Q f©o Estimated Cost: $ -� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �/� e/�j APPLICANT: -� Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control 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 $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 [ ]