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PRE 2010 DOCSCity of Fridley SUBJECT- PE IT NO. . 14 AT THE TOP OF THE TWINS P E R M l r849 ' ` BUILDING .` R IPT N 1 COMMUNITY DEVELOPMENT DIV. %s— r 1 PROTECTIVE INSPECTION SEC. 1 i6 1 "I CITY HALL FRIDLEY 55432 �.J 76 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 18/10/78 JOB ADDRESS 1640 - 7312 Avenue N.E. 1 LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR. 3 1 Marxen Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Korman's Construction 707 Columbia Blvd., Mpls. 788-7362 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. PHONE 5 ENGINEER MAIL ADDRESS O.SEDTT8EPERMITS WR IIN QUIREDFOR 6 USE OF BUILDING HEATIN, PLUMBING ND SIGNS. Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MIMME ❑ REMOVE X 8 DESCRIBE WORK Construct a 261 x 401 Dwellincr and a 24' x 24' racre Before d1g0rig call IoCB IELEPHONE - ELECTRIC • GAS Etc. ILAW 9 CHANGE OF USE FROM TO REQUIRED-BY STIPULATIONS Provide a hard surface , driveway. Provide sod in the front and side yards. Provide accurate energy calculation for this plan by August 15, 1978. Provide combustion air to furnace. Provide truss design and verifying survey by Sept. 15, 1978. SEWER LOCATION: (Approx. 13' Deep In Street) Approx. 10' W. of Water Service (INV. 891.60) WYE ELEVATION: 891.56 TOP OF FOOTING: 895.06 WATER LOCATION: 85' E. of N.E. corner of garage., S 48' S.E. of San. Sewer MH DRIVEWAY DEPRESSION COST: N/A TH@ CITY OF FRIDLEY DOES NOT QUARANTEE THE ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS. THIS DATA IS FOR INFORMATION PURPOSES ONLY AND PERSONS USINO IT SHOULD VERIFY THE INFOLVATION ON TME SM. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. Wood Frame OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1- 1172 + 576 28,144 Total 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 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. $39,405 $19.70 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 PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $112.58 $400.00 STRUC 0 OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $28.14 $560.42 SIGNATURE 0VNPAcfq4baAuTHORIZEDAGENT (DATE) HEN PROPERLY VALIDA ED THIS IS YOUR PERMIT BLDG. INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) • CITY 01= • FRIDLEY APPLICATION FOR RESIDFINTIAL BUILDING PENMITS (WEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWIMR: BUILDER: (�� ��'7 � �����Z�Zs C rajli Address: Address: / f / ~C/ Z� «1,f�ll� sC�`� ��/ ✓�'l ftJ /`W A Tel. No. t No.:� Street: (40Li . u LOT: BLOCK: �_ ADDITION: l� / 1��f �� � �' � � %� C J COMMR LOT: IIISIDE IAT: SETBACK: D SIDEYARDSt1W�¢Iad;���5/��� Applicant attach to this form Wo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: P % _ 6r Front: Depth:Jieight: 2-40 Square Feet: / % Z. Cubic Feet: ®�r Fxont: Depth: Height: Square Feet: Cubic Feet: Type of Construction: yZ 0 V %��/%Lf Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed DrivewayWidth If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby mares 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. See reverse side for additional information. DATE: SIGNATURE: Stipulations: a�% ��a • �� r /ztrcri•4 G�� � , e �/ .dam Opt. ,��'O. 'e1z' ' ♦i ACX G lb l3a. X �z ca ovX ft? (/I - S7ep /a =a8 /V /, da x y,w - 3� lvas-,�� 671a SO Po 93aU /g oa ys Surveyors Certificate COMSTOCK & DAVIS, INC. Consulting Engineers and Land Surveyors 1446 County Road J, Mpls., Minn. 55432, 784-9346 Survey Of: Survey For: Lot 3, Block 1 Tom Marxen Marxen Terrace 19958 Pine Ridge Drive City of Fridley Anoka, MN 55303 Anoka County, MN "'16 CITY OF FRIDLEY DOES NOT GUARANTEE THE ACCURACY OF UTILITY LOCATIONS AND ELEVATICh< TWIS DATA IS FOR INFORMATION PURPOSES O PERSONS USING R SHNLY ANDOULD VERIFY THE INFORMAflON ON THE SITE. 4 ge�o'e 4 Ia h /9Z. 7/ Description: w 0 V4"�" Lot 3, Block 1, Marxen Terrace, City of Friflley, Anoka. County, Minnesota. Subject to easements of record, if any. SCALE: O I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. 10832 9/21/77 3850 7— Reg. No. - ` Date Job No. e flev ��' �'� �Si� 14 p CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE �� /(C� GRAVITY WARM AIR: RATE TOTAL Job Address /�//�//j /7�/� ///Z Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ r/ specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ _ Repairs & Alterations each add. $500.00 4.00 $ Minn. , 1914� /Fridley, Ilell/'+/- STEAM OR HOT KNTER SYSTEM: OWNER Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING y each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED AS C� each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BURNER- from 100,000 BTU to 199.999 BTU $10.00 $ OLD - Ohl BUILDING PERMIT NO. PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ HEATING or POWER PLANTS, Steam, Bot Water, Wg� Aiz- No.Z�i�d� AIR CONDITIONING $ Trade Name �%'� Size No. �(/�/)(g, FAN HEATING SYSTEMS Sea Fee Schedule $ VENTILATING SYSTEMS $ �t Capacity 616 Sq. Ft. EDR BTU HP _ALTERATIONS & REPAIRS $ 11 State Surcharge $ .50 Total Connected LoadKind of Fuel TOTAL FEE $� BURNER - Trade Name' Size No. ROUGH INSP. REINSPECTION FEE Capacity /64AV—_ Sq- Ft. EDR BTU HP N. WELTER HEA , Date (.$10.00) RAY '- Company 37 ChicagoAve. FINAL INSP. e Dat Minneap olik • Minnesota 5540 r Signed By APPROVAL FOR PERMIT Tel. No. 9,2, 5 -6 ya, � MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE CITY OF FRIDL.EY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE ai NO. RATE > m x $3.00 U . $2.00 a New Fixture, Old Opening Water x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU Heater $ . Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 $ ---3—,(90 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 U z $2.00 $ a w to w u M" a R a o as kec v'1i CQ c� W It 1 1 1st 2nd 3rd 4 to (R) a Future Connection Opening Connected with Sewer {•} - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 Future Fixture Opening =x $2.00 New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ . Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 $ ---3—,(90 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge TOTAL FEE REINSPECTION FEE (S10.00) Job Addreas_J6 qG r %� � -2 Department of Buildings City of Fridley Tel. @571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and eorreo! Fridley, Mn. OWNER /-\ •,-n KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST EDn OLD -(NEW OILDING RM PERMIT NO. PERMIT NO. �--'' Company , Signed By Tel. No. ROUGH INSP. Date o ' FINAL INSP. L / - 3 e - 7 . Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT Is $7.50 p= $.SO SMS sORCtfJ= 97-M416051CITY OF FRIDLEY • APPLICATION FOR PLUMBING AND GAS FITTING PEWIT Job Address 1640 $321 Ave. RTE Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work hereit, specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 12-5-78 . 19 OWNER KORMAIU KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 12-12-70 PARTIAL RATE SCHEDULE ESTIMATED COST 30.00 ?LUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT.NO. NO. tt'amber Fixtures Water $3.00 $ /fPERMIT Future Fixture Opening x $2.00 H Company )few Fixture, Old Opening x a M w u Heater Signed By a7 .i $5.00 o%tl1 Water Heater - to 99,000 BTU .c K�o •$5.00 W, c 100,000 BTU to 199,000 BTU a $10.00 $ Water Softener a $7.00 e_ ' New Ground Run Old Building x $5.00 c Electric Water Heater 'd S. .. $ u aui SAS FITTING FEES: FINAL INSP. 13t 3 fixtures x' '$3.00 8 Date 1 Additional Fixtures x $1.00 $ o Gas Range to 199,000 BTU x $10.00 u a w vi• .3 oL°.tn uw4x u as kec 'nd (R) - Future Connection Opening Connected with Sewer (') - New Fixture, Old Opening Water Job Address 1640 $321 Ave. RTE Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work hereit, specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 12-5-78 . 19 OWNER KORMAIU KIND OF BUILDING frame USED AS res. REPAIRS $ ALTERATIONS First 5100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE s 10.50 ]MINSPECTIOV r". MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SU n TO BE COMPLETED ABOUT 12-12-70 PARTIAL RATE SCHEDULE ESTIMATED COST 30.00 ?LUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT.NO. NO. tt'amber Fixtures X $3.00 $ /fPERMIT Future Fixture Opening x $2.00 $ Company )few Fixture, Old Opening x $2.00 $ Signed By Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x •$5.00 $ Tel. No. _ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ ' New Ground Run Old Building x $5.00 $ ROUGH INSP. Electric Water Heater x $5.00 .. $ Date SAS FITTING FEES: FINAL INSP. 13t 3 fixtures x' '$3.00 $ Date 1 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ APPROVAL FOR PERMIT e� . REPAIRS $ ALTERATIONS First 5100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE s 10.50 ]MINSPECTIOV r". MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SU n 97-84-879001 CITY OF FRIDLEY • APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE m Number Fixtures k $3.00 U Future Fixture Opening Aj • a $ Water x $2.00 e $4 c n n. a N u 04 w � 100,000 BTU to 199,000 BTU Heater $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ A 4 gro 14 $ GAS FITTING FEES: 6! 1st 3 fixtures 4 vi O S •' 5 4 $1.00 1 1 a O O $ aj VI y, o U mo vi 3' o w v'ci w u coo u as 3lec r •nd (R) , Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures k $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 S Water Heater - to 99,000 BTU x .$5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x' • $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ .UPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 REINSPEC1-Tnra my Job Address 16hO 73 Ave. NE Department of Buildings 'City of Fridley Tel. 0571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 12-18-78 , 19 OWNER CEMEIVSKY KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 12-25-78 " ESTIMATED COST 30.00 OLD - NEW BUILDING PERMIT. NO. PERMIT NO. • Company MIMf�1�G���n Signed By Tel. No. ROUGH INSP. ' Date FINAL INSP. Date APPROVAL FOR PERMIT r� MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.SO STATS kURCWLr= CITY OF FRIDLEY `- 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 65432 TELEPHONE ( 812)571.3450 December 19, 1978 r, Mr. Henry Korman Korman's Construction 707 Columbia Boulevard Minneapolis, MN 55418 Re: Final Inspection at 1640 - 73h Avenue N.E. Dear Mr. Korman: A final inspection was made on December 19, 1978 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Provide combustion air to furnace area by January 15, 1979. 20 Provide sod in the front and side yards by June 15, 1979. We will expect the above items to be completed by the scheduled dates when reinspections will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh _ „CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 �'� '� Effective On January 1, 1993 5 APPLICATION F\OR AND GAS FITTING PERMIT 1D MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR RD PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric NO. RATE Water Heater — Gas Gas Range _ Gas Dryer _ Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4:00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 TOTAL JOB ADDRESS��G� `�U Z, �2_ X',�1e Type "$5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I% of Value of Fixture or Appliance State Surcharge .5c0, JJ�� TOTAL FEE 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. 11993 Owner Building Used As Estimated Cost ��-�G _ PERMIT NO. PLUMBING COMPANY SIGNED BY iZ.�:���� TEL N0. Approved By Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS PLUS THE $.50 STATE SURCHARGE Print Key Output Page 1 5738SS1 V2R2MO 920925 FRIDLEY 05/06/93 12:35:05 Display Device . . . . . : DSP15S1 User . . . . . . . . . . . TJORNHOM CR400I03 City of Fridley 5/06/93 Payment Inquiry 12:33:17 Operator ID HANSEN Date: 5/03/93 Number: 00 Receipt number: 0001371 Post date 5/04/93 Payment entry date . . : 5/03/93 Customer Location Amount Type Sry Lien Number Check No Tdr 16.00 PP 000000000 000000000 CA .50 SU ..................................... . Payment Description : View information, press Enter. : Description : MARTIN RASMUSSEN : 1640 73 1/2 AVE NE Total 16.50 Total tender 16.50 F12=Cancel F5=Comments F12=Cancel:....................................: City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT P 218 3 7 i COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 L 612-571-3450 RECEIPT NO. , 1 NUMBER 910-F15 REV GATE 57/93 PAGE OF APPROVED BY JOB ADDRESS 1640 7311 AVE NE 1 LEGAL DESCR. LOT NO. 3 BLOCK 1 TRACT OR ADDITION SEE ATTACHED MARXEN TERRACE 2nd ADDITION SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE MARTIN RASMUSSEN 1640 73� AVE NE FRIDLEY' MN 55432 3792438 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. TRT STAR BUILDERS 913 TWELVE OAK CENTER WAY`ZATA MN 55391 476-4462 2689 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 � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK REPAIR FIRE DAMAGE 9 CHANGE OF USE FROM TO STIPULATIONS SEE NOTATIONS 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 MOT. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 20 00.0,00 10.00 PERMIT FEE SAC CHARGE DOES NOT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHERS ATE OR LOCAL LAW REGULATING CON- STRUCTIO THE P RM CE OF CONSTRUCTION. 207.00 FIRE SC 20.00 PLAN CHECK FEE TOTAL FEE 5.00 242.00 NA UR CONTRA RORAUTHORIZEDAGENT (DATE) WHEN ROPER Y/�/�LLIID�A/T9ED IS IS YOUR PERMIT Y' BLDG INSP DATE S,GNATURE OF OWNEAoF OWNER BUiLDERi iDATEi T NO. . NEW [ ] Effective 1/1/93 ADDN [ ] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 16<-16 �L A _ jb, Legal Description: Owner Name & Address: h_i s h� L �,r,z/ Tel. Contractor: S, �'� �IA , L2� MN LICENSE #00(57'Z ,? Address: 'FJ 3 /y e�JA�i� moi?%' , Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback _ Type of Construction: -'P, <:- p i rZ Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 5/ �`� APPLICANT: Tel. # Y7C CITY USE ONLY Permit Fee $ 207,OOFee Schedule on Reverse Side Fire Surcharge $ 20 -DO .001 of Permit Valuation (1/10th%) State Surcharge $ 1.0 .00 $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ 4,00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ -(!3- Alt. "A" or Alt. "B" Above Park Fee $ `®' Fee Determined by Engineering Sewer Main Charge $ -4& Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: CITY OF FRIDLEY PERMTTO.: 2004-00293 =: 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 03/03/2004 572-3604 FAX: (763)571-1287 ADDRESS : 1640 73 1/2 AVE NE PIN : 123024140089 LEGAL DESC : MARXEN TERRACE 2ND ADD : LOT 3 BLOCK 1 PERMIT TYPE HEATING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION : $ 4,000.00 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 REPLACE FURNACE (WARM AIR, TRANE, 80,000 BTU'S) AND AIR CONDITIONER # A/C UNITS 1 # FURNACES # GAS DRYERS APPLICANT CRONSTROM'S HEATING & AIR COND INC 6437 GOODRICH AVE ST LOUIS PARK, MN 55426 (952) 920-3800 OWNER RASMUSSEN MARTIN & GRAHAM M A 1640 73 1/2 AVE 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 worl 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 construction or the performance of construction. ADDIl an�A Date, 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 # 44868 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 0.00 30.00 0.00 0.00 25.00 0.50 55.50 CITY OF FRIDLEY INSPECTION DIViSION P—r7 C`/0 C 6431 University Ave NE Ettective January L, 2003 Fridley, MN 55432 APPLICATION FOR FLOWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 JOB ADDRESS RATE SCHEDULE OWNER Residential Rate Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 but not replacement) 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/COOLING/VENTI ATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission' from adjoining property owner. TOTAL ' F - r BUILDING USED AS ESTIMATED COS1U_ PERMIT N0._ DESCRIPTION OF FURNACE AND OR BURNER No. of Heating ErmAi�)Circle One (Steam) (Hot Water) $ Trade N me Size No. 0BTU V O�� HP EDR � Fuel aCtt (�Ict 5 Total Connected Load Burner Trade Name Size No. $ BTU _ HP EDR $ - .50 $5 c 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 an rulings of the Building Division, and hereby declares.that all the facts and represehtations stated in this application are true a .d correc . DATE L HEATING CO Signe FAX # X15 Approved By _ Rough -In Date Final Date J. FILL OUT BACK SIDE FR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL'BE RETURNED When ;_pla _inn an favoghing hirancLa, the:undersigned hereby verifies that the venting has .been examined and is free -from. -rust, deterioration, obstructions, and is -securely supported and firestopped.Mete required. The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. 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. The oY�g_nmhammnn air is sized and installed to meet the current codes and manufacturer's specifications. When required to inctall a now rnmhimhmn air it will be sized and installed to meet the current codes and manufacturer's specifications. When in-cfa11jn0 a now %mmina system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufac Wrer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. 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. Appliance #1 Type A Lv- rVQ BTU Input Sb (Cob Fan Assisted or - Yes o ( ) \� Yesoo911� Yes 1 0 ( ) Yes "_ (flo ( ) YestjE�o ( ) Yes �00 ( ) Yes)d10 ( ) Appliance #3 Type u t. -t kk,-,�keaBTU Input 4c �� Fan Assisted or Nat u� Total. Appliances �_ Total Btu Input a0, exDC Common Vent Type �� Vent Height - Diameter inches . Appliance #1 Vent Connector Heightft Length 4 -ft Diameter::(Z in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type _ HEATING CO: Signed By. IM -ate d664PP-� PERMIT# V b 3 TWUSE HEATING TEST RE-�� ADDRESS G l CITY dkuA OCCUPANT OWNER HEAT LOSS DATE HTG. INST. INSTALLED BY LJJVLJLY I V( Is ELECTRICAL WORK BY TYPE OF HEAT GA _ FA HW _ STEAM SPACE HTR. UNIT HTR OTHER GAS DESIGN pp�� MAKE `� ` SERIAL46 C.C. Vj MODEL 10 INPUT(BTU) CONTROLS KIND OF LINER`` SIZE NO COMPANY TESTING FELTERS SIZE 6 C NUMBER NAME OF TESTER PRESSURE2�\` PERCENT CO2 INPUT CFH PERCENT 02 No (� INPUT V - G STACK'. CCS _bcb CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 571-36U4 VAX: ( 763) 571-1237 ADDRESS : 1640 73 1/2 AVE NE PIN : 123024140089 LEGAL DESC : MARXEN TERRACE 2ND ADD : LOT 3 BLOCK I PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-00183 DATE ISSUED: 02/09/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. REPLACE FURNACE AND AIR CONDITIONER # INSPECTIONS 1 APPLICANT HARRISON ELECTRIC INC 3440 KILMER LANE N PLYMOUTH, MN 55441 (763) 544-3300 1- Ajo ' RASMUSSEN MARTIN & GRAHAM M A 1640 73 1/2 AVE NE FRIDLEY, MN 55432 STATE SURCHARGE, ELEC FLAT 0.50 ELEC PERMIT FEE - MIN (RESI) 20.00 TOTAL 20.50 PAID WITH CHECK # 027372 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 construction or the performance of construction. Applicant Date Bldg Insp, Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. FA SUBJECT P City of Fridley 325 1 AT THE TOP OF THE TWINS BUILDING PERMIT r ` REC"�O. COMMUNITY DEVELOPMENT DIV. I PROTECTIVE INSPECTION SEC. �®`` CCJJ.. E NUMBER REv DATE PAGE OF APPROVED BY I S CITY HALL FRIDLEY 55432 612-571-3450 910415 4/26/02 JOB ADDRESS 1640 73 1/2 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Marxen Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Martin Rasmussen 1640 73 1/2 Avenue NE 763-783-3546 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 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION j3 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (24 Sq) Tear -off �N 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $2,573 $1.29 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- F SC $2.57 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 e PLAN CHECK FEE T AL FEE zi $87.11 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HE PRO Y VA IDA D THIS IS YOUR ERMIT Xef__0F Bl G IMSA MATE OWNER,IF OWNER BUILDE RI -,DATE, FA NEW [ ] CITY OF FRIDLEY Effective 1/12002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Flz 7:� kz Legal Description: 4�� Owner Name & Address: � 'fn' d =",9— Tel. # Contractor. &I 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 % Ae Width let Height Sq. Ft DECK AREA: Length Width Hgt/Ground OTHER: tion / 1'7 G> 5 rP -/-- /' ; 0- VP — Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: � APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL )- 4/ s? CITY USE ONLY - Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th% $ $.50/$1,000 Valuation $ $1200 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 [ ] STIPULATIONS: