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PRE 2010 DOCS0 Village of Fridley, Minn. BUILDING PERMIT Date: .................................... Address /'o.� ..,1....... . _A4 Builder ... Address ...���. / ........... O ATION OF BUILDING No. �. �. .. Street ... ........ ................... Part of Lot ................ .z. r Lot ..... Block .................. Addition or Sub -Division Corner Lot .. Inside Lot ........... Setback. ... Sideyard`S , �� •... . DESCRIPTION OF BUILDING To be Used as: / ry ..... Front . ��� .. Depth R.4 :. �i (ight,1001 Sq. Ft.1®!. ® Cu. Ft. ........ �ont.... Depth .. Height . . Sq. Ft. ........ Cu. Ft. ........ Type of Construction...... Est. Cost . /. Y ./. ®®....... To be Completed .................. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. �... e ............ . In consideration of the payment of a fee of $a/permit is hereby granted t .. .:.. . ......................... 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 with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: This permit does not cover the construction, installation or alteration for wiring, plo4lng, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 17A City of Fridley, Minn. BUILDING PERMIT N® 3447 Date:.............................. owner .... Builder ............................................. Address ...................................... Address ......... .................................... LOCATION OF BUILDING No. . . ... Street ... .............. ................... Part of t ............07 ... . ... Lot ... ...... Block .................. Addition or Sub -Division .. .. Corner Lot X......... Inside Lot ............ Setback ............ Sideyard ......................... DESCRIPTION OF BUILDING To be Used- e _ � .. m pth �.'. ®Height ®Sq. Ft. fdf.0 Cu. Ft. .47.0 .................... Front ........ Depth .......f. Height ........ Sq. Ft. ........ Cu. Ft. ..... Tpe of Construction ................... ]list. Cost.. ........ To be Completed ................... ,oma �r/►7 �L¢�F/f744A QQ 2 y In amdderation of the issuance to me of a permit to construct the building desribed above, I agree to do y used work in accordance with the description above set forth and in compliance with all provisions of ces of .the city of Fridley. , f.................. .............. In consideration of the payment of a fee , permit is hereby granted to ................... .. to construct the buildin or addition as described above. This permit is granted upon e 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. l` ...' eW... ? 7Z. ',,..�"S�lding Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, sewer or water. Be sure to see the Building Inspector for separate permits for these SUBJECT City of Fridley o �_ 17791, AT THE TOP OF THE TWINS BUILDING PERMIT r ELIP T . COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 i = HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 111/8/84 10B ADDRESS 1483 - 75th. Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Gideo's 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vernon Thomsen 1483 - 75th. Avenue N.E. 786-5000 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 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 141.x 201 3 -Season Porcl-L and a 26t x 241 Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 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 $� $5.95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1900 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- $9.2.50 None STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $23,13 $121.58 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY LI DATED THIS IS YOUR PERMIT BLDG iNSP TE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ l �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: /' 'Ar 3 17 S''r Ay A -10 - Legal -10 - Legal Description: Owner Name & Address: (Je ?WO A.) 7n O M -SCS) Tel. # Contractor: Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. 3- LU GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Length Length Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: .r -A94 _ � '� �� �A Estimated Cost: $ Approx. Completion Date: G A40C z OAISLOq iO_ ' Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: �/ "� Tel. # ?,Y6'50D Z) Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ Z, Fee Schedule on Reverse Side $ .� 2% of Building Permit Fee $ .� $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering $o Z `� Agreement Necessary [ ] Not Necessary [ ] HARVEY A. CARTWFUGHT CARTWRIGHT & OLSON ANOKA COUNTY SURVEYS HENNEPIN COUNTY SUR 1 EYS LANDMINNEAPOLIS SLIRVET$ C 1 D G [OR L 8410 SHADY OAK LANE N E. REGISTERED UNDER LAWS OF STATE OF MINNESOTA SUNSET 8.0079 LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS OWNER 345 PLYMOUTH BUILDING LINCOLN 8721 INDUSTRIAL - JUDICIAL SoSINESS - TOPOGRAPHICAL CITY LOTS - PLATTING 6urbrvor's Errtifl[dtt II 1 COMB NTNG THE RECORDS OF J. E. HILL. CIVIL ENGINEER ESTABLISHED 1896 C. F. SANDHOF'F CIVIL ENGINEER F-7AULISHED 190E JAMES NELSON SURVEYOR ESTABLISHED 1922 METROPOLITANLAND SURVEYORS. Lbl-b LIb HID 19'5' Inv-icc 19 31 c, "_7� "t b 1 Yi.ere:'� c� rtify tr:9t t..i: i. true ar:_ c .'rrct . 1-A. f . :.:ry f t t t 1. lila':, 1'... ts, :eFcr, F i'�11o'.:r: ......�'C:rt: L ',:.F utn,-r♦ raid rt...c-Ft 4 -'f . rt:. ?rt '/4: 11:. f: GCC ..r rt 1 •Ci' t..E ut} 1i!t..1 dist-r.ce ^f '1, fru t; t:. -e '.-rt:. rc,,ral:F: »:th `.r.E -2rt line ti.- -.p^f ? .. _ r:ce of 'c• feet; t:.-ncP -set ' -rn:1E _ ec`.' n .:st•+nee cf is `co, t; Vence 'cuti. Qi .. rt l:r.et...ce _ ° _ `E Ft ; ir.t r.ir,i . t't Ct t: C E' re.-ent . --r r crf v, 1 tLE rt c -i r tree :.CL'th i' feet .`.: re^?1: "'1:'VE;:r^ ^..E t. lF 1 I r �GAFWRIGHT AND OLSON SUBJECT P .- .8 City of Fridley '27 06 AT THE TOP OF THE TWINS BUILDING PERMIT r REIC�ENO. RECEIPT �• ____ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 8/10/98 JOB ADDRESS 1483 75 Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 1 Gideo's First Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Venn Thomsen 786-5000 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Bo's Construction 2218 22nd Ave S M is 55404 709-5037 20100656 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 )M REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (25 S) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 SQ. 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 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 $2085 $1.04 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- $75.75 Fire SC $2.08 STRUCTION R THE PERF RMANCE OF CONSTRUCTION. PLAN CHECK FEE TO FEE Licen C $5.90J $ 3.87 SI URE OF CONTRACTOR OR AUTHORED AGENT IDATEI N RQ AID BLD INSP E HIS is UR P'R T gaiE SIGNATURE OF OWNER I IF OWNER BUIL DER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: o I V L Legal Description: S-000 Owner Name & Address: V e"', �� �'K 5 &n Tel. # „ Contractor: MN LICENSE # o l o 0 G S Address: M41", Pkv '5 S Lot( Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length DESCRIPTION OF EMPROVEMENT Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. OTHER: SY2 FW" 7 k c� �` ��� Estimated Cost: � 5� v Construction Type: /� $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # 70''- 5037 CITY USE ONLY Permit F e $ J • %5 Fee Schedule on Reverse Side Fire Surc $ OCT State Surcharge $ SAC Charge $ License Surcharge $ �- Driveway Escrow Erosion Control Park Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ -99 • -7 STIPULATIONS: sueJEtr P O. City of Fridley 28767 THE TWINS BU ILDiNG PERMIT 57�-5664 RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC /1I i ��"' �•� CITY HALL FRIDLEY 55432 NUMBER REV DATE 12/16/ 8 PAGE OF APPROVED By 1 ----� 612-571-3450 910415 =_ JOB ADDRESS 1483 75th Avenue 1 LEGAL LOT NO. -NE-, BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Gideo1s First Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE ft Thomsen JF 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO u - 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 xQ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 S0. 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 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 10 000 $5.00 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 $162.25 Fire SC $10.00 PLAN CHECK FEE TOTAL FEE Lice se SC $5.00 1$182.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT [DATE, WHEN PROPERLY V ATE THIS IS ZYnPERMIT 5,GN4TURE OF OW NERiIF OWNER BUILDERI --DATE. BLOC INSv pAtE NEW ` - [ ] Effective 1/ 1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 143 25� 4& 4) & Legal Description: Owner Name & Address: / S Tel. # Contractor: C77 A)C-1MN LICENSE Address: 9a,;?7 &n& A �� FLAj7-5SI/ 4el. # 72 - Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Sq. Ft. Sq. Ft. Sq. Ft. .06)Construction Type: Estimated Cost: $ le9j00 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Tel. # CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] 01 Su9jEGT Pf City of Fridley 28890 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. !�� ____ VV - 1� PROTECTIVE INSPECTION SEC. /i/" 1 � NUMBER REV DATE PAGE OF APPROVED BY = 6 �'-'1 CITY HALL FRIDLEY 55432 IL' ---A �'' 612-571-3450 910-F15 2/2/99 JOB ADDRESS 1483 75 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DEscR. 3 1 Gideo's First Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vern Thomsen 1483 75 Avenue NE 786-5000 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 Ck NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 12' x 10' Shed 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Securely anchor shed to ground with a foundation or tie -downs. 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 @@ $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $400 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- $21.00 Fir SC $.40 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT F E .90 SIGNATURE OF CON TRACTOR OR AUTHORIZED AGENT iDATE- oe4 MEN R - ALIDA IS YOU ERM . ByO .NSp �IS �lAi S,GNATUAE OF OWNER �-�OWNERBUILOERI_ iDATE, 01 NEW [ l Effective 1/ 1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 p�O BUILDING PERMIT APPLICATION ConstructionAddress: /'/S-3 �5/�y .416 Legal Description: Owner Name & Address: 1)61h,\ T/i o ims e -i Tel. # '7j- 6-SZ9 O Contractor: '5 e /'C MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF M1PROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. /'Q" /o' Construction Type: t4j C r A, Estimated Cost: $ 410 y (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 2,/a /9E_ APPLICANT: Ve 1-,4 o,^ d¢ ?� o✓ws e ti Tel. # W6 - S'D e o CITY USE ONLY Permit Fee $ 0166 Fee Schedule on Reverse Side Fire Surcharge $ , QLD .001 of Permit Valuation (1/10th%) State Surcharge $ $.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: HARVEY A. CARTWRIGHT CARTWRIGHT & OLSON ANOAA COUNTY SURVEYS HENNEPIN COUNTY SU„EYS LANDMINNEAPOLIS SNRVEYS [ 1 U ` ElO U Salo SNAVY OAK LANE N E. REGISTEREO UNDER LAWS OF STATE OF MINNESOTA SUNSLT 8.0070 LICENSED DY ORDINANCE OF CITY OF MINNEAPOLIS ' OWNER 345 PLYMOUTH BUILDING LINCOLN 8721 INDUSTRIAL — JUDICIAL B•ISINESS — TOPOGRAPHICAL CITY LOTS — PLATTING 6urbrvor's �rrtiticatc t. ' Is I t, 1 �• IJ iAc1 CO` O KING THE RECGROS OF J. E. HILL. CIVIL ENGINEER ESTARLISHEO 1096 C. F. SANDHOFF CIVIL ENGINEER EsTA.LIBNEO IBO. JAMES NELSON SURVEYOR ESTABLISHED I928 METROPOLITAN LAND SURVETORS, uiABLIb NFD 904- Ir:v•,ic( 19 31 ('l'. —/a '•:i::e Gi:lc o b F ✓• !^' L /i:l t •.r /V 1'V I �hereby ct rtify trgt t: -i: i. true an. c : rfc: . 1” t cf rrv, t • t L.%l ..Crt::«£ Ft 't4 of ..., ,1 r't ... t C' : i .1 r 1 w!.::. ] I G,!Ur:t..•, .'inn Ec't9T :eFCrlt F :'.illowr: .L�.C'C:rle .t 1—e• L'tLA. :-t `•�r f :aid `•:I rt::we. t 'G of .:,.rt.. t ' j.:; t:.t a ::f t .:1 'r.: :.t: :utr li t:. a tri:c ie Ir •.irt .:cedistsrce ^f 1) fFct; trze o_ !c`. feet; t•..-nce : nst nrs:ic : .rith _r. 1?rt t..(•7'ecf n ..et,lnce c.f i. `•ft t; tf:erce rcuti. e1crF . -,rt 1-retr.c. :f .:t-:r.ce _f i_ «t Ant ,••f i.• , r.irl . •3: iE'Ct to ' C f ' re.Ei.t . cr r '? , ! 1:"i c:•f . .:w I' t:: f' FL :"� 1 L t: I.rs cvcr the, South i i feet : r." re vf ": : •J:.Vf;: e-4 :,.t i �•--` _ _ ynR.TWRIGHT AND OLSON 17 n "a') _ ... t 0 �- 0 U .n ,Q r" l .,,z f - 1`C , 1 y, 1 Me \ N/ ul CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) r=o Q Gia d1 Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective January 1, 2003 JOB ADDRESS OWNER UCGY41L'OA) Rate TOTAL BUILDING USED AS fro M c $ 30.00 $ ESTIMATED COST PERMIT N0. A5✓��� $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 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. $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO Signed VRIL, e— TEL# 7,6-3- 5 00c� FAX # Approved By� Rough -In Date '�A Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When raplar-Inn an nAnting figrannp, 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 (i No ( ) The venting system is plasticlPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does indude AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The salla inn cnmhimatinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to inatall a now _nmhuebnn airy it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When Inatallinn a new ventingyyStpm, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does indude 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 #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type N HEATING CO: Signed By: Date