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PRE 2010 DOCS
BUILDING PERMIT Village of Fridley, Minn. N? 2478 Date•Jy .g ,.� ...................... Builder . • �,.�.Z. . Owner ....;��� rr:�t: ...... �/hIT" ........... . Address.. ......... Address ..... LOCATION OF BUILDING No. .. �7 ?% .. Street ................. Part of Lot ....................... Lot ..... Block .... .... Addition or Sub -Division ... Corner Lot ...... Inside Lot ............ Setback .... Sideyard ,r, ..................... To be Used as: Type of In considerath the proposed work ordinances of the i DESCRIPTION OF BUILDING • Front �� ... Depth per. .. Height y ... Sq. Ft. Cu. Ft........ . l��R ..ASD Front ..... Depth ,....... Height Sq. Ft......... Cu. Ft......... .......... Est. Cost ... .......... To be Completed ..... .. of the issuance to me of a permit to construct the building described above, I agree to do n accordance with the description above set L forth and in compliance with all provisions of lage of Fridley. In considerationof the payment of a fee of $. .. , permit is hereby granted to.'. ., . ........ 4ke' ....... ...to construct the building oaddition as described above. This ted upon ditto that the person to whom it is granted and his agents, employees and workmen, in all work in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota i egarding 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. r: Building Inspector NOTICE: This permit oes not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. a sure to see the Building Inspector for separate permits for these items. Application for Power Plants and Heating, CaoNng* Ventilation, .Rehigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ .each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace ............................. §.00 $ Repairs & Alterations—up to $500.00 .... ............ 5.00 $ Repairs & Alterations each add. $500.00 ....... :..... . 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. IDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal, per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule Dept. of Bldgs. (�s Phone SU. 4-747w, City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley Owner Kind of Building 19 _ Used as "" To be completed about ��aoe Estimated Cost, $ Old New. Building Permit No. Permit No.�3 DESCRIPTION OF WORK /T _C HEATING or PO�WEEER_PLANZS-� —o /N Trade Name O&eo ✓_' l Size No- Capacity ` Sq.- BTU H.P. Total Connected Load �G'�W-� �tl' Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE S ROUGH G� a z 7M 7-59 FINAL (REMARKS—OVER) Y City of Fridley 53-84-s915.51 Application for Plumbing and Cas fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Location 317 NE. 76 Ave. Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 Y New Fixture Old Opening .............. CC Z w Catch Basin ............................ x $3.25 W 0 ? 0$ • R ro WATER HTR. cAs ELEG Base a $2,00 $. GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... 2 x $2.00 $ 2.00 Additional Fixtures .................... —x$.75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 1st 2nd 3rd 4th • FI: Connection Openings e New Fixture, Old Openings I Connected with Sower Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ 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 $ New Ground Run Old Bldg. ............ x $325 $ Electric Water Heater a $2,00 $. GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... 2 x $2.00 $ 2.00 Additional Fixtures .................... —x$.75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description TOTAL FEE $ 8.00 City of Fridley: The undersigned hereby makes application for a permit for the work 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 all the feel and representations stated in this application are true and correct. Fridley, Minn kug.17, 1970 19— Owner Carl Wahlstrom Kind of Building Used as residence To be completed about Aug. 21, 1970 Estimated Cost, $ 20.00 O1dX-New. Building Permit N iftoPe No. i GAS By Business one o ROUGH FINAL !0 4 9-71 d2 SUBJECT PE R�d.l�-PIS-..._. City of Fridley 238 5 7 AT THE TOP OF THE TWINS BUILDING PERMIT r � R EIPT NO. � • _ COMMUNITY DEVELOPMENT DIV. tr INSPECTION SEC. r PROTECTIVE � 90 NUMBER REV DATE PAGE OF APPROVED BY 1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/31/95 JOB ADDRESS 347 76 Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 2 Osborne Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dawn Kelly 347 76 Avenue NE 780-3211 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 'Quality Contracting 11412 W River Road, Champlin MN 55316 427-7733 7035 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 E REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House (tear -off); replace windows and door 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Underlayment must comply with the State Building Code. Replacement bedroom windows must meet the State Egress 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 SQ. 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 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 $152000 $7.50 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 PROVISIONS OF Y O R STATE O LOCAL LAW REGULATING CON- $224.75 Fire SC $15.00 ST JUCTI N OF HEP jiMANCE CONSTRUCTION PLAN CHECK FEE TOTALFEE ` License SC $5.00 $252.25 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPE. THIS IS YOUR PE/`RMIT Bl INSP QVj®ALIDATED FATE SIGNATURE OF OWNER IIF OWNER BUILDER, IDATEI NEW ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 3 7 -7&'('4" A Legal Description: Effective 8/l/95 Owner Name & Address: VOL w V\_ CP Tel. # -Z O 3 Z Contractor: C r '� ®� �' I 'F • C j � _ MN LICENSE # Address: c- P.� , �r�� P V Tel. # Z(2-7- 7 7 3 � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width 2- L( Height ®� Sq. Ft. '?6 J GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/G t. GA - round Sq. F OTHER: (����QUc2�s', �022 f 7'S6z)&//TEM-dryr-I - Corner Lot [I Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks S C B O Type of Construction: . a Estimated Cost: $ 5 Approx. Completion Date: (Cost on Back) Driveway 04, Cut Width Needed: Ft. + 6 qt - Ft x = $ DATE:7-zo,L-2 9Sr-APPLICANT: — Tel. # yZ%- 77 3 3 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ ?S7 Fee Schedule on Reverse Side $ 06 .001 of Permit Valuation (1/10th%) $ %. S-0 $.50/$1,000 Valuation $ $850 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 [ ] } BID SHEET 1, , r Dawn Kelly i�� B���C`J i4 347 - 76th Avenue NE Contra r Fridley, MN 55432 / #780-3211 / 536-8332 l Contractor's Signature 4e:2 7 - 7733 S-1 LIVING ROOM %)C "x 7a3r S-251� a. Install new steel insulated exterior door, prehung unit, six panel with peephole or nine grid lite of owner's choice, new threshold, weatherstripping, hardware and locking device. Castlegate or equal. Reusing Wig. Apply painter's finish to primed wood. Key alike to other door. Supply owner with 2 keys. $, /fi—Op—tion: Install deadbolt as locking device. Schlage or equal. S b. Install window replacement, vinyl framed, welded or mechanical comers of owner's choice, insulated glass (min U.40), weatherstripping (no vinyl permitted), locking device and hardware. Benada or equal. Reuse casing. Owner's choice of color. Reuse existing storm/screen combination unit -.confirm with owner. (one fixed/picture window and 3 DH) •d S-2 KIT�,HEN L $ O o a. Install window replacement. Refer to spec S- I b. (2 DH) $ 8'o a°' b. Install new steel insulated exterior door. Refer to spec S-1 a. S -1=c. Redo flooring. Remove existing and install structural grade underlayment. Install new vinyl sheet floor -,covering of owner's choice of color and pattern. Congoleum or equal. $20.00 sq yd installed allowance. Edging of floor shall be covered (confirm material and finish with owner). 19 S-4 OTHER ROOMS USED FOR LIVING AND HALLS Northwe%bedroom (1 st floor) 6je, . &-tvot A S'c44 (— S /6' I $ �b a. Install window replacement. Refer to - spec .2 sP S1 b ( Casement) One windo shall ��ess code requirements. Confirm location with owner. Southwest bedroom (1st floor) S * (01 6 b. Install window replacement. Refer to spec S -I b. (2 DH/Casement) One window all meet egress cede requirements. Confirm location with owner. - S-6 BUILDING EXTERIOR S .2 S% O 4 a. Install new iron handrails along both sides of exterior steps (2 sets of steps). Owner's choice of color' S ��eov b. Regrade along foundation walls. Bring in fill and compact to proper density. Fill shall be. impermeable composition. Install 4" black soil over fill. Finish grade line shall have a slope of 1/4" - 1/2" per foot out 4'0" to 6'0" from wall or as clearance permits to direct drainage away from house. Owner to seed. O tion: Install metal corrugated areawells around basement windows and fill Kase with drainage rock. Specify total # and S -S c. Install new storm/screen door for east kitchen), solid core, baked enamel prefimshed aluminum with weatherstripping, self -storing storm/screen inserts, hardware and locking device for complete assembly. Benada or equal. Owner's choice of color. `Dawfi ,;ellY - PB page 2 of 2. S-7 HEATVNG AND PLUMBING Install new furnace, forced -air heating unit, natural gas, AGA or UL listed, Carrier or equal, that will - _....— .:maintain a supply of safe and adequate heat to each conditioned room in the dwelling Ihe1stra ald unit shall be designed to meet or exceed 80% AFUE. Installation shall inccombustion air intake and new thermostat. Vent to an approved flue. Reconnect to existing plenum and distribution system. Haul away old unit: $ &,6'b. Modify ductwork as needed to supply heat to basement areas $�c. Abate asbestos flue per State requirements. Install new Class B flue and connect to gas appliances. $ s=d. Install new 40 gallon water heater, natural gas, AGA or UL listed, energy saver. Rheem or equal. a a Vent and plumb. Haul away old unit. $ 101 e. Install new chrome shwer/bathtub faucet fixture, anti -scald (thermostatic or pressure -balancing oa type) and 3 gpm showerhead. Delta or equal. Coordinate with wall work. $ aG f. Install bac^ preventers to laundry and exterior faucet fixtures (self -draining). $_g. Install new anti -sip oned ballcock in water closet. Fluidmaster or equal. S-8 GENERAL HEALTH AND SAFETY $ a. Insulate rim joist with fiberglas batts, R-19, friction fit $b. Install wood handrail along one side of upstairs steps. Owner to finish. $ j�c. Install new batteryoperated smoke o P e detectors, UL listed and in working order, mount one upstairs in bedroom mount one on ceiling in hS way between 1st floor bedrooms and mount one on ceiling in basement at base of steps. A3iv S-9 ELECTRICAL $ %=a. Install new 100 amp service panel, circuit breaker type with main breaker. Install new mast with ea Proper size wire and rigid conduit. Tie in all circuits. Ground service and water meter. $ Install 20 amp wall receptacle at kitchen countertop. Protect wall receptacles within 67 of kitchen sink with GFL $ c. Ground wall receptacles for appliances in kitchen. S Install wall receptacle in dining area. $ 4"0 e. Correct defective wall receptacle in bathroom and protect with GFI. S Wire new installed furnace on separate circuit. $ R. Install wall receptacle for water softener. $ Z 0 o h. Install wall receptacles in basement to eliminate extension cord usage. Specify total # installed ftdb Correct defective one. $ 206 i. Ground wall receptacles in 1st floor.bedrooms. CPO $ l FG T TOTAL BID BID GOOD FOR 90 DAYS FROM This work write-up describes the rehabilitation work to be performed on the subject property. The contractor will be required to do all work in a trades like manner and in accordance with the building code and TECHNICAL SPECIFICATIONS. ALTERNATES: 5 1. Code plumbing system. Specify all other code work not listed above .and the cost per work item. 2. Code electrical service. Specify all other code work not listed above and the cost per work item. I 1 ALTER NATES Upper level tvll� 858_ 0, •00 Install window replacements one being egress code,.:.2 windows. total L1995.00 Tear off and reroof house. $280.00- Install 3 replacement windows to basement. $177.00 Install new storm/screen door for livingroom entry, solid core, baked enamel prefinished aluminum with weatherstripping,self storing storm/screen inserts, hardware and locking device for complete assembly. Benada or equal. Owner's choice of color. CITY OF FRIDLEY INSPECTION DIV. Effective On August 1,1995 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 Rate TOTAL Furnace Shell and Duct Work, Sumer — Also Replacement Furnace $30.00 -- (Side 30.00.•(Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $ 10.00 • $_L_)- ' Gas Range $10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning — All Sizes $ 25.00: $ All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work $ Commercial/Industrial 1.25% of Value of Appliance or Work $� State Surcharge $5_0 TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed In a side yard without written permission from adjoining property owner. JOB ADDRESS "" l ` ,,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. � �,1995 OWNER BUILDING USED ASNJ ESTIMATED COST PERMIT NO. No, of Heating Units ' -- Circle One (Steam) (Hot Water) arm A)r Trad6J4ame Size No. BTU • '7E, V00 EDR Fuel f-3+k"r Cf k :S Total Connected Load Burner -Trade Name Size No. BTU-' HP EDR HEATING COMPANY �- k, U �►� `�L- �j .� {� C Signed BTel No. Approved By Rough—In Date Final Date FILL OUT BACK SI FOR STACK VERIFICATION ON REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: 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 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: CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 19% 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB New Fbdures Old Opening, New Fbdure Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range" , Gas Dryer** Back Flow Preventer Required ()Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $1040 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fbdure or.Appliance /© 5 State Surcharge .50 TOTAL FEE $ F LLV lam. 7e -¢r 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. Owner �� -'2- / ,1995 Building Used As Estimated Cost f PERMIT NO. PLUMBING COMPANY .1���% A99- SIGNED BY 4 Approved By Rough—In Date J Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $2000 PLUS THE $ 50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 80 INCHES. 6W • . i Il.. �' n � 111!5 �,�L� 3.!:-m�! yi,! �'..: _!A�'�� I� •�:: a _. :! .._ !R�i' ?.�_I MIS I �:.+.+ �!)�k PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB New Fbdures Old Opening, New Fbdure Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range" , Gas Dryer** Back Flow Preventer Required ()Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $1040 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fbdure or.Appliance /© 5 State Surcharge .50 TOTAL FEE $ F LLV lam. 7e -¢r 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. Owner �� -'2- / ,1995 Building Used As Estimated Cost f PERMIT NO. PLUMBING COMPANY .1���% A99- SIGNED BY 4 Approved By Rough—In Date J Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $2000 PLUS THE $ 50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 80 INCHES. 6W CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 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 Water Heater - Gas** Gas Range* Urinal APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Wash 'j ><'<<< Floort>»`< Auto. >< Shower Tra » Drain - Sit1k:>.>« v itit Washer NO. RATE Gas Dryer** Back Flow Preventer Required ( )Yes () No Type, Reinspection Fee $47.00/Hr $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL JOBADDRESS 50 Effective NOZ Jan 1, 2002 Water Heater Gas Elec 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. 2 .2002— Owner 2002— Owner Building Used As r C es�`e�► c_,e, Estimated Cost 6 D PERMIT NO. C SI PLUMBING COMPANY_ CS(�r ��G) SIGNED BY �O TEL N0. 3 �Z FAX # 1 i® Approved By Rough -In Date Final Date Ion TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT, VENT CQNNFCTQR AND r-QMR1IRTIM AIR VFRIFICATInN When re lacinrj an tmxosting fi Ira=, 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( ) 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 exostan_A r_emh is ren air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a now rnmhi istinn ai4 it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new v _n inAsystam,, 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 #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 HEATING CO: Signed By: Date: su6JECT PER City of Fridley 27� ' AT THE TOP OF THE TWINS BUILDING PERMIT r ' ` REC O. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 . � CITY HALL FRIDLEY U432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910415 7/9/02 JOB ADDRESS 347 76th Ave NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Osborne SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sandy Bachand, 347 76th Ave NE, Fridley, MN 55432 763-792-4160 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sussel Corp, 654 Transfer Rd, St Paul, MN 55114 651-645-0331 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 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE - C REMOVE 8 DESCRIBE WORK Remove old garage from property; construct new garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plans. Call Gopher State One at 651-454-0002 for utility locations. Call all utilities for disconnects before wrecking structure. Remove all demolition debris from the property including the foundation. 31 .*1 SEPARATE PERMITS REQUIRED FOR: BINSGP MI6 ANDINS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 12Q 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 $14,738.40 $7.37 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $251.25 Fire SC $14.74 STRUCTION OR THE P FORMANCE OF CONSTRUCTION -7j,.&)46Z PLAN CHECK FEE TOTAL FEE Licens 5.00 $2 .36 SIGNATURE Of CON'RAC OR R AUTHORIZED AGENT (DATE, HE PROP LY ALIDAT THIS IS YOUR PERMIITTMJ( OG ,NSP TiATE S-GNATURE Of OWNEROF OWNER BUILDER, (DATE, NEW [ ] CITY OF FRIDLEY Effective 1/1200 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 B dgal p� ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � Construction Address: 3-9-7 7d:; -4m Av - XP- Legal PLegal Description: Owner Name & Address:5awpX J3R<NA-.yo fl 34,7 2 Awg a►J� Tel.# i3�9� owl J� Contractor. S L/o3S:9Z 4 6 wor MN LICENSE # Address: 6 s� �r� AN r�2 tz �� , ST Tel. # jg LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height 12 Sq. Ft 7Z Width G Ft Construction Type:yV 0,0 Estimated Cost: $ y® � 73 Driveway Curb Cut Width Needed: Ft +6 Ft= Ft x $ —=$ DATE: APPLICANT:S" TeI.#�iSi^�-i-�•G�:3�� 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 CITY USE ONLY - $ ZY.7 $ 7.3? 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 [ ] TOTAL $ STIPULATIONS: it" n, SUSSEL GARAGES 12 ROOF: GABLE REVERSE GABLE HIP EAVE OVERHANG: RAKE OVERHANG: SEAL DOWN SHINGLES WITH PLYWOOD OR WAFERBOARD ROOF SHEATHING AND 15 LB. FELT. Roof Sheathing Manufactured Trusses 2" x 4" Wrdple Top Plain NOTE: 1) Roof approved by Minnesota State Building Dept. as meeting Minnesota State Code Requirements of 40# snow load. 2) Hip roofs consist of 2" x 6" rafters, 2" x 6" cross ties 48" O.C., 2" x 8" hip rafters. 24' spans and greater are trussed. RAFTERS: Trusses @ 24" O.C. STUDS: 2" x 4" 16" O.C. WALL SHEATHING: SIDING: OVERHEAD DOOR HEADER: Double 2" x 12" or 2 - Micro Lams x 2"x 4" studs 2" x 6" Treated Bottom Plate Sill Sealer 1 Row 6" Concrete Blocks Seal Down Shingles Trim 1"x4" Sub Fascia Fascia Soffit 3/4" Cove —2" x 4" Studs '+-Siding 1/2" x 7" Anchor Bolt wma-bar'ne To Slab 2" x 4" Treated Bottom Plate .......... _ _ _._. SLAB_ NOMINAL 4° RE-INFORCED CONCRETE._,_,_,_,___,_,_,_,_,_,_,_,_,_,_ ,_,_,_,_,_,_._._._--- _._._._.._._._._._._._._ _._.._. ._._._._._._. O1 Above Grade '• �/ - I�� I Grade N L,! (SUSSEL) CASK SALE Ea Q -*OP CHOAO 2x4 SPF 01/!12 SOT CH0-0 2x4 SPF #1/#2 WE3S 20 SPF f3 m OD V) q - ca V) tQ 0- Q! O U J W U 1n U TRUSSES / 24' C 4/12 1'Oj ST, 11-15 0+0. PREPARED FAT4 C01ILIUM 1::.=1,1 LOACS 6 21MEN5:1r} S-6 ROOF OVERHANG CESIG\EO =0R A 2.00 PSF SOFFIT LOAD. A RIGHD CEILING 09 CO -W INUOUS LA'EPAL BRACING AT 120.00' O.C. CH VUST BE PROPERLY ATTAEO TO THE 86 0M CFi0R0. 12' 11.12' 5'7'2 5'7'2 0'4'14 ( 24' 24' -i466# W-5"9 A-14666 N>5'3 TPI QTY= 1 PLIES- ! TOTAL- 1 O.-•fifu}•4'; wane, lr it+:,F "iii!c; Af)J:zL 1114af CA4 AUTOMATED *XIRPOR T ANT NX 9••AL: A r _? �!sn:.sl�lc rca t: VIARNING :11 1:.•rn;n;, E.1cr.lyl A.3 T �� L!rlC.C4 IRl4 1.:8 in -:3.1i Pi I IVC Vi ell IC►+ICI•.. rl a+ 5,84itiO. ;IL 1•:0 41 Il, 'IFI. Vt? LIA nF5184 —4cEN BUILDING RI. VE IC Fi;.t: '•+1 •1.." '4 :A'•I: P�Y.I•►116 y3';) 0 1:1 - CA A'Y:I:Ai 41, lih•t{t%1 -9 IA; 116 -1 N CQMPONTS all V.11 OV N6 +ill � i•.. silo A6•e iml V.:AIXWi LMtSi VIV-411fY IWIC&I.J. OV L' II LA„Z►: AS A:1'I n. Wvl •.7%%lC J:9 ' 1 :Aa1 IAn CY C. .At -.111L -e 1 AI: -.A.- IF.1 W-93 ell. 3 In, 711 A%A kY li.+ FIIL 111141 .11rAA11 IA 4.9 d-FIC4, PL' PP.% l\ A Ie:NA •:te7:J A•1LI •1•.8. .•:.•ILM C•t; rCn`IC1L$ 241% 4111:4 SIAM'A Coll- %)at a,yyr AIIAVI eIC13 CI I1Hn -- 17::45 DANIELS STREET ICRi 1.14 APR1 :_ads 1•ILrISIfbY 1:{ NA C IIi V Gtii•c{•1s til 1I1:1MC.- WAIL PIU16:I rw n:Zrcn .C%G IAKE. NX 553p58 6i A. C -A Ivls t` -%:,9 4••L38 IC ,L LCP;MV 1-1100 Y-tnl.l gRli••:P. rVh.*b- A COIF Cr 1r:$ F -C (BOO' 249-<C41 IVQIA •,1y4;:'-ki LI kr -41:11 LC.% A 1•d Ih{R ht. jvv! !1-'9 0E i••!719. ••V 11A 1:•}!•..+. '70�alit_ 15:2. 47-29:8 . -1-t ..:a. • A1• 1.41 . - ' . ... •:u.., • .I •_ . 1,1 LI. S REV. 16.2eS RIGHT SCALL JIGIGHTS at 1'9'10 -0.29-5 7. LL TC GL 9C DL :II: LL Tor.!:!, . 40.0 7.0 90.0 0.0 57 .O PSF PSF PSF FSr Fsi FIEF _ DATE 10/20/99 ORwG C T C _ 0/A LEY. 24 XR.FAC. '1.95;Y;•� 1CIAG 2.1.0" _ CORin ----