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PRE 2010 DOCSSUBJECT PER City of Fridley 2 0 451 AT THE TOP OF THE TWINS BUILDING PERMIT ' , NO. _ COMMUNITY DEVELOPMENT DIV. ' v PROTECTIVE INSPECTION SEC. 3G 33 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 6/28/90 JOB ADDRESS 501 - 79th. Way N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3,4,5 & 10' of Lof 2, Block N, Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Milan/Patrioa Bozony 479 - 79th Way N.E. 786-7663 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct foundation for 44' x 26' Dwelling and 24' x 22' Garage (House to be moved onto lot from the High School property) 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with verifying survey before capping. Park Fee Paid of $750.00. SEWER & WATER LOCATION: Services need tapping permits. 8" VCP and 8" CIP Mains in 79th Way N.E. DRIVEWAY DEPRESSION COST: N/A 5 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $12,200 $6.10 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $144.00 $600.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE N/A $750.10 + Park Fee sl ATURE OR OR AUTHORIZED AGENT DATEI WHEN PROPERLY LIDATED T IS ISiG *0WNEPr01F0OWN5E5U1LDERj . B DG INSP DATE ATURE OIDATEI NEW ADON [ ] ALTER [ ] Construction Address: *;Vr/9'rA�C4 Legal Description: o�3 R-1 AND R-2 Building Effective 1/1/90 CAl, 4qA"CAPiA1- . . ,¢TT�Yi'S Tri Owner Name & Address: /r/14W _9 TL- aP� �i✓jl Tel. Contractor: �/ylE /�a5' j4 Tel. Address: /or Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVIM AREA: lerigth Width � Height Sq. Ft. GARAGE AREA: Lexrjth Width .2 A � Height Sq. Ft. DBCR AREA: length - - Width Hgt/Gr=-jd Sq. Ft. OTHER: I l q SIX to, -- z Corner Lot [ ] Inside Lot Type of Construction: Approx. Cmpletion Date: Ft. Yd Setback �& " Side Yard Setbacks Estimated Cost: $ Proposed Driveway Width If New Opening Is Desired: /� Ft. $ $ Width + 6' See Back Page DATE: APPI.SCANT: &° Tel. # W,/, —76,01 3 Permit Fee $ , State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ r?;5® CSU Sewer Main Charge TOTAL $ $ - STIPULATIONS : /'�. r o qwLb U.S. CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] a 000- ya.tl� oo��i �440 jqq0oFr f � MANUFACTURED STRUCTURES V/t Lk /rij INSPECTION CHECK LIST uare Building Codes and Standards Division 408 612) 296 4628wlding St. Paul, MN 55101 �,�� TL) Page 1S STRUCTURAL INSPECTION +c c_S�. ca 7- A -`J 1770 MANUFACTURER I-4 5t, l•�no C�LOCATION DEALER OR OWNER DATE OF INSPECTION IN -PLANT __ DEALER OWNER OCCUPIED INSPECTION AGENCY F ONFORMS • YES I NO N.A. REMARKS 1. FLOOR sYs I cm 2. MATERIAL -GRADE/SPECIES V 3. JOIST SIZE 4. BRIDGING/BLOCKING 5. DRILLNG/NOTCHING 6. LAYOUT/SPACING 7. LAPS/SPLICES 8. FRAMING OPENINGS a REAMS/HEADERS 10. FAS] tNtmt v, 11. HANGERS 12. CONNECT IONS/WORKMANSHIP 13. 14. FLOOR SHEATHING MATERIAL +� 15. FLOOR SHEATHING FASTENING 16. ADHESIVE APPLICATION v 17. LAYOUT/BEARING ON JOIST 18. 19. THERMAL INSULATION _ 20. VAPOR BARRIER 21. FIRES TOPPING 25. - ,K 26. WALL SYSTEM V 2 27. 28. STUD SIZE MATERIAL - GRADE/SPECIES V 29. PLATES ✓ 2 „, 30. 31. HEADERS DRILLING/NOTCHING MEMBERS ? or Ikj 32. LAYOUT 33. CON NECTIONS/WORKMANSHIP v� 34. ERECTION/SETTING OF WALLS 35. FASTENERS 36. BEARING OF MEMBERS 37. CORNER CONNECTIONS 38. - - --------- 7.777:±- 39. •N.A. = NOT APPLICABLE (NOT FACTORY INSTALLED) c! 0 A C.r L Ou ! BC -00029-01 (2/85) 'l7ANUFACTURER <G t � 0,0 L.LOCATION CONFORMS YES I NO N.A. 40. THERMAL INSULATION 41. VAPOR BARRIER/PERM RATING 42. 43. INTERIOR FINISH MATERIAL 44. FLAME SPREAD RATING 45. INTERIOR FINISH FASTENING 46. SHOWER WALL PROTECTION 47. 48. WALL SHEATHING MATERIAL 49. WALL SHEATHING FASTENING 50. ADHESIVE APPLICATION 51. LAYOUT/EDGE SUPPORT 52. WINDOWS/DOORS 53. FLASHING/WEATHERPROOFING 54. SLIDING MATERIAL/FASTENING 55. 56. CEILING/ROOFS TEM 57 RAFTERS%TRUSSES 58. MATERIAL --z-GRADE/SPECIES 59. BRACING 60. DRILLING/NOTCHING 61. LAYOUT/SPACING 62. LAPS/SPLICES 63. PAGE 2S REMARKS i a» ui n L. tY L 5 4 65. CONNECTION TO WALLS Srr2ucry Lc=( T'L L'1 TO 'i-Kuss NOieP`� � 66. BEARING ON PLATE 67. RIDGE BEAMS 68. INTERIOR FINISH MATERIAL 69. FLAME SPREAD RATING 70. INTERIOR FINISH FASTENING 71. THERMAL INSUL./VAPOR BARRIER 72. ROOF SHEATHING MATERIAL 73. ROOF SHEATHING FASTENING 74. ADHESIVE APPLICATION 75. LAYOUT/BEARING ON RAFTERS 76. FIRE STOPPING 77. ROOF COVERING/ICE DAM PROM COMMENTS: - Ot- 01iAV� Pt- - iA N Zr !G: (��( 117 - INSPECTION DATE TIME SIGNATURE / 21�6 B.C.D. INSPECTOR'S SIGNATURE 12 N.A. = NOT APPLICABLE (NOT FACTORY INSTALLED) C_ ........ .....,,.; MINNESOTA BUILDING CODES AND STANDARDS DIVISION. - INSPECTION REPORT = SHEET_ OF---� r 1 r^ 3 p L't►�f�ir fir)yiat'o 6)oT )�ii:1(1!?') AKt--7 i lel IL.A f- 1 cir 17. 18 .9 19. '2 6uk(,,otiNG cs �, sT-V b,.►� s t oa {o0. V-Acrrao sQ �u��,o(�y �3O V.%Nvwsa,A STAn TIZ.t-A*%Sy12.c-n—_— �'�/ 0 1 .: .l r l o L V --T i, t. l `� a <� ra LOCATION TITLE SIGNATUREi ORS . 81GNATURE A , Ja.i.ro , �/ 0 �.« A� 'y . INSP. TIME: DATE ADMIN. FOAM 1810 `C ac ♦�� ioll co , l —DENOTES EXISTING CONTOUR — DENOTES PROPOSED CONTOUR The West line of'the East 10 feet of Lot 2, Block 1, SPRING BROOK PARK If EXCEPTI ON- jj ---1 3 16.90 --- o 13s S.1242"W. ---- 25 Wo �CD o r-- n as I' ' 4.Id I Wpb u !vP ,\pry _::s Loft 2, 60 a� w 830 ` cv ` n4 830 _ 60 a� w '1000000WI W .__ 00 Set")(" in Concrete Fence Post Base i{ 0� �IL a i ca �J PP_ Papp � O to 00 I Z t � a! � � s U m M F x W d L j n J09 NO.8026C JOB NO. 90151 to. 827 cv ` n4 830 _ 00, 826 824 •0 8� 823.9 823 02 , - i822 522yc6 d' ci c+ �I '1000000WI W .__ 00 Set")(" in Concrete Fence Post Base i{ 0� �IL a i ca �J PP_ Papp � O to 00 I Z t � a! � � s U m M F x W d L j n J09 NO.8026C JOB NO. 90151 9005103/30/24 BOZANY, JAKE ADVANCE SURVEYING & ENGINEERING CO. 5300 S. Hwy. No. 101 Minnetonka, MN 55345 Phone (612) 474 7964 Fax (612) 474 8267 SURVEY FOR• JAKE BOZONY SURVEYED: April 26,1990 Top of foundation 83: DRAFTED: May 16,1990. _REVISED. June 14,1990. OKI, REVISED- July 5, 1990. Lowest Floor 824.4 LEGAL DESCRIPTIONS: EAST PARCEL: Garage floor 831.7 Lot 2, except the East 10 feet thereof, and all of Lot 1, Block 1, Springbrook Park, Anoka County, Minnesota, except for the South 25 feet thereof for 79th Way N.E. and r'-• C. Lot 1 and that part of Lot 2 lying Easterly of the Westerly 10 feet of said Lot 2, as measured at right angles to and parallel with the Westerly line of said Lot 2, all in Block N, River View Heights, Anoka County, Minnesota. WEST PARCEL: Lot 3, 4 and 5 and the Westerly 10 feet of Lot 2, as measured at right angles to and parallel with the Westerly line of said Lot 2, all in Block N, River View Heights, Anoka County, Minnesota. LIMITATIONS: c� u We have surveyed the above described property which the client claims to own or appears to own from various government records. e We make no representation that the client does in fact own the property nor that a search of the records has been made to determine the extent and nature of his holdings. If there is any doubt concerning the accuracy of the legal description, competent legal counsel i, should be retained to perform a title search and issue a title opinion for our use in preparing the survey. We show only those W easements which the client informs us of or which we happen to become aware of through other sources. The survey shows only those is improvements which are visible and which we deem important. o e STANDARD SYMBOLS & CONVENTIONS: _ The symbol "o" on the drawing denotes a half inch, inside diameter, galvanized steel pipe about 14 inches long fitted with a plastic plug bearing State License Number 10535, set • usually flush with the ground surface. A filled in "o" symbol denotes a found steel monument which are often below the ground surface. CERTIFICATION: I. I hereby certify that this survey was prepared by me or under my direct supervision and that I am a licensed Professional Surveyor under the Laws of the State of Minnesota. ,4e •'�•h Samuel G. Parker, P.S. No. 10535 ; SCALE ONE INCH EQUALS 3O FEET SUBJECT City of Fridley MOVING 2 0 4 5 2 AT THE TOP OF THE TWINS WN6 P E R M I T i � R L------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. { CITY HALL FRIDLEV 55432 NUMBER REVGATE PAGE OF APPROVED BY �•••' ,'� 612-571-3450 910-F15 6/28/90 JOB ADDRESS 501 - 79th. Way N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3,4,5 & W 0' of Lot , Block N, Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE M.P. Bozony 479 - 79th Way N.E. 786-7663 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ernst Machinery & Housemovers Corp. 9400 - 85th Avenue N, Mpls. 55445 425-2822 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 1p MOVE ❑ REMOVE 8 DESCRIBE WORK Move house from High School property at 6000 West Moore Lake Drive N.E. onto t1ji:;:j pruperty at 501 - 79th Way. 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. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. P N CHECK FEE TOTAL FEE $15.00 SIGNATUREF CTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY VAL ATED THI IS YOUR PERMIT SiGNATU RE OF OW R IIF OWfqAfR BUILDERI (DATE) BLDG INSP MATE - • M •I" 1t /` I Legal Description: ��'��-� 9"�T/OTS off!-,oT .A Owner & Address��Hy Tel. Contractor• r :� �� rL z os -1 Tel. Address:— /� State License # Living Area: Length ,lY Width a � Height Sq. Ft. / Garage Area: Length Width Height Sq. Ft. �� D Cu. Ft. Other: Length Width Height Sq. Ft. Cu. Ft. Estimated Cost of Wrecking/Moving Approx. Completion Date City Water/Sewer Mpls. Gas Company Northern States Power Northwestern Bell Tel Co. 571-3450 [ ] 372-4720 [ ] 566-9120 [ ] 293-0665/293-1319 [ ] Water Bill Paid: Yes [ ] Amount To Be Collected [$ ] Initials Moving Route: FEES Moving: Principle Building into Fridley . . . . $ 80.00 Accessory Building into Fridley . . . . Fee: $15.00 Through, within or out of City $ 15.00 Wrecking: For each 1,000 cubic feet or fraction .$ 1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Department, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations staged in this application are true and correct. Signature PEM-ur FEE: S`I'IPUTATICNB: MANUFACTURED STRUCTURES 470 o 79TH WAY INSPECTION CHECK LIST MI��E®�.OSa 26N He 5 4 ' Building Codes and Standards Division 408 Metro S612) 6 are u' ing St. Paul, MN 55101 Page 1 S STRUCTURAL INSPECTION �LOCATION MANUFACTURER DEALER OR OWNER DATE OF INSPECTION IN -PLANT DEALER OWNER OCCUPIED INSPECTION AGENCY F ONFORMSFNAJREMARKS YESI NO 1. FLOOR 5Ys 1 tm 2. MATERIAL - GRADE/SPECIES 3. JOIST SIZE 4. BRIDGING/BLOCKING 5. DRILLNG/NOTCHING 6. LAYOUT/SPACING 7. LAPS/SPLICES 8. FRAMING OPENINGS 9. BEAMS/HEADERS 10. FASTENERS. 11. HANGERS 12. CONNECT IONS/WORKMANSHIP 13. 14. FLOOR SHEATHING MATERIAL 15. FLOOR SHEATHING FASTENING 16. ADHESIVE APPLICATION 17. LAYOUT/BEARING ON JOIST 18. 19. THERMAL INSULATION 20. VAPOR BARRIER 21. FIRES TOPPING 22. 23. 24. v' i/ Z t4.)A F 171 /"(.- e SYSTEM V Z X L K SIZE V E_5 P- �IAL - GRADE/SPECIES -7 , Jr "j 4 7- -Z A - 2x 31. DRILLING/NOTCHING MEMBER5 32. LAYOUT 33. CON NECTIONS/WORKMANSHIP v 34. ERECTION /SETTING OF WALLS 35. FASTENERS 36. BEARING OF MEMBERS 37. CORNER CONNECTIONS *N.A. = NOT APPLICABLE (NOT FACTORY INSTALLED) A C- BC -00029-01 (2/85) 'AANUFACTURER Q I n -� < <� N CG O"X L_ LOCATION `� 'Y PAGE 2S ANMEA? 0, US CONFORMS • YES NO N.A. REMARKS 40. THERMAL INSULATION 41. VAPOR BARRIER/PERM RATING 42. 43. INTERIOR FINISH MATERIAL 44. FLAME SPREAD RATING 45. INTERIOR FINISH FASTENING 46. SHOWER WALL PROTECTION 47. 48. WALL SHEATHING MATERIAL 49. WALL SHEATHING FASTENING ✓ 3 ��GE✓^,, i 50. ADHESIVE APPLICATION 51. LAYOUT/EDGE SUPPORT 52. WINDOWS/DOORS r 53. FLASH ING/WEATHERPROOFING 54. SLIDING MATERIAL/FASTENING 55. 56. CEILING/ROOf-SYSTEM 57. RAFTERS9TRUSSES t- C-0 u0 58. MATERIAL = GRADE/SPECIES 59. BRACING 60. DRILLING/NOTCHING 61. LAYOUT/SPACING 62. LAPS/SPLICES 63. rin Us - 64. FASTENERS 1/ SnZ ucTv,t1t L( -:-e 65. CONNECTION TO WALLS 66. BEARING ON PLATE 67. RIDGE BEAMS 68. INTERIOR FINISH MATERIAL 69. FLAME SPREAD RATING 70. INTERIOR FINISH FASTENING 71. THERMAL INSUL./VAPOR BARRIER 72. ROOF SHEATHING MATERIAL 73. ROOF SHEATHING FASTENING 74. ADHESIVE APPLICATION 75. LAYOUT/BEARING ON RAFTERS 76. FIRE STOPPING ' 77. ROOF COVERING/ICE DAM PROTECTION COMMENTS: oc,�r z k c TV fz) /KI 6 yr 01AjC [fir --!n<,>] 716A � ,+ <Ti �,i � ,,` �-1 (Jr!IJf:- Z(l�- f (;)o ? INSPECTION DATE TIME SIGNATURE B.C.D. INSPECTOR'S SIGNATURE 4L/4 N.A. = NOT APPLICABLE (NOT FACTORY INSTALLED) i J •(-K uSS �HUiZA MINNESOTA BUILDING CODES AND STANDARDS DIVISION �. INSPgCTjQ,N REPQRT Jg SHEETOF, 53 � roman" °�lrv r7-"- fl) P1 UntP r i(1 �, i til it �,fZ�iilf7t +> FInT s.r TAT �A t. Rpt E"`?Tl� � 5u�, ro 1� S AK iCN T +"�xT J��t'S Ph'OVIlat`>� C) CA 0. ae .11 1 ��7 ►V ��} CJ��t�Lt iAIC� t�l�� r'1ZtJt'?7 12. 13. 14. 15. 16. 17. 113. 19. t0. Tu �,� ': to r� .!<.'� T�� F�?. 1171��=`r .1.•� t� r. 22 QQ I�UIt,�OsIJG 63votrs Srvs b,yl(Ioa C40 % vA6TRa 5a. �V►�,p1 aJ � 130- 2 1h1N1JKSOrA sTH'�. C 23. 24. NAME Fr CJ t_'S 111 t, +•z.� 4 �^ lo - LOCATION F7, '' CONTACT TITLE SIGNATUREr d ) DATE B.C.S.D INSPECTOR'S SIGNATURE '-h �''° , • INSP. TIME' ' pOMIN. FORM 1810 ; a CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 Future Fixtures S $ k W Old Opening, New Fixture Water d 1.50 m Beer Dispenser $ 4.00 a N H $ N 4 Catch Basin S� $ Heater •.ei W OO $ iq.' Yb Hydraulic Valve J�iC at M t C 6 W $ OL 4 Mater Treating Appliance $ o~o a O •�1 D +�+ e 4 tg0G.1 O O H N tqo s0 N aq m �UOI G Vl U Yes ( ) No A ) 1�I1 S .9. 1'[a W U W 4 3 l! V O as Elec $ Reinspection Fee $ State Surcharge S .50 (515.00) TOTAL FEE $ let 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 Future Fixtures S $ 3.50 Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 S Sump or Receiving Tank $ 5.00 S Mater Treating Appliance $ 7.00 $ Not Nater Heater �_ $ 5.00 Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. Yes ( ) No ( ) Type S 5.u0 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge S .50 (515.00) TOTAL FEE $ Effective May 1, 1990. Job Address 5 r) I - f t t -�T. v Department of Buildings City of Fridley Tel. 1571-3450 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. l lg OWNER I -IC- / . KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD -(NEW, UILDING PERMIT NO. - - PERMIT NO. Company 8 p� Signed By Tel. Mo. .} - j ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT !1ININU4 FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE S.50 STATE SURCHARGE ReinapeCtion Pee (515.00) Rough Iasp. Date Gj Final Insp. " � — ` Date Approval for Permit 112NIxum FEE FOR ANY HEATING PERKIT IS $15.00• PLUS $.SO STATE SURCHARGE •Air ConALtioners can not be placed in side yard without written permission free adjoining neighbor. $ DFSCRI.PTZON UP FURNACIC/bUIMER HEATING or POWER PL�tB'S. Steal. )lot hater, yiasw A1r- go. U? Trade Nam� l l �l % t . Siem W. � PJ Capacity Sq. Pt. EDB Bti77 �'b TJ\ ITP Total Connected Load Kind of P1ie1` r 1�L1 to SUMER - TradB Name Site No. 0- it CA SPt. FAR Btu — RP .. p� yg. L' rtc Company Signed By c Tel. No. fill out back side for stack verification on replacement furnaces. n. CITY OF FRIDLEY Effective Date May I. 19:36 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDELTIAL RATE TOTAL Job Address Purnace Shell and Duct Work. $ 20.80 Cl•Ci S � � Departuent of BUIldLngS, 6431 university Ave. H.B.. Fridley. NN SS432 Burner Woo replacement furnace) City of Fridley Gas Piping $ 10.00 $-L 0 tP Tel. #571-3450 )piping needed with new furnace) $ 10.00 $ The undersigned hereby makes application for a permit for the work herein Codes Gag Range specified agreeing to do all Mork in strict accordance with the City hereby declare• tlSat all the Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and facts and representations stated In this application are tw" and correct' �- C_ �Qr 19� Air Conditioning fall sizes) S 10.00 S Fridley. Kinn.L_ All Others/Repairs and Alterations oWa+ea It of Value of Appliance or work $ 1 xINDOPBUILDING C0mRRCIAL/INDUSrRrAL • USED AS -' 11 of Value of Appliance or Work $ TO st oaNPM-ea ABOUT • SO ( ESTINATBD CC" State Surcharge 8FEW= NO. OSa -NEM 11ILDINiG PERiIIT MD. lIIE 1 �_ 5��'J T'O?AL ReinapeCtion Pee (515.00) Rough Iasp. Date Gj Final Insp. " � — ` Date Approval for Permit 112NIxum FEE FOR ANY HEATING PERKIT IS $15.00• PLUS $.SO STATE SURCHARGE •Air ConALtioners can not be placed in side yard without written permission free adjoining neighbor. $ DFSCRI.PTZON UP FURNACIC/bUIMER HEATING or POWER PL�tB'S. Steal. )lot hater, yiasw A1r- go. U? Trade Nam� l l �l % t . Siem W. � PJ Capacity Sq. Pt. EDB Bti77 �'b TJ\ ITP Total Connected Load Kind of P1ie1` r 1�L1 to SUMER - TradB Name Site No. 0- it CA SPt. FAR Btu — RP .. p� yg. L' rtc Company Signed By c Tel. No. fill out back side for stack verification on replacement furnaces. n. CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; I. Has been carefully examined Yes 2. Is free from rust or deterioration Yes (�) 3. Has no foreign objects lodged within Yes 4. Is securely supported Yes 5. Meets all current Code requirements for size and Yes (y total STU connected 6. Has Total heating BTU's of vx�`- All other BTU's - TOTAL Remarks Company t Signed 8 Date -f No ( ) No { ) No ( ) No ( ) ,7,T) No ( ) r CITY OF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 November 28, 1990 Mr. Milan & Ms. Patricia Bozony 479 - 79th Way N.E. Fridley, MN 55432 Re: Final Inspection at 501 - 79th Way N.E., Fridley Dear Mr. & Ms. Bozony: A final inspection was conducted on November 27, 1990 of the above address and the following items were noted which must be completed before the structure can be finaled: 1. secure patio door to be inoperative by December 15, 1990 and/or until deck is constructed. 2. Post address on structure by December 15, 1990. 3. Install guardrail and handrail on basement stairs by December 15, 1990. 4. Duct lower level bath vent by December 15, 1990. 5. Provide permanent step in garage by June 15, 1991. 6. Provide sod in the front and side yards by June 15, 1991. We will expect these items to be completed by the scheduled dates and reinspections called for. If you have any questions on this matter, please feel free to contact me at 571-3450. sincerely, DM G. CLARK Chief Building Official DGC/mh CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 y Future Fixtures $ 3.50 y Old Opening, New Fixture ro $ 1.50 u Beer Dispenser x w $ water $ 5.00 $ Catch Basin $ 5.00 ►ani, 1 1Am $ 5.00 $ 1 H Q w $ Sump or Receiving Tank Heater $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Beater ,•lcq�(i 41 $ 5.00 14 A $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No 0 Type $ 5.00 N ALL OTHERS AND/OR REPAIRS AND ALTERATIONS g °' J W N M 4 Y 11 -1M Reinspection Fee $ ($15.00) M O FEE $ O ro W 41 lec WU D N 3i ow y w U�a 3 u O s 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (") = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve S 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Beater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS IS of Value of Fixture or Appliance $ � State Surcharge $ .50 Reinspection Fee $ ($15.00) TOTAL FEE $ O Effective Date May 1, 1988 Job Address So 1 LcD i� lel 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 correct Fridley, Mn. , 19/ OWNERb Z 8 (�X� KIND OF BUILDING USED AS TO BE COMPLETED ABOUT 1 ?s_9 1 ESTIMATED COST _s )r>o r�n / OLD - NEW BUILDING PERMIT NO. PERMIT NO. 10( o(6 6 Company Signed Afffli 40y, gn BY AAI_ i..n,.n,�si�S...; ,L � -, •, ., �_ Tel. No. 700 W. Linden Ave -m.! OX 1161; --� -Minneapolis, MN 554A, � F ROUGH INSP. � Date FINAL INSP. / —A-2 Date APPROVAL FOR PERMIT A9BA►IVg�a9S�® MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT RMIT NO. City of Fridley2 C'r 9 7 6 4 AT THE TOP OF THE TWINS BUILDING P E R M I T Rl CEIPT NO. � `� ______ COMMUNITY DEVELOPMENT DIV. .. INSPECTION SEC. �� r PROTECTIVE �/0 1 = CITY HALL FRIDLEY SS132 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 6/24/99 JOB ADDRESS 501 79th Way NE 1 LEGAL ILVIV, Of 2 BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. &3.4.5 N Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE M.P.Bozony 786-7663 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Precision Roofing 200 W 88th St Ste 4 Bloomington 55420 884-4044 20141220 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 Xk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (25 Sq) 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 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 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 $2185 $1.09 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 Fire SC $2.19 PLAN CHECK FEE TOTAL FEE TA nse SC 5.00 $91.53 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE- WHEN PROPERtY PROPERVALIDATED THIS IS Y UR PERMI BL iNS� �iA�E S,GNATURE OF OWNEROF OWNER BUILDERI IDATEi NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ` ALTER SINGLE FAM LY AND DUPLEXES R-1 AND R-2 fS( BUILDING PERMIT APPLICATION �1�J Construction Address: til -7" kx # r Legal Description: Owner Name & Address: M. -P. Tel. # �r" {v3 Contractor:T- , U,L MN LICENSE #3p1c17-00 Address:74co -iz 4 -TA=0V--% tVIMMsA 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: Construction Type: 16osr-- Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ -;2/PS DATE: 2 APPLICANT: Tel. #gyp - CITY USE ONLY Permit Fee $ 3 - Fee Schedule on Reverse Side Fire Surcharge $ off_ / .001 of Permit Valuation (1/10th%) State Surcharge $ _ 0 c? $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 5�, 0 ® $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 $ / , S STIPULATIONS: GIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 11, 2002 M. Bozony 50179" Way NE Fridley, MN 55432 Re: Final Inspection at 50179" Way NE Contractor: R. A. Johnson & Son Dear Mr. Bozony: A plumbing permit was issued on August 4, 2000, to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no permit called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/ls Building $•Z BUILDING Permit No. Z � Inspections $ RESIDENTIAL APPLICATION Received By: r 761-572-3604 $TOO—.001 CITY OF FRIDLEY Date RECD: DEC (� 763-502-4977 FAX $ 1 IOU .0005 x Permit Valuation Minimum $.50 License Surcharge $ EFFECTIVE 1-1-08 $5.00 (State Licensed Residential Contractors) — l YOUR E-MAIL ADDRESS DATE le, !s� $1825 per SAC Unit (Plans to MWCC for determination) SITE ADDRESS 71' ft + 6 ft = ft x $21 =$ Erosion Control $ THIS APPLICANT IS: IZ OWNER ❑CONTRACTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: (/ 1L %l S 'e Alit/ 1(1//C/ !lS _I ADDRESS: �U/ 71'771 al -Y V CITY /W11'LZ Y STATE�ZIP TENANT $ PHONE: l��C Agreement necessary ( ) Non Necessary ( ) Total Due NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE IN SINGLE FAMILYNEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING M OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAWTENANCE/REPAIR IN REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH A HEIGHT 7 sQ FT C� ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ❑ Vinyl ❑Soffit ADDITIONS. &PORCHES SUBMIT: 13 Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & _ TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ G�C�C� OCCUPANCY TYPE Permit Fee $•Z Jt ' See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $TOO—.001 times the total job valuation Surcharge $ 1 IOU .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the 4nnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that work will be in ccordan ith th approved-plaain-tfie case of all work which requires review and approval of plans. SIGNATURE OF APKICAC PRINTNAME G'i ClG� f DATE /1��` APPROVED BY P. -A I aX1-4_l AY1 % — DA ti pook THIS joB COPY SHALL Bu AVAILABLE OW Thr J09 SITE FOR T�;F- r 1�Ft+r91i1�a 1{{ AND FINAL M-03PE01IONG J NL1� M. a so, B. —SMo� ��s i►� hz6,-66ii rLvm st=rf -70 sa -64- �4a� b+2blE ix (Ess h�rt�zo�.� c�cw�uS�oN . yEel R 304 m t N Cst 1I�V9 k t�� -7 �&40 Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D-AMDEC 0 200 763-502-4977 FAX EFFECTIVE I-1-08 — l e, — Oel YOUR E-MAIL ADDRESS I/ G'G>1S coo?--/ DATE SITE ADDRESS S_D d �� T/ -r 61114 y /tl,-' e THIS APPLICANT IS: 19 OWNER ❑CONT�RACTOR PROPERTY 1,2> S > NAME: 1,2a5 OWNER/ ADDRESS: S GU/ !�� T�l INaY /I/� CITY y�/G'L�Y STATE ENANT PHONE: CONTRACTOR COMPANY NAME: NOTE: SEPARATE CITY CONTACT PERSON: LICENSES ARE STATE LICENSE # EXP DATE REQUIRED FOR GAS AND HVAC. ADDRESS: CITY STATE ZIP SUBMIT COPY OF BOND PHONE FAX ANDINSURANCE PERMIT TYPE ® SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK' ❑ NEW ❑ REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK 4? k? PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU A/C $25.00 (GAS) $15.00 _GAS RANGE/OVEN $10.00 _FIREPLACE TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR _FIREPLACE $35.00 $35.00 _GAS UNIT HTR $10.00 _ _BOILER _FURNACE ~CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 LATO PIPING $1000 $ DUCT WORK $10.00 S R _GA 3 X15 =s. Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM $15.50 MINIMUM $15.50 Total = $ ------------ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a mechanical permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance,the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME /Zl`�`I/U`�1 t/d C(Glj DATE /2 APPROVED BY DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC 0 NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a_ Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.