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AF - 43707� � City of Fridley, Minn. BUII.DING PERMIT N°• 3 3 8 g �. �te: . �'-.. �.�. �....s..- F.�......... Owner Builder . �� . . . !��. . . . . . . . Addre�s ...................................... Address ..��. .� ..�6.�s!l........��..... (l LC�CATIO�I OF BUILDINC No. . � .��Street . . . . . . . s�di�?�!�!. . �! � .�./!. .�Part of Lot . . . . . . . . . . . . . . . . . . . . . . �,�� . Lot . . . . f. . . . . . . Btock . . . � . . . . . . . . . Addition or Sub-Division . . r.'!, .�. . .�. . .s.w. . ,��'�?� . . . . . . . . . . Corner Lot . . . . . . . . . . . . Inside Lot . . x. . . . . . . . Setback . �.�i � Q . � Sideyard . � d. .'. .� . r . . . . . . . . . . . . . . DESCRIPTION OF' BU[LDING � Ta be Usea as: �'�3'`d ' �•, � ,,N�r�if�r�e4?�. . . . . Front ' � . ."�.�. .� sIJ�pth .�°i�. . .1.fr. �Height . f. .� . � Sq. Ft. �. v Cu. Ft.�� '!�!6 %+�i �i, . . .�c-�r:�. ° . . . �ont . . � Y' ��n 2. � ` . G Height .`G . . 0 sq. Ft. . . . . . . . . cu. Ft. . .) . . '�'3 `� Zj�pe of Construction . �`?!s?^c� . . . . . . . �et. Caet . . . . . . . . . . . . . . . . . . . . . To be Completed . . . . . . . . . . . . . . . . . . . Z. / t�-O � ,,�i 1 ��1 %��2�.� / 3 �s � p � .�.�� _ In consideration of t'he issuance to me o! a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all proviaions of ordinances of the city of Fridley. y � / „ � ?'�. ��: ..� .. . ...:�. �.y?..... / � In consideration of the payment of a fee of $. � !. .'�. . . . . , permit is hereby granted to . . . . . . . . . . . . . . . . J ..... .... .. .. . .. .. to construct the bu3lding or addition as described above. This peimit is granted upon the express condition that the person to who� it is gi�anted and his agents, employees and worlrnaen, ia all w�k 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 provisfons of said ordinances. _ �! ��.� . . . . . . .�,...�3uildin� Inapector NOTICE: This permit does not covec the construction, inataliation or aiteration for wiring, plumbinp, gas heating, sewer or water. Be sure to see the Building Inspect� for se°parate permits for these itema sue�ecr P N O. City of Fridley � 15 7 7 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f ; � REC � `v ______ COMMUNITY DEVELOPMENT DIV. �j ` r � PROTECTIVE INSPECTION SEC. � %�d �, i ; 1 � i � � �"'1 � GTY H ALL FFi1DLEY 58432 NUMBER REV. DATE PAGE OF APPROVED BV �----�'� ,'� 612-571-3450 910-F15 6/12/80 � � JOB ADDRESS 6458 Able Street N.E. t LEGAL �OT NO. BLOCK TRACT OR ADDITION ' SEE ATTACHED oesca. 6,7 3 Florence Park Addn. to Fridley Park SHEE7 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Herbert Sayler 6458 Able Street N.E. 571-3405 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. Mi.les Garage 4500 Lyndale Avenue North 588-9750 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUIIDING Residential 7 CLASS OF WOfiK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRBE WORK Construct a 16' x 22' Garage addi.tion to back of garage 9 CHANGEQFUSEFROM TO STIPULATIONS �SEPERATE PERMtTS REQUIREt? FOR �i�iQ, NEATIf�G. PLUi�ABlNG AND S1G�lS. WARIW�y►� 6etore e�ga;ng cari roca� ur;�rr,es r��'HONE - F��TRlC - � �� R�QUIRED B Y L,q W TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PfRMITS 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 COMMENCEO. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND COFRECT. 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 $3�ZO1 $I..SS DOES NOT PRESUME TO GIVE AUTHOFIITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OFi THE P FORMANC CON TRUCTION. y�14.OH ,,�°'"E � PLAN CHECK FEE TOTAL FEE � � $15. 63 SIGNATUREOFCONTRACTORORAUTHORIZEOAGENT ion Ei WHEN PROPERLY LIDATED THIS IS YO/UR PERMIT �a/ l V --SiGNATUREOFOWNERiIFOWNERBU�LDER� IDATEI BLDG iNSP DnT CITY OF {�fZIDLCY � • /1f?PLTCl1'i'l.Cii� FOR ft�SIDE.(iTlllt_ LUl(_DIP1G PC2MTTS � (tdevr, Altcr,ations, Adciii:ions, or !?�p�zirs) � =S�'!+ � �" � L'UZLDER: ,/��/ h'`' s �f%�� Ot�lf lE Et: !� F C' L i� _.�._,�______ `� - ADDRESS: �~ � f� L s'1`�' l�` L.= AUUftCSS: �i:Sc�cJ ��rit�lJ,�� l�l1C� TG� �10: ��7 � � �t{ � �� T�L IdO: �j •� � � 7 S � . � Construction Location (� �i � � s�rirr�: /�-� �>� � 7` � � ST32E�T NO: _ - . 7 BLOC''.tC : 1�DDITION : / /� ��'�� µ �K �-a o �-'d / /C //S �� y� �� LOT: li. � / • � Corner Lot_ inside Lot: L� SetbacY: Sideyards: A�»lican�L attach io tliis forrn two Certificates of Survey of lot and ' pro�sed bui�dinq �ocation drawn on cerL-if.icates to scale. DESCRIPTIOfd OF COfdSTRUCTION � , . , �� '�z..,�. ,G. C��:�X, Front: 1� • Depth: �-� Height: � r. <. , . �� d Sc�uar.e Feet: � 5-� C1,ibic I'eet: I'ront : Depth : H eight: Square• Feet: � Cuba-c FeeL-: T��e of Construc4ion : � Estimated Cost: $ � �� OZ 7.b Be Cbmpleted.: <�� C �? G� Alt. A Al�. B Proposed Dziveway Width Ti ATew �pening Ts Desired: � $ SEE I2EVERSEF SIDE OF SHEET . �'he undeisigned hereby makes application for a permii� tor the work herein speci.fied, ac�reeiiig to <io all �aozk in strict accordance with tlie City of �'ridley Ordi�lances and xuliiigs of tlze Dep<�zimenL of i3uzldings, and lier_eby declar.es that all the facts and represe.nt�tions stated in this applira�.ion are tr e an cor ct. D?1�E: I}- � �� STGNATUF.E : '��/ �� ' �"�-� m St:1.�,� c�t].0215: � 1��0� � • � � i • � . �.� ,,,.�,� . . , �� 3 v . � • �. 0 0 _ �� VI F[Zi DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450'• FAX (612) 571-1287 February 12, 1991 �. . - . . . . . Karen Sarvela �� '�' 6458 Able St. Fridley, MN 55432 , Dear Ms. Sarvela; RE: 6458 ABLE ST. It has been brought to my attention that the basement of 6458 Able St. is being rented as an apartment. I have inspected this property and found that it does not meet Fridley Residential Rental Property Code for the following reasons: 1. Property not zoned as rental property. 2. No rental license has been applied fQr. 3. Area being used for sleeping does not meet Fire Code. 4. Area being used for cooking does not meet health codes. This letter shall serve as written notice this property can not be used to rent out the basement area as a rental unit or apartment. The lower level will have to be vacated as living quarters as soon as possible and.no later than March 1, 1991. Sincerely, Richard H. Larson � FIRE PREVENTION BUREAU/HOUSING INSPECTION RHL/ss cc: Darrel Clark, Building Inspection Steve Barg, Code Enforcement SUBJECT City of Fridley 2 2 7 5 9 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � . � � � • COMMUNITY DEVEIOPMENT DIV. � � �: ----- � � r � � PROTECTIVE INSPECTION SEC. , � /'��1 � CITY HALL FRIDLE� 55432 NUMBER iiEV. DATE PAGE OF APPROVEO BV �'.---� • •'� 612-571-3450 910-F15 7/28/94 � � JOB ADDRESS 6458 Able Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 6, 7 3 Florence Park SHEET 2 PROPERTY OWNER MA�L ADDRESS 2�P PHONE KAREN SARVELA 6458 Able Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Advance Aluminum Su 571-3440 4 ARCHITECT OR DESIGNEF MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAI� ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUfLDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION (� REPAIR O MOVE O REMOVE x , 8 DESCRIBE WORK Soffit/fascia, trim 9 CHANGE QF USE FROM TO STIPULATIONS Ventilation must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS AFE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED 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 APPL�CATION 1 STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED �2 � OOO � 1. OO 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 IOCAL LAW REGULATING coN- $45.00 Fire SC �Z.00 T UCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAI FEE �` �� ` License SC �$5.00 $53.00 si ATURE OF CON ACTOA OR AUTHORI2ED AGENT ' IDATE� WNEN P ER�Y ALI ATED THI lS YOUR PEAMIT / SiGNaTURE OF OwNER ii: OWNEA BUiLDERi iDATE� LDG �NSP ��FTE NEVJ ADDN ALTER �1 [l �I C[iY OF FRIDLEY S[NCLE FAMILY AND DUPLEXES R-i AND R-2 Buiiding Permit A�plication Construction Acidress: b�/ 5" � �9/.�� c� � i �� . I.egal Description: Effective 1 / 3 /94 -�� Owner Name �r, Ac�dress: ��}2.��- 5,�2 �'��-� Tel. # Contractor: �,� �'�L-c �" GI�-v�i.zv� 5 �P�� y �iz� � - MN LICEN�E # � � � i� � �� Address: '7 3 Y/ � � �'°7 ,a,�'ozc� c�-� .-�.�-` � . F� �a�.� 7 <n� Tel. �# 57/- �5-iU 7----- Attach to this appIication, a Certificate of Survey of the lot, with the proposed constructian drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length L,ength Length DESCRIPTION OF IMFR4VEMENT Width Width C�i�e�1 Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. SOFG/% vfl5ci-� f vU�i-�-�%n � TiZi��r . . Comer Lot [� inside Lot [) Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ aa00 °�' Approx. Completion Date: �� (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ r 6r'_ ` �?ATE: � � y `>APPLICANT: �i'' _,� �Tel. # �� '�� . f, Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge ��, � ��°� � �' �� $ �� o $_ � � �-- $ $ $ $ TAL $ � �� - � <.�¢� � STIP ATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valua6on � 1/ lOth %) $.50/$1,{�?0 Valuation $$00 ger SAC Unit $S.OQ (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.OQ Conservation Plan Review Fee Determinecl by Engineering Agreement Necessary [] Not I�tecessary [ j sue�ecr PERMIT City of Fridley 4 8 9� ' , AT THE TOP Of THE TWINS g U I L D I N G P E R M I T O r � �` _�� COMMUNITY DEVELOPMENT DIV. � ^� � � r � v � PROTECTIVE INSPECTION SEC. �� /'�'1 � CITY HALL fRIDLEV 55132 NUMBER pEV DATE PAGE OF APPROVED BY �.---'�; �.' 612-571-3450 9�0-F�5 7-8-98 � � JOB ADDRESS 6458 Able Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMEU DESCR. 6& 7 3 Florence Park SHEET 2 PROPEFTY OWNER MAIL ADORESS 21P PHONE Karen Sarvela 6458 Able Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. American Roofing 23624 St. Francis Blvd� St. Francg�070 753-�451 20109395 4 ARCHITECT OR DESIGNER MAIL AD�RESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION O ALTERATION C� REPAIR O MOVE O REMOVE 8 DESCRIBE WORK — 2 la, er Re-roof House and Garage 29 SQ -"�� Y 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd. Underlayment must comply with the State Building Code. � TYPEOPCONST. OCCUPANCYGROUP OCCUPANCVLOAO SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIF CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. 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 CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS YA�UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $ 1� pj ] 7 $. 9� WITH WHETHER SPECIFIED HEfiEIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING co►v- $5g , SO Fire SC ,$ }', 82 STRUCTI OF HE PERFORMANCE OF CONSTRUCTION. � s� ` PLAN CHECK fEE OTAL F E 23 � License SC 5 00 $ `' S�GNATUFE C 'Ra OROAAUTHO�IZEDAGENi IDATEI WHEN P R V ATED T S IS V P IT � , ! � � 'f/ SiGN4TUAEOFOWNEa�IFOWNERBU�IOEAI � �DATEi Bl G �NSP ��TE NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: - CITY OF FRIDLEY SINGLE FAMILY �AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ��"� d9,�/� s �_ �/ Effective 1/1/98 ��% 1 ;_' .�`� a� �� :�� Legal Description: Owner Name & ddress: TeL # Contractor: � MN LICENSE # � �0 � � l� Address: . �� _ �__ �5'� � ��i s � �s'/ve� ��`a '7�o Tel. # `� .� � - 7Y,� % 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 GARAGE AREA: ' ' Length DECK AREA: Length - OTHER: �0�� Width Height Sq. Ft. Width Height Sq. Ft. Width � HgdGround Sq. Ft. � � � /Q r� � Construction Type: �� Estimated Cost: $� / Q�/ -..• . (Fee Schedule, on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: ' 'J � APPLICANT: Tel. # �� 7 �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ Sr� �o Fee Schedule on Reverse Side $_�� .001 of Permit Valuation (1/lOth%) $ / $.50/$1,000 Valuation $ $1000 per SAC Unit � $ .�j�,� $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 [ ] $ � . a� r • .� CI1Y OF FRIOLEY �NSP�CTIC7N �lV, 6�31 University A�+� �1E FridEey, MN 5543i 572- 3B0a MARK NUM ! Water: sath: • Stories Clos�t� Urinal Tub;;: Besemeni : - '� ;; - Floot t Floot 2 F1oor 3 ' Fioar 4 - � Shvwer EffeQtv� On Janvary t, 1998 APpLICATION FOPI PlUMBlNC3 AhiD C3A& ��'1"TfNG FERMIT BER QF FIXTURES i'0 BE tNSTRLIED Ot� EACH �LOQA � _ .�Wash Dtink Floa Cal�t� ,: Auto. Gas Gas Misc, ' Waier Heater Sink:: TraM Fo'unt. ..'. C►rain B�siti:'�: Washer APPr .�nge ��xt` .....�_ Gas_ Elec � PLUMBIh1GFIXTU�iE RA7E8: MO, RAi'E TOTA�L Ne►� Fixtures _ p�d Opening. hletiv fixlure _____ Beet afspenser �ow alf easin . Catch Basin _____ AaEn Watea leader Sump/ReceNtng Tank W�teP T►eating Appl'�ance W�tet F{eater -E1�e�t�ic _ Walet Heater - Gas•' ,.T� Gas Range"" C3as Oryer"� BackF{ow Ptevenler agqu�ted ( jY�s ( i�fo Type $ 7.c)0 $ a.uo � 5,A0 $ 7.00 $ i,f10 ! 7',00 $7,nQ �. $10.04 $ 7.�4 $io,00 �o•�a E10.Q4 510.40 $15.00 Reinspectior, Fe� $42,�JHr Att OTHERS ANOlOR AEPAtRS ANO At'CERATlONS 1.5� ot Value c! Flxcure o� App�iance Stete Surcharge TOTI�t. FEE $ .50 � 1��s� � � � �oe� an��ss �'�5g Ae�.� sT NE Tfie undersigned hereby makes ag�c�ion �or � perrnit foi t#�e work herein speci}ied agreeing to 8c► alf work in �trict accardance with 1he ciEy efldes and rulings a1 the Building Oivis�on, and hereby deeta�gs tha! aSt �he facts and teprescantations stated in Ihis appticstion are true �nd ccrrect. �Iz�J�� , ��98 pyy�y�{ KfFREn1 SAQJE.L.A Buifd(ng Used As ��^`F . 0� ` '�� % Estlmaled CosR �- �' PEAMiT NO,_ ` °��,=�-� PLUM�tlVGCOt�IPA�Y TE2R.v U�F.�2A��kE2 �� S1G1�ED 8Y '7%� _ TEL No,-s9,�� PP'�D Appro�red 9y Raugh-!n Dat� final tJate�� /�, MiNIM M FE flR ANY PLUMBING GA5 RfiflNpT iS 5624.0� PLUS TH� �,SO ST�TE SURC�iARGE '*CC?M8U3710N AiR 3KA�.l BE PROVIOED P�R UMC 9ECT10N 5o4�A) A1�D TAHLE 8-A. MIINlM�1M S9ZE 9 SQ INCKE8. CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPUCATtON FOR POWER PLANYS AND HEATING, COOIING, VENTILATION, 572•3604 REFRIGERATI RATE SCHEDULE Residential Furnace Sheli and Duct Work, Burner • Also Replacement Furnace (Side Vent • Fill Out Back) Gas Piping (Needed with new furnace, but not re lacement) Gas Range ��}� "�� Gas Dryer � ` h�. ,P.�� *Air Conditionin • All Sizes All Others/Repairs & Altera�ions (LIST ON BACK) 1% of Value of Appliance or Work Comme�cial/Industrial 1.25aJo of Value of Appliance or Work ON AND AIR CUNDITIfliVING SYSTEMS AND DEVICES JOE3 ADI�t�ESS � 7 � � — `Rate ' TOTAL $ 30.Q0 $ $ I0.00 $ $ 10.00 $ $ �o.00 $ $ 25.00 $_ � -- �— State Surcharge TOTALFEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REF IGERATION/AIR CONDITIONING PERMIT IS $25.OQ PLUS THE 5.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. � � .50 $_o?S : S`b ,;= -? - �;L�. _ �,�;.��' UWP! Effective On May 10, 1999 BUILDING USED AS — � ESTIMATED COST _ �� PERMIT N0. ��f�c�-� DESCRIPTION OF FURNACE AND OR BURNER No. c�f Heating Units�,_ Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. f3TU HP EDR Fuel Total Connected Load Burnsr Trade Name /Cb�cr/ Size No. BTU ��G�I� HP . EDR 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 representations stated in this application are�true and correct. ,, �i 1s 4 � c -� HEATIN CO � � r- Signe � ' DATE � - � �� _ Rough•In Date Final Date �, �/ %��' NEW [ ] CITY OF FRIDLEY ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-9 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address i.o�� f'i'�� S'� ��= J Legal Description: Owner Name & Address: �c; c�c .� � � �" v �� Tel. # � �� ` ' �'-��`� Contractor: � ��C`� � 1�-�- ^ � -�� r� MN LICENSE # �'>C- — �o� �`��`�� ' Address: �-'�'�� u-�', 9� i��-- �-i ��Q>.�.c �'" Tel. # ��a. -�5�� •-��t�3 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: ��c�: ��• �� ' ".. , ��.;.�'� Estimated Cost: $ �� U�� J Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: CI �� `� APPLICANT: '� r w � Tel. # �1�. �`-�� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - � �' �3� �� -�^�C2� $_��S � $ $ S � �d $ $ $ $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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: � ' � �� 4�^�°�� Stat� of Minnesota Dep�rtment of Commerce Licensing Division �a Department of Commerce Telephone: (651) 296-6319 , � 5� 85 - 7th Pla�e E�st, Suite 600 �-mail address: licensing.commerce@state.mn.us �'� �� St. Paul, MN 55101-3165 ' Website addtess: commerce.state.mn.us , , `��t.i�g+�t : . :. ��.�.,:' : , , R+�s��der�t'�� uilding C6nt��t�r L��+�n�� : :. �e9a1 Narn�. t�NfTED VIfI:NQC�W"S �NG sus�r,�ss �tru��re: �Ba. ` �C:�RPORATION Address: 2�#� 87`�tION PKV11`( ANDOVER, MN 55304 License Identification Number. .BC- 'ZO'I644OO Qualirying Pe�son: MICHAEL W BROZEK License Expiration Date: 3/3�j2QQrj Continuing Educatiorr. 7 Ht'S CE due by 3/31/2005 I z Building PLUMBING Perrnit rlo.: I�- Inspections RESIDENTIAL APPLICATION Receivect By: �- 763-572-3604 CITY OF FRIDLEY Date Rec'a: �' "� �� DATE � �� ( ^ YOUR E-MAIL ADDRESS SITE ADDRESS ��7' S� �I�i'� THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY NAME:�4►'�!') S��'�I tt OWNER/ qDDRESS: ��5� .'TGYC �� /U� CITY ��C � STATE�ZIP TENANT pHONE: �%%� `J 7I ' 3�4 S CONTRACTOR NAME:_ I�I vrr/ �jiYJ� >� /'vi c� Gcrj � r SUBMIT A COPY OF STATE LIC��J '�j J 3 EXP DATE C�" 3I �' °� YOUR STATE ADDRESS: �d�C I lCJ %�-6 �-,{/ CITY �31��n e STATE �'ZIP� 5� LICENSE WITH pHONE �%� � �/�j0' �jD�i r FAX �G � �� 3-3&' APPLICATION PERMIT TYPE � SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � �W � �PLACEMENT DETAILED DESCRIPTION OF WORK -�-yJ ��j � � S v,p,�l y rr r1 � �/� 1 r/'��y ,�G�/ �j' �i,s 7�`YJ 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, installatiQn .or xeplacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of.labor ).: _: _. . Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WfI�RE Lt�O&�EXGEEflS $500; FEES:ARE BASED 0N $10;i� PEIt�FIXTURE, E}CCEPT WHERE NOTED. FIXTFJRES: (IN�7I�k�:'fQ�Ai.�: ...,. ,,,.`�. NUMBER OF EACH BELOV� BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPMG _ BATHTUB GAS PIPING �EeD c�rruc�sE) SWIMMING POOL WATER SOFTNER ($35) _ CLOTHES WASHER KITCHEN SINK WATER CLOSET � BACKFLOW PREV. ($15) DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER Permit Fee $��. Number of fixtures @$10.00 x$10.00 =$ Surchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DIJE $ ��. . Number of fxtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ 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 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 with the approved plan in the case of 1 work which requires review and approval of pl�an1s. SIGNATURE OF APPLICANT (-e�G PRINT NAME �✓G!J �I�YJ/ DATE �"� T�� City of Fridley Buiiding Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977