AF - 46037�. . . .
City of Fridley, M�nn.
� �J % T"�
BUILDING PERMIT N� s 4 5 0
• ..
DatE: �' J � c
_,�_._...�:s ...___.� 3__.._._.___.__.._..._____
.
Owner: --•-E�'_�..' -- ._...������__._ Buiider _.. .......__.. �L_:C.� ...........................---..........._......_.______.____._
� �
Address_..._......_:......__._.�______._..__._._...__.._..._.._.._...._...._..._......_..W Address _._......_..._.__.....__........____.._ ............._......_.._..._.�....._.__._._.____._
•
�
C O 10 P BUILDING
No. ,�� _..L._.... Street ..... .__...._...... ._.� � _.,��
... .. .....* . .� _:�._ ............................. Part f t ....._..... . ....._. _. ._....
. ...___.
Lot ....._......_.. �.._......_ Block ...._.__..._._....�_. _..........._. Addition or Sub-Division ..... .._.� •_ ��._.��4 ____..._W .__
--... . .. _. _
--� / s
Corner Lot _.__......._..._.._.._ Inside Lot ---.._....�... Setback ••--- ��-•-----.---....._ Sideyard .----......_'��__.._..._...�..___.__.__._.....
Sewer Elevati� ._._......_._.._..._---___...__._......_...._....____.._..........._---•-.._ Founda.tion Elevation
DESCRIPTION OF BUILDING
T as
.. __ �... __ Front �L�..._.. DePth ��.._. HeigY�t ...f_-.�..�.. Sq. F� ��� � Cu. Ft,��� %.Y_ l�
_.__..._._.___... _._._.......__..._.. Fro t_____.........__ Depth _...___ .._ Height ....._..... Sq. Ft. _.___._......_. Cu. F� _.._....__._
. t�.__
Type of Constructiox�����_... Es� C t��.. �y�.5:[.�.1.._'...�.-jTo be Completed _..._..._._..__.-____..._._.__
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
th� proposed work in accordance with the flescription above set fo in compliance wi ' ions o
ordinances of the city of Fridley. �j�� �� �
.� .._...._._......._. z � �
In consfderation of the payment of a fee of $.:�LL...._... permit is hereby ted to.___.
. .._.., ._.._______
•...�,_....___...�._.....__.:..r._.__..___. 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 worksnen, in all work
8one in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o�
Fridley, Minnesota regarding lceation, construction, alteration, maintenance, repair and moving of buildings
o'��� city limits and this pernut may be revoked a t any time upon viola� of any of the provisions of said
Buildin8 �P��
NOTICE:
7his psrmh doss no1 eowr ths eonstrucfion, inMallaHon fo� wieino, plumbtnp. ga h�aNno, »w�r e� waf�r. B� wn fo sM
fh� Bvilding In�p�eror for s�p�nt� p�rmits fo� fh�a k�ms.
Application �or Power Plants and Heaiing. Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GAli►VITY 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,U00 BTIT . . . . . . . . . . . .
each add. 60,000 BTU ............. ....... ...
Replacement oP Furnace .............................
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . .
Repairs & Alterations each add. $500.00 . ... . . . . . . . . . .
i � °� �
8.00 $
2.00 �
5.00 $
5.00 $
2.50 $
3TEAM o: HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. Pt. EDR Steam .... . 8.00 $
Fumace Shell & Lin�-to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . 2.50 $
Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $
OIL BURIvER—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
lst 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
VENTILATING SYSTEM $
ALTERATIONS 8c REPAIRS TOTAL FEE � %�
ROUGH
FINAL
Dept. oi Bldgs. Phoae $U 4-7470
_ �I G 1 � �� /�. � -
City of �-idley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to da ail 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, 1VIinn. �-5 , 19 �-j
�- i�.�
Owner ��b �M �.,,�,.esr.+ '
Kind of Building
Used as
To be completed about
Estimated Cost, $ �
Old—New. Building Permit No. ��_� permit No. oZ � b
DESCRIPTION OF WORK
HEATING or POWER PI�ANTS-�team, Hot Water, Warm Air—No.
Trade Name ��r�� Size No.
U
Capacity Sq. Ft. E.D.R. �d� �� d BTL3 H.P.
Total Connected Load,� � 7 3�`�' Ab �t Kind oi Fue1 /" A�' .�'s� s.
BURNER — Trade Name Size No.
Capacity Sq. Ft. E.D.R. BTLT H.p.
(REMARKS—OVER)
��4z sM
Signed C1S� W+ l�[�..e�- �� A � �..o- �
By , W r ^�
Business Phone No.�� • � `���
a
�
_ City of Fridley �
App�"icatian for P'lumbing and Gas Fitting Pern�t
--- Dept. of Bldgs. Phone SU 4-7470 �O
DESCRIPTION OF WORK Loc8tion �� � L �� l C � � • �' � •
Number, Kind and Lxation of Fixtures
(j WATER HTR.
d' � VI Y F VI Kp Z S N W W ? � *
W p �� Hm Z 6 Z� 3 O_ VZ O�x! 3 C9 �! Z
t �J � < > � Z < � <~ � j ` � a � Z ` a F N GAS ELEC.
i V 7 O f m VI 3 F- O O N LL � u GO <� C� < I� � C� O
Base
lst
2nd
3rd
4th L_ i � � �_L_ I I I� I I �1— I I L
Connected with
• Futurs Connection Opexungs I gewer �
* New Fixfure, Old Openings Cesspool �
PARTIAL RATE SCHEDULE
PLUMBING F'IXTURE RATE3: NO. RATE TOTAL
O'e
Number Fixtures ......................� x $1.50 $�
Future Fixture Opening ................
New Fixture Old Opening . . : . . . . . . . . . . .
Catch Basin ... ..........
x
x
x
Water Heater (Up to 200,000 BTLJ) ......—�- x
New Ground Run Old Bldg. . . . . . . . . . . . . x
i.ao �
1.00 $
3.25 $
o►o
2.00 $ y� r
3.25 $
GAS FITTING FEES: NO. RATE TOTAL
lst 3 Fixtures .......� x$1.50 $�'� d
Additional Fixtures . . . . . . . .. ... .. .. . . . . x .50 $
Gas Ran�e to 200,000 BTiT . . . . . . . .. . . . .. x 2.00 $
REPAIRS 8a ALTERATIONS—Re#es to Code
Description .............�...................................$
TOTAL FEE $�
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
s p e c i f i e d, a g r e e i n g t o d o a ll w o r k i n s t r i c t a c c o r d a n c e w i t h t h e C i t y O r d i n a n c e s
and ruling of the Department of Buildings, and hereby declares Chat all the facts
and representations stated in this application are true and correct.
Fridley, Minn. %% d V %'¢ , 19�,
Owner �� �/a 'y l•3// % I d e y S'
Kind of Building � �^ a �+ �°
Used as �% t.t e// %� a�
To be completed about
Estimated Cost, $ i�
Old—New. Building Permit No �/ „'`� Permit No. �
ROUGH cS - �� � C� �
FINAL
a z 9M 7-s9
Signec�,�1s���� Y /T�f • �c,
By /? � � ���,.�-P
.
Business Phone No. �• 3-�� r�.
0
U
�
��
Appf�ccrtion for Pawer Ptonts and He�ating. Caoling, Ventilation. Refrige�ation and
Air Conditio�ning Systen�s and Devices
PARTIAL itATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Aiterations—up to $500.Q0 ..................
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . .
MECH. WARM AIR
Furnace Shell & Duct Work to 12U,d00 BTIT . . . . . . . . . . . .
each add. 60,000 BTU .......................
Replacement of Ei�rnace .............................
Repairs & ,Alterations—up to $500.00 . . . . . . . . . . . . . . . . .
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . .
RATE TOTAL
8.00 $
5.00 $ �
5.00 $
2.50 $
8.00 $
2.00 �_
5.00 $
5.00 $
2.50 $
3TEAM or HOT WATER SYSTEM
Fixrnace Shell & Lines--ta 400 sq. ft. EDR Steam ...... 8.00 $
Furnace Shell & Line—to 640 sq, ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $
�ach add. 320 sq. ft. EDR 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 $ f O • DO
GAS FITTING FEES: NO RATE TOTAL
lst 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
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $ l O. O O
REMARKS:
Dept. of Bldgs. Phone SV 4-7470
Location / � � ! � � ` � S �`. / V . �i
.,�v
�
City ot 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 fihe Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn. %%a V l-�" , 19��
Owner � � �� y �� U ! � � c �' �.^ 195—
Kind of Building �Y a►n C 195—
[Tsed as %� ►,J � �l ' �s 4
� -
To be completed about
Estimated Cost, $ �
Old—New. Building Permit No. �iL_��_�
DESCRIPTION OF WORK
HEATING or POWER PLANZS-�team, Hot Water, Warm Air—No.
Trade Name Size No.
Capacity Sq. Ft. E.D.R. BTLT H.P.
Total Connected Load Kind of Fue1
BURNER — Trade
Capacity.
Size No.
Sq. Ft. E.D.R. BT'U H.P.
i i �
- . �_ _ �r. �. . i ... ��
_ �
/ / �_�� _ �/
11 ppST t M-12-58 Business Phone No_ �r% -�� "� l L 2
SUBJECT
City of Fridley 2�� � 3
AT THE TOP OF TME TWINS g � I L D I N G P E R M I T
f
� �
� � '
� ` .___ COMMUNITV DEVELOPMENT DIV. �� ��
f � L � PROTECTIVE INSPECTION SEC.
� �
� � /'�'1 � CITY H ALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED B�
�.---� • •'' 612-571-3450 9�0-Ft5 7/24/97 � �
JOB ADORESS 7479-81 Able Street NE
t IEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO
DESCR. lO 2 Nagel's Woodlands SNEET
2 PROPERTV OWNER MAIL ADORESS ZIP PMONE
ABLE PROPERTY MANAGEMENT 9920 Zilla St NW, Coon Rapids Mn 55433 754-0743
3 CONTRACTOR MAII ADDRESS ZIP PHONE �ICENSE NO
Kozitza Construction 9175 Isanti St, Blaine MN 55449 786-3625 2650
A ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGtNEER MAIL ADDRESS Z�P PHONE LICENSE NO.
6 USE OF BUILDING
Duplex
7 CLASS OF WOHK
❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
X
8 DESCRIBE WORK
Construct a 22' x 22' Detached Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan. Provide a hard surface driveway.
Variance on rear yard setback approved by Appeals Commission on 8/14/96.
�
s�A�� � � WA�NI�1G
�R��TS REQ���rp F Befrre diqging call for
W1R�NG, i;:;�,TING, p(,�MB'�� �` al! utility tocations
. A�VD $IGpS. R� 454�0002
QUIRED BY LAW
TYPEOFCONST. OCCUPANCVGROUP OCCUPANCYIOAD
SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATING,
VENTILATING OF AIR CONOITIONING.
THIS PERMIT BECOMES NULL AND VOIO If WORK OR CONSTfiUCTION ZONING SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOA A PERIOD OF 120 DAYS AT
ANV TIME APTEF WORK IS COMMENCED. NO. OWLG. UNITS OfFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 2' STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUfi7AX
ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �8 � 949 �4. 4 7
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHAfiGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
ST UCTION OR THE PERFORMANCE OF CONSTRUCTION �149.75 Fire SC �H.9S
--• ,�� PIAN CNECK FEE TOTAL FEE
License SC $5.00 $168.17
si�N i7E OF CON'AACT0�70A AUTH0�7�ZED AGENT IDATEI WNEN PROPERLV UDATED THIS IS� /VOUR PERMIT
♦ � / �
SiGNATUREOF OWNEAiIF OWNEABU�LDEA� IDATEi L
BLDG NSP DaiE
:\� 1���'
AllDN
� I� 1•r�l:
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ConstructionAdcire
Le�al Description:
I�PI��ctivc l / t /97
CI'I'1' OF FRIDLCY
SI1�IGLE FAMILY AiVll DUPLEXES R-1 i1ND I�-2
BUILDIitiG PLRMIT. AI'PLICATION ->
� w ���3
Owner Name & Address: _t'1,�,,,�,.� ��,,,�,,;�, ��� y�l�,� Tel. #� 5' y- � 7�13
Contractor: _� �� ���.,,�� r ��, Z% Z ���15 ; MN LICENSE #
Address: �/�� .�� % f� Sl , /��i�l..)� Tel.# ��Y"�,�2`�3
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of t'h�
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
�ng� Width Height Sq. Ft.
�ng� �2 � Width a a Height Sq. Ft. '�'a' %
�ng� Width Hgt/Ground Sq. Ft.
Construction Type: �; �,,z��� �,,�,�,,,.� Estimated Cost: $ �S (�Dc� � c�> � 9;,%�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft �x $ _$
DATE: 7 - � � APPLICANT: (� s,��y1i��.--_ �
,
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park I�ec
Se��er Main Charge
�rc��rn � .
S'1�11't Il_:1�1'I( )Nti:
CITY USE ONLY
Tel. # �%;�Y�6�Y,�
$_ �� " Fee Schedule on Reverse Side
� , y .001 of Permit Valuation (1/lOth%)
�_ y `j7 $.50/$1,000 Valuation
� $950 per SAC Unit
�_ ,r, � $5.00 (State Licensed Residential Contractors)
� Alt. "A" or Alt. "I3" Above
� $450.00 Conservation Plan Review
� _ l;ee Determined by �ngineering
�__ _ Agreement Necessary [) Not Necessary ( �
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SUBJECT
City of Fridley
AT THE TOP OF TNE TWINS g � I L D I N G P E R M I T
r
� �
� �
� • COMMUNITY DEVEIOPMENT DIV.
1 � L � PROTECTIVE INSPECTION SEC.
i �
l--__� ��"' �'� CITY HALL FRIDLE� 55432 NuMBER
i 612-571-3450 9�0-F�5
J08 ADDRESS
7479-81 Able St NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. lO 2 Na els Wood]
2 PROPERTY OWNER MAIL ADDRESS
Able Property Mana�ement 9920 Zilla St
3 CONTRACTOR MAIL ADDRESS
Same
4 ARCHITECT OR DESIGNEFi MAIL ADDRESS
5 ENGINEER MAIL ADDRESS
6 USE OF BUILDING
Residential
7 CIASS OF WORK
REV IDATE
7/23/98
ZIP
ZIP
PAGE Of
� �
�FiMIT NO\
26791
RECEIPT NO.
��
AGPROVED BY
SEE ATTACHED
SHEET
PMONE
43
PHONE UCENSENO
PNONE LICENSE NO.
PHONE LICENSE NO.
� NEW O ADDITION O ALTERATION �7 REPAIR O MOVE O REMOVE
B DESCRIBE WORK
9 CHANGE OF USE FROM
STIPULATIONS
TO
Underlayment must comply with State Building Code.
TYPE Of
SEPARATE PERMITS ARE REOUIRED fOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, Oii IF CONSTpUCT10N
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DN
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATI
AND ORDINANCES GOVERNIt4G THIS TVPE OF WORK WILI BE COMPLIEO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT 1H3LF
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T
PROVISI OF ANY OTIifR STATE OR LOCAL LAW REGULATING CON-
STRUC ON R THE ANCE OF CONSTRUCTION. S9.
PLAN C�
� n
SIGNATUREOfCON'RACTORORAUTMOAi2EDAGENT IDATEi
SiGN4TUAE OF OWNEA U� OWNER BU�IDEAi iDATE�
SO. FT.
UNITS
STAILS
GROUP OCCUPANCVIOAD
CU. FT.
OfFSTREET PARKING
IGARAGES
ARGE
FEE TOTALFEE
67.2
J PROPE VA�IOATED THIS IS VOUR PERMIT
�. -�-�y
INSP ' f1ATE
i
/
rrEw
ADDN
ALTER
[]
L]
��
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/98
�.�'l l �
�
ConstructionAddress: %�� J'�-- �� �, ��i �� .� ,��'��'�'` i'(1� � '
Legal Description:
Owner Name & Address: l`�,��� �'��J� /�i���� . Tel. #
Contractor: ,,���� MN LICENSE #
Address: � %� � `� ✓ L��� ,� %- G� o ��i3�� 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
GARAGE �AREA: - Length Width Height
DECK AREA: Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
OTHER: •
�S� � �'3y � �
Construction Type: (f�� p�-�S � f Estimated Cost: $� tS���i �
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
1�I.T1Y�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
�
APPLICANT:
$ ��
$ /� ��
$ , q2
$
$ '�� �
$
$
$
$
$ %2�%
� ��/� �
Tel. #
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.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 [ ]
�l � �����
S
,
�
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
571-36U4 r'AX: (763) 571-1"Lti7
,_._ .�.T.__?�
PERMIT TO.: 2004-01266 /
-_- _�
DATE ISSUED: 08/06/2004
ADDRESS : 7481 ABLE ST NE
PIN : 123024230012
LEGAL DESC : NAGELS WOODLANDS
: LOT 10 BLOCK 2
PERMIT TYPE : BUILDING
PROPERTY TYPE : DUPLEXES
CONSTRUCTION TYPE : WINDOW/DOOR REPL
VALUATION : $ 1,500.00
NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DUPLEX PER R317 OF
THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS.
INSTALL AN EGRESS WINDOW. PERMITS REQUIRED FOR BASEMENTBEDROOM FINISH.
STATE LICENSED CONTRACTOR 1
APPLICANT
TRENDY ROOFING SONS INC (20027543)
210 ZACHARY LANE
PLYMOUTH, MN 55441-
OWNER
ASHRAF LLC
2947 BENT TREE HILL RD
NEW BRIGHTON, MN 55112
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after wark is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the rovisions of any other state ornlocal law
regulaf or� n or the performance of cons cti n.
Applicant -J Date
BUILDING PERMIT FEE
FIRE SURCHARGE
STATESURCHARGE,VALUE
LICENSE SURCHARGE
TOTAL
Bldg Insp D • �
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
54.00
1.50
0.75
5.00
61.25
NEW
ADDN
ALTER
� � CITY OF FRIDLEY
�� 6431 University Ave NE, Fridley, MN 55432
�� SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
t
Construction Address: �
Legal Description:
Owner Name & Address:
Contractor. � � �'Y� � �
��^���
�ru� ���
._n <�
s
Effective 4/1/2004
(763) 572-3604 Bldg Insp
(763) 571-1287 Fax
��;��-���1��
- �.� ���� _
�
Tel.
MN LICENSE #c�00�! � S �1 �
S_�'�.�Tel. #��"lb`3� S �1-91v133
Attach to this application, a Certificate of Survey of the
bt, 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 _ W�dth HgUGround Sq. Ft.
QTHER:
�OG � �
Construction Type: 4���� �` �a�`� Estimated Cost: $�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE� � ��� \ APPLICANT: Tel #\�Z�� `�- `��
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-128T if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
� � - �' �
� ��
$ /'�, .�C`
$ `�.J �
$
$ � . C'�?
$
$
$
$
$ ��, �
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS:
�
� I ��ay �oh �"� � �,� � � r� �� � 3 ) sq1 _ -�
� �� °�� �
� s� ���av�
�
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.__
�,.�.,.,.�..�- ....�w.�....�.._ w� a„�. a � x ��3 " �'� 11
y.` S 1, ,� W, �� u�J E}�
� i �a" —
1 V Z 11
_�,a„ ��o�i� ����
—� ��f�SS �,�av� ^ct�,�kUVi
C a Se �''�Ry��-
� ►� � � � i
�
►$��
0
• � � � `
� f �e�n 7 oC 1
g� X � z- �,
�1: y� �,., : l � �
-> t3�,�k ��a�
a X � a g��n o�1 a1� �S;�s�
,� -r n sT� �� a E-� a x�t� s��� ���a4�
, 5 �� �
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� ��
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. �
�
�
.. � .�A _��
��
��
�,� L S� � v� .S ��� o� Q l o c 1� �c I o(�"�
�( �o o-f � o: S� "� o r3 ��—("o � o�� f �, : �a ovJ
�fa,v� Z�� "a � 12 w: �� S� � o.r�
.
��.
.
--� RQ�,�, o�a w,,na�� � r�akR uQ� �1 �� �
� e e�p Q�1 �� �,.� ;� � �'
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
�631572-3604 FAX: (7631571-1287
ADDRESS : 7481 ABLE ST NE
PIN : 123024230012
LEGAL DESC : NAGELS WOODLANDS
: LOT 10 BLOCK 2
PERMIT TYPE : HEATING
PROPERTY TYPE : DUPLEXES
CONSTRUCTION TYPE : ADDITION/ALTERATION
.
PERMIT .: 2004-01838� ,
DATE ISSUED: 10/07/2004
VALUATION .
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
INSTALL DRYER WITH FLEX CONNECTORS, VENTING AND SHUT-OFF VALVE.
# A/C UNITS 0 VALUE OF APPL OR WORK 0
# FURNACES 0 # GAS DRYERS
# GAS RANGES 0 VALUE (FOR MINIMUM CALC)
APPLICANT
CENTERPOINT ENERGY/MINNEGASCO
13562 CENTRAL AVE NE
ANOKA, MN 55304-
OWNER
ASHRAF LLC
2947 BENT TREE HILL RD
NEW BRIGHTON, MN 55112
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate ar cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Annlicar�-� Date ,
Bldg Inspv —� Date `� �� '�"
HEATING PERMIT MINIMUM FEE
FURNACE SHELL/DUCT WORK
GAS PIPING FEE
GAS RANGE FEE
GAS DRYER FEE
AIR CONDITIONING FEE
HEATING REPAIRS/ALTERATIONS
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 1018989
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
0
222
15.00
0.00
0.00
0.00
0.00
0.00
0.00
0.50
15.50
�ITY OF FRIDLEY BUILDING INSPECTION
� 6431 University Ave NE
Fridley, MN 55432
763-572-3604 FAX 763-571-1287
RATESCHEDULE
Residentiai
Furnace Shell and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Fireplace, Insert)
Gas Range
Gas Dryer
� ;.
*�Air Conditioning - All Sizes
All Other Repairs or Alterations (List on Back)
1°/a of Value of Appliance or Work
Minimum Fee $15.00 for Residential or 5% of cost of
Improvement whichever is greater
Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Fee Total
$35.00 $
$10.00 $
$10.00 $
$10.00 $
$25.00 $
$
Commercial/Industrial/Institutional
1.25% of Value of Appliance or Work (List on Back)
Minimum Fee $35.00 for Commercial/Industrial/Institutional
State Surcharge
TOTAL FEE
REINSPECTION FEE $50.00/HOUR
$
$_e ( j
$ 1��� �u
�� *Air Conditioners can not be placed in side yard without written approval
from adjoining property owner - copy to City
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
JOB ADDRESS �y�/ /`�/��LD � 11,�"
Owner_ ��i,��,i;� ���{�J
Building Used As /t.��,�'��f;u� ��"'/yt/
ESTIMATED COST ���� 'c-� PERMIT NO �` " CJIv�C�
DESCRIPTION OF FURNACE AND BURNER
# of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
The undersigned hereby makes appfication 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.
� , � /
HEATING CO � � 1 ' -'�?;/ _ �' `"��%�%'�fd'�?
/�r°�'� � D/'
y-�� , J
Signed �?� � � �d r � d Tel # %l�.3" �✓.i�'�%�G�>
FAX # /�/,T�J�o� ��'��`�� �7 Date � � � �,�7
����i�i� ���' ✓ r,v���� � �'�r�� � ��%�'J ���-r✓
�i�-� � (j�d G�,
, t�
Approved by = Rough-in Date Final Date
Building � BUILDING
Inspections � �A��w DUSTRIAL
763-572-3604 CITY OF FRIDLEY
DATE l� �� —�-s YOUR E-MAIL ADDRESS
SITE ADDRESS /��%T�— �� �`�
TENANT_
PROPERTY OWNER � NAME:
ADDRESS:
/'/' � ' 0�
� 5 rf /
PHONE: %�;3 - �l3 "�J �` �
ARCHITECT NAME:
ADDRESS:
CONTRACTOR
PROPERTY TYPE
PERMIT TYPE
PLEASE SUBMIT:
�'ri c 4�
e /'4l '� �
Suite No.
Permit No.:
Received By:
Date Rec'd:
CITY % � STATE_ZIP�� %
CITY STATE_ZIP
rs �.�✓��
ADDRESS: �� "''� � CITY STATE ZIP
PHONE: Sa �'''t � FAX
*NOTE: CITY LICENSE REQUIRED FOR MULTI FAMILY/COMMERCIAL/INDUSTRIAL JOBS
❑ TOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ INSTITUTIONAL
❑ MULTI-FAMILY
❑ ADDITION ❑ NEW CONSTRUCTION ❑ OTHER
❑ REMODEL �ROOF ❑ SWIMMING POOL
1. 4 SETS OF DRAWINGS 5. CONTRACTORS LICENSE OR 6. SPECIAL INSPECTION
2. SURVEY/SITE PLAN LICENSE APPLICATION SCHEDULE
3. LANDSCAPE PLANS 7. PERFORMANCE BOND
4. ENERGY CALCS AMOUNT $
BUILDING TO BE USED AS: OFFICE
TOTAL SIZE: S O E;
DETAILED DESCRIPTION OF WORK ��Q1�1 �� L
WHS SF OTHER SF
�EC'F-� (Y/N) _ ��C(1'/1�
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 comptete and accurate; that the work wi11 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 all work which requires review and approval of plans.
SIGNATURE OF APPLICANT % %/ !� PRINT NAME /3^�f �/ �/� /�7 �� DATE �� �� � l/ '-�
77—J
ALL FEES ARE BASED ON VALUATION � o ��. ,s r
�- l.J
Sq. ft. x$ Cosdsq. ft. = Valuation $�v7�� �
Sq. ft. x$ Cost/sq. ft. = Valuation $
Sq. ft. x$ Cosdsq. ft. = Valuation $
TOTAL JOB VALUATION: $ USE OCCUPANCY TYPE
°ermit Fee
�lan Review
�urcharge
?ire Surcharge
5AC Charge
3rosion Control
?ark Fee
3pecial Assessments
�urb Cut Escrow
Cotal Due
$ (�' fr � See Back Page for Fee Schedule
$ 65% of Building Permit Fee
$ • i� (.0005) times the total job valuation — Minimum $.50
$ .001 x Permit Valuation (1/10%)
$ $1450 per SAC Unit (Plans to MWCC for determination)
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
$ �-,q-,,�- ft+6ft= ftx$20=$
$ 7�i' /• Ll'S Make checks uavable to: Citv of Fridlev Attach