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AF - 46082• . . . • City of Fridley, Minn. BUILDING PERMIT NA 6 6 2 2 � �j� � a ��� Date: _.._...,��.-.,� '!.-- � � � .___.___.._.. 2 �/;�, � ! t Owner: .._._.�Cx��-: _. ..._ _����G�� .� Builder _.. .�c ._ . �-fifi��.:......----- .............- Address....._.._.._...._.._..._.___..__.._..._._._..__...___._.._.._.._._.._...._..._...._.._.._ Address _..___.._..._.._......._.._......__._.._..----....._.._..._..._.--•._._._..__.__.__._. � CA , F UILDING , , No. .._`�..,.��...��� Street .._. . ...._. ...,.- .. j.. . . ._�r .................•-----•. P of Lot •------.......... ___._...... .__._ ._......._ ....._..._ Lot .___..�....._.___ Block .___._....._� ............._._.._.._. Addition or Sub-Division ..... ._.. . __. .._ ..:._ ._..._ .. .... ..._.._..__.._... ._...._ �.�} `'/ �r1 / Corner Lot _-----......_..._._..._ Inside Lot ....._....._�.. Setback ....._.lvl_...� .............._ Sideyard ............,�4.�.._..._..._........___..._....__..._.. Sewer Elevatiart _._.._.._.__....._..---_..__...--•...._.._..__.__.._.._.._.._---...._ Foundation Elevation DESCRIPTION OF BUILDING J����J /fT Used : % / � ! 1! : �� , ....._�y�/ Front _.�._ . Depth ....�...�...�.P_.. Height _...G.--Q.'.... Sq. Ft. �..T�.�l...? Cu. Ft � •- d � . . / ._ .....__._...._._._.._..�._. Front ____.........__ Depth _..___.....,. Height ..._-........� Sq. Ft. _..--_.___.._. Cu. F� _._..___._ Type of Constxuction ���1.�,,����:��. .,,,�,,,.�.. Est. Cosi �rC�,L..�..�e..---_.:." ."To be Completed ..._:_.......__._.._:._.._.__._—_ � • In consideration of the issuance to me of a pernut to construct the building described th� proposed work in accordance with the description above set fo and ' complianc ordinances of the city of Fridley. �i � I agree to do orovisinns of � v In consideration of the payment of a fee of �.._. ._._.�. .._......._.., permit is hereby granted to_._.._._..._ .._._.�....._ ._.__,........_.._..._..,_..._.:.__.._._._._ to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked a t any� ugo� vioi ' any of the provisions of said ordinancea //// Building InspeCtor NOTICE: iMs p�nnit doa not cover th� construeHay insfallNien for vri�iny. plumbin0. 0as h�aNn�. »w�� or wabr. B� wn to sN th� Bvildia8 Intp�eror for s�p�n» p�rmhs Por fh�a ibms. s . 'J � APPLICATION FOR BUILDING PERMIT CITY OF F�tIDLEY, MINNESOTA OWNEIt' S NAME BUILDBR ADDRESS ADDRL$S LOCATION OF BU�I,DII� No. ��s��_ Street��� Part of Lot Lot � Block � Additic►a o�t Subdivision Corner Lot Inside Lot Setback Side Yard SEWER ELEVATION FOUNDATION ELBVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing iocation drawn on these Certificates. To be used as: DESCRIPTION OF BUILDING Front Depth Height , Sq. Ft. Cu. Ft. Froat Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinancea and rulings of the Department of Buildings, and hereby declares that a1Z the facte a�d r�presentations atated in this application are true and correct. I3ATE � (Schedule of Fee CoSt3 C8II be ivuuu vn �a� tc�vesr�e aiu��. / .. . . _ � t . .. � z , :, . City of Fridley Application for P'lumbing and Gas Fitfing Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures C� � �1 N Y F c� Z�n w Z F �n Z I�n Z � _> Z Z �i Z�1 Z p S � U' Z ;� � �� � � 3� o° � g�O S� <3 c`�� �� �o c : - ...�� �� �■��� ■�■ . .� �� . . 3rd 4th �L_ I � � � :;'z •�._��_ • Future Coanection Opeaiag's� . * New Fixture, Old O�esiiaas�a WATER HTR. • • F N GAS ELEC. ;'r� �',� PAI����AL RATE SCHEDULE , , PLIIMBING FIXTURE RAT`ES: NO. RA7 Number Fixtures ..:. : . . . . . . . . . . . . . . . . . _..� x $1.50 , ,_: _ Future FYxture Operiing . . . . . . . . . . . . . . . . x 1.20 New Fixture Old Opezung . . . . . . . . . . . . . x 1.00 Catch Basin .,.. ' .............. x 3.25 Water Iieater (Up to 200,000 BTU) ......�_ x 2.OU New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25 � = •_ . . Sewer �.: Cesspool . _ _ :; : �: TOTAL g - � .00:. $— - $ � S . � �� °y ,.. t $ GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures ..........................� x$1.5U $ �• 5� Additional Fixtures . . ... ............. . . x .50 $ Gas ftange to 200,000 BTiJ .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ Torar..r�E $ 3-�� Depl. of Bldgs. Phone SU 4-7470 LoCStion ! �� �----��L— � �� / � � ` � City of Fridley: . r 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 facl and representations stated in this application are true and correct. Fridley, Minn.��� �� , 19�_� awner �� �/�2- 5' Kind of Building ��/1� � Used as �Gi/� L L r w°� To be completed about Estimated Cost, $ Old-1\Tew. Building Perxnit No. ��` Permit No. s;�, a �c,�. �4i �h 2�ru �'��, (£ /����if� By Business Phun o. `/� 5� a ��O � ROUGH FINAL sz 4M � Application for Power Plants and Heerting. Cooling, Ventilation. Refrigeration and Air Conditioning Systems ond 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 12U,000 BTIT . . . . . . . . . . . . each add. 60,000 BTLT ....................... Repiacement o4 F�irnace ............................. Repairs & Alterations—up to $500.00 . .. . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . .... . . . . . . . . . 8.00 $ 2.00 � 5.00 $ 5.00 $ 2.50 $ $TEAM or HOT WATER SYSTEM Furnace 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 $ 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 $�p , p � 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 3YSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ���— ROUGH FINAL Depf. of Bldgs. Phoae SU 4-7470 � `� �i� LL �T - lU - � City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do 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. F�idley, 1Vlinn.�q � � , 19` ='S Owner � � ��Y ��'+ �R'S Kind of Building Used as � w� LL� �v� To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. ..�— DESCRIPTION OF WORK HEATING or POWER PI.AN15�team, Hot Water, Warm Air—No. Trade N ame Size No. Capacity Sq. Ft. E.D.R. BTU H.P. Total Connected Load Kind of Fue1 BURNER — Trade Name Size No. Capacity Sq. F`t. E.D.R. BTiJ H.P. (REMARKS—OVER) ��e a z 2M signe � + 7�� �.1� � � By Business Phon o' ►►� J'� '�-- l� Z Applica�ion for Power P{ants and Heating. Cooling, Yentilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAI. ' ' G, 'G Furnace Shell & Duct Work . . . . . .. .. . . . . .. . . . . .. .2�c8.00 �� Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Aiterations each add. �500.00 . . . . . . . . . . . . . . . 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 1?A,000 BTIT . . . . . . . . . . . . each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. 8.00 $ 2.00 � 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER $YSTEM . Furnace Shell & Lines—to 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 $ Each add. 320 sq. Pt. EDft Hot Water . . . . . . . . . . . . . . . . . . 2.5Q $ 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 F'ixtures .. ... . .. .............. x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . . x 2.00 $ AIR CONDITIONING � FAN HEATING 3YSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRB TOTAL FEE � �� ROUGIi FINAL Depi. of Bldgs. Phone 3U l-7470 � Loc83ion � � � � � � b 16 ��i l�i , � . ' 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. F`ridley, Minn.7n� �'. � 2- � , 19 � Owner ����L-s, ,,, �Q � . Kind of Building Used as U To be completed about ---� • 3 6 Estimated Cost, $ � �' Old—New. Building Permit No. � v � °�"� Peim�t DESCRIPTION OF WORK HEATING or POWER, i'L.ANTS�team, Hot Water, Warm Air—No. Trade Name Size No. Capacity Sq. F't. E.D.R. �U��a 6iG BTLT H.P. Total Connected Load�� „d„ �r„�7 3 3� Kind of Fuet /v , G: BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R BT[J H.P. {REMARKS-OVER) ��<Z sM Sfgne � By - � . � Business Phone No. (� - y�(���� �".: ": E!.. .� . . . b!� � � vi i i�a�.�.r� q7_ga ���,.�pr�l �° APPLICATION FOR PUlMBING ANfl 6AS FITTING PERMIT �} . , � � j� p � � . � o Water r a a Ap w�� � ; �• w G Hcatar w 1 A . C H •� x� �C C G 3 � �� O.�C � V 0. O O ••� � 111. �C N�•1 a 0 S �•v1 i� In (I! N M •y3C 88 ' 12C w u � m ci v"�i 3 A w v'�i w c� ��� u � � o t' lst co ne t r,y 2ad � 3rC . a ch ' . . (A) � Futuse Connection Openinq Connected with Sewer t•) • New Fixture, Old Opening warer PARTIAL RATE SCHEDULE PLU�IBII�G FIXTURE RATES: N0. hlz.5ar Fixtuxas . x S3.Q0 fliture�FL�cturo Opening •� x $2.00 Aew Fixture, Old Openi�g x 52.00 Catch Sasin �. x 55.00 i, Hater Heater • to 99,000 B�T7, x S5.00 � 100+000 BTU to 199,000 HTtJ x$10.00 Water Sotteaer ' x s7.Q0 t�e.r Grour.d Iau� Old Buildinq �_ x� 55.00 Elecuic Wa�er Heatar � x $5.00 RATE G,1S FITTI\C FBfiS, , ' , lst 3 Lixtures ' J.3ditioaal Fixtur�s • �- .W: Range to 199,000 STO REPAIRS $ ALTERATIONS Pirst 5100.00 each add. 5100.00 or lsactton TOTAL $ S i_ S ^� S „_�. S i_ S �_ S ,_._ $ _,�_„r�. x $3.00 S �,� X $1•00 $ .��.._� x 510.00, S �_ State Surcharqa $ 5. 00 $ ,_,!__ 5�.00 $ ,__ S ,_SG '� 00 0 Job Addresa •7539 ABLE STRF��, � ,�� Dapartment ot Suildings ' City of Fridley � Tel. �571-3450 The underaigned hereby makes application !or a permit Los the work heze! apecitied aqreoing•to do all work in strict accordnnca with the City Code and rulinqs oE tha Dapart�ent o! Buildiaga, and hereby declarea that all the facts and representations stated in this application are true ar.d coz; 3-23-'l7 Fridley, M.�. � 19 ��R JANICE .AIVDERSON • f rame 1CIND OF BUILDING ' USED AS re S. TO 8E COMPLETED ABOUT 3-3�-77 • � ESTIMATED COST lO�OO OLD - NEW BOILDING PERMIT N0. PER+lIT N. °'`-'� c��� � ' �@�ny . Signed Sy ` Tal. No. ROUGH INSP. Data � FIN�L INSP. DAtQ APPROVAL TOR PGRMIT _�L�.—� _� , MINIMUM FEE FOR ANY PLUMSING PERNIT IS $7.50 TOTnL FEE g . "'ass "A'-' Surcharge .50' REINSPBCTION FEE . (S]0.00) � • • _.��.� � ..-�.�.... .....� ��.�.. �. ....� 0 0 � sue�ecr R City of Fridley 25 30 8 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � � � • COMMUNITY DEVELOPMENT DIV. � � �� V PROTECTIVE INSPECTION SEC. � _ , � .__. , r , �; � , � � /'��1 � CITY NALL FRIDLE� 55132 NUMBER REV DATE PAGE OF APPROVED BV �"""�� ,�' 612-571-3450 9t0-F15 7/24/97 / / J08 ADDRESS 7539-41 Able Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. S 2 Nagel's Woodlands SHEET 2 PROPERTV OWNER MAIL AODRESS 21P PMONE ABLE PROPERTY MANAGEMENT 9920 Zilla St NW, Coon Ra ids Mn 55433 754-0743 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Kozitza Construction 9175 Isanti St, Blaine MN 55449 786-3625 2650 4 ARCHITECT OR DESIGNER MAIL ADDiiESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING Duplex 7 CLASS OF WOFK � NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 22' Detached Gara e 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. Variance on rear yard setback approved by Appeals Commission on 8/14/96. 11�AR���if Before digging cpll to� all utility iocations SEPARATE PERMITS REQUtREQ FOR E UIRED �BY LAW WIRING, HEATING, P�UMBING ,qNp S� � � GNS, � TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS AFE REOUIRED FOR ELECTRICAL, PlUM81NG, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERI00 OF 120 DAVS AT ANV TIME AFTER WOFK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 STAILS GAHAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND OROINANCES GOVERNING THtS TYPE OF WOfiK WIL� BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �8 � 949 ��F. �F7 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTIO OR THE PERfORMANCE Of CONSTRUCTION. �1�F9.75 Fire SC �H.9S 2`� PLAN CHECK FEE TOTAL FEE License SC $5.00 $168.17 5iG UAEOF Orv�RACTOAOAAUTH o.nGENr �DATE� WHEN PROPERLV IDATED THIS IS VOUR PERMIT r � i • S�GNATUFlE OF OWNE:7 i�F OWNEA BUiLDEAi IDATEI ' BLO INSP �1iTE i�'t? W f1llDN AI:TI:R �� � [1 l) ConstructionAddress: Le�al Description CI'fY OF NRIDLEY SINGLL FAMii,Y AND DUPLEXES R-1 AhTD R-2 BUILllING PLRMIT APPLICA'I'ION i 3 �' - �{ i / � . .1�.� �� • `S L_'�r'-z�� L��s E1�(=ective 1/1/97 �� �5��� Owner Name & Address: �'l,l� ��.�,,�� ���,�y�f� � Tel. # 7 5Y- � ? �[3 Contractor: _I� -> � � �'S C� zi % Z �- �6t1 �` ; MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: `��� lSii��)i � �, ..c ..,, , Attach to this application, a Certificate of Survey of th� lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # 7�`7'��i'7�(3 Length Width Height Sq. Ft. L,ength �2 � Width bt a, Height Sq. Ft. � �ng� Width Hgt/Ground Sq. Ft. Construction Type:_ �; ���Q, ���,,,,� Estimated Cost: $ �, LDc� ���� ,_s�c� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft �x $ —� DATE: Z - � Y Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcllarge Driveway I:scrow �Erosion Control I'ark 1=ee Sewei- Main Char-ge �I�U"l�nl. S"I�[1't Ii.;A�l�i( )\�ti: APPLICAN'T: ,�� ';�� ,__ Tel. #�7;� Y� 61 Y 3 ,1/ ` " CITY USE ONLY $ /�� � Fee Schedule on Reverse Side � �q'� .001 of Permit Valuation (1/lOth%) �_ �i `/% $.50/$1,000 Valuation $ $950 per SAC Unit �_ ��� $5.00 (State Licensed Residential Contractorsl `�__ Alt. "A" or Alt. "I3" Above � $450.00 Conservation Plan Review � I�ee Detennined by Fngineering � __ Agreement Necessary [ ] Not Necessary [ ] �-��__ .. +r:�i3 .i�. �f,wy,"yht °"� � .�� �; .'�.�.. +1�, . 5R fA O �� CO y Q f-- ..._ c?�v,�j 0��� ✓ '' ���� .,NQ�� _._._ � _..� z Z r '�'>� z. inoQ. .. ��wLL , 0p ;. tG�a� ° a"�o }-�W c� v w < 2 ? x��� �ti caoao ? ����� � � ��Q Q .t+. i E � h ' t.: � ' n x �> . .. . . r � F .J � a ;�� .i. �.�.. � • i�o �� � �� o �P � ��T�-1- T1 �~ : . �.� � � � ��� � l — �- - ❑ �...�� 1.:. �� �� �„ .._ � u i •- Fj . f I.; . � I .._ a � � 'w��. e � i' ,��" � ' _ ,, � _ _._. � �� ! . ..� ,,_,; _.._ ; � -� �- x . . . a � �..;.�—�_ . f 5�-� • , �-; ;� �; J � . f �a i � � !'--: � r' � ��� � � � ( , • 4 � 1, , , ..� 1 i i � -.� .. _ � . a .tt � � � . � � . i3 — . 5` �.. : i r � ! . � �:i '�' ; -; , � ; �_._� � ,� j Y , � � V "` ` _ , .�' f '.1` # t �, : r�� � I . I' I� � r � •� �I�I r� r� �i !� I! �� �' .� ii :, h-1 . 1 ii � � 1 � 9 _� � �T �_ R . � \J ,.� C�� . °„ . � �� � � � � Y � � � � � � r .r� � --�' � i � � �N r � � 4� �N , � ^�' `-.Y 3 � � :� :� I�..�1U..-- -- �� � o� YF� , �'�� � � �Q i � -,�► N� �� �� � � � • ^` `� � � � ;� I! j '.1 i I ��,: ii �� o _ -- � n •� '9 ..._-_ . :._ _-�' � � ?� � �J� .__ � � � . ` �. � � � � � \�, � �'' . , � � . . _ �;. _� �.. _ __ _.-. :� --. - - - - � • _.._�_.N_..._---_'--•-'^------ -.-._. . _. ...... _. .._ . • �_..._. . � --_-".' -••.._-. _. ''--' � . . --'. . -. .- _ ... .' . � �c �p � : � .�-V � � I y. � � � �� K' I� ' �'� •+ � ' .� �� � , i � .. > � ��� O.L� � � „- � � I ! x J' � \ ,y,/�� 1 i� � ',J ��KC - Q" - . . ... _. _. �._.... ....... ......._...... _. _ _. ......... _.. .. . .. . . . . ..... ... . ...�_.. �. ._ ... ..... _ I � � � . . i O ^ . �.-i , I �' _._.__._'_'..�"'.'__..��_T.-,..._.�_._...._._-.__'_...._.......__.... 1 ' \.. � f ��� � I �� �� �,� � � ,� -� I � � � ,� - ,� � I� ��# ���� ��I � �� �� � , � .T �9�> >�- � � X .. Q�� � ' �! , � :y — r� � J F� � b@ ! � ' �' --�-- - -_- • _- .._ . __. ---L ---- -� � "' -, ,.--__._.�...------._-------__ - -- . _ _.___-�J� � __ _.� __ .�.�- - ,-� � �,a � � �' u � sr (n G: � � �1 � :7, -� _ �� � � .��J„ ,,,M:,,�,..�,, .. . ...:. . . .:, � ... ... .... . . ...� .... .. . _ � . r� SUBJECT C�ty of Fridley 6 7 9 9 AT THE TOP OF THE TWINS g � I L D I N G P E R M i T r � ` IPT NO. � ; y _.�__ COMMUNITY DEYELOPMENT DIV. � /���� r � PROTECTIVE INSPECTION SEC. ��y i �. � i.--- A;/"';'j CITV HALL FRIDIE� � 55432 NUMBER AEV OATE VAGE Oi AV�ROVEO BY Z '� 612-571-3450 9t0-Ft5 7/23/98 / / JOB ADDRESS 7539-41 Able St NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. r) 2 Na el's Woodlands SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Able Pro ert Mana ement 2 Zilla n - 3 GONTRACTOR MAII ADDRESS 21P PMONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS I�P PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZiP PHONE LICENSE NO. 6 USE OF BUI�DING � n' 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof 22 S Tear-off 9 CHANGE Of USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REOUIqED FOR ELECTRICAL, PLUMBING, NEATING, 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 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOEO Ofi ABANOONED FOR A PERI00 OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING l HEREBY CERTIFY THAT I HAYE READ ANO EXAMINED THIS APPLICATION 2 STALIS GAAAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS Of LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPLIED WITH WHETHER SPECIFIED MEREIN OR NOT. THE GAANTING OF A PERMIT $1834.80 �.92 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERMITfEE SACCHARGE PROVISIONS Of ANV OTHER STATE OR LOCAL LAW REGULATING CON- _ STRUCTION OR THE PEAFO F CON TRU �or,. $59.50 Fire SC �Z . H� PLAN CHECKFEE TOTALFEE - License SC 5.00 $67.25 S�GNATUAEOFCON'RACTOAOFAUTHOA�IEDAGENT IDATE� WHEN PROPER VALI ATED THIS IS YOUR PERMIT .�v- � -z --� SiGNATUREOfOWNER�IFOWNERBUILOER� iD�TEi �' IF�SD �IiTE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� ��� / �� ConstructionAddress: �,�-� �S -��'-- �/ ,�%✓����%- /�� ' Legal Description: Owner Name & Address: ����D'����=' //'ll���� Tel. # Contractor: j'�/d��% �- MN LICENSE # Address: � �� C`i �/ �j'�'% ��D���`r'/�% �J�� � Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. � LIVING AREA: GARAGE �AREA: DECK AREA: �� I ' Construction Type: Length Length DESCRIPTION OF Il1�IPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. /� --�, o � - Estimated Cost: $ ,� � / c� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ DATE: APPLICANT: CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � $ 7/i)`" $� $ ��'� $ $ �i L� $ $ $ $ $ ���� Fee Schedule on Reverse Side 001 of Permit Valuation (1 / l Oth %) _$ Tel. # $.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 [ ] �� 0 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 5/L-36U4 N'AX: : 7541 ABLE 5T NE : 123024220022 : NAGELS WOODLANDS : LOT 5 BLOCK 2 : BUILDING : DUPLEXES : WINDOW/DOOR REPL 571-1LtS7 PERMTT .: 2004-01271 DATE ISS . 004 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 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 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 provisions of any other state or local law re _ ' n or the performance of construction. Bldg BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL SEPARATE PERMITS REQUIRED FOl� WORK OTHER THAN DESCRIBED ABOVE. 54.00 1.50 0.75 5.00 61.25 NEW ADDN ALTER �� CI7Y OF FRIDLEY Effective 4/1/2004 �� 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp �� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMITAPPLICATION � �,� j �/��/ ( Construction Address: � Legal Description: Owner Name & Address: Contractor. � < � � . � 1 —� ...� 5 ,- � r � L �C , s-� v,�. � �:�5� Tel: MN LICENS # Tel.� � � � � � � � �l � �3 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 Width HgUGround Sq. Ft. QTHER: SU� G'.� � Construction Type: `-.� � ��� Estimated Cost: $ - � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: 1 � �� APPUCANT: � �^���3 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. 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�C� Fee Schedule on Reverse Side $ r' 65% of Permit Fee $ , � (� .001 of Permit Valuation (1/10th%) $ '�S ' $.50/$1,000 Valuation $ $1350 per SAC Unit $ � , �`'Q $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 [ ] $ ,� S~ STIPULATIONS: V �' �' r Q' � � o L b � �. /y', V � � 4 � (/� v � ✓� � � �'` o ln � � � � ; „ o � --� -,r1 � � � � � � > o ^. ,/r ,�+� O n a c n � � � � '' � d O � � � ' ,� v ►-� R� q � X � � � � � � � v' ` � � SD � � � � o �c 3 � s � � � � � � ,� f � r � � p 1 � v v � �� y� n� f�o�F p �, � � � /� 7� � C 0 , � � � N G .e/ 04 � � �`'' t = n � � � 0 C� � r V R.) = W � r n � � � � s do � �.' � �� -� � � � � � e f'� n J � �� rn " � < < rn � � � 00 � / � . � �c _, %1 �� , �. � � i V � �, � ..► �� S ��% V l!" � � _ � :. ; �i � � X � s r � � � y � � �1` i,� / l � � � � �T � �� ���� � � `��" Z � �� � "' � � �. .� � � �iia�uvar.Niu i,c���r ��r� ��j� �?i_. 6431.UniversityAveNE,.'v. �v..v,. y.�. n��j.G' '�'� �c�-� Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT �'�' 'i��' ��� � (763) 572-3604, FAX (763) 571-1287 - MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR �'G� �5 �JI�S�, ...:..:::.:::::::::. .....,.......... . .. .. ., . ...... . ..:: .: ;::::. :.,,;::.: � >;:>:.;::.;: .....:: :..;: :<::.::.>;:.:>: ........: ....:..r .. :�<,:;: :.>..<:::;:;::;;;:.:.:; ;<:.:<�,: :;:::,.; �t':::�:>:::: : .::: :. ..:: ��?i.:�:.. Wash :p � t�;:{:::::::;: Floor ��>::::r;: Auto. ::: Gas .>: w ...� .....:.::... .. ��::s�::>:��:;:. ��'�z•<.::>•.. ater Heater :��..�::::�:: Storie s :: ri ��>:<` U nal : :: Show r :�.'�::<»:;:_::� e �.... Tra ':T.#��<'>::;�. ?�� D ain :���#'`��:>;>�::: r :::.,...�::.:..:.:.. ...::::.........:.... :....., ::::: :.:. :.::: . .:.:.:::::...:::::. ............. . . ....... ,. .. .... :.:.::.. ....... ;:::.::<:::..::._:...<..:..�. :.::::::::.:::::�.� .. .............. ..... . ...: . ......,�;;:.�.�. Y :�.�.1�#:1�:<;:�~:.. :�T�:::::::;':>: Washer �i�l. ::: Ranqe ���::::>::>�:;� Gas Elec FEoor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS_ ���1 �.�� �'�. �� In� 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'"` Gas Dryer** Back Flow Preventer Required ()Yes () No Type $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTAL FEE �t� C.� $ � `..J� � , �-�- .�� _c� 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 T�� BUILDING USED A ESTIMATED COST PLUMBING CO SIGNED BY � Approved By � DATE: C� � �� � � �-p , 20 �� �''�� � 1 C� � ` ��l �� r j �,��r, . \, PERMIT NO. Rough-In Date ��� �t � ��� _ Final Date OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. . ' . COMB�ISTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE � Building BUILDING Permit� Inspections RESIDENTIAL APPLICATION Received By:. 763-572-3604 CITY OF FRIDLEY Date Rec'd,�'� DATE SITE ADDRESS ` THIS APPLICANT IS: YOUR E-MAIL ADDRESS ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ Nq�: f �� TEN.ANT wrr�nnnn. CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: �-f� �:�-�S � � _/-,� /' A� I,� s! �r�rv f��. `i� r AT���IP�y� PHONE: NAME• ( F,�"YL �CY� �! i� r`S � re .L �✓L- STATE L[CENSE # EXP DATE ADDRESS: r� �.3 P v1�d� � � � �� CiTY E° � �l�� STA'I'��P .%���� / PHONE ❑ SINGLE FAMILY/NEW �'TWO FAMILY/NEW C( ❑ ADDITION ❑ BASEMENT FINISH ❑ DECK DESCRIBE VJORK BEING DONE:_ SIZE OF IMPROVEMENT � 5 ROOFING �,�.` NUMBER OF SQUARES � GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other � ��� FAX ❑ GARAGE/SI- �'ROOF ❑ SIDMG ❑ SWIMMING 18sHOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE �Soffit ❑ Trim ❑ Fascia WINDOWS 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 � SIZE 0 DRAIN TILE ❑ OTHER WIDTH HEIGHT Ft. BASEMENT REMODELING SUBIvIIT: 1. Existing Floor Pian 2. Proposed floor plan 3. List of structura! members to be used FOR NEW CONSTRUC7'ION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project 2. Two sets of conswction plans 3. Energy CalculaLions ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USINC„� THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $�O"Z /_ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Sarcharge License Surcharge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ ��7� �� $ $ ' O% $ �_ ��_ $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= 8x$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclrnowledge 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 all work which requires eview and approval of plans. �" SIGNATURE OF APPLICANT _'�' � � � _PRINT NAME A /'/� �'�'l4 �P DATE ID °`c3 '' � Ip