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AF - 36019Vi�ia�� of Fridley, ldiann. �IJILDIl'9TG P�RMIT �1T° 386 ��e� �f I1��F�� O�' �lJIL�DgNG� 4%� f/ d' l��. Owner : 1.. % � Architect � Fi�icl'ey, Mi�n., ..:l� +-�r,.- �•. � t�'� , 19 a • �, L;tzilder � („�� . �� LQ��'�I�;l'�T OF �UILDING No. f�x�� Street ��i_..,;.iu:..� ��•'�Ld�4 , Part of Lot ?, ;�{ ,, ,.�;� . Lot r F„lock '�� . Addition or �ub-�ivisien � � •-* � �+ r �++ r� � ^ «' Er�, � . '; c `� " a �. .'�r �+��I� Tj�;�d O� ��JI�.�ING . , � , � ri ��. x ��► r^rcnt Depth .,. .� Zieigh� .. Stories_ 0 M�,nner of Con�truction � �' ,,�,� . � To l�e usec as To be completed ' %-� d �v� Estimated Cost� _: :; �T '�. �- J y � Permit is hereby granted to � � • �' r � �� to �� ; ;r, •� rf thE bv.ilding �� ' described in the above statement. This permit is granted u7on the express condition that the person to whom it is �ranted, a,nd his agents, ersployees and workmen, in all the work done in, around and upon said bu?lcing, or a,n<r part thereof, shall conform in all respects to the ordi- r.ances of Fridley, Minn., regarding the construction, a,lter^tion, maintenance, renair and moving of buildings within the city limits, and this permit may be revo�:ed at any time upon violation of any of the proviaions of said ordinances. � . �..t�.�. 'ara�its-�a::w Inspector of Buildinns. .AGR��IVIET�TT AI�i?� SV610RN �TATF�.��'1VT In e�n�ic�era,tion of the issue and delivery to rre by f:he Insr.;��tci ef F:�a?.;�in�;=. Qf T'ridley of. th� ak�o�e permit, I hereby agree to do the pro�o�e.:i vc=ariz z.n <.,c��icla..i�ce ��h tr�e description above set fort� a�ci according to the provis?ons o,_ the c�rd'znar.c�� of Ft�;�.dle�T, t�,.�i., �ie:ng� first dul;y s`��orn, I hereby state and say that tlie faets stated by me a,nd cont�,°red ir tixe a?�ove pvrmit are true as therein stated. " ,I.;, r ,--, _�s'�- �..� ;l y. � �,. . ,..�_ --/�� —�----- � ,1 y , Subscribed and sworn to before rne at Frid�ey, P�l:i??z�.e::ota, this �'"'"' "� _ clay of . �.�. A.D. 19��r — ' f � � ""� ',��, . . �'. � �f � � �0 } �� , City of Fridley, Mi.n.n. BUILDING PERMIT N° 5 s s 4 — Date: .--------.�.._`...--.�.-�---�•`•-_..�t .. .......___..._....____._._._ Owner: .-.-_ --- �. �%� . �� ---•-�-----... . 4F�-'.,�r...._____.� Btulder .....- �-��-- �- •-•------ .............-�-� - ---��-- ----.........---- �•---- - --��---...._............._........ Address_..--..• .................� •--�--�--- �---�----•-----••-�---------��--�---�--�--�----�---•-�---�-------._......._..--- Address ..__.... ...._...._ ..- ----- --- --- --�----�--- ......_.. -- •-- �--�- �-�- -�-�----••------•- -.. � O TION OF BUILDING No. .. �_.�....� .l.._y�♦.. . Street -------��.��l:� %��.. � -�-- --�- -- ---_.._....... _ ._ ..................... Part f Lot �---....--�- -----._..__.....---,..--��-------.- - - �--...----- . . Lot ....�:�--.._.�........... Block ....�� .................._..-�--��-...... Addition or ub-Divis�ri�W'.,...��.:.�.-�...._. �'c�`:'C<_-��`.'� Corner Lot ....._....-��-.._........ Inside Lot ....._.�� ................. Setback ......r,�..�........------.... Sideyard .........---��---�---.... .............._........-•--�--....�,G'-�� Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To ^ed as: - --- --••--_ -- Front _.�'l!__.. Depth _._ ' .� Height ..:,T�l_. Sq. Ft -[7�� Cu. Ft �,L_�.�0� ---•----•---._...____.._ ................._ ._ .. Dep �._..---. eight -----_,rf„_.. Sq. Ft. --- �-� -..__.---_ G�. Ft. --� --•--...---��---- . - / ) n/� .:.36.r. Type of Constxuction ._r��.��.�_l..P _... ..._.. st. Cos 1... �jC..'..rll..C�"�.•-�-� ---....... To be Completed ...-----•--_.-----__......_.._. +'.,r� . ; ;s, ; In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. �....._...._.__..__.__.....__._.._�.—._..__ _____ 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 of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit ma.y be revoked at any time. upon violatisua ef,any of the provisions of said ordinances. /' /1 A . 1 Building Inspector NOTICE: This permh does not eover the eonstruefion, installafion for wiring, plumbing, gas heating, sewer or wafer. Be wn ro se� ths Building lespeefor for separate permits for th�s� ft�ms. • a�4 � r� � � � •� � �� `� � � �� "'�' a ,a;r�t � ,? � rS� � � .c �� ',�,� �. F � (y �. , �� ;, �� . < � � k# � r �'�..w' .. "' . �" . , ; .� � .l-�- �v?v� , ^'�, S��s §b 3 4 .e ';�� rt �� > � �3'' s �" � s i � -e.��. � . *d M ,��. . d �' 9 � ' .:. . H " , . V ' �. �, e � _ .. �, _ . � ' � ,�r, �r Po #�� f ��r ` a� a.�'r �%�S' �� $�; "� �$�, � tr='4 `�'"',; 's:i .�� .� � �.� � � s � `°� �y� ' �� ' �„,4 ��_ `' "� � . � �` '# �` � '� ' 7 �€ 4 � . . .� ., a , , � « � : � � <s ,; �z .. •. �� , a f . �� r , - r� "- �,? �, � a � ; � � ��: �r� , � �, # ,,, � ' � # � �� t �"'k� �� ,� . '�� F , ` �,+� a.. �° , a x�' � �` e � '� � � � � � �e e� �'� �� `�� y ��i� �, �� ...; �� „ c�, .� ° .� ��, � , �� •: ' ' �t � �,� :�;� �;�u. � f�� ;�' � � ° � � ,N '�� .. • � .� � �� `a�� '°' « �� .��" � �� °��' � `�; � � � � ;� $ � � .3 � ; � ��'^" � , `� �� f � �� k.� �, � ; � � . � x . � � :� � � ;�� f � � �� r. ; , , .,� � �' rt � -�, , � -. _ . a, _ . J , %, � �� . — �, .' ; � � a ;� ,� . . E��. . .a . . � : d . :r , 'Q rg . � _ � � y ' ' . . . � � �., „�. . . .- o , f% � �: . 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' � , .. � � � � . rr F � . • r y ° �� .y � , � � . � �� . .. ��' w � , ,: „ �" . �. , . � , r - , � s � � � � �� . , a � � . � � �ek � � � � . • � � � ,�,� � �� , . �� .- ;: T .� � � � � � � * �� `� �� ' � �� , t „ � , -: � � E � �� z � � _ �= � _ '� � � , � r �- ,� b�� <� � ° - � � � � � ��._ �� . �� ... � . � �� ,,� � � � # ' L ' ' � � . � � � - �. �� ; ! � � � : .� � .: " p . a�� .F. t � � a . � , � N � •�' .� . , � � �c �, � ` �� " � _. � �� .; . �` . �,: " a �, �t �t . � s � u,.. � �� . � � � ':.. � ` �� +� �: �,:-. , � . � , '� �'s : � � e € -.. <°" �o- � J � � � � � $ � � � r ` � � b � -� .�� n ��. �, � � �� . z � . z � �� . , e : , ..� y� , . , a . { t .a � t ;. " .� � � �'� - � , > is b a _ < � �� r . -, � �- . 2- � . , r ,�r, ; �g : , a ' � � � � � �� . � '� , � a� � � s .t � , . _ ,� � ... .�.i�'��. ., -. ,� 4 . �' � . . . � � -- — sua�ECr PE NO. City of Fridley wxECxzNG � � 7 2 4 7 AT THE TOP OF THE TWINS ��p�� P E R M I T � r ' ' RE � � � • COMMUNITY DEVELOPMENT DIV. ' � �.----��-� . r � � PROTECTIVE INSPECTION SEC. /(� �� 7 � � i �l � �'��1 � CITY HALL FRIDLEV SS432 NUMBER REV. DATE PAGE OF APPROVED BY `��'�i �.J 612-571-3450 910-F15 9/14/83 / / JOB ADDRESS �524 Alden Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7r8 3 Elwell's Riverside Heights Plat #2 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Richard Schlener 7524 Alden W�y N.E. 571-2747 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Garage 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK Remove Garage from lot line 9 CHANGE OF USE FROM TO t STIPULATrIONS Clean site of all debris. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UA ION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $ $None WITH WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHAfiGE PROVISIONS OF ANY OTHER STATE OA LOCAL LAW REGULATING CON- 1 rj.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ PLAN CHECKFEE TOTALFEE $15.00 ��tA� FCON'FAC%OROR�HO�EOn ENi �DnTE� '- WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT J�. I / � ,Il /� �.. /O p � r vr— �_�y� l � ...�.�-e� �.— SiGNATURE OF ObNNER iIF OWNER BUILDE�-- IDATEI BLDG �NSP T TE City of Fridley �T T11E TOo 0� TNE TMNN� r, � � � ' r r,.-------, �o��►��TY �,��N, a�, � �� r110TECTIVR MV�CTIO�{ ONT. �` i �.�-. � pTf N4L /RtOLR� ��i i.....1`.� �.J Mt� ��0' �NO Job `ddress /7� �,�/ Legal Lot No. Desc. Property Ow er ��'-�/� 02 � Contractor c"� _ Effective Aug. 1, 1981 i�J�GT WRECKIN� PERMIT APPLICATIO�J (.,�•C �-rt.. lock No. Tract o Addi � ��U� (..l , � Address Description Front Depth of Bldg. c�.C? : � ��-� �� No. of Dwelling Units ( , Estimated Cost of Wrecking Address Se igh t /� Taxes Paid To Be Complet � Permit No. Receipt No. Phone Phone q. Ft. Cu. Ft. 4F' d Tax Receipt No. Utilities to be Notified and date Sezvices Disconnected Mpls. Gas O�. N.S.P. Nortiiwestern Bell Tel. Co. Engr. Dept. Cust. Bus. Ofc. Bus. Ofc. 372-4850 33o-5540 332-4112 Date Date Date Nrecking Fees: $1.25 for each 1000 cubic feet or fraction � For structures which would be i.mpractical to cube, the fee shall be based on the total cost of wrecking such structure at the rate of $6.00 for each $500.00 or fraction. MINIMLIlrl FF,E: $15.00 No State surcharge on Wrecking Permits. Approved By Water � Sewer Department: All Bills Are Paid Services Are Disconnected The undersigned hereby ma.kes application for a perniit to wreck the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby declares that all facts and representations stated in this application are true and correct. �, � � O � , � c� �� . � v � . „� . � �J . Contractor� � � „/�� d� � � `� / /� Date sus�ecT PE IT NO. City of Fridley �- � � 2 4 g AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT � ' COMMUNITY DEVELOPMENT OIV. r � � � PROTECTIVE INSPECTION SEC. `�? �� i � i ' ��/'��1, � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY � """�� 612-571-3450 910-F15 / / 9/ 14/ 83 JOB ADDRESS 7524 Alden Wa N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 g� Elwell' s Riverside Hei hts Platsrt�er 2 PROPERTYOWNER MAILADDRESS ZiP PHONE Richard Schlener 7524 Alden Way N.E. 571-2747 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. 6 USE OF BUILDING Res iden ti al 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK � t 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. W pR�� ing�atllo�a��AS�tc. SEPERATE PERMiTS REt�UtRED FOR t�YlR1NG, Bef�e digg EtECj�1C - �E�.EPHON�R�p gY �p�w HEATING, PLUM6ING AfV,D SIGNS. ��QV� TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR E�ECTRICAL, PLUMBING, HEATING, VENTILA7ING OR AIR CONDIT�ONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED $6�lOH $3.OS WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fj2. SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � PLAN CHECKFEE TOTALFEE $65.55 SiGNA7uREOFCONTRAC70RORAU7HORIZEDAGEN7 IDA7Ei WHEN PROPERLY LIDATED THIS IS YOUR PERMIT �� ,f � �l.�C�17Z • d S'iGNAT R"�OFOWN RIIFOWNERBUILDERi IDATEI �• BLDG INSP DF � CITY QF FItIOLCY ti�f'LICI1TIa1 FOf� �CS1DL'i�Tl/`,� I3UILOI�;G Pc('�iITS (I�ch•�. Al terations. Additions. or Rcrairs) OF�NER: ��CP-�d-}�� lt�J�'� 1 AD�RESS: �� TEL K0: ��/-�`7�� , Effective Aug, l, 1981 •t3UI LDER : �� ADDRESS: TEL 110: Construction Location STitt�T NO: �� S1ItEF.T: L07': � BLOIX: 3 � ADAITIO:i: �_L�(! LL�S 9�t Corner Lot: Insicie Lot: Setback: Sideyazds: Ap, Iic�-u�t attach to tl�is form twro Certificates of SUrvcy of lot and propo;,ed building location dr�wn on certiiicates to scdle. DESCRIPT]0�� OF CO�tST�l1CT10t� ��n� Front: o•�(c, � De th: _ p �o� � Height: Squarc Yeet: ��`f� t�bic Feet: ��a U �� %� P��- %�� ld Front: Depth: Heigl�t: Square Fe�t: Ctibic Peet: '.7�pe of Co:+�truction : ��d � Ir-�-�6i cr_ Estimated Cost: S 1D�0�9� 4b Be Cbr.�plcted: Alt. A Alt. B Propos�d Drive��ay Siidth If New Openinq Is Desired: $ $ . S�� PiVF.R;E SIDE OF SiIE�T 9Sie unclersianed hereb}� ma);c:, ts�pliclticn for a pe2-rzit fcz the �:�ork herein sp�cified, agreein� to do .all �:ork ir� strict accordance ��ith the Cit}� of Pridle}� Ozdii�ances aiici ruli»�s of tl�e Del�artme��t of Bui:din�s, and hereby decl�res that all tl�e fact� and represc�titiens stated in this applic�tion are tzue and correct. /1 _ „ � � . n /J D�T�: / sit�rnZV: : Stil�ulations : � (�a.s� � �s_ ��ss, � • � . � � W �� ' - Y'• � • The Chief Building Ofticial ahall, before isauing permits for the erection of any building or atructure� or for any addition to any eaisting building or etructure or for any alteration or repairs to aay existing building or atructure, upon application therefore� require the payment by the applicant for auch pe�it of fee� to the amount herein belorr aet forth and in tbe sanner hereia provided to-vit: .. =1.00 to =500.00 =501 to ;2,000.00 �2,001 to =25�000 =25,001 to =50�000 =50,001 to =100�000 Fees =10.00 (Minimum =15.00) =10.00 for the first =500 plus =1.50 for each additional =100 or fraction thereof� to and including =2�000 =32•50 for the first =2�000 plus =6.00 for each additional =1�000 or fraction thereof. to and including =25�000 =170.50 for the firat �25,000 plus =4.50 for each additional =1�000 or fraction thereof, to and including �50�000 =283.00 for the first =50,000 plus =3.00 for each additional �1,000 or fraction Lhereof, to and including ;100�000 =100�001 and up =433.00 for the first �100,000 plus =2•50 for each additional �1,000 or � fraction thereof Plan Cheek: 25 percent of building permit fee. Drivexay Depressioa Escrov: Concrete curb atreets only. Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times =13.50 Alternate 'B": Removal and replacement of curb and gutter and install a 3 foot wide approach vith 6 inch depth - Drivexay width plus 6 feet times =15•?5 �•- .. � -. �._ .. Permita for construction rill be iasued a minimum of 24 hours Prom the Lime of application to allorr for proper review of the proposed atructure and of the coastruction site. � Certificate of Survey of the lot, ahowiag the location of the toundation once it has been constructed vill De requfred before �roceedin¢ trith the framiag. � , . sue�ecT ERMIT NO. c�ty of Fridley ;;A -,: -�� AT THE TOP Of THE TWINS g U I L D I N G P E R M I T � 1. ,� / r -- ; � RECEIPT NO. � ` ____ COMMUNITY DEVELOPMENT Orv �� r � y � PROTECTIVE INSPECTION SEC i � � � /'�-1 � CITY HALL FRIOLE� 55432 NUMBER pEV DATE PAGE OF APPROVED B`/ �----�'� ,'� 612-571-3450 910-F15 2/6/97 � � JOB ADDRESS 7524 ALDEN WAY NE 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ] 3 Elwell's Riverside Heights Plat 2. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathy Neu 7524 Alden Way NE 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Daco Inc. 14510 45 St NE, Rogers MN 55374 497-3900 3180 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK CJ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace fireplace brick face 9 CHANGEOFUSEFROM TO STIPULATIONS tYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMiTS ARE REOUIRED FOR ELECTfiICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Ofi ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKWG I HEFEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STAILS 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 � 1� OOO �. SO WITH WHETHER SPECIFIED HEREIN OF NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEAM1T FEE SAC CHARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING cor,- $34.75 �3�F. �S IF Fire SC �I.00 STRUCTION OR THE PERfORMANCE OF CONSTRUCTION PLAN CHECKFEE TOTALFEE License SC $5.00 $76.00 SiGNATUNEOFCON'RACTOAOAAUTM0�7IZEDAGENT �DATEi WHEN PqOPER VALIDATED THIS IS VOUR PERMIT � _ SiGNATUREOFOWNEAi�FOWNEAOUILDERi IDATEi B G iN57 �1�.iE FEB-05-199? 08:42 �� A]7,1aN i l ALTER ( ) CITY OF FRID�EY 512 571 1287 P.61i02 Effioctive 111/97 CI'I'�' O� ,k'R�T,EY SINGLE �'AAi�LY ,AND bUPL�XES R-1 AI� R-2 BUIL.�iNG FF�MIT APPLICATION ,�/� � 7� � CoasttuctionAcid�ress: So? �/�� C�t1� �`,�+�.. , , . �, �.e8a1 bescdpt�oa: S� L �0 � N LJ�4 Fe�, �n. ! / �. n . ' . �— Owner Name & Addres�: � .��. � � Tel �' :.� : �;�;��': ,,��,; _ . . . �: Contract�r: .�t' � j'. � �l�T LiCENSB �`_,� �;�' �'c'� . Address:_�S�S"/O S"� S� %1�r ��.�rs �i� 5':S .� � � Tef. � �' ,--. , ,_ S�`�1 ��- .� -�'�' 6 LiVIlY� AR,EA: GARAGE ,�REA; DECS A,�.,Aj; OT�Yt: Attac�t � ti�s a�icat3ou, a C�a�e of �iuvey of �he lot, with tiz� p3roprrsed cons�vction ti�wu bn it to sc�lC. AESLRi�'ION UF IlVi�'RU�1T �� W�h „�,_ Height Sq. Y�t. �� Wi�dtit � H�t � �q- �- . � , width Hgt/Gmund Sq. Y�'t. coasaucaou Ty�c: � /�rc� � rfr /�� ,(�,��,� �.,« Fsra�aated cos� � � � .. pt� . . � . . . . (Fee �Schedule . an Back9 ' � � • brive�►aq �1irb Cut WYdth l�cet%ti:,� �6,Ft � . . .,: . _ I?ti°;,±. Y. �.;.: Ft a� :>: � � . _ � . . • :��,: ::.�. � � , . . . . . . .,:_ . .�_ .,,.,. .. �.� . . � . , � . T-� . . . . . � . . � _ . . .. . . . . ;;.: . . .. D`ATE: . Appi,�C�'�;Nr• +, � . . . . - : � . �..:� ...�. �: . � •� t�'!�� 3�� . , . . . . Tel,�.# ��1. flS � � � �' � orr�.�r � � . � . � .. � . � .. _. �'ermit Fee � . Fi�re Stu�chsrge Stat�e Stucharge 5AC C�rge � S�mcharg� Yhiveway Escrow Erosivn Co�,txol Park Fee . Sewer Ma�a Charge TOTA,L ST�UI,ATYdNS; : • cr. ,. •,, . � • � � (r - �-� _ ��e Scb�iul�e.on ReveY'�'se Side . $ . , C�<"'� � .O�Y �f P'�rflnit V�lusrtion �I/lOth%) $ . y, .�' $.50/�1,OlD0.Valuadan � . � � � : � �95p ..par SAC U�# � � . � $ -� . ( >�' �S.OU {St�te T�i,ce�seti R�sidcnti� Cot��tor� �_ � Alt. "A". or A�t:. "�" .A�bo,ve . � , ,,:,,_ $450.00 Cavser�►�tion �an Review' . $ � � . ;�. Fce Aete�tmincd.b�►.Bngir!�erin,g. . $ � A�Oem�t� �T�ocssary [ l Not Ne�essaxy [ ] $ > � �' l ,�� -��, �� , ; � � � s - �r1?!%'� t� ��— �� 'r: ' ,.a�� ; ' .i/.�iJ .�.._....�._,...,_.....,.._„ _ ..r, ,._..._. .. CITY OF FRIDLEY INSPECTION D{V, 6431 University Ave NE Fr�dley, MN 55432 572 - 3604 RATE SCHEnULE Residentia! �4PPLICATIOf� FOFt POWER PLANTS AND HEATIMG, COOLING, VEN7ILATION, REFRIGERATION AND AIR COND�TIONING SYSTE�IS A'N� DEVICES Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new iurnace) Gas R�nge Gas Dryer *Air Canditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance ar Work Commercial/I ndustria� 1.25% of Value of Appliance or Work f�ate $ 30,00 $ � 0,00 $ 10,00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE Effective On August 1, 1995 JdB r4DDFlES:i �_S �`i � C�� L..� ✓-� i�. The undersigned hereby makes applicatian ior a permit for the work herein TOTAL specified agreeing to cCo all work in strict accordance with the City Codes and � rulings of the Building Division, and hereby declares that all the facts and $�C�. �� represee�tations sxat�d in this application ar e and correct. C��. / � ? ,199�` $ .�I OWNEFi / � � � e `'� $ BUILDING USED AS � n rn� $ E�TI��1aTED �CJ�JST ��j��UJ gl PERMIT N0. '� LC` !�i�- $ �� DF_SCRIPTIaN �F FURNA�E AND �R BURNER $ .50 .� �5,.��` �VI9NIMUM FEE FOR ANY HE�1TING/COOLIWG/VENTILATION REFRIGERATION/AIR COt�DITIONIIVG PERMIT IS 25.00 PLUS i"HE $.50 STATE SURCHARGE �iEINSPECTION FEE $42.00/Hr "A,ir Conditioners can not be pl�ced in a sid� yard without written permission from adjoining property owner. No. of Heating Units �- Circle One (Steam) wHnt Wate (Warm Ai�) Trade Name �6 f f� ,z !;,u.,� .��,.�ize No. ' j- c BTU 7��uv� H EDR Fuel To#al Connected Load Burner 7rade Name BTU � Size No. �7:� �� s HEAl"ING CGIWPANY �« �C� ��-,.f C�. /� - �� ,/�� Signed �y �'"-� � _ I No. �.� l—" G �Y.� / Approved 3y Rough—In Date Final Date ��- �� FILL OUT BACK SID� R STACK VERIFICATION ON �:J�� REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (�No () 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all cunent Code requirements for size and total BTU's connected 6 Has total heating BTU's of 7�'� J� All other BTU's �� u � TOTAL BTU's � � `-S , ci �ti 7. � Has a liner been provided for water heater Has combustion air been provided for water heater Remarks: List ALTERATIONS Being Done: HEATING CO: yi�- �� l� �%� Signed By: `�� ,,� LI Date: ��`" � � , �r' < Yes (�No ( ) Yes ( �No ( ) Yes (��No ( ) Yes ( �No ( ) Yes ( ) No ( ) Yes ( c�' No ( ) sue�ecT ERMIT NO. c�ty of Fridley 33824 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. � � �� • COMMUNiTV DEVEIOPMEN7 OIV. r� � v � PROTECTIVE INSPECTION SEC. , , , , � � �"'1 � CITY MALL FRIDIE� 53132 NUMBER pEV D�iE P�GE OF �vvqpvED 8r �"""�� ' 763-571-3450 910-F15 8/25/03 � � JOB ADDRESS 7524 Alden Way NE 1 LEGAL LOT NO. BLOCK TfiACT OR ADDITION SEE ATTACNED DESCR. ] 3 Elwell's Riverside Heights Plat 2 SHEET 2 PFOPERTY OWNER MAIL ADORES$ 2�P PHONE Katherine Neu 7524 Alden Way NE 763-574-2571 3 CONTRACTOR MAIL ADDF;ESS ZIP PHONE IICENSE NO Same 1 ARCHITECT OR DESIGNER MAIL AOORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PMONE LICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK O NEW ❑ AODITION O ALTERATION �] REPAIR p MOVE O REMOVE B OESCRIBE WORK Remove flat roofing and sheathin and re lace on addition to house & ara e 9 CHANGEOFUSEFROM TO STIPULATIONS Need structural plan for roof. Need roof system. TYPEOFCONST. OCCUPANCYGROUP OCCUPANC'/LOAD SEPARATE PERMITS ARE RE�UIRED FOR EIECTfiICAL, PLUMBING, HEATING, VENTI�ATING OFi AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OF CONSTRUCTION 20NING SO fT CU FT AUTHORIZED IS NOT COMMENCED WITMIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWIG. UNITS OFiSTREET PARKING I HEREBV CERTIFV THAT I HAVE REAO AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES ANO KNOW TME SAME TO BE TRUE ANO COiiRECT ALl PROVISIONS Of LAWS VA�UATION SUFiTAX AND OROINANCES GOVERNING THIS TVPE OF WOfiK WILL BE COMP�IED @ WITH WHETHER SPECIFIED MEREIN OR NOT THE GRANTING OF A PERMIT �P 1� 2OO �. GO DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEI THF pEqMIT fEE SAC CMARGE PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGUTATING CON- @ $TRUCTION OR THE PERFOfiMANCE OF CONSTRUCTION �p�i�F . HS Fire SC � I. ZO PLAN CHECK FEE TOTAI EE $ .65 tiatuAE O CON'AaCT OA a TtiOQ�2E0 �GEtiT iD�iE� N OP l VALIDATE THIS I$ VOUQ P MIT �s w � � S,Gas E w�DEa� �O�TE� B G�a5o r�crE NEW ADDN ALTER [] CITY OF FRIDLEY Effective 1/1/2003 [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION ' Construction Address: Legal Description: Owner Name & Address: Contractor: ; J Tel. # 7 � -3 � � `i a �-( I MN LICENSE # �� v Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. . .. ..._�.� � �...ai�.........� Ci. C4 - . , -- �- — � - - ... Construction Type: Estimated Cost: $ l c�i ��`� �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ 1 DATE: � '� S � � APPLICAN : � Tel. # �_� S % �0�-��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. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ - �� $ � $ O $ $ $ $ $ $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] $ S STIPLILATIONS� �� d�� '/(� � � �� - (/�� 1- � r ��%%/ / BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such pernut of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for iirst $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the iirst $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT E5CROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv ��'a� CITY OF FRI LEY INS ECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572•3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACKI 1% of Value of Appliance or Work Commercial/Industrial 1.25%0 of Value of Appliance or Work Rate TOTAL $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25 00 PLUS THE $.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. $ $ $ Effective January 1, 2003 �I�� , � I JOB ADDRESS � �J�y �1 � �''� �"��- � OW N E R I� �-`t� �1 �- �, �� BUILDING USED AS_�� i c� �►�lc? � ESTIMATED COST ,� � � � ' PERMIT N0. �-��, .�� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU HP EDR $ Fuel Totai Connected Load $ v�7, Cn $ $ .50 $ : -� .. O Burner Trade Name Size No. BTU HP ED 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 ar rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE �'�' / �'%' " �s CenterPoint Energy Minnegasco - HEATING C013562 Central Ave NE, Anoka, MN 55304 Signed �pJe., �- �� F-�il.`.,�-763-757=6202 FAX # 763-757-6701 Approved BX�_ Rough•In Date „� � Final Date l� j J �.� FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE qpPLICATION WILL BE RETURNED �n�...r+�� ic•iT �/GI`T CQf`f`FGT Af�� G�M ISTIDN niQ vFRIFIGATI�I�I ��••� an eYic in furance, the undersigned hereby verifies that the VViI@Il ar.� ..s_�.------0 venting has been examined and is free from rust, deterioration, obstn.ictions, Yes (X� No () and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer Yes XI No specifica6ons including sizing, length, number of eibows anci termination. < <� The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes al C nt al F muace Vent ngCTa�bles forf f noes i n c l u d e A G A- G A M A C a t e g o ry Y e s (�) N o () assisted and natural draft appliances. The -'-'-'`0^'" ^^"'ei`t'en air is sized and installed to meet the current codes Yes �) No O and manufacturer's specifications. When required to �n�� a np�'� cnmh�!�+�nn air_ it will be sized and installed Yes �) No O to meet the current codes and manufacturer's specifications. When instalW�: a nE+W vpr++�na svst2Cri, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Yes {� ) No () Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes (X) No () separately as per current codes. �� nrp Tvne and Si��/�'omman von+ and Vent Con^p�+er Infnrmatinn Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Ty�e BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height Z� � ft Length ft Diameter 3_'�y �. in Type e/ -� Appliance #2 Vent Connector Height ft Length ft Diameter in Type -- Appliance #3 Vent Connector Hei ght ft Length ft Diameter in Type 1 ��1 � \ ► ,, � � ��c 3oC'��, �� r� �\cL��'��f' _. ��......��w�[�. /n..�'.ril�n\ (l \ c'U� T� �- \ C � `r — HEATING CO: CenterPoint Ener_g3�M: .a,uo.�asee 13562 Central Ave NE, Anoka, MN 55304 Signed By: � � . Date : / �- %� �-' 3 . �� 4 �. CITY OF FRIDLEY INSPECTION DIViSION � 6431 University Ave NE Effective On January 1, 2002 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS � S� y C��-�� l�� RATE SCHEDULE > n Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25°�0 of Value of Appliance or Work Rate TOTAL $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VE�dTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS 25.00 PLUS THE $.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. $ $ $ OWNE v BUILDING USED AS /�� - ESTIMATED COST _ �(v�-�=' � PERMIT N0. ��f DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load ��;, $ $ .50 $ - ��S" >�, Burner Trade Name �1��-t �.�' C.�� Size No. ��n-u,,,.� ��r- BTU �� ;,__, ° _ HP EDR. \�,��L. C��^-/ �t-L�J �.2h,�. 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 ali the facts and representations stated in this application are true and correct. DATE /�/'Z�/�� H EATI N G��,ro� �'due,»,, �,�,,,,. � �5e r2aosoe„ Sig z�oo w. Fairv;ew � 3. T E L# ned q„��,;,,, �,N 651l833-258� FAX # ,-,J � Approved B Rough-In Date Final�Date ,7�� z�� THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED ('.OMMdN VFNT, V NT .nNNF .T(�R AND .nMBl1STiON AIR V RIFI .ATInN When re la}�Zg an existin,9 furance, the undersigned hereby venfies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The Pxisting comb�stion air is sized and installed to meet the current codes and manufacturer's specifications. When required to install a new comb►�stion airrit will be sized and installed to meet the current codes and manufacturer's specifications. When installing a new ventin8 syc _m, the undersigned hereby venfies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separatefy as per current codes. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) ARnliance T�nP and SizP/Common Vent and Vent C:onn __ or Informa ion Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat i o#al Appi�ances Totai Bt�� input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ` :: •► �- r.- HEATING CO: Signed By: Date : vEw P�- aDDN [ ] �LTER [ ] Construction Address: �5�� Legal Description: Owner Name ddress: � Contractor: Arlrlrocc• /n S �Pf ii% �.'_ lnc LMNG AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Tel. # ! MN LICENSE # �G� �� asy� S S % 3 � Tel. # �/� �S / �Y9� Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to'scale. DESCRIPTION OF IMPROVEMENT Length � y Width � Height �` Sq. Ft Length Width Height Sq. Ft. _ Length Width Hgt/Ground Sq. Ft. ��-- . Construction Type: Estimated Cost: $ � �'C>� - �� — Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _� � DATE: / 3� � APPLICANT: z- � Tel. #/� �� s � g y 9/ Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 'n credit card and we will call you fur card number. � CITY USE ONLY - �' ✓' � �� Permit Fee $ . Fee Schedule on Reverse Side Plan Review $^a�' 65% of Permit Fee Fire Surcharge $�� .001 of Permit Valuation (1/10th%) State Surcharge $ �.SD $.50/$1,000 Valuation SAC Charge $ $1450 per SAC Unit License Surcharge $� ,� $5.00 (State Licensed Residential Contractors) Curb Cut 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 $ ��f� �� ' ��.�' f� ` STIPULATIONS: ��T��G��T/v �.J �� 1./��G✓�� r� BUII,DING PERNIIT FEE SCHEDiJ�,E The Chief Building Off'icial shall, before issuing pemuts for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such pernut of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 � $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $20.00. VERIFICATION OF FOUNDATION Pemuts for construction will be issu�d a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only Building Inspeciions 763-572-3604 DATE �'S SITE ADDRESS ' THIS APPLICANT IS: r%$ BUILDING RESIDENTIAL APPLICATION ❑ OWNER PROPERTY OWNER/ N,�: TENANT q�}DRESS: %S CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE CITY OF FRIDLEY YOUR E-MAIL ADDRESS CITY f'r� / Permit No.: '133� Received B : Dat��d, � u L 2 s 2��% ATEII� ZIP ,SS „Z. STATE LICENSE #�l�O I oz'-�'i�� EXP DATE �%� a�c�yi C9 � ADDRESS:1 O S y(� J1% � (o � S% ClTY �/ Q.C-r� STATE� Z[P SSY3y PHONE �v l c� OZSI 9Y 9/ FAX /I/ � ❑ SINGLE FAMILY/NEW CONSTRUCI70N SIZE ❑ TWO F ❑ BASEMENT FiNISH ❑ DECK TYPE OF WORK: I � DESCRIBE WORK BEING OFIMPROVEMENT /�, NUMBER OF SQUARES 1� GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDIIVG ❑ Vinyl ❑ Aluminum ❑ Other . CONSTRUCTION ❑ GARAGE/SHED �ROOF ❑ SIDING ❑ SWIMMING POOL ❑ ADDITION � ?AIR G�REMODELING LENGTH /7 y K ❑ HOUSE ONLY �iOUSE & GARAGE �H'ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia ❑ DRAIN 7'ILE � OTHER n / SG� � �t l�Or %tY� u.� a l�' � � a d e I /` � f �-�(l-L[ ! nl WID'TH �3 �I' �� HEIGHT WINDOWS �� i� IN EXIS7'ING OPENiNGS fd�'es �No ATION OF WIND�WS rc 07C� a OR FORNEW OPENINGS-DESCRIBE SIZE OF r C�}q Gp ,�j�r � JC %'� � O 3 OPENING CHANGES & i� TYPE OF WINDOW TO BE INSTALLED S%Di" �'ri NUMBER OF WINDOWS �O � �� c'1J / ',�. � � Sa. Ft. BASEMENT REMODELING SUBMIT: � � �'� � 1. Existing Floor Plan 2. Proposed floor pian 3. List of swctural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed projeet. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (LJSING '�IE� 7�U.B.��E SCHEDULE) TOTAL JOB VALUATION $ /n, c�� OCCUPANCY TYPE _ -- Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge � �� Total Due (J�"J �� - $ j �' �� . l� $ �l �, a�' $ � . G'7'i $ $ �-- , .J� $ � $ $ 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) $1675 per SAC Unit (Flans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( } Non Necessary ( ) Make checks aavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMTT-NOT VALID UNTIL PROCESSED ns 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 ic requue view n ap 1 of plans. 1 SIGNATURE OF APPLICANT ��—� PRINT N ✓H�� S�� f�Y'�-U� �r1 �m�TE ,�S��GG�/ 4% Page 2- Building Residential Application SUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pennifs for the erection of any building or shucture, or for any addition to any exisiing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in fihe manner herein provided to-wit: TOTAL VALUE FEES $� to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for IS` $500 plus $3.05 for each additional $100 or fraction, to and ��iva�ng $z,000 $2,001 to $25,000 $6925 for 15` $2,000 plus $14 for each additional $1,000 or fraction, to and inciuding $$25,000 ' $25,001 to $50,000 $391.25 for ls` $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 15` $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 151$100,000 plus $5.60 for each additional $I,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 151$500,000 plus $4.75 for each addirional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1S` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 ;:�� INSPECTION REPORT CITY OF FRIDLEY MINNESOTA (763) 572-3604 ADDRESS -r t I' , OWNER BUILDER .` ) i � � DATE ' � �� - ` ,`YJ` 'r ;� TIME - f DESCRIPTION INSPECTION REPORT DATE REPORT If no corrections are listed above, approval is hereby given to proceeds. 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F 3 iN%"T 30 �,�r�.�� T �� ;� �o�� NQ � /s Building Inspections 763-572-3604 DATE .- �� ' =r� G- L> 3ITE ADDRESS �`� -�-�' THIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION ❑ OWNER PROPERTY OWNER/ I NAME: TENANT �� CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: I�/:\�1�11 CITY OF FRIDLEY YOUR E-MAIL ADDRESS �=�,> c'-c.i �j S�: � _S:�ri�7�r CITY ��;.� J ;,� _a�� / /%%° / D: ° STATE LICENSE # v��'/cf�> >-� EXP DATE ADDRESS: . � �c.-� �J �T7 LSi� Gk". ls�G PHONE / %L> . � � 'S�vZ,� — r5 %� � FAX O TWO FAMILY/NEW CONSTRUCTION ❑ ADDITION ❑ GARAGE/SHED ❑ BASEMENT FINISH �ROOF ❑ DECK �❑ �IDING ❑ SWIMMING POOL ❑ NEW ❑ ❑ MAINTENANCE/REPAIR ❑ DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT NUMBER OF SQUARES ��_ GARAGES PROPOSED SIZE: I PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Offier WINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED Permit No.:��' �'C;� i ' Received By: `�� • � ' '1 Date Rec'd: �� V STATE ZIP �_� - c�s� � _CITY �i�_�i/ ��, rr� STATF/y':.fLIPS c� � ❑ WINDOWS � DRAIN TILE O OTHER � TH WIDTH HEIGHT ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF BASEMENT REMODELING SUBMIT: l. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. FOR NEW CONSTRUCT[ON INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two seu of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $/'V� �'r��°i�" OCCUPANCY TYPE Permit Fee $ �� ' See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fsre Succhazge _ __ � � _—__._____.QOLtimes_the.to.taLjob_valuation_ —_____._. _ _____ Surcharge $ � S�, .0005 x Permit Valuation Minimum $.50 License Surcharge $ '.7 , c,�(, $5.00 (State Licensed Residential Contractors) SAC Charge '$ $1675 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 pavable to: City of Fridiey Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED lations 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 f i 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 w ch r ire iew d approval of plans. _ j/ �' . SIGNATURE OF APPLICANT PRINT NAME �- � J� G'ff74»'IESi��TE�/�G�/GS � _ i' Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for is` $500 plus $3.05 for each additional $]00 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 15` $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 15` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 15` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 15` $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 15t $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 15t $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department ------- --- -643i-�lniver�ity A�enue-NE - Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 , ,..w _ _ �..,.,. �_ „ , , , , ,�, , „�, From: 6127212091 Pa�e`216�`V �Date: 8/11 /2008 2:21:16 PM �` , � , Building BUILDING permit 1�o.��t Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY oat 763-502-4977 FAX ��'� --___-- - -_ EFFEC!'IVE I-l-08 DATE ��/�� 5I7'� ADDRESS Z THI5 APPLICANT LS: Cl OWNER PROPERTY UWNER/ NAMC; TENAIYT . ��„ � CONT RACTOR SUBMIT A COPY OF YOUR STATE L[CENSE PROPERTY TYP.E PERM IT TYPE YOUR �MA(L ADDRESS ' 57f�-2 nDDRESS; ,`�-7 D7� ` '�i (,�,�'` �° 'S � CITY� PHONE 2. � 2 0 Z� FAX �L '�.. STATE L[CENSElJ�g$ �j� EXP DATE � SINGLB FAMILY/NEW CONSTRUCTION � O F'1'�A�TILY/NEW CONSTRUCT'lON Q BASEMENT FTNISH O ROOF D DECK �SiDING � 5 �++Ci o TYPE OF WORK: ❑ N6W HOME CONSTRUCTfON O ADD[TION MAINTENAiVCE/REPAIR D REtv10DELING DESCRIBE WORK BEING DONE: C O �S �d C/Q SIZE OF QvfPROVEMENT LENGTH WIDTH ROOFING � HOUSE ONLY N(JMBER OF SQUARES CI HOUSE & OARAGE CARAGES PRpPOSED SIZE: PROPOSED HEIGH'1': SIDING [7 Vinyl O Aluminum p�ffther/�1�.�) �INDOWS IN EXIS"I'1NGOPb'NINGS OYes ONo OR FOR NEW OPEtJfNGS-DESCRIB6 SIZE OP OPENING CHANGES Bt 'T'YPE OF WINDOW TO 8E [NSTAf_LED CJ ATTACHfiD GARAGB CI AETACHED GARAGE ❑ DRAiN TILE ❑ OTHER =t; i�3�x;; BASEM�NT REMODGLING SUBMTT: I. Existing Floor Plan 2. Proposed floor plan 3, List of swctural membcrs to bo used an� FOR NEW CONSTItUCTiON RVCLUDING DECKS, ��t ADD!'fiONS,,� PnRCH S SUBMTT: I, Site Plan/Survey showing tlu existing sWCtutes Fascia and proposed project 2. Two sets of constructlon pluns 3. Energy Celculatians LOCAi'[ON OF WINDOWS ALL FEES ARE HASED ON VALiJATiON, INCLUDING TtiE COST aF LABOR ANA MATERIALS: (USING'fHE 1997 UBC FEE SCAEDULE) 1'OTAL JOB VAI.UATION $_ I±,` :+.� �- 1! OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge 1.icense Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge S�� [. "L S See Back Page forFee Schedule � 65% of Building Permit Fee $ i'� � A01 times thc total job valuation $ • U .0005 x Parmit Valuntion Minimum $.50 $5.40 (State Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) S ft+6ft= ftx$2!=$ $ $450 Conservation Plan Review � Fee Determined by Engineering $ - Agreement necessary ( ) Non Necessary ( ) $ .7 Make checks oavable to: Ciri o[ Fridlev Attac �� , f� `7'H[S (S AN APPL[CATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby epply Por u building permit and [ acknowle�lge lhal lhe informution above ia completc and accumte; that the work will be m confonnance with the ordinenoas and codas of �e City of Fridley and with the Minnasota Construction Cales; that f understand this is not a pertnit but only un opplication for a permit artd work is not to start without a permit an site; that tha work wilt be in accordance with d e approved n in the case o[ all work which requires review aad approvul of lp ans.�/� Q S[GNATUR$ OF AFP.L[CA i PR[NT NAME �it�, � D0��12 Jl t, J/�l�CCi DA�� a APPROVED BY DATE