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AF - 44816N° 629 Village of Fridley,ll�aa. BUILDING PERMIT Oflioe of INSPEGTOR OF BUILDINGS ,� � - Owner ..� r�.. � ; � � � �. Architect �� Builder +� �, ,.r,�.y�,,; � Frici2ey, A2inn., ��'"�.�'� � .*� ` 19 � � �� LOCATION OF BUILDING Na � �i :�z _ Street � � a�� "� . ,� Part of Lot Lot Block_, Additioa or Sub-Diviaion , � DESCRIPTION OF BUILDING Front�_ Depth� Height t� � Stories � Manner oP Constructio �'��`�+ • Ta be used as��'-��'��r��______ To be Complet �� '" �°�� ted Cost "�+��` � � ,� �' �''..�, � �,� ; ..�^, ..� � ,r��e!� „,� Permit is hereby granted t� > f � `' � ' " to �' ,� , ," ' `"� the building described in the above statement. This pernait is granted upon the express condition. that the person to whom it is granted, anfl his agents, employees and workmen, in a11 the work done in, around and upon said buiidi�g, or any part thereof, ahall conforni in all respects to the ordi- �ances of Fridley, Minn., regarding the construction, alteration, maimtenaace, repair and movfng of buiidings withia the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said, ordina.nces. �;��. ', �,�'�'�,��=°� inspecYor of Buildings. AGR,EEMENT AND SW4RN STATEMENT In considera.tion of the issue a.nd delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the prnposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are _ _ . true as therein stated. . .� Subscribed and sworn to before me at Fridley, Minnesota, thi ��"�' � day of : �� _�:� A.D. 19� .��'��'� ��. . ,r"" �* Y �� k °� � City of Fridley, Minn. ��"� �;6 BUILDING PERMIT N� '719 7 • �- Date: ___'.��._._ ~'� _._...._.._S�" __.._._..._......_.__._....._...._. Owner: _:. . . . .:..�e4 ...... . Builder .. ._.._.. ........_.......:-•---........_....._ ............._.....____...__..._-- Address....._....__.... ...__._...........___._._...___.._..........._......_...._.........._..._.._.._ Address _..___.._..__...—....___.....___._..._._.._.._.._.._._.._..._..__._____.._ • L ATIO BUIL ING No. ..f(.�'_Y1�S��Street .. __. '. ...�,��--�..----,/•%�-�,►A- Part Lot •------- ----__ ..__......_.--__._.___.�._.. tree . _. Lot ..� �'_�.�_......._ Block ___.._... ...._._....._.._.._..........._. Addition or Sub-Divis� ._t __�� __ � _.._...,�._ Corner Lot _.___._..._.._._.._ Inside Lot .---. �._..----_.. S.etback �.��.ys.r..._...�.� Sideyar .._.. �___...____......�_.._..... i Sewer Elevatian ._._..._._.___..._...___.___._.__._.._...___.._..._.._..__......_ Foundation Elevation •---•_•.___.__...._...._..___w .�..._.. DESCRIPTION OF BUILDING ,. To as: _. ......_... _ ._. ._...__ Front��...._• Deptk ��._.._:- --_..__ Height �.�....._. Sq. F��sit _ Cu. Ff,,,�.�� _._._.._. _ ._....._.__......__...._ _.___.........__ Depth __� fieigh ..----.. Sq Ft. _.._._.._...._. Cu. FL _.._.�_._ . ��..--•--. . Type of Constructi .__.......__ ... .._.. yr._�.....�.. Es� ��... ......,�'yTo be Completed __:_.___.�._�__..__— In conaideration 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 description above set forth and in compliance with all provisions of ordinances of the city of Fridley. %'� �c.�.� �'° • � - 6 � �f/KlR.t�.P/t1 In consfderation of the payment of a fee of $._..(Gr �_. ._. •'".'�.; �permit is hereby graated 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, �n 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 may be revoked a t aqy time upon violation of any of the provisions of said ordinancea _ „ �'� �P�� • NOTICE: This psrmh dws not eowr th� eon�ue�ion, inshllaHen fe� rri�in�. PMnnbin8. Yas INNin�, �wK w wat�r. M wn to a� �h� euildfng IespKfor fo� s�p�nN p�neifs fo� th� h�ms. .. , � ,. . , � A.PP'�ICATTON FOR BUILDING PERMI� � CITY;OF BRIDLEY, MINNESOTA OWNER'S NAML Gf� ^ � UILDER a�n�ss _ �,� G� G �'��- �� 'l� aDn�ss LOCATION OF BUII.DING No. �_� �� Street ��7Za--1°�.GL : Part of Lot � � Lot, "�_Bloek Addition or Subdivisiou �,� .�� Corner Lot�_Inside Lot_��Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applieant at.tach to thia £orm Two Certificates, of Survey of Lot and proposed build- ing location drawn on these Certificates. To be used as; DESCRIPTION QF BUILDING � �_ �,��'�� Front � o? � Depth a� �Ieight l� i ��_"�� Sq. Ft. ` � � � Cu. Ft. '1. � � U Front Depth Height Sq. Ft� Cu..Ft. .. Type of Constructiaa"�g�✓�'""�— � Estimated Co�C _.._�_____ - -- - To be Completed . . � .. _ • . •. The undersigned hereby makes application for a permit for the work herein epecified, a�reeing to do all work in strict accordance with the City of Fridley Ordinances and ruiings of.the Departmen� of Buildinge, and�hereby declares that a11 Che f.acts aad represeiitatious stated in this application are tr�se and correct. � . %L,�,. � � � Schedule of Fee Costs caa be found on the Reverse Side). .. � � � � �� • �•� �. i #• . i r City of Fridley Application for P'lumbing and Cscrs Fitting Permit Dept. of Bldgs� Phone 560-3450 DESCRIPTION OF WORK /' S/'] C�`�� j�. �• C_ N Number, Kind and Location of Fixtuzes LocaYion (� �� o� N Y f: c'^ �n w w Z � � WATER HTR. <Q� ��'�° '� Z 7Sd �0 3 S� �'2 �7 <a 7Z 7a F N GAS ELEC. 3t� �� m �n 3�- o LL w LLo �m <3 t9< (9�n c90 Base 1 � " lst 2nd 3rd 4th • Futu:s Coanec3fon Openiags * New Fixture, Old Opeaiags PARTIAL RATE SCHEDULE Sewer � Cesspool j-j PLIIMBING FIXTURE RATES: NO. RATE TOTAL ,,.� c'�G Number Fixtures . . . . . . . . . . . . . . . . . . . . . . —�— x $2.00 $ �CS. Future Fixture Opening . . . . . . . . . . . . . . . . x $1.50 $ New Fixture Old Opening . . . . . . . . . . . . . . x $1.50 $ Catch Basin .... ..... ... x $3.25 $ Water Heater (Up ta 99,000 BTLT) . . . . . . x $3.00 $ New Ground Run Old BIdg. . . . . . . . . . . . . x $3.25 $ Electric Water Heater = �2,pp $ GA3 FITTING FEES: NO. RATE TOTAL lst 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 � Gas Range to 199,000 BTiT .............. x$5.00 � REPAIRS & ALTERATIONS—Reier to Code Description ....... ............................$� ............ TOTAL FEE ; �(�• City of FY�idley: 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 fact and representations stated in this application are true and correct. Fridley, Minn. � , 19�2� �� . � � 1 « .7- Owner �� Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. 'iL� L} i SignecL .//I �l/_..(��-�-��.� By Business Phone No. ROUGH FINAL_ � ` � � "'�' tfJ 0 d2 � CITY QF FRIDLEY INSPECTION DN. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 RiPPLiCATION FOft PaWER Pi.ANTS AND HEATING, COOLING, VENTtLATI�N, 572-3604 REFRIGERATION AND AIR CONDITIONWG SYSTEMS A�1D DEVICES RATE SCHEnUL� Residentiai Furnace Shell a�d Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed wlth new furnace) Gas Range � Gas Dryer ,� *Air Conditioning -- All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of qpptiance ar Work Commercial/I ndustrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ JOB �4DDRESu ��%• � �= r �'�r�bl� s/ 7he undersigriQd hereby makes application for a pErmit for the work herein TOTA�. sp�ecified agr�ein� to cCo all work in strict accordance with the City Codes and rulings �f the Building Division, and hereby cleclares that all the facts and representations s�at�d in this application are true and correct, --__-- -- — " — ,1996 OVVNEFI ��Gt t�/ J �C�D �LL.S BUILDING USED A5 �/f'! (t T dil�t ESTItvIATED C�ST ��0� PERMIT N0. �� I?�SCRIPTIO�! OF FURNArE ANL7 �OR BURNER $ Na of Heating U,�,�its_ � Circlg OnQ (Steam} iHot Waterj (Warm Air} Trad� Name �'�G�n v�.� �n �LL.,.� Size No. BTU ��D4Q HP EDR $ Fuel �� Total Connected Load State Surcharg� ,50 Burner 7rade Name Size Nn. �� ^S� BTU HP EDR TOTAL FEE '�r� ��:��s�irry atrd ��.;r Cond��i.:,ni�,� 1r::34 C��,k,u! �.��:. [•�� HEATING CUMP Y ��.; x �, MiNIMUM FEE FOR ANY HEATING�CQOLINGNENTILATIOPE �6i2; ��.>_-,,.:-3 REFRIGERATION/AIR CONDITIONING PERMIT IS 25 00 Signed 8y Tel No. PWS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr ^ Approved B Rou h—In Date Fina� Date C�>� � Y J � i� / *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE �OR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE 04/Q2/2004 FRI 13:21 FAX �� ELDER JONES l7j 001/001 �OD�'c��3 �� . .. -�-- N� [) CITY OF FRIDLEY Effective 4/1/2004 ADDN [ J 6431 University Ave NE, Frid.ley, MN 55432 _,__(763)_572-36�4 Bidg Insp- - A�� I 2 SINGL.E FAMILY AND DUPL�CES R-1 AND R-2 (763) 577-1287 Fax BUlLDING PERMIT APPLICATION Construction Address: l! Legal Description: Owner Name & Addr�ss: �- �_�C � � C ;S "�- Tet. # �(,6r 3 � s�' 1 � `�o��+ Contractor: MN LlCENSE#_�Q��$3 Address: RENEWAL BY ANDERSEN Tei. #�o�J �' c- {��{ " y�'��' 1920 COUNTY ROAD "C" WEST ROSEVILLE, MN 55113 icate of Survey of the a drawn on it to scale. DESCRIPTION OF IMPROV�M�N7 LMNG AREA: GARAGE AREA: bECK AREA: Length Wdth Height Sq. Ft. �engii� Width Height Sq. Ft HgUGround Sq. Ft. OTHER: `�i�QQ� �1 i 0 ��. � i' ��.i A i , t i� ..Q � i S'� "�.J ��. Construction Type: Estimated Cost: ��_�,�� -- prNeway Curb Cut Width Neaded; Ft, + 6 Ft = Ft x$ _$ DATE: APPLICANT: Tel. #4sa • �yJ �� Call (763) 572-3604 fer Permit Fees if mailing in appliceiion. Fax ta 763-571.'E287 i# using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge - Stafe Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer �Main Charge T07AL CITY USE ONLY - $��J• ar"J Fee Schedule on Reverse Side � 65°/a of Permit Fee $ � a . __ � .001 of Permit Vaivation (9/'I Oih%) � $.50/$1,000 Valuation � � $1350 per SAC Unit $ 5. (� O $5.00 (Staie Licensed Residential Contractors) $ AI�. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ F�e Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ •`� 4,.Z, STIPULATIpNS� �� - � �'� NEW [ ] CITY OF FRIDLEY ADDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDLNG PERMIT APPLICATION Construction Address �� b z- �� o� o� J-�'''��-t Legal Description: Owner Name & Address: ,S � a, r, S-c�. c o 1� �.s (� � 0.,,,� �) Tel. # Z� 3- S ��- 9� 7(, Contractor. L�r� ov- C %1a C �� MN LICENSE # � C- .ZOa71 �S � Address: q' �p =� �(� � o om. ��a i�v,, F�e��,.�a u �� Tel. #°I�Z - f� �'� —/ J� 3 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT L�ngth Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. � -t s �� ci -Q �.� Construction Type: �-�--t� us�e �' �ctra a-e Estimated Cost: $ ��i Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _� DATE: f -1 �1- � J'� APPLICANT: ..G� Tel. # � Z -�8i / ��'� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge � �� , �S $ $ - 2, � — � ��o a $ $ Sr�� $ $ $ $ CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �� STIPULATIONS: � Building Inspections 763-572-3604 763-502-4977 FAX DATE�,� ' f SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE ❑ OWNER BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 1-1-08 YOUR E-MAIL ADDRESS PHONE �F�� a l -o STATE LICENSE # �C.� � � ❑ SINGLE FAMILYINEW CONSTRUCTION ❑ TWO FAMILY/NEW CONSTRUCTION ❑ ADDITION ❑ GARAG ❑ BASEMENT FIIdISH �fd�,00F ❑ DECK ❑ SIDING Permit No.: Received By: Date�c�:� � [Ty i- J� �P � STATE�IL,ZIP_ i r o C[ITY STATE ZIP. FAX C� � d r � G EXP DATE '� — � SIZE STORIES ❑ WINDOWS O DRAIN TILE � OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCI'ION O ADDITION ❑ MAINTENANCE/REPAIR O REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH_ NUMB R OF SQUARES O�� HOU E& GARAGE �c��nLG" ��.+ GARAGES ❑ ATTACHED GARAGE PROPOSED SIZE: ❑ DETACHED GARAGE PROPOSED HEIGHT: �IDING O Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes �No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED �Softit ❑ Trim ❑ Fascia LOCA1'ION OF WINDOWS ALL FEES ARE BASED ON VALUA TOTAL JOB VALUATION Permit Fee Plan Review Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due f� BASEIvI�NT REMODELING SUBNIIT_ 1. Existing Floor Pian 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS 8t PORCHES SUBMIT� 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations NUMBER OF WINDOWS I 'ION, INCLUDING THE COST OF LABOR AIYD MATERIALS: THE 1997 UBC FEE SCHEDULE) OCCUP TYPE $ �r 'j ,.� j See Back Page for Fee Schedule $ 65% of Building Permit Fee $ -� a .001 times the total job valuation $ � 7 .0005 x Permit Valuation Minimum $.50 $ ,�, � •X' i $5.00 (State Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ , $ $450 Conservation P.lan Review $ � Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) � i l??. 3,� Make c6ecks pavable to: City of Fridlev Attac THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNT[L PROCESSED I hereby apply for a building permit and I ackn wledge that the ' nn tion above is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Fridley and with che Minneso onstruction C es; th I understand this is not a permit but only an application for a pertnit and work is not to start without a permit on site; that the work will be in a with the v in the case of all work which r u' es review and appr val plans. ne ',� SIGNATURE OF APPLICANT PRINT NAME �./} � DATE �J �� APPROVED BY DATE