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AF - 35238Village of Fridley, ld�inn. BUILDING PERMIT ��O 1512 Datc: .,.%. ."�,,,,/, jP �a`'�.......... ( "� �.:1 °�--'�.�c,..c�_,r,..w»7 c,..�__....�.... Qwner .ti. ..... - . ..................... Builder .............................................. Addiess...................................... Address ............................................. �� :�- CATION OF BUILDING No. c". ?� �.�. . . Street . �:`...�,c�t._ ;-� . . . . . . . . . . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . !'��' %` ' ' Lot .............. Block .................. Addition or Sub-Division ,,:�'.�.�.:�r�,�,f��, ��:-�`�.':.�� i , Corner Lot ...... .. ... Inside Lot .�':........ Setback . ��... Sideyard !�� ........................ DESCRIPTION OF BUILDING To be lised as: :�-�..-u�ey- d ��'"'�,;-:} Front . �°�:�. . De th / ��/ �• • p <.�r. .-t�. . Height . . . . . . . . Sq. Ft�s .�''^�. .T. . :? Cu. Ft. . . . . . . . . ..................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction f��" ��-?: ��; �--V— Est. Cost <'�`�' '��' To e o p eted .... . .. .................... b C m 1 .................. Tn consideration of the issuanc� 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 village of Fridley. ..................................................... ., \.EtC- i ;[-crt o -'��-t In consideration of the payment of a fee of $�,�. .,..,,, permit is hereby granted to ... ... r.. :�"'�"�""�' • • • • • • • • • • • . . . . . . . . . to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and 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 with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. . . � �`" �,�� .�'�� . . . . . . . . Building Inspector NOTICE: J 7hi, permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be Sure to see ~ Buifding Inspector for separate permits fc^ ese item5. 0 : z' , . � » 0 < � o � � � a > � � C �-1 �S � � r i� t� � � d! � x yr�o � � q � � �� z ��, yt �-j , � � � � t Q�..`�i °' a" H 7 o i n a � � �rp'd � b a�i `� `� � � y � a W a�o � ` (�i a a rD py � Ul M � �i � � �C � °�` a� i� Q A ��' 4� $ hC <� ''°� In Cj R• R> � ��y A. �. � � � G� 9E o"�'ey � 1 ^�9 � = � �' v ' � �1 p 5° e� > �' V * � � yi �w 'K � ,d W 4�% �7 ^ - : .,,. � � +'� +-Ar 'b � � y 'r� \ � ' M a a Q ° � .�� . � U °e "'' � �° 2' k' � 'ro+ �i `�" m0, F� � rt " sr `� � � I � � � � �! `" �� - r r � � � � a � � � � � � a� � ro � � � � � ' � � � � ' � � � � N � � � i 4 �a � � � � 4 ;n � � � � a � • � �, � '�J � � � � � � � p� � � i� � tn .3 ` ° � `Q �c .o. '� �' � C! �' X � 'p+ � � � .a. % o o %�' �' � � � Q ° ^+s a'' � � $ ° c N � .- � u . � µ �, � a Q � � �.,� � -. � $ � � � � —.,°- � � ,Y, � an v, t � �, � � � � � � : � � ' � � o � � � � � C � •� � �I ' � �� y � �0 y y � ' ' � F k H x ;� � � « � � fD cY i,6 iA � � � � g « � .» �, •°� ,�; # � �' , � " � ' � I r� �J o ' � � I - ' � I :p c: w :a o :� � � � � ;� � � � � � i ; i I � � � . � w u. rn c,: r � � � � � � -� « �, � �� i I � i ; , ; i , � ; � i � « �CJ QS Qi Q `" � $ � � & �' �„ �° � , � � ; I i � � � � I � � '� � � � m � � � �� i'° rra :� � �� A �� 0�01 � � �c � �- � � � � c � � � ~ _ v � b c� �1 ' ,a� � � � � x '' S � � n 4 � .�. L�, z - � a. ,A � � � ;� a, a. ? a. c` " `� �� ! M � �`� ~ � � z 3 � � ° ' � � ~ 7 ° � � � , � =�c � z �y � .. � � � �► ' � '° o � + � , � `� "� ,. E � � � n � ' � '"' �% � I � � z "� t� O r? � � j � � 2 � � �� , I� � ��' � , C �' � � �y � ~ � � � ' W i ( � - d a > , � �'� ,p} cs_.� �..� p � o I � �` � � � �' � � C+' J i y � a0 � � � � O ry � � r ! � , � , 'U c �, � ro o a. � � a. � r�, °' � a � � � �. `'� � � - �S. � ° � ,� � I,��, ,� j� � d (� � �" � `° � � i � � �� y � ` _ � d. b0 � t� � � "' ( i � ° `�' � a N .�.. � a�i ��+ ��.� � � � � � � 1 � � �< n+ Ci � �' � ' .`. � i �� ' ,�{! � � +� � � i � � � � 'C �, � y �� , �, � � � � � � � n ca b x � � � 5tiv � � � i � � ,� � � , � o -°`"° :� � � � N I : M d ��{ . � � ~ �p� f N*t. I � i � i �� i O �' � A � " � v. !�7:' � �� ` � � . � � �'y f� � ,� � � � � N � �� I � � �, � A � r N' � � '• � � � .. �,a�� i � � � � o � � �� Ii o � ��. � w � � j ^�� 'j � � �� v��, " I �-° � "� �� n � � I `� � 1 �^ � ~ � � ` ! �i s '\ �� ,� � � • . �, � � � � ! � � � , ;', " . � � .,E�' eh r°� � i S�ueJECT City of Fridley RT THE TOP OF THE T�„NS i B U I L D I N G P E R M I T r � � � � � COMMUNITY DEVELOPMENT DIV. � �y---- � i � PROTECTIVE INSPECTION SEC. 1 , 1 :� � �""1 � CITY HALL FRIDLEY 55432 NurneEA ""�'i \J 612-571-3450 910-F15 JOB ADDRESS 6229 Baker St. N.E. 1 LEGAL LOT NO. BLOCK TRACT OF ADDITION DESCR. 4 Moore IxZ�t2 I'� 2 PROPERTY OWNER MAIL ADDRESS Henry Tzchida 6229 Baker Sts N.E. 3 CONTRACTOR MAILADDRESS Erickson Roofina 3930 Xerxes Ave 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDFESS 6 USE OF BUILDING 7 CLASS OF WORK 8 DESCRIBE WORK 9 CHANGE OF USE FROM REV DATE 6/30/80 hlands 4th ZIP Fridley 55432 ZIP ZIP ZIP PAGE OF � � PERMIT NO. ° 15806 RECEIPT tJO. Y / �CG' / APPROVED BV SEEATTACHED SHEET PHONE 571-1220 PHONE LICENSE NO. 588-6358 PHONE LICENSE NO. PHONE LICENSE NO r] NEW ❑ ADDITION � ALTERATION C REPAIR ❑ MOVE ❑ REMOVE STIPULATIONS Roof can be second but not third. TO SEPARATE PERMITS ARE REQUIRED FOR ELECTRICA�, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK 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 pERMiT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATWG CON- STRUCTION OR THE PERFORMANCEyB� CONSTRUCTION. / `�� " `� PLAN CHECK FEE i .= E� /� / �,-. - � % / / � / / .-G C G LC C • � ��c>,__ k >G �"� � S�GNnTUaEOFCOni-anCTO �aurHOaiZEDnGErvr �on7 � � ` W� : .AOPERLY.�%hLIDAfiED THIS IS YOUR PERMIT '= ,�-�_ � �`.� � t- <" 8'�DG IrSp �rJk7E OCCUPANCY GROUP p%�r�+pp�; n �.�� SQ. FT. CU FT. OFFSTREET PARKING STALLS GARAGES SURTAX SACCHARGE TOTALFEE OF OWNERUF OWNEF BWLDER! �pq CI1�Y Of� ('f;lf)L.GY � . ��>i�►_rcn��o:�� i�or �;rslri-��Tln�_ �>�,li_��zr�� nr_F,r�r�Ts (C�e��r, 111t:er;:�t�i��ns, l'�cl�i�il:ior�s, ot�• Repairs) U4-!fd(:fl: L'UZ(_UER: - �tDDfZf�SS: � �f)DRf�SS: T[:I_ ��U: T[:L (��0: � Cons�;rucf.ion I_o.r.ation a�.r�zf��r. r�o : sz�ru,z��: LU`]'. J3LOC�;. Ab,�T`IIOA� : Co.rner ]:.of�: Insic3e 7�ot: Setback: Sidc:y�.rds: 11��plic��iit attach to tliis fo�-�n t.��;o CerL-.�.[icates of Sur_vc�y of loi� and prop.�sed builuing l.ocation dra.�an on cezi.ii'i_caies to scalea o�sc�zl��zo�a or- co�s�r�;ucTZOr� �� _—__ - - -- ]�l'OTl{".: __�_�___,�____. D�pth: _.._.�` Iieight: _� S,ua��:c I ec>t °_—.—..__ C1�}�ic 1 cet: - I'ront: _.,..__ 17�pth: �_ Heig}it: "._ Squar_e S'eet: � Cubic Fec�t: � ��T�?E' O� COIl�i Ll L1G 41Gi1 : xi? �?E cb'.n��t�te�: �'rat�� ;ed L�rive�•aay Z4i_dth If Ne�a Cpening Is Desired: �:,'t_1T,11t:E'C2 COSt: � Alt. A 1�1.t. I3 � .� $ _,_ Sr1� I'1,VE�� SIDi, �I' SIiEET '�`iie under:siqncd hereUa� makes aL>��lic«i�i.on for �� pe�:mit� f:or the �•,�r3: }iez ein specified, agreeiii� to c3o al.l ��:or}: in s:.raci�. accordancc� wit�h the Ci.i:y o.f l,z�i.dley Ordi�iances ana zuli.n;s of t.he llc>��irtrnes�t of 73uildinc�s, and l:c>��eby dcclaxes t�nai, al.l t�he facts and rc�presca�t�ztio:ls :;tat_c:d in t��i�; a}>plicz�ion axe i_rue ��uzcl cor�-eci�. D71'1'E: STGN?1TU:['•i, : � St.ik�ulati.o�is : . 13UIIYl�ING I'f:Rt"�I'(�f�I_��`>(^}if:1).l'L[,,_ . ;S1aC')':CC)1:� 2. `J'l�e J�.>>:.:�>cctc�r. of 1'�u.'1cl.i.>>�(:, :;17;:e).1., 1�cSox�c j.r;rsi�:�-��c� ��c�ani.Ls �o�- Ll��c� cr.CCi:�_��n c�f: tai�y ;>>>i.).da�,�� c�z: :;l�ruct�.urc, oa- 1��>>' an}� ,�cicl�.t:a.olz to �i��y i�r.i_:;i_a.�u� 1.�ui:Lcla.ny or' sLri�cCur:c, . ol' f.c»: �:ny� �l.Lo�-.�t i c�n <�r r.c )�'�irr, tc� �-Any �>� 7 s t>>ng l>u.i.l.cii.��; oa: sLr.ur,t.urc, uJ�ar� a�,��lir.�ita.on �t:}icrcfc�r.c, �-cc�u.i�:c t�J�ic p<,� inc_nL )�y tlic r.p;>1 �.cant. t::>1� :,uc:l� ��l:in�_i: of: fce,. t:o Ll�c r.�r�notu�L }ic�:c�i.�i l>c:l.c��•� :sc�L 1:ort�li �i�;cl a.�l t�llc �nan��ie�: hcr.ca.n )�.:ov.ic7ccl t:v._�o.i.L: . I�}�t�t CO;IS`3'P,UC`J'IC�I�: S.i.»q).c l'a�niay lloinrs a��cl Gaa.-a��.s; ;>�1.00��.r000 cu1>i.c �ect.. J'7.T�12 Cli);��'K: ?.5 ��cr.cenL of hui.J_cl�;_��,�� I'er�na.t. fee. , , DI2IV):t•il��' l)r1'J:t,�S]:OI�: (Concret:c, Cur.l-� ��tr_ect:�; Only) • niter»<�t:c� 7�: l�emov�zl �ind re}>]-acement. of concrete curb and �_^l---^-- c�utLer only; 17r:i.ve`aay iric]i:li pl.tis G feei: x�:�,r,o75 7ilt_crn�at�_c 13_: l:cmovzil_ and �.epinceinc�rzt: oS cvncreLe cur_b arid '---------- qtit.L-c.r ar�d i.n��tt:.l.l. .z 3�ooi. wa.dc� aI?proacli �ait-h • G:inch cl��>th; i�r. i_vcway �,J.i.dth }�J.u:� 6 fcet. �: $)_7. II5 ' � _L�v�I=f l �i�_�'�L T I_![_Q_f;',`i(_�7_I �f•;� I'or tlie pur}�ose oS carn�nzL�_ng fc�es for_ }->ui.:Ldi.ng ��el�tni.ts, t-11e ctib�_ca]_ cont:cnLs oi any l�tz�_lding or additS.on, is dctermined by rm�l �ip.lyirzu L'ic �1'ound ar_ca cover.ec3 from a }�aii:t. �i_�_ (G) inclles bclo,a the floor l:i_i�ze o� tlze J_��semerlt or tl�� cetl�zr to tile avex�;ge 2ieiqhL� of_ ihe ul?,�rr :;tlrf�zce o�_ i:o the a��e�<��e h.c�iglit of ilze roof :>urf:ace oi: tl�c r��ai.ai gable o� a��i.tchec� �oof a }"'or r_�c�pairs oz al_i.er_at�ions io �n� exis_>t.:i�ic{ struct:��r_er i=}1e fee �hall be at ti:c r_aie o� ; 3.00 ��r e�ch iivc hundred do7_lars ( l`�00.00) o?� �_rar_t=ion ther�of: a_n t11e cost o� a:i.:i j_�,wo��osed wor).. . T» no case stla]1 thc {��° rh��rc��d f:or_ �Zy I?e.r.�n3_i, a:� aet- �ortli in Section ? be 1e�s tY�an $7. `_i0 p].us ti.50 st=ate suzcharge. . ,�!1=RI:i= J C��:�l 0._�! S)F �?U_1�,D111101� ' P�Oi'L-'e Pe:��;l.its �or con�t�.uci�ion ��ri_�_1_ be issiied a iais�i�-�uln of 24 lioua's from filie t�e of a��p�_a.c..tion to al.l�t�r iar pzoper zevie��r of th�= l>�.-ol��.ed si.�:ucture and of tlze co:�sf-�ruci�io!-i s�_'�e. I� Ceri._iiicat.e. of Sux-ve�� o� the J.oi�, stio�,�;.nq tlie J_ocatio�i ot i.he Lotll�dati_on once it 11a> beezz coz:sti�ict.ed �•,il:l be rec�lii_red l,efore procecd;:nq wia�h t17e f_�:ar��ing. .�� f iT_ I f� i C r� I_E�F �; ��I �'_A N CY-._. 1'�Z�plicat.ioi� for a Cert.i��icat.c oi Oceupancy� s}ial.l be made t.en (10) d�ys prior t.o the usc or occupanc�� oL ai�y :;t-ruct�ure f:or •„�1�i_ch �t bu:i.7.ci;_ng �?`:?�uit ha> b�cn z.;_;tied; and sa:id st_Ltict_uzc slla]_]. siot: bc u�ecl o�: or.r..u�.�iccl un�_iJ� a CerLi_i:a.cate of Occtil�:ii�cy l�as k�een z.ssuea. 0 I SuB�ECT City of Fridley AT THE TOP OF THE TW�NS g U I L D I N G P E R M I T r � . � � ' COMMUNITY DEVELOPMENT DIV. � �V'_ r � � PROTEC7IVE INSPECTION SEC. � , i �_-__��""1�,� CITY HALL FRIDLE`/ 55432 NUMBER qev 612-571-3450 910-F15 J08 ADDRESS 6229 Baker -� Avenue NE 1 LEGAL LOT NO. BLOCK ?RACT OR ADDITION DESCR. (F 1 Moore Lake Highla� 2 PROPERTY OWNER MAIL AODRESS Terry Ahmann 3 CONTRACTOR MAILADDRESS American Roofing & Const. 23624 St Francis B a ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS 6 USE OF BUILDING Residenti; 7 CLASS OF WOFK 8 DESCRIBE WORK Reroof (24 S 9 CHANGE OF USE FROM STIPULATIONS DATE 7/27/98 4th 21P 51-636-432 21P St Franc ZIP ZIP PAGE OF / / �6E27 � J. RECEIPT NO. �f%�� AVPHOVEO Bv SEEATTACHEO SHEET PHONE PHONE UCENSENO �070 753-7451 PHONE LICENSE NO PHONE LICENSE NO ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIFi ❑ MOVE ❑ REMOVE Tear-off; TO Underlayment must comply with State Building Code. Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. SEPARATE PERMITS ARE REOUIRED FOR ELECTf;ICAL, PLUMBING, HEAT�NG, TYPE OF CONST. VENTILATING OF AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF /20 DAYS AT ANY 71ME AF7ER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AN RqECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING T S TYPf OF WORK WI�� COMPLIED WITH WHETHER SPECIFIED H IN OR NOT. THE GRAN G OF A PERMIT 2501 DOES NOT PRESUME TO E AUTHORITV TO VIOL E OR CA L. THE pERMIT FEE PROVISIONS F ANY OT F STATE OF LOCAL REG TIN�ON- STRUCTI N:' R THE PE ORMANCE OF CONST CTIQ . ]�}. JS '� � � % /"� PLAN CHECK FEE i t�__�'""".,.�<''��,�� —'7 ` ' � �'" Licens C SIGNATUR OP ON7RAC�ORORAUTHORIZEDAGENTf IDA7Ei _ _.. _ _ _ S�GNaTURE OF OWNEA u: OWNER BU�IDERi �DATE� OCCUPANCYGROUP OCCUPANCVLOAD S0. fT, CU FT. OfFSTREET PARKING STALIS GAqAGES SURTAX '1.25 SAC CHARGE Fir SC 2.50 TOT L FEE .00 83.50 VALID THIS IS YOUR PERMI � �14Tf NEW ADDN ALTER �l L] L) Co nstructionAddress : Legal Description: CITY OF FRIDLEY SINGLE FAuti1ILY ��iD DL'PLEXES R-1 AND R_2 BUILDING PERMIT APPLICATION � __ !r _'Y Effective 1/1/98 .5 �� ,fi � ��^ y � ?� r ^ �f Owner Name & Address: � � � �, �� f� 5- !=� � � � -�,,, ,��t Tel. # ``�=�iY��. �; ��; . cf � r' � Contractor: _ �`� i"'<', �`�z' �'�:,-a �`'�'L �_� �r �,. j�-�-- � � MN LICENSE �' __ � � � ,� � #�� G r � �,� �. Address: � �a 1�� s' �-f Y; �r`�: � � � J �, �. ._�, �--, �i t'' � Tel. # ��-� �1' Y j "� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION Q.� �MPROVEMEN� _ �'`��`� r / ,� L; - y f 'r,` ` � � �..�. J `� � -. LIVI�i tG AREA: GARAGE E1REA: DECK AREA: OTHER: Length Width Length Width Length Width Height �_ Sq. Ft. Height �;, Sq. Ft. ^Hgt/Gr,ound Sq. Ft. � ! a �;_ , , _., �— ) r� Construction Type: jr� �;r � ; J`� ""`- �" c �-� � / , 7 � �` ,�'e � <?x��c��.x,,,..`) Estimated Cost: $� ��"� -- r�,'_�; , (Fee Sche � e on Ba ck) Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: �L. 2 ' < , APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: , CITY USE ONLY _$ Tel. # �'� _ .� �� `E.�` % $ �%� `1� Fee Schedule on Reverse Side $ ��. .`�� ' .001 of Permit Valuation (1/lOth%) $ �� -�� $.50/$1,000 Valuation $ $1000 per SAC Unit $ �; - �'�`l�` $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ J Not Necessary (] (^ � - - � � < ��. �� l '�IIitIIEl� 2Lj� LI1iM Dutpaa�old a�o3aq paimbaz aq Iiin� pa��ni�suo� uaaq s�q �i s�u li a�uo uot��puno� aq� �o uot��oj au� �utnnous `�oi a� �o �anlns �o a1��i�t�a� d •a1TS uoil�nz�suo� aul �o pu� ain��cu�s pasodo�d aq� �o n�aina.z iadoid �03 moti� o� uoi��tldd� 3o auic� au� uioi� sinou t�Z 3o cununutui � panssi aq jiin� uot��nilsuo� .zo3 satuuad I�IOI.L�QI�IIl03 30 I�tOI.L��I3I?I�A ' SL' S i$ saunl �aa� 9 snld u�PtM ��n�anuQ - �{ldap q�ut g ultn� q��oidde apin� 100� £� ti��i pu� ia1�n� pu� qin� 30 1uai.ua��idai pu� i�nouiag :„g„ a��walid 'OS'£t$ sacup �aa3 9 snid u�pin� ��manilQ -�iuo .�a��n� pu� qin� 30 �uama��ida.� pu� I�notua� :,,d„ a��u�a�i� (�tu0 s�aai�S qm� alai�uo�) A10?I�S� I�OISS�2Id�Q ��i�A,�I2IQ 3oaia� uoi��i� .zo pp0`T$ i�uoiuPP� u��a jo3 SL'Z$ Snid 000`000`I$ �s�i.3 au� �T�3 SZ'ZiOS$ 0(10`000`I$ ��Pni�ui pu� o� `�oa.�a� uop��i� io 000`i$ I�uoi�ippE u��a .zo3 cz'� snid 000`OOS$ �sii.3 a� i�3 SZ'L88Z$ 000`OOS$ �uipni�ut pue o1 `3oaia� uop��i3 I� 000`T$ j�uopTpp� q��a io3 00'S$ Snid 000`OOI$ �s�3 io3 SZ'L88$ 000`O�I$ Dutpni�ui pu� o� `3oa.tau� uot��i� io ppp`i$ i�uoi�ipp� u��a l03 SZ'9$ Snid 000`OS$ �sIT3 io3 SL't�LS$ 000`OS$ �uipnl�ui pu� o� `�oaaaq� uoil��.z3 io 000`i$ I�uot�ipp� u��a io3 00'6$ Snid 000`SZ$ isii� io3 SL'6�£$ 000` SZ$ �utpni�uc puE o� `3oaiau� uoil��i� io 000`I$ i�uoi�ipp� q�Ea io3 OS'ZI$ snid ppp`Z$ zsit� io3 SZ'Z9$ 000`Z$ �uipnj�ut pu� oa `�oaia�l uop��i� io OOi$ I�uot�ippE u��a io� c�'Z$ SnId OOS$ 1sii� io3 IZ$ (a�i�u�ins snld t Z� st aa3 wnunuty�?) I Z$ s��3 dn pu� j pp `000 ` i$ 000`000` T$ °1 I00`OOS$ 000`OOS$ �� T00`OOI$ 000`OOT$ �� T00`OS$ OQO`OS$ o� I00`SZ$ 000`SZ$ �� I00`Z$ 000`Z$ �� IOS$ OOS$ �� i$ anzdn ��ioi :lin�-o� papinoid uiasaq iauu�ui au1 ui pu� truo� las �oiaq uia�au �unou� au� o� saa3 �o �tuuad u�ns io3lu��iidd� au� �q luauin�d a� asmbai `a.�o�aia� uot��tlddE uodn `airu�ru�s io nuipltnq pui�sixa �uE o� iiedai .zo uot��iali� tiu� io3 io `ainl�ru�s io �uipimq �ut�sixa �uE ol uoi�ippe �uE io3 so `ainl�nils lo nuiplmq �u� �o uoia�aia au� io3 sliuuad �tnnssi aio3aq `tt�us I�t�T3�p �uipj?ng 3atu� au,j, �'Il1Q��S ��3 .LII1RI�d �I�Q'IIflg , Building Inspections 763-�72-3604 BUILDI�TG RESIDENTIAL APPLICATION CITY OF FRIDLEY DATE �� .% YOUR E-MAIL ADDRESS � sITE A��ss (�`�-�—� '�'��,Ar.�-�— �1-.,�..� �='�:' THIS APPLICANT IS: ❑ OWNER �ONTRACTOR PROPERTY OWNER/ TENANT NAME: h ADDRESS: lte v�-�`'� =i� .;��:.-'t i� -�'}ti!--z-luLi CITY PHONE: � � j ' � � � . i.' �; � t �'j CUN'1'KAC'1'UR I NAME: � SUBMIT A COPY OF � YOUR STATE LICENSE WITH APPLICATION � PROPERTY TYPE PERMTT TYPE I TYPE OF WORK: ;, (�i. �;,y..vv�ix;e1 Pernlit No.: : � � Received By: Date Rec'd: `-F,t_ STATEr�"L' IP ` � S � J � STATE LICENSE #�-°�i C �L� � C' EXP DATE '� -� ,'� l- v�c: ADDRESS: �1 la �- U �\i,;"c;LL `� �'..-�- �� CITY 5-�. Lc , � � 'n� 4 � ,z��" 1 ci', 1e STATE' "ZIP S� t PHONE {=� tj � - ��''�-(. �"7 l"1 FAX `�,� :�-- ��'Z'�- �� l: ^I� �.SINGLE FAMILY/NEW CONSTRUCTION SIZE <�CiL� ��;� ❑ TWO FAMILY/NEW CONSTRUCTION STORIES �-- u Alllll11UN LJ GAKAGE!SHED ❑ BASEMENT FINISH �ROOF ❑ DECK ❑ SIDING ❑ SWIMMING POOL u n�w u ADDITION ❑ MAINTENANCE/REPAIR �REMODEL: DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT xvurin�u �- NUMBER OF SQUARES l � GARAGES PROPOSED SIZE: � PROPOSED HEIGHT: � SIDING i ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF WINDOWS lJ W1NllUWS ❑ DRAIN TILE ❑ OTHER '+�, ��S ::�.v�`l!'�.-r..jt..i�' C..�T� \�.cle.�St.,._�^l.i`K-`_S WIDTH HEIGHT � Sq. Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structura] members to Ue used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calcularions ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ��1C:;C .G�% OCCUPANCY TYPE Permit Fee Plan Review Fue Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ i��`� : �S $ --__. $ � $ ��?. °`� $ ; �--� G' � $ $ $ ,D '�w. $ /' See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Pemut Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( Make checks payable to: City of Fridley iS AN� AP�PLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED Attach Stipulations I hereby apply for a buildnlg permit and I aclaiowledge 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 pernlit and work is not to start without a permit; that the wark will be in accordance with the approved plan in the case of all work which requires review and approval of plans. �' � SIGNATURE OF APPLICANT_ � PRINT NAME L!`�'�� °'� ��-�� DATE �' � I' G� � 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 pernzit of fees to the amount herein below set forth and in the manner herein provided to-wit: VERIFICATION OF FOUNDATION Permits far 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 Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 �� . __ ... __ �, _------ _ �` .� �. _ _ _j � _ _ _ ' � __�.. _ _.. `-�i' ' � � � ,�,-� �� - �.��.,�.., . �,. �� ,�j - ', � ,. ._ � , � ' �_ , _ .,: _ � _ _ _ � ; �� ; .. . � , . i ;� � � �.,� � � _ �,�� I C (� L � � � � �: � � __ � p � �, ' ' � `� � , � ; �� ..� #� _ � ;� e� � �� ? � c � � � `� �'(,,� , z � �� . .-�C / • _., � � � ... ,,. � � i �� . � ..., . y � ,. .�, � � � � . � C... f� �, ...��. � _ �,��., �.. � �u £ ` �,, cL �� I � `� �, � � '� , . _�...: , ,� �_ � i�., �.,_.� � ' ,.-.-.� ...,. �' �' `!'�..� ! ..r. �. .. . . _ �F� , -� , � -, � J,..-., , - � �.�.�- � � � �. � � �� , � � �' ,� , ., tv _ � . _ __ � � � ,u,.,�; _ , � .-; � � � �� b � � � �, / G r,:7 �� , -� ` � � ,,,..�.,.;�;;..,- � N ��" 'ti .�D C � "�*� �� . i �.�. _� -� ._ ;�,,,,M. ��• � m . � -� � 3� � ,'� • � _ ' � I ,� ' . �,,.a �1...� .. �.. . ,{ �k .....:� .�. 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Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By:� 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE vZ �/OC� YOUR E-MAIL ADDRESS SITE ADDRESS �,y [,�j�,7' g�r'" ,Jy ,,rjJ� THIS APPLICANT (S: ❑ OWNER a-^�CONTRACTOR PROPERTY N,atv�E: .� OWNER/ qDDRESS: r' � CITY �' TENANT / sTATE ziP PHONE: �S l ' �Y " �rL 7.� p CONTRACTOR COMPANY NAME: D U +s lTEr.7Te a/ ��s6� I�.. SUBMIT A COPY OF CONTACT PERSON: �M � g`y�� YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH p,DDRESS:�J�CJ L.c�? �cJ �J#�' ,�✓E. CITY ��1/ Vi`�TATERivZIPSS iU APPLICATION pHONE /'�E3 "'7 `�% "�I��i FAX PERMIT TYPE '�NGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � ��' �PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK � f G PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: +✓ MODEL: G�7� SIZEBTU �'�G_�iCX1 MFG: MODEL: SIZEBTU —� MFG: MODEL: SIZEBTU _A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $IS FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _BOILER $35.00 „�'FURNACE $35.00 GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 — — P �� ' '.. �i��'�'� ��1�. I.�i�3�i�.��; ��. .,� �:, . . , f �: � �, � . �, . ... � � Y� � �a �' ' E�I'T' �'��`; � , �'��J��'T'� �.�, u �+5��'. _ _ .:. �.. ,:,�. .....� . ._. Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 _� x $35.00 = $ "� � . t;l 1 State Surcharge = $ 50 Tota1= $ � Z� THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and ork is not to start without a permit; that the work will be in accordance with the approved plan in the case which requires r vie a approval of plans. SIGNATURE OF APPLICANT PRINT NAME ! 1�O�Ne�% S%� (Ni:��TE �� I 2 f D� � _ _ �'.: �',�� .��1��. ��E�' :W��?��. �1��2 ��, ��.-��"Crs:�L�C� � ��;��C� `� �;,� �. � .. �,. ��., City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ' `� ` ❑ NEW HOMES/A]�DITIONS ��XIS'�ING I�OME .. 0 MAKE-UP AIR i REQUIRED FOR NEW/EXISTING HOMES . , . . . , ; .6 l. Combustion Air (See note below) � � a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room �� °� a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. Building Inspections 763-572-3604 DATE I Z� I �""� SIT'E ADDRESS �!'1 � THIS APPLICANT IS: PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL O OWNER r'�CONTRACTOR PROPERTY NaME: OWNER/ ,e,DDRESS: TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: PHONE: STATE LICENSE # ("tC� ADDRESS: � ��7U c_'L� I i� PHONE "��y' � -- �t`7? ` c�Lo %S FAX �SINGLE FAMILY ❑ TWO FAMILY �i � �w �PLACEMENT DETAILED DESCRIPTION OF WORK __ ,C'.�(i/�cr� �/CJ CITY � Permit No.: Received By:� Date Rec'd:/s`-- � ��,��. STATE/7i,'�IF EXP DATE � CITY�I� l�� .1�i STATE '�I�IP � ��,� ❑ TOWNHOUSE ✓ PER MS 16B.665 the permit fee is a minimum of $15.OQ or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should_reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FORPROJECTS WHERE LABOR EXCEEDS'•$SOOj FEES ARE BASED ON $10.00 PER FIXTURE, £XCEPT WHERE NOT'�D> FIX'CUR£5? .(IT.FDI�ATE TOTAL NUMBER OF EACH BELOVI� _ BATH SINK/LAV FLOOR DR.AINS SHOWER WATER PIPING _ BATHTUB _ GAS PIPING MEeD cr�r�rcFrrs�) SWIMMING POOL WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER Permit Fee TOTAL DUE $ Number of fixtures @ $10.00 x $10.00 — $ .50 Number of fixtures @ $15.00 x $15.00 = $ $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ Tota1= $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applic ion 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 o i r quires review and approval of plans. � r� � ' / (.� SIGNATURE OF APPLICANT 1� n PRINT NAME ��✓� DATE /�� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977