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AF - 43025� BUILDING PERNdIT Village of ��idley, 1Viinn. N° '257(l Date • �� '�.,� • +�+'�;r �' , .. : . . . . . . Owner . ,�tC'��. .�w�.'Y� . . . . • • • • . . . . . Builder . . . . . . . . !�� . . . . . . . ' . . . . . . . . . . . . . Address ��'.��........ .... Address ................. . .... .... ' LOCAT[O:N OF BUILDING No. :��.......... Street .....��+C� �"*... . ...... ...... Part of Lot ........ Lot . ... �... ... Block ... .. ,:�..... Addition or Sub-Division .��"� � ��R_,�`� ;��' Corner Lot ............ Inside Lot .. � � . Setback ...�. .. Sideyard . � ,,,,,,,,,,_ DES�CRIPTIOI�I �� BU4LDfNG To be Used as: d' � � �+.�' ` ;.�`� .° . t ; �; . . . . . . ... . . . . . . . . Front . . . . . . . . Depth . . . "t ZIeight . . . . . . `°`� Sq. Ft. . � .... Cu. Ft. . . . . . . . . .................... Front ........ Depth ........ Height ......... Sq. Ft. ..... Cu. Ft. ........ Type of Construction .�. � �: ;�; . . , , , , Est. Cost : �,,.c�r -?='� . . . . . . . . . . . . . . . To be Completed � "'�`� . , , , , , +r s. �, .. . r s w ��;. . :: , , . . : ��.� �rt - t - � �.... " . s p. � a.� ':-s'ar a. �� „ � ♦ ti�: s�. : � �.,�::� �� tt � • � dM � # � ♦ �1.....�.. ♦ �` � � :?$ a ..: %4. -. s .. � j �.. �1 - _ S ;- if i E . � ' y � # L .i.� . ; . � y� ' 'tl �, V. �� rd . � .ti ;` ,; .� w�p `, e' �r • �f` p r p? t e �r .� �e w�m� � 4 s a I �f � ! * r� a� M � `�f:' .s:. s :. �ac . h w�� ri. ».. . �l �. , � . .+F+H� �.. �s : � �- :y. ,:a-.b -. s : .,: rr. , ' , .. ,.• X, •w s ,. , J . .. . � ,k, a� iF d !� „ . .. . . . ,. . ... � « �� : w " .°.. . �.: �� d ' - �'::� i!. fR�.l� d'k • � �.'. i' .�f w C a � ,�', ' A'.. �, - �,. " � iF ir �.q.� � �. �, :. In cansideration of the issuance to me af; the proposed work in accordance with the c�es ordinances c�f the village of Fridley. �: pertnit to construct the building described �bove; I' agree to do miption above set forth and in compliance vv�t4i .�ll. provisions of �✓' - r * ;a . . . . . . . . . . . . .��,��,a''"" • `• •, .�w��r�� Tn consideration of the payment of a fee of $�&��, , permit is hereby granted to .+��',*�',�',�„"�,�ii . ....... • • • � • • • • • . • • • . . . . . . . to Construct the btiilding or ad dition as described above. This permit is ,granted upon � the express candition that the person to whom 'lt is granted and his agents, employees and worlauen,. in all work done in, around and upon said building, or any part .thereof, shall conform in all respects to, , the , o�c�inances of �'ridley, 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 pon violati of any of the provisions of said ordin�nces. , _ � $' ' ��_ - NOTICE: This permit does not cover the construction, instaliation or alteration for wiring, plumbing, gas heating, s�wer or wa�er. Be sure to see the �uilding Inspector for se�arate permits for these items. 0 � City of Fridley � pT tNE TOP 0' TME TWINi � i` r �'ti."-'-'^� GOMMVNITY OEVi60�MEMT OtV, � � � 1'ROTECTIVR w11�CT10p O�IT, � � �---t ; pTr �u►�� iR�o�RY iMliit �..__.1`.� ., N�-�w-s+so Job Address ontractor ind of Bu omp� e ian 53-81�-s-915.51 i W JECT b3�2 N. F. Tlellwood Drive Vernon G. Mills M►INNEGASCO ing Frame te 1�-!� -7i, % � - ,1'r �-/- � �i , �" � RLU�1� I ��r, PERP1 I T APP� I CAT I=��J s 1 78l�- aaress Phone 73� /v1AftQUETT� AVENUE s e ., , Res. stimate ost lo. 00 — -- ---- --- - --- . --- ------ _ __— _ _ ._ _ _---- Plumbing Fixture Rates: N0. RATE TOTAL � — ! Number Fi.xtures x $2.00 �_ � Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 Catch Bastn x $3.25 Water Heater-99,000 BTU x $3.00 Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fitting Fegs: , lst 3 Fixtures x $2.00 —�. Additional Fixtures x $ .75 Gas Range-199,000 BTI1 1 x$5.00 5.00 i Repeirs & Alterations I See IDescription: Code State Surcharge Ciass'�A�`Surcharge :50¢ .50 TOTAL FEE $ .50 The undersigned hereby makes application for a permit fvr the work herein specified� agreeing to do all work in strict accordance w ith the City Ordinances and rulin of the Department of Buildinga, and hereby declare that a11�th� facts and repxesentations etated in this application are true and correct. � �� j�� . . � �� - � . CITY �� F�IDLEY APPLICATION FOR POWER PtANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION�AND • .AIR CONDITIONING $YSTEMS AND DEVICES PARTII�L RAiE SCHEDULE GRAVITY WAR'�l AIR: RATE TOTAL Job Address �-._3�� %'�,'//�" �'c'c/ /��/�' F�rnace Shell & Duct Work 512.00 $ •� R:.placement of ftiirnace 7.00 $ Repairs & Alterations-up to $500.00 7•�� S Department of Buildinqs Repairs & Alterations each add. $=00.00 4•�� S City of Fridley Tel. #571-3450 blECHANICAL 19AR�i AIR: Flirnace Snell 6 Duct Work to 100,G00 IITU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations-up to $500.00 Repairs 6 Alterations each add. $50�J.00 SffA.1! OR fi�T WATER SYSTE�I: Boiler & Lines up to 100,000 BTC; each addn. 50,000 BTU Boiler only up to 100,000 BTU each acdn. SO,C00 BTU OIL BUIL'vER- to 3 gal. per :iour each add. 3 qal. per hour GAS BURtiER- from 100,000 BTU to 199.499 BTU (over 199,999 BTU see Fee Schedule) $12.00 & 4.00 $ 7.U0• $ 7.00 $ 4 . (?�J $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10. 00 $ $10.00 $ S GAS FITTING FEES: lst 3 Fixtures x$ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Ranqe to 199,000 BTU x$10.00 S AIR CONDI'fIOtiING S �O.dfl FAN H�ATIP:G SYSTEDIS See Fee Schedule $ VE�TILATING SYSTEAfS S AL''.'ERATIONS $ REPAIRS S State Surcharqe $ .50 TOTAL FEE $ I D. S� Fi�UGH ZNSP. Date F2NAL ZNSP. , " � ' Date APPROVAL FOR PERMIT �� REINuPECTION FEE (_$10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE The undersigned hereby makes application £or a permit for the work herein specified agreeing to do all work in striat accordance with the City Codes •. and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicat:on are true and correct. Fridley, Minn. � — � � � 19�� OtQNER LL�'r 6 L' � ��/ //} r KIND OF BUILDING � �' i USED AS �� T S TO SE COMPLETED ABOUT '� ' i!� �"l� �� < «- � ESTIM.�TED GOST / � ' � _ OLD - NEW BUILDZNG PERF7IT NO. PERMIT NO. _ /�CS DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name ��> r' iyJ 5i ze No. _ < <, �, / Capacity Sq. F t. EDR ___ BTU �r> • x° ,�� -� Total Connected Load Kind of Fuel ' Size No. � BURNER - TYade Name Capacity Sq. Ft. EDR B�7 � Company ✓/ � � 4 �� Signed By � � '�' � � /'j � � � � Tel. NO. �/}�/ �/� sue�ecT IT N O. City of Fridley �� 6 912 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T � � , � IP . � • COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. �� 9-� i � � � � � � ��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY � ----�= '•' 1 /6/83 612-571-3450 9�0-F15 / / JOB ADDRESS 6342 Delwood Avenue t LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHEO DESCR. 5 1 Moore Lake Highlands 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vernon Mills 6342 Delwood Avenue 571-7051 3 CONTRACTOR MAILADDRESS 2�P PHONE LICENSENO. Franzen Const. Co. 4250 5th Street N.E. 788-4071 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW ❑ ADqITION C�( ALTERATION �7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Redo Bathroom ' e+� 9 CHANGE QF USE FROM TO STIPULATIONS ';'�=�°��'�r'al � �,_ � � k s i ��. � � , ; � �, t7F�t;��I►R�U �t?R W'I��I'�', �'��►7�:�a�,, ��.�.; �,��'� ��d� ��G��„ TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ReITIOCIe� THIS PERMIT BECOMES NULL AND VOID IF WORK Ofi 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 1 HAVE READ ANO EXAMINED THIS APPLICATION STALLS 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 p WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2'tOO � �. ZO OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 3$.5O STRU ON OR THE PERFORMANCE OF CONSTRUCTION. � PLAN CHECK FEE TOTAL FEE �,_.,, 39 . 70 SIGNATUREOFCONTRACTORORAUTHORIZEDA IDATEI � � "` WHEN PROPERLY VALIDATED THIS IS VOUR PERMIT G�� L'l-�i� �� 3 SiGNATUREOFOWNERiIFOWNERBUILDEf:� iDATEI BLDG INSP DATE CITY Of FRIDLCY Effective Aug. 1, 19s1 APPLICATIOE�! FOf� RCSIDChITIII� BUILD1i1G PCRi�iITS (tic��, Alter�tions. Additions, or Repairs) 0►�r1E R: ,�� Y L, o� �,' ��s ADDRESS: , � 3 `/� �� v1�1��1� �� TEL No: ��- �/- 7 0;- � - � � l3UILDER: _/�LL i� � �� z �3t � C_o AODRCSS: L `� � 7� � �. ��so J' s ____. TE� r�o: � � � - y' � ' / Construttion loca STJti�T NO : ��1� � STi2FET: D� �c,va�d/ ��v ` . LOT: � � BLOCK: � < ADAITION : ��Oc� �' �e �C o /'�� os.`i �z�� 3''� Corner Lot: Inside Lots (`� Setback: Sideyards: Ap�licant attach to tl�is foxm � Certificates of S�zvey of Iot ari3 pzoposed buflding location drawn on certificates to scale. DESCRIPTIOi� OF COMSTRUCTIOt� � Front: Depth: Heiqht: Square Feet: Qibic Feet: . Front: Depth: Height: Square Feet: Cvbic Peet: Zype of Corstruction : �Q /�� e- / .� Zb Be Q�r�pleted: f�� r�l� -3 et� Estunated Costs S °1 y4v ` J►lt. A Alt. 8 Proposed Drivc�aay ki8th If New Opening Is Desired: S� S , , SE� REVERSE SIDE OF SHEET _ 'Ziie unc3essigned hereby ma3:e� application for a pezmit fcz the ��ork hexein specified, agreeing to cb ,all Work fr, strict accordar�cc with the City of Fridley Ordinances and ruling� of the Delaartmc�nt of Duilc�ings, and herchy declares that all the facts and represer�tatiens stated in t�is Applic�tio� are true and correct. D.��: �` �- � _3 sicNr►zv�: _ ��s--�=�..� � ��z��...��-- Stipulations: � ,�� / . �,-o s c� 3�,�� ,..� sua�ecr PE T NO. City of Fridley 17 2 4 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ! � R CEIPT NO. COMMUNITY DEVELOPMENT DIV. r � y � PROTECTIVE INSPECTION SEC. //� i � � � �' � �'��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV `��i �.J 612-571-3450 910-F15 g 13 83 � � JOB ADDRESS 6342 Dellwood D�ive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. rJ 1 Moore Lake Hi.ghlands 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. Vernon Mills 6342 Dellwood Dxive N.E. 571-7051 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Ronald D. Paradee 2875 Jackson Street, St. Paul 484-3784 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK I�eroof Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS �oof can be 2nd layer but not 3xd. Tnstall ridged galvanized� valZeys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. F1be�1dS5 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 STALIS GAFAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERN�NG THIS TYPE OF WORK WILL BE COMPLIED $1, 475 S• 74 WITH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVIS OF ANY OTHER STATE OF LOCAL LAW REGULATING CON- 2S.00 STRU 10 OR THE P RFORMA�fC� OF CONSTRUCTION. \ $ �/'� �J PLAN CHECK FEE TOTAL FEE x / � { � , �'�� $25.74 �,! SIGNATUREOFCONTRACTORORAUTHOA�ZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT � ✓ ` �' <J' �. SiGNATUREOFOWNERUFOWNERBUiLDEPo �DATE� BLDG iNSP �AT � CITY pF FItIDLCY /+f PLIG/1T1a1 FOft RCSIOL'i1T1!',� I3U]LD1t�G Pcf��ITS (I�ch•�, Atteratians, Additions, or Rc�airs) ObSNER: �%%�; �CIZ, N�r� f L' � LS ADDf;ESS: � � Z /��LC� v ��o(� Dt2 , TE� �o: S71 -- �7°Sl Effective Auq. 1, 1981 . � I3UILOER: :'�D�v� �� J�'%CI�.00E nonrt[ss: 2a' � 5 �c,�s a u��; .��aL TEL 1�0: 1,��1�G--37�� Construction Location STJiI�T 110 : � � �f � STJtEF.T: �E �-L L-UG�.%� �i�, - L07': � BLOCX: �L� ADAITION: �G��.. ��L�'.,/-�_L.�l/�� Corner I,ot: Inside Lot: + Setback: Sideyazds: Ap�licant attach to tl�is form t�.�o Certificates of Slirvey of lot and pzoposed building location dra:�n on certiii�cates to scale. � DESCRIPTIO�� OF CO�;STf:!)CTION C��_ Front: Depth: Heiqht: Sguarc i'eet: dbic Feet: Front: �Pth= Heigl�t: Square Fe� . Nbic Teet: . - 'I��pe of Co:.struction :� EsLimaLed Cost: S/� 7S � Rb Be Cbr.�pleted: 2U ,.,cPT Alt. A Al t. B Proposed Drivcuay hidth If New Opening Is Desired: $ $ , S�� P1.VF.R;L' SIDE OF S}IEET . ZSie uncles si9ned hereby maT:c� a�plic�lticn for a pernit fcr the �:ork herein specified, agreein� to do .all �ark ii, strict accord3nce �ith the City of I'ridle}• Ordir�ances a,id zulin�� of the Deparlment. of Buildings, and hereby, decl�res th��t all tlie facts and tepresc�t,atiens stated :n this applic�tion are true and cozrect. D`ZT: �-� ��%. ��D.3 SIGNATU � : £til�ul�tions : ��—, c., o , '7 � �� -� ��` QESIDEbiTIAL CITY OF FRIDLEY Effective Date May t. 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEYICES RATE SCHEDULE ` RATE TOTAL Furnace Shell and Duct Work, Burner (Alsc zeplacement furnace) Gas Piping (pipinq needed with new iurnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1� of Value of Appliance or Work COMMERCIAL/INDUSTAIAL 18 of Value of Appliance or Work $ 20.00 $�� $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ State Surcharge �ar� r�E keinspection Fee ($15.00) Rouqh Insp. Date Final Insp. Date Approval for Permit �� MINIMUM FEE FOR ANY HEATING PERMIT IS 515.00� PLUS $.50 STATE SURCHARGE •Air Conditioners can not be Qlaced in side ysrd withouk vritten permfssion frao adjoining neighbor. S � $ .50 ��,�J S Job Address (p� `'7� ,� �,{Jr�}Q � � Department of Suildingg, 6431 University Ave. N.E., Fridley. MN 55432 City of Fridley Tel. M571-3450 The undersigned hereby makes application for a pexmit for tha work herei�n specified agreeinq to do all work in strict accordance with the City Codes and rulings of the Department of Buildinga, and hereby declarea that all the facts and representations stated in this applicatio� are true and correat. Fridley, Minn. � , 19_ OWNER �IC� / "�' / / J KIND OF USED AS To eE co ESTIMAT£D C�T 1 � %t� OLD - NEW BUILDING PERMIT NO. PERMIT NO. � DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water Waxm A- No. • m Trade Name �` S1ze No. �� Capacity Sq. Ft. BDR BTU P 1bta1 Connected Load Kind of Fuel �� K� BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU NF (bmpany � � Siqned By Tel. No. � /� —T Fill out back side for stack verification on replacement furnacos CHIMNEY AN� STACK VERIFICATION The undersigned hereby verifies that the exis ting chimney or s tack; 1. Has been carefully examined Yes (� 2. Is free from rust or deterioration Yes (y,i 3. Has no foreign objects lodged within Yes O 4. Is securely supported Yes (� 5. Meets all current Code requirements for size and total BTU connected �,}� 7b600 6. Has Total hea ting BTU's of All other BTU's (,U�� U TOTAL D D O d � Rema rk s � C,@� �--...%��C�,l� No ( ) No ( ) No (�C,j No ( ) Yes (}(� No ( ) Com pa ny Signed B Da te SuB�ECt � � f�o. c�ty of Fr�a�ey 2 � s � ,, AT THE T��:��4 BU ILDING PERMI ,� . � � COMMUNITV OEVELOPMENT OIV. �� ' j a: --_._ , r � � PROTECTIVE INSPECTION SEC. l---•�,��'�' �•� CITY MALL FRIOLE� 55�32 NUMBEN pEV O�TE v�GE Oi •VPROVEO 8v i 612-571-3450 9�0-Ft5 16 98 � � 10B ADDRESS 6342 Dellwood Dr NE t IEGAI �OT NO. 5 BLOCK 1 TRACT OR AODtTION Moore Lake Highlands 3YC1 SEE ATTACMEO DESCR. SHEET 2 PROPERTY OWNEF MAIL AOORESS ZIP PMONE Leatrice Mills 55432 571-7051 3 CON7RACTOR MAII ADDRESS ZIP PMONE LICENSE NO Owner Same 4 ARCHITECT OR OESIGNER MAIL ADORESS ZIP PMONE �ICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WOFiK O NEW ❑ ADDITION � ALTERATION � REPAIR O MOVE � REMOVE 8 DESCRIBE WOFiK Reroof house & garage (22SQ) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPEOfCONST OCCUPANCVGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIHED FOR ELECTfiICAL, PLUMBING. MEATING, VENTILATING OR Alq CONDITIONING THIS PERMIT BECOMES NULI ANO VOIO IF WORK OR CONSTRUCTION ZpNING S�. fT CU FT. AUTHORIZEO IS NOT COMMENCEO WITHIN 60 DAYS. OR If CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONED fOR A PER100 OF 120 pAVS A7 ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTFEET PARKING 1 HEREBY CERTIFV THAT I HAVE FiEAD AND EXAMINED THIS APPLICATION STA��S GARAGES AND KNOW TNE SAME TO BE TRUE ANO CORRECi. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMP�IED � I� HHS . OO �. 94 WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqM1T fEE . SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ��y�� Fire SC �I.HB STRUCTION OR TME PERfORMANCE OF CONSTRUCTION P�AN CHECK fEE TO L FEE $62.32 Si�NATU FCON�PACTOQOQOUTM ai2ED4GENt ,,, iD�rEi N O VA�10 T THIS IS F PEpMIT+�� 1 .�.�/��/} � • ' � /�-./� V ATU O N iitOWNEpBU4DERi �OATEi BLO �h50 �+��E NEW ADDN ALTER [] [] Ll ConstructionAddress: Legal Description: Owner Name & Address: Contract� Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � . �.o,,, � Effective 1/1/98 � n�j` � �' ` �� ' � Tel. # �%� `7 � �� ENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # , li � I .� � �� , ._ LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: -� �� S - �� -C1 � Construction Type: Estimated Cost: $ / U�S (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: /- f�l 9� APPLICANT: � � - � Tel. # ��7/— %aJr� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee 5ewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ �9. .S 0 Fee Schedule on Reverse Side $ / pj��,' .001 of Permit Valuation (1/lOth%) $ $.50/$1,000 Valuation $ $1000 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] �� $ �� . » sue�ec* P City of Fridley 3 0 3 8 7 AT TNE TOP Of TNE TWINS g � I L D I N G P E R M i T r � . � � . � ; y __�� COMMUNITY OEVELOPM�NT DIV. � �� r � � PqOTECTIVE INSPECTION SEC. � � . � � �"'1 � CITY HALL FRIOLE� SSIa2 NuMBEP pEV O�rE P�GE OF �bnnOVEO Br �'""�"� �'' 612-571-3450 9t0-Ft5 10/I2/99 / / J08 ADDRESS 6342 Dellwood Drive NE t LEGAL �OT NO. BLOCK THACT OR ADOITION SEE ATTACHEO DESCR. S 1 Moore Lake Hi hlands 3TCl SNEET 2 Pi;OPERTY OWNEfi MAIL AOORESS ZIP PHONE Leatrice Mills 571-7051 3 CONTRACTOR MAIL AODRESS ZIP PHONE UCENSE NO Trrin Cit Exteriors Co Inc 9060 Zacha - 1 AqCHITECT OR OESIGNER MAIL ADORESS ZIP PHONE UCENSE NO. 5 ENGINEER MAII ADORESS ZIP PHONE UCENSE NO 6 USE OF BUILOING Residential 7 CIASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WOFiK Reside house and garage 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. Permit inspection Cards Wili Be Mailed To Homeowner To Po�t TYPEOFCONST. OCCUPANCVGROUP OCCUPANCvLOAp SEPARATE PERMITS ARE REQUIREO fOR ELECTRICAL, P�UMBING, MEATING. VENTILATING OFi AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK Op CONSTRUCTION ZONING SO. fT CU FT AUTHOR12E0 �S NOT COMMENCED WITHIN 60 OAYS. Oii IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONEO FOR A PER100 Of 120 DAYS A7 ANV TIME AfTER WORK IS COMMENCED. NO DWLG. UNI7S OFfSTFEET PARKING I HEFiEBY CERTIFV TMAT I MAVE READ AND EXAMINEO THIS APPLICATION STA�LS GARAGES ANO KNOW THE SAME TO BE TRUE ANO CORRECi. ALL PROVISIONS OF LAWS VA�UATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE GOMPUEU WiTH WMETHEfi SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT �SOOO �Z..SO OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER S7ATE Op LOCAL LAW REGULA7ING CON- STRUCTION OR TME PERfORMANCE OF CONSTt;UCT10N �ZI.1.25 Fire C�S.00 P�AN CMECK FEE TOTA F E Licen C 5.00 .75 S�GN�fUAE O� CON'�7ACTOA OQ �UTHOQ�2E0 �GENt �O�TE� NE PR P ALIO E HIS IS VQUFl PEQ IT � ! � S�GN4TU�7E O� OWNEp��F OWNEABU��DE:ii iD�iEi � �0 iN o� � r�nrE N��' ' ' ADDN ALTER [] [] [) ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1 / 1 /99 ,�1 � . 1V\ � � Owner Name & Address: � j��cG" �'!L/.�� Tel. #_ S�f - 2d S% Contractor: T4uIN CITY EXTERIO1tS CO., INC. MNLICENSE# 2535 Address: 9060 ZACHARY LANE N MAPLE GROVE, MN 55369 Tel. # 612-425-4737 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. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height HgVGround Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: ��,' Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: /p/ S Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL ., �►i�. �� ' ' ' � � I/71��% . . . . �!l/"/ri i �� CITY USE ONLY $ Fee Schedule on Reverse Side $_ , � �p .001 of Permit Valuation (1/lOth%) $ �, ,�Q $.50/$1,000 Valuation $ $1050 per SAC Unit $ � pQ $5 .00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ � � STIPULATIONS: �� /� / 9l� Building �nspections 763-572-3604 Da� o`'� - � ! - t� 6 SITE ADDFESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: ' ' �° Received By: Date Rec'd: ..� a� jv YOUR E-MAIL ADDRESS >L!/LUV �2 � OWNER .�1CONTRACTOR NAME: �-/1-T/zt c.-c.� /!1 / % �5 ADDRESS: � 3 y 2 �L /l�'�' D r CITY �n� D L�'` `7 STATEJZIP, PHONE: �(!�?� " J�� /-- rJDS, CONTRACTOR I N�E: (�vF vc: SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE : STATE LICENSE # 9�U %� EXP DATE ADDRESS:,l9 Fi? I � �� ~ CITY/��/�`lo�eGtS STA"T'�.�L1P� PHONE (0 IoZ -`�7�-aas 3 F,� 7(� -�f�— �a8" ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES ❑ ADDITION ❑ GARAGFJSHED ❑ WINDOWS ❑ BASEMENT FINISH �ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: I � ❑ ATR ❑ DESCRIBE WORK BEING DONE: I�L lu'G ��T�`1''�'2 0�'e SIZE OF IIvIPROVEMENT_ KVVl�ll�b NUMBER OF SQUARES � S GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS T1V EXISTING OPENINGS �Yes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & `rvvn nF WINDOW TO BE INSTALLED LENGTH WIDTH HEIGHT 7 HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit O Trim ❑ Fascia LOCATION OF WINDOWS OF WINDOWS Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structura] members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existin� structures and proposed project. 2. Two sets of construcrion plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATEKIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION � sF1`�� OCCUPANCY TYPE Pemut Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due �.�'� % �� . � �i — _�' � _ ��» See Back Page for Fee Schedule 65% of Building Pemvt Fee .001 times the total job valuation .0005 x Pemut Valuation Minimum $.50 $5.00 (State Licensed Residenrial Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Deternuned by Engineering Agreement necessary ( ) Non Necessary ( Make checks payable to: City of Fridley TION FOR A PERMIT-NOT VALID UNTIL PROCESSED Attach Stipulations / 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 work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all ork which re es review and approval of plans. / SIGNATURE OF APPLICAN� �--� `" PRINT NAME -%�''� v �� /`-' �'�"�'� DATE �� a�^ U l� Building ��q 2- MECHANICAL Permit No.: - �� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLE�' D��'� - � DATE 0�.� d� YOUR E-MAIL AD RESS SITEADDRESS �Q��-1a, °'1��--�7� ��L. THIS APPLICANT IS: ❑ OWNER �]CONTRACTOR PROPERTY NAME: �Q C�:. � �� e r(`� ►� I OWNER/ aDDxESS: lQ�3L1 � �i1w��c� �e ci� �r � 1(-e.� r sTa,�YUll�ir E�3� TENANT PHONE: '� l.o �~ �� I- �I C� S 1 CONTRACTOR COMPANY NAME: CEDITERPOINT ENERGY SL3BMIT A COPY OF CONTACT PERSON: JOANN Z INREN YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH a�D�ss: 9320 EVERGREEN BLVD STE HITY �C�l��RAPIDS sTn�MN zir55433 APPLICATION pHONE 763 - 757 "- 6'2O2 FAX 763--757--6701 PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW �i2EPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK Z�s�-��,, �(�- � r or�d i � Olrl{�i' 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) + , . h Equipment Installed MFG: �1�, l.rd MODEL: 1�1.�'t �l- �-� SIZFJBTU MFG: MODEL: SIZEBTU MFG: MODEL: , SIZEBTU �A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRII.L $10.00 BOII,ER $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 — . ,.. , . ,_, _ �,� — — _.� - . y., vy �...:. � .. .�. x i >, . . ., ,� _y , ,.,. . ; , , , .. , ., . . � . �i.� :. �.., .:..�,.. �.� _i . . . . - v� ', . , . ._.i .,.ax .., ' � .��.� ; .. _. � e n,. �. . . .. � ... Permit Fee $ . Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DLTE $ Number of fixtures @ $25.00 � x $25.00 = $ �..5 , -- Number of fiatures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ �S, O 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 work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT , Z"$ �� ° � T xntv¢ ROGER HOFFHEIN DATE � 27 d � n . � ,� _ � .. x �:�.��'L�`A� �` � �, �. .��.'�;.�w. � .:: ��, ��i ,� '��: .., '` �� 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/ADDITIONS `�EXISTING HOME ❑ MAKE-UP AIR / REQUIRED FOR NEW/EXISTING HOMES 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.