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AF - 42994City of Fridley, Minn.. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: _.._...Ilec�mb.exY2.fi.,.._.7.�72._.. Owner: _?�.rrel_A._Farr Dev_elopment Co.W^ Builder _ Same Address _...59_O1 .Brooklyn_Bnulevard_ _ ___ _ , Address ___.Same � �� 11879 LOCATION OF BUILDING No. .----55..7..$ .............. Street -----�ast...�.av_a�ian_Pas_s__.�`t...�..�____._..� Part of Lot Lot ..--.-------1-------.._�.__. Biock _-.-.-----.--14---.._-------.--•---------.------- Addition or Sub-Division _.�1]:AS.bX3d.Gk,....lYQ.LtYLT�H.__��.Aild�ion Corner Lot ---------------•-----...---. Inside Lot ._.__.._X._.........__.-•------. Setback _..__.._..�..._.__.�._ Sideyard Sewer Elevation ....._.__..__.-----•----------------..__.__---------••-------------......_ Foundation Elevation DESCRIPTION OF BUILDING To be Usea as: 1200' '�ownhou:s e------------.._.._ Front __24' _ DePth __24'.._ Height __ 2C�.'__ Sq. Ft. � Ctl. Ft �.5� 600 � Gara.,ge._------_.._._._._.._..__.... Front 10 . 5' Depth _?? �__._ Height ._ 10_�..._.. Sq. F� 231' Cu. F� 2_... 310 � Type af Construction Wood__ $rame_�____r Est. Cost .�._�20 O10 ____.__.._._ To be Completed 1 ye,�� Stipulations : � �� b • � ' In consideration of the issuance to me of a permit to construct the building described the proposed work in accordance with the description abov� �se�-�th and in compliance ' prdinancea of the city of Fridley. ' ) � 10.01 StaYe Surcha I agree to do provIsiona � In consideration of the payment of a fee of $_._38..�00 ___, permit is hereby granted to Darrel A. �arr Dev. .._.__......_._._._._.._._.._ ..........................:...._., to construct the building or additian as described above. This permit is granted upou the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all Work done in, around and upon said building, or any part thereof, shall conform in all respects•to the ordinanCes oi �'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings vyithin the city limits and this permit may be revoked at_an� time upon violation of any of the provIsions of said o7rdinances. - " �__ ___._� / i i i�I �1 Buiia�ns Inspector NOTICE: This psrmit does not cover fhe consfruction, installafion fo� wiring, plumbing� gas heating, sswer or water. Be sur� to sN fhe Building Inspeetor for sepawte permifs for theae items. . i i\PPLICATION FOR RESIDENTIAL, AL��RAI'ION, OR AllllITIO�v BUILDING P��SIT CITY OF FRIDLEY, P-iINNESOT� o�r��'s ria.�:��t-rr/ �'i?Fc�rN /.7�►v./,,�. �o. Bu�Ln�: Sa� e r�DD�SS : cS90/ .de'ook/yea ,tjlual. AD�R�SS : S Gt we G NO :. S•r 7 8 S TREET : .�Q.s � �Q l/Q'i-�i st h�iL S S IA�: % BI.DCK: �� ADDITIfl2d:.��ofd6p-a�tAi /i%r�%�i 7'.'�15%. ,,3~d�{t�e%i��oM Cfl�,.'*Tr'_�2 L�T : INS ID.� I,OT : l� SETBa�CK : SI D�1'A.�tD s^y„_,�,T Ap�? ii.3Zlt c3�t3C�1 to this fos� 3�ro C�itificate� of Su�r�v of Lo� and pro�osed builc�ing loca�ion drawn on gh�� Ce�tifica��s. DESCRIPTION OF BUILDING �o �� U��d A�: �,�+,vr %c�u.r�. r �yt' n� �,i � v � � Fron_: .Z ..,_pth: .Z H�a.�ht: �2l0 f.2OO Squaza �'�e�: G�O Cubic �'�at; /-S'. raOQ ia�►��9� ' Fxont: /�.S'� ��pth: .�•� � Hzight; /O � Squa�e �'e�i; .2�/ Cubic �'�2�t: .2•�/ta i'�,�p� of �onstruc�ion: l.C%O±D� /�J"s,9�� s�i�a��d ��a�: $ ,�lo�/��0.00 , . �a B� �ompl`��ed: %�I� 7.3 �n� undersi��d 3-i�z�by zr;�'�c�� a�plica�irm fox a p4�xait �o� �hs wo��C her°;�r# so�cifi�d, �gr�aing �to �o �11 �aoY:t in a�-�i�t ��co��:anc$ wi� �,� Ci�y 4� :rridl;:� ��r.a.nc�s and ral�s-�� o� �}�� L'��a��ent oA �ulld_i��, �nd �Qx��y d; cia�� i�at ail gi�� fac�� ana z�pr,s��nt��ions sta��d ir. ��i3 ap�l�,ca��.�n »Y� �xu� and cozrQc�. i �T�: ...�..t�..' �.`-' %Z S3fixiAi�.3�i: e (S�� ?��r�e 5id� �ox �.�.dit:icna'! �nio:ru.at�.on.j n . r ? � City of Fridley r 4� TqE TOP 0� TME TMi1Ni , i` , r rL-------, GONw�NITY pEVELO/MENT OIV, � � M10'rECTtVR wM►�CTIpry OpT, �l� i �.__ ; ptv MA�� sR�O�RY �MN� i..�...1`.� �..1 N�-��O-3N0 Job Address � �5 ?� f�� Contractor�� Kind of Building Comp etion Date I � I W I I i i �I I � I ! � J � i W � G � il W ; i .'___ __' �~ � < I �"�, ; I < `, ; � � I I � � �� a�NVa � � ; II �o i G 6Y'J I I i � � '�^. � � I � 'lddYl � � ��i O iY0 �\� i � � � � ' � �,s;wl � � � ' I� � '— I � I i •sao� { ' � �I i •MNiva i— � n � d SNISVBI I I �� I H�ir� � � I I � I� O w ��w SNrvaol �I I I I O. 0 � doo�� ,0 •v I saaMOHg I I � �iO� I 1 1 1 I � b •iNnodl I I I I ad a � �N�aa I � p� s�vat q.: NsvM` I I I I CL A Z �HN�SI I� I I � sNisvt sant luvo �vNwn I � � I I � I' � Y71YM 1 � I I I I• I ffi � � � � � � � li i iW �ECr PLUM�I�r, PERf1IT ,QPPLIC�TI,�►� 1 1 ress Phone ess se /v � �o �q � �� l�;scima�ea c:ost Plumbing Fixture Rates: N0. RATE TOTAL Number Fixtures /U x$2.00 0?$ p.0 ( Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 —�— Catch Bastn x $3.25 Water Heater-99,000 BTU f x$3.00 �-U C� Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fitting Faes: 1st 3 Fixtures / x$2.00 �-d d Additional Fixtures x $ .75 Gas Range-199,000 BTU x $5.00 Repairs & Alterations See I� Description; Code IState Surchart�e .50 i I TOTAL FEE $ o?�: S� � �The undersigned hereby makes application for a permit �for the work herein specified, agreeing to do all work in strict accordance with the City Qrdinances and rulin of the Department Qf Buildings, and hereby declare that a1l�the facts and representations stated in this application are true and correct. , _ . -ti-�-, --�� -- , .� _ � �- ��'�� t . /�pp�licat�o� l�Or fowsr Ma�ls and H�o1�q� Cooling, Y�nh'lotion. R�/dgw+otioa a�d A� Conditi4ning S�ns aid D�vic� PA�.TfAL R�4TE SGHEDULE Q�� : �� • llanace �tI dr Ife:et Re�rlc . . . :IA.AQ � Reptacement of F�snace 6.00 � Repairs � Alterations--np to =50Q.00 6.00 S_ __ -- Repsirs k Alteratlons each add. f500.OQ . 3 W �--_ . _. __ !flX:ii. W1111�[ Jult �lunace SI�eI� � D�rt Work to 2l0,000 BTU e�e1t add. AO.00Q B'[V . . . . . . . . Replaneneat of 1R�rriace Rrpairs dc Alterationa�-up to �.00 itep�i:s d� Altetations each add. =500.00 . �20 00 =.— / 0 WI 3.W t 6.00 ! 8.00 �_ 3.00 :---. _ — 3TEAll � HOT WJITEA SYSTEY Furnace She2T & Lines---to 400 sq. !t. F.DR Steam 510.�J0 �.__- -- _.- �rnace Shc�ti d: Lane--to 640 sq. ft. EDR Fiot Water I0.00 S- -- -_-__ __ Each add. a00 aq. tt. EDR Steam �.00 =_ _,__ Each add. 320 sq. ft. EDR Hot Water 3.00 =__�_____ QII. SIIRNER—to 3 gal per hour 6.0� 5.------- aver 3 ga1. per hour�ee a'ee Schedule _ G118 aURlf�B �up to 199,OOQ BTLi) 6.00 = _5'; �Y/ o�+er 199,000 BT[I S�e FM Selwdu�l� GAS �ITTitiC FEi�: IIa RATE T07AL Ist 3 flxtuses _____ x� 20U S-__-� _°`� Add'etianai Ti� —. x .7a f-- -- Gas Ran�e to 398,00� :i 6.flQ : � �IlF Q T1tIE � iTS'�'�! ��Qr � u.�eatfa�cs t �r�►nrs RO� � �-�- �� r F� � �� l�. ov� O� Toru. rs� � � �'. _"� �� a�. � e�aa.. r�.a.+. �ea-�n LO�. �7 ') �z� � (� �_-� il ` o�l � /'-i ,Q� ` City � riridley: The undersigned hereby makes application for a permit for the work t�erei� spec�fied, agreeing to do ali work in strict accordanc� with the City Ordivancer and ruling of the DepartmFnt of Buildings, and hereby detlues that aII tht fac!€ and represr_ntatiuns stated in this apglicatioa ere ttue and cortect. F�idley, Mian__�._ _ _ ________�,14 � O`�`oer -- ��-��L�- �`-� n .t/ fY .p�1- Kind oi Building ___ ��,��, _ _ Usea 8a _ _ _ (�L�i4i'-'��.4.:.�'�S'-. _. � _ / To be completed about _ _ __ ___. _.___ _ Estimated (`act, S ___ __ - ---. ----..- --- Uld— ew Building Permit No. __ P�rmit No. � UJ� DE'/CNPTIOl� OF 1�I011E HEATING or PpWL�ii PL.ANTg.�gteam. gat W�ter� Warm Air—No --� ✓ T7�ade Name g� � - Capacity`:I--�-lL1�--- S9. �'C. F.D.R BTU H.F Total Connected I.o�d 1[iad ot !Le BURNER — Trade Name 3ize 1�Ip GD�tY 89. �'R E.DA BTU SF �.a.,��, � j _ /. � �1i � /� i/i.i�< _ � . _ , .,- ..,.� . �--�----- , _ � SUBJECT P,6rR1Vl `T NO. °_ -� R City of Fridley �" �� 2 2 3 6 9 � AT THE TOP OF THE TWINS B U I L D I N G P E R M I T � i � RECEIPT NO. � � � COMMUNITY DEVELOPMENT DIV. � `, ' j ti -'-�� ' r � � PROTECTIVE INSPECTION SEC. U ' i ' � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. OATE PAGE OF APPROVED BV �_.__�: `.' 612-571-3450 9t0-F15 3/28/94 � � JOB ADDRESS 5578 East Bavarian Pass NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO oescR. 15 Innsbruck North Townhouse 3rd SHEET 2 PROPERTYOWNEF MAlL ADORESS 21P PHONE 3 CON7RACTOR MAIL ADORESS ZIP PHONE LICENSE NO. Dicks Fire & Storm 864 19 Ave SE Minnea o" - 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential Garaa e 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Gara e Tear-off and insta 1 utters 9 CHANGEQFUSEFROM TO STIPULATIONS TYPEOfCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARA7E PEAMI7S AFiE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PFOVISIONS OF LAWS VALUATION SUF7AX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �SOH �.SO DOES IV07 PRESUME TO GIVE AUTHOAITY TO VIOLATE OR CANCEL THE pEpM17 FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR I.00AL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � 17 . OO Fire SC �. S 1 PLAN CHECKFEE TOTALFEE License SC $5.00 $23.01 $IGNATURE OF CON'RACTOR OR AUTHORIZEO AGENT IDATEI yy OPERLY VALIDATED THIS IS YOUR PERMIT i ` - SiGNATUREOFOWNEAI�FOWNERBUILDEAI IDATEI BLDG �NSP �1FTE tvEw 11 ADDN (� ALTER ( � Construction Address C.ega( Description: Owner Name & Address: CITY OF FRIDLEY SiNGi.E FAMILY AND DUPLEXES R-1 AND R-Z Building Permit Application 5578 - East Bavarian Pass COntraCtor: Dicks Fire and Storm Tel. # Effective 1 / 1 /94 ��03 % MN LICENSE # 2 4 81 Address: 864 - 19th AVe S E, Mpls. , Mn 55414 Tel. # 7R1 ��,i 70 Attach to this application, a Cerrificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Remove and replace �arage roofing Instal_1 g�� G. Comer Lot [] Inside Lot [) Ft. Yd Setback Side Yard Setbacks Type Of COnst[uCtioII: R o o f i n g/ g u t t e r s _ Estimated COSt: $ 5 0 8 0 0 __ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ DATE: 3/ 2 8/ 9 4 APPLICANT: D i c k s F i r e a n d S t o r m Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escr�w Erosion Conbrol Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $ $ $ $ � $ $ $ $ CITY USE ONLY _$ _ Tel. # 781-6170 , Fee Schedule on Reverse Side .001 of Pern►it Valuation (1llOth%) $.50/$1,000 Valuation $800 per SAC Unit $S.QO (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450_OQ Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] sue�ecr F City of Fridley � � � �2 AT THE TOP OF THE TWINS BU I L D I N C� 1jP� R M I T r � . , � AECEIPT NO. � COMMUNITY DEVELOPMENT OIV. ' j Y' — � l r � � PROTECTIVE INSPECTION SEC. �(J� 1 � _ � ' /��1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE UF APPROVEO BY �----�' �'' 612-571-3450 9t0-Ft5 g/1194 f / JOB ADDRESS 5578 East Bavarian Pass NE t LEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. 1 14 Innsbruek North Townhouse 3rd Addn sHeer 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE 3 CONTqACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Tabor & Sons Inc 3716 St Francis Blvd., Anoka MN 55303 789-1902 2001G248 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDfiESS Z�P PHONE LICENSE NO 6 USE OF BUILDING Residential Townhosue 7 GLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION p REPAIR ❑ MOVE � REMOVE 1L 8 OESCRIBE WORK Roofing Re airs 9 CHANGEOFUSEFROM TO STIPULATIONS TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PEFMITS ARE REOUIRED FOfi ELECTRICAL, PLUMBING, HEATiNG, VENTILATING OR AIR CONDITIONING. THIS PERMIT 9ECOMES NU�I. ANO VOID IF WORK OR COIVSTRUCTION ZON�NG SO. 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 ANV TIME AFTER WOqK IS COMMENCED. NO. DWLG. UN17S OFFSTAEET PARKING I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFiTAX ANO ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED WITH WHETHEA SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �7�F2 �.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEI THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ STRUCTION OR �HE PERFORMANCE OF CONSTRUCTION. �IS.00 Fire SC �p.%4 PLAN CHECK FEE TOTAL FEE G�.�� .�1i °/-°l -`1�5� License SC 5.00 21.24 s�GNATUa O CON"RACIORORAUTMOA�ZED/GENT ionrEi WHEN PAOPERLY LIDATED THIS IS YOUR PERMIT i �� S�GNATURE OF OWNEA ��F OWNEA BU�LDERi 10ATE1 BlD �NSP fI4TE NEW ADDN ALTER 1i [l �l CITY OF FRIDLEY SIIYGLE FAMILY AND DtJPLEXES R-1 AND R-2 Building Permit Application COI1stivCtiqnAddreSS: 5578 - East.Bavarian Pass, Fridley � Legal Descriptiori: Effective 1 I � /94 ��i Sr v / � Owner Name �. Address: � Tel. # CotltraCtor: Tabor and Sons, <Inc . � MN LICENSE # Pending Address: 3.716. - St, Francis Blvd., Anoka 55303 Te1. #. .789-1902 Attach to this appiication, a Certificate of Survey of the lot, with the proposed constructian drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: I.ength Length Length DESCRIPTiON OF IMPItOVEMENT Width Height Width Height Width Hgt{Ground Sq. Ft. _ Sq. Ft. _ Sq. Ft. Corner Lot (] inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Consfruction: R o o f i n g r e p a i r s Esdmated Cost: $ 7 4 2. 0 0 Approx. Completion Date: (Cost on Back) Driveway Cwb Cut Width Needed: Ft. + 6 Ft = Ft x$ DATE: 9/ l/ 9 4 APPLICANT: T a b o r a n d S o n s, I n c. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: �ITY jISE ONLY _$ Tel. # 789-1902 $ �� . C%C� Fee Schedule on Reverse Side � $ � '%`� .�t11 of Permit Vatuation (1 / lOth %) $ , 5��' $.50/$1,000 Valuation $ $800 per SAC Unit $ �� C� C� $5.00 {State Licensed Residential Contractors) $ Ait. "A" or Alt. "B" Above $ $450.00 Conservation Ptan Review $ Fee Determinecl hy Engineering $ Agreement Necessary [ J Not Nece�sary O $ ��.� �, � �� . gr�..�� sue�Etr PERMI c�ty of Fridley 30681 Af TME TOP OF TME TWINS g � I L D I N G P E R M I T r � . . � � COMMUNITY OEVEIOPMENT DIV. n +� � �v ' _ �l0( f ; � � �� PROTECTIVE 1NSPECTION SEC. � . , � i �"'1 � CITY MALI fRIDLE� 53��2 NuMBER pEV D�Tf v�GE O� AV►ROVEC !� �""'�� '' 612-571-3450 910-F15 2/24/00 / / �oe �ooaess 5576-i��580=5582 East Bavarian Pass NE 1 LEGAI LOT NO. BLOCK TRACT Oii ADOITION SEE ATTACNED oescR. 1,2,3,4 14 Innsbruck North Townhouse 3rd Addn SFIEET 2 PROPERTYOWNER MAILADORES$ ZIP PHONE Various J CONTqAC70R MAIL ADORESS ZIP PHONE LICENSE NO North Central Builders Inc 7401 42 Ave N, New Hope, MN 55427 533-6168 3763 1 ARCHITECT OR DESIGNER MAIL ADORESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS , 21P PHONE LICENSE NO 8 USE OF BUILDING ' 4 Unit Townhouse Building � • CLASS OF WORK p NEW O ADDITION O ALTERATION C� REPAIR O MOVE D REMOVE � 8 OESCRIBE WORK Reside Townhouse Building 9 CHANGE OF USE FROM TO STIPU�ATIONS Call for building wrap before covering. TYPEOfCONST. OCCUPANCVGROUP OCCUPANCV�OAO SEPAiiATE PERMI7S ApE iiEOUIREO FOR ELECTRICAL, PWMBING, HEATING, VEN71lATING OR AIR CONOITIONING. TNIS PEfiMIT BECOMES NUIt AND VOID 1f WORK OR CONSTAUCTION ZpNING SO. f7 CU. FT. AUTHORIZED IS NOT COMMENCEO W�THIN 60 DAYS. Oii IF CONSTRUCTION OR WORK �S SUSPENOEO OR ABANDONE� fOR A PERI00 OF 120 OAVS A7 ANY TIME AF7ER WORK IS COMMENCED. NO DWIG. UNI75 OffSTREET PARNING 1 MEREBY CERTIFV THAT 1 HAVE REAO ANO EXAMINEO THIS APPLICATION 4 STA4LS GARAGES ANO KNOW TME SAME TO BE 7RUE ANO CORflECT. ALl PROVISIONS OF LAWS y��UpTION SURTA7f AND OiiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED WITM WNETMEA SPECIf1E0 MEiiE1N OR NOT. TNE GRANTING OF A PEiiMiT �18�79� $9.�FO DOES NOT PRESUME TO GIVE AUTHOAITV TO VIOLATE OR CANCEI TNE pEqMIT FEE SAC CNARGE PROVISIONS OF ANY OTMEfi STATE Op LOCAL LAW flEGULATING CON• $3O%.ZS Fi E SC �I.H.HO STRUCTION OP THE PEp i;MANCE Of CONSTiiUCTION P�AN CMECK FEE T L FEE � 7 � Licens C $ . 0 $340.45 S�GN�TVAEO�CO A(;TOpOp• NOp�1E0�GENr iO�tE� H P LV VA ED THIS IS VOUR PERMIi l,J �-�v``"-�"� $�GN�IUAE O� ONiNEp�� O�NNEpBWLDEpi iOATE� OG �NSo � r�irE Building Inspections 763-572-3604 DATE V : SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WITH APPLICATION PERMIT TYPE � 11'/ � 9[Ij,11��'L�] �� MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E- AIL ADDRESS ) �J�(r� �a� OWNER ❑CONTRACTOR NAME: I l.J Y ) ADDRESS: �c.�j�I � � - /�"Q�X7 �� nunrrF• � D�� — Zz,v- .� ��"I / COMPANY NAME: CONTACT PERSON: STATE LICENSE # ADDRESS: PHONE ❑ SINGLE FAMILY ❑ TWO FAMILY ❑ NEW �REPLACEMENT DETAILED DESCRIPTION OF WORK EXP DATE CITY FAX �TOWNHOUSE ❑ ALTERATION/REMODEL Permit No.: - �/I Received By: �'� �$� � - �I�A Hn� � r-c� STA A1'E ZIP 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 �3G0 $� . G. Labor cost between $30U to $500 = cost of iabor x.OS = FOR PROJECTS WHERE L CEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXNRES: (INDICATE TOTAL NUMBER OF EACH BELOW) �'l Equipment Installed ��G MFG: �WYI L�� 3 �.e�MODEL: � SIZEBTU �..{-� ��MFG: .F� MODEL: ri{� (% f� SIZEBTU— 1 MFG: MODEL: �T SIZEBTU i�A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 �FURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER $]0.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 Permit Fee Surcharge TOTAL DUE I hereby apply for a building conformance with the ordinas not a permit but only an ppl. approved plan in the cas�of a SIGNANRE OF UNDER $540 PERNIIT FEE FOR PRQJECTS OVER $500 $ �. Number of fixtures @ $10.00 x $10.00 = $ $ .50 Number of fxtures @ $15.00 x $15.00 = $ $ �� -� Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Tota1= $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED and a knowledge that the information above is complete and accurate; that the work will be in d co es f the City of Fridley and with the Minnesota Construction Codes; that I understand this is for pe it and work is not to start without a permit; that the work will be in accordance with the h h equires review and approval of pl s. PRINT NAME ATE � V City of Fridley ; Inspections Department ry Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-3604 DATE SITE ADDRESS THIS APPLICANT IS: PROPERTY NAME: OWNER/ pDDRE; TENANT PHONE: CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WiTH APPL[CATION PERMIT TYPE TYPE OF WORK: PLUMBING Perm�t rto.: -D RESIDENTIAL APPLICATION Received By: CITY OF FRIDLEY B�'�e�'�L — � NAME: STATE LICENSE #_ ADDRESS: PHONE ❑ SINGLE FAMILY O NEW DETAILED DESCRiPTION OF WORK YOUR E-MAIL A OCONTRACTOR FAX ❑ TWO FAMILY EXP DATE CIT'Y STATE ZIP. 1�'REPLACEMENT / �TOWNHOUSE 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,fxture,,.excluding the fixtures. (This should reflect only the cost of fabor ) Labor cost under $300 = 1. 0. abor 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) BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS P[P[NG �n+F.Enct�rt.tcsNSS) SWIMMING POOL WATER SOFTNER ($35) CLOTHES WASHER K(TCHEN SINK WATER CLOSET BACKFLOW PREV. ($IS) _ DISHWASHER _ LAUNDRY TRAY ,�WATER HEATER ($35) FOR IRRIGA770N WATER METER OTHER Permit Fee TOTAL DUE $ ?�-s ., $ 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 = $ .50 Total = � THIS IS AN APPLICATION FOR A PERMIT-NOT VALtD UNTIL PROCESSED I hereby apply for a building p it and a knowledge that the information above is complete and accurate; that the work will be in conformance with the ordinanc s d co es f the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an appii tio for pe it and work is not to start without a permit; that the work will be in accordance with the approved plan in the cas of aii w h h equires review and approval of pl s. ��. SIGNATURE OF APPLICA PRINT NAME ,�3z��ATE City of Fridley ing Inspections Department ;rsity Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 L