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AF - 36469� City of Fridley j � Apptication for P'lumbing and Gas Pitting Permit Dept. of Bldga. Phone 560-3450 DESCRIPTION OF WORK � :' /-� Number, Kind and Lxation of Fixiures Locetion Gr �� ( 1 S O�—+.v f Z =� � �iZ 2} Z Z W � ` N Y ~ 3� � �� � v=-i 3� o� Base lst 2nd � �� �� �� 3rd �4th _ ` • Futurs Conaection Openings * New Fixture, Old Openiags u p Z = � Z 3 Oa� �'� O� �a �< 7a N LLo sm <3 �< �� �o Z n ti PARTIAL RATE SCHEDULE WATER NTR. • • i N GAS ELEC. Sewes � Cesspool j-j PLIIM$ING FIXTURE RATE3: NO. RATE TOTAi. Number Fixtures . . . . . . . . . . . . . . . . . . . . . ____L� x $2.00 $ •?� d!G Future Fixture Opening . . . . . . . . . . . . . . . . ��_ x $1.50 g 3�d b New Fixture Old Opening . . . . . . . . . . . . . x $1.50 $ Catch Basin . . . . . x $3.25 $ Water Heater (Up to 99,000 BTiT) ...... x$3.00 $ 3• v U New Ground Run Old Bldg. . . . . . . . . . . . . Electric Water Hsater . GAS FITTING FEES: lst 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU . . . . . . . . .. . .. . REPAIRS & ALTERATIONS—Rafer to Code — x $3.25 $ _ _ $2.00 $ NO. RATE TOTAL —x�2.00 $ 2.vU _x$.75 $ — x $5.00 � City of F`ridley: The undersigned hereby makes application for a germit 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. � c8 , 19_ Owner �"L-�- Kind of Building , i / Used as To be completed about - � -/ �"' 8 Estimated Cost, $ � Old Tew. uilding Permit No. � Permit No. � Signecl �� By � Business Phune No. � ��� ROUGH � - �O l � � FINAL g'��� � a Description ................................................$ TOTAL FEE $�, r.. 06 ea • • �- - City of Fridley, Minn. BUILDING PERMIT Date: __._._.� 1:'larch 15.z.. 1968 ____...._._._....____......._ _�_> � � �// 3 �� �� 9633 Owner: _..._._John Powers_-.---__._. _._..._...__._____ Builder _........_...�i.QS1,n.e,�t....Bi1].ma.n.,.....Inc.�......._.._.._......._._.. Address....._._._-•----._....__.__.._.._..._._._.,..._..._._.._...__---.--•---•-•._...._...._._.._ Address 3 000 36 th Ave . N. E. LOCATION OF BUILDING No. .----1613.-------- Street ._.._..-----Berne _Road._...___..._..___.---.--- .... Part of Lot .-----......_...___.___._______...._. Lot _--•-••--13•--....._..._ Biock _._.._..._....---z•---.--••---•--.........._. Addition or Sub-Division ....--•----._._Innsb.,�u:c�--•,� t�.._.__......____ Corner Lot .----•----------••-•-•----- Inside Lot .._..---......---X----------........ Setback -----.._...__39 �._.....----.. Sideyard ---.._ 16 �..�-__ 15 �.._._._._.._._.�.. SewerElevation _..-.---.._.._...._962_.89._--------_....._...._......._..__..----- ---,-----._..2.�.�..�.$.9__.__�.._..__...___.�. Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwe l 1 in..g.__...__..__ F�ont _... 4�. �.._ Depth ..._� .7.. � 8�� Height -------� 8• �--- Scl. F� ...��..�T9.._.. Cu. Ft _._..�........ _ _.Gara$e ........._... . Front ••���--••----- Depth _...__24�._.. Height .._1�-�----.__ Sq. Ft. 528 .._. Cu. F� .�.z$� � Frame . Est. Cost .._......_�30a 000.. :,_.__ To be Completed _.__.�'.��... 1_,,_ 1 68 Type of Construction _..._...--•------.....__..._......_......_._.._. . .._. .� SEWER LOCA.TION - 7' West of Manhole WATER LOCSTION - Stop box 10.8' East of Sewer Service Tn consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions og ordinances of the city of Fridley. ,r'y,�,� � � ���/ $100.00 S er Connection arge Tn co¢isideration of the payment of a fee of �._..__57 .00 _���t yQ hereby granted to. Rodne� B_illman iin.c . ._._._,........_.._.._..._......._�.._......__.._.._ to construct the building or addition as described above. Thia pexmit 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 o� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bufIdinga within the city limits and this permit may be revoked a t a�y�me upon, yiolatio of of the�rovisio�s of sa�d ordinances. / I r/1 Official NOTICE: . This permN dou not eowr th� eonstruetion, insfa11N1on for wieinq, plumbtnp, �as I��aNn�, s�w�r or w�Mr. !� wn fo tN th� Buildiag Insp�o� for s�parah p�rmin fo� fh� ibms. 0 �z � � �� 6 � 2,.� .� � .�"� 2, �"�' 9 3 3� -�33�' a. � `� .� $UILDING PER►'►�CT FEE SCHEDULE � ` � __._....3 �, �� �' �3 � % � ��v SECTION 2, The Inspectox of Buildings shall, before issuing permits for the erection of any buildin� or structure, or for any addition to any existing 3� 0�� buildiag or structure, or for any alterations or reg�irs to any existing buildin 9' 0 0� or structure, upon $ppiicati,on therefore, require the payment by the applicant for such p�rmit of fees to the as�ounC herein below set forth and in the manner S% �✓F� hereiA provided to-wit: • � 2_.1: For any such permit for the erection of�any fire -proof buildtng, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for similar occupanry, to any existin��builti,�ng, shall.be at the rate.of $1.4� ior e�cl�+sqq� �h�uesnd cubic_feet, o� fr�ct� thereof, ia such cubical conEenC$: � .: , . 2.2. Por any�such permit for the erection of any fire-proof garage, _ warehouse, faetory or grain elevator, or. for the,erecEion of any fire-proof� � �dditi"on, `for eimilar occupancy, to any existing building eha11 b� at the rate -of $1.25,for each one thousand cabic feet, classified as "fireproof" by 3ectfou 502 0£ the Minneapolfs Building Code. • . HOUSES . . __._._ . 2.,;3. For any auch permit.for the erection of any non-fireproof building, other thaa a garage, warehouse, factoty or grain elevator, or any nari-fireproof addition, for similar occupancy, to any existing building permit fee $1.00 for each one thousand cubic feet. GARAGES � .,.. _. _._. ., . � 2.4:�" gor any auch�permit for.the_erection cf.any non-fireproo# gara�e, warehouse, factory or �rain;elevator, or fox the earection of any non-fire�rt�af additfoii, for-simtiar occupancy, to any �existing building or for each such building or edditiqn - ninety cents;($4:90) for eact� one thousand cubic fet�t or €ractian thereof, in the cubtcal`coa�enEs thereof with the miaimum of $4.00. For the ptir�ose' of coanputing f��s for 8uildirig, peraiits, the c�b�:cal contents of any building ar addition to a unifo�m height throughout by multiplying the:�roimci area covered�frcm a point•�six-{6) tachea be1.Qw__the floor line of the hasement or ceilar to the average height of the upper surface or to the average height of the .` �. �oof surface of the a�a�n, gable of a pitched rooE. .':; 2_ 5. For repairs or alteYations to �n' exist3ng structu�re, the fee stiall be at the rate.of $3.00.per ea�Ye Five Aundred'Dollars ($500.00),or fra�tion. thereof in the cost of aIl proposed raork. � ,�, ; _2. a6....� In no case shall the fee charged for any ger�it aa see forth;iq -SecCioa 2 be less than $4.00. ;... _ _ _ . . � �{' �� �� � ��i _ � . • �.�y . . � w ' � 0 Application to� Power Plants and Heating. Cooling. Ventilation, Refrigeration and Air Conditioning Srstems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . . .. . . . . . . . . . . $10.00 � Replacement of Furnace .. ... . .. . ....... ... . . .... . .. . 6.00 # Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 6.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . .. 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 12U,000 BT[J . . . . . . . . . . . . $10.00 $ � � ` each add. 60,000 BTIT . . ........ . .. .. . ... . . . . 3.00 ; Replacement oP Fi�rnace . . . .. . . . . . . . . . . . . . . . . .. .. . . . . 6.00 $ Repairs & Alterations—up to $500.00 ..... . ... .... . .. . 6.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 3.00 $ 3TEAM or HOT WATER SYBTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . 3.00 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 3.00 $ OIL BURIvER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . b.00 $ � � over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures ...................... x$ 20p $ Z� Additional Fixtures ................. x .75 $ Gas R,ange to 199,000 . . . . . . . . . x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL ' . See Fee Schedule TO AL FEE ��� � Dept. of Bldqs. Phone 560-3450 t Location +� ���..''1�+N 1r �� �2► C��•..ti City of Fridley: The undersigned hereby makes application for a permit for the work hereir: specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. F�idley, Minn. , 19 _ Owner ��� 1► 4:��►.. M, pi�1.� Kind of Building �t'_2�1YM�. Used as ��V��== To be completed about Estimated Cost, $ �'k � � Old—New. Building Permit No. 3 Permit No. '1` � 1` �/ DESCRIPTION OF WORK HEATING or POWER PI.ANTS�team, Hot Water, Warm Air—No. Trade Di amP ► ��.A►v t%�- Size No. ��� 3�" Capacity Sq. Ft. E.D.R. 13 Om � BTU � N� u� H P Total Connected Load �i�.�0� Kind of Eiiel ��� ��-A� � BURNER — Trade Name �N '� Size No�G"u �� �_ Capacity Sq. Ft. E.D.R BTU H.P. � $ g .O �4E � " (REMARKS-OVER) Signe /� �/� Orv+t7 By Business Phone No. �c3 �'� � � sua�ecr P E . City of Fridley � 19 3 6 � AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r ; � EIPT NO. � • COMMUNITY DEVELOPMENT DIV. r � ~ � � PRO7ECTIVE INSPECTION SEC. a � �% �� � � � l.--.�; �'��;,� CITY HALL FRIDLE� 55432 NUMBER REV. � OATE PAGE OF APPROVED BY i 612-571-3450 910-F15 3/31/88 � � JOB ADDRESS �}3�x,ne �D3C� N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCF. 13 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL AOORESS , ZIP PHONE Dr. John Pawers 1613 Berne Road N E 3 CONTRACTOR MAIL ADORESS 21P PHONE LICENSE NO. Rodne Billman Inc. 15I �ilver Lake Road New Bxi hton 633-0536 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAILADDRESS ZIP PNONE IICENSENO. 6 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW �7 AD�ITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Constxuct a 10` x 14' Deck and an 18' x I4� Porch Addition 9 CHANGEQFUSEFROM TO STIPULATIONS See notations. on plan. 3 Sea�on Poxch can not be hea.ted unless structur meets the State Energy Code. A wood stove would �e a,cceptable. Prwide smoke detectoxs in existing house, � ��-� SEPARqTE PERMITS ����� ��" ,,.;�ti�es Wf R1NG. HEA T1NG, PL REQU�RED FpR a:��$ �a11 R\G` r�'�5 �.�' U1Ul�l1�G ,qND S� �et�Q��,.��-�c� �� ��� G1VS, ��� �����0 �� SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD VENTILATING Ofi AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOtD IF WORK OF 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 OFFSTFEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORqECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,O{3DINANCES GOVERNING THtS TYPE OF WORK WILL BE COMPUED $6, 200 $3 . ZO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GHANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ROVISIONS OF ANY OTH STATE OR LOC LAW REGULATING CON- RUCTION O E PE RMA OF �ON RUCTION. $62 . SO LAN CHECKFEE TOTALFEE c� % $15. 63 $81. 23 S�GNATUREOFCON7RACTOAORA RIZEDAGENT ID fi HEN PROPERIY V I TED 7HIS IS YOtJR PERMI7 SiGNA1UREOF OWNEA��F OWNER BUILDEAi IDATEI BIDG �NSP - � q E N�y' L ] AD�ri. pLTER. � � City of Fridley ___._� R-1 AND R-2 � Building Permit Application Effective 4/1/86 Construction Address: ����� �������1� 1���� ��Z / f, �� Lega2 Description: Owner Nante & Address : sJ�' Ja��-%�� 1��'w �lz-S Tel .# Contractor • - Tel . # E' 9� ` �r� � � Address• �= L- � ^ ' .�l� � /Z l Gfoti T 4/�1 �/V%ii(//✓ Attach to this application, a Certificate of Survey of the a Si'Z lot, with the proposed construetion drawn on it to scale. DESCRIPTION OF IMPROYEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. �_ DECR AREA: Length '�I2�� Width _� Hgt/Ground �'%9 Sq. Ft. ��l/ " .:�:�,z � � Z- � � 1�o�c��a �g�8.g� � �� z�sa��.� -� Ca���� Corner Lot [ l Inside Lot [q] Ft.�Yd. Setback Side Yard Setbaek Type of Construction: �-��/f��J'r� Estimated Cost: Approx. Completion Date: �� � Alt. A Alt 8 Proposed Driveway Width If New Opening Is Desired: $ � See Baek Page for Explanation DATE: �—�1-- �� Perr�,it Fee Plan Check State Surcharge SAC Charge Park Fee Sewer riain Charge TOTAL ,�i <°�' ; /�%/� � ..�s� APPLICANT : Tel . �� �— �-�� CITY OSE ONLY $ ��� Fee Schedule on Reverse Side $ %�.�e3 25� of Building Permit Fee $ 3 �1C� �.50/$1,000 Valuation $ $ ��Q per SAC Unit � Fee Determined by Engineering � $ �,, �.-� Agreement Necessary [] Not Necessary I 7 r-y-`-'---_-- . . .' . �• � L � � � , ♦ � � �, `I�1 , � - � �...; �j� i ... • • :,.� �.� .i , �`�� `' � f� ' � � � ± .. . �d�� �.50 a�G�- ��6 3�` �� $U � BUILDING PERMIT FEE SCHEDULE The Ch�ef building Officiul shall, before issuing permits for the erection of any rt�ilding or structure, or for any addition to any existing building or strueture, or fcr any alteration or repair to any existing building or structure, upon applicatio n tY.erefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: Tota�.Valuation .vI.00 to $500.00 W501.00 to $2,000.00 Fees $10.00 (Minimum Fee is $15.00) � $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. �2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for eaeh additional a1�000 or fraction thereof, to and including $25,000. W25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for eaeh additional �1,000 or fraction thereof, to and including $50,000. W50,001.00 to $100,000.00 ��100,001.00 and up $283.00 for the first $50,000 plus $3.00 for eaeh additional $1,000 or fraction thereof, to and including $100,000. $433.00 for the first $100,000 plus $2.50 for eaeh additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) klternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13•50 l�Ztern2te "B": Reraoval and replacement of curb and gutter and install a 3 foot wide approaeh with 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been constructed will be required before proceeding with the framing. �� , J� 7 Z - / ` _ Z 3� � — __ _ __ . , , r., . � ; �, ' � : � . � - � - - , , . � �-;:.� - , _ . . ;� . _ _ . � ' .! .� . � . a ' �� : (,�itir wws�1� c�s�,�y - _ _ . � :-: - . �.. r, . . . . - � .. . � ... �� . . tt���'�q+ `�s �. �Syr. ; � �'��S'� ENGINEERIN�G� tNC. �°"° ; C"rv�; tr �.-,pd . �h,t1 ��7i66 ��� --- En ineers � Surve or�s�---- . 9 . y . . cert�i�scate o� �usve �.: R.aA. . � - - � � � ��- � . � ��'"�� �,�A � 4TF- �M,�, �`. roQ r - - , `131 3 N�Y, .�a , 9 � �'9 L p : c� . i -- •T ; . � ' �: . —_�_—�� r. � p���.GO. P/P[ �.1N[-- CAiW�i'�5�...,..+... � � — � � -- �� .��. �.�. �� ,,,r,,.. � � ' `�t' f �` � � 7 r rv , � � �y � g '3.'�/–isiS �3 tik `� � �� ti �6 ` x ��" � ' , o i. � . P\ / � � 3 . 4.� BERNE CIRCLE �EAST , ,.,-.- y � . . `,�� `° / . � '. � , �oT �3, E3toCK �, IN�S6AUGK rj�H AOO1T10�t _ � _ °��;orfs rtae�; ' ANOKA t�uMTy ..°. ,.- -- —..._ DE!.�or�9 pQI►;N�G6 �t+Ja vsf�►rY �Ai�l�£N'rS �� �!�F'+�4+�r''� �� �'�'� n � �s sd - . -. - : � � �.�, y arr�cf ��ot�on �('o � f'�t �i�ts �l'ilk �ae �str+ibd �rad,rnd . "i n.�'�'' ��'N "s'�dr er+�eorA�rs�lf ; �'�y. �nrr► .r � s�ai � As ""'�'ce�+d /�/'rk /J�a . �/ �. . , _ . . ..�., -b sua vae�vv fN�,NEERavG , avc. � � �~� �`-'� • .. ��, . , , � a- s�- � � x�:�,���',�,� .,a.>_� � - s ! 1�j f;. { + . . � ` .. -� . .. � � _. . ; --` _ �.- sue�ecT PE . City of Fridley �.� � �� _ AT THE TOP OF THE TWINS g U I L D I N G P E R M i T � � f ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � r � V '� PROTECTIVE INSPECTION SEC 3Q 1 , � ' � /'��1 � CITY HALL fRIDIEV 55432 NUMBER AEV DATE PAGE OF APPROVE� BY � ----�.' `.1 b12-571-3450 910-F15 10/13/95 / / JOB ADDRESS 1613 Berne Circle East NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO oESCR. 13 1 Innsbruck 5th Addition SHEET 2 PFOPERTY OWNER MAIL ADDRESS ZIP PHONE Catherine Powers 1613 Berne Circle East NE 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Lifespace Construction Inc 10020 Hi hview Ct Cham lin NIN 55316 427-0157 4197 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION [�. ALTERATION ❑ REPAIR O MOVE O REMOVE X 8 DESCRIBE WORK Interior alterations to 6 rooms 9 CHANGEOFUSEFROM TO STIPUTATIONS See spec sheet and plan for stipulations. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. fT. CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �35 000 �17.SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STA7E OR LOCAL LAW REGULATING corv- �439.75 Fire SC �3S.00 RUCTION OR THE PERFORMANCE Of CONSTRUCTION ��� _ PLAN CHECK FEE TOTAL FEE o � License SC $5.00 $497.25 SIGNATUAE OF CONTRACTOA OR AI/TMOAIZED AGENT iDAT � WHEN PqOPERIY UDATED THIS IS YOUR PERMIT r '^� i _ /D � I � 7 V SiGNATUAEOFOWNEAUFOWNEABU�LDERi iDATE� BIOG iNSP ��FTE NEW ADDN ALTER [l Il il CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effecdve 8/1/95 � � ConstructionAddress: /� f 3 / -2 ,.�c �.'� 2�c � �As7- �.�.�-� v ��" 55yZ � Lega1 Description: _ Owner Name & Address: / T� -,�,�.,�:, �o�.ti,� �2.� Tel. # Contractor: � � �c-S �.r� � � ��, ,U :sr l�u ��r-� c� �v ��� � MN LICENSE # �/ y 7 Address:� � i� rf J� �r„� �: T Cf-/� r'�� �v rrt� 5s � it� Tel. # �27-t�r s`7 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this applicadon, a Certificate of Survey of the lot, with the proposed construction dra.wn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT G �;�.,�5 Width Height Width Height Width Hgt/Ground i Sq. Ft. �Oo Sq. Ft. Sq. Ft. Comer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks .• Type of Construction: Gl��1µ �c � tit��s ,%�� f7�,.Estimated Cost: $-�°'� -�5 euC, Approx. Completion Date: �z�5 �/�,s (Cost on Backj Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � o �,, s�,r- APPLICANT: �"% � '' '' _ y.�.�� r�,�.G�., Tel. #�Z 7-v•s 7 Fermit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL �� �s � .�S . c�c� $ 1�.so $ $ � - C?C� $ $ $ $ $ � '� ���' SITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 1()th %) $.50/$1,000 Valuation $850 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 [ ) STIPULATIONS: _ . . BUILDING PERMIT FEE SCHEDULE T'he Chief Building Official shall, before issuing permits for the erection of any building or structurE, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provideci to-wit: � TOTAL VALUE $1 to $500 $501 to $2,000 $2,OQ1 to $25,000 $25,001 to $50,000 $50,001 to $100,Q00 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $Z,OOO plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $SO,Q00 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additionai $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Altemate "B" : Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for pmper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. v... \:�..�ai��:.�;�`��:rt v. �.,':�; . n•�.�\�•:•���' .'::�'.}t•y'�::':Y.:: ..'.•..;.•i�.., : •.�.�. . ' �.n;Ch:.:r.-: �;.:•.,^•,k...•,v�.. '�`• :•.i.. ... .. . . .. o.\� .. \.�. � ' � ��.�:.. .;•+. .... ``i;v-: , ... �� �.c`.•:i�\M1i.���,{.�{.4�" Y•Yi•�'ti'i•�\': `. .;y\. •.. . 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' - � REMODELING OCTOBER 9, 1995 Kitty Powers � , 1613 Berne Circle East S'�?�,�i%.�� �'L <--l' ��'�''c / L�-��'j��� �y r ��, . 1 Fridley, MN 55421 `�L�- �; , r,, . ;, � ,��=( ;' ( t �i<c- -�'% �� l FIRST FLOOR 1 Remove existing vinyl flooring and underlayment in the kitchen, family room, nook and back hall and install new 2 1/4" select red oak, sand stain and apply 3 coats of polyurethane 2 Open up fam. room doorway to kitchen (re-case/drywall as needed) (no new header figured) 3 Remove entry door to family room (repair jambs as needed) 4 Install new Oak 6 panel doors in existing jambs (w/ new Schlage flair style hardware T.M.E. front door) bi-folds hardware allowance S5 per pull a. 2'8" door to basement stair b. 2'0" to half bath c. 5'0" bi-folds front entry closet (all doors stained, sealed and varnished T.M.E.i 5 Install new ceramic backsplash ,pe� H/O tile selection 6 Add lights in glass cabinets switched in backsplash below 7 Add wood lip to existing cabinet for microwave 8 Move microwave receptacle as needed ( to upper left corner) 9 Add paneling to right o# wall oven to match existing 10 Change switching and fixture at walk out door and garage service door 1 1 (as per discussion) Replace garage service door w/ steel 6 panel exterior door 12 (paint as needed) (woodgrain painter : D J Weinand Tell. # 493 4284 Not included) Replace existing kitchen countertops w/ plastic laminate 13 Provide 2 solid surface hot pads (not cut into countertop) Re-install existing sink, valve, and disposal in new countertop Install built in cabinets on both sides of fireplace in family room 14 (as per S C Cabinets) with new 2" cove mldg. at ceiling of room Remove shelf and repair staining on family room paneling (as neededl 15 Weather strip front door and porch door (as needed) 16 Sun protection on front storm door,l fitm provided by H/0) 17 Install motion light at bsmt walkout door (fixture by H/O) 18 Remove ceiling texture and skim coat in kitchen, nook, 1/2 bath, and family rm,. and paint new ceilings with flat ceiling white 19 No plumbing changes in the powder room / 1/2 bath 10020 Highview Court Champlin, Minnesota 55316 Phone and Fax (612) 427 - 0157 � CABLE TV •� , 1 Family room: add two outlets 2 Basement: add one outlet 3 Master bedroom: add two outlets 4 Porch: add one outlet MISCELLANEOUS 1 Repair chimney cap and mortar as needed 2 Install new overhead garage door (insulated steel raised panel) (re-hook existing opener) SECOND F1.00R A. MAIN BATH - (Tear out and re-build existing bath as per plans and specs.) 1 Install new ceramic floor and tub surround same as existing (repair drywall as needed, Durarock used in shower area) 2 InstaN 2 new cultured marble countertops with backsplashs on existing vanities 3 Install new tub and shower valve, (existing tub stays in place) 4 H/O to supply and install new lav faucets and new toilet 5 Remove existing and replace 2 vanity mirrors from countertop to ceiling (Re-install 1 mirror in new master walk in closet) 6 Install 3 new recessed can lights, (2 in large vanity area and 1 in tub room over vanity) 7 S�rape texture and smooth tape ceilings 8 Paint wa!!s and ceilings as needed 9 Open wall into existing bedroom closet and frame linen closet from bathroom side, install new shelving as needed 10 Install new 4' face frame and doors - stain to match existing (5 2.00 per pull allowance on faceframe doors) B. MASTER BATH (complete tearout and re-build bath area as per plans and specs.) 1 Remove and replace ceramic tile floor and walls, (continue ceramic backsplash off whirlpool surround under window and behind toilet , ending at side of vanity) 2 Install new doubie bowl cultured marble countertop w/ backsplash (approx.. 5' 6") 3 Install all new plumbing fixtures as described below a. 5' whirlpool tub and filler with over flow b. toilet and seat c. 2 lav. faucets and drains d. 2 shower faucets e. shower stall Iper H/0 selection standard pricing allowance) f. all rough in water lines and waste lines as needed 4 install new 5' 4" x 36" tall vanity and tub front access pane! to match existing cabinet style (52.00 per pull allowance) 5 Install 5 new recessed light Cans as per plan (Re-wire new 110 cfm bath fan /lights and switching as per H/O) (install new circuit for whirlpool tub) 6 Install 5' 6" mirror from countertop to ceiling 7 Install new 2'4"flush oak pocket door as per plan 9 Open wall into new walk-in closet area 10020 Highview Court Champlin, Minnesota 55316 Phone and Fax (612) 427 - 0157 2 � 10 Provide and install new wood bay window ove� whiripool as per plan '• (repair roofing and siding as required) �� Re-insulate and sheetrock as needed tape sand and paint (smooth ceilings) 1 1 Install new bi-pass shower door (chrome with clear glass) note: save face frame for re-use in walk-in closet -� C. WALK IN CLOSET 7 Wall up door from hall and window to back yard, (Repair surfaces as required / paint as needed) 2 Wall up closet to bathroom and drywall/paint as needed 3 Install 5 recessed can lights as per plan 4 Install built in ironing board with flat painted door 5 Scrape ceiling texture and smooth tape/paint as needed 6 Shelving as per plan with clothes poles, shelves/ built in drawer unit and re-used face frame from master bath as per plan 7 Re-install mirrors from main bath, ( H/0 to select location) 8 Install 1 telephone jack 9 Change electrical for outside light to downstairs 10 Remove sewing desk and add 3 legs to be re-located to new sewing room D. MASTER BEDROOM 1 Wall up closet door ,drywall / paint / install base as needed 2 Remove paneling on north wall and repair drywall as needed 3 Install ceifing fan / light wiring (fan / light fixture allowance S 250.00 ) 4 Install 2 cable T V outlets 5 Scrape texture and smooth tape ceilings 6 Paint walls and ceilings 7 Refinish hardwood floor E. PLUM ROOM 1 Open wall into old master bedroom closet Z Re-install existing 2' 4" flat oak door from master bedroom closet 3 Paint walls where repairs were made as needed F. DOORS @ 2ND FLOOR (install new Schlage hardware on 7 existing doors) 1 Install 1 new 2' 4" flush oak door in pocket door frame with pocket hdwe. 10020 Highview Court Champlin, Minnesota 553i 6 Phone and Fax (67 2) 427 - 09 57 3 a � S s _3 �i _ � e ---�:. � 3 '�_ ♦ � ; 0 � � .X � � �. � . � � �n ��� " r � � � S ., �,� ,�) S3 � ��, � � � � o �O � iJ r � i ►i . �c � � `� . � �. :r ,�� � . `�-- `�; ' �L � c, ''� �� , �� u r �� - y � ��� �..__... �- � . � . 1� • t � ...::�; �� C___�.1 Q � r , - N o^- - �x �, �, ;�, C�- �j � �� ��'�. Y /1 � i e �� 1 h 1 ' - N �a^ - �Y :� y� � 1 . i � ► u i /�i 9! � _ � M r Y [a] ��/ � - nt N_ � a - v► � v� .,� �L y:, .... . _ .. . _ _ h � �� � y � / � t �� � J N :o� — N. � �s � _� � ,� � ��. , t �- .c� S � . b � 4 0 rc Xi�h n � � � `1'i n� �. . i � � 4'�. tF ����„r„ v � �i�� :s �? �W � '3. ` �, a1'rr� � c� �� �, _ -� � { g ' �J ti � Q �- S�JC ~ j� :..1 b p L''f q, . � � �r � N � � � VQ N '_'� _� � Q � - � �� ,'` W 4 �;. � � r� ..� �. � I N M V . �, ,1 . 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I , �l',. I a . �' � ,, �„'�+""�i+N:PfJF'!1�kZ .a j+� ' ��. . 3 • " "'%�cs.. °1t-`'S-1 "' • a: A l iI �' 1. 4 i 'r"'S� CS 31n(` i �. �. .8i,�.a-Si�;�"'�•.Y . t �� � � `� .. � ! y. -�e• i ,� � � �, , � t � . �.�, �j� ; I � i . �• 2 - J ,•e� �Z �:���.__*_..�:_.X.._ •, o � g � . � .m � �• =, o ► >� _.. � •�-,01 ,9;� .�-:. ' �, � ,cl `� ==�= - . -- - , . .f-• + .. ' ^.t �`= ��•�•:'..'' :..r. � �I I 7 Vr FHIULEY INSN��Ii��v ulV. 6431 University Ave NE Fridley, MN 55432 572— 3604 t�iecUVe vii ��tllUafy i, lyyJ APPLICATION FOR PLUMBING AND GAS FITTING PERM17 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH �LOOfl PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Aain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas NO. RATE � $ �.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 Gas Range Gas Dryer Back Flow Preventer Required ()Yes () No Type $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 19'0 of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL ��..UC� $ .50 $ •��-S� � ,, JOB ADDRESS ��, I '�� _,��? " 1 ;%ix' I,a i � � �G � - The undersigned hereby makes arplio�tion for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. /' ��-'�-�--1--' 199� Owner � Building Used As � ,[� Estimated Cost �+.��� •� PERMIT NO. i� /�%� � PLUMBING COMPANY � � ; �� � -' ",� � '�' � � ° , ��� � � �� ` . SIGNED BYjr�� � � � �` TEL N0. ���%t�-�-� ���j �. J Approved B Rough—In Date Final Date _Q��C%Ti"— %��`�� �� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE sue�ecT PERI�11-r°iV'O"�'— City of Fridley 'r30966 AT TNE TOP OF THE TWINS g � I L D I N G P E R M I T ', � EIPI.-[a9.' . � . COMMUNITV DEVELOPMENT DIV. ��D / � j V ����� , . / � � PROTEC7IVE INSPECTION SEC. � . , i-_-_�; �'�' �-� CITY HALL FRIOLE� SS�32 NuMBER t1EV O�iE v�GE O: �PVROvEO 8r i 612-571-3450 9t0-Fi5 5/23/00 / / lOB ADORESS 1613 Berne Circle East NE 1 IEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED oesca. 13 1 Innsbruck 5th Addition SNEET 2 PROPERTY OWNEii MAIL ADDRESS ZIP PHONE Catherine Powers 1613 Berne Circle East NE 571-3645 3 CONTRACTOR MAIL AODRESS 21P PHONE IICENSE NO North Central Builders Inc 7401 42 Ave N, New Hope, MN 55427 533-6168 3763 4 ARCHITECT OR OESIGNER MAIL AObFESS ZIP PHONE LICENSE NO 5 ENGINEER MAII ADDRESS IIP PHONE IICENSE NO 6 USE OF BUILDING Residential _, 7 CLASS OF WORK O NEW O ADDITION O ALTERATION �] REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside House & Garage; Trim & Gutters 9 CHANGE Of USE FROM TO STIPUlAT10NS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Perr�it tnspection Gards I��il �e l�ail�d To ����e�����.��� To Po TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAO SEPARATE PEfiMITS ARE REOUIRED FOR ELECTR�CAL, PLUMBING, NEATING. VEN7ILATING Oii AIR CONDITIONING THIS PERMIT BECOMES NULI AND VOIO IF WORK OR CONSTRUCTION 20NING SO. fT CU fT AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WOFK IS COMMENCED. NO DWLG. UN17S OfFS7REET PARKING I HEREBV CERTIFV THAT I MAVE REAO AND EXAMINEO THIS APPLICA710N STA�LS GARAGES ANO KNOW TME SAME TO BE 7RUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTA% AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIED WITH WMETHEA SPECIfIEO MEREIN Op NOT TME GRANTiNG OF A PERMIT �LO�827 �S.�F2. OOES NOT PRESUME TO GtVE AUTMORITV TO VIOLATE OR CANCEL TME pEqMIT FEE SAC CHARGE PROVISIONS OF ANY pTHER STATE OR LOCAI �AW REGULATING CON• @ i9S . ZS FlY' SC � LO. H3 STqUCTION OF THE PERFORMANCE OF CONSTFIUCTION � PLAN CMECK FEE TOTA FEE Licen S $5.00 16.50 S�GNI1iUpEO�CON"FA(;TOAOQAU�NOA�ZEDIGENT iO�rE� EN ROP VA�IOA THIS IS VOUR PERMIT J, 4 S�GN4TUAEO�OWNEQ���OwHEpBU�LDERi iD��Ei BL �NSD f��,}E • N� Il ADDN [ ) ALTER [ ] Construction Address: � 3 Legal Description: CITY OF FRIDLEY SINGLE FAMIIY AND DUPLEXES R-1 AND R-2 BUiLDING PERMIT APPLICATION E Owner Name & Address: � � If �/� Contractor: /�/D2% ' % %�� L pddress: `7 �f D/ �,� tirQ AUC LI�/ING AREA: C� Effective 1/1/2000 612-572-3604 Bldg insp �� , oq �� � �,� uJC�S Te�. # � 7l -- �(� ��S _� S� -L/V� MN LICENSE # ,� 7ro 3 ��u� 9�✓z�P�, %�') l� Tel. # � 3�-- �v 1�� - ���`o� � Attach to this application, a Certificate of Survey of the totr with the proposed constnaction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length � , Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. D�CK AREA: OTHER: Length . Width Hgt/Ground Sq. Ft. ���iQ� .r�/��EE� ��A���- , i ��� � ��TT�2�' Construction Type: Estimated Cost: $ ��' ,��� /, d� - :}. Driveway Curb Cut Width Needed: Ft. + 6 Ft - Ft x$ _$. _ ,� DATE: � O�J APPLICANT: � -t.[ ��,iJ ���i" Tel. # � ��,�'(a �1�� CITY USE ONLY -'�all (612) 572-3604 for Permit Fees if mailing In application Permit �ee $ ��/ J� � S Fee Schedule on Reverse Side Fire Surcharge $ ��� �� .001 of permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge � � $ � � � • $1100 per SAC Unit License Surcharge $ �� C'� $5.00 (State Licensed Residen "al Contractors) Driveway Escrow $ Alt. "A" or Alt. "B'' Above Erosion Control $ $450.00 Conservation Plan eview Park Fee $ Fee Determined by Engineering j Sev�rer Main Charge $ Agreement Necessary [ j Not Necessary [] TOTAL $ . s� STIPULA710NS: �� ,�� ��� 5%/� � � � �� BUILDING PERMIT FEE 5CHEDULE mhe Chief Building Official sha11, before issuing permits for the erection of any building or structure, or for any �ddition to any existing building or strucfure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein beloW set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up. FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fr�ction thereof, to and including $2,000 $69.25 for first $2,000 plus $1.4.00 for each additional $1,000 or fraction thereof, to and including $'25,000 , $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 fvr each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCttOW (Concrete Curb Streets Only) Alternate "A" : Removal and �replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacemeht of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VEttIFICATION O�' FOUle1DATION Permits for construction will be issued � minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv .. � �r J�� � /�/�3 �"�r� � / � ctnroF FRtDLEY FRIDLEY MUNICIPAL CENT'ER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 November 27, 2001 Subject: Obstructions in the Public Rights-of-Way Dear Resident P'WO 1-067 During our preparations for the upcoming snow plowing season, our maintenance personnel inspect each of their routes to mark certain trouble areas such as curving roads and obswctions in the right-of-way. During this inspection it was noted that your property has a constructed obstruction that may pose a hazard to snow plow operations including both equipment and/or the operators. Please note that obstructions built within the right-of-way are a violation of City Code. These obstructions may be retaining walls, fences, planters, or mailbox structures other than a standard box on a standard wood, metal or plastic post. While our personnel make every effort to avoid standard mailboxes and other objects, damage can occur if the object is not visible due to piled snow or other sight obstnactions. It is the property owner's responsibility to mark such objects so as to allow the plow operator to determine its location from within their vehicles during plowing operations. This marking may consist of a long rod or similar marker attached to the object or in the ground immediately adjacent to the object. The City will not be responsible for damage to any such object in the right-of-way in violation of City Code. No exceptions will be made for existing structures. In the event a standard mailbox or standard mailbox post is damaged by a direct hit by a City plow, our Street Operations Supervisor shall inspect the damage and make a determination as to the extend of the damage and a recommendation for compensation. Compensation shall be limited to the cost to replace a standard mailbox and/or a standard wood, metal, or plastic mailbox post. If you have questions, please contact the Street Maintenance department at 763-572-3566. Sincerely i Jon H Haukaas Director of Public Works � � �_, ,. �1��� � _ �,ti- Y" . Y i +l .w..., . ��� d . iiM"; . � ., . � -� � h � I �4» � ... .. � .:�4r ��� fii►1 ■�1 � > �' � � � sp�rr !� ti_ v� � ���� . I� � ^i �` .' � ' . . r ` �;:.. r . .-... � � •4� . �� , , rM�. �I"..-I ' l` � ' V � ._i .K. ~ � .� . •�`�r�'- ♦�• * P �.�� ��1M • _ __ ..,�' r GTY OF FR}DlEY INSF'ECTttJN D;YiS10N Bffective .ianuary 1, 2003 6431 University Ave NE Fridiey, tVlN 554,32 APPRfCATt�N fOR F�OYYER pLA�MTS AND HEATIl�. COOLING, YENi`ltATiON, t763) 572•3604 REFRIGERATIQN ANQ AiR CONDITtONiNS 5Y FA}[ (763) 571-1287 �:L�i��?, _ • Rtsidential Furnace Sheli ana Duct Work, Surner - Also Replecernent Furnace {Side Vent � Fili Qut Beck) G�s Piping (N�ded with new iumace. but not replacernent) G85 R8t1gB Gas Oryer *Air Conditionir�g • AI� Sires A!I Ott�ers/ReAairs 8 Rlteratians {LtST ON BACK) 2q� ofValue af Appiiance or Work Commercia l/Indusiria l 1.25gb of Value ai Appiiance or Work Rate $ 30.t�1 $ 10.00 � 10.U0 � l �.� $ 25.00 State Surcharge Tf3TAL FEE „ , u �: _.. .-; �t_ •• .tu_. : ,•, : i. � _ ...i.. �i.l . �._ : � 11. �I .� .l . ► _ � t I 1: t i. � a I �4 R a� REINSPEC7JON FE.E $47.Op1Hr 'Al� Cunditioners can twt be placed in a side yard wi#hout rvritten permissivn f�om adjoining property owner. i'OiAt. $.�.._.. $ $ E ��c a � � � .50 $5��5� STEMS AND DEV'10ES 10B aDDRESS � " -CZ� - � •CZC.� L � - OW+NER__ �:� r �, c �-�..� t �� ` �-�.�c' �5 BUiIDING USE� AS N a�E c c� r ESi'IAllAiED CASt _ �� C PEi�MIT N0. /� v� ' � 'l_•i �. :.: _►� �; :,': Na. of Heating Units � CirGlB Ot18 (Steam} (Hot water) (Warm Ai�' 'irade ntame ► --�= �• -�e r�. Size No. 9TU 1 i c� , o c c� yp EDR ���( ��T •- �. �- 5 Total Cor�nected Load Burner Trade Name g��;� �}�, 8� Hp FDR .�4 -L �t=�.''�' ti NSZ(�-62�-► 2 i �� 1� 5 E c-2 The undersigned hereby makes appiication tor a permit tor the wvrk here: specilied agreeing ta do all work in strict accordance ruith the City Codes rulirigs of tMe Building Divisian. ana hereby declares that al► the facts and representations stated in this appiication are true and correct. DATE _ '—► ' I �-I — os 3 HEATING GD ��EN'i� p•� ) -- �� �"c, ,� ,� 5igned ._._-�S��r—TEl # 6 c�-� 2� I$ qq FaX #_ 6 � Z- iZ.'-f 'ZO i� _ �� Approved By � Rough-In aate' Fina! pate � G�� � FIL.L �UT BAGK �`IDE FOR S7A K VGRlF!(`,AT�nN 11A�► o`e� Al���iew��r FURN.��`F THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNiNG APPUANCES OR THE APPUCATtON WILL BE RETURNED cnnnnnnN Nr� ��ti�t�n,F�, .��ti� � �g��sT�1�;, I�R�R�I[`ATInR When r� la _ina an eYiatin0 fiiranra� �e undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, abstructions, � and is securely supported and firestopped where required. Yes (,�' No () The venting system is plastic/PVC and meets all current codes and manufacturer ,/ specifications including sizing, length, number of elbows anci termination. Yes (`� No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current c4des and manufacturer's specifications. This does indude AGA-GAMA �ategory I Centrat Fumace Venting Tabtes for fan assisted and natura) draft appliances. , Yes (.�No () The E+Yietir�0 c_omh �st�en 9ir is sized and installed to meet the current codes ' and manufacturer's specifications. Yes (v�No ( ) Whe11 �equil'ed to inc�ll a n_w _em6 ��tien air�,it will be sized and installed to meet the current codes and manufacturer's specifications. When josta�lliop a new �entinp,y�, �e undersigned hereby verifies that it is a listed �ssembly and meets the current codes and manufacturer's speaficatians. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appiiances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the cammon vent and vented separately as per current codes. Yes(�( ) YesF�o( } Yes(�o( ) ��.. .. .- ... .����.. -� ..� -� .��- . � ..��. .� Appliance #1 Type �L� �� BTU Input � i 0, v ov Fan Assisted o Nat Appliance #2 Type �- t BTU Input o � a Fan Assisted or Nat Appfiance #3 Type BTU (nput Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type __ � r : � •► .- �.- HEATING CO: __(Z Signed By: �� E�r, �, G �c /-� �2 Date : _ � �- 1 � � Q � CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �631572-3604 FAX: (7631571-1287 PERMIT N�.: 2004-01300� � DATE ISSUED: 08/10/2004 ADDRESS : 1613 E BERNE CIR NE PIN : 253024110038 LEGAL DESC : INNSBRUCK STH ADD : LOT 13 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK VALUATION : $ 3,990.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT AN 18' X 16' DECK AND A 7' X 7' DECK. APPLICANT POWERS CATHERINE L 1613 BERNE RD NE FRIDLEY, MN 55421 OWNER POWERS CATHERINE L 1613 BERNE RD NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws 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 prov' ions of any other state or local law regulati�tru� q�e performance of const�ucti�n.� An �'�ti-Lv� Date�� �'� G Bldg Ins�,,������ Dat , l. �� BUILDING PERMIT FEE PLAN CHECK FEE FIRE SURCHARGE STATE SURCHARGE, VALUE TOTAL PAID WITH CHECK # 19054 SEPARATE PERMITS REQUIRED FOR WORK OTH�R THAN DESCRIBED ABOVE. 97.25 63.21 3.99 1.99 166.44 NEW ADDN ALTER �3�� [] CITY OF FRIDLEY Effective 4/1/2004 [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPUCATION �D�c� , D) �Q� [ ConstructionAddress: %G i3 �eP`�G ���'��e�� � �!���y �� Legal Description: � Owner Name & Address: C� f� er +� � L., �oi�v�v�S (�,q�-.�� ) Tel. # I�3-.� �i -3l ys Contractor: Address: LIVING AREA: MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. � � � ��i � �; i �' ,:� �L` �+ � �. �-� f (� GARAGE AREA: , Length Width Height Sq. Ft. DECK AREA: Length �_ Width �_ Hgt/Grounda?/��iS �Sq. Ft. 3/d °� ,z y, �� � x � l� _ �"l�t OTHER: � � � � - °2 - <i � Construction Type: /�-�4V"�� �✓Nx _ Estimated Cost: $ � G�� b� c� G' � �, Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ wo�l� �G 3 ��3 - oo y � DATE: d �G 'G�/ APPLICANT: ��� 4➢ Tel. # �J � � ���" l � `% � Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ C���F �� � ��. a� $ ��i� $ � .G01 $ $ ; $ $ $ $ $ L� � Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] 0 STIPULATIONS: BtJILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein lielow set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate Pernuts for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv 0 The Home Depot # 2802 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 � Mon Aug 02 16:56:42 2004 The materials for this project will cost $1744.31 CATHERINE POWERS ( � ��,L � { TREX DECK 147780 �1 X, v l'- P" f''`i/ Deck Dimensions for Deck 1 ����% �J3��� ��� �`f� � , f) � / n � - � � �, p na1'� � - , ���„ � � r � ,��-��,.,,� �j , P , � s �-¢� � ��'� „ ;- � � -� h � � � , r, ; t, :, j ,� � �. C� I _ ; � A�y��- �aK��r aX�� �.� �� I , � � � � 7�exPi�m�;��,.� , . , , ; , l ���,�/ ���� o�� d' ' � �; �s % G`o�s �" S�-�� i K� lC �> � . � �z� �v J .�, � � , � � � ,� �C /a /.7..z « ri. �� �r�c� : `c �'�ffs � � ����j � � ! ; ��C� � ��� ��ti � � / i --� � / �� ; ��� �,� ��� l� � � ��' � ��� � ��! � -� (�.c c �� � sr-,� �,;, , � � � � �,�.� ;� �� d ��._ � — IN� � Dec —3' ���, � � �, — ' � _ c.i� ��r'��•� �_ � �...x � � a,� . � �4,_ o � �..�:. � �: _ � �l _X—, i�■��� i������� -15' 8" �8. 5' /h�k C.�ti Joist Spacing = 16 in. o.c. �� x ��� ��e �o .; �/� � x'�" �3��U w, G�� y� � _ vi � �. �,� �, ;� �,,., l7�-� I ��� COOE � �re� �� ����� �, ?�� � � - r�� U�/V`;� t,�. � f.:) G� 6 rG %rr, Sl I vW� � �61��V�, ���� � ir a r� o�v �; � �i „ C,��ak l� , � �� ��a� :^� "� - 6� �'(/.J k X 3 4��� -�� a t 1,, � ,` . . • �\ �� • \ ' 04/02/2004 FRI 13:21 FAX ��� ELDER JONES �001/001 ��o S. - � /o4�b � � : . � '. . ._ :. � - -. ..-- :: N� [ l CIiY OF FRIDLEY Effective 4/1/2004 ADDN [] 6431 Universiry Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [] SINGL.E FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BU{�DING PERMIT APPLI ION � � L�,,���, � Construction Address: _ �(0 � 3 �-�. Y n.�. �(�`�_ Legal Description. Owner Name 8� Address: _ Y.: ��i C�,�.�2.�CS Tel. #�(a 3. S�- I• 3104� Contractor. _ PELLA WINDOWS & DOORS MN LICENS�# Address: 15300 - 25TH AVE. N. STE. #100 Tel. # PLYMOUTH, MN 55447 763-745-1400 a Certificate of Survey of the LICENSE # 20165884 ;truction drawn on it to scafe, D�SCRIPTION OF IMPROV�MEN7 LNING AREA: Length Width Height Sq, Ft. GARAGE AREA: LengEh Wdth Height Sq. Ft _ DECK AREA: Length �dth HgUGround Sq. Ft. _ OTHER: �� Q i� (' 0�� t► � t� �/71 1 1C, f►(1 • n � n nC :� Construction Type: Estimated Cost: $� 3 ���- S S 3 /• prNeway Curb Cut Wdth Needed: Ft + 6 Ft = Ft x$ _$ DATE: � APPLICANT: Tel. # QSo� � 3�{S• (pQ�( � Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-7287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge Staie Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TO7AL CITY USE ONLY - $_ �i-�- aS Fee Schedule on Reverse Side � 65% of Permit Fee $� 3• 4$ .001 of Permit Valuation (1/10th%) $ j j . �y $.50/$1,000 valuation � $ $1350 per SAC Unit S � .00 $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 [ ] y� $ ` STIPULATIpN�: Building Inspections 763-572-3604 DATE � � ~ � ! SITE ADDRESS � THIS APPLICANT I3: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS 1�� �� . � ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ Np� � TENANT �p�ss: % � / _'3 /. � c-'s2�v � ��GCITY. PHONE: (�/sZ (� la ? '" � l0 % CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: N,�: d I ^ � o- STATE LICENSE # EXP DATE ADDRESS: fi:Zi]ilJ F Q'SINGLE FAMILY/NEW CONSTRUCTION O TWO FAMILY/NEW CONSTRUCTION ❑ ADDITION ❑ GARAGE/SHED ❑ BASEMENT FINISH GYROOF ❑ DECK ❑ SIDING ❑ SWIMMING POOL NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:� SIZE OF IMPROVEMENT��.�S GU ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl O Aluminum ❑ Other �b'INDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS-DESCRIBE S�ZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED LENGTH � HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE � �0 %/ ❑Soffit ❑ Trim � Fascia LOCATION OF WINDOWS NUMBER OF Permit No.: Received By: Date Rec'd: c � �,.p �/ STATE����/ CITY STATE_ZIP SIZE STORIES � ❑ WIN OWS ❑ DRAIN TILE ❑ OTHER lC�G-� �oG WIDTH HEIGHT S . Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be 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 Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �_ OCCUPANCY TYPE _ Permit Fee Plan Review Surcharge Fire Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ `�,/ oCS- $ $ $ $ $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 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 Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge 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-� � requ' s r ie nd approval of plans. SIGNATURE OF APPL� PRINT NAME w DATE �G ^� /^� S Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 15t $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 15S $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,OO1 to $50,000 $391.25 for 15` $25,000 plus $10.10 for each additional $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 15S $100,000 plus $5.60 for each additional $1,000 or fraction to and includin $500,000 $500,001 to $1,000,000 $3,233.75 for the 15t $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 15` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Oniv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building Inspections 763-572-3604 763-50�-4977 FAX DATE d O � SITE ADDRESS %C,pl' THIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION ❑ OWNER PROPERTY OWNER/ NAME: TENANT . ���. CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: lJ�ui�71 CITY OF FRIDLEY EFFECTIVE 1-1-09 YOUR E-MAIL ADDi�ESS � �,rCl� � atv� ONTRACTOR L�a�/12� � /�7 ���/ GJ � �+�62� �✓. � CITY_ - .s 7 / _3c° �� • �5,�-c� �'orts 1-/1c STATE LICENSE # � % % EXP DATE ADDRESS: /,�/ S/lvG.� L, ,� C.f Zc� [j CfTY� PHC�IE G�� �`.�' 3! c( O� FAX ��l SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑�_ �D IN TILE ❑ DECK ❑ SIDING �OTHE ❑ SW[MMMG POOL �G � �`[Ga� ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR �1.R�IVIODELING DESCR[BE WORK BEING DONE: SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING O Vinyl ❑ Aluminum ❑ Other � D[� ��.C> (.t/. r�►� ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE HEIGHT Permit No.: ���bq � Received By: Date � � � STA 3-�I� �� �_STATE�'1'�LILIP /� 2 c � -do �t�sc ��c�{ �,o�r t�vort� �j .a.�'1.r�'�-/ s�.c-tS L BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTiON INCLUDING DECKS, �Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes � LOCATION OF WINDQW r( °_/ (i OR FOR NEW OPENINGS-DESCRIBE SIZE OF f� �l�J�GLr ,C �Z rf(�j� OPENING CHANGES & / ,�� TYPE OF. WINDOW TO BE INSTALLED `IL C��� NUMBER OF WINDOWS / ALL FEES ARE BASED ON VALUATION, [NCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ � 2�OV OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ � 65% of Building Permit Fee Fire Surcharge $ �.001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ , $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft+ 6 ft = ft x$22 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary O Non Necessary O Total Due $ Y 1 �' Make checks aavable to: Citv of Fridley Attach Stipulations 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 on site; that the work will be in accordance with the approved plan in the case of all wo hich r u' es review and approval of plans. S[GNATURE OF APPL[CANT /'d�"`� �z���» PRIN�NAME �� ��s`� � DATE ��3�/�9 /J� // l _ /� _ > L_ - S /� AND MECHANICAL WORK Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for I S` $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 15t $2,000 plus $14 for each additional $1,000 or fraction, to and includin $$25,000 $25,001 to $50,000 $391.25 for 1 S` $25,000 plus $ I 0. ] 0 for each additiona] $1,000 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for ls` $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for is` $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the ls` $500,000 plus $4.75 for each additional $1,000 or fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 15t $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 , 7'-3 3/4" � � ±R.O. 6'-5" PELLA WDWS � � � PP� Nut ' MICRO � INK � .� U P P E 5 R T s o N E REF FRZ � � � KITCHEN L D� 36" GAS v COOKTOP W/ — DOWNDRAFT 4'-0" � 0 N ��� J 2" _� - PROJECTION O v I E WD. ThREShOLD DECK ,� _____--�- . ��.�.�.- �„/r"°-- Q 6 I EXIST.� �R.O. '-10 STACK \ P � LUPPE ftAISEO COUNTERTOP � FEATYIER 4 IN NEW — WD. FtR 4 � e, 8�_4�� — — — — . I'-6 , W/O 2,_�„ 5'- I ��� �� � � FULL f1T. � , PANTRY I � 3 I, 5,_0,� 5 i �� N (• . ,,� .._ . ,, . 2_ C..��\ ,r�:�r�V(,� � N t � ��� ��k-�p w�� � �� DINING � ��� �� � �� 3 4 � I � BAR U.C. REF. 5'-O" a �� 5 VERIFY DUCT WORK - `...---- " � C� ADJUST OPENIN� �� i NECESSAF',Y. MAXIMIZE OPENING /�`N 1 I ,��� 2 I GROMMET CFIASE S �.0 �L � �f�S � COORDINATE I I 1 l� TION W/ N LIVING RM. �'"`� � ��� TRY v � 6 �; I S _ ;� _ _ TV LINE OF WAL BEIIIND �\ TV (FLUSh P EU '!. . \ LWF OF CA . BELOW MAIN LEVEL PLAN SCALE: 1 /4" = 1'-0" NORTH I� UP � �� � �� �� � � //� � �4�_ � �� 'tiG LINE OF WD. Sh1ELVE5 ABOVE /� WD. �� TH � (6) Y100KS LIPS FOR VACUUM • ACCESSORIES, BROOMS ETC. HALL coNSU�r w/ own�e� NEW FIRE RATED WD DOOR EW CASED OPENING , � � �� � � � �� FAMILY RM. W �� �,� r"� � s R106.3.1 BEAM SCh1EDULE: � (2) I 2" MICROLAMS � (2) 2 x I O QC (2) 14" MICROLAMS � (2) I 2" MICROLAMS � � (`2'� ��lMti'�'� � Q V t7��, ` � � � _ ���,� � �' I�I uw� • ` , ' l W . �` �` J iN ��J/ �.J � � �^ , { �V � Q �V �.��.,_ f � _ �' l �r� . ���. I���� -- � �� � � `- �° �"�- � `�" V �� � � .�.. GARAGE � w �� �= — — — — — — — — — — — — — — — — — — � --� �� �(�.N � � ��� � � _...�._.-- ----- ---- _ . _ _- _ -------� � i o POWERS —�' � REMODELING � � � 1613 Berne Circle East �, `" � F Fridley, MN 55421 � x Su � -N-� o 0 ; o � Quigley Architects / a o° International Market Square ��C7 � Z 275 M a r k e t S t r e e t S u i t e 4 4 3 � ] � Minneapolis, MN 55405 O a o phone: 612-692-8850 fax: 612-692-8851 April I O, 2009 QI REVISION MAY 5, 2009 1 �. 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'SMtl1.LH�RUdOJ'ItlN3aHd d0 NOLltl'IOiA NI 9�JNIMtlNQ 3S3H1 i0 35f143ZRIOH1f1tlNf1.(f�ttl 600Z S.LJ�.LIH�?IF� JC�'I�Ifl� O L.� U ) O Z �/ O �' �— > � W llJ (r] Z �,W�O O�� w�� � z�Q _� ��� ��►z ..m� o�W z�o N m o° N �i�i m �. � Q � � z 00 _� Q� a � _� � �� �� � O � � _� o� � w U m 0 m � d '� � � � w 0 > 0 � � w z Q � � � � � �o �� 0 J � � �z � Q N U U � ' J � z � 0 �Q I I � II I� II I II II � � � !� �� � �� � �� �� �� II I II I V II �� I \ II 'Il ii � ` '�� �= � I� . . 1 � �� I I■ � � 0 �i' �� ��� � � �_ _� � I .► �`" 1 � ��I � � � � � �, : - � I� � : i I � � w � � 0 0 o �; w � z �- � w � g � 0 w � � J � l� w > �w U = � N W � � Q 0 Q w m W z �- OJ �W o�z J w W L � I— w U�m W�� � � � =o� � J � ��� z W � � N � � Z � Q � � J ? � 1 ��� �oQ �� � m�� � w�� w �zz 0 00� � � O Z C� Z Y O O J � V Z Z G , W _ r Y 0 _� T �� N � T W J U � F-� W � � I� � C.7 W � � �(') H U � ��,,,7 U � a� . �� v �m � �� w � � � � � V 00 a� � m � � ��o� 'r� c°n~ 61 u�'� � �1 � � � � U,x�"Z ����� ���.�° '�G v 0.00 ���� � `�� �� N �� � � � • � � N i. � � �, 'SMV'11HJIN,tdOJ 1V1f30Hd d0 NOLLV'IOIA NI SI S`JNIM VNtl 353H1 d035f143ZR10H1(1tlNf1 ANtl 600Z S.L��.LIH�2Id JC�'I�Iflb OO � V / O,�/ z L.L Q w - �- Q � L.� �}-W J p7 Z w p � �w0 O�� O w � � �w� z � �! _ � �L � v' � Q W z lLj � � OQW z�o t'J 6� 0 N �ri m� � Q � � z 00 _� L �w Q OL a � � -TOE KICK BASE BD.-� PLUG MOLD STO N E COU NTERTOP PULL OUT _ CUTTING BOARD ADJ. BOOK- Sf1ELVES ADJ. SPICE S1IELVES - ISLAND - LOOKING EAST 1 SCALE: 1 /2" = 1'-0" �N �:A , � . : :. . . C_ . � : ' . : : ' ' : : 36" COOKTOP W/_ DOWNDRAFT UNIT CUSTOM WD. BUTCt1ER BLOCK TO GOVER COOKTOP � �� ���� � �� '�� � p� �p ��� ��� ��� p� �� � � I �� • • � �� � -TOE KICK BASE BD.-� 0 0 \ / ISLAND - LOOKING SOUTH CURVED WD. SKIRT W/ METAL TUBE SUPPORT BE111ND STO N E COUNTERTOP BASE BD. ISLAND - LOOKING EAST 3 SCALE: 1 /2" = 1'-0" SCALE: 1/2" = 1'-0" KNE PACE . :.: :..: . :.:� .: : ..::.:..:: . :. LOOKING NORTH SCALE: 1/2" = 1'-0" NOTE: ALL I T TURNED N ERIOR ELEVATIONS WOODEN MAY BE SUPERCEDED BY INTERIOR LEG DESIGNER AND O / R OWNER 0 a N � � H Z W � 3 �g ti~-1 � T �+_� x � r- �i O O �_� � �� ��� 0 azs _ �o o as April 10, 2009 QI REVISION MAY 5, 2009 � BLOCK CROWN FORWARC CAB I N ET LVD. INFIL OF CABI� FRAME � RAISED P, W/ EASEC LIGh1T RE� ELECTRIC 2Ya° FRAM APPLIANC TOP hING BACKSPV COUNTER EASED EC FRAME � I DRAWER- FRAME � PANEL RAISED PANEL D W/ EASED EDGE EUROPEAI FRAMELE` CABINET E TOE KICK CABINET DETAIL - TYPICAL � SCALE: 1 1 /2" = 1'-0" WD. Sh1 WD. TO ADJ St1 ELVES CLOSET - LOOKING WEST 2 SCALE: 1 /2" = 1'-0" �RAWERS SCRIBE TO ALLOW DRAWERS TO OPEN W/ COATS 11ANGIN6 ON ADJACENT WALL qSTER FLUSh PANEL 3 PANTRY - LOOKING WEST SCALE: 1/2" = 1'-0" NOTE: ALL INTERIOR ELEVATIONS MAY BE SUPERCEDED BY INTERIOR DESIGNER AND/OR OWNER a� 0 oN cn h E� � UZ F� o ` �] ry fy F• xj x U U t" Q o0 � ao� 0 � Z �o a=; �o � a> April 10, 2009 QREVISION MAY 5, 2009 5 TV CABINET - N.I.C. SCALE: 1 /2" = 1'-0" -LUS11 PANEL W/ TV �IOUNTING ARM lVD. TOP STORAGE W/ ADJ. Sh1ELVES n 0❑ FIXED PANEL FRZ KITCHEN - LOOKING EAST �� o I o o I o BLIND CORNER UNIT (hAFELE) �— TOE KICK OBIQUE VIEW OF COR ER CA NET �� i� �n►i� `J� � �� I � � � _ � � � APPLIANCE GARAGE WITt1 TOP f11NGING DOOR TILE BACKSPLA511 STONE COUNTERTO PULL OUT CUTTING I BOARD SCALE: 1/2" = 1'-0" °` 1'V W �K; N � REMODEL� �� � � � 1613 Berne Cir� � ? � Fridley, MN xo� �_< NOTE: ALL INTERIOR ELEVATIONS w°o Ul le� ArC a o w Int� ational Marke MAY BE SUPERCEDED BY INTERIOR �? � Z 275 Market Street S � z` � Minneapolis, MN DESIGNER AND/OR OWNER o+} s � Q o phone: 612-692-8850 fax: April 10, 2009 QREVISION MAY 5, 2009 � � CROWN C3:7' . STOI COU OUT >RAGI -TLE `. L OU- JFUG )ID C 'LUM , BAR - LOOKING WEST � SCALE: 1 /2" = 1'-0" BAR/ KITCHEN- LOOKING SOUTH NOTE: ALL INTERIOR ELEVATIONS MAY BE SUPERCEDED BY INTERIOR DESIGNER AND/OR OWNER vJ SCALE: 1 /2" = 1'-0" � 0 0 N � �N H � W � 3 ti~-1 � T w Su � ��/1oo �1 � J W � � � s " � �¢o aZ� _ ro o�> April 10, 2009 QI REVISION MAY 5, 2009 7 NOTES: • ALL OUTLET PLUG MOLDS TO BE h11DDEN WIThIN UPPER CABINET ChASE • CONSULT W/ OWNER ON M N SWITCt1 ON DECK. ( AB ( FOit � �nnicRO) _ UCP ¢ I . ; , _ r . P ' , —_._ _f 4 I P � (I CP � � �F.) \ �\\\ � �\ ` c1EC:ai TO EXIST. SCONCE �z�z�i LIVING RM. MAIN FLOOR ELECTRICAL PLAN TO EX� FIXTUf2E - SwITCti TO fZE M AI�I � �� ENTRY (� I � — _ _ � � __ _. _. iI , �� ---- � I _ R3 ( W IXTURE, �.� i� _�� `' EXISTI � UGti-IN TO I 3 I �? RE AIM 0 PLUC MOLD � -- ---- ----. . 3-_ € ......_ _...---- > i ' € tCI CL,� \ HALL �� /� �� /� �� BA7H FAMELY RM. NOTE: CHANGE OUT TRIMS S Y10USINGS OF EXISTING RECESSED CAN LI6tiT5 TO MATCh NEW 4" RECESSED CANS IN KITCHEN/LIVING RM. SCALE: 1/4" = 1'-0" NORTH ELECTRICAL KEY: ¢R RECESSED CAN } SWITCti � DIRECTIONAL LIGt1T �,3 3-WAY SWITCH R AIM AS SI10WN #4 4-WAY SWITCti �I WALL SCONCE w VERIFY YIEIGYIT � DIMMING SWITCH � FLOOD LIGIIT • DUPLEX OUTLET FL VERIFY 11EIGYIT � DUPLEX OUTLET ABOVE ♦� CEILING MOUNTED tAe SURPACE LIGt1T j SWITCIIED OUTLET ♦P PORCELAIN SOCKET � FLOOR OUTLET �UCP UNDER CABINET PUCK LIGIIT � FLOOR OUTLET SWITCYIED �ICP IN CABINET PUCK LIGtiT � QUADRAPLEX OUTLET �CP CEILING PENDANT LIGYIT Q TELEPIIONE JACK ¢M MONOPOINT LIGIIT � COMPUTEWDATA VERIFY REQUIREMENTS � UNDER CAB. STRIP LIGhTS CABLE TV JACK H STV UCP� UNDER CAB. PUCK LIGYITS �� FLUORESCENT LIGtiT C LING MOUNTED FAN o CF F FAN �FL FAN LIGhT GD GARAGE DOOR OPENER � SECURITY SYSTEM � STEREO SPEAKER � SMOKE DETECTOR O° DISPOSAL � POST LIGt1T CONSULT WITFi OWNER CONCERNING OUTLET AND OTHER LIGt1T REQUIREMENTS, EXTERIOR OUTLETS, SMOKE DETECTOR LOCATIONS, ETC. CONSULT WITI1 OWNER ON SECURITY SYSTEM, TELEPYIONE, CABLE, STEREO SYSTEM AND 0TI1ER COMMUNICATION SYSTEMS 1- ! o POWERS ; ` °� , ------ — H z REMODELING �� 3 1613 Berne Circle East W , �, o � I x x � Fridley, MN 55421 i �� oo � ; � � Quigley Architects � � ° International Market Square � 5 Z 275 Market Street Suite 443 � Z � Minneapolis, MN 55405 � O a°s phone: 612-692-8850 fau: 612-692-8851 April 10, 2009 QREVISION MAY 5, 2009 • G)� CJCi� �' Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY vate xec'd:�� � 763-502-4977 FAX EFFECTIVE 2-19-09 DATE �'' [ 7" o( YOUR E-MAIL ADDRESS SITE ADDRESS r� C3 �� R N£ CI�L� L THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY NAME: OL(J�� OWNER/ ADDRESS: CITY STATE ZIP TENANT PHONE: CONTRACTOR NAME: L. SO N �L C3 G- lUC - SUBMIT A COPY OF YOUR STATE STATE LICENSE # p2 7 S�� 'Y►'� EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: � �� 02 �/�V ��I �-C[TY CO� r%�%�S STATE rn� ZIP �sya/ INSURANCE PHONE ZCn s � � `�Y �6�(�( FAX PERMIT TYPE ��NGLE FAM[LY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NE�' �EPLACEMENT DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. d BATH SINK/LAV FLOOR DRAINS � SHOWER WATER PIPING BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($3 CLOTHES WASHER i KITCHEN SINK ! WATER CLOSET BACKFLOW PREV. $1 ) � DISHWASHER � LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER Number af fixtuxes @ $10.{�4 ' x $10.00 = �� ' ' ; , Nwnberoffixtures��@�$l�.fl��"� � x$15.00—$ � �Itir�ainber of fixtures @� $35.pQ : � x $35.00 = $ � i �ta�� S��rcl�arge �� � � $ � �0 , �I ' ` � , �I � �t�i��33�iV'[[JM $35.50 �� Tc�ta3 = $ �i Gi .° �"`� i;__ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 applicati or a permit a work is not to start without a permit on site; that the work will be in accordance with the approved plan in the ca o all c requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME O�'V f 0 /�' Q L Sa � DATE �"� 7� O� � � �:�_ ���� �����'���'' � �§ ��+��.��III�`T_�"�r; �L`��'`� ',�.. �, � '�: City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 � FAX: 763-502-4977 Building Inspections 763-572-3604 763-502-4977 FAX MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 2-19-09 Permit No.: Received By: Dat��13: I DATE - `� � �! :% � / YOUR E-MAI L ADDRESS Z- O yvi e n, /�. �� hn 3� �.� I� wl E: �/; a�:' r'� /•'- � t SITE ADDRESS � I., i'=� Ih C i �nl � � ��.i '� C THIS APPLICANT IS PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION ❑ OWNER �C6}JTRACTOR NAME: �/� 7 li E�' /N E: ��N E�� ADDRESS: •:.�,q,�t t- CITY STATE ZIP PHONE: COMPANY NAME: L� ,,�i. I G, M� G CONTACT PERSON: -1` �,vl C 1� l_) v N � . STATE LICENSE # EXP DATE ADDRESS: ��� I S�J N FI �/-{ �/� /�'E G i�, CITY �' A� S� �! STATE�ZIP S S�=� PHONE _ �' v� _ � Z 3 - �� � � s FAX ��: ; - 5 �� " °J ,/ � ' � 7 PERMIT TYPE �� SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW ❑ REPLACEMENT ��ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �� - ;z,, �e ��; � f� �; � ,�� ;'• �,,� c �i,,� C s 7"� ,b� � E�Z �" �'����.� t� '��i,��r-P I �' � N � �" � L�z�T r � FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NLIMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU 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 SI0.00 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 � �lun�ber- of f�xtures�@ $10.0(i`� : � x��$ � Q00 �_ $ �= � . <.' . � Nucnber of fi�tures ,�7ct $15.40 " x$ t S.00 =$ Number of fi}ctures �� $25.t3t1 x $25.00 = � Nurn��;�- c;�� fixtures � $35.00 x $35.00 - � . State Surc}large = � .50 ,� (MINT11!I.UM FEE �35.50) '�'r�tal = � ` �.:> z`�', '� �` THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and 1 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 applicatio�for a permit a�yd 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. ' `I � SIGNATURE OF APPLICANT ', �-�./-- PRINT NAME � F� v M A� E�i i J�.M DATE� Z I '��' L__ r —� 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 1. 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 . V enting 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 MECHANICAL pe�it No.: j. �`'`'� -� I�o� Inspections RESIDENTIAL APPLICATION Receivedl�By:�� _ . 763-572-3604 CITY OF FRIDLEY nate��C�..�.1 763-502-4977 FAX EFFECTIVE2-19-09 DATE 0 S YOUR E-MAIL ADDRESS SITE ADDRESS �Q I 3 1.>C �%�'e �+ r THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY NAME: K� e w� � OWNER/ ADDRESS: �G ( (�e f� � C� r CITY /r 1��� � STATEM�I ZIP�/ TENANT pHONE: 7�l3 -.S 7 I- 3�• y S CONTRACTOR COMPANY NAME: HeSRh � H�� T � CONTACT PERSON� • g a� 9A�S12O8O SUBMIT A COPY OF �� YOUR STATE STATE LICENSE # 2700 N. Fairvisw Ava. EXP DATE LICENSE WITH ADDRESS: gFt/833-2561 CITY STATE ZIP APPLICATION PHONE FAX PERMIT TYPE �SINGLE FAMILY � TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: �NEW ❑ REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF W ORK t nc � �+ \ � (a�. S F: r t P�u �� �-+� L� R S (��e FEES ARE BASED ON 510.00 PER FIXTURE, EXC�PT WHERE NOTED. FIXTURES: ( DICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: �•l �G� F^ V I o MODEL: �� -� N SIZE/BTU �t�� MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU A/C $25.00 �FIREPLACE (GAS) $I5.00 GAS RANGE/OVEN $10.00 AIR TO A[R EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GR]LL $10.00 BOILER $35.00 FURNACE 535.00 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 $15.00 F=-- -------- ---_�___._ r � �uznberoffixtuxes�{a�$l0.tl� x�;�(�.i�i}��'�=� �'�:�' i � Nur�3ber of fixtures 'r{�� $IS.00 ;�_ x $15.00 = � , ��' Nunlber of fixtures {a� $25.(�(? x �25.OQ = � Nun�ber of fixtures rr $35.40 x$35.0(J' _� State Surcharge = $ .50 ` � � MINIMUM FEE� $35.54 Tota1= �$ �` 1 � °�� - � � � � � � � � � �� THIS IS AN APPLICATION FOR A PERMIT-NOT VAL1D 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. �� /— (� � C} SIGNATURE OF APPLICANT ���— PRINT NAME�� V i � !- r' � S v� e DATE S U/ APPROVAL INSPECTORS SIGNATURE DATE ��; � y�. � 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 .�M ,tHi{,u! :..<�,,. , .. . . . , i; : ^nTt�y ��' +1!ii.rrt':,�)irs�ri-i ,,:�t. t?BGSr�C: c,2n���i� .`qVi� 1'rfli�'TlR� ,� Q'��� REQUIRED FOR NEW/EXISTING HOMES .-. ..� :�u y�;�y,� :;�� .. : ��!�i•.. 1. 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 4. Heat loss & cooling load per room a. Required on new construction IMC l 346.0312 5. Ventilation a. Per MN Rule Chapter 1322 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 MECHANICAL Permit No.: _ 1- � Inspections RESIDENTIAL APPLICATION Received By: � 763-572-3604 CITY OF FRIDLEY nate�: AUG 20 9 763-502-4977 FAX EFFECTIVE 2-19-09 DATE � YOUR E-MAIL ADDRESS SITE ADDRESS � L��_l� C r n i t G; r F THIS APPLICANT IS: ❑ OWNER f�CONTRACTOR PROPERTY NAME: r'" Po ... r- OWNER/ pDDRESS: /�i �� v G rr1 i e C: �� CITY /� l � �� STATE '��1ZIP s.�y�( TENANT pHONE: '�� � s? /— d3 G S/ S CONTRACTOR COMPANY NAME: HeBRh 8� HOrt18 T � SUBMIT A COPY OF CONTACT PERSON: d a r 12080 YOUR STATE STATE L[CENSE # 2700 N' F��n�� w� EXP DATE LICENSE WITH pDDRESS: 851I�'ZSd� CfTY STATE ZIP ' APPLICATION PHONE FAX PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW ❑ REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK jn � q(� l� a g F�t_,p�� w� Lv n S �` r. e- FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE I-IEAT LOSS CALC'S PER MANUAL J 2006 SH[tAE HANDBOOK. Equipment Installed MFG: p MODEL: �, - T�t SIZE/BTU � MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU A/C $25.00 FIREPLACE (GAS) $I5.00 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 UN1T HTR $]0.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Number of fi�tures @$1 t3.00 x$10.00 =$ I 'Number of fiYtures � $ I �.gt�` x $15.Q0 = $�-- '; , , �� `I�3umber oi fi?�tures @ $25.{3(} ` x $25.Of? >= $ �^vt�mber of fixtur�s �7 $35.00 a $35.04 '– $ � � - — � State Surcharge – $ .�0 � �. °� � ., �� {MINIMtJM FEE �35.50 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 wil] 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 quires review and approval of plans. SIGNATURE OF APPLICANT � PRINT NAME ��,[_ ✓�� �/� r�_�I�fE � O APPROVAL INSPECTORS SIGNATURE DATE - x; - � �b 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 :in; .'riG ;';I,,i?;:.7�, , E;:t: iy �; r!*ti;;;. ; A^]CF� ,� •'t;li,iiPi dp!?'G+lii 6dl) OciO�t:?OS t�,n,��g�� l .:�kA woiYniai �+! 001�� _ REQUIRED FOR NEW/EXISTING HOMES +�+ ��r ►�M ,9rr;��.r�,x; ►�s-�sa� � z� 1. 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 MN Rule 1346 Sec. 501 __ 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments . b. Fuel other than gas IMC Chapter 8 with MN Amendments 4. Heat loss & cooling load per room a. MN Rule 1322, Sec. N1104.4.13 5. Ventilation a. Per MN Rule Chapter 1322. Sec. 1104 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. - , r � � � .. r . � 0 K � F.'- �. � OlYltri�' �7 APPLICATIO�I FOR BUILDING PBRMIT CI3"Y OF FRIDLEY, MIN;�IESOTA ``„'"Z, � ' ifl ♦ � ADDRESS � ADDRESS��� , ��� f��: �� � ..� _..._.. ,.,.r...` LOCATION OF BUILDING N0. 1a����� STREET��.L�,� , � PART OF LOT , LOT �Li3 BLOCK � ADDITION OR SUBDIVISIONC�dG���' `/�y'����� CORNER LOT INSIDE LOT ,� SETBACK ��� SIbE-YARD� , f�p �„r � SEWER BLEVATION FOUNDATION ELEVATION� - Appiicant attach to this fosm Two CertificaCes oi Survey of Lot and proposed building lacation drawn on these Certificates. DESCRIP'TION OF� BUILDING Ta Be Osed A�: e� �____ Front � ?� Depth Z � � � � Height � S��%��1 , � 8 � -�------ Sq. Ft. �?_:�_ /�i�o�% Cu. Ft. i. i rw� ��rz� Froat �-� Depth � Height��_ � r � a---��... � G/ `> Sq. Ft. ��� A Cu. Ft. ��Z S� D T e of Construct3.on �, f`��, �i �,�„"_ � s`� -�O ��p yp � Estimated Cost ti � To Be Completed The undersigned hereby makes application for a permiC for the work herein speci£ied, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declases that alI the facts and representetions stated in this application are true and correct. �)�— �,-//� .� --.�--- �` - - ��� _ _ O /_ i� / � -- -- - ----�i� �/1 � � (Schedule of Fee Costs can b� found on the�verse Side). ��oo S� C. C. �5� � • �,�'`�l � �°� �� • l5� � � w� l��- � . .-,.