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AF - 42079
SUBJECT . City of Fridley ° 12824 AT THE TOP OF THE TWINS g U I L D I N G P E R r ; � RECEIPT NO. � `L _____ COMMUNITY DEVELOPMENT DIV. � r � I� PROTECTIVE INSPECTION SEC. � � � � � � �'°'1 � CITY HALL FRIDLE� � 55432 NUMBER REV. DATE PAGE OF APPROVED�BY `.��'� � �.J 612-560-3450 910-F15 11 27�'�4 � � JOB ADDRESS 295 Ely Street N.E. 1 LEGAL LOT NO. BLOCK TRACT QR ADDITION SEE ATTACHED �escR. l, 2 14 Spring Brook Park Addition SHEET 2 PROPERTY OWNER MAI� ADDRESS ZIP PHONE North Metro Construction, Inc. 5203 Central Avenue N.E. M ls. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE N0. 6 USE OF BUILDING Residential 7 CLASS OP WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK t � � � 9 CHANGE QF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Check garage front - either 20' or 22'. SEWER IACATION: 41' East of Manhole (Inv. 846.79) Wye Elevation: 847.01 (D - 9.5') Top o£ Footing: 850.01 Minimum WATER LOCATION: 12' East of sewer service. ,._;- ;� ���Cit��� � �-"�;tiivii i �� Fi+�t�t.;_iiit�U rVt� `i'V�i��,Ei�tl� f��ATtN�, PLi1M�l�lG �,�p �t�i��. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING QR AIR CONDITIONING. WOOC� Fi'aI[le THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION Zp�J�NC� 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 R� 8F)Z • S �.% 69O ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2O 562 �.O Z8 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC I N OR THE PERFORMANCE OF CONSTRUCTION. .c- � PLAN CHECK FEE TOTAL FEE ♦ ` SIfaN�URE OF CONTpACTOR OR AUTHOHIZED AGENT IDATEI E PROPERLY VAUDATEO IS S Y -�ERMIT , SiGNATUREOFOWNERIIFOWNERBUILDERI � IOATEI LDG. WSP QATE r� ' � `� . :� . � �., . :.,� r �y,'�„`. ... . ...�-. ___. . . _ . . . . __ . . . ... . . �` � � `�=�� - ~�' . ' � z. � ` �.. ct'#k �" , � � ,. . , . � �� � �`� �{ � APPLIC���+(��a. FOR R���NTI�I,, •ALTEItATZOi�, ,. 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". ` � � � �9�5��� ��lfi( ;t�'���Ii���i� y �� �� � F � �� ' k ��x � ;�; x � � �� �� ����. � '# a ! . � �' �3 ,� v. �. ' s5� � , , t TC� BSt �8 i _ � � F � 2�, 4 "+�R : �� � $`t`� k � �•t��� ��� � '. . �. a. t �''� . � � �` � t �,^ � a. �,+.� �. �.� ��` r. .Y �v � � r /" � ti� x �Y �. '� f ' " . `� f �`i � �. � : .� w��' ; � � * � < �:t� 2: � '� �` -' . _ � - ��;� � ;� �,�5 � x �Y .t�. , _--_w�^� 3'.. ��. i r . �. � a ..� m . ± ��"" ��.� .�� ���+l�g�������+'��'� �� , �-�♦ � . �. � i i' t S'+ 3�� � ��� ` ..' � P6°��"a � �' "�i` PF ;;�0 �a. k �;� �� Q .� �� � h �� � ,� h � �'�� ��-�,�� � � ':�'� �. �a�" �w _ ,Y'� _ :' "'�`; � Sqi%a�Ce B�e�`� #� , ; � � � . � xueA(� ;§^z� `�' . i � �, Tyjae Of Cah�trti�t�,a�'� : ° _ `�� ������ � � � � ' : - � � � � �, e . - � . �.'. w � � � �'� & 2 j T� Se Ccndglet�d : , :� //"" '� � _ r � � �,�� i ��� ; � �„ w � �.. < � �: �� r . ' ; ,, ,�� � .� t ���� � � � �� � � ��. � � ,t9' ��" � �� � � �x�+,i � G� � ��' i�`� � � � � ''�; _ � � �, .: � � �<.;� �'� � �`,;_�; � Th8 u �i ned ,�ie�`� '`�t�k s � � " : - � �L ��� � 8 �'` � ��rX�t1�#.� �or ,,a p��ai,�` £'� ;-� > . �� � speci� d, ag��eing 'to $dc� �ii �r�`�c i� ;tt�.tt�.�� aci�a►�� Fridley Ordinanc��i �tnd `z�.lit��` a� t�e. #3�p��e�tt��; of �il � �' _ 4`` � decZares that all the' £�cts �d� �+►resea;��t�;;s�e�� it�.:;;� ��: �. � .� � are tru� ��aad �� corxec t . � . �„ a y / ��g -�7�" $ �� y � n�,T�: ��� : � � � _ . �; � . � � � �� . :_ . ��� µ��;, �h �`See Reverse Sid� Far: Addi ,��bfo� im. • � a �. � _' � � �,� . t:�,� � �, , �, , _ � � , „�� � � � .RC �� � # �- c� � � � .'� � � � .� � �' �"- �., � , a `� � �..�£ �. ��4 Y l�.� � . �•�6��. �.. : �.45+',. . . . • � -, Ei' .: � � , . ' ' ' / �d_`'... .. .�. . .. _ .... .. 4 ,m ..... ...� ' . ...r _ .. ,,. ._; ,Ka� , t�5'i.�s� .ts- .:rv�. ,... s .t,.ks�kFa'%dl� ; �� � ' �i� c� �idl�y �'�:4�� ���._ "���., ,� ,::-.�.� �� ti.,:.,..E��W�.:Yid ���' ��c..�,i�s� �i'3� �°`�� �ar�tG�� �v;.' oW::�.� Dept. of Bldgs. Phon� 364-3450 D�SC:iIPTION OF WOR3{ y��an � 1�T �'�C Nlumbar. Kind and LocaYfea oi Fi:;iures ffi � � z � '� i • • � CN � �$� I3�� ?� � g� �yZ 5� 7 7� 7W r N GASTEAHrcc. ��i� � S� i N I3• o� � �o �3 <3 u� uo� v$ �e� � r' � � � r I �� i� � 1 6 (� �: _ 2nd 3rd 4th .�._ Conn�ctod wiih . Futuz� Coaaaclioa Qycaings Soaos � + N�av Fixtur�, Old O�aings Cccapool � P,ARTIAL RAT� SCHEDULE PLUMBTNG FIXTURE RATES: NO. RATE TO?AL Number Fixtures . . . . . .. . . . .' . . . . � x 52.00 � `u� � , Flature Ftixture Opening . . . . . . . . . . . � x 51.50 S_�•,.S- �' . New Fixture Old Opening . . . . . .� . . . . . x $1.50 E�__._ Catch Basin . . . . . . . . . . . . . . . . . . x 53.25 a Water Heater :Up to 99,000 BTU1. ... �_ x$3.00 $ 7-� t' :�Iew Ground Run Old Bldg. ... . x�3.25 $ Elactric Wster H�at�z. . . . . . . . . . . . ' : b2.00 S ;sA3 i'iTTING FE�B: NO. RATE TOTAL 1st3Fixtures •••••••••••••••. • xS2.00 ; . Additional Fixtures . . . . . . ..... . . . . . x ; .�5 E /� Gas Raa�e to 199.000 BTU .. .... .... .... x 35.00 6 C �'- /%�r �� v ' ( —�Lt 'Ly�-a r.�, /L »u-� . � � _, � City o1 F�idley: �- "� �/ � �• � � � The undersigned hereby makes application for a permit tor the vrork herci specified, agreeing to do all work in strict accordance with the Cits Ordinanct and ruliag oi the Department of Buildings, and hereby declares that alI the tact and representations stated in this application are true and correct� Fridley, Minn --�- / <�- , 19��-%- . , . ; . �_- � _ , . > _ , , Owner � � 2 C t �� %_,�. `z. �? �- c � t �c' 's-z�' Kind of Building J -'�-. � -t-}'t._("_ � . . Used as _ d'L�'Z-t �z� �F.� _..� :. _ �, - � .. ' ( To be completed about ('' " � ` � -5 � �-�, Estimated Cost, S C%/�'� Old New� �uilding Permit No. `F�smilHo. `�'�J� �- � � - , L 5ig:�ed '. •( c - .t:='t i_ �i � �'_ � t �'Z Q -�1� � ,, . , � , gy - �- --• - , � -� _ -�-t. � `�`�_ — - Business Phune No -`? � 7-�r-' S/ l/ ROUO�I FINAL � - � � " 7f° . RE IRS g ALT�A]ITICJN$—Rder so Cod• .50 State Stlrcharg8 . Desc:tption . . . . . . . . . . .. . . .. . ... . .... . . . .... . . .. . .... . ... . .5 . t, ;,� . TEYrAL FEE �� . . .1!"':.. �' .'� �.`r� y��:+!4.. - ;i. . anit ,v.. , ,� .. .t es'`�' y :y:. ,�•'�` :3» �y- } ..,e.,:. ,�.- ' ;� .*... .�� .m: q:cs^ RART4�L R�TE SC����DL� f3ltJ4VTT7 t�fAAA�E AIR: P'urnace Shet1 dc Durt Work .. Rcplacement of �rnace Repairc & Altcrations-ug fo =Sfl4.40 Repairs & Alterat3ons e8ch add. 3500.Od iRCH,. i�tARD� 112R �$re st��n � Duse wo�x �o iw,000 B'rv e�h add. 60.000 8'PtT . .. . . . .. . . . R,ePLCtrntnt oi F�rnace Rcpairs Ec Alterations--up to s500.00 R�pafrs & Alterations each add. =500.00 4�YE TO?14L. i10.00 � 6.00 � 6 00 S . 3W E t �. . . aio 0o t� 3.W ; 6.00 f 8.00 i 3.00 ; STEAM oz HO't WATER 8Y3TEM Fvrr:ace SheU 3c Lines—to 400 sq. it. F.DR Steem �10.�J0 S • Furnac? Shell & Line—to 640 sq. ft. EDR fio4 Water I0.00 3. Each add 20p aq. ft. EDR Steam �.(x1 � Each add. 320 sq. ft. EDR Hot Water 3.00 S OIL BIIRKER—to 3 gaL per hour 6.0p s,__�.,�„� over 3 gal. per hour-�ee r'ee Scfiedule �'�; GAS av�x� CuP � is�s,a90 B'z'cr) ' $.00 ;� . oaer 199,OQ0 B2i7 Se� F�s Sch�dul• G1�8 FI'TTINC £EE�: MO RATE TOT'AL �: c � ist 3 Fixtures x= 200 E� Additlonai i9�ctures x .76 i_�: _ Gas Range W 199.Q04 :i 8.0� : �IR COffiAI?tQIi12fG F]Ali i3F..�1 T.34ti �6T�T'!at �ta.ars�ra s�rs�t �►i.r�►rro�a t �rxr�s �H �3 �� � � � S � � State Surcharge .50 � Sa Feo sclssdds � mr�. r� � 17• �5 C) n.�t. Of ��a�. ��. �o-�asa _ / l i; , / `---���-� c: � city or �rta�ey: The undersigned hereby makes applicatfon for a permit far the work l�erei specified. agreeing to do al1 work in strict accordance with the Citp Ordinance and ruling of the Departm�nt oY Buiidin�s, and he:eby declares that a2I the tad and representatiuns stated in this application are true and Cortect. Owner Kind o1 �Jse� a� To t�e completeci about, ���l 7�� c, ���� Estimated Cos� S / C, �•'� , ���Old Ne� �uilding Permit No. ____ P•:mitNo._. O!1 OF W031� HF.A1'IN `� or POq�E FLANTS--�,tcam, Hot Wat�s, arm At� No� � ' Trade Name Z z- " �-- - Size No- ��' �` ��� Capacity___. —f Sq, !'t. E.D.R� JL� �f �� `� BTU H.l TotaI Connected Lo�d �� -�_.r � 3�-- I�iad of 1R�e ,f u. ��<r t_ • BURNER — Trade Nan�� 3iu No Capaeity $q. !'t. E.DA BTIJ � i�ARaca—evtaj 1 g �Z..-f-s� ���-�'GC/iCrr.�s�2t.. �r �� � � �. � � � 7 -�" s<<�9i � �� , , �Ie�� � �ao �-s 7� ' a �'r.lier�.- Sp �' � 3 S � � ��` ���' � � . V MIBAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS vtuAGE `OF dR�i�tt�'i�t` �` Weatheratrips A . . Construction No. ���� Guide � Windows Doors Refcrence Out. WaU Int. Wail Ceiliag Roof Eloos Kind H�r► IKd Yes— o I Yes Vo 19� F1.� 1r! Room l.ength Width Height / FI. �� f sv R�m Length Width / He+Bht ; Wi�dows and Doorr—Crackage a�d Area Windows and Doors--Crackage and Ares ' ; �Vldth HN[ht No. of Ltneal tt Area Width He16h� No. ot L1n�a � ��«►` `. - 5�e Na of P�ne of Dane N�hts o! cnek W. !t. No. of pan• ot Dane Iltbt� ot crtck 1d �. - �, 4�s D T lr S/ / �'O — P' o '�' _ . ;; ` � "� � b _ � _, r' �o �.o S/I' � � ' ., ��; � z /t '; � . � . . _ _ . � �% g�� COtf. S[Y ' � ' i�tttratioa � 3� �O / 1n61tration °':� .•�'�' i+ �; ' Glas� S 1-b O O Gla�s *• '� .` �jtp, wall '2i iC IO �GO 1�%t e�cp. wall �!O /o �/O O "; �t. wall ' C�;��s /� �c � o / u io L o 0 � Floar N /� O 7 // i+ e iKal &n. ,�qu+red p. k. E.D,R. or iq. ius. W.A. l.eader area 4 � Room l.ength � Width / Height f and poors--Cracluge and Ana Wld h HN�ht No. o� Lin�tl tt. An� °�Fs et oan� •t �an� N�At� ot erack �p. tt Coef. � Beu ' .�rstios - 1 L �, / �►. 3 6 r�. «►� ��z N�et esp. waq /d � �� L�t. w� Ceiiin� 13 X ! /O � D ; $%or f • / i % / i-? " �,Tir�l &d. �<Rpnired tq. h. ED.R. or sq. ins. WA L�eadcr ares �t. _ tt� I t.��� w� /r , �` ' aad Door�--Crackafe tud Acta �eer .�sne a ot n. w..s '�, � u� et p�e� 11�l�t� d et�ok N. tt. u Ca�lf. $t�1 ��at+oe . ,, . Cil�a --- --- .�� r o .. �p• MnU 4►!a /d O d ,,. ��.�� � � Caai�u►� ` j Fto�or Tt►tii►� &u. Ret�aited sq. ft. F..D.R. or �q. in�. W.A. L.eader aroa �� �• . . .��.�.�,,,..r��.t, � . � _ �,.. , ,: F�cp. wall Net esp. wal! Int. wall Ceiling F'ioor Total &p. �` X �� -�, i � ��;, ..3 i X � y � �T� �: x`'� e � : �i � Required sq. ft. E.D.R. or aq. ius. WA. lt.eadac �j ` '' / Fl.i .�a,/' Roo�-� �,,tn�ch ,�''" : p�'; �i Windows aad Doors—Cracka�e ��1 Atea " Wldth Helsht u. ot Lfne�t [t. • At�a Nm � ot p�n• ot pan� � l) hta � st cnck id: n.. . � �Z 1.� Z/ � �' � lnfiltration '. � �"�''`' r� e� )Y, Glass E�cp. waU � 3 a( Net e:p. wal) ' �d Int. waU Ceilin6 J( / O � �. ` , /rW' /.��! 1�.: 's Floor �� ' �► =1V / +�1 Total &u. Required aq. f� ED.R. or sq. ini. R�.A. Lei►ckr area FI. Room I Len�th � '�l� : .. . W+eighc ` : Wiadov+s �ad Doors—�Crackage aad 'Area IAtA Nsbc No. e[ LIn��L tt. /�a !la o! Ne• ot V►u� ` lttAU .oR eraek +4c. u � r �. �vcz , �i11 .; Infiltratioa Glau F�p. wall ' Net e:p. wall � lnt. wall Ceiling • , Floor Total Btu. Requircd sq. ft. E.D.R. or �Q. ins. WA. l.tader area � °I . =,t,, sueaecr P •� City of Fridley 26 0 31 ' , AT THE TOP OF THE TWINS B U I L D I N G P E R M I T NO. f � � � • COMMUNITY DEVELOPMENT DIV. ' �L � 1 � � PROTECTIVE INSPECTION SEC. a�a � � � Ci� �_--- S;����;,� CITY HALL FRIDLE� 55132 NUMBER pEV OATE OAGE OF APPROVED BY 1� 612-571-3450 9t0-Ft5 5/8(98 / / JOB ADDRESS 295 Ely Street NE 1 LEGAL LOT NO. BLOCK TRACT OFi ADDITION SEE ATTACHED DESCR. 1,2 14 Spring Brook Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS Z�P PHONE Dennis/Michelle Miller 295 Ely Street NE 783-2863 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Seal Guard Systems 11464 Robinson Dr NW, M ls., MN. 55433 757-0097 20093688 4 ARCHITECT OR DESIGNER MAIL AD�RESS ZIP PMONE LICENSE NO. 5 ENGtNEER MAIL ADDFiESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING . Residential 7 CIASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside; install soffit, fascia, trim 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and call for inspection of same. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERM�TS ARE fiE0U1RE0 FOR EIECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 2ONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED FOFi A PERIOD OF 120 �AYS AT ANY TIME AFTER WORK IS COMMENGED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINEO THIS APPLICATION 1 STALLS GAfiAGES AND KNOW THE SAME TO BE THUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ANO OROINANCES GOVEFiNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. TliE GRANTING Of A PERMIT �L�i�HGl �7.43 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAFGE PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGULAT{NG CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $22�1.%S Fire SC �l�F.H6 PLAN CNECK FEE TAL FEE Lice SC .00 $252.04 SIGNATUREOFCON'RACTORORAU�HOR�2EDAGENT iDATEi E pq LV VALI ATED THIS IS YOUR PERMIT GGZ•�G. ` '' - _ SiGNATUAEOFOWNEAUfOWNEABU�LDEA� iDA7Ei f' G�rv ���TE NEW L 1 ADllN ( ) �' ALT�a [ �l ���'�"_�.-�' � CITY OF FRIDI,EY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 I3UILDING PERMIT APPLICATION ConstructionAddress: � � � ( Legal Description: Owner Name & Address: Contractor: Address: � ���� • �� LNIN� A�REA: GARA,GE AREA: DECK AREA: OTHER: Effective 1/1/97 0�1 � a� ��� �Tel. # ��� J� �n�0� MN LICENSE # cx���� L �� =��Te1. # ��__�� Attach to this application, a Certifcate of Survey of the lot, witli the proposed construction dcawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length . Width Height Sq. Ft. Length Width HgtlGround Sq. Ft. Construction Type: ,� ^ � ��' �Estimated Cost: $ ` ��I . �J�� ' � �- (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: � A,PPLICANT: T� ;`'� 1_ Tel. # �' Dii� � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge. TOTAL ST[PUL/\"CIONS: CITY USE ONLY $�c� ,� J Fee Schedule Qn Reverse Side � ����il/G �� $ � , .001 of Permit Valuation (1110th%) $ �1 � �..��J $.50/$1,000 Valuation � $ $950 per 5AC Unit $ '�J � $5.00 (State Licensed Residentia� Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Detennined by Engineering $ Agreement Necessary [ ) Not Necessary ( ) $ ` � � . . , `� � �� ��� sue�ecT PE City of Fridley 310 0 7 AT TNE TOP OF TME TW�NS g U I L D I N G P E R M I T f � � � � • � • COMMUNITV OEVEIOPMENT OIV. r � � � PROTECTIVE INSPECTION SEC. 3� 7,,3 � � i-.-•�; �"��'� CITY NALL FRIDLE� 55132 NuMBER AEV O�iE PAGE Oi �vnNOVEO Br i 612-571-3450 g�0-F15 6/1/00 / / JOB ADORESS �95 Ely Street NE t IEGAL LOT NO. BLOCK 7fiACT OF ADOITION SEE ATTACHED oescR. 1, 2 14 Spring Brook Park Addition sNeer 2 PROPEFTY OWNEF MAIL ADDRESS ZIP PMONE Dennis/Michelle Miller 295 Ely Street NE 3 CONTFACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Insurance Restoration Specialist Inc 4101 Gale Circle, Arden Hills, MN 55112 4 ARCHITECT OR DESIGNER MAIL ADDRE5S ZIP PHONE LICENSE NO. 612-840-0194 20196294 5 ENGINEER MAIL AODRESS ZIP PMONE LICENSE NO 6 USE OF BUIIDING Residential 7 CIASS OF WORK ❑ NEW [� AD�ITION p ALTERATION O REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Construct a 31' x 22' Garage Additon; Construct a 26' x 22' Living Area Addition a ove garage 9 CHANGEOFUSEFROM TO STIPUTATiONS See notations on plan. �� ���� SEPARATE PERMlT� Befare d�gg�n� �all for REQUIRED �OR: a�� ut���tY locations WIRtNG HEATING 4��-0002 PLUMBIN� AND SIG�IS R�°���R�l� BY LAW TVPE Of CONST. OCCUPANCV GROUP OCCUPANCV �OAO SEPARATE PERMITS ARE FiEOUIREO FOR ELECTRICAL, PLUMBING, MEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WOFK OR CONSTRUCTION 20NING SO. FT CU FT AUTMOR12ED IS NOT COMMENCEO WITHIN fi0 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED fOR A PER100 OF 120 OAYS AT ANV TIME AfTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I MEfiEBV CERT�fV THAT I MAVE REAO AND EXAMINEO THIS APPIICATION 1 STA�LS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS Of LAWS VAt,UATION SURTAX AND OROINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED WITH WNETHER SPECIFIEO HEREIN Ofi NOT. TNE GRANTING OF A PERMIT �89sOOO ��F�F.SO DOES NOT PRESUME TO GIVE AUTHORITY 10 VIOIATE OR CANCEL THE pEqMIT fEE SAC CMARGE PiiOVISIONS OF ANY OTHER STATE Oii LOCAL LAW REGULATING CON- STRUCTI N OR THE PERfORMANCE OF CONSTRUCTION $916 . �5 Fire .SC �89 . �� - � � � PLAN CHECK F TOTA FEE _ �' _ Licens S $5.00 ,055.25 S�GNA E�CON'a� iOAOA�uTHOQi1ED�GENi iOATEi E PAOP V ALIDAT HIS IS UR PEpMIT ��� � S�GNeTUAEO�OWNEA��:OwHEABU��OEA� �O�TE� BL �NS� �i<<E � �, � � � NEW ( ] Effective 1/1/2000 ADDN ,�j CITY OF FRIDLEY (763) 572-3604 Bld,� Insp ALTER ''[11 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � C=�iL�, �..y,,>r�� BUILDING PERMIT APPLICATION �i 1�� r°: t� � Construction Address: �.�i 5 �-�`l t� •�. • �j � Legal Description: Owner Name & Address ��N: s��,J�.c.titi��z Yv�.`�,\�.� Tel. # Contractor: �.,�c5���.•�;.�. ��-c-occ,�� „ �;.�; �„�u�, MN UCENSE # �vi9 b �9 �- Address:_��a� C��� c:.-:a.�S.�. a..,St.��.ti�S �rn�1 SS��a Tei.# (�ia-$yo-b�4y LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT � � Ilcic� L.Jtab��¢, Length � Width � a Height $ Sq. Ft. �"� � Pb�e�-«S� Length �, �l Width �� Height �_ Sq. Ft. 1'-E o ���, Length Width Hgt/Ground Sq. Ft. 1�-ticl:ttw�.l -�e lxr.��e l�1 O S, r. Construction Type: ���. �ass '(��, Estimated Co •$ S5 0�°-° �:-�:a..� 1.=v;N h�� b�� v��►,S 5�L s:F. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ S�Q- bi f�- DATE: 5 �� APPLICANT:�� � �'��O �,0 Tel. # � t � - �y �� �� �14 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ l�iP. �S Fee Schedule on Reverse Side Fire Surcharge $ g, dCO .001 of Permit Valuation (1/10th%) State Surcharge $ �/y, ��i $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge �: TOTAL STIPULATIONS: $ $1100 per SAC Unit $ �, 40 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. 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OWN Effective On January 1, 2000 � BUILDING USED AS �� ���� �—t� i rv*� � bC c 5� 1�E �cC ESTIMATED COST �I--�i� � PERMIT N0. � DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units�_ Circle One (Steam) (Hot Water) Warm Ai Trade Name `l���N� Size No. 3g3�►►�vo3 oO BTU_ _ 83, f9oa HP 3 ��1 EDR Fuel__!�l �G� Total Connected Load t5o, 00.'� C'�Tu Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 7 f�`� f �d CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 � � 572-3604 �� �a1.�p /��Gu� �P�w r/���s �,� ��,��y�l�s ��--�-����. � ; �S� �.������� �' �S j�,Q,N � �A1�,� Effective On Jan 1, 2A00 � �J .3 - brs��`��`,� �v3ra�u �� �0,�� �/ /} L C TION FO���U �� AND GAS FITTING PERMIT "7'ft7� icl� 6� �{.jr�S� �' (Jf..�% MARK NUMBER OF FIXTURES TO BE`INSTALLED ON EACH FLOOR . PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas" NO. RATE TOTAL �— �� Gas Range"" _ Gas Dryer•* _ Back Flow Preventer Required ()Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAtRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE . ,� , � � r � r�� JOB ADDRESS e� �`� �. I�, J-I- / v C The undersigned hereby makes application 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. Owner �� � �r �.� S W. J`t .' � I�e � Building Used As /�c � .S , �� � cn-� ,`a � Estimated Cost f�- S- 20,� PERMI7 NO. /��`��� PLUMBING COMPANY !-( 0� 2 [�W.? r��" SIGNED BY � �✓ ��e-. TEL N0. � 3'�7�'3- F�" -3��.� �� , � _ , / Approved By J� /( Rough-In Date Final COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE � i _ _ CIIYOF FR[DLEY FRIDLEY MUNICIPAL CENT'ER • 6431 LTNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 January 25, 2002 Mr. Dennis Miller 295 Ely Street NE Fridley, MN 55432 Re: Final Inspection at 295 Ely Street NE Contractor: Owner & Tropic Air Dear Mr. Miller: Permits were issued on June 6, 2000 and July 20, 2000 to install a furnace, air conditioner and plumbing fvctures at your address. According to both the 1991 Uniform Mechanical Code and Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by these permits. The final inspection conducted on July 21, 2000 noted the following corrections: 1. Plug open vents in downstairs bathroom. 2. Use approved gas piping hangers. 3. Remove abandoned piping. 4. Need air test on waste and vent. The permit fees tha.t were paid cover the inspections to make sure the work was completed according to the Codes. We need to inspect the noted conections before we can final out the permits. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. � re�y, DAVE NSEN Build' Inspector DJ/mh _ From: 715 381 0112 Page: 4/4 Date: 8/3/2010 2:28:57 PM . FROM : C I TY OF FR I DLEY FAX ND. : 7635711287 Aug. 03 2Si0 01: 05P{"I i�1/1 Building ; PLUMBING Per�nitNo.:r�l(� 3_ inspcctions . R�SIDENTLAL APPLICA'T�U�i R��V�a ny: ' 7b3-572-3bo4 � ��TY O�' FRiDLEY g�. ?b3-SQ2-4477 F E�EGTIV�9•I-2010 �C�� _... . _ � . „ . _ s� avn�ss � TFl1S MP1,ICAM 1S: PRUPERTY OW1�iERl TENANT cor�►c�ron sc�stu�z w corv cn� YO[Ri STA1E LIC,�N3G, BoND AND CERTTFICAl'E OF IIHSURANt'� �ERMIT TY'1'8 �r�rnE o� woRx: DB'TAB.ED DESGILIPT pF3'.S NRE BASF� ON f t 4.0 535.50. BATtd 91DIXJIAY —' e�►xkrrue CLOT}�S WA3H�R ��, oiSHWASHER I 6or�bY apPSy frc a phu coagormaocc with che ar nat a parmit 5ut oaly an with d►e approved plaa ii 9]GNAT[titE OF APPI.TCAI+I' , F � i � ; • • a LI(�NSfi 8�N1� y _ �;t�1:T� OF YOUR E,MAIL MDRBSS � �X � � � i�.. ��'- +_,._.� �f�..i`tL�.� _ �;��� C[i'Y�b`� � ._.. ._57ATE�7.IP� � ��.�Z— ���-r ���,� �.... 7 �rf. �� �XPDATB �,_ �fl _ ^�j IXP DATF.'.,_„_ f % — `� � .� �? -,,,_��,,,_� cxrv�}„�o,�-�_ st�,a�s,,�'� zu��S��14 ���? .._ FAX�."r.2���'L'�-�s�.�.«. FAMLLIi Q TVYO FAwuLY O !'OWNHOUSB Fi7CNt1E, filIC�PT Wi�.RE NO'[EII. FIXTURES: (A1DlCA'tE 1'OTAL M7MBER OE �ACFf BELQVI�. MUr11�AUM I�EE PtAOR DRNNS QA� PlPAVO (NBEi1(:I'PY LIC) �' iCTi'CIiEN S WX �/,� _LAUNDRYT[tAYI� XI 1 _ SH�OW�A SWiM!►f�NG Y(1C]L WATf•R CLOSE7 WAIER HF'.�1'CiiR (S3S) WATER METP.R 9VA'I'F:►l PiPiI�O WATER SUM1'MER (S3S) ^ �,,cu�.aw rte�v. �s � � � PWt 1RRiGATION _„_ OTti6R T!{i315 AN /IF�PLICATI(� POR A�ERb!!'f-NQT VAf,ID U1V't7L. P:�GICNSSP.D permit and I ack�nwkdge ttiat thc informatian above ia co�nspkte and aca�rau; thlt thc work will be in ;es and a�dcs oithe City ef �ridley and w»h ti�e Minn�ota Censtructian Codec; �hat l under�laud this ix ;a�����'7'Y � ork is �ot ta sta�t withoat a p¢rtuit oA si�e, that tlso wark �[t be in a�candaace o k �ch quires review and approvat of plens, �_�`� ...,..'.....,,� 1�.-�� --C'7a'1�i�% i� �w•�'� City oi Fridiey ButUding Inspections Uepartnient 6431 Ur��r�itY Avezaue NL, Fridley, MN 55432 763-572-36Q4 �AX: 763-502-4377 Building BUILDING Permit No.: ��� —al �� Inspections RESIDENTIAL APPLICATION Received By: U 763-572-3604 CITY OF FRIDLEY vate Rec'd: ( D� �� 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE_�,�/ z Z/ Zo / v YOUR E-MA[L ADDRESS -La'v� C(�Joc� c_ K'Q S"'r • Cv w� SITE ADDRESS T�ti � E I�-r' S 1' THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY OWNER/ NAME: �2.v�,n ��� �J,s �S e�� TENANT ADDRESS: 2� S �/� S t C►7'1' �✓� `dl•�.� STATE%'� � ZIP � J`{ 3 Z PHONE: CONTRACTOR NAME: (,� o v D � Y`p S T ��r� S rt fL> �Z� d'^ �`� �— SUBMIT A COPY OF STATE LICENSE # 2.v o EXP DATE YOUR STATE LICENSE � AND CERTTFICATE OF ADDRESS:�'Z3 `�u N�«ti ST N,w CITY CdcK Q+�p�O S STATE s�'�"�ZIP���� INSURANCE PHONE !01 Z- �6 ` G S��Z— FAX E�'7 3 v� PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH �;ROOF ❑ DRAIN TILE O DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CON3TRUCTION Q ADDITION Rl MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: -'.� c��' 4�� S'f r� to � � e f v H� �a ✓� `� 4�t ra � SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFING O HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES �- I ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl OSoffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets ofconstruction plans WINDOWS 3. Energy Calculations IN EX[STTNG OPEN[NGS �'Yes ONo LOCATION OF WINDOW - FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF L� 1'u�`C �t�G-�- �-- MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & �T� � w TYPE OF WINDOW TO BE INSTALLED 1� NUMBER OF WINDOWS 3" ALL FEES ARE BASED ON VALUATION, INCLUDING THE CU5"1' UF LAKVK ANll MA"l��:KIAL�: (USING THE 1997 U,B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ �� �� See Back Page for Fee Schedule �,1� I $ 65% of Building Permit Fee $ � .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 $ � , c� $5.00 (State Licensed Residential Contractors) $ $2100 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= 8x$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering —$ �-� Agreement necessary ( ) Non Necessary ( ) � �7�ri .� Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID llNTIL PROCESSED T 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 work wh�fect}iire�jreview and approval of plans. SIGNANRE OF APPLICANT NAME � r7v�., s;� D• � DATE I oT/ 2_Z� 2� f�