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AF - 45189� City of Fridley, Minn.. C 1 1 ' ' I , � �:� ,. _ r � �- �= � / -, ,I�� -, • J.�[�.:;i�J• � � � 1. .0 IfI►� e . �` ,i�J - �%T/ L�i :�t::.i'° �. 'J:i1� � .� 1 �- LO TION O UILDI No.1�.�� st�t � t Lot _�__ Block _� Addition or Sub-Divfsian �` � ,�i Coraer Lot _ Inside Lot �Setback �,1...______._ Sideyard — ��' � /'� Sewer IIevation Foundation IIevation / DESCRIPTION OP BUILDING T U ��` � F'ront .��'��_ Depth _�� Height �� Sq. Ft r Front a�� Depth FTeight � Sq. F't. �y,;�.�� TYAe Construction .� F�t. ��..�.__..'�To be Completed _ c�. Ft�G�� Cu. F't `�� In con�deratton of the issuance to me of a permit to constcuct b g described above, I agree to do the ProPosed work in acrArdance with the d�scription above set fo comp ce �►Ith all provisions of ordinanc�s oP the dty oP Frfdley. � � In consfderation of the payment of a fee of $�"� , pera�it ia hereby granted to to vonstruct the buflding or addition as described above. Thiape rmit is granted upon the exPrese condition that theperson to whom it fa graated and his agents� employees and worl�en, 9n all work done in, around and upon said build�ing, or anypa� thereof, shall �nforra fn all reapects to the ordinanceg of Fr1d1eY, Minnesota regardiig location, conatruction, alteration, maintenanoe, repair and movin� oP buildings ordinancea d� �ts and this permit may be r+evoked at an,v ttme upon vio�a,l ,�on of any oP the P�vYsiona of sefd Buildin8 Inepector � Nonc� 7'hb permh doa eef earsr ths westeueHon, imhlltltee hr vririeg, plumbieg, ea tl� &rt�dioe I�oe foe stparat� �a for t6�s� ft�ns. b�°� Hwu o� wtlsa 8� mro to ass -,, _ y _ , APFLICATIQN FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ow��, s � �ld�`°�� ' svu.n� �-� - l- �� `n0 �'� = , ann�ss �n��s r'� �.� / � �,e .� c ar� ,� ��' . LocAZZO�a oF Bvunartc No. � C) / � Street � �� Part of Lot LoC Block �Addieioa or Subdivision. �-��.�.- ' � Corr�er Lot Inside Lot' etback S�Lde Yard SEWER �EVATION �?� FOUNDATION ELEVATION Applicant attach to this form Two Certificatee of Survey of Lot and propoaed build- ing location drawm on these Certificates. To be used as; � �.�- ��, DESCRIPTI01� OF BUILIiING � � H�ig�t Sq. Ft.__ �� Cu. I�t. . �� FronC Depth Aeight Sq. Ft. Cu. Ft. Type` of Construct�on � Estimated Coat �(�c� m� �— To be Comp].ete �� ;' The undersigned hereby makea application for a permit for the wark herein speeified, agresing to do all work ia sCrict accordance with the CiCy of Fridley Ordiaances an3 ruli�.gs of the Department of Buildiags, and hereby declares that all the facte a��. repreaentations stated in thia appl3caCion are true and correct. � � 1DATE_ � `�� •--(,7'3 siGNATURE � �`� (schedule of Fee Ccsts can be found on the Reverse Side). � g. _ � � C s r � �ti'° , r c BUILDl'NG PEI�lIT FE8 S�EbULE Seation 2. The znspector of Buildiags sh�ll, before ias�3�ag any permit inr the erecC�on of anq buildi:ag or structure, or for aay addition to anq exiee- ing building or atruceure, or for any alterations or repairs to any e�iaeing building ox s�ructure, upon application therefor, sequire the payment by the applicant for sucY► permie of fees Ce the amount herein below set forth and in the maffier herein provided to-wit: 2.1. For aay such permit for the erection o.� any fire-proof building, oCher than a garage� warehouae, factory or grain elevator, or for the erection of any fire-proof additioa, far similar occupaacy, Co anq axisting buildiag shall be at the rate of $i.40 for each one thousand cubic feet, or fraction �hereof, in such cubical contente. Z.Z, For any such permit for the erection of aaq fire-proof garage, warehouse, factory or graia eievator, or for the erection of any fire-proo€ addit�.Qa, �or similar accupanay,�to any existiag building shall be at the raCe of �1.25 for each one ttaousand cubic feet, classified as °1firepraof".by Section 502 of the Minneapolis Buildiag Code. � HOUSES � 2.3. Fos any such perm3t for the erection of any non-fireproof building otber than a garage, warehouse, factory or grain elevator, or anyv aon-fireproof addition,�for similar occupancy, to any eui�ting building - permit $1.00 for each oae thousand cubic feet. �A�AGES 2.�.. For anq such permit for the erecCion of an� aon-fireproof �arg�e, w�rehouse, factory or gra3n elevator, or for the erection of any aon-firepr� addit�o�, for sim3lar occupaacy, to eap e�ist3ng building, or for each euch ��.iding or addition - ainety cents ($0.90) for each one �housand cubic feet or fraction thereof, in the cubical conCenta thereof with a minim� of $4.00, For the purpose of compu�c3ug feea for buildiag permits, the cubical contents of eay building or additian to a unifosm height throughout by multiplying thz ground area covered from a po�.nt six (6) inche8 below the flaor line of the basement or cellar to the avera�e height of the upper surface or to the average height of the roo£ surface of the maia gable of a pitched roo#. 2.5. For repaira or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five iivadred Dollars ($500.00) or frsctfon thereof in the cose of all propoaed work. 2.6. Ia no case shall the fpp.chargAd for anf perm�iC es set forth in Sectian 2 be less rh�n $4_oU. �,.,� n ` �. ^ ��., •w c + 'r'• WARVEY A. CARTWRIGHT �Nwu► cou�r �usvers HENNEPIN COUNTY SURYHYB MINN6APOL18 BURV6Y8 6410 PALM STREET N. W. SUNeE'r 4•76e'b OWNER INDUBTRIAL �► JUDICIAL BUSIN688 — TOPOORAPHICAL CiTY LOTS — PL�IITTINa 5air1 i'em�?1'.t23 � �� r �� C�T�R�G�T & �LS011T LA1�I2 SURVEYORS R6611TiRitD UNDtR LAW' OF sTATL OF MINNB9GTA LIC6N�[D sr ORDINANCS Of CITY OF MINNWPpL19 328 PLVMOUTH BUILDING FEDEIQAL 8-B721 HENNEPIPi AT SIXTN • MINNEAPOLIS 9. MIN11fESCTA l.i�urbepor'g �ertii�caic COMBININ6 THE RECORD$ OF J. E. HII_i.., C,tVLL ENGINEBR serasuo�reo �eae C. F. SANDk10F'i=' GIVIL �NOIN66R ESTABLIBltfiD TYOB JAMES NELS`Ofif Su�veroa EBTAB618NED tY2i METROPOLITAN LAND lroURV6YOR8, ee�weusyco �ee� � r� � � � � I h�r�by cert�.f'� tha� �is is a true �.d co�^rect represent�.�Eion of a�ut�ve�r c�f a Lc� !y, Blo�1c l, Garden� Melol�ud aardens �is s�u`rvaysd by rne t.'ti� ��1z d�.y of Novem,bex�� 19h2. s�oaeo ��ss � ��'��''��° ~��'� �'= a- := C -. IGNT AND QLSfON � Mdo � . . \ � A 3 � � '� 0 y �. � �. � � `�°�'Oo �. � � � � �. A' �' � �y�� . o � � s: o�y�y�. 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FOUNT. sHwas. � FLOOR DRAINS UTCH Bi151N5 nuTo w�s►iErs GaS nvvL �� RANGE GAS OPENINGS a • z • � i m A m � n A �¢� o � 1-b � �a� � ��a � �� x � �. �. o�� ,�. � ��a� � � �� i �' � G �a ' �°°��p a � ro �, I W � y b � � � :+; �R� 'i7 \ Fx .��' � �N ` p � �' o �¢op A p'.y,o �. � �y y `�� ¢��.� � o�� y �� Q� � M M ��oG' ►. � �. � 3� � � �� A � � wo R� � � p � M O �n pa a � � � 0 � � n � / O � f� �.y Y� V � � � � � b0 � � �. � b � o � �� A �� A 0 �„�� s � > � � r 0 � � � � � � �i r � � � � � � � 0 m��o IM � W � � � Q � • i O � � e� � � � � � � � � y � � m � a � � ��Wn� °o �J. � k c $ � � �� o � � �� • . .. �°'�° 8�8� « �. a � � 0� r m � � x � x 0 � � � � � � � � � w � � i � � � i� � � � 8 4p ) � � � 0 r � < � ;� ws �W � � �� G p �� M � B. � � � � � � � e � � � w� � o �� w 8 � I � ° 0 � a �� a� � x ��o N p' � A �1 o S .. � � � $ � � � x�� ,�� x�� :�$ � � }"' � � o� e� � �:�04 $�88 «�.� i � I I I 0 � � � E � � x 0 s � 0 � � � � � � m � � 0 � � � B. S � ��e � � � � � � � �a��,� �� °�� m�� , � d � : � � � ; v � � ' Q . . � W��o � 8 $ � 8 N � � � � �: �� , � a �� ►. � � � b � �m m � � � � �� o�� .. a��, � � �. �� o � . O � . . 8 • . « W � �, o � 8 8 8 $ � � � � I ' � I I �.�.� � ��.��a ., �:� �� .� � o �� d�$�;s � y O � cr�� M �, � �� o��m �� ~ � � �,a�� '�» �� q �� D � r �� T H z T C � � �� , � � � � � � � � �:�� 0 w 7s � 0 � `! s . sue.ietT _ - IT N . City of Fridley 2 9 8 85 ;, ` AT THE TOP OF THE TWINS g � I L D I N G P E R M I T EIPT NO. , � ; y__�� COMMUNITY DEVELO P M EN T DIV. / �� /�� r � � PROTECTIVE INSPECTION SEC � T �� _ � � �'�'1 � CITY NALI FRIOLEw 35132 NUMBEF pEV DATE PAGE Oi AVPROVED BY �'""�" �'' 612-57�-3a50 s�aF�s 7/16/99 / / JOB ADDRESS 6015 Gardena Ci rcl e 1 LEGAL �OT NO. BLOCK TRACT OR ADDtTION SEE ATTACNEO oescA. 4 1 Gardena Mel ol and Gardens SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PMONE Donna Olson 571-7323 � CONTRACTOR MAIL AODRESS 21P PFIONE LICENSE NO Town & Countr Roofin 7910 12th Ave S B1 o in ton 55425 858-9365 0 91282 e ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADORESS IIP PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION �7X FiEPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (22 Sq) Tear-off 9 CHANGE OP USE FROM TO STIPULATIONS ' Underlayment must comply �¢ick;k with the State Building Code. SEPARATE PEfiMITS ARE REOUIRED FOR EIECTRICAL, PIUMBING. NEATING, TYpE OF CdNST OCCUPANCV GROUP OCCUPANCV LOAO VENTILATING OR AIq CONDITIONING THIS PEAMIT BECOMES NULL AND VOID IF WORK OR CONS7fiUCT10N 20NING SO. FT CU fT. AUTHORIZEO IS NOT COMMENCED V�(ITHIN 80 DAY9, OR IF CONSTRUCTION OR WORK IS SUSPENDED OA ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY 7HAT I HAVE FiEAD AND �7(AMINEO THIS APP�ICATION STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND COfiRECT. ALL PROVISIONS OF LAWS yp�UATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WOHK WI�L BE COMP�IED � WITN WNETNER SPECIFIED HEiiEIN Ofi NOT. THE GRANTING Of A PERMIT $1885 �,g4 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TFIE pEFMIT FEE SAC CMARGE PHOVISIONS OF ANY 07HEf1 STATE OR LOCAL LAW REGUlA71NG CON- STRUCTION OF THE PERfORMANCE OF CONSTRUCTION �GC.ZO Fire SC �Z.BS PLAN CMECK FEE TOTAL FEE Licens 5.0 .02 — S�GN4TUpEO�CON:RACTOAOAAUTNOA�ZED4GENT 1DAfE� N P OP LIDATE HIS �S — P�Fl�IT� � ' L � S�GNnfUaEO�OWNEA��FpWNEpBU4DERi iOAIE� BLO iNSo' q��t 7 '�DN �'R �� l [l co��t�o�aa�ess: Legal Description: � , � CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION Effective 1/1/98 a��. ��s�, Owner Name & Address: _�r� � So� Tel. # S'Z j��%�� v Contractor: o MN LICENSE � �� ,S°� � �'S�°s °�3�� Address: 'E'h , Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT �ng� Width Height Sq. Ft. Z� J(� �nb'� Width Height Sq. Ft. Length Width H round S. Ft. „ ., ,-, ��i � � e ` q Construction T e: � YP ' V�� Estimated Cost: $ �S3�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � � � APPLICANT: Tel. � �S�S � �'I � � � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: CITY USE ONLY $�.�� Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/lOth%) $ $.SO/$1,000 Valuation $ $1000 per SAC Unit $ � �C.� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservarion Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ - C�� Building Inspections 763-572-3604 DATE ✓ SITE ADDRFSS TFIIS APPLICAM IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WTTH APPLICATION PERNIIT TYPE TYPE OF WORK: DETAILED �. MECHANICAL RESIDENTIAL APPLIC�TION CITY OF FRIDLEY . ...• � - �,�� ►7►.' '� �� . ;� i `� ■• �� •' ' �lill,� �' �' . • ► ; / � ��._�►. _ _.� 1 � �� Permit No.: . . - - . : 1'l�i� ��L ` � � II. �c...- i'' - .. � � COMPATN NAME: • CONTACT PERSON: ��_Lt�J Anderson Heating and Air-Conditionmg STATE LICENSE � N/� ` 4347 Central Ave N.E. — ADDRESS: � STATE ZIP PHONE �(,O�-��- �s�i Col. H�s, Mn 55421 a�, — �INGLE FAMILY D TWO FAMILY ❑ I•TEW �REPLACEMENT _ OF W�tK _ � .s.: -�z� "� O TOWNHOUSE ❑ pLTERA'l70N/REMODEL PER MS 16B.665 the permit fee i� a minimum of $15.00 or 5% of the total cost up to 5500.00, whichever is grea.ter, for the improvernent, installation or replacement of a residential fixture, excluding the fixtwes. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WF�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE. EXCEPT WHERENOTED. FIXTURES: (WDICATE TOTAL NUMBER OF EACH BELO� SIZFJB.l,U�I � Equipmcnt Installed . MFG: %�s�� MODEL: ��- �I NffG: MODEL: SIZFJB7V MFG: MODEL: SIZFJBTU A/C $25.00 FIREPI.ACE (GAS) $15.00 _GAS RANGFlOVEN $10.00 ^AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRI1,L $10.00 BOILER 535.00 ��LJW�ACE 535.00 _,GAS UNTi' HTR 510.00 �CHIMNEY LINER $10.00 _,GAS 1�RYER 510.00 _POOL HEAT'ER $35.00 DUCT WORK 510.00 _GAS PIPTNG 510.00 _VENiTLATOR 515.00 � Permit Fee $ � .� ' Number of fixtures @ $10.00 x $10.00 = $ Surcharge � $ .50 Number offixtures @ $15.00 x $15.00 = $ TOTAL DLTE $ Number of fixtures @$25.00 � z$25:00 =$ . Number of fixtures @ $35.00 • x $35.00 = $ State Su,�pli�ge = $ .50 Tota1= $ T'I-IIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the infnrmation 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 umterstand 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 plai� in the case of all work which requires review and approval of plans. , SIGNATUREOFAPPLICANTC. GV' ��2�l.[�('.P�i'►GL:�/15;�� • PRIIJTNAMEC �l�TI�TtZ�J4��G�^djLf' DATE �� 3 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 FA� DATE "` � 1 � Sfl'E ADDRESS � i THIS APPLICANT IS: ❑ OWNER PROPERTY OWNER/ TENANT CONTRACTOR NOTE: SEPARATE CITY LICENSES ARE REQUIRED FOR GAS AND HVAC. SUBMIT COPY OF BOND ANDINSURANCE PERMIT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit N Received By: ��' D��a�� ^ i i. 4 �� ADDRESS: CITY STAT�_�I�_� PHOAIE:�% p�j � j�' 1 3',� � COMPANY NAME: � „.o„ , , CONTACTPERSON: �" `-� IN� 'i r .�'.:':�' �.,.. ; ,_ I STATE LICENSE q R!�/1v��. � v� .._ _ �v e�") PHONE �S[NGLE FAMILY � TWO FAMILY ❑ NEW �REPLACEMENT DETAILED DESCRIPTION OF FAX ❑ TOWNHOUSE O ALTERATION/REMODEL ATE_ZIP PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of t6e total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures.' (This should reflect only the cost of labor ) OR Labor cost under $300 =$ I 5.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIX7'URES: (INDICAT�E 1'OTAL - NUMBER OF EACH BELOV� Equipment Installed MFG: i MODEL: �,i=F-�� SIZFJBTU %� D� �G� MODEL: SIZEBN MFG: MODEL_ SIZFJBTU _A/C $25.00 , FIREPLACE (GAS) $15.� GAS RANGEJOVEN $I0.00 _AIR TO AIR EXCHANGEER $IS IREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 �F[JRNACE $35.00 GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 _DUCT WORK $10.00 GAS PIP(NG $10.� VENTILATOR $15.00 ii ri��e T� __ _ Permit Fee $ �� Surcharge $ ,jp TOTAL DUE $ � � r� MINIMUM $15.50 Number of fixtures @$10.00 x$ I 0.00 =�, Number of fixtures @$ I5.00 x$ I 5.00 =$ OR Number of fixtures @$25.00 x$25.00 =$ Number of fixtures @ $35.00 x $35.00 = $ State Surchazge = $ .50 MINIMUM $15.50 Tota1= $ � "' 'THIS [S AtJ APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED - I hereby apply for a mechanical permit and I acknowledge that the infortnation above is complete aad accucate; that the work will be in wnforn�ance widi the ordinances and codes of the Ciry of Fridley and with the Minnesom Construodon Codes; t6at I undersmnd thia is not a permit but only an application for a pertnit and work is not to start without a pemtit; that the work will be in ec o ce with ed-p1e 'n the case of all work which requires review and approva] of plans. SIGNATURE OF APPLICANT PRINT NAME �—� �fY1 �-211 "Y�l9c-�- DATE %O- p APPROVED BY City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 DATE