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AF - 47384� � City of Fridley, Minn. BUII.DING PERMIT N° 3 4 7 3 �te: . �:l . : . �. � `. :�: : : .�� : . . . . . . . . . . . . . �.---- �,�,, � �� Owner .. ............................. Builder .�� ::.'........,.::....'"��..... Adclre�ss ...................................... Address ............................................. , LO�CATIQN F BUILDING � ; * : � ,, No. ;,�:�: .� . :�. . Street . . . 'C M,' Z?"„�-o-,( ��%'` . .. � . . . Part of Lot . . . .. . . . . . . . . . ................... Lot ..,�....... Biock ... ............ Addition or Sub-Division . . . .. . ...�.... Corner Lot . . . . . . . . . . . . Inside I.ot . x . . . . . . . . Setback . �: S. . j� .� � Side ard l � � � . . . . . . . . . . . . . . y .. . ...... DESCRIPTION OF BUILDING To be Used as: Q�) � ti / .,��dv.�.� . . . . . . . �ont �� .� Depth . P�. 3. . � Height .1 y : .O Sq. F't. . � �4 � G�. F't.o�.� ,�y� . . � .. . . . F'ront . . � �: 4nepth a � = � Hei�,t 1 6 ' �!? `'sQ. � �0.�'. c�. �-r. �v.� 7`yp��nstruction .��: :-:�.—. �t. . F . Q. �.Q . . �. . . To be leted . . . . . . . . . . . . . . � �3. � ... . . In consideration of i'he issuance to me of a permit to construct the building desrlbed above, I agree to do the proposed work in accordance with the description above set f and in campliance with all rovisions of ordinances of the city of Fridley. � �/ D�o In consideration of the payment of a fee if! $.�.,l......., permit is hereby granted to ................... . .. .. .. .. .. . . .. . . . .. .. .. . to construct the building or addition as described above. This perrnit is granted upon the express condition that the person to whozn it is gi�anted and his agents, employe� and worimaen, in all wark done in, arnund and upon said building, or any part thereof, shall conform in ali respects to the ordit�anoes of F�idley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bufldiags with- in the city limfts and this permit may be revoked at any t�e upon violatio � of ar�y of the provisions of said ordinances. ../....�'�';!,/y::!......... Building 7napecbor NOTICE: � � This permit does not cover the construction, installation or alteration for wl�inp, plumbin�, �as heatinp, sewer or water. Be sure to see the Bulidin� Inspe�tor for separate permits tor thoae items 0 City of Fridley r 4T TME TOP Os TME TwINi i` r rL-------� cowr�N�rr oev[t.o�w�Nr ow, � �{ i MCTECTIVR Nf1�CT1QN O�/T. � i �. . � CIT1/ IIALI fR101.R� i�= �..._.J`.� �.� Ni-��o-a�s0 S �. � �_� ( / Contractor Kind of Buil ing Camp etion Date L/_ // — 7� iUr.lEG7 � �? � PLUM�I��r, PERf1IT QPPLIC�TI��J 1 ACidres s / rhpn �� /� ,3 �5 � � . ,�-- �� .�8e�-r J b(? s� � � ress P one � � c� / y�/� a �/�,/ --�`"�-./�- Use ,� i=I� � � ; I_ il I W ' I W I I � � � _� � I < < � � i i � I� ; n � � , I I a�Nral I � � i � I I G 6Y�J "�' � '1ddV I j I I O 4VDI I , � ( ! I ; .,g�1li�'�� , � i •saa� i ��nNrva � � SNISV6 '� Holv� N �G�C w 9N�vaa '� � Yoo�� 3 0 :w ;.. . ,� VlsaaMOMS �Q � � '1Nf10d I� p ,� �N�aa ly �W s�rai A Ii H9YM � fNN18l �N �uw 4'1 V N I�Ift waiv�► t. W OD � � I I � I � I � � ( � � i � .� `� � � � � � I/- I,3 � � `� �i I• � f! i� I� � Y-- "7_ �� .. -- ----- -- _. _ ...- --- — Plumbing Fixture Rates: N0. RATE TOTAL Number Fixtures x $2.00 �_ Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 Catch Bastn x $3.25 Water Heater-99,000 BTU x $3.00 Ground Run Old Bldg. x$3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures x $2.00 Additional Fixtures X $ . ]'.S Gas Range-199,000 BTU x $5.00 Repairs & Alterations See I Description; Code � State Surcharge .50. � � �V � TOTAL FEE $ �,� �._.__. �The undersigned hereby taakes application for a permit �for the work herein specified� agreeing to do all woxk . in strict accordance with the City Ordinancea and rulin of the Depaxtment of Buildinga, and hereby declare that a1l�the facts and repreaentations atated in this I application are true �d correct. � . ,�l"��-�.� Date f t sus�ecT PERMIT 1d0. � City of Fridley f� 210 6 7 ' , AT THE TOP OF THE TW INS g � I L D I N C P E R M I T _�� a � ,� � • COMMUNITV DEVELOPMENT DIV. r � V •• i PROTECTIVE INSPECTION SEC. � � � � � � /"'1 � CITY HA�L fRIDIEv 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""'� � ,'� 612-571-3450 910-F15 9/18/91 � � JOB ADDRESS 6350 Jackson Street NE 1 LEGAL LOT NO. BLOCK TRACT OFi ADDITION SEE ATTACHEO DESCR. 3 8 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Rich Gundlach 6350 Jackson Street NE 571-1486 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO. Top Gun Roofing 9644 Ximines Lane, Maple Grove MN 55369 425-1455 4 ARCHITECT OR DESIGNER MAIL ADDHESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDHESS ZIP PHONE LICENSE NO. 6 USE OF BUILOING Residential 7 CIASSOf WORK ❑ NEW O ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE % 8 DESCRIBE WORK Reroo� House & Garage (18 Squares) Tear-o�f. 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must meet State Code �or ice and water shield. TYPE Of CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPAFATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTI�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCEO WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTEF WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CEATIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WOHK WILL 8E COMPUED $g36.00 $. SO WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW f±EGULATING CON- $25.00 Fire SC y5.94 TRUCTION R THE PERFORMA E OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE C $26.44 IGNATU OFCON ACTORORAUtN IZEDAGENT � IDATE-� WHE PFOPER Y A HIS IS YOUR PERMIT � � SiGNATUAE OF OWNEA i�F OWNER BU�IDEAI �DATEi INSP nFTE � [J ADLtJ [ ] I�1 At�ID I�2 AL'I�R [ � Buildirg Peimit l�ipplfcatian C�struction addreSS: ll� � �� _� c? C �� D ��a S � . ��- � Effective 1,/7,/91 Iegal D�csiP'tian s � ow��er 1Ja�e ��: �C ,`cl� l'u.�rr.� �a c� C�3 s6 J uc ks o�r s� ,�, Ter].. #�7/ -) �i 8�n t�antracta�: �D ��.� e o�'j` �r �. Tel.. #�-'� S'' �4�5'.S— ��: I.Iti1�iG I1�,: � 71�: DOCdt ARF.A: OR'i�R: � _ � Pittac� to this applicatian, a Oertificate of S�irvey of the lot, with tiye p�osed drawn an it tc scale. LFBCItIPPIQ�1 0� �ADV�Tr L�qth i�lidth Hei�t Sq. Ft. Les,gth �lidth Hei��t sq. Ft. � � �� - �� . /o S 2J �� . Ft. mrner Ict [] Inside Iot [ Ft. Yd Se�tback Side Yard Se�tbacks Zype of O�orLSttuctian: � ��a � �`�ute �E Estimated Dost: $ � �jo Apprcx. �letian Date: � - �D •� 4�/ Prr�poE-�ed Driv�eway Width If New Ope�iny Desirad: Ft. $ $ + 6' See Hack Page n�: 1� �-y� ��: �. � ��s=iys�- Q3'Y �B �II,Y �t F� $ �—• c'v Fire Slaxti�az�ge $ � C1 State S�d�arge $ , Sd sAC ct�an�e S D�iveway Escru�r $ Ratk Fee $ Sew+er Main Ct�aYge $ . �. sr�vr�zza,s: � Pree Sd�edule an l�eve�se sic3e .001 x Pe�mit Valuatian (],/lOth $) S.solSi,000 vatuatian 565o Per' S�c tfiit �lt. �A" C� Xlt. °B" Above �19� Dete�m�Ileci bj� �i t1��ris� �g�a�t NeoessarY [ ] � �Y [ ] S ��-y �s. __ __ __ - -- __ ________... �-� - �,� s�a,ecr PERMIT NO. City of Fridley � -r� �� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � COMMUNITY DEVEIOPMENT DIV. � �ti,-- 1 � � PROTECTIVE INSPECTION SEC. �Q s� � � � . � ' ' ��1 � CITY HALL FRIDLE� 55432 NUMBER REV OATE PAGE OF APPROVEO B� �--•'�' �'' 612-571-3450 910-F15 5/31/95 / / JOB ADDRESS 6350 Jackson Street NE t LEGAL �-OT NO. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. 3 $ Christie Addition SHEET 2 PROPEFTY OWNER MAI� AODRESS ZIP PHONE Rich Gundlach 6350 Jackson Street NE 571-1486 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE UCENSE NO. 5 ENGtNEER MAIL ADDRESS Z�P PHONE IICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION l� ALTERATION ❑ REPAIR p MOVE ❑ REMOVE 8 DESCRIBE WORK Add patio door; replace garage service door; replace front entry door 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OP CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS AFE REQUIRED FOF ELECTFICAL, PLUMBING, HEATING, VENTILATING OF AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOtD IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHOi±12ED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOF A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �Z�OOO �L.00 DOES NOT PRESUME TO GIVE AUTHOR�TV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ��FS.00 �Z.00 PLAN CHECK fEE TOTAL FEE $48.00 NATU�7EOFCON�RACIOAORAUTH0�71ZED�+GENT IDATEI EN PRO ER ALIDATED THIS IS VOUR PERMIT � - 1- ��'3�`� � Si NATUREOFpWNEFliifOWNEABU�LDEAI �OATEi �pG i �14tE NEW ( ] ADDN ( ] ALTER (] .. �CITY OF FR[QLEY . SINGLE FAMILY AND DUPLEXES R-1 AND R-2 - � Building Permit � Application � Effective 1 / 1 /95 . � � ConstructiQnAddress: _�lrv3S0 `I A C�SD �f �, ls. � ^ � _ . . . � Legal DesciipEion: . : : . _ . . . . Owner Name Ji Address•. �iC.li, �� 1�iQL f1rC�) � � � .. '�el.��,� 'vr Z:I. - �l�'�6.�� . . ��onCractor: ,t}U r►�t� � �� µ'� � . - � � MN LICENSE # . - �Address: � Tel.. # � � �� : Attach to this application, a Certificate of Survey of the � . . � . : .. lot, with the graposed construction drawn on it to scaLe, � � . . � � �DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height 5q. Ft. _ GARAGE AREA. Length � Width � Height Sq. Ft. . � DE�K AREA: � . T.ength . . Width � � Hgt/Ground � Sq. Ft. � � � � � OTHER: '� �RV D'D I'L i� � � Pt LFS �k �r Es �l � 6 �� e a- �oNT �N-t Ry �oo rL . Corner Lot (] Inside Lot [ j Ft. Yd Setback Side Yazd Setbacks Type of Construction: Estimated Cost: $ �.(?-0'0 � 6-4 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Neetied: Ft. + 6 Ft — Ft x$ _� DATE: � 3 D .� APPLICANT: 1�� Tcl. � lu- r% I' I Zf � L � ?3�-�3b6�wn�K> Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: �ITY USE ONLY $ '�, j. �� Fee Schedule on Reverse Side $ `�. 4_d .001 of Permit Valuation (1 / lOth %) $ 1 � DO $.SO/$1,000 Valuation $ $S50 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 ( ) $ �' •4� _ . � � . . .. a�n'�'`""' �ji�� x'�(�� ''"'�"a�° ' M � � "t -1�'�p„V,�y � . �Msari� � ��'"N rQ. 9n�.1•�� y��ad'�� -�d � Q� y��ndyS�t �4�Q► a`� 1`� , , : : -:;. ► ,� ; � ; (�/oL �P) T'p 4; -Sl� ��... _ ; , � j - ` ,,�^°'.�' ,,i+� ��' � �� .: �� , b�� e 4$ �r . . . Cmo'v '' ,►� �1 g�� : f ' �i - - . . _• - -- . _,� _ - - � � ��'� �� ' �':"�''— ....,--: �� - ll�'�� d� f* sue�ecT PERMIT NO. City of Fridley t-� ��, � � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f i � , � 1�'f N O . � • COMMUNITY DEVEIOPMENT OIV. ' ; V �_��_, r � � PROTECTIVE INSPECTION SEC. �� 'i� ?j 1 � � � - ' , /��1 � CITV HALL FRIDLE� 55432 NUMBEp NEV OATE PAGE UF APPROVED B� �""�"� �'' 612-571-3450 910-F15 8/1/95 / / JOB ADDRESS 635Q Jackson Street 13E 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 8 Christie Addition SHEET 2 PROPERTY OWNER MAII ADDRESS ZIP PHONE Richard Gundlach 6250 Jackson Street NE 571-1486 3 CONTRACTOR MAIL ADDRESS Z�P PMONE UCENSE NO Cross Windows & Siding 500 E Travelers Trl #500, Burnsville MN 55337 894-5770 a ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL A�DRESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING Residential T CLASSOF WORK ❑ NEW O ADDITION O ALTERATION ❑_ REPAIR ❑ MOVE O REMOVE X 8 OESCRIBE WOAK Reside House 9 CHANGE OF USE FROM TO STIPULATIONS � TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APP�ICATION 1 STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL PROVISIONS OF LAWS VAI.UATION SUHTAX AND ORDINANCES GOVERNiNG THIS TVPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEFEIN OR NOT. THE GRANTING OF A PEIiMIT H 8C)O �F.�F3 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCNARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERfORMANCE OF CONSTRUCTION. LOH.00 Fire PLAN CHECKFEE TOTAIFEE SIGNATUAEOFCON�AACT0�70AAUTHOR�ZEDAGENT IDATEi WHEN PfiOPERLY ALIDATED THIS IS YOUR PERMIT _ �i. "l g''-2 -� SiGNATUREOFOWNEAUFOWNERBUILDERI �OATEI BlD INSP DtiTE G�1 NEW ( � � Effective 8/1/95 ADDN ( ] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �✓�� `.3� Building Permit Application ConstructionAddress: � 3 j 0 ,T�cso,� 5� s; .� _ Legal Description: _ Owner Name & Address: �,��.a � � �n�, ,�; � C� � ,,�� ►,y�c� Tel. # �7l ' �8 �O Contractor: �_p,� ,,,> ��,s � 5,�p;�,.� g _ ` MN LICENSE # Address: ,$�� F- ��.1�-M3 �Z ,�t� ��.�vt��K �r.� 33� Tel. #Gz $Sy-577� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of ihe lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length � VVidth . Height Length Width Height Length Width Hgt/Ground Sq. Rt. Sq: Ft. Sq. Ft. Comer Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: ��p1`� Q Estimated Cost: $ b� ^ Approx. Completion Date: '7- z-( - �T (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: �j"C� � R- _ � �, �� $ .y $ _ $ l $ $ $ $ $ 7� , Z �ITY USE ONLY Fee Schedule on Reverse Side _$ Tel. # .001 of Permit Valuation (1/lOth%) $.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 [ ] SUBJECT MIT N . � City of Fridley �,� _� ,-�4 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r ; � RECEIPT NO. � ` ___�_ COMMUNITY OEVEIOPMENT OIV. r � ~ � PROTEC7IVE INSPECTION SEC. � , . ��o � � /'�'1 � CITY HA�I FRIDLE� 55432 NUMBER REV DATE PAGE UF AvPROVEU Bv �'""'�" �'� 612-571-3450 9t0-Ft5 4/29/96 / / JOB ADDRESS 6350 Jackson Street NE t LEGAI �OT NO. BLOCK TRACT OR ApDITION SEE ATTACHED DESCR. 3 8 Christie Addition SHEET 2 PFOPERTV OWNEfi MAIL ADDRESS 21P PHONE Rich Gundlach 6350 Jackson Street NE 571-1486 3 CON7RAC70R MAIL ADDRESS ZIP PHONE LICENSE NO. Same d ARCHITECT OR OESIGNEFi MAI� ADDFESS 21P PHONE LICENSE NO. 5 ENGINEER MAII ADDHESS ZtP PHONE LiCENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADOITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WORK Construct a 15' x 12' Deck 9 CHANGEOFUSEfROM TO STIPULATIONS See notations on plan. 11V1��1�G �: Before digging caN for alt atiliry locations 454-000? REQUIRED BY t.�►W TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVIOAD SEPARATE PERMITS ARE REOUIFiED FOR ELECTRICAL, PIUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS 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 GAFAGES 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �l �542 �.77 DOES NOT PRESUME TO GIVE AUTHOR�TY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCA� LAW REGULATING CON- �S 1. 25 Fire SC �p 1. S�F STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CNECK FEE TOTAL FEE $53.56 S�GNATUREOFCO RACTOROAAUTMORIZEOAGEN( fOATEi WNEN PqOPER AL�ATED THIS IS VO�1R PERMiT !�� -�l�a-d�- � �.,�Ib,� `%� , . SiGNATURE FOWNERUFOWNERBUILOERi iOATEi Bl �NS� �iFTE NEW ADDN ALTER [l [l [� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 3 �1/96 � 6� ConstructionAddress: � �s � �� Si'� �� ST • �i �, Legal Description: Owner Name & Address: Q6(�� u� T� L P1 G N Tel. #.57 I' �� Contractor: SF� Wt � MN LICENSE # Address: �j,,ot�� Tel. # _ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length _�� Width �� HgtlGround,��. j. ��Sq. Ft. J�i,'2��D ��% OTHER: � %�j /�, � Q Comer Lot [) Inside Lot [� Ft. Yd Setback Side Yard Setbacks Type of Construction: �p � � ��s,��Estimated Cost: $ � / 3�2� �D Approx. Completion Date: 6- J,'—C��! � (Cos.t on Back) � � ; , , ;. Driveway C�xrb Cut Width Needed: F+ 6 Ft t x$ _$ DATE: - -� APPLICANT: � I� /�C.�. • Tel. # � 7 / ' / �/ �'� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CIT�.' USE ONLY � � $ , Z J Fee Schedule on Reverse Side $ ' .001 of Permit Valuation (1/lOth%) $ , 77 $.50/$1,000 Valuation $ $900 per SAC Unit $ $5.00 (St�te Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ) AY � J�3�� 13 •= i 4' r--- --� GAR$EN I I UTIL I SHED I L� � �OOOOO � /� � � i i �CREE OUSE; ; <FU E> ; � � � � � PATIO DRIVEWAY 6350 JACKSON ST. NE FRIDLEY, h�J 55432 F�OvER GARDEN 76' I 0 ASH TREE O Ilii�{IIII iDECK BIRCH 0 EVERGREEN O � I` t , . � � - . 2'-0' TYP 1'-11 1/� � 5'-10 1/4" 6'-0" � 2'-0' REF 30° Y 2'-8 5/32' 6' JOIST HGR, (37) 90 ° C�RNER BRKT, (11) 3'-9 1/2' HOLD ADJ ANG C�RNER BRKT, (6) 6" TYP p� if�t! i" 7 . CL PATIO DO�R�� . ;�� , � �`�' ��'' ��v' . � °�' � . . 6'-6" 1 � 6" , . � 1 � 2'-11 1/8' HOLD , .�1 �� . 16' TYP ' ' \� 11 1/4' �— 6" JOIST HGR, ADJ ANG, C7) / 1'-0' 2'-0' TYP ��. `� � 12'-2 15/32' REF 1'-2 1/2' ��-4� , 14'-9' , 8 1/ 4" t 1' . ��..��. Q��./�r � -'� l 3 PLC� ( � � i ;l� `� _ � .� - �, , � . � 1S _ � '-2x6's 6„1/2' 3'-7 31/32' REF 30, � 3'-10 1/4' 1'-9 3/4' �, 3`� 5'-[]" � ��. GROUND LEVEL , 6'-11 ; � " ' HOLD 4'-5 1/2' . I 3/32' I 5'-4 11/3c : I ♦ 8�'6� I I 11'-4' H�LD SUPPORTS FOR LEVEL 1& 2 C�NTINUATION TRIM _ ' ...x/.�... 0 5 1/2' REF 1'-10' 1 (TIE JOISTS T❑ BEAMS) - N�TES -. G U N D L A C H FR DLEY,CMN�55432NE 1, ALL LUMBER GREEN PRESSURE TREATED, 2. ALL HARDWARE STAINLESS ❑R GALVANIZED STL. 3-�E�/E� DECK STRUCTURAL DETAILS SCALE x I SHEET 2 �F 2 0 C-C 2x4 DECKING, ALL LEVELS 2x6 TOP RAIL , . 2-2x4 OR 1-2x8 TRIM B❑ARDS 0 4' MAX GAP �TYP.- 4x4 POSTS 2x2 BALUSTERS 2x4 STRINGERS - TOP & BOT 2-2x4's ❑R 1-2x8 TRIM B❑ARDS. I2x4 SEAT MEMBERS 4'-9` RAD 2x4 SIDE STRINGERS \ 2x6 END PLATES 5'-0' �VERALL BENCH C�NSTRUCTIDN - NOTES - 1, ALL LUMBER GREEN PRESSURE TREATED, 2, ALL HARDWARE STAINLESS OR GALVANIZED STL, 4x4 POSTS G U N D � A C H FR DLEY,CMN�55432NE 3-LE�/EL DECK DECKING, TRIM AND RAIL DETAILS SCALE x SHEET 1 OF 2 , - . -� I, . u _� ( . 2x6 TOP RAILS 2x4 BALUSTER TIES CTOP AND . �� I �� 2-1/2 x 1-1/2 NOTCH�S � �� . � . �, �.^� n� �� _... /� _ 2x2 BALUSTERS SPACED 5 1/2' t 4x4 TYP TYPICAL RAIL C�NTRUCTIDN � _..._. sue�ecT P City of Fridley 2 9 0 6 9 � AT TME TOP OF TNE TWINS g �! L D 1 N� P E R M I T ., .� COMMUNITY DEVEIOPMENT OIV. � ` /�� j V __�� , . r � � PROTECTIVE INSPECTION SEC. �] 1 . � � � �"'ti � CITV MALL FRIDLE� SS�J2 NUMBEP 11EV O�TE P�GE O: AVVROVEO 9v �""'�'� �'� 612-571-3450 9t0-Ft5 3/25/99 / / J08 ADORESS 6350 Jackson Street NE t LEGAL �OT NO. BIOCK TRACT OR ADOITION SEE ATTACNEO OESCR. 3 g Christie Addition SNEET 2 PROPERTY OWNER MAIL AOG8E5$ ZIP PHONE Rich Gundlach 6350 Jackson Street NE 571-1486 3 CONTqACTOR MAIL AODRESS Z�P PHONE LICENSE NO Town & Countr Roofin 91 12 Ave S Bloomin ton MN 55425 854-9365 1 AHCHITECT OR DESIGNER MAIL A�DRESS 21P PMONE LICENSE NO. 20091282 5 ENGINEER MAIL AODfiESS ZIP PHONE LICENSE NO 8 USE OP BUIIDING Residential 7 CIASS OF WORK O NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Gara e 22 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY lOAO SEPARA7E PERMITS AFE REQUIRED FOR ELECTi;ICAL, PLUMBING. HEATING, VENTI�ATING OR AIR CONDITIONING TMIS PEFiMiT BECOMES NULL ANO VOIO IF WORK OR CONS7RUCTION ZpNING SO. fT CU FT AUTHORIZED IS NOT COMMENCED V�1ITNIN 60 DAVS. OH IF CONSTqUCTION OF WORK IS SUSPENDED OR ABANOONED fOA A PEiiIOD OF 120 pAYS A7 ' ANV TIME AfTER WORK IS COMMENCED. NO DWLG. UN17S OfFSTqEET PARKING I HEiiEBY CEFTIFY TMAT 1 HAVE REAO ANO �XAMIN�D TMI$ APPLICATION 1 STA��S GARAGES ANO KNOW TME SAME TO BE TRUE AND COPRECT. ALl PROVISIONS Of LAWS VAIUATIQN SURTAIf AND OR�INANCES GOVERNING THIS TVPE OF WQRK WILL BE COMPUED @ WITH WNETHER SPECIFIED HEREIN Oq NOT TNE GRAN7ING OF A PERMIT �1 � SHS W• 94 OOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL THE pEqMIT FEE SAC CHARGE PFOVISIONS OF ANY OTNER STATE OR IOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE Of CONSTiiUCTION �59. SO Y'2 SC �L .8H PLAN CMECKfEE TO A FEE � Lice C $5. $67.32 S�GN�TUAEOFCON• CTOpOp�UTMOp12E0�GENT iD Ei NEN iiOP VALIO TMIS IS OUQ PERMIi ; � .� r S�GNATUQE O� OWtiEQ�� OWNEA BURDER� iO�TEi . � � � G�q5o � � � � ��<<E Mar-19-99 11:22A P.02 NEW ( ) Effec[ive l / 1/98 ADDN [ � CITY OF FRIDLEY � ALTER () SING�.E FAMILY AND DUPLEXES R-1 AND it•2 BUILDING PERMIT APPLICATION Ob 1� ��,�0� ConstructionAddress: �� ,�(�Sa n �r��`�" /�) �. L,e�al Description: Owner Name 8c Address: Cnntractor: Address: - r � �? f%I � Tel . # ��%/ :' / ��.� MN LICENSE !� 02 D G� 9/�.c��2 . �w�Ttl. � �'�5 � ' ii3 � S Attach [o this application, a Certificate o� Survey of [he lot, with the proposed construction drawn on ic to scale. DESCRTPTION O� IMPROVEMENT LNINC AREA: Length Width Height GARAGE AREA: Length Width FIeight DECK AREA: Length Width HgVCsround OTHER: Sq. rt. Sg. Ft, Sq. Ft. � °� '� Construction Tyl�� - Estimate� C�st: S ,' U /a�� (Fee Schedul�n Back) Dciveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ -$ •-� , --�� . , , . DATE: ;� . �� APPLICANT: i, �� l�- �� Tel. �► V ��S' ��,.��c.a.� �� Permit Fee Fire Surcharge 5cate Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ .sv $ $ $ $ $ $ crrY usE oxi.� Fee Schedule on Reverse Side .001 of Permit Valuation (1 /l Oth 90 ) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 {State Licensed Residen�ial Contracton) Alt. "A" or Alc. "B" Above $450.00 Conservation Plan Revi�w Park Fee $ Fee Detet�tinecl by Engineering Sewer Main Charge $ Agreemeat Necessary [ J Not Necessary [] TOTAL STIPULATIONS; $ .� Y ,� , > .� � CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 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 -Elect�ic Water Heater - Gas*" NO. RATE Gas Range*" Gas Dryer"* Back Flow Preventer Required ()Yes () No � $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL j Ul� � JOB ADDRESS � 3�� i C� s o� � f'�� `'f /�� 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. %�- /�/ z��' Owner ( dl'Jrn / � V' (�1v1 � / �l � �. Building Used As jL av Estimated Cost / v��% PERMIT NO. �. ��? PLUMBING COMPANY � t.�+ ' � SIGNED BY � TEL N0. �� ^ 3 Approved By Rough-In Date Final Date '� �v% TOTAL FEE $��-� PLUS, THE E.50 STATE ,SURCHARGE�^� r�Rm� �.� COMBUST�ON AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE SuB�EtT City of Fridley 3 i 6 05 AT THE TOP OF THE TWINS g � � L D i N G P E R M I T r ' ' R � � ; / � `y ___._ COMMUNITY DEVEIOPMENT DIV. /�� r � � PROTECTIVE INS�ECTION SEC. �V' / � . . � � �"'1 � CITY NALL FRIOLE� SSIJ2 NUMBER REV OATE PAGE OF AVVROVEO B� �'""�� '' 612-571-3450 9t0-F15 12/21/00 / � �oe nooaESS 6350 Jackson Street NE t LEGAI �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMED oescR. 3 8 Christie Addition SNEET 2 PAOPERTY OWNER MAIL ADDRES$ 21P PMONE Rich & Connie Gundlach 6350 Jackson Street NE 763-571-1486 3 CONTRACTOR MAIL ADURESS 21P PHONE UCENSE NO Same 4 ApCMITECT OR DESIGNER MAIL ADDFiESS ZIp PMONE LICENSE NO. 5 ENGINEER MAIL AOORESS ZIP PNONE LICENSE NO 6 USE OF BUILDING Residential 7 CIASS OF WORK O NEW O ADDITION C� ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Complete roughed-in basement bathroom 9 CHANGEOfUSEfROM TO STIPULATIONS See notations on p1an. SEPARATE PERMtTS � REQUIRED FOR: PLUMB�ING� AND NSI ��IIS TYPE Oi CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PEFMITS ARE REOUIRED FOR ELECTNICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PEFMIT BECOMES NUIL ANO VOIO IF WORK Ofi CONSTRUCTION 20NING SO. fT CU fT AUTHOR12ED IS NOT COMMENCEO V�1ITHIN 60 OAYS. OR IF CONSTRUCTIpN OR WORK IS SUSPENDED OR ABANDONEO FOA A PERI00 OF 120 OAYS AT R-1 ANY TIME AFTER WORK IS COMMENCED. NO DWIG. UN17S OffSTREET PARNING t MEREBY CERTIfV TMAT I MAVE REAO ANO EXAMINEO TMIS APPLICATION ], STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAWS VALUATION SUFTA% ANO ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMP�IEO WITM WMETMER SPECIFIE� HEREIN Ofi N07. TME GiiANTING OF A PERMIT � 1� ZOO �. GO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME pEpMl7 FEE SAC CHARGE PROVISIONS OF ANY OTMER STA7E OR LOCAL LAW REGULATING GON- @ STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION �litF.85 Fire SC �y1.2O PLAN GHECKfEE T TALfEE $46.65 4TUpE O� CON' Ci`�Oa�2E0 �GENi iD�iEi M PF LY VA TED 7M1S �S VOUR P MIT °�' l� �/—(� . l,��" ' �Z- _. � 6d S�GN�7UAE O� OWNEA ��F OWwEp BWIDEiii �O�TE� G�NS� �� i<<E NEVV [ j ADDN [ ] ALTER � Construction Address: Legal Description: _ Effective 1 /1 /2000 CITY OF FRIDLEY (763) 572-3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ,D 1i70�c.� Owner Name & Address: ,�ic,L1 � C��n�iF. �u�t��.4-�/-� Tel. #%ti3-��l-/1� Contracto�: �� MN LICENSE # Address: Tel. # � 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 Length Width Height Sq. Ft. Length Width Height Sq. Ft Length Wdth Hgt/Ground Sq. Ft. CO�YJ�L�'7t �L/li�/�D- /ll/ R�9TL/.2DD/?�! L/�l �3.9 ��I9�I�/T Construction Type: Lc�bl�J� �2(� i'�'1� Estimated Cost: $/�DO Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: /�—�/—lJ' C7 APPLICANT��t�.c/,G� --C/�-w�,c-��C�� Tel. # 763-57/—/ i�'�6 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ "7' `� �� Fee Schedule on Reverse Side Fire Surcharge $ 1- ��' .001 of Permit Valuation (1/10th%) State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ��' $.50/$1,000 Valuation $ $1100 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 [ ] � �{�, � ��" W A � N Z Z 0 � w � � a pa � 0 a. ¢ � 2 H 3 � x � n �a� �� I� � �� Z � a � � ❑i � iD � �, ('p � � W � � M � ¢ x � � N o � � Q i I i � � ■ . . Z � z � I � � I I Z I0 � J W O n.� o i r � � ' \ X �\ � W I ,\ i , 0 � W � 7 N O (J� Z � W 3 0 x N i W Z u N 1 - �0 , Z a � 3 �..1..� z . � � . ` , (�� V �,/ � . � �� . � � �� •� � � � Q ♦ � N ;J � � � � �;z3� � `° � A � W ��1 � ��~ Q�Q � ��w3 r� �. ��J�3 N ¢ A W 3W� � �.1..� W I..L � �� O `� � J � Z Q ' a 3 � F' � ._ U W � � �� o � ZZ � �o J C') � J A A I � 3 � Q v� ° 3 � l7 Z � ¢ �- 3 � X N w � � � � � � -� s � G G � �- Building MECHANICAL Permit rlo.:- =�� G- ,� �� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 ��-��s�(��CITY OF FRIDLEY Date Rec'd: � DATE �' �� C� YOUR E-MAIL ADDRESS S.ITE ADDRESS o�J �C) \ o�C_IrL:�O �1 S� 'Nk' - THIS APPLICANT IS; ❑ OWNER �CONTRACTOR PROPERTY NpME: C.prfi� �e C,u,r�c� �c�C 1n �E N� aDDxESS: 1n3� O��.c l,c so ,-� S-4 NE cr�rr �r �d \-� STATE i�NZIPSS�i PHONE: '-1 l� 3- S-1 l- \`'i g� CONTRACTOR COMPANY NAME: C�� R� SUBMIT A COPY OF COMACT PERSON: JOANN ZINKF�i YOUR STATE STATE LICENSE # EXP DATE LICENSE WTTH pDD�ss: 13562 CENTRAI. AVE i�E CrrY ANOKA s'cA'rE MNZIP 55304 APPLICATION PHO� 763-757-6202 F,�; 763-757-6701 , PERNIIT TYPE ��GLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK• O�W ��PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK '� `�' �e Ca.r r��e r' �v� � CL c� �- PER MS 16B.665 the permit fee is a minimum of $15.00 or 5%'of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtwes. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS VI��RE LABOR EXCEEDS 5500, FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTfJRES: (1NDICATE TOTAL NUNBER OF EACH BELOVi� Equipmentlnstalled , MFG: �arr r MODEL: �i$'(Y�U�aoU- I�-( SIZE/BTCJ� CnCf D--O� MFG: r r' e MODEL: '?�g T K(4 0 02�( SIZE/BTU � MFG: MODEL: SIZEBTU I A/C 525.00 _FIREPLACE (GAS) 515.00 _GAS RANG&OVEN S10.00 �AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) 535.00 NEW GAS GRILL S10.00 BOII.ER 535.00 � FURNACE $35.00 _GAS U1�1IT HTR 510.00 CHIMNEY LINER $10.00 _GAS DRYER S10.00 POOL HEATER 535.00 DUCT WORK $10.00 GAS PIPiNG S10.00 _VENTILATOR 515.00 — . . ...., . . . ... ; .,. : ' .'. ;. . F� �. ., �. . . ». _. ,., �' � �;�, . � . �. � .. .. ; . Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures (a3 $ I5.00 x$15.00 =$ TOTAL DUE $ Number of fixtures @$25.00 1 x$25.00 =$ �S,U6 Number of fixtures @$35.00 1 x$35.00 =$ 3S .Uo State Surcharge = $ .SO Tota1= $ (�6 .SO TH1S 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 confoYmance with the ordinances and codes of the City of Fridley and with the Minnesota �Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. .. . SIGNATURE OF APPLIC ��. � PRINT NAME ROGER HOFFHEIN DATE �/ OS / D� ..�. .._ �. . � - , (,ity ot r�r�citey Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 n A '[7. •7/'1 CA'1 � A!1^7^1 ... REQUIRED INFORMATION NEEDED TO PROCESS PERMIT � RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITtONS �XtSTING HOME ❑ MAKE-UP A(R REQUIRED FOR NEW/EXISTiNG HOMES 1. Combustion Air (See note below) . �. Oil or solid fuel IMC Chaz�ter 7 with MN Amendments . b. Natwal Gas or Propane/IFGC Chapter 3 with MN Amendments � 2. Ivlak�up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venti.ng a. Gas appliances 1FGC Cha.pter 5 with MN Amendments � b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUiRED FOR NEW HOMES 4. Heat loss & cooling load pe� room - a. Required on new construction IIvIC 1346.0312 5. Ventilation . a Per MI�T Energy Coc�e 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOT'E: Centerpoint Energy Mechanical Code Guidelines software may be used for comhustion and make up air calculations Building PLUMBING Permit No.: �'c fv-c: �:� � Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FR�DLEY Date xec'd: � DATE L� /�-� YOUR E-MAIL ADDRESS SiTE ADDRESS r,��KYY') V7 �L� . THIS APPLICANT IS: ❑ OWNER f,�ONTRACTOR PROPERTY NAIvtE:� si�yy/i:nh OWNER/ pDDRESS:�� . T([��,�j ��i'/1.� CITY �r%[`1�Pi/ STATE{��ZIPy�� TENANT pHONE: % � /- / .410 � -.�.�y CONTRACTOR NAME: SUBMIT A COPY OF STATE LtCENSE � EXP DATE 1�-�3� o Y4UR STATE aDD�ss:�0lo76 Lr�n�nln �� CITY STATE�I�IP�(3 LICENSE WITH PHONE �g,5�-_��`�%� FAX �• �� %-r��'�-!g APPLICATION PERMIT TYPE �SINGLE FAMILY O TWO FAMILY O TOWNI-IOUSE TYPE OF WORK: ❑ �w tJ�REPLACEMENT DETAILED DESCRIPTION OF WORK rP�l(](l D �d.��' i1c'��°r PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELO� BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTtIB GAS PIPING p✓�o arrt�C�+s� SVJIMMING POOL WATER SOFTNER ($35) CLOTHES WASHER KITCHEN S1NK WATER CLOSET BACKFLOW PREV. ($15) DISHWASHER _ LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION — WATER METER _ OTHER . . , .. . . .,.� .. `.PERMITFEE�?R��`��Q �. �'�.:. �� ;. , . �, �. _ _ . � : D4�� Perriit Fee $ . Number of fixhues @$10.00 x$10.00 =$ Swchar e .50 Number of fixtures @$15.00 x$15.00 =$ TOTAL DUE $ Number of fixtures @$35.00 x$35.00 = State Surch e = $ otal = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNA7'URE OF APPLICANT • PRININAME /��_re_ L�ef? � l DATE �-L3-�(o w .. . . � . , . F r �:. = i .:PL�ASE.3�(d�L��S�� Y = : . ;:. A_. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977