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AF - 47611Application �or Pow�r �ta�ls� and He�g. Cooling, Yenh'k�tion. Re�f�iqt�+otion aad , Air Condi�ia�ing SYste�ns a�d De�ric�s PARTIAL RATE SCF�lEDULE ' GRAVITY WARM AIA: � 1tJ1't� ?O?AL Furnace SheII ds Duct Work . . . . . . . _ . . . . . . . .. . . . . . . . . . . $10.00 �. Replacement of F�rnace .............:............... 6.00 ; Repairs & Alteraiions—up to ;500.00 . . . . . . . . . . . .`. . . . 6.04 3 -- Repairs ds Alterations each add. y500.00 . . . . . . . . : . . . . . . 3.00 � 1tECH. WARM AIR ' Ihtmace Shell & Duct Work to 130�000 BTU . . . . . . . . . . . . $lO.OQ 5 each add. 80,OOQ BTU . . ...... .. . .... . .... .. . 3.00 3 Repiacement ot F�rnace ...: 6.00 � � d� Repairs & Alterations—uF to �500.00 . . . . . . . . . . . . . . . . . 6.00 � Repairs & Alterations each add. ;:i00:00 . . . . . . . . . . . . . . 3.00 � STEA�[ or HOT WXTEA SYSTEM Furnace She}I & F.ines-to 400 sq. !t. EbFi Steam ... .$1Q.00 $ fl�rnace Shell & Line--to 640 eq. ft. EDit Hot Water .. 10.00 S Each add. BOQ aq. !t. EDii 3team . . . . . . . . . . . . . . : . . . . . : 5.00 ' � Each add. 320 sq. it. EDft Hot Water . . . . . . . . . . . . . : 3.00 � OIL SIIRNER—to 3 gal. per hottr . . . : � : . . . . . . . . . . . . . 6.00 $ over 3 gal. per hour—See Fee Schedule S D � GAS BtJRIiER (up to 199.000 BTiA . . . . . . . '. . . . . . . '. . . . . . : . . b.04 ; .__.- arer 195.004 BT[7 See. FN Seh�dul� . GAS FITTING FEES: NO RATE TOT11� lst 3 Fixtures .. . . . .... . . � 200 # � ��— Additioaal Fiatetres ......... ........ z .76 ; Gas Rang�e to 199.O�Q . . . . : . : . . . z= ` b:0� � AIR COIfDITIOitn10 P1►N HS1iTIIFG SYS'PS1E vsxrn.nnxa sYSrax 11LTERATIOliB i� REPAIIm ROU(3H i'IPiRI, � SM �P� SelMdab . � 40 r�ru. �ae �_ n.g�. of �.. �. seo-�sa , � �� _ _. � CitY of �ldtey: The ttndersigned hereby makes application for a permit for the work hereir. specifted, agreeing to da ali work in strict accordance with the Gity fhdinance: and ruling of the Department of B�iIdings, and hereby declares that aIl the facts and representations stated in this app]�catioa are true and correct. � � ,� F�ialey, Minn- � °"` � �- x��% Owner Kind of Bnilding Used as / To be completed about / �-� � � �r �� e--C� Estimated Cost, $ � �� — Oid—New. Building Permit No. Per�ait Nio. � DffiCRlPTION OF WOR1C � i HEATI1�iG oz P'OWER PLANTS�team, Hot Water, Wa;m Air—NQ / , Trade Name �YL ��-�"'''`+� Size No " l C� v Capacity Sq. I�'t. E.DR.��%U/ �� BTET Ii.P. � � Total Connected Loaa ��-�.�.ez�r�.�tz�.t�Kind oi !'ue � �� _ BURNEA — Trade Name Size Ne- CspadtY S9. !'t. E.DR BTU H.R (REMARKS+OYER) g \ �-��h r� _✓.c_ � BY Bt� P6one N•• � -� � 1 /� � �� (� N � � � �� ;^ � � .� _� ' � � m �� O � Z L .a V � � �i� � � } 'v � � � d � � � � �, � 0 V . � � f � � V = a •� �o°' � � � •Iy L C a v+ ° •� y L L � } 3� y . O = y L t � � a = �" � :� — � � � v+ � �v �• � 3 0 0 F o. u 0 � � ac.''' � 3 U O � � x � � � � ti � � .� � I `� +�t ^+ d � o �' U � A d � .o a ,�o U � � � F O U d .� � � � � � � � .o � „� a ° `� � a � � 2° � o � � � w z � d a � '� �v q o�i � O 0 � � �� ti � � o�� ti�� ,.� „� FL `0 � y� "'' "r � �A 0 A��'� o � w � � 'd �� R, � o � � � °a'. ��o� � O y � � V O �� ►s Zi '^' �j � �� '��o W a � �.. � y�. +.a �,a ��'� � w � �; u v� '� � �' " I °�� ` �.�ti � d„� c�.g w � �� o� '� � ��o�' oc�� "' �o�'�. .� � ,o �� o ��' � �� o � � � � � °� 'd � �� •� N � � � �N � �� °a � � �° o � ;� � �� o °' " o, o ao � � e� •� �� 0 � �w�� ,�� .� �� 0 �� .:��° �� a.� :� � � °',�N ' � o � �'�� o n o�'i � .� ".e " N a w � '�v°� a 53�8��915.51 �iiy of f-ridley �►PPGcafion �or Mwnbinq oud Ga� FNi�q hn�it _ D�pt. of Bldq�. Phon� SAO-3450 DESCHIPTION OF WORlC 679 Janeswille St Aiumb�r, Kind �d Locatioa of Fixtur�s L°°�°° Base 9rd _ 4th • Fntur� Cona�et�oa Op�oia�s t N�w Fixlus�, Oid O�da�s Srns � PARTIAL RAT� SCHEDULE PLOMSII7G FIZTURE RATE3: NO. RATE TOT11L Number Fixtures . . . . . . . . . . . . . . . . x �200 ; F�ature Fixture Opening . . . . . . . . . . . x E1.50 S _ New Fixture Old Opening . . . . . . . . . . , x E1.50 ;�_ Catch Basin . . . . . . . . . . . . . . . . . . . . x a3.25 3 Water Heater :Up to 99,000 BTU1. ... x a3.00 ; New Ground Run Old Bldg. . . . . . . . . x E3.25 $ II�etric Wat�r il�at�r . . . . . . . . . . . . . . : =2,00 = GAS FITTING FEE$: MO. RATE TOT1►L ist3Fixtures •••••••••••••••. • xa2.00 ; Additional lYztures . ... . . . ..... . . . x = .76 i Gas Ran�e to 199.000 ETU ...... ..... .... 1 x a6.0� p 3. 00 REPAIRS A� AL?EAATIOl�b—R�i�s !o Cod� Deuriptlon . .. .. . . ... .... ..... ...... . ..:... . ........... � T'O'P�1L �'EE __ ��_. City oi P4�idley: The undersigned herebq makes application for a permit for the aeork herei specified, agieeing to do all work in strict accordance with the Cit, Qrdinance and ruling o! the Depertment o1 Buildings. and hereby declues that alt the tacl and represeritaUons stated ia ihis application are true and correct lh�idley. Minn 9-28—?� 19._ Owner Geo Taberg - Kind of Building frame usea as res To be completed about 10-3-70 Estimated Cost, a 10�00 Old—New. Building Permit No. Per o. l • �,� ,n' ..;....°�°Y i �!p^,A9o, sy `+� _.. Business Phune No. ROUGH FINAL js — / �% ' �% � City of Fridley App�icarion for Plun�bing and Ge�s �itting Permi� 53-s4-s915.51 Dept. of Bldqs. Phoae 560-3450 DESCRIPTIOTT OF WORK Number, Kind and Lxation of Fixtures Location 6'Z,9 NE_ Janesville at y N N � Z • S WATER HTR. '�„+ ��q � x�, �'� x> zi � gz u? ox � � w � 3t} ��F� � � 3� o� u� �°�o t�� <3 �°� �o� �O F N G�5 EIEC. Base lst 2nd 3rd 4th • Fulu:e Conaec3foa Opeaiags Conaecied wi3h * New Fixtuse, Old Opestfags I Sewer � Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RA'YE TOTAL Number Fixtures ...................... x $2.00 $ Future FYxture Opening ................ x $1.50 $ New Fixture Old Opening .............. x$1.50 $ Catch Basin ...... ..................... x $3.25 $ Water Heater (Up to 99,000 B'TLn ...... x$3.00 $ New Ground Run Old Bldg. . . . . . . . . . . . . x $3.25 $ Electric Water Heater z$2.pp s GAS FITTING FEEB: NO. RATE TOTAL lst 3 Fixtures .......................... 1 x$2.00 $ 2•� Additional FYxtures .................... x $ .75 � Gas Range to 199,000 BTU . . . . . . . . . . . . . . x $5.00 � install (1) gas lite 3,00 REPAIRS 8c ALTERATIONS—Refer !o Cods Description ................................................¢ . Tor�, r� ; 5.00 City of �idley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling oP the Department ot Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn Sent. 30� 1970 , �s_ Owner George Tabery Kind of Building Used as residence To be completed about � C t. 5� 19 70 Estimated Cost, $ 10.00 O1dXNew. Building Pernut .PermitNo: �� .Jo��% � -� ��,�,,.a � .. BY Business Phone No ROUC3H FINAL �� S' 7l �42 C1TY OF FRIDLEY - . ' APPL1CATlON FOR PWMBING AND GAS FITTING PEf�IIT a a e i° .,�i ,.� .,x, o, water v a� .�i � w [+ �.�i aM~ � n a w pa, a pq Heater M� d �0 C M .� N tl M � C@ CI iC W M v`�i u a ai i$ � 3� o a°. � w u�� a c3 � t� � lac lst 2nd 3rd 4th (1q. � PuWr� Conn�ction Opening Coruf�ct�d with S�r►s= (�) � Nsw Fiutur�. Old Opu�ing Mater RATE SCHEDULE . PLUMBING FIXTURE RATES: N0. RATB TOTAL N�v �i:tus�� , ..3' = 5.00 a /S • �O �utus� tixtus�• : 3.50 = Oid OP�niny, N�M �istus• i 1.50 = e��r Di�p�n��r i 4.00 S slor oi! Buin �_ ' S 5.00 `�— Gtcb Ba�in $ 5.00 = Rain Natu L�ad�s S 5.00 $ ' gydraniio Vaiv• i 5.00 = Su�p or A�c�i�inq laak S 5.00 i M�t�r Tsutiaq Appitaaa� S 7.00 = � �� Hot Nat�r t��atar g 5.00 � Ca• Ranq• g 10.00 = Gas Dry�s g 10.00 = 11LL OTHERS 11ND/OR RaPl1IR8 111iD 11LTER11TI0N8 1• oi Valu• ot ristos� os �►ppiianc. - �lat� SascAarg• Ibinsp�ctLoa !'M i,�„_,��, ��:.;' ($1S.00i � � ?OT11L !Ei � �t: ,,., . • i . SO : �� Effectivt I4tq. 1� lylll i / � / /�/ P Job Addr��s �� / i' L��/y�gQ� �_ � �..� Department o! euildings City of Fridley Tel. y571-3450 The underaiqned h�syby aakes application tos a p�sii� !or tM wsk herein specified agreeing to do all work in strict accosdancv vlth th� City Codo� and rulings of eha DspasLeent of Buildingr, and h�r�by d�clar�a that all the facts and reprasentaeions atacad in thi� applicatioa ar� true and aorrect !'rid1�Y. Mn. � � y' C� . 19� OiiNBR 1CIN0 Ol� BUILDING //� IlSED AS ro sa oo►�r�e�rsc Aearr 88TIM11TSD OOBT �/DDl� �°-a I � OLD - NBM BUILDIMG P8AKIT N0. PENMIT M0. �/�� oo�pa�q► t� ' �if/,/JC 8lgned 8y q'�1. NO. r S � '` �U(� II1BP. Dat� FINJIL INSA. Orc� JIPPAWJIL �'OR Y6ANIT =�� & �� ' � . - � . �' •yK�r � . 1 ,�.- : , � l�IINIHU!M PES !OR ANY PLIA�lBING PBRMIT� I� ��:1Q•00 � PLUS THE S. SO ST11TE SURCH71RG8 SUBJECT . City of Fridley o 18 7 8 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' � RE � � • • COMMUNITY DEVELOPMENT D�V. � �� , / r � v � PROTECTIVE INSPECTION SEC. �� i � � ( � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �.---�•� ,'' 612-571-3450 910-F15 1/27/87 / / JOB ADDRESS 679 Janesville Street N. E. t LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED oesca. 15-17 P Riverview Heights sHEer 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cheryl Sim�►ons 679 Janesville Street N.E. 786-9724 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. T& J Improvements 11630 Zion Street N.W. Coon Ra ids MN 55433 755-8292 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW O ADDITION p ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WOHK Remodelin of Basement 9 CHANGE OF USE FROM TO STIPULATIONS provide products of combustion fire alarms ��fxant� in basement and in hall tr� sleeping area. Provide combustion air for existing furnace. S�P ARAT'� �'��11�'S �2��2� �R� �t�� G��S- W1ftINt�, N��TiN�, pI.UM�ING SEPARATE PERMtTS AFiE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY IOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI 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 ABANDONE� FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES AN� KNOW THE SAME TO BE TRUE AND COFiRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y�lO�%OO $5.35 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS O ANY OTHER STATE OR �OCAL LAW REGULATING CON- STRUCTIO THE R A C O CONSTRUCTION. ySH6. SO PLAN CHECKFEE TOTA�FEE � �7 8� $91.80 iGNaTU e0 CON�RACTOfiORAUTHOA�ZEDAGENT IDATEI WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT .q �� SiGNnTUREOFOWNERtIFOWNEP8l11lOERf iDATE� BlOG �NSP nA7 N� [] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 AL,TER. [�7 Building Permit Application Construction Address: �P �� )�U�aV� �L-1� Legal Deseription: Owner Name & Address : �`� � 4-� L-- S/m�0� � Tel .# 7�v`-�7Z�' Contractor : �1 �-� { 1'Y1 �►2D t� �1 �e�l-��t Tel . � 7� "$Z�% Z- Address: !! �30 Z�o� 5"�t IQ /UlU CooNQ�� f'J� �'�33 LIVING AREA: GARAGE AREA: DECH A�iEA : OTHER: Attaeh to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. �nc �� n►� uiv� o F �is,��' Corner Lot [] Inside Lot [}�] Ft. Yd. Setback Side Yard Setbaek Type of Construction• �� "'�op►"�� /1'J�� Estimated Cost: $ 1a, 700 Approx. Completion Date: 3-�'� S� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: � ` 2� `� � Permit Fee Plan Check State Sureharge SAC Charge Park Fee SeWer Main Charge TOTAI. STIPULATIONS: C�LS C APPLICANT: Tel. � 75�$Z9Z CITY IISE ONLY � iS� Fee Schedule on Reverse Side $ �- 25� of Building Permit Fee $ �,�� $.50/$1,00o valuation $ $475 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ � $ 1, � �'°� /C��Od � c��D •�J � �a�� ,� � ��tc�rµ.. �►'10.-� a �� , � � � �._ � �'n�.� �-�==. ..�- �� . , %�� 5`�� 8�-�� sue.,etT PERMIT City of Fridley 1 17 0 AT THE TOP OF THE TWINS g � I L D I�1 G P E R M i T r RECEIPT NO. COMMUNITY OEVEIOPMENT DIV. J` r `� y � PRO7ECTIVE INSPECTION SEC. �� 1 � ;i•_--�; �"' �'� CITY NALL FRIDLE� 55132 NUMBER pEV D�iE o�GE OF �6vnOVEO !r 1 612-571-3450 9to-Ft5 7/13/00 / / �oe Aopaess 679 Janesville 1 LEGAI �OT NO. BLOCK TfiACT OR A OITION SEE ATTACMED oesca. 15-16-17 P Riverview Hei hts s►+eer 2 PROPERTY OWN�R MAIL AODRES$ ZIP PMONE Gary Hanning 679 Janesville 3 CON7RACTOR MAIL ADORESS Z�P PHONE IICENSE NO Richard Hastings 6331 Riverview Terrace, Fridley, NIN 55432 574-9966 4051 � ARCMITECT OR OESIGNER MAtL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AD�RESS Z!P PHONE LICENSE NO 6 USE OF BUILDING Residential. 7 CIASS OF WORK O NEW O ADDITION ❑ ALTERATION SI REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Tear Off and Reroof House and Garage 20 sq 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must camply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REOUIqEO FOR EIECTRtCAL, PLUMBING, HEATING. VENTI�ATING OR AIF CONOITIONING THIS PERMIT BECOMES NUII AND VOIO IF WORK Op CONSTRUCTION 20NING SO. fT CU fT. AUTMORIZEO IS NOT COMMENCEO V�1ITMIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOR A PERI00 OF 120 OAYS AT ANV TIME AFTER WOiiK IS COMMENCED. NO OWLG. UNI7S OFFSTREET PARKING 1 HEREBY CERTIfV THAT 1 MAVE READ ANO �XAMINEO THIS APPLICATION 1 STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND COiiRECT. ALl PROVISIQNS OF LAWS VA�UATION SURTA% AND OROINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMP�IEO WITN WHETHEA SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT � i f 748.00 �. H% OOES NOT PRESUME TO GIVE AUTNOiiITY TO VIOLATE OR CANCEL THE pEpMl7 fEE SAC CMARGE PfiOVISIONS OF ANY OTHER STATE OR IOCAL LAW REGUUTING coN. �63.15 Fir SC ��.•%S STRUCTION OR THE PERFORMANCE OF CONSTRUCTION P�AN CHECK FE TOT PEE � ��3 a a Licens C$5.00 70.77 S�GN�TUpE O� CON"AACTOQ OA AUT ai2E0 �GENr �O TEi MEN OPER A�10 ED M�5 I R P IT � A�� ' 'L��v S�GHatuaEO�OWaEQ��FOWNEA8U��0Eiii �O�TEi � B� G NS� � ��TE N EW [ ] Effective 1 /1 /2000 ADDN [] CITY OF FRIDLEY (763) 572�604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �O � r r \� �� Construction Address: � 7 `/ �, � � , � Legal Description: Owner Name 8� Address: .�f ��.� Tel. # Contractor: � MN LICENSE # �b S / Address � ' Tel. # c' 7 4� ``� p� G LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Sunrey o# 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 Width HgUGround Sq. Ft. Z � S� � Construction Type: � . -� �� Estimated Cost: $ _ � �'7 �7 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: 3 l� o APPLICANT: �,��.� ��,,G Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (763) 572�604 for Permit Fees if mailing in application j .� $ t�,3, � S Fee Schedule on Reverse Side $ %� %S� .001 of Permit Valuation (1/10th%) $ • � $.50/$1,000 Valuation $ $1100 per SAC Unit $ S, D d $5.00 (State Licensed Residential Contractors) . $ Alt. "A" or Alt. "B" Above E� $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not IVecessary [] TOTAL STIPULATIONS: $ '?o- �� Building BUILDING Permit No.. � - - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: �� DATE YOUR E-MAIL ADDRESS Cl VV�CI.Y�p(� il� ��Y' oi21 ir2,Q . Corr, �O�`'1 e_. _.�t �� s1�aDDx�ss n S ll�_��- N� THIS APPLICANT IS: ❑ OWNER I�ONTRACTOR PROPERTY OWNER/ N�: TENANT �DRESS: N CITY �� I�P� STATEJ�IPi�G- PHONE: � corrr�cTOR N.�: G�c SUBMIT A COPY OF STATE LICENSE #�IOZ$ 3 S� � EXP DATE �4�r �110 YOUR STATE LICENSE ADDRESS: D� • 'e ' Y (�G�� CITY OGL� STATE v,�,�IP�y � WITH APPLICATION pHONE • Z O FAX " I ' yZ PROPERTY TYPE SINGLE FANIILY/NEW CONSTRUCT'ION srzE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERNIIT TYPE ❑ �DI1'ION ❑ GARAGE/SHED �WINDOWS ❑ BASEMENT FIIdISH 0 ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ 01'HER ❑ SWIMMING POOL TYPE OF WORK: � ��' ❑ ADDITION ANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE:� � r rv� �Q �h,p,t ��.�� l Vl,�p,�tS SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES 0 HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• ProPosed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Ot6er ❑ Fascia and proposed project. WINDOW5 2. Two sets of construcrion plaos IN EXISTING OPENIIVGS $S�es QNo LOCATION OF WINDOW 3. Energy Calcutations OR FOR NEW OPENINGS-DESCRIBE SIZE OF ' �� OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED � NUMBER OF WINDOWS ALL FEE� AKE BASEll UN VALUA"1'IUN, iNCLUll1N(� "1'H� C:V�"l� Ur� LAiiux �1vli mAi �:x�1.a: (USING 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge surct�arge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $ .ai $ .5�� $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 55.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: Cityo uf Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT �/�i%1 PRINT NAME��r��lA �e V�� 1� DATE��/ 2! a� � �: From: City of Fridley To: 6516467388 Page: 215 Qate. 3t26/2009 10:43:19 AfVI Building MECHAI�IIC'AL Permit lvo.:2 Inspections RESIDEI�ITIAL APPLICATIQN Re�ivea By: 763-572-3604 Dat��:� 763-so2-�s�� F� eITY OF FRIDLEY - tin-,.�...z, , , � �� llATt �'S—"a� SIT�, AIJURESS `S TH1S APPLICAAfTIS: PR�PERTY OWN�R/ TENAiVT CO�TRACFOR SUBN1tT A COPY OF YOLIEt ST"ATE Lfc�vsE wirx APPUCAT[ON FERMIT TYP� Y�UR t-MAIL ArI3DKtSS �. � l.� ❑ bWNr7i �nNTKACF�R nUUxtss: S �� c.�-rY PH01il�:, 1 KI.�J" , / � V � �� ._ C()MPANY N/IME: CtINTACi' PEK$:�IV: T� flP STATE L1CtPt5E �f E) P UATE nDUrz�ss_ f.b �OP.Q fl car�_ S7- s�ar��l�rr�� PHnN� ra�c TYPE OF WORK: I � ��` !tAlFilLY Q TV1'O HAhtII.Y DE'rATL-ED D�SCRIP"[`ION dF WORK CI Ti?V1-`AFEiOUSE CI ALT�R�TICSN1RtlNQI7EL F�:L�S AtiLr �A.4L�D O�I STQ:Ob @LiK. f`iX'[I![tL, LXCLYT WH�L+' VO7°LU. E'iXTUKL�S (L�EDEC TL'E �kY. �tU�t.BL�di 0� L�ACEf B�.'£Q�} �qc�iprc�ent tnscaCled MKG: �Q� 14int)tL• SflE18I'U �vrrr: � n�c>t��t: stzr:�ru . Mi+(i: MO�FI.: S}"L�E23�EJ �AfC $ZS.QO Ft�PLIkL"ti (CsAS�S t5.Q0 _GAS RANGEIOVE'N #iQ.OEf AlttTt� A1ILEXCEfANC'r��ltSf� IREPLAC�(Vt�00BkS35.Qti trFEV�++Fr/lSC'r�E�i,StO:dA _H�ILER;35.4� �'UTtPYACE i33.f1E1 GAS UTI[T EtTR 51�•00 � ��j� CHIMNEY LIPI�K Slf1.00 GAS URY ER S F6.OQ M?OL N�ATEtt S�SA4 l,e�y` � UUCTi}C)1tKSfQ_iNY GASPFPIt+�GS[O.tlfF Y�P1T[LAT�iiSlS.tlt! �'�•�_� THLS 1S A!J APnLiCAT1C1N FOfZA P�ItMiT-NOT VALiU UMtL PKnCtSS�� I hcrcby appiy for a building percnit and [ ackno�Icdgc that thc information abovc is complctc and accuratc; that thc work witl bc in conformancc with ihc ordinanccs and cadcs of thc City of Fridicy and with: thc Minnasota Contitruction �od�; that t vndcrstand fhis iS not a permit but onty an applica � or it and work is not to start without a pccmiC that thc work wilf bc in acacordarrcc with fhc approvcd ptan in thc casc of a' work whic ^ir� rcve'��pravai of ptans�+ � � � S1G%IATE11t£OH APPLICATVT - City�bf Fridley Buitding Inspections Departmeat 6431 University Ave�ue P�s Fridiey, MN 55432 763-�72-3604 FAX: 763-54�-4477 � .�, Building BUILDING Perrnit Ivo � Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY vate xec'ct: `� � 763-502-4977 FAX EFFECTIVE 1-1-09 DATE L� YOUR E-MAIL ADDRESS , ✓ %� GJ M SITE ADDRESS L9� ��LiN'E+SU I C. Lr� �r I� THIS APPLICANT IS: �OWNER OCONTRACTOR PROPERTY OWNER/ NqME: N ('� TENANT ADDRESS: S GY " v� CITY STATE ZIP PHONE: � —O S !E S I'�p C�i �—'�� CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE pHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE O ADDITION ❑ GARAGE/SHED � WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE . ❑ DECK ❑ SIDING �jOTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR '� REMODELING DESCRIBE WORK BEING DONE: i7G�, M � ,� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFING O HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 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 ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1• Site Plan/Survey showing the existing structures ❑ Other O Fascia and proposed project. 2. Two seu of construction plans WINDOWS 3. Energy Caiculations IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL r'N:�;� AKr: IfA��ll V1V VALUAl1VPl, 1PIl;LUlilPll� ln�; l;V�l Vr L�►�s�n AnL ivu�i�K�A�,�: (USING THE 1997 U.B.0 FEE SCHEDULE) �TOTAL JOB VALUATION S I� 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 $ .'1��r27 _ See Back Page for Fee Schedule $ ( 65% of Building Permit Fee $ � .001 times the total job valuation $ _�'j('� .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $2000 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ �C9 .�-%_� Make checks navable to: Citv of Fridley Attach 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 a work which requires ceview and approval of plans. 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' �,l , �,.,� � . . , . . , . - . ---:-,.....-.�....-��.,,_..,,,._. . , ..�.�. ��.. � _.�� . ,� , :: � y , ;� - �,�`'�� . � � :,.�, . _ ,,� �� > , .,��,�7 � � __ � k . � � �.. . . . . , .. . . � � � �. � . . . . . . .. . . . . . � n ✓ , � ��. . ., , . , , ' .. _ .. .... .,�.. � ...... :. `. . . .. . . � �' � . . � . . � . ..�. . � . � . . . . . � . . i .. . . �, , . �� . . �.. �� . , . _ . .. � .� :.. . .. :.. . . ... �� . ' :. � r � . . �. � � r I, . '� �, . " � , : , . - . .. �. t . .. ! �.L .. � . . , . . , i � . :" � � � i = ... ` -� �" ) +11 � . . . ,. .. . .. � �,. .. ... . . . ., ,.. ',. r �` y �.�i. Building Inspections 763-572-3604 763-502-4977 FAX DATE "� " l (� SITE ADDRESS lS THIS APPLICANT IS: PROPERTY OWNER/ TENANT � CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE, BOND AND CERTIFICATE Or INSURANCE PERMIT TYPE TYPE OF WORK: PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS ❑ OWNER Pe��t Rece'��y. Date • � ADDRESS: ��t/► /1 D��Y N�i CITY �j'1dIU/ STAT�1 pLZIP.SS�l32 PHONE:�pSI'�I Io3 �}?QO NAME: �Q(� /�� 1 rv�ht 1lp STATE LICEN # n S�� I P i� EXP DATE I' �` I U STATE BOND # EXP DATE I'I'�0 ADDRESS:� � ( ��►��Q,r�l�.1/ CITY ^ STATE�_ZI�Dy PHONE Jp Jt' `�'�{ 'L( "i'7 I FAX �p� "� �N '1 %� �INGLE FAMILY N ❑ NEW DETAILED DESCRIPTION OF WORK ❑ TWO FAMILY ❑ TOWNHOUSE CQ�IiEPLACEMENT �._, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NLTMBER OF EACH BELOVI�. MINIMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($35) � CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($IS) _ DISHWASHER _ LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION _ WATER METER _ OTHER 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 pernut 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 which requires review and approy,�l of plan�. SIGNATURE OF APPLICANT N City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 7Q Building Inspections 763-572-3604 763-502-4977 FAX DATE "' �7 �! SITE ADDRESS _ THIS APPLICANT IS PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE, BOND AND CERTIFICATE OF MSURANCE PERMIT TYPE TYPE OF WORK: PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY �PAWNER NAME: ADDRESS: Sa1 r PHONE7(n 3—�' NAME: STATE LICENSE #_ STATE BOND # _ Permit Received Date Rec'd: YOUR E-MAIL ADDRESS ��i1JilG7.�( J(1'�jV G�Yi C(� M � ❑CONTRACTOR �y-�s�.Cw) EXP DATE EXP DATE TE ZII'. ADDRESS: CITY STATE ZIP, PHONE � SINGLE FAMILY ❑ NEW DETAILED DESCRIPTION OF WORK FAX ❑ TWO FAMILY ❑ TOWNHOUSE IBy REPLACEMENT ),ar�' S►n.�►L / �1'R�.kT�-1tQ.�M FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVI�. MINIMUM FEE $35.50. � BATH SINK/LAV _FLOOR DRAINS _ SHOWER WATER PIPING BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL � WATER SOFTNER ($35) �CLOTHES WASHER � KITCHEN SINK . WATER CLOSET BACKFLOW PREV. ($IS) DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) J FOR IItRIGATION _ WATER METER _ OTHER 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 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 ase of all work which requires review and approval of plans. � SIGNATURE OF APPLICANT /E � , PRINT NAME�+":�Cy" f�`f��V/N�oDATE � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 T Building MECHANICAL Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE2-19-09 DATE � � I � I O� SITE ADDRESS �1�i v THIS APPLICANT IS: PROPERTY OWNER/ TENANT YOUR E-MAIL ADDRESS � I�1C�1 � � � v � �.-�-£ �" 0.�, ❑ OWNER �CONTRACTOR T i-E l�E 1 i�`i iJ 0.� �: (u't�l� �,S�J I �l� � I�"��-1�� . �0� CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: CITY APPLICATION PHONE FAX PERMIT TYPE �%SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW ❑ REPLACEMENT �AL ^ �. �/�; ��-�Q� s Permit No.: Received By: Date Rec'd: (p— °I —c%'�i �Nz� S5y3z ATE ZIP DETAIL D DESCRIPTION OF WORK �NiGC� �1�i �'OU� '�U(1 } �� n �j- 1�effi�" �� f� �� r�f FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVI� Fquipment [nstalled MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU _A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGFJOVEN $]0.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRII.L $10.00 BOILER $35.00 FURNACE $35.00 GAS UNTf HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 �DUCT WORK $10.00 GAS PIPING $]0.00 �VENTII.ATOR $15.00 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 al work which requires review and approval of plans. / �f/�-/, �j�.�I� / ,�� P SIGNATUREOF APPLICANT ��"`��-�'�.L^�C. X�� PRINT NAME N�f f7tL�C,ILI �'N� i 11119 DATE City of Fridley a2 Building Inspections Department � � � 6431 University Avenue NE, Fridley, MN 55432 � 763-572-3604 FAX: 763-502-4977