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PRE 2010 DOCSCity of Fridley, Mi WELDING PE T N? Date: 'JAN. r --- ro Owner: Builder _�_ r► �_ Address LOCATI N O a: L I G M. . ".� Street Part .ot Lot .,__ Block dation or Sub-Divisi Corner Lot �� "'� Inside Lot _ Setback Sewer Elevation _ _ Foundation Elevation DESCRIPTION OF BUILDING T Used a !% Front a Depth Height Sq. Ft. Cu.j �� t Depth ight Sq. Ft. Cu. Ft. Type of Construction "'" - _ Est, Cat , _ __ __ To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and In compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ , permit is hereby granted to to construct the buildfng or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance,: repair and moving of buildings within the city limits and this permit may be revoked at anytame,upon violation of"��any of the provisions of said ordinances. a w A i Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to no the Building Inspector for separate permits for then Items. City of Fridley Application for Plumbing and Gas Fating Perndt DESCRIPTION OF WORK Number, Kind and Location of Fixtures M 3 K <d � N_ Z .n � 3► Z 0 Q o a u-3 K Z Q g.- u c y a Z_ 5 3 Q 51 < 3 (9 -j � 6. Q � I c9 0 Z `a a c9 Q P N WATER HTR. GAS ELEG Base 1st ' 2nd _ 3rd 4th • Future Connection Openings e New .Fixture, Old Openings Connected with Sewer El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures C/o x $1.50 $ U Future Fixture Opening ................ x 1.20,$ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ '=�)- , d J New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $—,�� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........... $ TOTAL FEE $ Dept. of Bldgs. Phone SSU T __. as_.. 199, City of Fridley: The undersigned hereby .makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this app catioiV are true and correct. Fridley, Minn A0o Owner Xeny)l Kind of Used as To be completed about Estimated Cost, $ Ol New ding Permit No\'��Pexmifl o. '?_ 7- 6 v ROUGH ,;!�- 2 6 FINAL Application for Power Plants and Heating, Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work ........................... Replacement of Furnace ............................ Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 190,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. 8.00 $_?, 0,0 Dept. of Bldgs. Phone SU 4-7470 A?. City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. 2.00 $ Owner _ 5.00 $ Kind of 5.00 $ 2.50 $ Used as STEAM or HOT WATER SYSTEM e Furnace Shell & Lines—to 400 sq. ft. EDR Steam .... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ 4 Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule , , ,., GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..................... x $1.50 $ z2ol. d Additional Fixtures ................ x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $� ROUGH FINAL Fridley, To be completed about l Estimated Cost, $ Old�uilding Permit No"2? Permit No. --T1� DESCRIPTION OF WORK HEATING or POWER. PLANTS—Steam, Hot Water, Warm Air—No- Trade ir—No-Trade Name Size No- Capacity Sq. Ft. E.D,.R/-`�� BTU H.P. Total Connected Load-j,�� 5 •� % Kind of Fuel ,;�% BURNER — Trade Name Size No- 2: T ® a Capacity Sq. Ft. E.D.R.BTU H.P. SUBURBAN HEATO & SBEET METAL 8419 CENTER DRIVE N. E. Signed MINNEAPOUS 21, MINK. 042 2M Business Phone No- (REMARKS—OVER) QsIS .L.. 42 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows I Doors Reference Out_Wall Int. Wall Ceiling Roof Floor No 19---0-1 7i — 3 £ / I -- Room I Length 6'Width/, / Height / II / Fl.l Windows knd Doors—Crackage and Area Infiltration Width Height No. of Lineal ft. Area No. of pane of pane lights of crack Q.ft Width Height No. of Lineal f . Area No. or pane of pane lights of crack sq. ft. OZX-5- Ao�a / — �v Coef. Btu Infiltration 1-0*,,3 Btu Coef. Btu Infiltration Exp. wall v S p Glass —I-® Alla Glass Net exp. wall Exp. wall / S' p Exp. wall Net exp. wall Q O Floor Net exp. wall Int. wall Int. wall Ceiling laa4 le IO O Floor Floor 1 otal btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Windows and Doors—Crackage and Area Coef. Btu Infiltration Width Height No. of Lineal ft. Area No. of pane of pane lights of crack Q.ft / / / Exp. wall Coef. Btu Infiltration Coef.1 Btu Infiltration Floor d Exp. wall v S p Glass !f7 1,7a 0 3 ® Net exp. wall Exp. wall 4,-> m o p Net exp. wall Q O Floor Int. wall Ceiling laa4 le IO Floor 1 otal aftu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ,doors and Doors—Crackage and Area Width Helght No. of Lineal ft. Area of pane of".g.h. fpane llghte of crack ea. it. Btu Infiltration 113-0 Glass / Exp. wall y Net exp. wall , S Int. wall Ceiling Floor Total Btu. �/ g Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I //_ FRIDLEY, MINN. Insulation Kind % How Applied Room I Lenirth/ Hei Windows and Doors—Crackage and Area Coef. Btu Infiltration Width Height No. of Lineal ft. Area No. of pane of pane ilghts of crack sq. ft. y, / Exp. wall Coef. Btu Infiltration Infiltration Ceiling Glass Floor Class Exp. wall v S p Net exp. wall ,.> !f7 1,7a 0 Int. wall Net exp. wall Ceiling 4,-> m o Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area TY� / Fl.l Room I Lenstth /�," istht A / Windows and Doors—Crackage and Area Coef. Btu Infiltration Width Height No. of Lineal ft. Area No. organs of pane lights of crack sq. M Glass / Exp. wall Net exp. wall Coef. Btu Infiltration Ceiling ?z7 Floor Class Total Btu. S p Exp. wall p Net exp. wall !J Int. wall Ceiling Q O Floor Total Btu. 1 4717/ Required sq. ft. E.D.R. or sq. iris. W.A. leader area FI.1 Room I LeW,/A,/ A Heightj'/ Windows and Doors—Crackage and Area Width I Height No. of Lineal ft. Area No of pane of pans Ilahts of crack sc. ft Required sq. ft. E.D.R. or sq. ins. W.A. Leader area G� Coef. Btu Infiltration Glass / Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. S Required sq. ft. E.D.R. or sq. ins. W.A. Leader area G� CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 July 17, 1978 t. !' Mr. Bruce Choromanski lA 299 Liberty Street N.E. Fridley, MN 55432 Re:. Depositing of Grass Clippings & Yard Wastes in the Alley Right of Way Dear Mr. Choromanski: It was brought to the City's attention and confirmed by an on site inspection on July 14, 1978 that the unimproved alley right of way in the 200 block between Ely Street and Liberty Street N.E., Fridley was being used as a depository for adjacent property owner's grass clippings and yard wastes. Section 113.12, Refuse Disposal, of the Fridley City Code, prohibits the disposal of any grass clippings, yard wastes, or any refuse on the public right of way. In addition, it is the adjoining property owner's responsibility to maintain any unimproved alley right of way. Therefore, the City must require you to clean and maintain your property and the adjoining right of way free of all grass clippings and yard wastes found there. We are confident in your cooperation and desire to make Fridley a better community to live in. If any questions or problems result from this letter, please contact me at 571-3450. Sincerely, STEVEN -JJ. OLSON Environmental Officer S JO/mh SUBJECTrp PE NO. City of Fridley 15773 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT 16 • COMMUNITY DEVELOPMENT DIV. INSPECTION 1 � PROTECTIVE SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 6/10/80 JOB ADDRESS 299 Liberty Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 1,2 11 Spring Brook Park SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Jerry/Louise Hanson 299 Liberty Street N.E. 780-2049 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 LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ElNEW ElADDITION XO ALTERATION ❑ REPAIR ❑ MOVE ElREMOVE 8 DESCRIBE WORK Reside house and remove one window 9 CHANGE OF USE FROM TO STIPULATIONS SE'RIRATE PERMITS REQUIRED FOR WIRINC4 HEAT'ING, PLUMBING AND SIGNS. TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, 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 PERIOD OF 120 DAYS AT 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 LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $SOO $.5O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE �f X" 'v /D -'U O $8.00 SIGNATtOf OF tONTRA TOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) CITY OF FRIDLEY - APPLICATION FOR RESIDENTIAL BUILDING PERMITS (Neta, Alterations, Additions, or Repairs) BUILDER:, ��1 t'y! OGlfdEft: �,1�'4y� F��o�z�.SP ,��t'!'I few . ADDRESS: ��9 �, '�� -57 ADDRESS: TEL NO: TEL NO: Construction Location 9 / r STREET NO: STREET: /. I �j e LOT:BLOCK: �� r ADDITION : 9G �.f�Yi'17 �' ��" /C Corner Lot: Ins iae, Lot: Setback: S ideyards : Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. K 10 �— `SAS DESCRIPTIO14 OF CONSTRUCTION Front: Squaue. Feet: IZ©!�l _ Uj .1 ,v p(), -o Front: Depth: Square -Feet: Cubic Feet: Depth: Height: Cubic Feet: Height: Type of Construction: ,�(7�'�� / �- Estimated Cost: $ �- To Be Oompleted: Alt. A Alt. B Proposed Driveway Width if New opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department• of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: / - lD -e") SIGNATURE: Stipulations: `z4 13UILI)II4G PERMIT FEC": SCHEDULE- S;:CTION 2. 'Me In:.;pector. of Buildings shall, before issuing permits for the erection of any bui.l.di.nci or ntruct:ure, or for any addition to any cri:sti.ng building or. structur(,,, 6r for any alteration or repairs to -any existing bui.ldi.ncl or structure, upon application therefore, require t:l;e payment by the applicant for such permit of fees to, the amount )1crein bcl.ow set forth and in the manner herein provided to -;•pit-: IIEVI CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DIUVEWAY DEPRESSION: (Concrete. Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x Y1.5.o 75 Alternate 13: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $17.85 ADDITIONAL I NFORIIAT I ON For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the ;gain gable of a pitched roof. ror repairs or alterations to an existing•structure, the fee shall be at the rate of $3.00 Fier each five hundred dollars -($500.00) or fraction thereof in the cost of all proposed work. In -no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOT%: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a- building permit has been issued; and said 'structure shall not be used or occupied, until a.. Certificate of Occupancy has been issued. CITY OF FRIDLEY APPLICATIOJ FOR RE:SIDLNTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OW14ER:��py � BUILDER: ADDRESS: cX l %�r,d el -,5j / - ADDRESS: TEL NO: � �"G�o � _ TEL NO: ns -ruction Location ' STR , T NO: ` STREET: LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO14 OF CONSTRUCTION Front: Depth: Height: Square. Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: Rb Be Completed: Estimated Cost: $ ` Alt. A Alt. B 60 WE L't . -f - $�$ SEE REVERSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the tnrk'herein specified, agreeing to do•all work in strict accordance with the City of Fridley ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and cotrect. DATE: � �'� �/ SIGNATURE Stipulations: SUBJECT P7NO. City of Fridley 033 AT THE TOP OF THE TWINS BUILDING PERMIT r � REC COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 6/5/85 JOB ADDRESS 299 Liberty Street N.E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 112 11 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerry/Louise Hanson 299 Liberty Street N.E. 780-2049. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Western Construction Co. 5353 Wayzata Blvd., Mpls., MN 55416 546-3388 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 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 241 x 26' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Front of garage must be 25 feet from west property line.. Provide a hard surface driveway. I,.Jerry Hanson, owner of 299 Liberty Street, agree never to attach.the new garage to the existing house unless we provide frost footings for the garage. (signed on application). 6/4/85.. WARNING ITSdigging call local utilltle$ SEPARATE PERMITS REQUIRED FOR Be WIRING, HEATING, PLUMBING AND SIGNS. TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW' SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LO D VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $7,606 $3'80 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE OTHER STATE O LOCAL LAW REGULATING CON- $68.50. THE PERFORMANC OF�NSTRUCTION. WROVISIOANY PL N CHECK FEE TOTAL FEE $72.30 SIGNATURE OF CO-NTRACTOR 00 AUTHORIZED AGENT (DATEI WHEN PROPERLY THIS IS YOUR PERMIT VALIDATED BLDG INSP 0AjrE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. I ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description:_. Owner Name t Addr Contractor r�17i��t%tom Tel. # 7F6 -,a��9 Tel. # �� _ Attach to th'plication, a Certificate of Survey of the lot, with the roposed construction drawn on it to scale. . DESCRIPTION OF imoyEM n LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width ,9 Height �% Sq. Ft. DEC[ AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot D%d' Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Lk2L4Z Approx. Completion Date: Proposed Driveway Width If New Openi DATE: IAAO� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sever Main Charge TOTAL STIPULATIONS: n APPLICANT: C CITY USE ONLY Estimated Cost: $ t2t Alt. A Alt B s a See Back Page for Explanation Tel. # 33 Fee Schedule on Reverse Side 25% of Building Permit Fee =•50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ J Not Necessary [ ] Faaw, W6-z6— S- RX-vt 1)1a,i &*A o c wu r�, al"w ami %4*W 4 'W t&wo "Rqx jjf[ u C-�*VsMtiw 0M 64%. �4 U A& �►a �-%a maser �,� i' ; Oro c 404 Red. CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer • Air Conditioning (all sizes) All Others/Repairs and Alterations 18 of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work $ 20.00 $ ZO.470 $ 10.00 S $ 10.00 $ $ 10.00 $ $ 10.00 $ State Surcharge Reinspection Fee ($15.00) Rough Insp. Date CJ Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are/true and correct. Fridley, Minn. leff r / r OWNER KIND OF BUILDING (r C( USED AS 1205,(W—� ,"— ' "'"�— Q TO BE COMPLETED ABOUT -F"-( y I // ESTIMATED COST_ ( �� • �� __ OLD - NEW BUILDING PERMIT NO. _ PERMIT NO. /01P 6 CJ DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS Steam, Hot Water, Warm Air - No.. / tet_ Trade Name %��-�` Size No. 'Ai eC7 �L ® 6 Capacity 60,®c r 0 Sq. Ft. EDR BTU HP Total Connected Load Z/ i0010 Kind of Fuel ff BURNER - Trade Name Size No. Capacity Sq. Ft. EDR �BTU HP Company ` % 6(� /® Signed By�� Tel. No.� Fill out back side for stack verification on replacement furnaces I CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (t,� No ( ) 2. Is free from rust or deterioration Yes (G -r No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes (L -r No ( ) 6. Has Total heating BTU's of Pty All other BTU's TOTAL Remarks L,�,Lq flo Company 61,0-olt Signed By A` - Da te Date -% SUBJECT PER City of Fridley 218 5:12 AT THE TOP OF THE TWINS BUILDING PERMIT I RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ v PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/14/93 / / JOB ADDRESS 299 Liberty Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2 11 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jerry Hanson 299 Liberty Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stock Roofing 1`nc. 289 Liberty Street NE, Fridley 55432 786-3561 3112 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 ❑ NEW ❑ ADDITION ❑ ALTERATION [I REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House Ctear-off) and garage (2nd Layer) 16 Squares 9 CHANGE OF USE FROM TO STIPULATIONS Underlayroent -must comply, with.the State Building Code on the House. Roofinc. n be the 2nd layer but not the 3rd on the garage. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $864 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $23.00 Fire SC $.86 STRUC I OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $29.36 SIGNATURE OF CONTRCTOR OR AUTHORIZED AGENT IDATEI W EN PR P Y VALI AT THIS IS YOUR PERMIT 2 SiGNATUREOF OWNER�OF OWNERSUiLDER, IDATEI IN P QATE NEW [ ] Effective 1/1/93 ADDN ( ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: '�C'I Legal Description: Owner Name & Address: Contract Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # MN LICENSE # �) \ \c) Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length _A�. DESCRIPTION OF IMPROVEMENT Width Width Width "rte Corner Lot (] Inside Lot ( ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Height Height Hgt/Ground Sq. Ft. Sq. Ft. T Sc�. Ft. T Side Yard Setbacks Estimated Cost: $ .� . (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: - 1 -93APPLICANT: v� Tel. # ` A0 - �S�D CITY USE ONLY Permit Fee $ ®C Fee Schedule on Reverse Side Fire Surcharge $ ` � .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary ( ] TOTAL STIPULATIONS: a d9.3 5353 Wayazata Boulevard Minneapolis. Minnesota 55416 NOWEENOW ■■■NNEE■ ■■■i•■■■■ ■■i•mmmm■ ■mmmm■i•■ ■■■mmmmu ■mmmmi•■■ ■■■■m■m■ Building $ BUILDING Plan Review PermitNo.:� ff0- ®�° Inspections Surcharge RESIDENTIAL APPLICATION IA2EM , S', 02—(.0005) times the total job valuation — Minimum $.50 Received By: 763-5'F2-3604 .001 x Permit Valuation (1/10%) CITY OF FRIDLEY $ Date Rec'd: DATE L9 ` 1 YOUR E-MAIL ADDRESS $ 2 q Curb Cut Escrow SITE ADDRESS ! ft + 6 ft = ft x $20 = $ Erosion Control THIS APPLICANT IS: ❑ OWNER CONTRACTOR Park Fee PROPERTY OWNER/ NAME: c,I- Sewer Main Charge ADDRESS: oL itJ Z; CITY STATFIP y/ 92 TENANT $ PHONE: 7�S � '% �®�� 'T— CONTRACTOR NAME: STATE LICENSE # - ®o COQ EXP DATE / SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: / aN CITY STATE�IP SS'a 9 WITH APPLICATION ,3- PHONE W 3- 5 3 FAX 6,3 -C21 PROPERTY TYPE PROPERTY ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK 'SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: r SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES " ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: XVinyl p6offit ❑ Aluminum P Trim 1. Site Plan/Survey showing the existing structures ❑ Other &Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations ❑ IN EXISTING OPENINGS ❑Yes No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ I Tv o Qg - c OCCUPANCY TYPE �J Permit Fee $ 2ML25 See Back Page for Fee Schedule Plan Review $ —' 65% of Building Permit Fee Surcharge _$ IA2EM , S', 02—(.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ .001 x Permit Valuation (1/10%) License Surcharge $ ,,o $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ HCl. 'a Make checks payable to: City of Fridle Attach Stipulations IS AN APP11CATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and—1 acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applic r a permit and w rk is not to start without a permit; that the work will be in accordance with the approved plan in the case of all w whi eq it w �appro�val fplans! SIGNATURE OF APPLIC RINT NAMED E� �� \ ' 4A `` � DATE T' U `[J