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PRE 2010 DOCSCity of Fridley, Minn. PUIIDING PERMIT N° 5939 Date: Owner: �� l Builder Address _ Address �. �LOCAT ON?AUTNG No. Street �'�•�: Part of Lot _^ f — r, Lot -- Block Addition or Sub-Division Corner Lot Inside Lot Setback t �f Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used a Front Depth Height _ Sq. Ft. a.��° Cu. Ftp Front Depth " Height Sq. Ft. CU. Ft. Al Type of etion Fist._OF ""To he 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 -It "'� , permit is hereby granted to to construct the building 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 any time upon violation of any of the provisions of said ordinances. d'1-11. NOTICE This permit does not cover the Construction, Installation for wiring, plumbing, gas heating, sower or water. Be sure to as the Building hnpecter for separate permits for these Moms oQ04 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builders P Address Address LOCATION OF BUILDING Noe Street Part of Lot Lot �_ Block �;_ Addition or Subdivisions Corner:Lot Inside Lot Setback3 Side -Yard rhe= SEVMR ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location, To be used as: DESCRIPTION OF BUILDING Front Depth Height sq. Ft. CU. Ft . Front Depth-, 2: — �ieight1__y____ sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. (schedule of Fee Costs can be found on the Reverse Side). BUILDING PERMIT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below ,set forth and in the manner herein provided to wit: 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire -proof garage, warelciouse, factory or grain elevator, or for the erection of any fire- proof addition, for similar occupancy, to any existing building shall be at the rate of -$1.25 for each, one thousand cubic feet, classified as "fireproof" by Section 502 Of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof build- ing other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing. building. or for each such building or addition. Ninety cents for each one thousand cubic feet or fraction thereof, in the cubical.contents thereof with a minimum o $4.00. For the purpose of computing fees for building permits the cubical con- tents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface Of the main gable of a pitched roof. .5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred, Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less tb $4.00. City of Fridley, Minn. BUILDING PERMIT Date: — �July 2, 1268 Owner: Louis J. Lass Builder Address _ 5220 _Lincoln St. N. E. Address No. — 5 220 Street Lot 4 _ Block Corner Lot _— Sewer Elevation Same Same LOCATION OF BUILDING Lincoln St. N. E. part of Lot 2 Inside Lot Addition or Sub-Divisio — Setback �. Marion Bills Sideyard Foundation Elevation X9 DESCRIPTION OF BUILDING To be Used as: Addn . to attached Front 20 t Depth 61 Height 121 Sq. Ft. Cu. Ft. Garage Front Depth Height • Sq. Ft. Cu. Ft. Type of Construction Ffame Fst. Cost 000 _ To be Completed 9823 4331 A� 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 aft provisions of ordinances of the city of Fridley. \ ss—� In consideration of the payment of a fee of S 5 .00 ' permit is hereby granted to Louis J. Lass to construct the building 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 any time upon violation of any of the provisions of d ordinances. Official Building IRRMW NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be ars to as the Building Inspector for separate permits for these Nems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MII;mOTA OWNER' NAME L1 8 cit. � S . Z_hO S S DUILDER• Z .Q. AW3W�% col. LOCiAOrt b ' ttt9 , ;tmG No. ��, 0, STREET I.._ LOT!�_ BLOCK _ ADDITION OR SUBDIVISION . CORDER LOT • INSIDE LOT�_„_SETBACK _SIDEYARD V - SEWER EIZVATION TOP OF FOOTING Applicant attach to this form Two Certificates of,Survey of -Lot and proposed building loca7tioW Vihwa oil -these Ce .t4t!- ites . tION`.OP..B*DIW, To Be Used:Ae Front Dept �� Height ;": • `;r Squame`;feet , ,Cpbic Feet . Front Height tZ ::rC :� . . ,. d ,..i. rid ""' � :. -'•'fir yr:;'i �.;' . 'r Square feet Cubic Feet Type of Construe -tion i Fskimated Cost Q g 0 To Be Completed ` 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 orrect. DATE/� �S _ _SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). coS'vv '-R FTF�1PW J.QoV- `44-00- S i an -0 tro-m Cons t Co . /lp./�* �j'• LAND SUMICyOR _ 1 REGlSTtRED UNDER LAWS, OF STATE 0.7 MINNESOTA 1� w LICENSED 6Y ORDIMANCE OF CITY OF Mlt:ttIAPOLIG } • ZZIG EA6or b15TH STREL•r PA. 4-4681 1 ,�q AurLtpor'v Certifivati • � . -opt'-""�- �1 C4 ---- �- 10.5 41 41 4 ' 4a .1 I , !! I MERSEY CERTIFY TH.tiT TKZ ABOVE IS A TRUE AND CO?RECT FIAT Oi- A SURVEY OF lot 4 31.oc 2 b-arion :ii lis . Or. 2565 136-42 W • _ ��LY 4':a�---_A.o._ 1952 - �.l City of Fridley Application for Plumbing and Gas titling Permit DESCRIPTION OF WORK Number. Kind and Location of Fixtures m �yy3,, Number Fixtures ............... x $1.50 2_ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 Z O J U' g 1 Z 3 �U' O F • N WATER HTR. GAS EIEC. Base NO. RATE TOTAL 1st 3 Fixtures ..........................�� x $1.50 $— �• _ Additional Fixtures .................... ` $ Gas Range to 200,000 BTU .............. l $ 1st , oZ 2nd _ 3rd 4th Future Connection Openings New Fixture, Old Openings Connected withI Sewer � Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: O. RATE TC,AL Number Fixtures ............... x $1.50 $ •� 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) ...... Z x 2.00 $g� 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 FSE 7. DepL of Bldgs. �Phone SII r Meu_� .S if2 6 — - City of Fridley: G� 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 of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, lunn� lqe� Owner Kind of Building r . A Used as To be completed about Estimated Cost, $ /I v Of Old ew. Puilding Permit No 11'1�9 � Permit No. Signed Byi/G//"a Business Phone No ®6 ROUGH I - � (a y FINAL 42 2M 97 -8b -h16051 .. ... APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Job Address 5220 NE Lindoln ,Department of Buildings City of Fridley Tel. 0571-3450 ' The undersigned hereby makes application for a permit for the work herd* specified agreeing to do all work in strict accordance with the City Codas and rulings of the Department of Buildings, and hereby declares that all the facts and roprespntations stated in this application are true and Corr* Fridley, Mn, 5-11-79 , 19 OWNER GILLESPIE KIND OF BUILDING frame USED AS res. e TO BE COMPLETED ABOUT :;)-A. -7 9 ' a". a • ' u L d OLD - NEW BUILDING PERMIT.NO. Water trarber PSxturea -X $7.00 $,_.•� � M( a • QW a a❑ to a w a � $ Neater - CO IvIlIVINtSigned a c By Catch Basin x $5.00 u �y Water Heater - to 99,000 BTV x .$5.00 $ Tel. No, �. 100,000 BTU to 199,000 BTU _- J .^i S• � Nr� +++VIII• N rl a •$7.00 Q• N N IcA ttew Ground Run Old Building N $5.00 S ioJ ROUGH INSP, rsv a oo F1 $ --- Date� oa°. in w uo"aRs ii . . as lee FINAL INSP. 1st 3 fixtures '$3.00 $ ' Data _x' Additional Fixtures `- x $1.00 can Range to 199,000 BTU x $10.00 :•$ APPROVAL FOR PERMIT 4�/� 6' ' 'EPAIRS & ALTERATIONS • Firat $100.00 55,00 $ '' • each add. $100.00 or fraction $2.00 $ __ MINIMUM FEE FOR ANY PLUMBING PERMIT 29 $%50 PLUS $.50 STATE SVRCHA= State Surcharge $ 50 TOTAL FEE 5 8.00 a.) Future Connection Opening Connected with Sewer ') - New Fixture, Old Opening Water Job Address 5220 NE Lindoln ,Department of Buildings City of Fridley Tel. 0571-3450 ' The undersigned hereby makes application for a permit for the work herd* specified agreeing to do all work in strict accordance with the City Codas and rulings of the Department of Buildings, and hereby declares that all the facts and roprespntations stated in this application are true and Corr* Fridley, Mn, 5-11-79 , 19 OWNER GILLESPIE KIND OF BUILDING frame USED AS res. e TO BE COMPLETED ABOUT :;)-A. -7 9 PARTIAL RATE SCHEDULE ESTIMATED COST 40.00 ' '.UFMING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT.NO. PERMIT N0.• /)q trarber PSxturea -X $7.00 $,_.•� future Fixture Opening . x $2,00 S �_ Company New Fixture, Old Opening x $2,00 $ - CO IvIlIVINtSigned By Catch Basin x $5.00 $ Water Heater - to 99,000 BTV x .$5.00 $ Tel. No, �. 100,000 BTU to 199,000 BTU _- x $10.00 _� Water Softener x •$7.00 $ ttew Ground Run Old Building x $5.00 $ ROUGH INSP, , Electric Water ,Heater ��•,� x $5.00 $ --- Date� • . . 'AS FITTING FEES: . . FINAL INSP. 1st 3 fixtures '$3.00 $ ' Data _x' Additional Fixtures `- x $1.00 can Range to 199,000 BTU x $10.00 :•$ APPROVAL FOR PERMIT 4�/� 6' ' 'EPAIRS & ALTERATIONS • Firat $100.00 55,00 $ '' • each add. $100.00 or fraction $2.00 $ __ MINIMUM FEE FOR ANY PLUMBING PERMIT 29 $%50 PLUS $.50 STATE SVRCHA= State Surcharge $ 50 TOTAL FEE 5 8.00 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1. 1991 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer "Air Conditioning - All Sizes BRYANT 594CNX030 2 1/2 TON Rate TOTAL $ 20.00 $ 20.00_- $10.00 $ $10.00 $ $ 10.00 $ $10.00 $ 10.00 All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/Industrial 1% of Value of Appliance or Work State Surcharge TOTAL FEE JOB ADDRESS 5220 LINCOLN ST NE 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 9-29-92 ,1991 OWNER DON GILLESPIE 5'? t - 7729 BUILDING USED AS DWELLING ESTIMATED COST $4500.00 PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units -L Circle One (Steam) (Hot Water) (Warm Air) Trade Name BRYANT Size No. 398BAZO36080 BTU • 88, 000 HP EDR $ Fuel NAT GAS Total Connected Load--!', 000 $ .50_ MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. BTU HP EDR BLAINE HTG, A/C & ELECT. INC. 13562 CENTRAL AVE. N.E. HEATING COMPANY (ANOKA_ MN �3ea 41 Signed By I- Tel No. 757-6200 Approved By Jy_ Rough -In Date Final Date 10 , Z FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE SUBJECT P , City of Fridley 17859 AT THE TOP OF THE TWINS BUILDING PERMIT i rry _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � i CITY HALL FRIDLEY 55432 ; NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 2/21/85 JOB ADDRESS 5220 Lincoln Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 2 Marion Hills. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Gillespie 5220 Lincoln Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Barkley Construction 1111 - 24th Avenue N.E., Mpls., MN 55418 789-5633 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminum siding and trim 9 CHANGEOFUSEFROM TO STIPULATIONS 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 Z 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 $4,000 $2,00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $44.50 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE $46.50 NATURE OF CONT RACTOR OR AUTHO I AGENT (DATE) WHEN PROPERLY LIDATED THIS IS YOUR PERMIT BL G INSP , qA PE E SIGNATURE OF OWNER OF OWNER BUIL I IDATEI NEW [ ] City of Fridley ADDN. [ ] �R-1 AND R-21 ALTER. [ 7 Building Permit Application Construction Address: Legal Description: a �,. A'gk'ao Owner Name & Address: Contractor Address LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 3 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 Length Width Height Length Width Hgt/Ground Effective 4/1/84 Tel. # Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ rG�00o'Gd Approx. Completion Date: �% -=6ya Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Tel. # 7? CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT PER City of Fridley('__2 212 8 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. _ v PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 9/23/93 JOB ADDRESS 5220 Lincoln Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Marion Hills SHEET 2 PROPERTY OWNER MAILADDRES$ ZIP PHONE Don Gilespie 5220 Lincoln St NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Caribou Construction Inc 180 Transit Ave, Roseville MN 55113 483-8346 5903 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS, OF WORK ❑ NEW j] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 16' Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for all utility locations 49.0002 REQUIRED BY LAIN 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $20,000 $10.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME T GIVE AUTHORITY TO LATE OR CANCEL THE PROVISIONS OF AN THER ST TE OR LOCA,REGULATING CON- PERMIT FEE SAC CHARGE STRUCTION ORT ERFORM CE OF CON T CTION. $207.00 Fire SC $20.00 PLAN CHECK FEE TOTALFEE h 'u - License SC $A.00 $242.00 SIGNAT FCONTRACTORORAUTMORIZEDAGENT IDATEI WHEN O ER Y V DATED THIS IS YOUR PERMIT t BLDG IN P SATE SIGN URE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] Effective 5/26/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 - Building Permit Application Construction Address: Legal Description: 4.7 Owner Name & Address: Contractor: Address: /,h> / 4r MN LICENSE # d 3 Tel. # 498r . Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT I or LIVING AREA: Length & Width Height /101 Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length e --Width Hgt/Gr and Sq. Ft. Corner Lot [ ] inside Lot J4 Ft. Yd Setback Type of Construction: e Approx. Completion Date. ,�%- /S'� f-5 Driveway Curb Cut Width Needed: DATE: • /4 - %3 APPLICANT: Ft. + 6 Ft = Side Yard Setbacks Estimated Cost: $ ��. DDD • D° (Cost on Back) 117 r.+ 4 It M91 Tel. Permit Fee $ --�0 9.0 0 Fee Schedule on Reverse Side Fire Surcharge $ --20 ° 06 .001 of Permit Valuation (1/10th%) State Surcharge $ /0. 00 $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ C��' $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Alcove Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: a CAk/a6U dons T2C/CzlmJ g-d.a.d [. /w coe-A� S T. i�ie�o�E Y 1,6T +- B4ocle- 7- /n,4jef/�N 04 0 j SEP 14 193 10,05 INTER -STATE HUGO 138 P01 r . _ « Exterior envelope avera&e "U" compute tion -If the sun of I and 2 are greater than the sun of 3 ar:r You have net the intent of the State Building Code. ADDRESS _CpIGPSPlE Af�hi�-l0/v Z+ I� (t4 C,0 C t .l ST R.1 rz) L. -S Determine Working SQ Footing of each 1. Total extosed wall areaZ-0 ESQ FT X .i1 an 2. Total roof/ceiling area _ (� S� F1 X A. , c'a .-;sl., ow Area . . .. . .... . . . . . . . • 1J B. Tota? Door Area ........... C. Total Sliding Glass Door Area..... D. Total Ext. Fason r irenl ace Area... E. Total Wall Frs:-,.irg F. Tota? 1'et Exposed Frame 'IfIl. area.. t c.p G, i ot?_ Fim J.oist Area ... . .. . . . . ... . o ];. Total Fol.;ndetion Window Area ...... I. Total "-et Foundation A. -ea ...... p I * /5q ]deter n.4`n e "U Value of Each Wall Segennt A. ?� l _'�> x nv -rL,SST ' B. X.v —. 112 :7,o2.. C. -_ -�—� X -- - r1 - X fluff ofu" 0— 1u.1 5, C X 'lull I. X .,U., 3. Total. wail segmer- ................,.,.....: , J. Total Skylite Area ................ K. Total Roof Oiling frame Area...,. L. Total Net Insulted Roof/Ceiling....,1�{� Detez- -.i.ne "U" Value of each Roof/Ceiling Segment. K ! too X "U" —3,,:) X -U., _ 31, tL k. Total Roof segment. .....«...«,.,......... Cv p� -If the sun of I and 2 are greater than the sun of 3 ar:r You have net the intent of the State Building Code. N •� SEP 14 193 10:06 INTER—STATE HUGO t•1 L" U }j �• V1 r_* .'• �. i 1 �, h 7� • 1 l r U U 4 /r .ii � 1� f. yi •1 F� -a • .1 U /1 Q i4 0 Al - 1 .• rr W +r+ 04 4 3-+ 4 it 3 G W rY r 1 11 • w H � w +a +N f �4 ►- w N H i! a,a o ?• r` i w �t •'► Pi r l•1 �► w 7! *t •') f, A o ti .y � , � ►t r 4 •t "t00 J ai of ry ry •f f,. r in M t+ rl�ol {w a . 1 J 1 �1 �► w boo r S v t•1 L" U }j �• V1 r_* .'• �. �, b • • t t sw 6.1 a �- {.YY. . f � •d 6•1 In 4.1 -a ••.t to �!• Q i4 0 Al 0 i"! ty RE A 4 0 4 9 G W sA a w •7 •+I � ►- w N r a,a 1f 70 11 r` i w O •'► Pi r l•1 7! *t •') A o ti 1•+ • r � r W i J of rl�ol {w a . r '•t S v t•1 L" U }j �• V1 r_* .'• �. �, rt •s .a ,• • • t t sw 6.1 a �- {.YY. . f � •d ,d. r ' � r 7 !•4 o M � v► cn •- r �!• 1•► Nl ty rr fr: 0 O pq ;r G W sA a w •7 •+I � H 4� #v y IJ r` i J r•- 1.4 91 K Pi r l•1 7! *t •') A H 1•+ lzoIn '•t S v t•1 � U }j �• V1 r_* .'• �. �, rt •s .a ,• • • t t sw 6.1 a �- u !.y ..1 t1 ' � r 7 !•4 o M � v► cn •- r �!• n•i � ha :sy ty rr fr: 0 O pq ;r G W sA a k+ ai •+I A 0 t7/ O t H #v y IJ r` i 91 K I .,,. *A 7! *t •') A H 1•+ lzoIn i '•t 1� t•1 V1+�C11 i��r U }j �• V1 r_* .'• �. �, rt •s .a ,• • • t t sw 6.1 a �- !.y ..1 t1 .� tf •+i •f'�- • r N M 1- ' y in tb a lJ sA a k+ ai •+I A 0 t7/ O t H #v y IJ r` i 91 K I .,,. *A 7! *t '•t LI 1 !.y ..1 t1 .� tf •+i •f'�- •i lJ k+ h W A 0 t7/ O t H #v y n • a ,y 7! *t •') A H 1•+ lzoIn '•t •i lJ *p #v 7! lzoIn '•t Building MECHANICAL Permit No.� ' Inspections RESIDENTIAL APPLICATION Received By: , 763-572-3604_ CITY OF FRIDLEY Date Rec'd: DATE.=-� SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: ❑ OWNER ADDRESS:��y( COMPANY NAME; ''11111111 1 1111 !1IN CONTACT PERSOi 410 WEST LAKERFRT - STATE LICENSE ADDRESS: PHONE FAMILY ❑ TWO FAMILY ❑ NEW *PLACEMENT DETAILED DESCRIPTION OF WORK FAX ❑ TOWNHOUSE ❑ ALTERATION/REMODEL STATE ZIP, 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 resident xture, 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.05 = FOR PROJECTS WHERE LABOR EXCEEDS $Wu, FEES ARE ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEL:_ SIZE /BTU &> Equipment Installed MF MFG: MODEL: SIZE MODEL: FIREPLACE (GAS) $15.00 SIZE/BTU GAS RANGE/OVEN $10.00 AIC $25.00 ^AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 GAS UNIT HTR $10.00 BOILER $35.00 LINER $10.00 FURNACE $35.00 GAS DRYER $10.00 POOL HEATER $35.00 _CHIMNEY DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 Number of fixtures @ $15.00 x 10.00 = x $15.00.=$ Surcharge $ .50 TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ = Number of fixtures @ $35.00 x $35.00 $ State Surcharge = $ 50 Total = $ THIS IS AN APPLICATION FOR A PERMITNOT 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 fora work is not to start without a permit; that the work will be in accordance with the approved plan in the case "l J° hic �view and approval ofyjansi I SIGNATURE OF City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit No.:,20D7-0/410 Inspections RESIDENTIAL APPLICATION Received By: IQ - 763 -572-3604 $ I 0 dMeJUG 1 Surcharge CITY OF FRIDLEY .0005 x Permit Valuation Minimum $.50 DATE I J hl`��A YOUR E-MAIL AD RESSCoy r� SITE ADDRESS Z V 1 YZ , $ THIS APPLICANT IS: ❑ OWNER ONTRACTOR $ PROPERTY OWNER/ NAME: ellj $ TENANT Park Fee $ Fee Determined by Engineering ADDRESS: CITY STATE_ZIP Agreement necessary ( ) Non Necessary ( ) r ,, PHONE: VJ NAME: Renewal By Andersen $ CONTRACTOR SUBMIT A COPY OF STATE LICENSE # 1920 County Road "C" West YOUR STATE LICENSE ADDRESS: Roseville, N N 55113 STATE ZIP WITH APPLICATION PHONE License #20130983 Cl SINGLE FAMILY/NEI PROPERTY TYPE ❑ TWO FAMILY/NEW C 651-264-4777 ❑ ADDITION ❑ GARAGE/SHED WINDOWS PERMIT TYPE ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ EW ❑ ADDITION MAI ANCE/REPAIR REMODELINGi. DESCRIBE WORK BEING DO SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT lkql ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING S 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 ❑ Vinyl FOR NEW CONSTRUCTION INCLUDING DECKS, ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Other ❑ Trim 1. Site Plan/Survey showing the existing structure ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF t .� OPENING CHANGES &1 - TYPE OF WINDOW TO BE INSTALLED J a NUMBER OF WINDOWS h ALL r>rr b Axh !EASED ON VALUATION, INCLUDING THE COST OF LABOR AND WATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 19t (g K— OCCUPANCY TYPE Permit Fee $ 0105, a n See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ I 0 .001 times the total job valuation Surcharge $ in .0005 x Permit Valuation Minimum $.50 License Surcharge $ .07D $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations I hereby apply for a building pi conformance with the ordinances permit but only an application fo plan in the case of all work whicll SIGNATURE OF APPLICANT THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED pit and I acknowledge that the information above is complete and accurate; that the work will bet 3 codes of the C' of Fridley and with the Minnesota Construction Codes; that I understand this is not. permit and w r s not to start without a permit; that the work will be in accordance with the approve( t �e/ll� Kova 1 rn s'V 1 i' o.' —bpe�h I -z () , ✓,v1- Building BUILDING Permit No. Q0 0 —®1 Inspections RESIDENTIAL APPLICATION Received By: 763-572=3604 CITY OF FRIDLEY Date Rec'd:!�— —'La DATE / Off- J /O YOUR E-MAIL ADDRESS SITE ADDRESS S, THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: bon poi l [es pi e TENANT ADDRESS: .Sol- ao L t n C B 64- CITY Fr c d 4" STATIt2 R ZIP PHONE: 74e 3 /- 7?479 CONTRACTOR NAME: Se -J& Qo®4='1 rte, SUBMIT A COPY OF STATE LICENSE # 1050 EXP DATE -51 N1 % t D YOUR STATE LICENSE a ADDRESS: I tip f✓]CC2� Sidr F3�0� CITYSLL�C S 0Yf STATMIZIP �;v / WITH APPLICATION -J4 PHONE - �o V r 7 a q(9 TC PROPERTY TYPE 45 -SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH AMOOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: � Jy-244— SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES /C;L A 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: IDING FOR NEW CONSTRUCTION INCLUDING D$CKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other . ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations 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: (USINGGG 1 97 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 1 n OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ a $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ /I� , _ Make checks payable to: City of Fridley Attach Stipulations 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 w tch requires review and ;Approval of plans. SIGNATURE OF APPLICANT �vn t� M" PRINT NAME D SEA i` LWI "C- DATE