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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 6861 Date: & y Owner:_ .ice Builder Address M____ _ to,—f" Address I LOC TI OFWLDINNo. _ _ Street rt Lot Lot �� �J _ Block Addition or Sub -Division . Corner Lot _ Inside Lot r Setback ._...._...._ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To sed as: t Depth Height . — Sq. Ft. Cu. Ft. Fron _ DepthHeight _._ _ Sq. Ft. Cu. Ft. Type of Construction ___._. fe— Est..Confl*r_To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do thordinaacof twork in he city of Fri edl y with the description above set forth and in compliance with all provisions of v In consideration of the payment of a fee of$ 7 = , 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 ordinance=s of Fridley, Minnesota reg location, construction, alteration, maintenance, repair and moving of buildings within city limits anad s permit may be revoked at any time up� of any of the provisions of said NOTICE: This permb den not cover the construction, hutaBatlen for why, phnnhine, on hating, nwar or water. Be acre to no the Buihiing Inspector for npwaN pwm& for these iMna. I City of Fridley Application for Plumbing and Gas Rffing Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... _ x $1.50 $ 6 • L? Q 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 $ . 0 New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL X $1.50 $ X .50 $ x 2.00 $ Dept. of Bldgs. Phone SII 4-7470 Location 4- 3L O yi G 1 /L_O City of Fridley: 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, 1Vlinn- ! c Z7 Owner 71 a e Y- Soh J h Kind of Building ` r Used as To be completed about Estimated Cost, $ f0ld)New. Building Permit No Permit No. n;� ROUGH --4-:: (� ^ y - � i FINAL Description ................................................$ TOTAL FEE $ / 00 42 Signed Itiq CSR(Gnon PLuti ar. Ap Cigna,,-�1,,°n By / Business Phone No—MIDWAY $2112 a6 N ; R O LL LL O ? �O • F • N WATER HTR. GAS ELEC. Base 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... _ x $1.50 $ 6 • L? Q 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 $ . 0 New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL X $1.50 $ X .50 $ x 2.00 $ Dept. of Bldgs. Phone SII 4-7470 Location 4- 3L O yi G 1 /L_O City of Fridley: 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, 1Vlinn- ! c Z7 Owner 71 a e Y- Soh J h Kind of Building ` r Used as To be completed about Estimated Cost, $ f0ld)New. Building Permit No Permit No. n;� ROUGH --4-:: (� ^ y - � i FINAL Description ................................................$ TOTAL FEE $ / 00 42 Signed Itiq CSR(Gnon PLuti ar. Ap Cigna,,-�1,,°n By / Business Phone No—MIDWAY $2112 Date: Owner; City of Fridley, Minn. BUILDING PERMIT Buil Address T 21i I M. 0 0 0, 4? tiwo MR MMi C;2 142 a-3 N° 7004 Lot 211,Block __ Addition or Sub -Division . -Cn Corner Lot Inside Lot — �--�� Setback Sideyardd Sewer Elevation—��Z_&__� _— tlaSIIevation Z DESCRIPTION OF BUILDING T:o V � LAA Front �� Depth Height Sq. rt./ -z Gti. Ft Front Depth Height ____ Sq. Ft Cu. Ft Type of ConstructsS6t6Est CAAt / �W To be Completed In consideration of the issuance to me of a permit to construct the building described aboveI agree to do the proposed work In accordance with the description above set forth and In compliance with a'll provisions of ordinances of the city of Fridley. op i 5-;; In consideration of the payment of a fee of 90s 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 reg location, construction, alteration, maintenance, repair and moving of buildings within the city limits and permit may be revoked at any time upon violation of any of the provisions of said ordinances. --- �% _ Nonce: We permit does not corer the conshuWan, installation for wiring, phm bing, gas hating, sewer or water. Be son to me the Bnildtng Wgwcfor for separate permits for these items. City of Fridley Application for Plumbing and C%n Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location 22L3 l o h o a Z Q LU p1 ou. uZ �G U <3 (�9 °d �z UN` �O F N WATER HTR. GAS ELEC. Base LL 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ...................... 19 x $1.50 Future Fixture Opening x 1.20 TOTAL $ $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ d New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $-1 ' 115 Additional Fixtures x .50 $ Gas Range to 200,000 BTU .............. � REPAIRS & ALTERATIONS—Refer to Code x 2.00 $ Description ................................................$ . TOTAL FEE $ rrvv�s � 7,� f6 City of Fridley: I 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, Minn_ J L; ) )/ ? /0 , 19611- / Owner & ® 7" e `� -Soh- r 1 - e Kind of Building / k Q — Used as e ll �� h 9, To be, completed about Estimated Cost, $ Al Old New, uilding Permit No 470 Permit N.—. t Ste_ Signe = 1 r :ifs+ e ByZ Business Phone No_ /°,° • ROUGH FINAL 42 CITY OF FRIDLEY INSPECTION DIV, Effective On January 1,'1993 6431 UMversf y Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate TOTAL Furnace Shell and Duct Work, Burner – 60 Also Replacement Fumace $ 20.00 $ v� `— Gas Piping (Needed with new furnace) $10.00 $ Gas Range Gas Dryer *Air Conditioning – AD Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial I% of Value of Appliance or Work $10.00 $10.00 $10.00 State Surcharge TOTAL FEE JOB ADDRESS 4-e HO U/ 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. 5_ _ ,1993 M ckr1Lcc r BUILDING USED AS F l ".LA e-1 ESTIMATED COST PERMIT NO. DESCRIPTION U NE AND $ No, of Heating Units. f Circle One (Steam) (Hot Water (Warm Air Trade (lame Size No. BTU / HP EDR $ Fuel Total Connected Load $ .50 Burner Trade Name Size No. 30 5-9 BTU HP EDR MINIMUM FEE FOR ANY HEATING/COQUISIGNENTILATION 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. HEATING COMPANY p� Signed By W Tel No, U0 �Q Approved By Rough–In Date Final Date `'LZ FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: .l. Has been carefully examined Yes ( ) No ( j 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) S. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY pAln i Date Rec'd: DATE —.2 /-0 YOUR E-MAIL ADDRESS CHF -CK t, Z T7 30 SITE ADDRESS 0�2 e �,l B/%� S� N E THIS APPLICANT IS: ❑ OWNER &ONTRACTOR PROPERTY OWNER/ NAME: -, rj I VVIN lel 1 1 rnuivlE REM 2 y3 ��^�' rAdw S" �� STATb"9 TENANT ADDRESS: CITY -1 PHONE: 74Y s'% CONTRACTOR NAME: Mn n&*d V .... NE SUBMIT A COPY OF STATE LICENSE # EXP DATE MN YOUR STATE LICENSE ADDRESS: CTTY �lrl E_ZIP WITH APPLICATION PHONE FAX Aia also 9FSINGLE FAMILY/NEW CONSTRUCTION SIZE PROPERTY TYPE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH j9ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIlaIlvHNG POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING --�//,,Z/❑ 7`i� v DESCRIBE WORK BEING DONE: t'-� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES _ )qHOUSE & 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 ❑ 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 $ OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridlev 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 code of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application f94 pe and rk is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work wh' equ' f re and approval of plans.�� Z4V SIGNATURE OF APPLICANT J PRINT NAME ATE Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY / Date Rec'd: !� DATE 4-3:a2 YOUR E-MAIL ADDRESS SITE ADDRESS cP3 L i*f // Sf A) THIS APPLICANT IS: ❑ OWNER 0,CONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: CITY Fr-idlet/ STATEj&L)ZIP ,-:) TENANT PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE`��� STATE.MAZIP,,jCj!2 SUBMIT A COPY OF YOUR STATE ADDRESS: A0627,/) 1-A'n I0J/"2 '-Ytk CITY LICENSE WITH PHONE FAX APPLICATION PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ev TYPE OF WORK: ❑ NEW 10PEPLACEMENT DETAILED DESCRIPTION OF WORK r�p/_Dn D M4-rj: a`der 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.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINKILAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR GAS PIPING a&w cirrucevs) _ SWIMMING POOL —WATER SOFINER ($35) —BATHTUB _ KITCHEN SINKWATER CLOSET _ BACKFLOW PREV. ($15) CLOTHES WASHER _ _ _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER PEtIVIITFEE°R03E11 URS" l�0(1� �^.,fi.,.ztu Vat Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ _ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ , 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 re ie and approval of plans. / SIGNATURE OF APPLICANT PRINT NAME ��10� 6leT?_DATE77 �. .;PLEASE NOTE S F ' �.'' R VJORT�4 �. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977