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PRE 2010 DOCSVMage of Fridley, Yllim. .1V' ` '" 140 1'�1 N 0 373 ®ince of INSPECTOR OF BUILDINGS Owner- Architect [ Fridley, Minn., DESCRIPTION OF BUILDING Front1"'1 Depth `s HeightStories Manner of Construction- v�''�i�-F' �' To be used as ' To be completed TA, Estimated Cost -4990i4 Permit is hereby granted to-!� �.", to''"` the building ++ n described in the above statement. This permit is gr upon the express condition that the person to whom it is granted, and his agents, employees and workmen, the work done in, around and upon said building, or any part thereof, shall conform in all respects to the nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buil within the city limits, and this permit may be revoked at any time upon violation of any of the provisions o P" ordinances. L -----inspector of Buil AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridl( the above permit, I hereby agree to do the proposed work in accordance with the descri• above set forth and according to the provisions of the ordinances of Fridley, and, being first sworn, I hereby state and say that the facts stated by me and contained in the above perm! true as therein stated. Subscribed and sworn to before me atm Fridley, day ok -�, ;� A.D. 19� it Minnesota, this - N � 0 4. " .23,e5 a City of Fridley, Minn. 6976 Owner: Buflftr___Ze�� Address '49!� Address Loc I ofu D NG d No. Street art o t Lot ,�1��Block Addition or Sub -Division Corner Lot _ Inside Lot — `� Setback Sideyard Sewer Elevation'V1. ,51-/' ` -Fetwda*= Elevation DESCRIPTION OF BUILDING T U •' Front Depth Height Sq. Ft. Cu.. Ft.041 Frook Depth Height Sq. Ft. Cu. Ft. Type of Construction ° , Fast. Cost 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 forte and in compliance with all provisions of ordinances of the city of Fridley. /1 / / 0 /7 /_ i e 01 / [� In consideration of the payment of a fee of $ - 4 / , 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 ng location, construction, alteration, maintenance, repair and moving of buildings within the city limits aanncd this permit may be revoked at any ups on of any of the provisions of said ordinances. .� /0 NOTICE: fhb permit don not corer the constroation, hutaMon for wiring, phwhing, gn heathM sewer or water. Be ams to we the Beildhtg Mqm tar for separate permit for these hew. APPLICATION FOR BUILDING PE"IMT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ILDER 5,4-l--4- ADDRESS (J_,_ ® 42011 CY ,STst/® ADDRESS J' LOCATION OF BUILDING No. 7 C.) Street ,( 0 Al �,o4- A.44 ® ky 5' mart of Lot Lot_ / l vP ® Block " , . Addition or Subdivision ;141 tits ovk eAlqC Corner Lot_Inside Lot — Setback 3,_7 i. Side -Yard /a / -?-2 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of.Survey of Lot and proposed build- ing location drawn on these Certificates.' DESCRIPTION OF BUILDING To be used as: _L/61I _QGC� (G! e, Front 2 � Dapth l/j�2 Height ;2® Sq. Ft. 5V6) Cu. Ft. /�f � Front Depth Height, Sq. Ft. Cu. Ft. Type of Construction GV e,, 0,b /=X -I g Estimated Cost / • e ms' 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 correct. DATE /�� SIGNATURE � jSchedule of Fee Costs can be found on the Reverse Side). - . ✓ jel—C A.. City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Location—� — '7� Number, Kind and Location of Fixtures 13 3 TOTAL w 1;� z Future Fixture Opening ................ x 1.20 $ �'dGELEC. x 1.00 U0' Catch Basin .... ....................... x 3.25 WATER HTR. ELE Base $ C New Ground Run Old Bldg. ....... .... x 3.25 $ 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings _ Connected with I Sewer] Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $d 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 $ C New Ground Run Old Bldg. ....... .... x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures ......................... Additional Fixtures ................... Gas Range to 200,000 BTU ............. NO. RATE TOTAL — x $1.50 — x .50 $ — x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description $ TOTAL FEE $ 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�e true and correct. Fridley, Minn �` 19 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No 76 Permit No. Signed ROUGH FINAL 42 By Business Phone No • -3�d34;- City of Fridley, Minn. N9 9011 BUILDING PERMIT Dates SEPTEMBER 12, 1966 oar: _Theo Erickson Builder �� ,Address _A5_g_..l oal low N. E. Address LOCATION OF BUILDING No. 450 ,_,_, Street Longfellow N. E. __ part of Lot ((�� ' � Lot 19-20ra -- Block Block 1 Addition or Sub -Division .� i_i �� B � _ _�i;aj_ ® Corner Lot --- Inside Lot Setback --_ Sideyard — Sewer Elevation___ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ,F Front _22 22 Depth 26 Height 10 Sq. FL 572 CtL Ft, 5720 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction _ Frame Est. Cost $1,000.00 __ To be Completed ___ 9/20/67 In consideration of the issuance to me of a permit to cons ci the building described above I agree to do the proposed work in accordance with the description above se orth and in compliance 'with a'll provisions of ordinances of the city of Fridley. 4 In consideration of the payment of a fee of $—A --0 0 , permit is hereby granted to The00 - Erickson 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. CLARENCE BELISLE Building Inspector NOTICE: This pemb doss not cover the construction, huhWon for wiring, plumbing, gas heating, sewer or water. Be son to see the Building Inspector for separate permits for these Hens. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS r°, -� a� ADDRESS LOCATION OF BUILDING ;. N0. ; a STREET:, _- a r_�' _ PART OF LOT Lor BLOCK ADDITION OR SUBDIVISION_, CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION. FOUNDATION ELEVATIM Applicant attach to this form Two Certificates of Survey -of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be sed as; 5'.. Front' Depth f".,' Height ------` Sq. Ft.- Cu. Ft a Front Dept Height Sq. Ft. Cu. Ft. Type of Construction , ,"..,-./°-",,I Estimated Cost �� f 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 correct. DATE a-�'SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). w Rd .r Building $ BUILDING Permit No.: Inspections $ RESIDENTIAL APPLICATION Received By: /2 763-572-3604 $ CITY OF FRIDLEY Date Rec'd: d DATE !�z& 7 YOUR E-MAIL ADDRESS /�Otri ✓` yea �I G s� COQ SITE ADDRESS AI -5a Si. %IOC THIS APPLICANT IS: ❑ OWNER C#CONTRACTOR PROPERTY OWNER/ NAME: r // S TENANT l ADDRESS: �S� %O��i -Pe/D�/ s¢ CITY STATE -SLIP SSL%3o`Z PHONE: CONTRACTOR NAME: /i1/i S SO�� S,`d �vtS ft;n [{a�-✓ S _ -��% STATE LICENSE # r2LO 3 /tel 5.3.6 EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: q 16 I O 5-tt 4-n- 'vim - CITY L°;s6°% %,W5 STATEZIP SSO/ y WITH APPLICATION P ONE 3 -% g0 — % SaS FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISHROOF E3DRAIN TILE Total Due 13DECK ❑ SIDING ❑ OTHER 7-3775 ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Qe —le,- he�.. Se�- SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑OUSE ONLY NUMBER OF SQUARES XHOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DICKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . 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 ONo 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: -v .2 7&k9.'0,6 (USING THE 19 .B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ° 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 $ /.as .0005 x Permit Valuation Minimum $.50 License Surcharge $ v'b $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 $ 7-3775 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 wpiFh requires797 and pr val of plans. PRINT NAME SIGNATURE OF APPLICANT�9/� Loa n �� flC�%Seyl DATE O Building MECHANICAL Pert No.: Inspections RESIDENTIAL APPLICATION R=ived By: 2 07 763-572-36 4 CITE' OF FRIDLEY DATE °� / YO ADDRNS SITE ADDRESS ® Z) THIS APPLICANT IS: 0 O R ONTRACTOA PROPERTY NAME: STA IP ' OWNER/ ADDRESS: �0i3Y — TENANT PHONE: J COMPANY NAME; CONTRACTOR _ CONTACT PERS( ;��I .; (r.6 410 WEST LAKi: STREET SUBMIT A COPY OF }, MN 55408 YOUR STATE STATE LICENSE # 2-24- STATE ZIP LICENSE WITH ADDRESS: APPLICATION PHONE FAX `XSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ERMIT TYPE L ❑ NEW ,� 1�PLACEMENT ❑ ALTERATION/REMODS, \\ PE OF WORK: 11V4. cx"-- v DETAILED DESCRIPTION OF WORK L f PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the only the cost of labor ) improvement, installation or replacement of a residential fixture, excluding the fixtures.. ,(This should reflect Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05=- A5=-FOR FOR PROJECTS WHERE LABOR EXCEEDS $500 FEES ARE BAS ON $10.00 PER FDMJRE, EXCEPT WHERE NOTE). (INDICATE TOTAL BELOW) EM ®� �_ NUMBER OF EACH STZF . MF MODEL: Equipment Installed MFG: MODEL: SIZEna I U Xt/C $25.00 MODEL: SIZF/BTU FII2EPL CE (GAS) $15.00 GAS RANGEIOVEN $10.00 NEW GAS GRILL $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 $35.00 GAS UNIT HTR $10.00 BOILER $35.00FURNACE CHNEY LINER $10.00 IM NGAS DRYER $10.00 POOL HEATER $35A0 PIPING $10.00 VERM ATOR $15.00 WORK $10.00 _GAS _DUCT Permit Fee s $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00= $ Number of fixtures @ $25.00 x $25.00 = $ 1S. TOTAL DUE $ Number of fixtures @ $35.00 x $35.00 = $ 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 is conformance with the ordinances and a City of Fridley and with the Minnesota-Construction Codes; that understand this that the work will be in accordance with the not a permit but y approved plan ' the trop for p d work is not to start without a permit; work w 'ch r s review and approval of ans. C /MQ SIGNATURE O ATE REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXIS.TIN.( HQMES 1. Combustion Air (See note belo`W)'y ,. ` ' a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a- Gas appliances 1FGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a_ Required on new construction IMC 1346.0312 5. Ventilation . a_ Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 - a_ ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations