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PRE 2010 DOCSr� Tc^:?`i .s �••$+..� �j� �.—..._. f '{ ...,n.. p... ^a �.Si',,.. ^'�.�,"+n.... �° .may �` ..r°3« .� � 4'^•_f'.. Z... ,. ^�..e.,a .i-:- .�:.�•:.._... L- w •a.s, ..a L b... ry ..� t.._ a r.. ..•y� `a.'.✓v%. s,. �d u...o_. �,.a...._av� �...:_�....�_�.,:. 5.�6..0 4.++.«� 4'�.J .�ruw.L�Lvti:J �'v+�y V��.4Coadc7 �.e��: �+'v'e.s'•:a±�.� - PAaRCT$AL .ATE SCHEDULE MA VIT`I W JMLM AM: I'?..%'Y',3 F'urmzce Shell & Dam Work ..... .. $10.00 g 1^iep acernerit of TN.:rnare 6.00 !P Repairs & Alterations --up to $500.00 &00 S Repairs do Alterations each add. 5500.00. 300 g MECH. WA_".x AM rumace Shell & Duct Work to 1,000 BTU est add. 50,00 BTU . T'~e°acerrert of Furnace •& Alterzticns—up to $500.00 r1a emirs & Alteratio-ns each add. $500.00 STEAKS or I?O`P WAY= S. LP S 6.00 6.00 $ 3.00 i P urnace Shell. & Lines --to 400 sq. ft. MR Steam e10.00 $ ruunace Shell & Line`—to 640 sq. ft. EDR Hot Water 10.00 S. Each add 200 sq. ft. Mitt Steam Each add. 320 sq. ft. EDR Hot Water 3.00 OIL BUItNUM—to 3• gal, per hour 6.00 S. over 3 gal. per hour—See Fee Schedule ®D GAS BUMMS (up to I.r� 3,000 BTU) sm $� 11_',3.000 BTU 3ve Fso $ch.'duis GAS FIT -11110 Z: : ::O RATE TOTAL 1st 3 Fixtures X�� 203 g o10 Additional Fixtures :s ,fig $_— _ Gas Rsnge to Il'3r•, %,1 g,00, $ TAX 7=1411-13 S17CIT I ALT-9MIAiION-3 EL AEPAIIS Zl"�9fA�. State Surcharge .50 t a TOT AL 4"M Lit. o4 BI. -,3. Phc,-%e City of Mddley: The undersigned hereby makes application for a permit for the worts hereV. specified. agreeing to. do all wore in strict accordance with the City 0rdiaancrr- and ruling of the Depat tment of Buildings, and hereby declares that all tte face and representatiuns stated in this application are true and correct. Owner Kind of Used as To be completed about. / ,�- — -;�- 'S -,7 � Estimated Cost $ Ss`�v Old New. Building Permit No. Permit No. s-)q— is OF WO. 4 .LYING or WMR PLAYM--Staam, Hot Water, No Trade Name ---,sae No-3;�'%D/90 6_F6 /Ly Capacity.._._. _ Sq. Ft. E.i).R /Cx Total Connected Land Fut~t BUMFOR — Trude NaSine Pio Capacity Sq. PL E.D R_ S'i'U 1!m3r- IAMAIMa—owzay 3itjT.:. CB. • - L � ISS P2W= City of Fridley SUBJECT PERM AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT N 1 16 • COMMUNITY DEVELOPMENT DIV. INSPECTION r � � PROTECTIVE SEC. �-- 1 � 1� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 15/1/79 JOB ADDRESS 6610 Lucia Lane N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6E I Aud. Sub. #21 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Darell Goerdt 6610 Lucia Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Miles Garages 4500 Lyndale Avenue North 588-9750 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 ❑X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 24' Detached Garage 9 CHANGE QF USE FROM TO STIPULATIONS gayacp*la emoved O It' nrP ac ilia sort' of 2�w iisg Allow -e 7 pex - +-s Provide a hard surface driveway. Conversion permit for existing garage to living area was taken out by property owner. WARNING Before digging call 10W utilities SF��RATE PERMITS REQUIRED ESR 4WaRPhe' TELEPMOf�E- ELECTRIC - GAS Et�. HEATING, PLUMBING AND SIG GD NS. REQUIRED BY tAVV TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 5760 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 576 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. $2.41 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,821 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LqFAL LAW REGULATING CON- ST UCTION OR PERFORM E OF C STRUCTION. $23.04 4 PLAN CHECK FEE TOTAL FEE �® J $25.45 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT cySIGNATURE BLDG. INSP DATE OF OWNER IIF OWNER BUILDER) (DATE) • CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEN14ITS (NEW, ALTERATIONS, ADDITIONS,' OR REPAIRS) OWNER: !�/� �C � �1 � (5 o f= 'P I)T BUILDER: Address: 10. h o c't A A Iv Address: Il 7W y,41,0.,1f�� Tel. No. _ ! 7 5`_0 No.: o Street:y C, LOT: 6E BLOCK: ADDITION: CORNER LOT: INSIDE LOT: Z-----SLTBACK: SIDEYARDS: Applicant attach 'to this form Ztao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING "j• To Used As: r Front: Depth: Height: Square Feet: _S -7(o Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of construction:%1 w �=- Estimated Cost: $ To Be Completed: 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. See reverse side for additional information.,/ DATE: 36-7 SIGNATURE: Stipulations: J,3 . 0�d F 0- ft �1 SUBJECT PERMIT City of Fridley 5 AT THE TOP OF THE TWINS BUILDING PERMIT ECEIPT NO. •COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 IL'--- NUMBER REV. DATE PAGE OF APPROVED BY ,�j 612-560-3450 910-F15 5/2/79 JOB ADDRESS 6610 Lucia Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6E Aud. Sub. #21 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Darrel Goerdt 6610 Lucia Lane N.E. 59 - 605 3 CONTRACTOR MAILADDRESS 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 ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 6 DESCRIBE WORK Alter attached garage to benon-clarage space. 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIAMG&, IJEATING, 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 1 ISTALLS 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500 $.50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTAL FEE $8.00 SI ATUREOFCONT ACTOR ORAUTHORIZEDA (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT "JU /X e- 'C�'t47 Q-J-.-Jb 'f BLDG INSP OAT e S11MATURE OF OWNER IIF OWNER BUILDER) IDATEI CITY OF FRIDLEY , APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS,' OR REPAIRS) OWNER: Da dr, Le- ( \y^ O e r cY fi BUILDER: -S g Address: (0 (o / 0 . 1 k c e c. N a `? e- Address. Tel. No. No.: / 0 Street: LOT: BLOCK: ADDITION: eky d ' CORNER LOT: INSIDE LOT: �� SETBACK: SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. L� SCRI PTION OF BUILDING _777o L ,- h � Cj oL AV h/� � To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: �1 Type of Construction: Estimated Cost: $ ':5 0 d 'd-0 To Be Completed: �� r 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. �r See reverse side for addit' nal information. DATE: �� / SIGNATURE: Q �% Stipulations: SUBJECT City of Fridley 15.6 4 7 AT THE TOP OF THE TWINS BUILDING PERMIT r "91CEIPT N ►y ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. t � = CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY 612-571-3450 910-F15 4/8/80 JOB ADDRESS 6610 Lucia Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6E Aud. Sub. #21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel Goerdt 6610 Lucia Lane N.E. 574-0057 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 ElElNEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE ❑� X 8 DESCRIBE WORK Construct a 32' x 12' Addition over garage 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS RF -QUID FOR UVOIRINGs HEATING, PLUMBING AND SIGN. 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 $101000 $5.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $60.00 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.00 $80.00 NATURE OF CONTRACTOR RAUTHORIZE AG NT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 1 ^ 04 JUS a BLDG INSP OATE If SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY O . APPLICATION FOR USIDUMAL BUILDING PERMITS � I� (New, Alterations, Additions, or Repairs) OWNER: 0 j ADDRESS: U TEL NO: J % BUILDER: ADDRESS: TEL 140: Construction Location STRE13'T NO: % f o STREET: u C t' CAL a "� LOT: F BLOCK: ADDITION: A --b-( 0 Corner Lot: Inside Lot: 1/ Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO14 OF CONSTRUCTION Y] Front: �cv t P Depth: Height: Square Feet_ '3$� Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: A A126 - Estimated Cost: $ Tb Be Completed: i Alt. A Alt. B Proposed Driveway Width if New Opening is Desired: $ $ SEE REVERSE SIDE OF SHEET . The undersigned Hereby wakes 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: S..IGNA'i`UME Stipulations: 38�C31.OZ/= /Z11100-0 Pte' X00.00c o v� {.�55 irau.+oKv�+ p•e ��.00 fdreay.ov ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION PLANNING AND INSPECTION DEPARTMENT ' CITY OF FRIDLEY, MINNESOTA This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "U" FACTOR INFORMATION. This information is required so the BUILDING OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. JOB LOCATION: �( I n �'I-_)C I J OWNER/CONTRACTOR: DA N� ADDRESS: . 6 / D L:_eA 4=,, -J,, -'t1,6 f`� < o / L, PHONE: c A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 2. Total door area 3. Total sliding glass door area 4. Total fireplace wall area 5. Total wall framing area (average .10 0) 6. Total net wall area above floor(average 90%) 7. Total rim joist area Subtotal: Total exposed wall area above floor 8. Total foundation window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA IV 17V, 91-, B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 = C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area n 11. Total roof/ceiling framing area (10%) 3 e 12. Total net insulated roof/ceiling area 3[,/6j GRAND TOTAL EXPOSED ROOF/CEILING AREA 304/ Item I D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = Item II E. Determine the "U" value of each segment (1-9) and multiply by the area as follow; ; 1. % 9.2A X „U„ 2.x r fluff 3. X "U" _ --- 4 X Stull _ 5. �— X ,lull 6. 33/, y/ x Stull , e,7 7. y? x fluff aL = �. 8. _. x Stu,l 9. X fluff _ ADDI-9 FOR TOTAL WALL SEGMENTS = ITEM III 2018 F. Determine the "U" value of each segment (10-12) and multiply -by the area as follows: 10. '— X "U" _ 11. `fig x Stull o� _ 1.2.3�/ _ X 'full ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS A 44 = ITEM IV G. If Item III is the same as, or less than Item I, you have met..the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I g,%, / + Item II d 2 1 J. Add Item III 2n • R + Item IV _ 01� K. if the sum of Items III and IV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit application. By: _ DATE: ev — ��® iiv� De used O� •• •+�caa ys�uea; and occupied until a Certificate of Occupancy has Cen issued. ' mei nenancKson PHONE (AC 612) 429-4248 w If you have the will ... we have the way! MILES GARAGES v 4500 LYNOALE AVENUE NORTH MINNEAPOLIS, 'MINNESOTA 55412 SUBJECT City of Fridley 20057 F AT THE TOP OF THE TWINS ? BUILDING PERMIT R IPTN 1 . COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 3 I t ` CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/11/89 JOB ADDRESS 6610 Lucia Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6E Aud. Sub. #21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel Goerdt 6610 Lucia Lane N.E. 5740057 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121 x 141 Shed in Rear Yard 9 CHANGE OF USE FROM TO STIPULATIONS Shed must be kept a minimum of 3 feet from side or back lot line or off from any easements. Shed can be no higher than 14 feet. Shed must be securely anchored to ground by a foundation or by tie downs. Only one shed allowed on a property. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $600., $.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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $17.50 SIGNATUREOFCO TRACTOR OR AUTHORIZED ENT (DATE( EN PROPERLY VA A ED THIS IS YOUR PERMIT LOW VA DATEI ' nig /�R V SIGNATURE OF OWNER t I F -VER DER) SLOG INSP nATE NEW [ ] ADDN [ ] ALTS [ ] R-1 AND R-2 Building Permit Application Effective 5/1/88 Construction Address: �� / (i L4. C, I Legal Description: _ l % u bl I-Z),e `S Owner name & Address: r e 1 a tz' P G G /0 $- )y- Contractor: # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVn4G AMM: Length Width Height Sq. Ft. CRRAGE AREA: 1pTigt h Width Height Sq. Ft. U= AREA: Zexx3th _ Width Hgt/Ground Sq. Ft. 07HE2: I/n r- � %� , 40-'Y' / e/ �- T X IAI F% Corner Lot [ ] Inside Lot [X] Type of Constriction: Approx. Cmpletion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $_ 0O 0, a-0 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ j L4Wi + 6' See Back Page DATE: % - / / ' �� APPLSCM: Tel # � %-5Y- oo�� Permit Fee $ / % 0 Q State Surcharge $ �� SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ $ 1%, L -D ULATIONS: CMM USE C%II.Y Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by aninewiM wry [ ] Not wry [ ] SUBJECT PERM City of Fridley 1 213 2 0 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. _ �S r , CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/5/92 JOB ADDRESS 6610 Lucia Lane NE I LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Lot 6E Auditor � s Sub, #21 SHEET I 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel Goerdt 6610 Lucia, Lane NE 574^0057 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 ❑ NEW Ij ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121-x 141 Three_. Season Porch_ Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 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 $3077 $1,94 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $63. QCT Fire SC $3.88. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 68.82 SIGNATURE OF OO UTHORIZED AG"_T IOATEI HE PR RL V D TED THIS IS YOUR PERMIT �NTRACTOR( .TY bbb SIGNATURE OF OWNER OF OWNER BUILDER I IDATEI BLDG IIS GATE NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: C �2 Z Q 1. u "01 Ay� -2 Legal Description: Owner Name & Address: I'DG. r i -e- I Go -e s`�)' CQ &- l o Lv o f -Tel. Contractor: e& MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft:. OTHER: J Q / w�►� /a ��- c,� ��rh �� 14 1',0 Fr 57?7Q C,23.E Corner Lot [. ] Inside Lot [ ] Ft. Yd Setback _ Type of Construction: Approx. Completion Date: Driveway, Curb Cut Width Needed: Ft. + 6 Ft = Side Yard Setbacks Estimated Cost: $�� 38 7 117 00 (Cost on Back) Ft x $ = $ DATE: �% - 30 APPLICANT: 60MA44-" X Tel. # Uj or CITY USE ONLY �6- Permit Fee $ 4 3< 0 ® Fee Schedule on Reverse Side Fire Surcharge $ 6?.001 of Permit Valuation (1/10th%) State Surcharge $ < �'� $.50/$1,000 Valuation SAC Charge $ $700 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: .v r 1 mel rienaricKson — -y , 4N PHONE (AC 619) 494_a9AR If you have the will ... we have the wayl MILES GARAGES 4500 LYNDALE AVENUE NORTH MINNEAPOLIS, MINNESOTA 55412 FA SuBjECT PER City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r CT DIY. OOfiE� RECEIPT NO. r PR I 1 N EC.6 ad 4.-/ 1 -"--1 CITY HALL FRIDLEY 55432 �-"'� If %.j NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 9/18/98 JOB ADDRESS 6610 Lucia Ln NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 6E Auditor's Sub. #21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel Goerdt 55432 574-0057 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner Same a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION [I ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Canopy over front door (4' x 8') 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 ANY TIME AFTER WORK IS COMMENCED, NO. OWLG. 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 $500.00 $.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- STRUCTION THE PERFORMANCE TRUCTION $21.00 Fire SC $.50 OR OF PLAN CHECK FEET AL FEE Qo `; $22.00 -_ SIGNATURE OF CONTRACTOR OR AU1.O.QW AGENT IDATEj H P LY VA ED THIS I§S,.*QU/R� PERM S,GNATURE OF OWNER dF OWNER BU4DERi IOATE- LOG NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � ConstructionAddress: / b ej- h Legal Description: Owner Name & Address: 0 0 cc % '�d; ®� 't v ) Tel. # o as 7 Contractor: 0 ek,, e X-2 4--2f MN LICENSE # Address: dr- I (� / 0 ki u e « Tel. # -o o -5- 17- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: C kI F7 " x Construction Type: Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. 7=7' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: (Fee Schedule on Back) Ft x $ = $ DATE: APPLICANT: ' Tel. # �5_% Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: $ A 00 $ .,!570 $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] FA 01, SUBJECT P City of Fridley 2 7 94 3 AT THE TOP OF THE TWINS BUILDING PERMIT ( ff NO. _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE � 63,,4 1 . � NUMBER REV DATE PAGE O: ACRROYED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/23/98 JOB ADDRESS 6610 Lucia Ln NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6E Auditor's Sub, #21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel Goerdt 574-0057 3 CONTRACTOR MAIL ADDRESS ZIP56320 PHONE LICENSE NO Dingmann George R Construction 22134 Patch Lake Rd Cold Spring 320-685-8586 2718 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 B DESCRIBE WORK Reroof house & garage (27SQ) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the Stati,Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $2,313.00 $1.16 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 CHARG PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC $2.31 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEET TAL FEE )d, Lic e SC .00 $83.22 ` SIG URE OF CONTRACTOR UTNOR12E0 AGENT (DATE, HEPRO V VAL,.IDAIRt THIS I UR ER %DG INSP S-GNATURE OF OWNER,IF OWNER BUILDER, IDATEI FA 01, NEW " t ] Effective 1/1/98 ADDN [ .] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 a`� BUILDING PERMIT APPLICATION ConstructionAddress: "Z! le L, U or-,( "a Lg/7 2 fpx d /e'� A/V�- Legal Description: Owner Name & Address: a117Pe Tel. # Contractor: ft Co£'Of- L°per %lr MN LICENSE # ;F?If Address: �a/3L 416h L�� lg�a /. �o/� s d7� ,4 i�il/ Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 27 59 - Construction Type: jq f' Estimated Cost: $ l3 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ -714.75" Fee Schedule on Reverse Side Fire Surcharge $ 2. 31 .001 of Permit Valuation (1/10th%) State Surcharge $ ( G $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ Oy $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 63, Z� STIPULATIONS: SUBJECT P City of Fridley 30169, AT THE TOP OF THE TWINS BUILDING PERMIT r NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r I = CITY HALL FRIOLEY 55432 NUMBER REV GATE F�E OF APPROVED BY 612-571-3450 910-F15 9/3/99 / JOUDDRESS 6610 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6E I Auditor's Sub. #21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel & Marie Goerdt 594-0057 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal by Andersen 350 73rd Ave NE Fridley 55432 502-4777 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO - 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 5PX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 6 window inserts in home within existing openings. 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors.to meet the State Building Code - in each sleeping room and on each level of the house. Permit Inspection Cards Will Be Mailed To Homeowner To Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4569.50 $2.28 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 111.25 AFire 4.57 PLAN CHECK FEE TOTAL F Licens SC 5.0 .10 SIGNATURE 0FCON. RACTORORAUTHORIIEDAGENT (DATE, ENOP LD E IS IS Y P T Jdo BLO -NSP )ATE S,GNATURE09OWNERIFOWNER BUILOERs )DATE, NEW [ .] ` Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [X] SINGLE FAA11LY AND DUPLEXES R-1 AND R-2 �C\ BUILDING PERMIT APPLICATION � O� y nu Construction Address: (�p� p C.UGo. �a ; idl•e� , miv ��43 a. Legal Description: Owner Name & Address: -bo-i i -d k VY\D-CyA Tel. # (�l2► �4 • �05�' Contractor: RENEWAL BY ANDERSEN Address: 35073RD AVE. NE FRIDLEY, MN 55432 (612) 502-4777 LICENSE #20130983 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: MN LICENSE ate of Survey of the drawn on it to scale. DESCRIPTION OF TMPROVEMENT Tel. # Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Estimated Cost: $ L Uq Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: 9- 1-99 APPLICANT: Tel. #_(pLa• {• J �1.�� CITY USE ONLY Permit Fee S $ `\\ a-- Fee Schedule on Reverse Side Fire Surcharge $ .001 of Perrait Valuation (1/10th%) State Surcharge $ � $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 6c5? $5.00 (State LicensedRResidential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ a3 STIPULATIONS: Buildifig BUILDING Permit No. - - ®® , Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: I 1214 763-502-4977 FAX EFFEC`M E 1-1-08 DATE YOUR E-NLAILADDRESS Y'a .r-I&AL G i00. SITE ADDRESS ao G< F,-,oC/e �S THIS APPLICANT IS: 'WORNER OCONTRACTOR l000l PROPERTY OWNER/ NAME: ADDRESS: CITY �r.`aI� STATE��I!L[P TENANT / PHONE: ��ol ' �,S Z ^D/ 7� N.ANIE: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE w E.l'P DATE PROPERTY TYPE 0 SINGLE FAMILY/NEW CONSTRUCTION SIZE 0 TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE 0 -ADDITION 0 GARAGE SHED ,9NATNI)OWS 0 BASEMENT FINISH 0 RCxOF 0 DRAIN TILE 0 DECK 0 SIDING 0 OTHER 0 SNATUNIING POOL TYPE OF WORK: 0 NEW HOME CONSTRUCTION 0 ADDITION ❑ 11LAINTENANC-T REP//AIR FrREAIODELING DESCRIBE WORK BEING DONE: 1 f Q 4a;n Pers 4--14;Z41 SIZE OF IAIPR(:A7EAIENT LENGTH \IIDTH HEIGHT SQ FT ROOFING 0 HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 0 HOUSE & GARAGE 1. Existing Floor Plan GARAGES 0 ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ �•int•1 0 Aluminum OSoffit 0 Trim I. Site Plan Surrey showing the emsting structures 0 Other ❑Fascia and proposed project. 2. Two sets of construction plans WIIVIIOWS 3. Energy Calculations IN OPENINGS es LOCATION O OR FOR NEW OPENINGS -DESCRIBE SIZE OF E%r)O�k OPENING CHANGES & TYPE OF R•IN X)W TO BE INSTALLED �'L�J NUNIBER OF MINDO\N•S ALL FEES_ARE BASED ON VALUATION, aTION, INCLUDING THE COST OF LABOR AND ALaTERLXLS: —(USING THE 1997 UBC FEE SCHEDULE) VALUATIONS 9J0, to® OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 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 savable to: City of Fridley Attac 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 odes of the City of Fridley and with the Minnesota Co pstruction 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 accor a approv lar in tbe case of all work which requires review and approval of plan SIGNATURE OF�AEPLICAN - PRINT NAME DATE�p_�� APPROVED BY DATE PLEASE NOTE: SEPARAMPEPWS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK= I Building BUILDING Permit No. Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: -I — 763-502-4977 FAX EFFECTIVE 1-1-05 DATE ' ®�t� YOUR E-MAIL ADDRESS ywest' SITE ADDRESS U W ii ' L- �1 r -e 1 6L L n - LIE— TMS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: Pi i `r �� TENANT f— rid tL�1 srATEWZIP 1�7,T� ADDRESS: U U 10 LiA I`^ Lr) . CITY PHONE:-%sem-- NAME: A CITY , STATEHNZIP CONTRACTOR ADDRESS SUBMIT A COPY OF PHONE PJ�J a1 FAX 103 ;5001WL41 YOUR STATF LICFNSF.. _�_�_ STATE LICENSE # 9 0 Ojq 760 EXP DATE PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED P7AqNDOWS BASEMENT FINISH 9ROOF 0 DRAIN TILE ❑ DECK 7SIDINGDTHER &cq- U SWIMMING POOL `` L)j" TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR WREMODELING DESCRIBE WORK BEING DONE-MiflQ WCUIS t I rISIAW& 15JU Pia rha SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 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 FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Oar ❑ Fascia 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: (USINTHE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 1 e ED 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 $ 17141 $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 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: City 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 Minn ta Construction Codes; that 1 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 wil I be in ac�oid with the app ov plan in the a of all work which req icgesrevie`w and approval of plans. / A SIGNATURE OF ICANT PRINT NAME )J L l� I� �Utiti W t��I DATE U PLEASE NOTE: SEPARAMP RMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK 3►' Rc-- iv, e. S ry P V� SN. cn� IS'l q 7' NU �l 1 CODE I�vwv fit( ab�zbl� ', Cj�• �p Sc1L�'�> Il:�u� ��Y`\..( DaC�I(L � '��n3'�'.� i1G�P•'4J�� \1�c,U� Building MECHANICAL Permit No.>'� —01)8 Inspections RESIDENTIAL APPLICATION Received By"6 763-572-3604 CITY OF FRIDLEY 2 0 2008. 763-502-4977 FAX EFFECTIVE 1-1-08 DATES — �Q —(1) V YOUR E-MAIL ADDRESS y SITE ADDRESS R l b THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: E IV e ADDRESS: Uglo kuc, (N"vy_CITY TATE/ ,'ZIP OWNER/ TENANT PHONE: CONTRACTOR COMPANY NAME: �kwc"_ IL`P 14 fq_- dc c /L c K CONTACT PERSON: 1 vt ' I NOTE: SEPARATE CITY LICENSES ARE STATE LICENSE # EXP DATE REQAND D FOR GAS ADDRESS: � '�� S �� % � v e CITY ��1Livi�c EiJ� STATEM"ZIP SUBMIT COPY OF BOND PHONE FAX AND INSURANCE PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FDx edot�lq 4QC+ lA'oi- lC 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 improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR 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) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU MFG: MODEL: SIZEIBTU $25.00 (GAS) $15.00 _GAS RANGE/OVEN $10.00 _A/C _FIREPLACE TO AIR EXCHANGEER $15 (WOOD) $35.00 _NEW GAS GRILL $10.00 _AIR _FIREPLACE $35.00 $35.00 _GAS UNIT HTR $10.00 _BOILER _FURNACE LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _GAS WORK $10.00 GAS PIPING $10.y00 _VENTILATOR $15.00 _DUCT Permit Fee $ Number of fixtures @ $10.00 X$10.00=$ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $25.00 x $25.00 = $ _ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM $15.50 MINIMUM $15.50 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a mechanical 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 approv plan in the case of all work which requires review and approval of plans. �rQiyi�S �DATE b` SIGNATURE OF APPLICANT PRINT NAME ! wawil APPROVED BY DATE a, NOTINIM0001„ +G µms, City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 132. 37 Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY n 'd: 763-502-4977 FAX EFFECTIVE 7-1-2010 DATCl—E CoZ O -R O 1 OYOUR E-MAIL ADDRESS SITE ADDREss Co CO 10 L k C! 0. Lan e N E THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: pc4ul 4 5+a c eq / ADDRESS: lD cP / 0 LLie lGi LahiN rrYl�r� STATEAW ZIP 56L/3Q TENANT PHONE: 6 / 02 Q / o) Co aO y % CONTRACTOR NAME: W; nd 6 W Cone e.A f 5 STATE LICENSE # go 16 y J 3 EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ,3 ADDRESS: 9'1 6—Lo n e O cx IC /2 d ,# IN Cppm EaKaSTATE tiWZIP �5I al INSURANCE PHONE G5 I 0 5 01 o G FAX ph PROPERTY TYPE Iff SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED 3MWrNDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION XMAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: TQ Q O. C.Q.- VJ Z tti a 0 W S In ey i 5 4- i n qT i n -0- SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ 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: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ❑ Vinyl 13Aluminum ❑Soffit ^ L 5 roe rr► ❑Trim ADDITIONS. 8t PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures ❑ Other oc ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS )<Yes ON. LOCATION OF WINDOWS 3. Energy Calculations FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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 $ 54 I �' OCCUPANCY TYPE Permit Fee $ i ' T See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ W .001 times the total job valuation Surcharge $ 1 0005 x Permit Valuation Minimum $5.00 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $Agreement necessary ( ) Non Necessary ( ) Total Due $ 13 Q . 3 1? Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMU-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 ofork which req es view and approval of plans. / SIGNATURE OF APPLICANT 7 /kt4q 0 1 _ PRINT NAME .NG H C y SCh m 1 e r i r.R DATE 01—P-0-16 _APPROVAL INSPECTOR SIGNATURE PLEASE NOTE: SEPARATE PERMITS ARE REOUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK