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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: "M „- ,�►,., Owner: - Address N° 550'7 Address �! LOCAT10 BUILDING No..,�1-..� Street .� P Lot — Lot .2 ;.__ Block _ _Addition or Sub- ,ivisipno � Comer Lot Inside Lot Setback - t.2— Sideyard �. Sewer Elevation ____ — Foundation Elevation DESCRIPTION OF BUILDING To TA Used a Front DepthHeight Sq. � � � Fr � Depth Height � Sq. Ft. _�w_��u. Ft. of ction Est..t s -- -- �To be Completed In consideration of the issuance to me of a permit toconstr et the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $. , permit is hereby granted to to construct the building oraddition as desc.ribedd above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employee's 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 violatio, any of the provisions of said ordinances. uliding Inspector rir NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be aura to we the Building Inspector for separate permits for these Noma 4 APPLICATION FOR BUILDING PAUUT CITY OF FRIDLEY, IOTA Address LOCATION OF BUILDING No of Lot Lot _ �'�Block ' e Addition or Subdivision ddae.&d�-/ �ie _ f Corner Lot ____Inside Lot _�,_.r_ `-Setback`� _Side -Yard S3M ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: LaldFront-Depth height Sq. Ft. T�� Cu. Ft. Front_ Depth_,g- Sq. Ft. CU. Ft. Type of ConstructiozL_zga Estimated Cost To be Completed e� gguz 2�L The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling the Department of Buildings, and hereby declares that he facts and repr Onz stated in this applAcation Ore true and correct. (A Schedule of Fee Costs can be found on the Reverse Side.) n �hr Application for Power Plants and:: Heating, Cooling, Ventilation, .Refrigaiation and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII. 4-7470 GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ t% .each add. 60,000 BTU .... . .................. 2.00 $ _ Replacement of Furnace ............................. §.00 Repairs & Alterations—up to $500.00 ... :............. 5.00 $ Repairs & Alterations each add. $500.00 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal, per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ y 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 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL- 14.00", INAL City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Kind of Building Used as To be completed about — Estimated Cost, $ 5�5d . Building Permit No. f4.00", Permit No. r DESCRIPTION OF WORN HEATING or WER PL&NTS—Steam, Hot Water Warm Air—No Trade Na__ ea/� Size No l B Capacity Sq. Ft. E.D.R ^W/ VY 0--20-d BTU H.P. Total Connected Load Z?111 d / Kind of Fuel BURNER —Trade Name . Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) signed RAY N. WELTER HEATINn 01 4637 CHICAGO AVE. By I AP LI M 1 N r ry �SpTE� 42 2M 7-59 Business Phone No City of Fridley Application for Plumbing and Gas Firing Perndtt Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK /J Number. Kind and Location of Fixtures Locationtoe PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: O. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x (7 $ New Fixture Old Opening .............. WATER ITR. 1.00 ELEG Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ Q New Ground Run Old Bldg . ............ � 3.25 $ (�9 0 P N GAS 1st 3 Fixtures .......................... x $1.50 Ate= Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st J 2nd _ 3rd 4th • Future ConnectionConnected Openings withion Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: O. RATE TOTAL 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) ...... x 2.00 $ Q New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TO�TA� , z 1st 3 Fixtures .......................... x $1.50 Ate= Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........... $ TOTAL FEE $/ 9 4�0 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, .Minn �-�`" ez"'— I& Owner ,���'�-�y� C -i Kind of Building c 42� Used as To be completed about Estimated Cost, $ Qkl—New. Building Permit NoPermit No. Signe By / Business Phone No. ROUGH FINAL 42 2M 7-59 City of Fridley SUBJECT PER ,, 14;2 AT THE TOP OF THE TWINS BUILDING PERMIT � � CEIPT ly _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. }% CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By 612-660-3450 910-F15 7/26/77 JOB ADDRESS 7381 Lyric Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 3 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Maynard. Frisk 7381 Lyric Lane N.E. 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 EloX� NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 14' Addition to Dwelling 9 CHANGE OF USEFROM TO STIPULATIONS Provide R-24 minimum ceiling insulation as per energy calculations. Provide �a inch A.B. 6 feet oncenter in sill plate. Provide 18 inches clearance of ground to floor joists and 18 inches to 24 inches crawl space access. WARNING g can local 01100 SEP`ERA� PEAS ISS REQUIRED TELEPHONES-nELECTRIC W Eft, FOR MIRING, HEk�'1� PL"RING AND S%NS. PF-QUIRED BY LA SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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. $6,328 $3.16 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 CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $11.20 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 2.80 $17.16 ---S9ATURE OF CONTRACTOR O .AUT 1ZED AGENT (DATE) WHEN PROP RLY VALIDATED THIS -IS YOUR PERMIT BLDG INSP DATE SIGNATU51tOF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERPTS. (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: M /}yMV p FV I; k' BUILDER: Address: 7 3 �•fjN�� • I �� row Street: Address: Tel. No. LOT: c2!R BLOCK: 3 ADDITION: CORNER LOT: INSIDE LOT: 0 SETBACK: .7 SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: �^ Front: aZo Depth: Height: Square Feet: . 8 V Cubic Feet: at 800 Front: Depth: Height: Square Feet: Cubic Feet: Q Type _of Construction: . LN _ Estimated Cost: $ �2 O 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: 7— /4-77 SIGNATURE: i J Stipulations• •• �s�/ P*"Z4 Q- 2 it -09V 06,0/WW G .9 1 SUBJECT RMIT NO:' City of Fridley 22655 AT THE TOP OF THE TWINS I I I L D I N G D E R AA I T BUILDING _ _ � D �,J 1 /� 1 1 RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. ______ r L PROTECTIVE INSPECTION SEC. a 41 1 I NUMBERDATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 �•"' �'' 612-571-3450 910415 f7l 6/29/94 JOB ADDRESS 7381 L ric Lane NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 3 Melodv Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Maynard Frisk 7381 Lyric Lane NE 786-8736 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 Ek NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 14' Shed in Rear Yard 9 CHANGE OF USE FROM TO STIPULATIONS See notations on sketch. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $550 $.50 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- $17.00 Fire SC $.55 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $18.05 AT URE OF CONTRACTOR ORSAU;T�R�ZEJ IDATEI W N P RLY YpALIDATED THIS IS YOUR PERMIT BLDG INS P DATE StGNATURV OF OWNER 0F OWNER BUILDERI IDATEI 1 NEW Effective 1/ 1 /94 ADDN CITY OF FRIDLEY ALTER j SINGLE FAMILY AND _DUPLEXES RA AND R-2 Building Permit Application Construction Address:�� Legal Description: Owner Name & Address: J ,g A)> (_Irk Tel. Contractor: S- _0 (• MN•LICENSE-# Address: Tel. # Attach to this, application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTiO'N'OF IWROVEMENT LIVING AREA: Length Width Height Sq. Ft" . GARAGE AREA: Length Width. Height Sq. Ft. DECK AREA: 'Length Width Hgt/Grouttd -Sq..Ft: OTHER: i d $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks $450.00 Conservation Plan Review Type of Construction: $ Estimated Cost: $ Sewer Main Charge Approx. Completion Date: Agreement Necessary [ ] Not Necessary (Cost on Back) Driveway Curb Cut Width Needed: - Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. # %jffg� e,F 7 3 CITY USE ONLY Permit Fee $ /' , CO Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ $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 STIPULATIONS: /c I � e V% e, -e- 214 Y, IL tj 141- e) jI e;.-[ , At - '4 3-;' , pclr PROGRESSIVE CONSULTING DAILY REPORT LNUINLLKS DATE: PROJECT NO. 92019 CLIENT: CITY OF MINNEAPOLIS, MN WATER WORKS PROJECT: LAGOON OVERFLOW TREATMENT PLANT CONTRACTOR: SUPERINTENDENT: CREW ON SITE: WORKING HOURS: SUBCONTRACTOR: SUBCONTRACTOR SUPT.: CREW ON SITE: WORKING HOURS: SUBCONTRACTOR: SUBCONTRACTOR SUPT.: CREW ON SITE: WORKING HOURS: CONSTRUCTION EQUIPMENT ON SITE: CONSTRUCTION DELAYS/CAUSES: WEATHER: TEMP: PRECIP: DATA RELATIVE TO CLAIMS OF EXTRAS OR DEDUCTIONS: COMMENTS: TIME AT SITE: REPORT BY: ti FA 30 SUBJECT City of Fridley 27439 AT THE TOP OF THE TWINS BUILDING PERM I T r COMMUNITY DEVELOPMENT DIV. _ I -- v PROTECTIVE INSPECTION SEC. .e J� % 1 I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 "'j 612-571-3450 910-F15 JOB ADDRESS 7381 L ric Lane NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 22 3 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Acker 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO America Building Contr, Inc.707-6959 20141 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 ❑ REM®VE B DESCRIBE WORK Reroof house and garage (27 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 2251 $1.12 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $74.75 Fire SC 2.25 PLAN CHECK FEE TOTA FEE icense 5.0 3.12 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)IeVINP DP &L BL INSP ALID THIS IS YQ`RMIT ©(� DATE _ SIGNATURE OF OWNERUF OWNER BUILDER) IDATEI FA 30 AUG -25-1998 ADDN C ] ALTER [ ] ConstructionAddreess: Legal Description: 09:16 FROM CITY OF FRIDLEY TO Owner Name & Address;. Contractor: Address:_ LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type; Driveway Curb Cut Width DATE: ZI A CITY OF FRiDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION I L\Lr c )-, k) 06 . 7079925 P.01/02 k-rrective 111198 Tel. # \ I°�1 IN LICENSE # N r 5 Tel. # Q C?-- 74 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. ®� Estimated Cost: $ (Fe hedu. .di Ft. + 6 t = LFAIIX e on Back) _$ Tel. # TOTAL $ Y3 STIPULATIONS: / CITY USE ONLY Permit Fee � t $ �`'7 ��� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $1 L oZ $.501$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge 0 $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 j ] TOTAL $ Y3 STIPULATIONS: SUBJEtT PER City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 31333 r � iPT COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � � I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910_F15 8/22/00 JOB ADDRESS 7381 Lyric Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 3 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Acker 7381 Lyric Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improvement 5 _2227 300 4 ARCHITECT OR DESIGNER MAIL ADDRESS Brooklyn Park, MN ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION [A REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. 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 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 $11 375.00 $5.69 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT s DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW R GULATING CON- '209.25 $11.37 Fire SfCYt� STRUCTION T PERFORMA E O NST CTI ® PLAN CHECK FEETOTALF Licen C $5.6531.31 SIGN 4TURE OF CON'RACTORO AUT RILED AGENT IDATEI Y ALIDATED TA IS IS YOUR PERMIT 7EPROP oer S-GNATURE OF OWNER,IF OWNER BUILDER-- tOATEI G INSP GATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ' 3 9 /- kaf-t` Effective 1/1/99 Legal Description: V Owner Name & Address: �p/� ci '75� 1�a _ Tel. # V7-- D0 25 Contractor: [A),'nJz&3MN/LIICENSE # 44 Address: U�l) - g� 9 4 Ak � - � �1 1 2r4 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: Construction Type: t. Estimated Cost: $ �� , �J o ' 60 tf (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANJ-."�,1Tel. # CITY USE ONLY Permit Fee $ A0q, 45 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ , D ® $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 $ , STIPULATIONS: r Building AND MATERIALS: BUILDING Permit Ivo.:, , -/ Inspections Permit Fee RESIDENTIAL APPLICATION See Back Page for Fee Schedule Received By: ��- 763-572-3 04 65"NO of Building Permit Fee CITY OF FRIDLEY $ DM' Oi DATE YUR E-MAIL ADDRESS .0005 x Permit Valuation Minimum $.50 SITE ADDRESS $ $5.00 (State Licensed Residential Contractors) THIS APPLICANT IS: ❑ O ER *ONTRACTOR $1675 per SAC Unit (Plans to MWCC for determination) PROPERTY OWNER/ NAME: op ft + 6 ft = ft x $21 =$ TENANTADDRESS: /~` CITY / STA Z Park Fee PHONE: Fee Determined by Engineering CONTRACTOR NAME: Agreement necessary ( ) Non Necessary ( ) SUBMIT A COPY OF ICE�NS(�E # EXP DATE O STATE LICENSE(,- Make checks savable to: Citv of Fridlev Attach Stipulations YOUR STATE LICENSE ADDRESS%d CIT WITH APPLICATION PHONE '7,Y), D FAX PROPERTY TYPE XZNGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE _ ❑ ADDITION ❑ GARAGE/SHEDNDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE. SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used 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. WINDOWS 2. 3. Two sets of construction plans Energy Calculations IN EXISTING OPENINGSO)4Yes ❑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.By� FEE SCHEDULE) TOTAL JOB VALUATION $ - - -1.5 OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65"NO of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $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 $ Make checks savable to: Citv of Fridlev 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 applicatio fora ermit andyvork is not to start without a permit; that the work will be in accordance with the approved plan in the case of all w k I r it r&.* d a proval of p ans. SIGNATURE OF APPLICA T NAMJU��(/l�t �(J�/ (�I ► �d}ATE /� Building MECHANICAL Permit No.,2n08'-ozf11 Inspections RESIDENTIAL APPLICATION Received By:_� I' 763-572-3604 CITY OF FRIDLEY Da 'd:10, 2 -?® 763-502-4977 FAX EFFECTIVE 1-1-08 -1 DATE -O YOUR E-MAIL ADDRESS c� fe , C `�1�C�SV \P\y�Q SITE ADDRESS Il THIS APPLICANT IS: ❑ OWNER ktONTRACTOR PROPERTY NAME G u1�-i \! `� CITY STAT)�Yii� Z OWNER/E, TENANT PHONE: CONTRACTOR COMPANY NAME: ' \n CA k v- s CONTACT PERSON: NOTE: SEPARATE CITY LICENSES ARE STATE LICENSE # EXP DATE REQUIRED FOR GAS DRESS: LO 1 ` Y� -P_ CITY STA AND HVAC. SUBMIT COPY OF BOND �j 1 �q PHONE- ((9 t Q� — ifl 0k _ FAX�63 T 9- 21 AND INSURANCE �� PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DESCRIPTION OF WORK DET ILED ���1 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: SIZEBTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU $25.00 (GAS) $15.00 _GAS RANGEIOVEN $10.00 _A/C _FIREPLACE TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _GAS WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 _DUCT PERMITTEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ 311�_ Number of fixtures @ $10.00 x $10.00 = $ Surcharge 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ 0 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 wi a 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 wi be accordance with th proved plan in a case of all work whichu1ireslreview approval of plans. l SIGNATURE O PPL AN RINT NAME✓ 1 ` V L ATE APPROVED BY DATE l �4 1. . , PLEASE NO : S TE PERMITS ARE RE IJIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 3$ From: unknown Page: 2/2 Date: 8/12/2009 3:41:58 PM Building Z MECHANICAL Permit No.TM 11 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF F.RIDLEY Dated: 763-502-4977 FAX I EFFECTIVE 2-19-09 - a da1r2��ct I/eSh� I 2nd Ql,^,CD DATE YOUR l: -MAIL ADDRESS SITb ADURLSS. ►� _ THIS APPLICANT IS; ❑ OWNER kuNTRAc'7OR PROPERTY NAMb.' OWNEW ADDRESS: ! �' 1 t CITY u r r TENANT �} W / - �9D -414 / t� CONTRACTOR COMPANY NAMb: SIJBMIT A COPY OT CONTACT PERSON: 0 a YOUR STATE STATE LICENSE _ EXP DATE LICENSE WITH ADDKGSS bb/- . CITY 1.�-19(i. LIP��!P APPLICATION _ .STAT �7�-/j •--��e5! PHONE -/b " ti q61 FAX:: PERMIT TYPE SINGLE. FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: O NEW 4REPLACEMENT O ALTERATIQNiREMODEL L)ETAILED DBSCRIFrION OF WO FLEES ARK BASED ON 516.00 PER FIXTURE EXCEPT WHERE NOT190. FIXTURES: IND��L NUMBER OF EACH HG O � OU . . SILMJNTU /V Egnipmcnt Installed MFG: MODEL MNG: MODEL: SPLIJUTU MFG: MODLL: SILEWTU A/C $25.00 (CAS) $15.00 GAS RANG EIGV�N $10.00 —FIREPLACE AIR TO Ai)t hXC'HANCrEER $ I5 .-FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 ... ._ BOILER $35.00 FURNACE: $35.00 OAS UNIT HTR $ M110 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 �UUCI' WOKK $10,00 -GAS PIPING $10.00 VENTILATOR $15.00 .�.yy.y�q ..... r. r.. •. Nr�ner X�IN#lE �'l�lt"•4.FY•i]iLtl?D'J.d V.Y "'at•S.c7'J'iiI{f' 13! _ .f-: ri L tslttLv tit i; itwo. , ,,,s,.�; rf �. ;3 Il?fiIi�i.#3t[ls P3. `§:. ... . .. .: _.. .... ...1 a... . :... .. .: ,. .. THIS IS AN APPLICATION FORA PERMIT -NOT VALID UNTIL PROCESSED I horcby apply�buildingermit and l 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 Congmtction Codes; that I tlnderldand this is not a permit but only au appli for a permit and work is not to start without a permit; that the work will be in o=ordance with the approvod plan in the cacc of or hie fres review and approval of plans. SIGNATURE OF APPLICANT �:. ' - -- -- PRINT NAMt:.�C.. DATE amu : u - City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 9 aq