Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PRE 2010 DOCS
P] SUBJECT PERMIT— City of Fridley o ro TWINS AT THE TOP OF THE TNS BUILDING PERMIT . r ;. REC . 1 ; Y---- COMMUNITY DEVELOPMENT DIV. y r PROTECTIVE INSPECTION SEC. 1 � NUMBER REV. DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 812-580-3450 910-F15 12/10/75 JOB ADDRESS 7560 McKinley Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Bayer's Lakeside Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cedar Bay Builders 8804 Lexin ton Avenue 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D. W. Construction 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. House plan the same as 7584 McKinley Street (per. #13,327) --IMPORTANT-- SEWER LOCATION: (Approx. 9' Deep) NOTIFY THE FRIDLEY ENCR, 153' North of Manhole (Inv. 892.71) DIVISION REGARDING r., Iii; Wye Elev: 893.32 REMOVAL AND REPLACEMENT' Top of Footing: 896.82 Minimum AT DRIVEWAY OPENINGS, WATER LOCATION: 10' North of Sewer Service AI Before digging call Ictal utilitiesjEPERATE PERMITS REQUIRED -FOR WIRING, TELEPHONE - ELECTRIC -GftS Etr. HEATING, PLUMBING AND SIGNS. - . if LA\A1 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 _] 906 17,736 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 $27,600 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $13.80 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- $40.95 $325.00 STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $379.75 SIGNATUREOF NTRACTORORAUTHORIZ AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT aj�,.�r� BLDG )NSP GATE IGNATURE OF OWNER IIF OWNER BUILDER) (DATE) P] APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:_ �eC�GGY/�� GU%�BUILDER: ADDRESS : gro _�j �X "011e ADDRESS: 9T d NO:. 2,S-60 STREET:_ 41110 f/ ? cSt JF LOT: BLOCK: ADDITION: Sx,y I S 4 Ara awe - CORNER LOT: INSIDE LOT:�SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: 06 ' Depth: j Height: 2Q �2 /� d Square Feet: 904, Cubic Feeu: zi 21 l.Cygac Front: QQ I Depth: Height : /o -' Square Feet; —Cubic Feet: —q<lbo Type of Construction: aAM E-> Estimated Cost: To Be Completed: Al fYjnAj i S The undersigned hereby makes application for a permit for the ejork herein specified, agreeing to do all work in stkict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: _ %e;? -/A5- S IGNAT-URE : (See Reverse Side For Additional Informat-ion.) Ell M Y 6 .r3 3 fFxme ft2 o x 3 3'_ 8's 8 Itz� t, moo' uc, Fr, ,9*Q5M,C 7- 4,3 on 07 3 3X U.Q.66dA63 sw x cy x �: yo 3 a gG , o 72, �� ay 6o®a®® = i,, Sa 5,4 o,02.�, o 0 GERALD T. COYNE 300 BRUNSWICK AVE. S. GOLDEN VALLEY, MINN. MINN. REG. NO. 4741 INDUSTRIAL — JUDICIAL COMMERCIAL — TOPOGRAPHICAL CITY LOTS — PLATTING t Ar �Y 6 J T_ :,j LOT SURVEYS COMPANY LAND SURVEYORS REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 5747 W. Broadway Minneapolis, Minnesota 55428 533-9922 J$=p1jurs Terfff rate i.04 r-, ' T 1 C.iCK 4vl= hereby certify that this s a true and correct representation of a survey of the boundaries of the above dP<:r'i,no f land and the Iccation of a'! bu''!dings and visible encroachments, if any, from or on said land. S. . ,ed by us th; da, of F)(3C C.e 19 4.-7,: Signed RAYMOND A. PRASCH 6917 IDAHO AVE. N. BROOKLYN PARK, MINN. MINN. REG. NO. 6743 INVOICE NO. 4994 F. B. NO. 159-76 SCALE 1" 0 301 O — DENOTES IRON 1 W1Rn� y Before digging caN loaf ut'taities tEl: MONE - EMT= -as Etc. �i REQUIRED BY LAW --'IMPORTANT-- y, ' THE FRIDLEY ENGR. WVMM REGAROJNG CURB \ llt?�AL AND RMACEMENT AT SAY OPENINGS, T Sl RVEYS COMPANY zpo E -ES 03 z sG , tys • . �� 6 �� ®gid d ._ r� � C s � 4 f�eyy71.•,. ,,tp��++�=,tw .�-• C�Ts��Aa,, w G:+-,--., 11+� �fRR; ,r�{ rg� F.....�e�-�.. .r., y l�n-f.-.Tse, Td ppr�e ? 'c..,..:m $.�,n �q,.� Y`i a "EvaiY'm✓ y ` ,7 p c-n;a'v 4 ....a:a+ Hiai�: IT �nw.:vmL�-.r p roM19 d[a a � 'aL:6'm.1 SiN�e cVi rri i. ,vi rJ @cri��'4�5 p O � and RD m'��-+ p s 9 sL^l,:abgh/o.i.i: sp'j"es 'a.`Dame= PARTIAL. RAT[- SCHEDULE GRAVITY WAP—M AIR: 1@r`iTZ TOTAL rm mace Shell & Duct Fork .310.00 $ Replacement of @lunare 6.00 g P.epairs & Al.crat.ons-- up to 5500.00 600 $ Rerairs & Atteratio^a each add. 5500.00 3 W $---�— �_ r:, Purnace Shcll & Duct Work to I20,M BTU .$1000 ¢ .antis add. 60.000 BTU 3.tW S RrFlsce tca: of F.unace 6.00 5 Repairs & Alterations --up to 5500.00 6.00 S R?pmmirs & Altem dons each add. $300.00 3.00 $ STEAM os HOT WATER SY6TE*.- Fsrrace Shell & Lines --to 400 sq. tt RDR Steam .10.00 $ ' Furnace Shell & Line ---to 640 sq ft. EDR Hot Water 1000 S. Each add 200 sq. ft EDR Steam 300 $ Each add. 320 sq. ft EDR Hot Water 3.00 S OIL BURN-ZF.—to 3 gal. per hour 6.00 S. over 3 gal. per hour ---See Iree Schedule GAS BURNER Cup to L°9.000 BTU) 5.00 5� over 153.000 8'I tl S" Fee Schedule GAZ FITTING F—EX3. NO RATE TOTAL 1st 3 Fixtures x® 200 S Add,tional Flzturres _ x .75 Gas Range m M.MO a$ 5.u'O $ State Surcharge .50 AM COX JillOxIts.Gr � €73 ixr-14 Fcm c Yeo "3t L�".i317Ii S7(ir:t'W RL i'��i.l,YICP3 & FXPJURS TOTAL P= Mpt. of 31 -ISS. a—F1'io¢►e SM -30.0 City of Fridley: The undersigned hereby makes application fora permit for the work herein specified agr�rcirg to do all work in strict accordance with the City Ord!za: ce: and nrling•of the Department of Buildings. and hereby declares that an the f&4�tz and repr"Pntatiuns stated in this application are true and correct. / Fridley, ]Kinn- 1!/, Owner T 1 //1'� Kind of E Used as To be completed about Estimated Cost; S OldNrew Building Permit No. _.— _ Pornia No. ICE.T'L:F.1FTION OF WO:a HEATING or POWER PANT`.r-.S4.eam, Flet Wates lura Ak No Trade Name �l/l��r✓� Size No . ZI-11419 Capacity_...._.—�Sq. rt. E.D. dR � ECY'U HSS Total Connected L" x f rAc4 & owe BURNER — Trade Name Size raa��� Cal+adty Sq. FB. E.D.RGILI $],� tWAARICs—oraal RAY N. WELTER HEATING CO. sLs46859 rihicawa AVIU. Minneapolis, Minnesota 55407 = mww N2 City of Fridloy Applictitlan for Pjambins c-nd Gas raltn0 Perm'i't Dept. of Bldgs. Phone 560-34W DESCRIPTION OF QOM. '7�• Number. Kind and Locrlion of Fixtures PARTIAL RATE SCHEDULE .BMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 S _ New Fixture Old Opening.....:.... x $1.50 Catch Basin .................... x $3.25 WATER MTII, GAS ELM x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ N $ ► I O r $ w 0 FITTING FEES: < 3 V V et () $ Additional Fixtures ............... x S .75 $ b Gas Ftanye to 199.000 BTU ........... x $5.00 i) , f 3 d z' Futuzo CoaaoctSca OpSnin�s Conamctod Crifn Sapoz Now Fixture, Old O'ponings Cc.spool PARTIAL RATE SCHEDULE .BMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 S _ New Fixture Old Opening.....:.... x $1.50 Catch Basin .................... x $3.25 $ Water Beater !Up to 99,000 BTU).... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Elactric Plater Hastar.............. s $2.00 $ FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .............. • • .. x SIC0 $ Additional Fixtures ............... x S .75 $ Gas Ftanye to 199.000 BTU ........... x $5.00 6 , 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 appliMlu true and correct' Fridley, Minn Owner �- Kind of Building Used as 1 To be completed about Estimated Cost,. $ Old �New.' uilding Permit No. Permit No _ (O&Z Signed By_ � �=- Business Phone ROUGH FINAL � " � �' / L • . e 113 a ALTERATIMiS—Refer to Cod® .50 State Surcharge . Description.................................r .... $ TOTAL FEE .$ a S� . 560-3450 Cit of yridle'y ANOKA COUNTY 6431 UNIVERSITY AVENUE NE July 14, 1976 FRIDLEY, MINNESOTA 55432 D. W. Construction Co. 8804 Lexington Avenue New Brighton, Mn. 55112 Re: Final Inspection at 7560 McKinley Street N.E. Dear Sirs: A final inspection was made on July 13, 1976 of the above address. The following items were noted and must be completed before the construction can be finaled out; 1. Provide door closer on door between house and garage by August 1, 1976. 2. Post house numbers by August 1, 1976. 3. Sod front and side yards by September 15, 1976. Reeinspections will be conducted on or about the appointed dates to determine compliance. If any problems arise that will prevent you from completing these items by these dates, please contact us. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh SUBJECT City of Fridley 2 2 9 6 6 AT THE TOP OF THE TWINS BUILDING PERMIT r RE O. • COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC. a r � 4OJ NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/4/94 JOB ADDRESS 7560 McKinlev Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 1 1 Ba errs Lakeside Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Kloncz 7560 McKinley St NE784-2041 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Anderson Construction 299 17 Ave NW, New Brighton MN 55112 631-03RR 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage 2 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 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 1 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 $1,800 $.9O 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- $41.00 Fire SC $1.80 STRUCTIOZOR HEPERFORMA E F CONSTRUCTION PLAN CHECK FEE TOTAL FEE /0 q- License SC NONE $43.70 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY LI DATED THIS IS YOUR PERMIT NSP OaTE _ S.GNATURE OF OWNER))F OWNER BUILDER) IDATEIBLDG NEW ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 4fkv-J7, Legal Description: &tAtjL jk/Lou 6 z._ Owner Nam Contractor: Effective l/ 1/94 Tel. #--7,.? q -,q ® r MN LICENSE # Address: qq� 4" Tel. #h -31`epj&? 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�J Sq. Ft. OTHER: / � A 12 - (I � (�- �'� ) - %. v Corner Lot [ ] Inside Lot 644/Ft. Yd Setback Side Yard Setbacks Type of Construction: ear P � /re ew Estimated Cost: $ %3510 Approx. Completion Date. (Cost on Back) Driveway Curb Cut Width Needed: _ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ c-�, Ij1 j $5.00 (State Licensed Residential Contractors) Driveway Escrow Erosion Control Park Fee $ Fee Determined by Engineering TOTAL $- D STIPULATIONS: Ft. + 6 Ft = Ft x $ $ / 0 ® Fee Schedule on Reverse Side c $ f O .001 of Permit Valuation (1 / 10th %) $ 1 $.50/$1,000 Valuation $ $800 per SAC Unit =S Tel. # $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Pian Review Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] GERALD T. COYNE 300 BRUNSWICK AVE. S. GOLDEN VALLEY, MINN, MINN. REG. NO. 4741 INDUSTRIAL — JUDICIAL COMMERCIAL — TOPOGRAPHICAL CITY LOTS — PLATTING CEDAR BAY BUI LDEF.3 LOT SURVEYS COMPANY LAND SURVEYORS 0SMSTMIM U"M LAWS OF STATE OF MIIK mTA- LICENSED HY OBpINANCE OF CM OF MU MEA80LIS 5747 W. Broadway Minneapolis, Minnesota 55428 $33-9922 Ompgurs itrr#ificatr RAYMOND A. PRASCH 6917 IDAHO AVE. N. BROOKLYN PARK, MINN. MINN. REG. NO. 6743 INVOICE NO: 4994 F.&NO. 159-26 a' SCALE I" = 30' O — DENOTES IRON o Denotes wood hula 1 Lot 6, Block i, BAYER'S LAKE31DE' ADDITION _ Revisod to show residence 1/27/76 We hereby certify that this is a true and correct representation of a survey of the boundaries of the above descr;bed land and the location of all builldings and visible encroachments, if any, from or on said land, Signed Surveyed by us this 5th - day of November 19 75 T SURVEYS COMPANY SUBJECT PERMIT NO. City of Fridley 23738 AT THE TOP OF THE TWINS BUILDING PERMIT r R T NO. COMMUNITY DEVELOPMENT DIV. ~ e r PROTECTIVE INSPECTION SEC t� 1 , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF A OVED B 612-571-3450 910-F15 JOB ADDRESS 7560 MCKINLEY ST 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 BAYER'S LAKESIDE ADDITION SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE DUANE KLONCZ 7560 MCKINLEY ST FRIDLEY MN 55432 784-2041 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. MURPHY BROS BLDG & REMODELING 2579 EASTMAN DR NEW BRIGHTON MN 55112 780-3262 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. --RESIDENTIAL---- 6 USE OF BUILDING RESIDENTIAL 7 CLASS OF WORK ❑ NEW �X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK ADDITION TO LIVING AREA & FINISHING OFF LOWER LEVEL 9 CHANGE OF USE FROM TO STIPULATIONS SEE NOTATIONS ON PLANS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION I 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 10.36 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 20,710.24 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- 299.75 FIRE SC 20.71 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE j �S11151 LICENSE SC 5.00 335.82 OF CONTRAC OR IW A T NT IDPfEj WHEN PROPER)q VALIDATED THIS IS YOUR PERMIT rNATURE A4 A,40 q�-9-4 SGNA7URE OF OWNER (IF OWNER BUiLDERi iDATEi B DG iNSP MATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... . . . . . . . .......... NF,W' ADDN CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application ConstructionAddress: -7560 c- le) J/) le Legal Description: Owner Name & Address: Contractor: Address -.-.- Effective 8/1/95 —Tel.# 20LJJ LICENSE # ?q,16 12 --Tel. # 719 - 3-2- 6 0 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT .1 1 Qex'S-7d - LIVING AREA: - Length 6 Width l OF Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgtiGround Sq. Ft. OTHER: l ./l LueL Comer Lot [ ] Inside Lot [A" Ft. Yd Setback - -7 Side Yard Setbacks / seL P V ',A Type of Construction: Y6'011) Estimated Cost- $ --,7 tl )00 Approx. Completion Date: Z10 I/ (cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ $ DATE: APPLICANT: Tel. # Permit Fee -7) Fire Surcharge $ 'SJ' .1 i State Surcharge $ /0' SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: yz' CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 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 CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Effective On March 1, 1996 APPLICATION! FOR POWER PLANT8AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESSell, Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes Rate TOTAL $ 30.00 $ $ 10.00 $� $ 10.00 $ $ 10,00 $ $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work - $ CCc.���c;J �) CCS Commerci i/Indus rial d 1.25% of alue of Appliance or or $ 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. f® __z5- ,1996 OWNER71 Y - 20 yl BUILDING USED ESTIMATED COST PERMIT NO. /, DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU_ HP EDR Fuel Total Connected Load State Surcharge 5o Burner Trade Name TOTAL FEE BTU HP MINIMUM FEE FOR ANY HElATING/C(QOL.IN___N/ENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner, Size No. EDR HEATING COMP Signed By — Tel No.y Approved ByRough-in Date Final Date FI.LL OUT BACK SID OR STACK VERIFICATION ON REPLACEMENT FURNACE List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHEMMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. 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 7. Has a liner been provided for water heater Yes () No ( ) S. Has combustion air been provided for water heater Yes () No ( ) List ALTERATIONS Being Done: HEATING CO: Signed By: Date: FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 May 14, 1997 Duane and Joni Klonez 7560 McKinley Street Fridley, MN 55432 RE: First Notice of Noncompliance of the Fridley City Code at 7560 McKinley Street Dear Mr. and Mrs. Klonez: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent systematic code enforcement inspection of your neighborhood and property revealed that not all Code requirements are presently being met. The following item does not comply with the City Code: • Fridley City Code requires that all solid waste must be kept in secured 32 -gallon containers with tight -fitting lids stored in the side yard (screened from view), rear yard, or garage, except on the day of collection when the containers may be. placed up to 3 feet from the front of the garage. A recent inspection revealed one refuse container with no lid on the front walkway. We understand that you may have been unaware of these requirements. Your prompt attention in correcting this situation will greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or shortly after May 28, 1997. Please have your property in compliance at that time. If you have questions about the systematic code enforcement process or would like to discuss your particular situation, please call me at 572-3595. Thank you for your cooperation! Sincerely, CITY OF FRIDLEY v\ 1irt s"n=56hei er Code E forcement Officer KJS:Is CE -97-171 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On May 10, 1999 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** NO. RATE No Gas Dryer** _ Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL JOB 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. L, lu") /��'� ,t,v 6 '1999 l/`�" VVV Owner [ CZ Building Used As_� Estimated Cost PERMIT NO. PLUMBING COMPANY '\ -rT I q `fes SIGNED BY TEL N0. �v Approved By Rough -In Date Final Date ELA uW1l[0<rR•Jr11-11i'L�71 **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. CtiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 March 16, 2001 Joni Kloncz 7560 McKinley Street NE Fridley, MN 55432 Re: Final Inspection at 7560 McKinley Street NE Contractor: Shiloah Water Co Inc Dear Ms. Kloncz: A plumbing permit was issued on July 8, 1999 to install a water heater at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee paid covers the inspector's time to make sure the appliance was installed correctly. We also check to make sure combustion air has been installed and that the vent and vent connectors have been sized properly. If you would like the installation inspected, please contact us within 30 days to arrange the inspection. If we do not hear from you, we will expire the permit and note that no inspections were called for. Any questions can be addressed to me at (763) 572-3603. Sincerelv, CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1 5 sss 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Z_6L��e "'Vz— RATE SCHEDULE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 0 FILL OUT BACK REPLACEMENT –In Date STACK VERIFICATION ON Final Date I The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and mace Shell and Duct Work, Burner –rulings Up of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $� representations stated in this application are true and correct. (Side Vent – Fill Out Back) e/ ,199 f Gas Piping (Needed with new furnace) $10.00 $ OWNER Gas Range $10,00 $ BUILDING USED AS Gas Dryer $10,00 $ ESTIMATED COST PERMIT N0. /3— _ S Conditioning – All Sizes $ 25.00 $ OU DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs $ Alterations (LIST ON BACK 1 % of Value of Appliance or Work $ No. of Heating UPits Circle One (Steam) (Hot Water) (Warm Air) Trade Name L ,,-,c���i �f�en Size No. Commercial industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. TOTAL FEE $ �S �� BTU HP EDR ;hQrp Heating and Air Conditioning HEATING COMPAN 854 Central Ave. NE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION of rhbia Heights. MN 55421 REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By (612, 572-0459 Tel No. PLUS THE $.50 STATE SURCHARGE !\ REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 0 FILL OUT BACK REPLACEMENT –In Date STACK VERIFICATION ON Final Date I All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS BeingDone: HEATING CO: Signed By: Date: CHIlVINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No (, ) 4. Is securely supported . Yes () No ( ) 5. 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 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS BeingDone: HEATING CO: Signed By: Date: SUBJECT P - City of Fridley 2 8 9 9 4 AT THE TOP OF THE TWINS BUILDING PERMIT"' i � COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. l� r CITY HALL FRIDLEY 55432 NUMBERREV DATE PAGE OF APPROVED By 612-571-3450 910-F/5 3/10/99 JOB ADDRESS 7560 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Bayer's Lakeside Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Kloncz 7560 McKinley Street NE 784-2041 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Twin City Exteriors Co 9060 Zachary Ln N #108, Maple Grove, MN 55369 425-4737 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 2595 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential I CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 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 $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3'000 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- $74.75 Fire $3.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F E Lice S $5.00 /$64.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE. jf4y,0WHEN P OP LIDATE T SIS UR P R =T U G/rte SIGNATURE OF OW NEA iiF OWNER BUILDER, iDATE.B LD ,NSP T�ATt NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ' Legal Description: Owner Name & Address: Contractor: 1 Address: 9/7r /7) Effective 1/1/97 A Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF AWROVEMENT 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: , m A / Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: -� - e APPLICANT: Tel. #_(,�� y� � z172 "7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: 0� A. sueJEtr P NO. City of Fridley 32262 AT THE TOP OF THE TWINS BUILDING PERMIT Ir COMMUNITY DEVELOPMENT DIV. 4 RECEIP _____ ti - ; ®30 �� r I PROTECTIVE INSPECTION SEC. I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F/5 10/19/01 JOB ADDRESS 7560 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Bayer's Lakeside Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Duane/Joni Kloncz 7560 McKinley Street NE 763-784-2041 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Murphy Brothers 1613 93 Lane NE, Blaine, MN 55449 763-780-3262 3416 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 O ADDITION IR ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Enclose 8 1/2 x 7 1/2 Front Entry 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WARN114G SEPARATE PERMITS %f,0110 digging call f©, all utiitl:y 11508tio,18 REQUIRED FOR: 464-000g PLUMB* AINGTING Si REQUIRED BY LAY�/ SEPARATE PERMITS ARE REOUIRED 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 t $4.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9,000 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- $167.25 Fire SC $9.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLI 0) TO PLAN CHECK FEE AL FEE Lice a SC 5 00 85.75 SIGN A TUBE OF CON'RAC TOR OR AUTHORIZE O AGENT 4DATEi H PR LY VALIDA D THIS IS YOUR PERMIT -tvsv rsATE S-GNATURE OF OWNEROF OWNER BUILDER, iDATEi4KOG NEW [ ] Effective 1/1/2001 ADDN CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 7540 Construction Address: �C) Legal Description: Owner Name & Address: v ry c- z—. Tel. # 7 3 `7 `�4 - Contractor: Mc't re MN LICENSE # 13 q 1(9 Address: (� 1 �1 v 1 N ;rn 1-JTel. # c� 3� - Z 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: t) c? s Construction Type: �'� �-L' Estimated Cost: $ �?r ✓ © v Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 16b-1161 CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: ?7---2 `°� Tel. # 9 & �5 `2 r5 D - �, Z 4 2— Call Call (763) 572-3604 for Permit Fees if mailing in application $ �SFee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $ !2,r SO $.50/$1,000 Valuation $ $1150 per SAC Unit $ • Dy $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 [ ] �8�'�75 Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLLY Date REQ & M W2 2 20 •' DATE 05/19/09 YOUR E-MArLADDRESS wnelsoncop onplumbing.com SITE ADDRESS 7560 McKinley St NE THIS APPLICANT IS: 0 OWNER ®CONTRACTOR PROPERTY NAME: ADDRESS: 7560 McKinley St NE CITY Fridley STATEMN zip 55432 OWNER/ TENANT PHONE: CONTRACTOR NAME: Larson Plumbing Inc. STATE LICENSE # 3341 PM EXP DATE 12/31/2008 SUBMIT A COPY OF YOUR STATE ADDREss: 3095 - 162nd Lane NW cITY Andover STATEMN zip 55304 LICENSE WITH PHONE 763/427-7680 FAx 763/427-9448 APPLICATION PERMIT TYPE IR SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE OF WORK: )(REPLACEIVIE T TYPE DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.00, 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: (rNDICATE TOTAL NUMBER OF EACH BELOW) BATH SINKILAV ,_,,,FLOOR DRAINS _ SHOWER _ WATER PIPING I BATHTUB GAS PIPING OM CrrruC ME) SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER � KITCHEN SINK� WATER CLOSET _ BACKFLOW PREv. ($15) _ DISHWASHER LAUNDRY TRAY TWATER HEATER (S35) FOR IRRIGATION _ WATER METER -OTHER ......^... .. .... ....... ..................... ..:.. ..c ^. v. ... .... .... ..n,........ -r..: v.Y Y' •^+rr,. •n:o::i^. 1.u� ye•�,.•ai'': {{ "R'>J ..t1S:. •J` _ L'' .':t . �. ';py �. +r4,Rn.L'y�%,:isy �y y fi'" .•Y .l,.'�j':fir�:ff..rC �; t�L a->h•'� )'1�-.• G, 1: �.�' •1.. 7Ii:1ERGTS;OIZ{ib Permit Fee. $ Number of fixtures @ $10.00 ..3--. x $10.00 = $ 30,00_ Surchar •e .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @S35.00 __L__ x $35.00 = $ -3 5,66 TOTAL. DUF... $ State Surcharge = $ 50 Total= Sa =120 THIS IS AN APPLICATION FOR A PERMIT -140T 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 appli on for a permit and work is not to start without a pennit; that the work will be in accordance with the approved plan in the case of a o9rk which requires review and approval of plans. SIGNATURE OF APPLICANT ` ' /y d ' PRINTNAME Amy Arvidson DATE 05/19/09 ,..: �;���' SE?�TO, .� .ti�i�1:;Tfi .._ �:�,�; T11REb`I;:O�?��l.il���; ��EC�R��„�.' ;�L3�7;Ivil✓CIiAI�]CAL �JO� <,: City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit No.. Inspections RESIDENTIAL APPLICATION Received By: , 763-572-3604 CITY OF FRIDLEY Date Rec'd: 6o'9 DATE d' ® YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER */'OORACTOR PROPERTY OWNER/ NAME: X. TENANT ADDRESS:epi -c/ C� STATAZIP PHONE: 7 ---72W -- V CONTRACTOR NAME: SUBMIT A COPY OF STATE LICEN E # ®� 5�� EXP ATE j YOUR STATE LICENSE ADDRESS: �� �3 VATAT�, IP WITH APPLICATION PHONE S �� `� ���� FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ARAGE/SHED 11 WINDOWS ❑ BASEMENT FINISH OOF ARIDING 13 DRAIN TILE ❑ DECK ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: � :/ vc� ���� �ZI-le- c SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES Z/ ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: PROPOSED HEIGHT: ❑ DETACHED GARAGE 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. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLE116 NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 199J.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S OCCUPANCY TYPE Permit Fee Plan Review 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 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for determination) $ -ft +6ft= 6x$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ .e v 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 codes�andr of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for pe 1t not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which q ' al of plans. SIGNATURE OF APPLICANT PRINT DATE �� td1w