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PRE 2010 DOCSO j� I Visage of Fridley,, Minn. �U1LDING PEDM O 754 Office 4f INSPEGTOB OF BUMDINGS No.�.� Lot Fridley, Minn.,�� OF BUIIZING Part of Lot ii Addition or Sub -Division r*,V4zr4T?TT rrTn1%T nw RTTTT.nTNf'S Front' Depth ='�" Height Stories " Manner of Construction 'as ` " Cosu� To be usedm - I u To be completed---.';- Estimated * � ``" Permit is hereby granted to,,"'-' ^- -^ + �. to described in the above statement. This permit is grant the building upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in , the work done in, around and upon saidiIbuilding, or any part thereof, shall conform in all respects to the or nances of Fridley, Minn„ regarding the 'Ionstruction, alteration, maintenance, repair and moving of buildin within the city limits, and this permit my be revoked at any time upon violation of any of the provisions of sa ordinances. _ �.. Tnspector of Buildini AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley the above permit, I hereby agreed do the proposed work in accordance with the descriptio above set forth and according to the provisions of the ordinances of Fridley, and, being first du sworn, I hereby state and say that the facts stated by me and contained in the above permit a true as therein stated. Subscribed and sworn to before ale at Fridley, Minnesota, thistry = day of .. ,�_ A D 19 Ciiy of Fridley 915.51 Application for Plumbing and Gras fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK 4651 RTE BQain Number. Kind and Location of Fixtures Location 1f/� Oi I r — x $1.50 �� �� — x $1.50 N 3� Y Z� oLL rz�� u� C Z �� LLC z Vl a~jZ Ua3 W 1% rj '�a G3 I9d W �Z U� Sa (6 Z `�n ii0 � R • N WATER HTR. GAS ELEG Base 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... ..................... Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg . ............ Electric Water Heater GAS FITTING FEES: — x $2.00 $ — x $1.50 $ — x $1.50 $ — x $3.25 $ — x $3.00 $ — x $3.25 $ _ a $2.00 $ NO. RATE TOTAL 1st 3 Fixtures ....................... .. x $2.00 $ Additional Fixtures .................... —x$.75 $ Gas Range to 199,000 BTU..............—� x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code 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 facl and representations stated in this application are true and correct. Fridley, Minn 18 Dec 67 19— Owner E Schultz Kind of Building f' Used as res To be completed about 22 Doe Estimated Cost, $ 5.00 Old -mow. Building Permit No Per it Si 2-/ By MIE04K GAS 0 Business Phone No ROUGH FINAL Description ................................................$ TOTAL FEE $-��' 42 R for Power Plmft aw Heabs Cooffm Vownewas Rehose Oo mid Air oning Sydom and Dovkns PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $10.00 $ Replacement of Furnace 6.00 t Repairs & Alterations—up to $500.00 600 Repairs & Alterations each add. $500.00 300 $ MRCIL WARM AIR Furnace Shell & Duct Wort to 125,000 BTU .110.00 $_ each add. 60,000 BTU ..... 3.00 ; - Replacement of Furnace 600 $ Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. =500.00 3.00 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. FMR Steam $10.00 Furnace Shell & Line—to 640 sq. ft. EPR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam 3.(n $ _ Each add. 320 sq. ft. EDR Hot Water 3.00 $____—_ OIL BURNER—to 3 gal. per hour 6.00 g _ over 3 gal. per hour—See Fee Schedule GAS BURNER (UP to 188,000 BTU) &00 $ over 199,000 BTU Be* Fee Schedule GAS FITTING FEES. NO RATE TOTAL 1st 3 Fixtures ---. _ — x$ 200_— Additional Fixtures ` x .75 Gas Range to 199,000 :$ 6.00 $ AIR COR DMONING FAX HaATING 5T6=N VENTILATING STSTEM ALTERATIONS & REPAIRS ROUGH Stage Surcharge„ s .50 see Fee Schoch" $ TOTAL. Pae Dept. of Bldgs. Phos. ei904M 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 Ordinance; 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 Used as Fridley, Minn �/ 3 01>:`i3 n _ To be completed about Estimated ('ost, $ 9- Old—New. Bwlding Permit No. Permit No. HEATING or POWER PLANTS -Steam. Hot Water, Warm Air=No Trade Name____- Size Capacity— _ ___--- _ -- Sq. Ft E.D.R BTU H.Bb� Total Connected Load__ ,__ Rind of Fuel BURNER — Trade AL*++n Size Not Capacity— -- Sq. FL E.D-R BTU 8� C/ , r Sinned_-_ -ems Budom Pboee N06 (RE111ARRf—OVER) SUBJECTPER City of Fridley o - -16258 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. I P. I `L COMMUNITY DEVELOPMENT DIV. ��^ r I PROTECTIVE INSPECTION SEC. 3� � + i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/24/81 JOB ADDRESS 4651 Main Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 24,25 12 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Patricia Farber CLund) 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 ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Resideellin 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Winyl 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 1 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 $2,300, $1.15 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- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $16.15 �J���SIIGNATUREOFCONTRACTORORAUTHORIZEDAGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP C T SI NATURE OF OWSI NATURE OF pW NEWNER BUILDERI IDAT ,q CITY OF FRIDLEY APPLICATION FOR RESI01-'NTIAL BUILDING PER14ITS (14m, Alterations, /additions, or Repairs) 01•111ER �� y�� �I�p�� UUILDER: ADDRESS: �`��.�� ADDRESS: TEL NO: TEL NO: Construction Location STRERT NO: STREET: � LOT:r t BLOCK: ADDITION: W, \.A 'IA Corner Lot: Insiae Lot: Setback,: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION ��-=- Front: Depth: Height: square. Feet: Cubic Feet: Front: Depth: Height: • Square - Feet: Cubic Feet: Type of Construction: `,Wh Estimated Cost: $ 7b Be Cbrapleted: l s Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ ' $ SEE EVERSE SIDE OF SHEET 'Me undersigned hereby makes application for a permit for the %:nrk'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: i S IGNATU: ' Stipulations: !S' o� f CITY OF FRIDLEY MOVING [ ] DEMO [ ] PERMIT APPLIC;A110N 6431 University Ave NE Fridley MN 55432, (763) 572-3604 FAX (763) 571-1287 C� e Job Address: _ Legal Descriptic Owner & Address: Contractor: Address : 5L f State License # UY Tel. #7 &0 Tel. #U(a LN1. I v DESCRIPTION OF BUILDING HOUSE: Length Width Height Sq. Ft. GARAGE:Length Width Height = Sq. Ft. OTHER: Length Width Height Sq. Ft. Estimated Cost $ Approx. Completion Date Cu. Ft. Cu. Ft. Cu. Ft. CALL GOPSER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL UTILITIES FOR DISCONNECTS BEFORE WRECKING MOVING STRUCTURE. Moving Route: APPROVAL(S) REQUIRED PRIOR TO ISSUANCE: MPCA: NOTIFICATION OF INTENT.' TO PERFORM .A DEMOLITION ( ) YES ( ) NO ❑ Water Bill Paid: Yes[ ] or Collect[$ ]Signature Bldg Official Conditions Engineering Conditions Fire Marshal Conditions The undersigned hereby makes application for a permit to wrecklmove the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and correct. ALL DEMOLITON DEBRIS INCLUDING FO TION & gM, SEXLL BE REMOVED FROM SITE. JAXDate Si e Principle building into Fridley .... $300.00 For each 1,000 cubic feet or fraction...... $1.25 Accessory building into Fridley ... $ 42.00 For structures which would be impractical to Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost Move a building out 01 City ...... $ 20.00 of wrecking at the rate of $6.00 for each $500.00 ft -TO or fraction. 5� PERMIT FEE: � MINIMUM $20.00 Office Use Only: SAC -D form completed Effective 4/21/09 Building BUILDING See Back Page for Fee Schedule Permit No.: 0" UO - Inspections p RESIDENTIAL APPLICATION Fire Surcharge Received BAu 763-572-Y6044977 CITY OF FRIDLEY $ 5 Gj Q2.0005 Date f :15 200 763-502-4977 FAX $ �— $5.00 (State Licensed Residential Contractors) SAC Charge $ EFFECTIVE 1-1-09 Curb Cut Escrow $ DATE `— i ® YOUR E- IL DRESS Erosion Control lA / SITE ADDRESS 1 6, 'rte i'i r d d $450 Conservation Plan Review THIS APPLICANT IS: ,`DOWNER ❑CONTRACTOR $ PROPERTY OWNER/ NAME: _ \A, P, ' $ TENANT ADDRESS: CITY STATE_1ZIP Make checks Davable to: Citv of Fridlev Attach Stinulations �^� PHONE: ^_� 76, Pel _ fO CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE WINGLE FAMILYNEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION _&ARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR WREMODELING DESCRIBE WORK BEING DONE: Ackw 01 e SIZE OF IMPROVEMENT �' LENGTH WIDTH ' HEIGHTY"/ ( SQ FT d E ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES _-7 ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT:I . Existing Floor Plan GARAGES ❑ ATTACHED GARAGE PROPOSED SIZE: ADETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIRING FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl t ADDITIONS. & PORCHES SUBMIT: 13 ❑ Aluminum 'Trim WTri 1. Site Plan/Survey showing the existing structures y g g ❑ Otherand (,$ Fascia proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ I C;1_ (0 `� OCCUPANCY TYPE Permit Fee $ OOJ A See Back Page for Fee Schedule Plan Review $ IN AD 65% of Building Permit Fee Fire Surcharge $ L .001 times the total job valuation Surcharge $ 5 Gj Q2.0005 x Permit Valuation Minimum $.50 License Surcharge $ �— $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 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 $ ' r`p Make checks Davable to: Citv of Fridlev Attach Stinulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case_of all work which equ rev' w and approval of plans. SIGNATURE OF APPLICANT % . (, PRINT NAM o DATE