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PRE 2010 DOCSsuedEcr PERM City of Fridley X. 13122 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV.W PROTECTIVE INSPECTION 4 r SEC. CITY HALL FRIDLEY 55432 NUMBER REV, DATE� PAGE OF APPROVED BY 612-560-3450 910-F15 JOB ADDRESS 7635 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. MEADOWMOOR SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE DAHUMIER CONSTRUCTION COMPANY, 8460 COTTAGEWOOD TE 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK XX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK CONSTRUCT 9 CHANGE OF USE FROM TO STIPULATIONS Provide Hard surfaced driveway Provide Verifying Survey WARINIIIINGSod Front and Side Yard Basement Floor 3' Above Water Table Before digging call local utilities TELEPHONE -ELECTRIC - GAS Etc. SEWER: (APPROX. 12' Deep) f REQUIREED E,1' � LAW 158 S. of M.H. (Inv. 889.81) Wye Elevation - 889.18 Top of Footing - 892.18 (Minimum) SEPERATE PERMITS REQUIRED FOR WATER: 10' N. of Sewer Service HEATING PLUMBING AND =;AGNS. 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 SO. FT. 1, lOO CU. FT.21, 584 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 526 5,260 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 $33,900 $16.96 DOES T PRESUME TO GYVE. AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO ISI NS OF Y, OTHER STATE OR LOCAL LAW REGULATING CON- ST UC ONO TH PERFORMANCE F CONSTRUCTION. 49.66 $325.00 PLAN CHECK FEE TOTALFEE $391.62 zBIGNA- OF CONTRA OR AUTHORIZED AGENT (DATE) J�V�HEN PROPERLY VA BATED THI IS YOUR PERMIT ITJ�t�C//ter AUG. 1, 1975 BLDG )NSP DATE SIGNATURE OF OWNER (IF OWNER BUILDERI (DATE) ' -APPLICATION FOR RL•SI'DL'NTIAL., ALTL'RATION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : LDER.- ADDRESS: :ADDRESS• DDRESS • N0:STREET: LOT: BLOCK: � ADDITION: ® � CORNER LOT: INSIDE LOT: _SETBACK: SIMARD: ai Applicant attach to this fora Ttao Certificates. If Survey .of Lot and .proposed . building location di-wn on these Certificates. DESCRIPTION*OF BUILDING To Be Used As — v Gc:5e, Front: : L6 � Depth: 49 Height : . - Square Feet: Cubic.Feet: T • ` Die® Front: off- Depth: a 1 Height Square Feet; Cubic Feet: SUa • Type of Construction: Estimated Cost: $* . o To Be Completed: The undersigned hereby makes applicativn•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 's application are true and correct. /J • DATE: SIGNATURE .(See Reverse Side For Additional Information.)' )4. S., 0Uc Saq FR11A.rMV d�D . Sv✓t vG�• � � • . C, iCVL T70 14 SG Slit. 3olf• ov . .1 City ®f Fridley - Dept. of Bldge. Picone 980-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures ffi e'Fy�. (9 WATER HTR. Ts°a �".'{? � q� � i3 �i Zrz g� p? �Q1Z kO'�� C9 a ® • p f b GAS ELEC. Base 1st - 2nd - - 3rd - - --- ---- 4th— ° Future Co — Connected with — --- -- e New Fixture, Old Opesiqs I S®w®a Cesspool F1 1 PLU24BING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $2.00 Future Fixture Opening x $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin .. x $3.25 $ Water Heater (Up to 99,000 BTM �_ x $3,00 $ 3, cc) New Ground Run Old Bldg. x $3.25 $ Electric Water Heater s $200 0 - GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... .. .... ....... --�— x $2.00 $ U c7 Additional Fixtures ..... .............. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................. �. C...... # S0 TOTAL FEE $_23.5 0 City of Fridley: The undersigned hereby makes application for a permit for the work here! specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated In this application are true and correct. Fridley, Minn_ n z - S 1g7� Owner Kind of Building Used as To be completed about Estimated Cost, $_ / 2 C O oy Old-(j�uilding Permit No.— . _. _ —P®:mit No. Signed By__ Business Phone No 7 ss 3 ZS ROUGH 1 M u.e .l m A•"i n c J A. 7 ��_..: .nr.: � m� .,-�^. �� i 0 m ?�.. �.v... ..1 [•S i _� ^.R3 D%'�a. ...'f^ �y �' ... rci } rn.-A_. R... .. �,. „i Beya , ±`•s7 :� :.r L'• ti `Lv .. .ti.:.t G...«.sae w ... .,.r• � "ma"G+v%•... �� p��.. �..... .w.s ..�t� $.a:_.... - C�0 i@. �... J�....,�r �'��.r AryTM•-«'T. S �"�I�a M i�^f?_,� I. '. /�re'A.'G •rr ir'io� `�.:v:.:��v4:✓or� o�s�sCa.J"anti wu�..� 6i%L:4rLu�uv-0 - P �T AL RATE SCHEDULE>v t. mil ? . »„� .�: _ G'TIAVITY W3 i.A? 1'.ia'I: :IA73 TO`;1LL. ream ce She:l & ruc-I V. ... ... $10.03 $ Replacement o4 arurnaace 6,00 $ Repairs & Alterations—up to 1500.00 6.00 $ Repairs & Alterations each add. 1500.00 300 $ Furnace Shell & Duct Work to 120,000 BTU ezth add. 60,000 BTU . 112"'acement of Furnace .-:::.& Alterations --up to $$500.00 :2;,41rs & Alterations each add. $500.0 $1000 #0' a"o SA* S 6.00 6.00 $ 3M $ G City o1 Fztdley: The undersigned hereby makes application for a permit for etre work Iyer etz• specified. agreeing to. do all work in strict accordance with the City O:dinsncet anis ruling of the Department of Buildings, and hereby declares that all the face and representations stated in this application are true and correct. A Fridley.1lSia ,,.29_ Owner Kind of Used as To be completed about. SYEI�A4 or HOT S=JAi'£R u`.t';?1'E"� - iurr:ace Shell. & Lines --to 400 sq. ft. F.DR Steam $I0.00 $ Estimated Cost A& $ _ �1 Furnace Shell & Line --to C40 sq. ft. EDR Hot Water 10.00 $, Old—New. Building Permit No. _^_ Formic No. Each add 200 sq. ft. Erm Steam Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BU RhrMEP—to 3• gal. per hour 6.03 S. over 3 gal. per hour—See Fee Schedule GP.S 3Y3IiXER cup to I✓x,033 ETU) 6.ca o✓er 1921'000Fs'M 3e* F"scho-dule G1tS FITTING ES: N0 RATE TOTAL Ist 3 nxtures x" 2.00 $ ` Additional Fig ures _ x .75 #-- Gas Range to MOM xI S.0 O $ _ RSR Cel;: V47.Cr- M". 3 FR:B FX_j'a'L:'3 ZYZj'i 7nj ZZ. "MJ -1 Ss;»0 SYZ i -3 State Surcharge .50 i= Fee EM'r:.t^, d4 TOTALL F= OF V702Z HE.4.71NG or PLOWER PLAN°f'S•—.'St am, Hot WaterTo Trade Name ! size Ko- & Capacity ....... _ Sq. Ft. E.D.R ® BTU : H.P Total Connected Lard IV Kind of Fuel BURIVER — Trude Name 44 4 oa Siwe Flo 403 Capgaty Sq. FLED R Sr.95a3tiRKS-.otl221 �,za BY a, pkme Ym CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 2 /f /� �• C-Rj0tj 0 C f- r4- f-, GRAVITY WARM AIR: RATE TOTAL Job Address )� l l %1/16 Furnace S ell & Duct Work $12.00 $ Reolaca.:.ent of Furnace 7.00 7.00 $ $ Department of Buildings 2t 31r5 & Alteratiors-un to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 Tel. #571-3450 MECHANICAL ,'ARNI AIR: The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes Furnace Shell & Duct cork to 100,000 BTL' 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the each add. 50,000 BTU 7.00 $ facts and representations stated in this application are true and correct. nes'acerent of Furnace Re:airs & Alterations -up to $500.00 7.00 $ 19 4.00 $ Fridley, Minn. ( Re_airs & Alterations each add. $500.00 STE-V%l OR HOT iti aTi % SYST01: OWNER I r VA C AU /Q r 10 -oiler &Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING each add -n. 53,000 BTU 4.00 $ re Boiler only up to 100,000 BTU 7.00 $ USED AS G41,u each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST $10.00 $ OLD NEW BUILDING PERMIT NO. PERMIT NO. !�J GAS SIRNiR- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: !at 3 Fixtures x $ 3.00 $ DESCRIPTION O1 Additional Futures x $ 1.00 $ / Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. AIR CONDITIONING $ /0'_° Trade Name �(�/t'�F^IL% Size No. ECA 056 FAX HEATING SYSTEMS$ See Fee Schedule 301, 00 HP � L- VENTILATING SYSTEMS` $ Capacity Sq. Ft. EDR BTU .ALTER.aTION'S & REPAIRS _ J $ �� State Surcharge $ .50 Total Connected Load Kind of Fuel TOTAL FEE BURNER - Trade Name Size No. ROUGH I%SP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HSP Date (.$10.00) _ �^ -/ ql Company FINAL INSP. ' Date Signed By APPRCVAaL FOR PEFUMIT Tel. No. Clol MINT -MUM FEE FOR ANY HEATING PERMIT IS $7.50 SUBJECT PER City of Fridley I.1Z 2 9 4 AT THE TOP OF THE TWINS BUILDING PERMIT r � R 16fti �___�_, •r COMMUNITY DEVELOPMENT DIV. Px PROTECTIVE INSPECTION SEC. i CITY HALL FRIDLEY 55432 L.... NUMBER REV. DATE PAGE OF APPROVED BY jkl,.j 612-571-3450 910415 11/13/85 JOB ADDRESS 7635 Meadowmoor Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 14 3 Meadowmoor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Morin 7635 Meadowmoor Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft Inc. 2309 Snelling So., Mpls„ MN 55404 721-6628 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 I ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 10' Three Season Porch onto Existing Deck 9 CHANGE OF USE FROM TO STIPULATIONS Before diggiog call SEPARATE PERMITS REQUIRED FOR TELEPHONE - ELEC "I , WIRING, HEATING, PLUMBING AND SIGNS. 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. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] 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 $1,250 $.63 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P O IONS OF ANY OTHER STAT OR LO AL LAW REGULATING CON- $22,00 S CTION OR THE P FO N OF C STRUCTION. • AN CHECK FEE TOTAL FEE 5,50 $28.13 SGNA O CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPER L ALIDATED THIS IS YOUR P RMIT ` 117 s� BLD I )ATE/ SIGNATURE OF OWNER IF OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 j ALTER. [ ] Building Permit Application Construction Address:— Legal ddress:Legal Description: I Owner Name & AddrBss :�j��dl%13��/;v%/� Mk"*Tel. # Contractor Address: ;q 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. p GARAGE AREA: Length Width Height Sq. Ft. D DECK AREA: Length Width H t/Ground Sq. Ft. �,./ OTHER: 4�M ( V %d "s J00 )' � s.s /PSS;oo Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: 3Sca.'S0v�_ �CS Estimated Cost: $ s — �— Approx. Completion Date: I 1 3/ � '' �a 0 C) C/ Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation OF Oro, DATE: -3 -F APPLICANT e e0e Tel. CI USE ONLY Permit Fee $ aQd.O U Fee Schedule on Reverse Side Plan Check $ 5'a-0 25% of Building Permit Fee State Surcharge $ 6)3 $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] fOTAL $ STIPULATIONS: le''/D -? Burow o -;Pr�— ��y e? L* -",e e y r 4 .' t �, .F yy�:-as.,., �.`' "�G 'f€-.. "�':,}=u'� d S .ti'1"-ir� `* 9 vr'a *y.� i+ <'. ,ya a rw. 'Y i�` 's� ',;, s k. � t .�, .��'"'�t�`��^� 'k�,�`T eft °� �;,y �.�'�9,� ,TMi�''�r.�� ,• � y+ \ h f � r � 4r+* � * �. �. ,t , 54 ..2a ?° ,S. r�, i' �� yd-r`�,.rr4'� tn• An��Y �.t" g '�'.: ,y..3 a yam' sr •t'k ,�.�',�, "F�n _ s #- 4`+% r'1H... ��y ya��{n� �.a:'f.y . ' Aya NEINy / �1iY�#s0 LAND ! TMr %A" 00 STANK, MEp • . ; �F �r,�` ms`s v, e = IRON MONUMENT MM�SOTA iGISTRATION MO 53: = 5 •� '' M- a'"n-`"' �r ivc.-� m j- n�ah r+ L. 1 .s 6r 4'c,s, s rtr S u Or -kA A 0Iry i' ie g'1 n1 QitoPpsttss � N 0 I .. 9 77 at ,, {t 3 .� �` 'wry - ��D•3r3 - WARNING re eL ftm$ Cd low ffft f Kt iie .rp.r'S r .J �s MMC GG ft r ., �a 2 EEQt1RED BY LAW X w.,: aka,', k` t '�{F y 3 - ^• • N - t� � '�-.,� v.K.. & _Mar-� '.'+� eia. �£�x' -- �� « may'• � �� x;Fa44 ' SUBJECT City of Fridley 2=8 9 AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT NO. COMMUNITY DEVELOPMENT DIV. w__�___ f - PROTECTIVE INSPECTION SEC. / CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 10/15/98 JOB ADDRESS 7635 Meadowmoor Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 1 Meadowmoor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Morin 784-6409 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Jayson Lindsay Roofing 2638 clearview Ave Mounds View 55112 792-1857 200 8263 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 O NEW 0 ADDITION 0 ALTERATION Px REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Reroof house and garage 23 SO Tear -off; Reside house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. 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 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 $4541 $2.27 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- STRUCTIOp�A:HE PERFORMANCE OF CONSTRUCTION re PLAN CHECK FEE TOTAL FE ( -fn uda dA 76 S frg Licens 5.00 11 .56 SIG NATURE OF CO N" RORAUTHOR12EIAG (DATE, EN ROPE T IS/YOUR PERMIT _ Bl G INSP �IDATED __'00, ( r T1A �f S-GNATURE OF OWNERoF OWNER BUILDERI MATE, 0 w NEW [` ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: `7 Lp 3 5 rn Q ca a OW m pc- tr, . rU . E Legal Description: Owner Name & Address: 1�-k C41 cy,d �"1(�� r ti Tel. # '%& y6 9 Contractor:. n L: k d S CEJ MN LICENSE # Address:a R" C 1-0 Cal, \ ui t'.3 rx 0 e - Tel. # _`7 9o--19'5 1 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: 0 Construction Type: S n Estimated Cost: $ 4411 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE:.1615 - y\oU c,W Tel. # -7U % STIPULATIONS: a -,c:). --I (-D v CITY USE ONLY Permit Fee $ - �S� Fee Schedule on Reverse Side Fire Surcharge $ -.S .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ SOD $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 $ l� STIPULATIONS: SUBJECT - P , City of Fridley 32523 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. � ; COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r I . , i A ; �'��;,� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ---• L J\ 612-571-3450 910-F15 4/22/02 / / JOB ADDRESS 7635 Meadowmoor Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 Meadowmoor SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Richard NAM Marin 7635 Meadowmoor Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Hometech Construction Corp 4601 Excelsior Blvd STE 340, St Louis Park, MN 55416 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 952-922-2111 20051474 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 Repair fire damage to garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. SEPARATE PF3i,,,;'€;,' SEPARATE PERMITS REQUIRF- REQUIRED FOR: ��P= �LUMBING� � �$� PLWIRING BONG AND NAIS 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 LAWSVALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $9.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8'000 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License $5.00 $ 3,21 5.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, N P PERf ALIDATEO IS IS Yoe" O PERMIT 1_______13L'0"47NSP no -X MATE S-GNATURE OF OWNEROF OWNER BUILDER, IDATEI NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �� A.c�i �t` k— A l Legal Description: Owner Name & Address: ��aLel Tel. # MN LICENSE # 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: 1 Length Width eQ Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: tk�'- flQ °Y - cc-` t C5- elk Construction Type: C�Estimated Cost: $JQ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # 9-—�,—,;zl t Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] TOTAL $��' �S� STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES RATE SCHEDULE . Residential Rate Furnace Shell and Duct Work,: Burner - Also Replacement Furnace $ 30.00 (Side Vent Fill Out Back) Gas Piping (Needed with new;furnace, $ 10.00 but not replacement) Gas Range $ 10.00 Gas Dryer $ 10.00 *Air Conditioning. All Sizes $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value_ of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not.be placed in a side yard without written permission from adjoining property owner. TOTAL, $ 3 $ aS: $ .50 JOB ADDRESS 0 IN4,91 OWNER �t! t✓ Cf- Residential I. ► IOI>� ' Effective On January 1, 2002 BUILDING USED AS cle � E ESTIMATED COST �V PERMIT NQ._;, t'�� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam)•. ( t'Water) arm ) Trade ame BTU 6b U H EDR Fuel `a T Total Connected Load t' Burner Trade Name Size No. BTU HP : EDR The undersigned hereby makes application for a permit.'for the work herein specified agreeing to do all work in strict acpordance.with the. City Codes an rulings of the Building Division, and hereby declares that•alf;the facts and representations stated in this application are true and co'rre' t. STANDARD 410 WEST LAKE M EET 11AWNEAPOLIS, MN 55468-2998 DATE 612-8242656 HEATING CO Signed L # FAX # — Z ' F Approved B4FR Rough-In Date Final Dia Z� )UT BACK SA VERIFICATION ON REPLACEMENAC THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When _re la ping aranr_P, the undersigned hereby verifies that the venting has,'been eX4niinod and is free from rust, det4ioratior1.obstructions, ` and is secuie"ly supporEed-find firestopped whore *Wired. The venting system is plastictPVC and meets all current codes and manufacturer, specifications including sizing, length, number of elbows and termination. Yes (vy'No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (0j"'No ( ) The pY�pAsnmbtjstion .air is sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When required to install a new cemhtjstinn air; it will be sized and installed to meet the current codes and manufacturer's specifications. Yes (qNo ( ) When installing a new venting, the undersigned hereby verifies that itis a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented:. separately as per current codes. Yes (t)/N o ( ) Appliance #1 Type BTU Input Qoo Fan Assisted or Nat F,+ Appliance #2 Type W111- BTU InputoT .� o Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Z--?, Total Btu''Input. Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Appliance #2 Vent Connector Height ft Appliance #3 Vent Connector Height ft Length ft Diameter "2r- in Type NC -1 Length ft Diameter in Type VA -J -i— Length ft Diameter in Type HEATING CO: 1 �" Signed By: Date: T- / -7-9 -L,- CITY OF FRIDLEY INSPECTION DIVISION ®�'o/ ! q y 6431 University Ave NE Effective On January 1, 2000 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES *Air Conditioners can not be placed in a side yard without Approved By I V, Rough -In Date Final Date written permission from adjoining property owner. JOB ADDRESS --2655— uL/Yy1Gia,/ ✓` RATE SCHEDULE _//-- Residential Rate TOTAL OWNER_ Did �,-, l Furnace Shell and Duct Work, Burner - BUILDING USED AS RESIDENTIAL Also Replacement Furnace $ 30.00 $ ' (Side Vent - Fill Out Back) ESTIMATED COSTC�� PERMIT N0. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ Gas Dryer $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. *Air Conditioning . All Sizes $ 25.00 $ BTU HP EDR Fuel Total Connected Load AIR Others/Repairs & Alterations (LIST ON BACK) FIREPLACE --- Burner Trade Name Size No. 11y. of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 6 f1-5 5u�� l The undersigned hereby makes app lic Lt n for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an State Surcharge $ .50 rulings of the ,^a ti k...,,...1.._ _ all the facts and representatior Fireside Hearth & Home )rrect. TOTAL FEE $ 2700 Fairview Ave. N. Roseville, MN 55113 651633-1042 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO License # 20512060 ;R REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE 5.50 STATE SURCHARGE Signed TEL # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By I V, Rough -In Date Final Date written permission from adjoining property owner.