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PRE 2010 DOCSSUBJECT PER of Fridley 15. 1.9 3 AT THE TOP OF THE TWINS BUILDING P E R M I T _ rpCity R `L _._�__ COMMUNITY DEVELOPMENT DIV. <; co r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/16/79 JOB ADDRESS 5442 Meister Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Innsbruck North Townhouse Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel A. Farr Development 7286 - 72nd Lane N, Mpls. Mn 55428 560-8110 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 Construct a 32' x 52' Townhouse and a 20' x 22' Garage Der Lach Haus Model 9 CHANGE QF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING HEATING, PLUMBING AND SIGNS. i TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 26,800 Total 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $40,565 $20.28 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 107.20 $425.00 PLAN CHECK FEE TOTAL FEE 26.80 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT J 4 Q ®5- (o -) BLDG INSP OATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) L! 1 1 UF FRILLLI • APPLICATION FOR RESIDENTIAL BUILDING PERMITS F (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS. . OMIER:Oeje i ,Q� ,nli- ' BUILDER:• Address:7294` W, %d 4tw__. Address: Tel. No.D—c�//Q No. street:_ S�/ �/.� � .�,, �...• LOT: 1p BLOCK: / ADDITION:..L nl Tf A,:t CORNER LOT: - INSIDE LOT: i/ S^TBACK: SIDEYARDS: Applicant attach to this force Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION 'OF BUILDING To Be Used As:� S� - ✓��li'.S'� Front: :.Z Depth: S / Height: - Square Feet: Cubic Feet: 42067 Front: Depth: Z Height: Square Feet: q Y U __Cubic Feet:',__ Type of Construction: `t)lnCr) Estimated Cost: $ -To Be Completed: S 1 C17 f - /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 I 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: SIGNATURE: �� % SIGNATURE: Stipulations: lof2.Q® / CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work *Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500;00 MECILAVICAL WARINI AIR: Furnace Shell & Duct Fork to 100,000 BTU each add. 50,000 BTU *rwplace`.e.:t of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT Iti aTER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour RATFi TOTAL ,lob Address 01,00 $ 7,00 7.00 $ Department of Buil-cUngs 4,00 $ City of Fridley Tel. #571-3450 0 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 - 4.00 $ and rulings --of the Department of Buildings, and 'hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7,00 $ 4.00 $ Fridley, Minn. , 14 $12.00 4.00 7.Pq P - PA s;q. qA N! Aq GAS BURNER- from 100,000 BTU to 1A9,ggq PTP s�P:AA (over 199,999, BTU see Fee Schedule) GAS FITTING FEES: - 1st 3 Fixtures x A9.;itional Fixtures x $ ;;PA Gas Range to 199,000 BTU xIA;AA AIR CONDITIO`ING FAX HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS ALTEIM,TIONS 4 REPAIRS State Surcharge $ 50 TOTAL FEE $ PND PF BUILDING *or A PPEP AS zc> TA P� P-ONPLETR RPPT � �•�� FSTTNTPP PPST >�L PSP 7 W PPTRT}`IP FFF•"ITT R. PER�1�T N0. ) PESORTPTTPN pF FPr%NACE/BURNER RI 4TTIIP A; $011'1 i 1?:PA $1 _�q dQt: Piaf:er{ F4M Air- No. Trade NameSize No. C l�Sd ar capacity Zo ��_ Sq.. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Date ($10.00) F222AL Imp. _ Date APPROVES. FOR PERMIT , KZAiYUH FE_ FOR ANY HEATING PERMIT IS $7.50 PLUS "$.50 STATE SURCHARGE *Attached stack verification fora Sq. Ft. EDR BTU HP Company Signed By Tel. No. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUNE31NG FIXTURE RATES: Nt)umber Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL 1A $3.00 $ a��• 6( ?i N $ (o• x $2.00 U x k 0 _L x Water c4 m m $ X $7.00 rd $$4 C —1 0 Q x tai 0, f�+ $3.00 $ Heater M a7 it $10.00 0 E C 0 � 3Qa G E N y ��tl .4 �N N . .0 vi C-) � q f i. y 3 .1 o wo O vGi O w 4j N U w 41 N a 3 N N N c� .0 o as lec An 1st t2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUNE31NG FIXTURE RATES: Nt)umber Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL (9 x $3.00 $ a��• 6( x $2.00 $ (o• x $2.00 $ x $5.00 $ _L x $5.00 $ x $10.00 $ X $7.00 $ x $5.00 $ x $5.00 $ x $3.00 $ x $1.00 $ x $10.00 $ $5.OQ $ $2.00 $ State Surcharge $ .50 TOTAL FEE $ ��v REINSPECTION FEE ($10.00) Job Address Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 1 19 OWNER �o KIND OF BUILDING USED AS TO BE COLLETED ABOUT ESTIMATED COST /� n OLD - 6�6;%UILDING PERMIT NO. PEP14IT NO. ROUGH INSP. Date Company Signed ByC�'>'���0� Tel. No.� FINAL INSP. K- / 3 -72 72 Date e�( APPROVAL FOR PERMIT < <� MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 97-8b-116051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE a PLUMBING FIXTURE RATES; NO. i, TOTAL Nuambet Fixtures x $3.00 $ Future Fixture Opening x v $ Water o .mi ,-mi A m $5.00 ° 0% cU o� ►au� $5.00 $ ti 14 pa, w at Water Softener Heater 4 H New Ground Run Old Building � $5.00 $ Electric Water Heater x ; O.Ui Em U r .1 .0id C v 0 C U o y u a a in A Go. GGj W W 3 ,as 31ec 1st rg, ge 2nd 3rd 4 th (R) - Future Connection Opening Connected with Sewer (•) o New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES; NO. RATE TOTAL Nuambet Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES; 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x 40.00 $ REPAIRS $ ALTERATIONS First 5100.00 $5.00 $ each add. $100.00 or traction $2.00 $ State Surcharge $ .50 TOTAL FCC $ 10.50 ,, REINSPECTIO14 FEE Job Address 5442 Meister Road Department of Buildings City of Fridley Tel. 9571-3450 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 Department of Buildings, and hereby declares that all tho facLu and reproeontations statod in this application Ara true and corroet Fridley, Mn. 8-10-79 , 19 OWNER F.ARR KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 8-17-79 } ESTIMATED COST 40.00 OLD - NEW BUILDING PER14IT NO. PERMIT NO. Company SCO Signed By Tel, 140. ROUGH INSP. " Data FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE C SUBJECT P IT NO. City of Fridley 3120 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 441 �� ......t,,� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910415 7/14/00 JOB ADDRESS 5442 - 44 Meister Road 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5$6 1 Innsbruck North Townhouse Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Innsbruck Townhome Association 651-224-5482 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Garlock-French Roofing Corp., 2301 E 25th St., Mpls., PMT 55406 x& 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 612-722-7129 00001423 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Reroof and Tear Off Townhouse Building 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 2 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 $8,962.64 $4.48 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 Fir SC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT FEE -001 180.69 SIGNATURE OF CON PAC TOR OR AUTHORIZED AGENT iDATEt HE PROP VALID T THIS IS YOUR P RMI bvwl-6fE S-GNATURE OF OWNEROF OWNER SUILDERi iDATE- `JB G -NSP C 7-12-200 11:49AM FROM 6127229764 P.5 NEW (j I Effective 1/1/2000 ADDIS! [ ] CITY OF FRIDLEY 6124n-3604 Bldg Insp AL'T'ER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION - Construction Address. 544 -44 'k e f ' -ffY `0-d. Legal Description: Owner Name & Address: n5hry �� I hur-)V%une- Mss;l. #,NQS (- a,)Y - 5 y t 2 Contractor & Ct Jr Io�c— P•ne* r' MNLICENSE#=Q1ya3 Address: i� �5 D I 6"t- �2 Gtk ,<-Fee C t 59Y &Tel. # _6 /2. _-7,-) a - 71 ..� 9 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. GARAGEAREA: Length Width Heightr Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: - Construction Type: R r Estimated Cost: $ } �� • do�9 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: l0 2 APPLICANT: �5� Tel.# Gia-baa-7�a� CITY USE ONLY - Call (612)'572-4604 for Permit Fees if mailing In application Permit Fee $ / �%- �S� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1100 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 I l TOTAL $' /C90 ' C ` STIPULATIONS: CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning -All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater aces -olocp i Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Fee Total $35.00 $ $10.00 $ $10.00 $ $10.00 $ $25.00 $ Owner Buildir ESTIMATED COST 6,21 %- PERMIT NO DESCRIPTION OF FURNACE AND BURNER # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU - ---- -- HP Size No.- EDR The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct. State Surcharge $ HEATING CO TOTAL FEE $ Signed Tel # REINSPECTION FEE $50.00/HOUR FAX # �� ����7� �Z Date *Air Conditioners can not be placed in side yard without written approval������� % from adjoining property owner - copy to City O ` FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () 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 () No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When installing a new venting system, the undersigned hereby verifies that it 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 () No( j 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 () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) - HEATING CO: Signed By: Date : Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE IZ- YOUR E-MAIL ADDRESS SITE ADDRESS1� THIS APPLICANT IS: ❑ OWNER WONTRACTOR PROPERTY OWNER/ NAME: .Qzive ADDRESS: Swz CITY TATT&ZIP TENANT PHONE: „ CONTRACTOR NAME: �i ��� �z -Ile STATE LICENSE 2&�tiS'�%S� EXP DATE —J— 3/ — .W4S SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: f�©8' Z;i,4eaes! . ?Or CITY �,0 STATWWIP .SS ,3 WITH APPLICATION PHONE 6 — d FAX PROPERTY TYPE 4 SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAW TILE ❑ DECK SIDING ❑ OTHER SWM*,IING 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 1. Existing Floor Plan2. PROPOSED SIZE: ❑ DETACHED GARAGE Proposed floor plan 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl Wsoffit ADDITIONS, & PORCHES SUBMrf: ❑ Aluminum RrTrim 1. Site Plan/Survey showing the existing structures ❑ Other JZ 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 INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997�j.B.0 FEE SCHEDULE) TOTAL JOB VALUATION ($$fa OCCUPANCY TYPE Permit Fee " $ See Back Page for Fee Schedule Plan Review $ j 65% of Building Permit Fee Surcharge S • $-b $� (.0005) times the total job valuation — Minimum $.50 Fire Surcharge 1,4416 $ c5t,r .001 x Permit Valuation (1/10%) License Surcharge S.00 $ $5.00 State ( ) Licensed Residential Contractors SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge 3 $ Agreement necessary ( ) Non Necessary ( ) Total Due d r �' $ , "�_ Make checks payable to: Citv of Fridlev Attach Stiuulations 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; that the work will be in accordance with the approved plan in the case of all work which re ' es rreeview d approval of plans. SIGNATURE OF APPLICANT 7 PRINT NAME 3uilding $ BUILDING See Back Page for Fee Schedule Permit No.: �nspecti©nsRESIDENTIAL (V ?,. ; APPLICATION Received By: 7639572-3604 7, I CITY OF FRIDLEY Surcharge Date Rec'd: - )ATE i1�� to YOUR E-MAIL ADDRESS IYr fir- S 1 O License Surcharge ;ITE ADDRESS S� Z M 1SfG rZ N $5.00 (State Licensed Residential Contractors) SAC Charge 11US APPLICANT IS: ❑ OWNER CONTRACTOR $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow PROPERTY OWNER/ NAME: PAVC Ar Q MA(Z- H G Fr rrZTiA N ft + 6 ft = ft x $21= $ Erosion Control TENANT ADD b It �Z M E75 J�'Z ML) N F . CITY y STATE/W411? Park Fee PHO �G��57%' �fO�7Z Fee Determined by Engineering CONTRACTOR NAME: �C21�-�SToG� �/�P9—"'JE/1'lg'-'-s I>\I �- Agreement necessary ( ) Non Necessary ( ) STATE LICENSE # PG - 203 5"03 Z 2. EXP DATE 3 — 3 1 — O 7 lei ®. " SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: DbT VN CITY VP­l,g#v� • STATEmZIP WITH APPLICATION PHONE _(? - `i" FAX PROPERTY TYPE SINGhE F/NEW CONSTRUCTION SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR dEEMODELING DESCRIBE WORK BEING DONE: S D f-'rX NEvv SIZE OF IMPROVEMENT I/ Z�6 LENGTH 211 WIDTH �' 3 HEIGHT �� S . Ft ROOFING ` lZ 13HOUSE ONLY 5— NUMBER OF SQUARES ❑ HOUSE & GARAGE ASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed flow plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structrtral members to be used PROPOSED HEIGHT: 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 INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (p®, s® (USING THE 1V7 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 40 OCCUPANCY TYPE Permit Fee $ "') . -AC; See Back Page for Fee Schedule Plan Review $ (V ?,. ; 65% of Building Permit Fee Fire Surcharge $ 7, I .001 times the total job valuation Surcharge $ I > .0005 x Permit Valuation Minimum $.50 License Surcharge $ •lam $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 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 $ lei ®. " Make checks payable to: City of Fridley 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 application for a permit and w s not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor whic requires r ' d a ov of plans. p SIGNATURE OF APPLICANT RINT NAME 1 A -u t— 86e i!:�O-J 500 GLl DATE a 0 fo I,," _ lis ) % fry Building PLUMBING Permit No. 1 Inspections RESIDENTIAL APPLICATION Received By -- 763-572-3604 ,CITY OF FRIDLEY Date Rec'd: I E-MAIL ADDRESS DATE O Itt- `yYOUR SITE ADDRESS �T7 d J `� 1r-1 5T-" F -G THIS APPLIC.aNT IS: ❑ OWNER OeOnNTRACTOR PROPERTY NAME: rtC. Y1 ADDRESS: SGLXY\Q. CITY STATEAL.�_IP OWNER/ TENANT PHONE:qv!t CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE oAtXP DATE IJ JO io YOUR STATE ADDRESS: ® CITY STATE ZIP LICENSE WITH APPLICATION PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW 4laEPLACEMENT DETAILED DESCRIPTION OF WORK PQM I r t e PER MS 16B.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 ) 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) BATH SINK/LAV DRAINS —SHOWER _ WATER PIPING _ _FLOOR GAS PIPING aiEED crrf'ucEO4 _ SWIMMING POOL —WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK WATER CLOSET _BACKFLOW PREV. ($15) _ DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER PERIVIIT FEE�. -. _0 "d . Permit Fee $ - Go Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ S - 50 State Surcharge = $ 50 Total = $ 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. PRINT NAME K-DcS Q DATE JAD -31-0 SIGNATURE OF APPLICANT PI EASE.N0TI�. �HP� �I'E..... °:. J) two" , City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 CAP Building MECHANICAL Permit No.:2C O.7-CO7b7 Inspections RESIDENTIAL APPLICATION Received By:/26 7.63-572-3604 CITY OF FRIDLEY Dat���'�dM AY 4 20 DATE 6-- 3- - 6 '7 YOUR E-MAIL ADDRESS sITE ADDREss SYLf A � I FIS-t OJ L THIS APPLICANT IS: O OWNER OCONTRACTOR PROPERTY NAME: E)A kIl Z OWNER/ ADDRESS: .� N 4 f`"l I g t R. &cL CITY r12 STATE M ZIP!�[,� y 3� TENANT PHONE: '763- CONTRACTOR COMPANY NAME:__& SUBMIT A COPY OF CONTACT PERSON: / YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 801.90 t-4&-(-3oil: CITY cC� tolL` STATE/�� ZIPSrS�JJ� APPLICATION PHONE 763 - I S14 - ;� I FAX PERMT TYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW .:PREPLACEMENT 0 ALTERATION/REMODEL t /� ° DETAILED DESCRIPTION OF WORK 1 I s 611 r ��(�-�-� Fwr� �� FLLR-n �e.L _ A,*- ( '0Adl`l-`°" `&' 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. CThis 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: (INDICATE TOTAL NUMBER OF EACH BELOW)SIZF/BTU 6 U� Equipment Installed MFG: CW-. MODEL: S VA 6- I-(a, MFG: MODEL: c14A Ar -03o SIZE/BTU MFG: MODEL: A/C $25.00 _FIREPLACE (GAS) $15.00 . —GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 —BOILER $35.00FURNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LINER $10.00GAS DRYER $10.00 POOL HEATER $35.00 _DUCT WORK $1000 _GAS PIPING $10.00—VENTILATOR $15.00 Wo "75 ItopPermit Fee $ T Number of fixtures @ $10.00 x $10. Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 a x $25.00 = $ JS-- 0 t Number of fixtures @ $35.00 j_ x $35.00 = $ 35: o-O State Surcharge = $ .50 Total = $ 6 6. S4 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; that the work will be in accordance with the approved plan in the case of all /work which requires review and approval of plans. SIGNATURE OF APPLICANT OL'A j 0 11 _PRINT NAME D4 r is ' -DATE EQRB7II,I7INGr;LE03�tICI%+1Et✓Hi�TICAIY P: �SEpNO.TI✓ El'• ER ARE; L1 ffo3 . 9R City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977