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PRE 2010 DOCSSUBJECT P City of Fridley m_ j 2 9 4 AT THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I I I ®� 1 ; I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 110/14183 JOB ADDRESS 606 Mississippi Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 2 Christie Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Hitt 606 Mississippi Street N.E. 571-6310 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 Ck REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK new soffit & Facia 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. al um 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 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 800.00 50 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 15.50 SI RE FCONT TGENT (DATE) �� N PROPERLY VALI ATED THIS IS ER IT C� P9�e7Yj -' SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG INSP DATE CITY Of FRIDLEY APPLICATIM FOR RESIDENTIM BUILDING PERMITS (New. Alterations. Additions. or Repairs) OWNER: AhAMJ_ r,T T ADDRESS:iOr-�TEL NO: •BUILDER : ADDRESS: TEL 110: Construction Location STRICT NO: STREET: �W/ LOT: BLOCK: Effective Aug. 1, 1981 Corner Lot: Inside Lot:__ Setback: Sideyards: a Applicnt attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. 6&p4 ; r 4 PAC./A- Front: DESCRIPTION OF COi;STMI CT10N Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: "AVpe of Construction: � , � , Estimated Cost: $ goo. � 'lb Be Cbmplcted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE PEVER;E SIDE OF SHEET . lice undersigned hereby males applicaticn for a permit fcr the %:ork herein specified, agreeing to do.all work in strict accordance with the City of Fridley Ordinances and rulings of the Dei%irtmeot. of Buildings, and hereby declares that all the facts and representltiens stated in this application are true and correct. DATE: 14 -- /`i - F3 SlGNATUzv : Stipulations: P_V/L�� s� � �, CJ L) Ed City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING P E R M I T PERMIT NO. Ir? � • ______ COMMUNITY DEVELOPMENT DIV. r I ~ PROTECTIVE INSPECTION SEC 1 � I CITY HALL FRIDLEY 55432 '•J 612-571-3450 IPT NO. C� NUMBER 910415 REV DATE 0/13/94 PAGE OF APPROVED BY JOB ADDRESS 606 Mississippi St NE 1 LEGAL DESCR. LOT NO. 6 BLOCK 2 TRACT OR ADDITION 1 Christie Addition SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Hitt 606 Mississippi St NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Stock Roofing Inc. 289 Liberty St NE, Fridley MN 55432 780-3561 3112 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 a ❑ NEW 11 ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (18 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. R, A SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 1STALLS 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 $990 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S UCTION OR THE PERFORM NCE OF CON UCTION $25.00 Fire SC $.99 PLAN CHECK FEE TOTALFEE License SC $5.00 $31.49 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERL ALIDATED THIS IS YOUR PERMIT BLIel /0- SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BL )NSP DATE NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: iv D /moi 5 s isS iaa , c� Legal Description: Owner Name & Address: 4 c heti "e"l /7 ' Tel. # Contractor: 51 c-� MN LICENSE # 3 l,"2- Address: rZ Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. p DESCRIPTION OF IMPROVEMENT Tel. # . /-:7YG - ,5jC,/ LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Le>!g-th,� orrnd OTHER: � k thC� F Arc' C Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 120 T Approx. Completion Date: (Cosi:'on' Back).... Driveway Curb Cut Width Needed: Ft. + 6 Ft = t x $ = $ DATE: /y�/ Y APPLICANT: c Tel, # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ L C> 0 Fee Schedule on Reverse Side $ -..001 of Permit Valuation (1/10th%) $.501$1, 000 Valuation $ $800 per SAC Unit $ , Cie $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 [ ] a PURCHASE ORDER I DATE PURCHASED BY I r &u. IF 37248 THIS NUMBER MUST APPEAR ON ALL CORRESPONDENCE SENT TO US THIS DOCUMENT GOOD FOR PURCHASES UNDER $1,000.00 ONLY SUPPLIER Z U C V 220 / IJ6, _ ADDRESS t zv S % 0 C L fC �7• - -�-�/ CITY I OF / FRIDLEY PHONE NO. 80 �.�5(OI 6431 UNIV. AVE. N.E. FRIDLEY, MN 55432364 CONTACT 612-571-3450 PRINTED ON RECYCLED PAPER. PAYMENT VOUCHER BY SIGNING THIS DOCUMENT BELOW I HEREDO AUTHORIZE PAYMENT AND THAT THE GOODS AND SERVICES HAVE BEEN RECEIVED OR RENDERED AND ALL CITY GUIDELINES HAVE BEEN FOLLOWED IN THE PROCUREMENT OF THE BELOW STATED ITEMS. DATE RECEIVED PAYMENT AUTHORIZED BY ACCOUNT QTY. UNIT PLEASE ENTER OUR ORDER FOR THE FOLLOWING UNIT PRICE AMOUNT 1 /~ L1 - o i oofo • y )o o'n o! DooL� • oS - c r) oo L occc• 3'I•i 1 ,!o 6-00 A�{S 01, L 15-1 0 TOTAL THIS AGENCY HAS AGREED NOT TO DISCRIMINATE IN HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITAL STATUS, RELIGION, OR NATIONAL ORIGIN AND HAS AGREED TO TAKE AFFIRMATIVE ACTION TO RECRUIT MINORITIES AND WOMEN INTO EMPLOYMENT. IT ENCOURAGES FIRMS AND OTHER AGENCIES WITH WHOM IT PURCHASES PRODUCTS OR SERVICES TO DO LIKEWISE. WHITE, VENDOR - YELLOW, PURCHASING - PINK, ACCOUNTING - GOLDEN ROD, DEPT. HD. r /o -�6 -91 SUBJECT MIT City of Fridley 2 3 51 o AT THE TOP OF THE TWINS BUILDING PERM11C r ECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. I NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/6/95 JOB ADDRESS 606 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 2 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Hitt 606 Mississippi St NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Suburban Roofing 13418 Crooked Lake Blvd, Andover, MN 55304 755-0423 20038979 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 O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (17 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,275 $.64 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- p/� Fire SC $1.28 STRUCTIO RFORMANCE OF CONSTRUCTION $31.00 PLAN CHECK FEE TOTAL FEE - 7- 2s License SC $5.00 1 $37.92 G NATURE OF CONT RACTOR OR AUT AGENT IDATEI WHEN PROPS VA L ATED THIS IS UR PERMIT ;0BkAG IN' OAT SIGNATURE OF OWNERIIF OWNER BUILDERI IOATEI NEW ( ] ADDN (] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 1/ 1/95 Construction Address: 0 G M, s s' s S; 2, S� Legal Description: (e o r o Lt' Owner Name & Address: 9:c 4,-1 f/' tf Cy f /i,' s S.' S S„Tel. # Contractor: MN LICENSE # z v o j emit ? f Address: Tel. # 7 s <<2 3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ ru ire ac S'o / i TRIC - Sq. Ft. Sq. Ft. Sq. Ft. Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ %S (Cost on Back) Driveway Curb Cut Width Needed: Ft. = Ft x $ _ $ DATE: 7- c� - FS APPLICANT: Tel. # -,7 CITY USE ONLY Permit Fee $ 31. 00 Fee Schedule on Reverse Side Fire Surcharge $ / a0b .001 of Permit Valuation (1/10th%) State Surcharge $ L -`i $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ 5 - 0 0 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A” or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 3 �, q2 STIPULATIONS: 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 Wash Floor )"1C ..... . Auto.W >'. ��� Gas ater Heater Stories « Urinal Shower Tray << Drain ::::>::::>:: Washer `; fi.... <: ;ia " Range >::<:: Gas Elec Basement Floor 1 Floor 2 Floor 3 Floor 4 Effective On Jan 1, 2000 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** 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 %Q $ 02.0 •Sb JOB ADDRESS 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. Owner Building Used As 1�- (1), Estimated Cos r6_9�) PLUMBING COMPANY SIGNED BY Approved By M PERMIT NO. TEL N0. 2�_ ' Rough -In Date Final Date Z) COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE , 20CX� COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 ( ) 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 : CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763) 572-3604 FAX: (763) 571-1287 ADDRESS : 606 MISSISSIPPI ST NE PIN : 143024420009 LEGAL DESC : CHRISTIE ADDITION : LOT 6 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PERMIT N .: 2004-00645 DATE ISSUED: 05/05/20_04' VALUATION : $ 3,200.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. CONVERT EXISTING WINDOW INTO INSTALL SLIDING DOOR APPLICANT HITT RICHARD A & THERESA M 606 MISSISSIPPI ST NE FRIDLEY, MN 55432 OWNER HITT RICHARD A & THERESA M 606 MISSISSIPPI ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law reguk—ft,qpnstrpction or the performance of construction. Applicant/ Date Bldg Insp BUILDING PERMIT FEE 97.25 FIRE SURCHARGE 3.20 STATE SURCHARGE, VALUE 1.60 TOTAL 102.05 PAID WITH CHECK # 8131 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [] ADDN [] ALTER CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION el� c�2,,51t? Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax ck 9/51 Construction Address: / ® / M 1 4S / SS/ /0/0/ S % /L) 9! �-_' Legal Description: A fi< 1 i IF M 1b �LDT 9 LOd< c;. RS -1-1E 90$00 19 Owner Name & Address: y / LN4,xJ4— �h i = Tel. # `7 V3— Jai /— 631 o Contractor: S f: LIF MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: ) A%STI7 LL S L lb I v J G -100 r Construction Type Estimated Cost: $ .3v®o . co Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: 513 APPLICANT: �LL��'�.� Tel. # 521-6 3 le) Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge ' TOTAL CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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: Header 2.2x 1 Os Ren ve Ol South Wall 92.551 Wl QW 95.17in 82.51 50.20in i 2.2x4s Support Frame ®5-1 NEW [ ] CITY OF FRIDLEY Effective 4/112004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: 1 (-110& Pip/ '57- 7 A.E Legal Description: Owner Name & Address: iq /C.hW-D d Z 7.7-- Tel. #_ W -S-1 /' 43 / d Contractor. IWIN = OCHIORS/ABC SWIES,S MN LICENSE # 2535 Address: 9060 ZACHARY LANE N #108 MAPLE GROVE, MN 55369 Tel.# 763-425-4737 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: i;C5/.D '/�IidAAS -S— Estimated Cost: $ ©®� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x DATE: APPLICANT: Tel #��,3 � �i?� y/%S 7 �O Call (763) 572-3604 for Permit Fees if mailing In application. Fax to 763-5714287 if using credit card and we will call you for card number. TOTAL $ g (i5' STIPULATIONS: USE ONLY - CITY Permit Fee Schedule on Reverse Side Plan Review $^ 65% of Permit Fee Fire Surcharge $ Z<00 .001 of Permit Valuation (1/10th%) State Surcharge $ ��_S� $.50/$1,000 Valuation SAC Charge $ $1350 per SAC Unit License Surcharge $�p© $5.00 (State Licensed Residential Contractors) Curb Cut Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ g (i5' STIPULATIONS: Doi -I I From: City of FndleV to: W2W144111 F198: 2J5 UMS: 0100" 1:41:LL I'M Building MECHANICAL Permit No.. Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 Date RXT 08 CITY OF FRIULEY 763-502-4977 EFFECTIVE249-09 `FAX DATE 1 - 0I - b 9 YOUR E-MAIL ADDRESS SITE ADDRESS i S 1 S ' THIS APPLICANT IS: 17 OWNER ❑CONAACTO PROPERTY NAME: and ADDRESS: (-A)ITY FrId I STAT ' Zl OWNER/ TENANT PHONE:/70'S CONTRACTOR COMPAN6EQCK H ATI G & AIR CONDiTI/iNING i L e SUBMIT A COPY OF CONTACT PERSON:8q1 n WePhAV04 Ave. 6 _- YOUR STATE STATE LICENSE ft minneapos, MN 66420 EXP DATE LICENSE WITH ADDRESS: I RRI AMA CITY STATE LIP APPLICATION PHON FAX PERMIT TYPE NSINGLEFAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORKS 13 NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK kPALk& Le FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: L C, TOTAL NUMBER OF EACH BELOW) Equipment metalled MFG: LI-nnox MODEL SIZE/BTU MFG: %e. mb_',� MODEL C SIZE/BTU �2TQw MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OV EN $10.00 TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 GAS GRILL $10.00 _AIR _NEW BOILER $35,00 rFURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35,00 -DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 :•773}73777};•7:•7i:•}::•7?7:L:v:-i4]3}7:•}:•:•:•5:^.:•?77: 3}7::•. 7:.3+ 377:7:.7+7:•7:•7:•:•.:•};•7X•??:•: ......... ...{77::::�{:.: {fii+7'•?::0'{{•77+:•7+:vY:.:7;.?::: �.Y :;:::::.? :•.:...{?: :;?ii?ii{ii:Yii? :t-•••••••�••..•.•v+:•+v::::: •'7:: •.:7]i7i iiiii}1377::j{•fi}it•??7:3:•5?:C3{•5?}:•7}:•777]:373:•7777777i:v7;{;aa$ iii ii 'i{ii}i:a;i}':i{' ii { j�fv7iiiii'; jj$•,: {+,{:;t-}i:;'�:.w:•'i ;�?} iii7i': iy:'i iiiii7•;+.ilii?iiisii.::':;':::ti::::;:::::{:i.:i<`± ................ •. ..... .....?.. .. ........ .vw:; :•::••, .. .. .; { ..;.�:::.�:.:::::n:v;:.:v.::::�•.::,::;:�.;.vr,.:n:::;,,,:•v;•tv:.�":n:�:v.:::::::v.:.:...:..:.:...:.... ...... .i{a:. .,,....... ..gin::;. ::vw:••.:; ::.:,•. .;,i +;{v; +•::::, ::::::• ::, ::v.::::. �.:+•. �::.:, :::; � :::::v.w:.:^ �.,;.:,{.;i{ • •:.. � :: Hier.: nv: n•:::•: �::+:+•: � ::,• •. .::i&.�'#fiV4F'#ii::::#;::+ •7 f�,! ,�,�+ A� ,.fit; ��f y}}�(y yyyy��jj"".°•'�-•.:�::::2;::::+.::%:::::::::'::;;+::::::'.'•3`:::. •:.�•i�s:=l�l: .iR{fi::;: ^+7:77}:•}777:3:•:•:•+?7:37;•;•77;.:•7;•?::•:v:7::; ....•,:.r?7:3:13:7:; ... •.i ........................ m.. t itti4 :•. �:::: •::•::; nvn:�::: �:.........: �::::::.v::::...,., v3::':; •,v3-. �.•.77•........: '>}?>'•7+i:•57i?77:.::::•::•::•::}::::::::::::::::7:•iiiii;:iiiiiii}::{ii'iii7++::•: ?:{a:: n;::,:w. . i . :•7J^: ..... �.......:.. ..... .... ;{3•{;{+,::•};y,??i•:+i;i iii •n.t +zi :. . + •: . ,::}iii}i: •, ., +. i-w-•.:::.�.�.�.=:�.?;:;-{::.::.:..; ::.7 •. �. �:'•. �}�}?i{y>i:'•zi+ii7':'::i7iiiiii{:•,:^ii::�ii�riiti-n? �:ti`}:h:i:•YS:<�?:ti::t::: i�:?;:....n... .. � :. .}.,�p�-t (�/°� t'J4t.'....;i;•.?ii:,•::,,;�.;v:.�•:{::;•x•3:{::••}:i :,:•i •. , 7 ::::::7S-v7'::,..'i7?377:•}:::: •:: •::: •:::::::: •:: ::::�i737:• ': 3TT+*"......JJr .�}['+?�i}.f.........7y7��:. :•::w:: v: n::: �.�.: �::v.� :t�.�ni•t:t•:. �.i•.t?i:i•: A.t:iv: ,,•: :••.:: a. :•.., ...... n ............. • ••yr{§: ... :Y54X: i�?F�.T{i'r,{{i{; �:�'•+�•.. ....:...............:... :........va.....v.........:........................n....... 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THIS IS AN APPLICATION FORA 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 Coda; 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 cage of a 1 work which requires review and approval of mc. LZA )n A SIGNATURE OF APPLICAyPRINT NAM ' I DATE -Ev --Wm City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 T09 From: 952_ 8814491 Page: 1/1 Date: 12!9!2009 2:07:26 PM From: CI' of y To: 962 8814491 Page., 1/1 Date.,1116/20oa 3:09:03 PM ADDRM: 6w WSSISSpPI ST 1E PERMIT NO. 2.009-00750 DA'Z'E: 11/6/2009 TIME: INSPECTOR (None) EMPECTEON TYPE: FURNACE FINAL PERMIT XID: HEATB* - Fixt= BwW/REBIDMjT ALgLIRNACB NOTES: START-UP NOM THE MMIATG CONMUSTION AIR INTAKE FW BMNN COMM 13Y CONTR.A,CTOR. p ROVIDE PROM 1DUGMaMA1I0N TO TBE CTTX OFFICE THAT C01,0USTION AIR R73QLtREMh]TS ARE MEL', FAXED ON 11/06/09 TO (952) 981-4491 STATUS: RWEC770N NOTES—rv: u0*a., INSPECTOR:, -7(p3 - �7�- 3&o q (��N o Al, r �µ � � M � a 50$0 F -r Ahe.A ,ACTL4AL AA fA QV 6A%15Me-�- =' d I / ,1.� 5- FT 10 co Air- Po'a'o-am Building PLUMBING Permit No.• Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DATE --3 ® YOUR E-MAIL ADDRESS SITE ADDRESSS�„A as Inusr.e� Richard Hitt THIS APPLICANT IS: ❑ OWNER *ONTRACTOR 606 Mississippi Street Ne PROPERTY NAME: Fridley, MN 55432 OWNER/ ADDRESS: 7635716310 ZIP TENANT PHONE: CONTRACTOR NAME: 1 STATE LICENSE # sd, EXP DATE SUBMIT A COPY OF YOUR STATE // ADDRESS• -�t�L� / CITY i' i1 STATE-& LICENSE WITH , PHONE 7- M033 FAX 2 APPLICATION PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK 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. 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 = >•FO"ROJECTS WHERE LABOR EXCEEDMI 00;TFEES ARE BASED ON $10.00 PER FDn URE,'EXCEPT WVERE'N0T-ED-tR�, ,(INTDIC-ATE TG•TAL NUMBER OF EACH BELOW) BATH SINK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING —BATHTUB _ GAS PIPING (mEED crryumsk)^SWIMMING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _DISHWASHER _.LAUNDRY TRAY TWATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ ITAL DUE $ Number of fixtures @ $35.00 _1 x $35.00 = $ 3S.Oo State Surcharge = $ .50 Total = $ O 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 applic . n 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 1 o w • r uires review and approval of plans. SIGNATURE Or APPLICANT PRINT NAMEJ _ /VO/4/Ot" DATE c City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.ftU bQ.� Inspections RESIDENTIAL APPLICATION Received By: - 763-572-3604 CITY OF FRIDLEY 763-502--4977/FAX EFFECTIVE 1-1-2010 DATE "I -1 l UYOUR E-MAIL ADDDRESS SITE ADDRESS 0 L X ` t � &51 SS 1I THIS APPLICANT IS: 0 OWNER CONTRACTOR PROPERTY NAME: OWNER/ TENANT ADDRESS: as (jCITY STATE ZIP PHONE:_1 LP 371 I D I () CONTRACTOR NAME: t SUBMIT A COPY OF YOUR STATE STATE LTCENSE # COLD I :�a3 EXP DATE a LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF , l 1 I ADDRESQ S S, cuJ*b� 12.V& VPA CITY c �l a -.t\ STATE N�I IP _%_36-a INSURANCE PHONE_ Je IQL &Q9 -'41 DD- FAX 95a 44 IQ -79_A4:1 PERMIT TYPE hd SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: NEW 0 REPLACEMENT DETAILED DESCRIPTION OF WORK (� FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. —BATH SINK/LAV _FLOOR DRAINS _ SHOWER WATER PIPING _ —BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER —KITCHEN SINK —WATER CLOSET _� BACKFLOW PREV. ($15) —DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge $ .50 50 MINIMUM $35.50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances aAcodes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an appli o or ape t and work is not to start without a permit on site; that the work will be in accordance with the approved plan in th as f all which requires review and approval of plans. �r SIGNATURE OF APPLICANT PRINT NAME �&i /4's.t DATE 7 Ll 1a PLEASE N2ZA-EWMATE PERMITS ARE RE UIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6411 1 Tnivemity Avenue NF, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977