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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3787 Date: ....! ...�. /✓'... 677 ......... . owner ....................................... Builder '........... .......... Address...................................... Address ............... .......................... LOCATION OF BUILDING No. ... (Ff :..! .. Street ........�. . e .. Part o Lot .............. .......... . Lot ..0....... Block .................. Addition or Sub -Division ce~..... .. .. .. ... . Corner Lot ............ Inside Lot J\ ......... Setback . Sideyard z. . �:........ . DESCRIPTION OF BUILDING T he Us as. .0�rG�G ... .... Front , 7 /..`� Depth jOr q Height �/, '. ® 7 Sq. FtCu Ft. ........ ...... .................... Front JAI :9 Depth -9.1 Height /. .'.. Sq. Ft. CtL Ft.3 Om Type of Construction ................... Est. Cost... f57'--'-T� be Completed .................. In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. .., ............................ In consideration of the payment of a fee of $.q/.. , permit is hereby granted to .................. . ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. 17 . Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley, Minn. N° 7633 BUILDING PERMIT Date: June 2, 1965 Owner: LeRoy Hewitt Builder Quality Homes, Inc Address 763 Mississippi St, N. E. Address 3701 Fremont Ave- No. LOCATION OF BUILDING No. 763 street Mississippi Street N. E• part of Lot Lot 2 Block Addition or Sub -Division Clover Leaf Addition Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. n Cu. n Front Depth Height Sq. Ft. Cu. n Type of Construction Fast. Cost _ ft2jt 607 *00 To be Completed Storm damage repair In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description aboveset orth and in�,coz pltan7 with aft provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to.QUity HOME, 1ne' to construct the building or addition as described above. This permit is granted upon the express condf that the person to whom it is granted and his agents, employees and workmen, 9n all work ti done in, around upon said building, or any part thereof, shall conform in all respects to the ordinances gof Fridley, BRinneaoet;ardita :city land this Allen Jensen Building Inspector NOTICE: M penelt den net rarer thn eenatraatten, haftWon foe whinq, pbunbinB, go Matted, www w water. Be son to we thn BUM* ingaator for apwate pafmtb for than thea. i OWNER'S ADDRESS APPLICATION FOR I PERMIT CITY OF. FRnM, NN SOTA LOCATION OF BUNG No, Street Par of Lot . Lot , Block Addit.ibir or Subdlvisien Corner Lot Inside Lot _ek Side -Yard SEWER ELEVATIQN FOUNDATION EU ATION Applicant attach to thi9 form, Two Certificates of Survey of Lot and proposed builder ing location drewn on these O2ttificates. DESCRIPTION OF BtTILDING Tia be used as: proaC Depth Height Sq. Ft. Cu. Ft. _ yront Depth Height,_ Sq. Ft. Cu. Ft. Type of Construction Estimated Cost The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work it strict accordance with the City of Fridley Ordinances and rulings ®*f the Departmeat'of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. �tU .of Pee Costs can be found on the Reverse Side). Application for Power Plants and Healing, 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 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU .................... — Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. RATE TOTAL 8.00 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ Dept. of Bldgs. Phone 560-3480 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 Ordinances 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 Building Used as Fridley, 19 4�c STEAM or HOT WATER SYSTEM To be completed about Furnace Shell &Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Estimated Cost, $ � Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $/ Old—New. Building Permit No. �-�L" Permit No. --,3 Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water ..... ...... .... 2.50 $ DESCRIPTION OF WORK OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ c� ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL HEATING or POWER PLANTS --,Steam, Hot Water, Warm Air—No Trade Na—p Size No Capacity Sq. Ft. E.D.R O 1262'2 BTU H.P. Total Connected Load Kind of Fuel BURNER —Trade Name_ Size No Capacity Sq. Ft. E.D.R- '�'� BTU H.P. (REMARKS -OVER) Signe � By __ 4.42 Business Phone No m � SUBJECT PERMIT City of Fridley 15.829 AT THE TOP OF THE TWINS BUILDING PERMIT RECE • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 / -1 CITY HALL FRIDLEY 55432 '.j NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 17/15/80 JOB ADDRESS 763 Mlssissl ppi Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Clover Leaf Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Smolich 763 Mississippi Street N.E. 571-5381 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 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 Install aluminian siding d trim & gutters - Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $7,000 $3.50 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- $42.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $45.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT i I) Oe6 � BLDG INSP DAT SIGNATUREOF OWNER(IF OWNER BUILDER)- IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL_ BUILDING PERMITS " (flew, Alterations, Additions, or Repairs) OWNER: tj a S �lyl d , C /4 BUILDER: Z--� �l {� `J 6 /`/ � S6 A yy���� �% ADDRESS: o?S l �► i R� e- dV ADDRESS: 3 /�1 P Sr s S. TEL NO: S71-� 3 TEL NO: STRIMT NO : .L -3 STREET: Construction Location r LOT: BLOCK: ADDITION: Corner Lot: Inside. 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: Squane. Feet:_ Cabic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: �i ®s Estimated Cost: $ 74 ✓ �% LG A A-0 C, `ib Be Oampleted: Alt. A Ali. 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- of Buildings, and hereby declares that all the facts and representations stated in this application are true and corre DATE: '% - ( s ° v • SIGNATUr.L : Stipulations: SUBJECT N O. City of Fridley 2 1 0 4 3 AT THE TOP OF THE TWINS BUILDING PERMIT RECE COMMUNITY DEVELOPMENT DIV. _ v PROTECTIVE INSPECTION SEC. '1115-91) CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By 612-571-3450 910-F15 9/3/91 JOS ADDRESS 763 Mississippi Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Clover Leaf Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis/Carol Smolich 763 Mississippi St NE 571-5381 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Reitler Bldg Systems 21789, Oldfield Ave N, Scandia, MN 55073 433-5802 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION fel REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Kitchen Remodel 9 CHANGE OF USE FROM TO STIPULATIONS See notations, on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5,60Q $2.80 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $81.00 Fire SC $5.60, ST ON OR THE PERFORMANCE F CONSTRUCTION. PLAN CHECK FEE TOTALFEE 9.40 EN PROPERL V LI E IS IS UR PERMIT NATURED CONTRACT RORAUTFIORIZEDAGENT (PAT G NSP I DATE SiGNATURE OF OWNER OF OWNER BUILDER) )DATEi MW [ ] Effective 1,/1/91 AM4 [ ] 1-1 AMID A-2 AMER [ ] Building Permit Application crostructicn Address: t —« Owner Name & Address: eA/ Ni S 'f 6A Pe / Si» a /rcZ Tel. $ a %/- 53f/ Address: Attach to this application, a Certificate of Survey of the lot, with the proposed r - stru tics drawn an it to sole. LIVnG AM: Length Width Height sq. Ft. :GUMM AM: Length Width height sq. Ft. MOM ARF2,: length Width Hgt/Greu;ri Sq. Ft. MMM: Tie. Oarner Lct [ ] Inside lotFt. Yd Setback Side Yard Setbacks Type of Cmstnicticn: Estimated Oust: $ Approx. Gmppleticn Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DMM: / APPLICANT: cv 'lel. # QTY WE C LY Permit Fee $ .00 Flee Sdadule on Reverse Side Fire Surdharge $ .001 x Permit Valuation (1/10th $) State Surcharge $ Ci $.50/$1,000 Valuation SAC Charge $ $650 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by ,rt; r Tri Tri Sewer Main Charge $,- Agreement Necessary [ ] Not wry [ ] To7w s81YO U=CNS: SSC. ��•O V I 'u/. YO 4. M 6400 AA Q — %&(V 4V(Z 34 6rloo' CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Watgr Bath Wash Drink.. Floor Catch::; Auto. Gas Gas Mise. Water Heater Stories Closet Urinal Tub Shower Sink.« Trav Fount..> Drain Basin Washer Auol.., Range F�xt. Gas. Elec Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDR New Fixtures -3 $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas $10.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer Required ( )Yes () No Type $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance _ C The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. State Surcharge .50 Owner y i Z--7-. 1991 Building Used As A02 -4-'I 5-71 - 53-$/ Estimated Cost 410 19' O'DPERMIT NO. ® �`�o PLUMBING COMPANY SIGNED BY� /d Z_04F::2��L NO..�7 Approved By ( Rough -in Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $�' PLUS THE $.50 STATE SURCHARGE MIT NO. sue�Ecr R City of Fridley 26779 AT THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT NO. 1 �• COMMUNITY DEVELOPMENT DIV. VV �����-I PROTECTIVE INSPECTION SEC. 415/ r � � 1 . � ,91 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ti'"-'11.� •'� 612-571-3450 910-F15 7/23/98 J08 ADDRESS 763 Mississippi St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Clover Leaf Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Smolich 571-5381 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Milton Johnson Company 52 LowryAve E is - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION rA REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof 24 S Tear-off; Sidingrear trim re air 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. Call for building wrap inspection beforecovering. 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. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2001 1.00 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 PERFORMA E OF CONSTRUCTION. 74.75 Fire SC $2.00 r PLAN CHECK FEE TOTAL FEE 7�-�_ V ` License SC 5.00 82.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPER ALIDATED THIS IS YOUR PERMIT Bl G INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI MIT NO. NEW [ 1 ADDN [ CITY OF FRIDLEY ALTER �_ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 763 Mississippi St. N.E. Legal Description: Owner Name & Address: Dennis Smolich (same) Contractor: Milton Johnson Company Address: 525 Lowry Ave. N.E., Mpls. 55418 Effective 1/l/97 1111 9 60' Tel. # 571-5381 MN LICENSE # 2083 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # 781-9548 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Hgt/Ground Sq. Ft. OTHER: ------------- Construction Type. Tear -off re -roof Estimated Cost: $ .7 , 6 0 0.0 0 �( siding repair, trim repair(FeeSchedule on Back) Driveway Curb Cut .Width .Needed: Ft. + 6 Ft Ft x $ - - $ DATE: APPLICANT: o Tel. 781-9548 ;TIPULATIONS: N M CITY USE ONLY Permit Fee $ % . �� Fee Schedule on Reverse Side %sire Surcharge $ 00 .001 of Permit Valuation (1/10th%) State Surcharge $ 400 $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ ,� (�� $5.00 (State Licensed Residential Contractors) 3riveway 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 $ 0o� ;TIPULATIONS: N M CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS -7 to 3 PA 155 i S S i RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent - Fill Out Back) 01 - (Lv ,1998 Gas Piping (Needed with new furnace) $10.00 $ OWNER Dt h Irl. l S S ir-n 0 l I C�1 Gas Range Gas Dryer $10.00 $ $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, 50 $ � 5.50 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BUILDING USED AS L) t I'19 ESTIMATED COST L) 0 � 0 U PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name BTU HP Size No. EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR RUM Hfc3.717CMIECT- W. i af4affR LAVE N I MOM MN 55304 HEATING P Signed By el No. Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR.STACK VERIFICATION ON REPLACEMENT FURNACE List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHDJNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been -carefully examined Yes O No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: From: City of Fridley To: 7637542908 Page: 4/4 Date: 411612009 11:00:10 AM Bu11dim- Inspections 76375.72-3604- 763-502-497" PAX j DATE -11 A-1 i SITE `ISITE ADDRESS HIS APPLICANT 1S: PLUMBING SIDENT kL APPS... ICATI®1N1 EFFECTIVE 2-19-09 DOWNER YOUR E-NIA1L ADDRESS �iltlS L' 11H a i NAME:1"Iyllb J/r IG ' OWNER/ :" DURESS: �7 i [5il S51 �lf� S- 1-4e CITY 1� ► v�,�W STATE /� 'e, / ZIP SS Z PHONE:�'y CONTRACTOR NAME:TZA& Q+'1 eIlalro►jl * C6' SUBMIT A COPY OF T' YOUR STATE STATE LICENSE EXP DATE LICENSE, BOND AND STATE BONDit 1 ,. EXP DATE cDA CERTIFICATE OF ADDRESS: CEMP 1 P 94104/1 � g e t-�l CITY I'J STATE&&_GIP Jar ,/Z j INSURANCE PHONEFAX PERMIT TYPE SINGLE FAMILY D TWO FAMILY D TOWNHOUSE TYPE OF WORK: 1 D NEW ))(REPLACEMENT DETAILED DESCRIPTION OF WORK Ln';b[I ftiinn pf (W 1A(&1 enL W- AE& FEES ARE BASED ON $10.00 PER FIXTURE EXCEPT WHERE NOTED. FIXTURES: ('INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. DRAINS _WATER PIPING _BATHSINK/LAV _FLOOR PIPING (NEED CITY LIC) _SHOWER POOL _ WATER SOFTN ER ($35) _BATHTUB WASHER _GAS SINK _SWIMMING WATER CLOSET PREV. ($15) _CLOTHES _KITCHEN LAUNDRY TRAY WATER HEATER ($35) _BACKFLOW FOR IRRIGATION —DISHWASHER _ WATER METER OTHER 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 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 requires review and approval of plans. SIGNATUREOF APPLICANT PRINTNAME -1I�4la 1v� DATE pu.F. SI-:* (�T S:E:PA1tATE.PERMITS A::It:E..tlEflli:tttET .:FQR:t3i ltLt3iNO :EI,Et Tl`1C.4t : l�tD i9EE HAI �tE Vit;:; . R City of Fridley Building Inspections .3epartment 6431 University Avenue NE, Fridley, TMN 55432 763-572-3604 FAX-: 763-502-4977 Building Inspections 763-572-3604 763-502-4977 FAX SrrB ADDRESS / ce = THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERNIIT TYPE TYPE OF WORK: DESCRIBE WORK BEING DOI SIZE OF IMPROVEMENT BUILDING RESIDENTIAL APPLICATION. CITY OF FRIDLEY EFFECTIVE 1-1-08 _ YOUR &MAIL DRESS VCONTRACTO cm PHONE Lim /) K W_ STATE LICENSE # 17 LE FAMILyM9WQ9N6fffKTION FAMILY/NEW CONSTRUCITON O BASEMENT ASH DROOP D DECK O SIDING O HOME CONSTRUCTION O EMAINTENANCE/REPAIR O REMODELING FAX _ C' ( St) 1 EXP DATE ZE 'ORIES VINDOWS O DRAIN TILE O OTHER oa.`� PermitNo.-) 001,('U() Received By: Date Rec'd: N ROOFING O HOUSE ONLY zig NUMBER OF SQUARES O HOUSE & GARAGE BASEMENT REMOD dN0 GARAGES PROPOSED SIZE: OATTACHEDGARAGE O DETACHED GARAGE I- .2. Existing Floor Plan Proposed floor plan PROPOSED HEIGHT: / L _ /yj 3. List of structural members to be used SIDING O Vinyl [ a.-, OSoffit /t,✓w FOR NEW CONSTRUCTION INCLUDING DECKS, ADAPTIONS&P(MAM er1R>L� OAlumrO� " O Tru. SL lrcLL-� O _ Fascia / — 3� vK I. Site Plan/Survey showing the existing structures and proposed project V4NDOWS / — .8 Fi tz 6 L" - A -r" .' 5L. a 2. 3' Two sets of construction plans IN EXISTING OPENINGS OYes ONo OR FOR NEW OPENINGS LATIOI�J OF WS �— d." -r lar@' Calculations -DESCRIBE SIZE OF /L) / /3eZL OPENING CHANGES & /— A �, , / � _ - TYPE OF. WINDOW TO BE INSTALLED ER OF WINDOWS ALL FEES ARE BASED ON VALLTATIAN- nvrr.rxrinvr• qrUV r r%a . v .1sAr . COTAL JOB VAIA Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge 1997 UBC FEE SCHEDULE) See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Mmilnum $.50 •$5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) $+6ft= ftx$21=$ $450 Conservation Plan Review 4i Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ 14 N . ! cl� Make checks payable to• City of Fr cuoy Attach THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and aownate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the hfiru mote. Construction Codes; that I understand this is not a permit but only an application for a pennit and work is not to start without a permit on site; that the work will be in ce with the approvedplaA in the. case of all work which re=-1'ew 'd of plans. SIGNATURE OF PL PRINT NAME�► DA7'l3� • 3-,/1 APPROVED . . •