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PRE 2010 DOCS,�--2a377 City of Fridley, Minn. BUILDING PERMIT N® 6462 Date: a 6:9 AddressAddress LQCATIO F BUILDING No. Street 19. _ P of Lot Lot __ Block Addition or Sub -Division Ail Corner Lot Inside Lot Setback.—® Sideyard�� e Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used P Frontl:l— Depth Height Sq. Ft. J�Ft�%�� DepthHeight <� Sq. Ft. Cu. Ft. Type of Est..be Completed In consideration of the issuance to me of a permit to construct the building des cri a ve, a ho do the proposed work in accordance with the description above se and in complian a p ns of ordinanoea of the city of Fridley. In consideration of the payment of a fee of $ 9 Permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that theperson 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 within the city limits and this permit may be revoked at any time upon vio aAon of any of the provisions of said ordinances. l'e _ ., f l NOTICE. This pwM doss not ewer the construction, inda tion for wiring, plumbing, fin heating, sewer or water. Be ane to s•e the Building hupecter for separate p•rmhs for these home. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA O.BunmER , Ii ADDRES V LOCATION OF BUILDING No. Street Part of Lot Lot Block Iz- Addition or Subdivision Corner Lot —Inside Lot Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be use S: Front - Depth :2"� Height Sq. Ft. Cu. Ft. Front Depth Height . Ft, Type of Construction To be Completed Cu. Ft. timated Cost �Z&6-6 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 correct. DATE— 0 (Schedule of Fee Costs can be found on the Reverse Side). r a. a City of Fridley, Mian.. BUILDING PERMIT N® 6766 Date:' Owner: tom Builder" Address Address "71, • e v •JLDIN ',TO. ff -ne�2�-Zd Lo VOF Lot --- Block Corner Lot ...- c® Inside Lot Sewer Elevation Addition or Sub -Division . — Setback -1-5— ..-.._._.-.._ Sideyard 712 d Foundation Elevation DESCRIPTION OF BUILDING To Front Depth� Height �® Sq. Ft.301 Cu. Ft. C34 to mo) -.--.. DepthHei t Sq. Ft. Cu. Ft. Type of Construction Ift Est. -. To be Completed 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 above set forth =.Yons of ordinanc~zs of the city of Fridley. VX , Y -- --- a_—n - - - In consideration of the payment of a fee of $ , 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 lo��tion, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any upon violation of any of the provisions of said ordinances. 11� ) Building Inspector NOTICE: Tib penult does net cover the condmction, hwalbtlon for whU& plumbing, gn hating, sewer or wafer. Be sure to we the Wdhng Ingmsor for apanft paudh for ties• Neva. City of Fridley Application for Plumbing and Comas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number. Kind and Location of Fixtures Locatiln '�� d �` ae'S v? € Y5� �J� � ,�i<T ,�' Z rt�i ,a24i p Z <�3 v� �jO � J �jwU' Ute' Z 0O • F • N WATER HTR. GAS ELEC. Base 1st 2nd 3rd 4th • Future Connection Openings e New Fixture, Old Openings Connected with Sewer � Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOL?TA�Le, Number Fixtures ...................... i x $1.50 $— L Mifiira Putin" nnanina —3 v 1 9.n q '.360 60 New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ -4 New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL — x $1.50 $ — x .50 $ — x 2.00 $ Description ................................................$ TOTAL FEE $ ®"4 4,/60/ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn C; C -�'7 -e . Ita Owner cf� 0 '/ I Kind of Building t Used as:� To be completed about Estimated Cost, $ Oldew. `Building Permit No Permit No. Signe ROUGH ---k— o I ` — 0 FINAL d2 2M Business Phone No Application for Power.plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ %7— each each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ 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 $ �5 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 $$�� 7 ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL Dept. of Bldgs. Phone SU c 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, an ereby declares that all the facts and representations stated in this application ate ikue and correct. Owner _ Kind of Used as To be cc Estimated Cost, $ Permit No. nlermit No. DESCRIPTION OF WORK HEATING or POWER PLANTS team Hot Water, Warm Air—No Trade Name—Size/�— Capacity "Sq. Ft. E.D.R/,iBTU H.P. o l Total Connected Loa 31e7yoKind of Fuel BURNER — Trade Name Size No r Capacity Sq. Ft. E.D.R BTU H.P. D, 9A)AS 3 HEAT LOSS CALCULATIONS 7 79 7-i/�� DEPARTMENT OF BUILDINGS 7% 9"� MINNEAPOLIS, MIM. Weatherstrips A.S. V.E. Guide Reference 19_._ Coef.1 1 B Construction No. Coef. Coef. Insulation Windows. es No Doors Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Net exp.,*4 ad// Int. wall 9-7/ / F1.1 ZGL.t;:;�,Room L.ength / Width c Height A' II Fl.l a Room I Le flk _ Width % Height Windows and Doors—Crackage and Area q. ins. W.A. Leader area 1 Width Height No. of Lineal ft. Area No. of pane of pane lights of irack I sq. ft. Width Height No. of Lineal Y . Area No. of pane of pane lights of crack sq. ft. v Windows and Doors—Crack Coef.1 1 B Infiltration Coef. Coef. u Infiltration Glass Exp. wall Net expewall J 3 / (p Int. wall Net exp.,*4 ad// Int. wall 9-7/ Int: wall` Ceiling Floor Floor 4:' Windows and Doors—Crackage and Area q. ins. W.A. Leader area 1 Width Height No. of Lineal ft. Area No. of pane of pane lights of irack I sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft.--o—�. v Windows and Doors—Crack Coef.1 1 B Infiltration Coef. ')-Bt?f Infiltration 3 5% 4 Glass Exp. wall r, Net e*p. wall s ::,•< . Net exp.,*4 ad// Int. wall 9-7/ Int: wall` Ceiling Floor 4:' 11mi Total Btu. 9 f I---- Total Btu., Required sq. ft. E.D.R. or sq. ins. W.A. Leader area -Burned sq. ft. E.D.R. or sq:`ins.-'WA. Leader area F1.1 -Ll Room I Length /) Width b Height V F7 1 / i / Rnnm 14.envth /a Width /c Heia}i Windows ana Doors—Crackage and Area q. ins. W.A. Leader area 1 Width Height No. of Lineal ft. Area No. of pane of pane lights of irack I sq. ft. 6 ` v Windows and Doors—Crack Coef.1 1 B Infiltration Width Height No. ofLin No. of pane of pane lights Glass Exp. wall Net exp. wall Int. wall I Z2 Ceiling Floor Total Btu. Required sq. ft. E.D.R. o q. ins. W.A. Leader area 1 FI. oo en Width _W ht. Windows and Doors—Crack and' Area Width Height No. ofLin No. of pane of pane lights al ft . Area of ack eq. ft. Exp. wall.; I Net e*p. wall s ::,•< . Infiltration �® Glass 514 Exp. wall i -O Net exp. wall Int. wall Ceiling's -O Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors--Crackage a d Area d N° €. Width Height No. of Lineal ft. Are No. of pane of pane lights of crack eq. it. 2 ti I tratio Glass Exp. wall.; Net e*p. wall s ::,•< . (3 Int: wall` Ceiling` /Floor Total Btu. ' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room I Length Width ftisthtt Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane light! of crack sq. tt Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Btu SUBJECT PERMIT NO. City of Fridley 2618---, AT THE TOP OF THE TWINS BUILDING PERMIT r O COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. / r CITY HALL FRIDLEY 55432 NUMBER REV PAGE OF APPROVED BY 612-571-3450 910-F15 TATE 6/17/94 JOB ADDRESS 881 MISSISSIPPI ST NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 14 2 Meadowlands Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Travet 881 Mississippi St NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Right Way Roofing Inc 16475 45 Ave N Plymouth MN 55446 557-8678 3999 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 X REPAIR X ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Dwelling (2nd Layer) 13 Squares 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. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 1 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 $715.00 $.50 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- $21.00 Fire SC $.72 TR CTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $27.22 SGNATURE OF CONTRACT O O AUTHORIZED AGENT IDATEI WHEN PROPERL VALIDATED THIS IS YOUR PERMIT W BL INSP DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW ADDN ( 1 CITY OF FRIDLEY ALTER Pq SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: _ _ `--_- Legal Description: Owner Name & Address: Contract. Address: ►�5 rs��/1� i ��. Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1 / 1 /94 -Jt-aa77 MN LICENSE # 00033 q V- —6Tel. # -5 5�2— 9(o7'� of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. 13 s,q.y' Q'- mG� Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ O (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = F x $ _ $ p DATE: {�`' f % L f APPLICANT: �— Tel. # � S7 �G 70 CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 00 Fee Schedule on Reverse Side $ 192 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $800 per SAC Unit $ CL-) $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 [ ] CCiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 April 26, 1996 M. van Tassel and D. Johnson 881 Mississippi Street N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 881 Mississippi Street N.E. Dear Property Owners: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 881 Mississippi Street N.E. revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Fridley City Code requires that all vehicles must be currently licensed/street operable and kept on a hard surface parking area if they are stored outside. observed a vehicle at the above location that does not meet all code requirements. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or shortly after May 11, 1996, to determine compliance. If you have questions or would like to discuss this violation, please contact me at 572- 3595. Thank you for your cooperation! Sincerely, Kurt Jensen -Schneider Code Enforcement Officer KJS:ls CE -96-135 SUBJECT MIT NO. City of Fridley 24654 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. 1 v PROTECTIVE INSPECTION SEC Q r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/11/96 JOB ADDRESS 881 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 14 2 Meadowlands Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darin Johnson 881 Mississippi Street NE 574-9971 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 8 DESCRIBE WORK Install bay window and living room window 9 CHANGE OF USE FROM TO STIPULATIONS Bay window to meet minimum Code design. 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 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 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $300 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- $21.00IF Fire SC $.30 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $21.00 PLAN CHECK FEE TOTALFEE $42.80 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERL ALIDATED THIS IS YOUR PERMIT BLD IN SP DATE SIGNATURE OF OWNER IIF OW ER BUILDERI IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application -I ' ConstructionAddress: 891 M 1551651 PP I STeE�5--r N F Legal Description: L®T 14+ ►3 LocK Z 1 oQaciou-) L aricLS 4d d i -I 'c n Owner Name & Address: L-Xrin Jc)hn*ot! Tel. # 01?- - 5-7'-1 -,711 l Contractor: Out nt E PLi MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: .ins fa I I i rl!!� 1 o-si W i nciouj 4- rev laCe, I rwm 1pi'rdoW Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ 300 .00 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 10 1 1 I j 9(p APPLICANT: Tel. # 6-744 -q97 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse. Side Fire Surcharge $ O .001 of Permit Valuation (1/10th%) State Surcharge $ . �� $.50/$1,000 Valuation SAC Charge $ $900 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 [ ] TOTAL $ or"N 7a 01, SUBJECT City of Fridley 24770 AT THE TOP OF THE TWINS BUILDING PERMIT r • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r I 2f CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED BY 612-571-3450 910415 11/12/96 JOB ADDRESS 881 Mississippi Street NE i LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 14 2 1 Meadowlands Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darin/Melanie Johnson 881 Mississippi Street NE 574-9971 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Cities Home Improvement 6148 Olson Memorial Hwy, Golden Valley 55422 20043502 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 591-0332 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside and install windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows must meet the State Egress Code. 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS I 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 $8,000 $4.00 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- STRUCTIO OR THE PERFOR NCE OF CONSTRUCTION. $137.25 Fire SC $8.00 PLAN CHECK FEE TOTAL FEE ll 2. License SC $5.00 1 $154.25 GNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi WH WHEN PROPS Y VALIDATED ® .CG .' THIS IS YOUR PERMIT = e _ DATE SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI 01, NEW [) Effective 3/1/96 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 4W77 ConstructionAddress:' Legal Description: Owner Name & Address: �cr r ; r, d- 41 e e_ T A -) ,rc „ Tei. #-5- Contractor: 5 - Contractor: C; MN LICENSE # Address: 0/rc,, 17f ern orrW / Tel. # ,j / - O 3 3 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: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: ��r'�'n� d- Approx._ Completion Date: -' (Cost on Back) Side Yard Setbacks Estimated Cost: $ a ®� Driveway Curb Cut Width Needed: DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Ft. + 6 Ft = Ft x $ �a Tel. # CITY USE ONLY So� $ /3% �?5 Fee Schedule on Reverse Side ^n , $ 8 ,!5-0 .001 of Permit Valuation (1/10th%) uV $ dao $.50/$1,000 Valuation 0- n $ $900 per SAC Unit J1 L $ '57e)�.�� $5.00 (State Licensed Residential Contractors) I I $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ 15`4z-5- SUBJECT City of Fridley, � -8-0 AT THE TOP OF THE TWINS BUILDING P E R M I T NO. Ir � • _ COMMUNITY DEVELOPMENT DIV. v INSPECTION SEC. r ; PROTECTIVE S-V 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY �-J 612-571-3450 910-F15 12/2/96 JOB ADDRESS 881 Mississippi St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 14 2 1 Meadowlands Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darin Johnson 881 Mississippi St NE 574-9971 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 O ALTERATION a REPAIR ❑ MOVE ❑ REMOVE R 8 DESCRIBE WORK Replacing two windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows must meet the State Egress Code. 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 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 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 $130 $.50 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. $21.00 Fire SC $.50 PLAN CHECK FEE TOTAL FEE $22.00 SIGNATURE OF CONTRACTOR RAUTHORIZEDAGENT (DATE) WHEN PAOPERL ALID TED THIS IS YOUR PERMIT �- lam, - BLDCj)NSP �� DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: X1'1 I SJi �j�j►�p� I J I Legal Description: Owner Name & Address:L j �� f `1 �C�1lr�SO Tel.�72-�/�Z7� Contractor: 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: A4 h17 2 2dce__;s ;V i' , f'd rOC. 1 l I S l Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 11-30 . °a Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: It Tel. # STIPULATIONS: CITY USE ONLYlrF�a� Permit Fee$ S Fee Schedule on Reverse Side r" ` ,, 9 Fire Surcharge $ , `j� .001 of Permit Valuation (1/10th%) ) Lam? State Surcharge $ rN $.50/$1,000 Valuation s SAC Charge License $ $900 per SAC Unit Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Controll7� $ $450.00 Conservation Plan Review �4c Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 2Z. "' STIPULATIONS: SUBJECT P,ER- of Fridley / 2 8 6 8 7 AT THE TOP OF THE TWINS BUILDING PERMIT Ir?City 571-360 RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ r � PROTECTIVE INSPECTION SEC. I NUMBER REv REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 ".j L 612-571-3450 910415 12/1/98 JOB ADDRESS 881 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darin Johnson 574-9971 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 O ALTERATION Rk REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Reroof house (15 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 1285 .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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $43.00 Fire SC $1.28 PLAN CHECK FEE TOTAL FEE $44.92 SIGNATURE OF CON TPACTO�R OR AUTHORIZED AGENT IDATEi W HEN IIDATED THIS IS YOUR P.ErRMMII NA SJR' / `�r`�vv z� I - ew ,P/RROOPERLY BL 'NSP pYT) / • /J pA It S,GNA TORE OF OW NERiF OW NER BWLDE Ri iDATE. NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [x] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION '" � �6 ConstructionAddress: Legal Description: N F N 1200 F Owner Name & Address: , D14,*9- 1 Q tJo Ht&oN Tel. # Contractor: gc IF MN LICENSE # Address: 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground _ OTHER: kc e rdn h5 WV, l5 -i;GunP- E5 - Construction Type: Driveway Curb Cut Width Needed: Tel. # Sq. Ft. Sq. Ft. Sq. Ft. 0 Estimated Cost: $ 4�8 S (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ 291 DATE: ® 2C l APPLICANT: ajn.e,e. Tel. # Z�Iq-- 1-7 7/ CITY USE ONLY Permit Fee $ —300 Fee Schedule on Reverse Side Fire Surcharge $ /.e, -p .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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 [ ] TOTAL $ � N STIPULATIONS: 5-79 - 3 (07 �— Effective January 1, 2003 CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PIOWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 ` m • JOB ADDRESS RATE SCHEDULE • OWNER Nein t LNnn krGrFe-> Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS ' Ipll l Also Replacement Furnace $ 30.00 Vent Fill Out Back) $ n` ESTIMATED COST PERMIT NO. (Side - ma Gas Piping (Needed with new furnace, $ 10.00 $ 10 but not replacement) fZv as DESCRIPTION OF FURNACE AND OR BURNER Gas Range � {,;.� �lacei Stn12' $ 10.00 $ Po. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 YTrade Name f ffit I G I v Size No. �TU x95;000 HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and ' TOTAL FEE $ a.�v � representations stated in this application are true and correct. �^ 10-03 DATE MINIMUM FEE FDR ANY HEATING/COOLING/VENTILATION HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed TEL # _70 - Oo� ' 7 R FAX # REINSPECTION FEE $47.00/Hr Air Conditioners can not be placed in a side yard without �( Approved By Rough -In Date' Final Date written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When naplaninn nn axinfinn fivanea, 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 aY aH g cnmhaschnn Air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) Wh@n required to stall anew rnmhiinfinn air_ it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When jpstajling a new vanHngsystem,, the undersigned hereby verifies that it iii* 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 #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 Lengthft Diameter in Type Appliance #3 Vent Connector Height ft Lengthft Diameter in Type N HEATING CO: Signed By: Date: 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 FAX (763) 571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 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. ""OEMEffective January 1, 20 $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE Auied Fireside HEATING CO dba F1reslde HUM L► Home JOB ADDRESS f'nos5:r>5'-Q,�;_St, MP_ FAX # Approved By14Rough-In Date' OWNER be -;,r e ti TOTAL BUILDING USED AS ESTIMATED COST PERMIT NO.1.!5Q9 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water (Warm A q dl 6U Trade Name L 1 Size No. '/Z BTU :2Q u-U� HP EDR $ Fuel 7 L: • Total Connected Load 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 accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE Auied Fireside HEATING CO dba F1reslde HUM L► Home 2700 N. FalMew Ave. posevft MN 55113 Signed„ TEL # FAX # Approved By14Rough-In Date' Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When r,a InSnnanan axorfinp furanna, 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 piastictPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No (J 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 e-nmhi ,soon air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a now _nmbustien air it will be sized and installed to most the current codes and manufacturer's specifications. Yes( ) No( ) Wh.an In-al2ifip: a new venting S=Wm, 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 M 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( ) elian a Jens and So7P/Cnmmnn Vent and Vent Conn ctor 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 Al RATIQNS- (nastAhel_Q row ,—\ k 6 r s L r e p (a c - -e-6 cs S I:, 't HEATING CO: l reSi 14e--,t4k 4 u011 igned By. Date:. '7 A� k �T IJAO-W GiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 May 18, 2004 Mr. Shawn Dearey 881 Mississippi St NE Fridley, MN 55432 Re: Final Inspection at 881 Mississippi St NE, Fridley Contractor: Fireside Hearth & Home & Homeowner Dear Mr. Dearey: Plumbing permits were issued on July 28 & September 10, 2003 to install a gas insert and a gas fireplace at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by these permits. As of this date the final inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh 3uilding BUILDING Permit No.: nspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: �- )ATE v YOUR E-MAIL ADD S' C ;ITE ADDREss M i SS t I S. J �(/r i HIS APPLICANT IS: IV06ER ❑CONTRACTOR PROPERTY OWNER/ NAME: V1 ADDRESS: -SaLeCITY STAT TENANT 4� PHONE: CONTRACTOR NAME: STATE LICENSE Il EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING 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 Plan 2. Proposed floor plan PROPOSED SIZE: AWTACHED GARAGE 3. List of structural 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. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 20"i , —" OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 3. 9D See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ Make checks savable to: City of Fridley 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 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 w ' uires �p tew and approval of plans. �i, g %®� SIGNATURE OF APPLICANT !c� PRINT NAME 0?WY\aDLIng DATE / FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER understand that the State of requires that all residential build' g contractors, remodelers and roofers obtain Minnesota state license unless they qualify for specific exemption from the licensing requirements. As the owner of the property at IiGdc's SS ,Fridley, am exempt from the state licensing requirement onWif I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. ,;quo� B'uildmg PLUMBING Permit No.:_ Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd:.t DATEdt'% Q 06 YOUR E-MAIL ADDRESS 5o4w r -e SITE ADDRESS VAle 1 lr�r ► '/ 'MIS APPLICANT IS; WN gCt)NTRACTOR PROPERTY NAME; OWNER/ ADDRE ( PTY STATE ZIP_, TENANT ._ �b3 - ?9 �! X52-- 37 PHON CONTRACTOR I NAME:_,, �•- - ' SiJ13MTf A COPY OF VATE LICENSE _ , EXP DAPS YOUR STA'I'D ADDRESS',," _... CITY „ _ __,STATE %1P LICENSE WITH P � ` FAX ... PERMIT TYPE J tKSINOLIr FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK.: J�t3r:w a R1iPI.AC.EMENT DETATI.ED DESCRIPTION OF WORK PER. MS 16B.665 the permit fee is a minimum of $15.00 or •5%u or the total cost up to $500.00, whichever is greater, for the lmprovement, 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. PR).'IECTs`WVHEREI:ABOKEXCEEDS $500,FEES.AREBASED d. }Q00.Pkia': IXb2IR$.;E7GSEF..T.Wff1r_f,NOTED, FIXTURES:•:0M--tCATE•TO'fAL NUMBER OF'HACH BBIA.)W) WATER PIPING BATH SDWLAd FLOOR DRAINS —SHOWER — k3A71ITUB _ GAS PIPING (ffzvc'rr't immsA) —S P(}()L — WATER SOFTNEu ($35) _ CLOTHES WASHER KITCHEN SINK _ WATER C1X)SET BACKFLOW PREV. ($I5) DISHWASHER LAUNDRY TRAY �A'I,Fk HEATER ($35) FOR IRRIGATION WATER METER —OTHER ;rmit 1?ee $ Number of fixtures @ $10.00 x $IV.VU =213i _ �urchar a50 Number of fixtures @ $15.00 x $15.00 = $ _ AL DUE $ _ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total $ THIS IS AN APPLICATI()N FOR A Pj4:RMIr-Nu VALID UN'T'IL PROCESSED 1 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 ape it 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 which tares review and approval of plans City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Td WdoT:Z0 900z ez '6nu 2_8ztiti2_S£9Z: 'ON XUd F,alptad jo h*ItO: WONj FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER I' �a understand that the State of Minnesota requires that all residential build1g contractors, remodelers and roofers obtain a state license unless they qualify for specific exemption from the licensing r irements. As the owner of the property at,Fridley, I am exempt from the state licensing requirement only I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. Name Date d