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PRE 2010 DOCSVillage ®f Fridley, 1 ffimm BUILDING PERM" N® 236 Office of INsPECTGB OF BUHMINGS Fridley, Minn., 19'� (05 LOCATION OF BUILDING No. street Part of Lot Lot Block Addition or sub -Division DESCRIPTION OF BUILDING Front Depth Height Stories Manner of Construction a y i qP To be use as F t o be cov,4pleted stimated Cost J �..r ��1 Permit is hereby granted to to the building '�� described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. � li '' ;i,a-- _Inspector of Buildings. AGREEBIENT AND SWORN STATE LENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, day of A 1 _i 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 ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM 8.00 $ 9.00 2.00 $ 5.00 $ 5.00 $ 2.50 $ 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) ....................... 5.06 $_S;,o0b GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ ,5" Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $� I �O ALTERATIONS & REPAIRS TOTAL FEE ROUGH Dept. of Bldg& Phone SU 4-7470 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. /I , Fridley, Minn. /� 19 l� p Owner Kind of Building Used as cx To be completed about Estimated Cost, $ A ex) � (DNew. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—.Steam, Hot Water,arm Air No Trade Name Size No 0 Capacity ,,Sq. (Ft. E.D.R BTU H.P Total Connected Load a jq8 Kind of Fuel BURNER — Trade Name Size No Capacity. 4E FINAL (REMARKS—OVER) Sq. Ft. E.D.R BTU H.P Signed � By A S® W ICK HTG. & AIR-COND. CO Business �'�ione No 1001 ema Xv. Minneapolis 16, Minn. U. 54611 lYJ6 9 all�4 17 p/ qV HEALOSSsS IFF` �l N�� _ T CALCULATIO S DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide W' dows 1;Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied e No a No 19— F 1. 9_F1. Room I Length Width 7 Height Cll II f Room I Length J /-6Width MICHeistht endows Ad Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack eq. ft. Width Height No. of Lineal f . Area No. of pane of pane lights of crack eq. ft. ® Z Coef. Btu Coef. Btu Coef. Btu Infiltration Glass f 4 - Glass U p Exp. wall Q JAO Int. wall 9 ye Net exp. wall. Int. wall Ceiling ` � Z Ceiling Floor / L Total Btu. -- • 1 ......ro... Windows and Doors—Crackage and Area .._ro... Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack eq. ft. 6 G Coef. Btu Coef. Btu Infiltration I Al 3 9, Z Glass ® 8 Exp. wall 2Y k i Net exp. wall Int. wall Net exp. wall Floor Ceiling Int. wall 9 ye Floor Ceiling ` � Z Floor - Total Btu. Required i M l 1.0 --- - - ----- i ----v--- i ..._... Win ows and Doors—Crackage and Area .._ro... Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. 2.6 Coef. Btu Coef. Btu Infiltration Exp. wall Z Glass 1W6 #7 Exp. wall Floor Net exp. wall Int. wall Floor Ceiling 9 ye Floor 1 otal Btu. Reauired sa. ft. E.D.R. or sa. ins. W.A. Leader arpa Win ows and Doors—Crackage and Area Width Height I No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. v 2 Coef. Btu Infiltration Glass ,. d Exp. wall fCo;ef.*BtuInfiltration Glass 1W6 #7 Ceiling _ Exp. wall Floor Net exp. wall Int, wall Floor Ceiling / yMIA, 9 ye Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area d Fl. O / Room I Length /,I I Widthza Height 9 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. ofpaneof pane lights of crack sq. ft. v 2 Coef. Btu Infiltration Glass ,. d Exp. wall Net exp. wall Int. wall 1W6 #7 Ceiling _ g Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I - F1.1 Room I Lenath Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu 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 STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD /_ 7 ST. PAUL. MINNESOTA 55101 Date ZojYinq Author' Street Addr s City State Zip Code RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE Subject: Name of Day Care Ho.0e Applicant Street Address City State Zip Code DHS- A (9-85) PZ -02722-02 3- .3- ,5-- 7 Type of License: Family Day Care Group Family Day Care Licensed Capacity l® Phone No. This is to inform you that we are in receipt of an application for licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as the Public Welfare Licensing Act and the rules of the Department of Human Services. You should note that under Minnesota Statutes, Section 245.812, Subvision 3, a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subdivision 4 of the same section indicates that a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning. If we do not hear from you within 30 days after receipt of this letter, we will consider the above-mentioned day care home to be in compliance with your local zoning code. Sincerely, x�� Licensing Worker/ 11145-7 Street Address COMMUNITY HEALTH & SOCIAL SERVICES DEPARTMENT COUNTY OF ANOKA COURTHOUSE, FOURTH FLOOR Nam A ation City State Zip Code AN EQUAL OPPORTUNITY EMPLOYER rFA V - 7 GNOf FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 May 16, 1990 William and Christina Hogan 365 Mississippi Street N.E. Fridley, MN 55432 Dear Mr. and Mrs. Hogan: Recently it has come to my attention that you are permitting a vehicle to be displayed for sale on your property. This vehicle is parked on the lawn and does not register to your address. Per Fridley City Code 506.10 (copy enclosed), the only acceptable instance in which a vehicle may be displayed for sale on private property is when it is on a paved area and is registered to the property owner or occupant. Therefore, it is important that you immediately discontinue permitting this vehicle to be displayed for sale on your property. A reinspection will be conducted on or about May 21, 1990, at which time full compliance is expected. Please feel free to call .me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation! Sincerely, Steven Barg Planning Assistant SB:ls C-90-278 SUBJECT P City of Fridley 2123 AT THE TOP OF THE TWINS BUILDING PERMIT 1 ? RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 3 NUMBER REV. GATE PAGE OF APPROV By CITY HALL FRIDLEY 55432 1 612-571-3450 910-F15 3/24/92 JOB ADDRESS 365 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 Rice Creek Terrace, Plat 1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bill Hogan XX 365 Mississippi Street NE 571-2369 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. M.R.E. Construction 10928 Jersey Court,. Champlin, MN 55316 424-5083 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 IR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof; Reside; Soffit & Fascia; and replace windows 9 CHANGE OF USE FROM TO STIPULATIONS Convert 4 bedroom windows to meet State.egress requirements. Partial Permit Fee .reported on April reports; $5.40 State SC & $10.80 Fire SC. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 $12000 MR $6.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT f 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- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $158.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI_Vy {.+ P P RL IDATED THIS IS YOU PER IT BLDG INSP ATE SIGNATURE OF OWNER OF OWNER BUILDER, IDATEI . ....,>:� ........ titebt?:<.. aiiii:vii::;2;2;2:. 2;2;25;222;2: :. ::.... .,.,iiiaaka;iii. .v......... _•::;..........,. .�o:y...................bh::2RR Za........ ,.... ...... ....... ... ,.. ......., . ........ .., ..., • NEW [ l Effective 3/1/92 ADDN [ J CITY OF FRIDLEY ALTER PI SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: �3 GaS m 5S 1ssrj2p ! S77-- Legal 7TLegal Description: Owner Name & Address: C. YO c A -AJ e Tel. # Contractor: =r- odQSrRi1c-0ioA) - MN LICENSE # ,;L 90, Address: Tel. # z7 q -__-5-0k? Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF R"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 65)bi , R&PORE -90fC, ' a-1 %i564 R02LA<C (�iAJAQjA1_� Corner Lot [ J Inside Lot [ J Ft. Yd . Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: _3 —/ 5- ��2 - Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ (Cost on Back) DATE: -APPLICANT: - �� Tel. # -so 63 CITY USE ONLY Permit Fee $1?,�ZCXj, Fee Schedule on Reverse Side Fire Surcharge $/� °v .001 of Permit Valuation (1/10th%) State Surcharge $ _-r6e� e, °6$.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ S100 $5.00. (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ _ Agreement Necessary [ ) Not Necessary [ ) TOTAL STIPULATIONS: 4�o l �0 %a 1000 f6& Uc aaa,13� FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 July 17, 1992 William and Christine Hogan 365 Mississippi Street N.E. Fridley, MN 55432 Dear Mr. and Mrs. Hogan: A recent observation revealed that you are displaying a vehicle for sale on your lawn. Per Fridley City Code 506.10 (copy enclosed), the only acceptable instance in which a vehicle may be displayed for sale on private property is when it is on a paved parking area and is registered to the property owner or occupant. It is important that you attempt to sell this vehicle in a manner that complies with the enclosed ordinance or remove it immediately. A reinspection will be conducted on or about July 23, 1992, at which time full compliance is expected. Feel free to call me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation! Sincerely, Steven Barg Planning Assistant SB:ls CE -92-355 v SUBJECT P ITN City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 3' 3 8 6 r � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r CJy 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-Ft5 9/11/00 JOB ADDRESS 365 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 Rice Creek Terrace Plat 1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William A Hogan 365 Mississippi Street NE 763-571-2369 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 O NEW O ADDITION O ALTERATION j] REPAIR O MOVE O REMOVE B DESCRIBE WORK Repair siding 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $500 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .5 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC ARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ F SC $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $23.50 e .50 PLAN CHECK E TOIAL FEE 4.50 Si N4ru ��gCO'aaCTO A u ZED aGENi iDATE. N HE P VALI T TJIIS I MI i�Tjev /RP SG� ruQE OF O a0w O NEp u4D A� iDATE� 81 ,NSo ppTE v NEW [] - ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Effective 1/1/2000 (763) 572-3604 Bldg Insp %ice S s(-I3Z Owner Name & Address: 1 l h UV. , 4. P-0 gk , 'SCko-12— Tel. # 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: Construction Type: 5 Estimated Cost: $ .ten() (5 C� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: O — l PDO APPLICANT: Tel. # 7 63-S71 CITY USE ONLY - Call (763) 672-3604 for Permit Fees if mailing in application Permit Fee $ J SV Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $�� STIPULATIONS: CITY OF FRIDLEY PERMITO.: 2004-01365 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 08/27/2004 572-36U4 YAA: ( 7(33) 571-1237 ADDRESS 365 MISSISSIPPI ST NE PIN 143024240008 LEGAL DESC RICE CREEK TERRACE PLAT 1 LOT 8 BLOCK 2 PERMIT TYPE BUILDING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOW/DOOR REPL VALUATION : $ 600.00 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. INSTALL BASEMENT EGRESS WINDOW. APPLICANT HOGAN WILLIAM A & CHRISTINE 365 MISSISSIPPI ST NE FRIDLEY, MN 55432 OWNER HOGAN WILLIAM A & CHRISTINE 365 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 wor; will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancA the provisions of any other state or local lam regplat c ction r the a ance of construion An lican .G� ZMW Date /i� 7 Bldg Insp. BUILDING PERMIT FEE 26.55 PLAN CHECK FEE 17.26 FIRE SURCHARGE 0.60 STATE SURCHARGE, VALUE 0.50 TOTAL 44.91 PAID WITH CHECK # 7926 SEPARATE PERMITS REQUIRED FOR WORK OXHER THAN DESCRIBED ABOVE. NEW [ ] (toS� CITY OF FRIDLEY P�� Lk4y ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor. - I , Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax \ Tel. # 103-5 It - MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. FL Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: $ 16006 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �� APPLICANT: Tel. # 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. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge 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 [ ] TOTAL $ Lq �_�____ STIPULATIONS: Fe kttQ Cts c �s f r►� ��. � y / x Y7* �._ -- a��w� FR r� o7X �Z b✓ ��L�� YTC z ycanS� �'h ice e /-C Rev,-, 5e w'\,\ 14e + w ecA C rC at DG inS C vi C) �4j Et -1 1'vJ CITY OF FRIDLEY PERMIT NO.: 2004-02220 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 12/01/2004 (763) 572-3604 FAX: (763) 571-187 ADDRESS : 365 MISSISSIPPI ST NE PIN : 143024240008 LEGAL DESC : RICE CREEK TERRACE PLAT 1 LOT 8 BLOCK 2 PERMIT TYPE ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. # INSPECTIONS 2 APPLICANT HOLMQUIST CONTRACTING 7056 POLARIS LN N MAPLE GROVE, MN 55311 OWNER HOGAN WILLIAM A & CHRISTINE 365 MISSISSIPPI ST NE FRIDLEY, MN 55432 STATE SURCHARGE, ELEC FLAT 0.50 ELEC PERMIT FEE - MIN (RESI) 40.00 TOTAL 40.50 PAID WITH CHECK # 7546 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 wort 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 regulating construction or the performance of construction. Applicant Date Bldg Insp Date SEPARATE PERMITS KEQU1KEIJ PUK wUKK U i HrK i HAIN ur,0k-MIDr,1J HDV v n. 3uilding $ 3-.2< BUILDING Permit No.: WOs Ll lspections $ a_ 09 RESIDENTIAL APPLICATION Received By: 763-572-3604 $ .flu CITY OF FRIDLEY Date Rec'd: )ATE 74 ` [G' YOUR E-MAIL ADDRESS $ ;ITE ADDRESS S� , S i Park Fee MIS APPLICANT IS: *OWN& ❑CONTRACTOR $ PROPERTY OWNER/ NAME: i 5 t h e ADDRESS: CITY STATI&VIP s 5 y TENANT PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE—ZIP— TATEZIPWITH WITHAPPLICATION PHONE FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH A 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 17 M HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES — ❑ ATTACHED GARAGE 1. Existing Floor Plan 2• Proposed floor plan PROPOSED SIZE: ❑ DETACHED 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 OPENMGS-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 $ a M — OCCUPANCY TYPE Permit Fee $ 3-.2< Plan Review $ Fire Surcharge $ a_ 09 Surcharge $ 1.64 License Surcharge $ .flu SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ 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 payable 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 ' eq r Ie and approval of plans.% r'�',11 eL` DATE SIGNATURE OF APPLIC PRINT NAME h � /J✓ � CP Building Inspections 763-572-36 DATE JrV--� SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIIe 0 OWNER COMPANY NAME, CONTACT PERSC ; STATE LICENSE 0 ADDRESS: PHONE `SINGLE FAMILY 0 TWO FAMILY 0 NEW 71,ACEMENT DETAILED DESCRIPTION OF WORK .410 FAX 0 TOWNHOUSE 0 ALTERATIOWREMODEL Pemvt No.: Received Bye Dat M: APR 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 ' should reflect only .the cost of labor ) fixture, ate. ires•..(T>vs..... improvement, installation or replacement of a residential, excluding Labor cost under $300 = $15.00. Labor cost between $300 to $300 = cost otlabor X.05. FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FMTURE,.E MT WIIERE NOTED. RUUM,/: (DOICATETOTAL NUMBER OF EACH BELOW) MODEL • STZFJBTU . EgaipmentlnsWied MFG: MFG: MODEia C � MFG: SI7 JBTU SIZEJBTU A/C $25.00_AIR FIREPLACE (GAS) $15.00 ' ` GAS RANGE10VEN $10.00 NEW GAS $10.00 TO AIR EXCHANGEER $15 BOILER $35.00 FIREPLACE (WOOD) $35.00 FURNACE $35.00 HTRGRIS GAS UNIT HTR $10.00 POOL HEATER $35.00 CHIMNEY LINER $10.00 DUCT WORK $10.00 GAS DRYER $10.00 GAS PIPING $1000 VENTILEITOR;15.00 Permit Fee $ Number of fixtures @ $10.00 x 5IUMU = Surcharge $ 50 Number of fixwres @ $15.00 x$15-00—$ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = 0 Number of fixtures @ $35.00 x$35.00 State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR APERMIT NOT VAUD UNTIL PROCESSED edge that the information above is complete and accurate; Slat the work w171 be it conformance with the ces and odes City of Fridley and with the Minnesota construction Codes; that I understand this i I hereby apply for a building permit and I acknowl not a permit but o an ii for d work is not to start without a Penni that the work will be m actor &rth, approved plan in a case o w review and approval of ms. Cr �rn ATE SIGNATURE OF AP PRINT ;L J City of 1♦ ridley Building Inspections Department 64.31 University Avenue NE, Fridley, MN 55432 763-672-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXIS•TINAHQMF-S >:. 1. Combustion Air (See note belot)' ,_ ;A;, ;: a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropandTGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. RAC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8. with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Pef1MC 1346.0603.2 -- a_ ACCAManual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and makeup air calculations