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PRE 2010 DOCSArlo CI -NOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 April 16, 1991 Boriss Zile 431 Mississippi Street N.E. Fridley, MN 55432 RE: Home Occupations Dear Mr. Zile: In the zoning district where you live, home occupations are permitted as an accessory use, provided that certain criteria are met. Two of these requirements (City Code copy enclosed) are as follows: 1. No stock in trade shall be stored outside the dwelling unit. 2. Any home occupation shall be clealrly incidental and secondary to the principal use of the premises and shall not change the residential character. Recently we received information suggesting that you may be operating a towing business out of your residence which is not in conformance with the restrictions. If this is correct, please comply with the City Code by discontinuing this activity immediately. 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 -91-95 1 CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 March 19, 1992 Owner/Occupant 431 Mississippi Street N.E. Fridley, MN 55432 RE: Property at 431 Mississippi Street N.E. Dear Owner/Occupant: Fridley City Code 506.10 (copy enclosed) provides restrictions on displaying vehicles for sale. Recently I observed a vehicle displayed for sale at 431 Mississippi Street which appears to be in violation of the following requirements: 1. The vehicle must be kept on a pavedlparking area. 2. The vehicle must be registered to the property owner or occupant. ( I was unable to determine whether or not this requirement was met.) It is important this vehicle be displayed in a (manner that complies with the enclosed ordinance or that it be rem ved immediately. A reinspection will be conducted on or shortly after March 25, 1992, at which time full compliance is expected. Please feel free to call me at 572-3595 if yu have questions or wish to discuss this further. Thank you for dour cooperation. Sincerely, Steven Barg Code Enforcement Officer SB:ls CE -92-74 CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 WEED NOTICE June 11, 1993 Boriss Zile 431 Mississippi Street N.E. Fridley, MN 55432 RE: Noncompliance of Fridley City Code 105 (Weeds) on the Following Property: Location: 431 Mississippi Street N.E. Legal Description: Lot 3, Block 2, Rice Creek Terrace Plat 1 Property I.D. No.: 14-30-24-24-0003 Dear Mr. Zile: Fridley City Code 105 (copy enclosed) states that it is unlawful to maintain land in the City upon which weeds, grass, or rank vegetation exceeds ten (10) inches in height; or other noxious growth exists as outlined in the ordinance. This was enacted to protect the health and safety of the community and its residents. A recent inspection of the above referenced property revealed conditions which are not in compliance with this ordinance. It is important that you take appropriate steps to correct this situation immediately. I will conduct a reinspection on or shortly after June 22, 1993 at which time full compliance is expected. Should this deficiency still exist, I will instruct the City's Public Works'Department to abate the condition. In the event the City abates the condition, you will be served a notice in writing indicating the work performed and the costs and expenses involved. The total amount must be paid to the City within 30 days after this notice or before the following October 1, whichever is later. If this is not done, the costs and expenses shall become a lien in favor of the City; and a 15% penalty will be added to the amount due as of the date, with the total costs, expenses, and penalty thereupon to be certified to the County Auditor for entry on the tax books as tax against the land. Please call me at 572-3595 if you have questions or wish to discuss this further. Thank you for your cooperation! Sincerely, Steven Barg Weed Inspector CE -92-282 1 CINOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 29, 1993 Boriss Zile 431 Mississippi Street N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 431 Mississippi Street N.E. Dear Mr. Zile: 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 431 Mississippi Street revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Discontinue outside storage of brush pile located in the rear yard. 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 about July 12, 1993, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls cc: Gary and Patricia Phillips 531 Mississippi Street N.E. Fridley, MN 55432 CE -93-307 CITY OF FRIDLEY INSPECTION DIV, ��' 6431 University Ave NE JCE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Fumace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs.& Alterations (LIST ON BACK) I% of Value of Appliance or Work Commercial/Industrial I% of Value of Appliance or Work Rate $ 20.00 $ 10.00 $ 10,00 $ 10.00 $ 10.00 Effective On January 1, 1993 JOB ADDRESS 4i 3 11�i0Q� The undersigned hereby makes application for a permit for the work herein TOTAL 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 $ � V-� representations stated in this application are true and correct ,1993 $ /y� A ='r 1, !1 , /?aN 0 BUILDING USED AS ESTIMATED COST PERMIT NO. /ZC DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units—1 Circle One (St Trade Namee if! BTU 0,000,n od-!-IP ,am) (Hot Water) arm Air) Size NAF-)�) y _ EDR $ Fuel_ N� Total Connected Load State Surcharge .50 TOTAL FEE MINIMUM FEE FOR ANY HEATINGICOOLING(VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. 5 Burner Trade Name BTU HP Size No. EDR DEPENDABLE INDOOR AIR QUALITY, INQ HEATING COMPANY 2619 COON RAPID; BOUT r;V D COON RAPIDS. MIN 55433 Signed By Tel No. 5r) q r Approved By 1' Rough -In Date Final Date 10-13-cj / FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE F2 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes o ( ) 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes (br/No ( ) S. Meets all current Code requirements for size and total BTU's connected �� ,/Yes No ( ) 6. Has total heating BTU's of G � `� ® ' ' '" All other BTU's is C) l� ®-® P TOTAL BTU's Remarks List Alterations Being Done:- / ' /) e ®_ t �iLiL1YU!'YWLL ,11uvv,.0s;u�..• „w. � S 2619 COON RAM', 3-JU?_I:V,'\R i ; HEATING COMPANY C -FIDS. N 6� Signed ByL� V Date NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUIL DING PERMIT APPLICATION vy"i Construction Address: Legal Description: Owner Name & Address: Tel. # Contractor: MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the.proposed construction drawn on it to scale. DESCRIPTION OF LMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground 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: Estimated Cost: $ Ft. + 6 Ft = Ft x $ CITY USE ONLY Tel. # Sq. Ft. Sq. Ft. Sq. Ft. _ $ 0a.3. a o Tel. �J g!, Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 August 16, 1994 Boriss Zile RR 1, Box 113A Boy River, MN 56632 RE: First Notice of Noncompliance at 431 Mississippi Street N.E. Dear Mr. Zile: 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 431 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. Cut and remove very large tree branch hanging down to the ground in the rear yard. 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 September 6, 1994 to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:sb CE -94-414 OF ��1756 c( CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 Dear Resident, The City Council has directed me to conduct a survey of those residents affected by the proposed ordinance amendment to require hardsurfacing of all existing gravel/unpaved driveways. Your response to this survey is very important. The results of this survey will help shape the Council's decision on this issue. The purpose of the survey is to find out how residents are planning to comply with the paving requirements. Please complete the enclosed postage paid survey card and drop it in the mail by June 5, 1996. Also enclosed is a description of the financing alternatives currently available to residents. There is room on the survey card for other comments you may have. The survey results are completely confidential; there is no way to trace the survey response to an individual household. Thank you for your patience. The results of the survey and the ordinance issue will be discussed at the June 24, 1996 City Council meeting at 7:30 pm in the Council Chambers at the Municipal Center at 6431 University Avenue NE. Please feel free to contact me at 572-3595 if you have any questions. Sincerely, Kurt Jen en -Schneider Code Enforcement Officer KJS:kjs C-96-106 CITY OF FRIDLEY FINANCING OPTIONS CITY ASSESSMENT The property owner can request to be placed on the City's work list. Once the work list includes a large number of driveways the city would negotiate a reduced rate bulls contract to pave those driveways. The bulk contract could significantly reduce the price of the driveway installation. The cost would be assessed to the affected property with the following terms: 5 Year Assessment 7% Annual Interest 5% Administrative Charge 100% Deferred until sale of the property if the property owner is 65+ and meets income guidelines. Deferment is also available if the property owner is disabled HRA 5% LOAN The property owner could individually contract to have a driveway installed. A loan from the Fridley HRA could be used to cover the cost. Terms of the loan include: 5% Annual Interest $25,000 maximum loan amount Maximum household income not to exceed $58,560 Application Review and Approval ng. SUBJECT PE City of Fridley(0'2-6624 AT THE TOP OF THE TWINS BUILDING PERMIT t AMU P-T NO. i ; v __��__ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 . � NUMBER REV DATE PAGE OF APPROVED BY E _ 1 CITY HALL FRIDLEV 65432 �""" �'' 612-571-3450 910-F15 7/15/98 JOB ADDRESS 431 Missi sippi St. NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 1 Rice Creek Terrace Plat 1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE GreggWerner 431 Mississippi St. NE 502-0158 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 ❑ NEW ❑ ADDITION ❑ ALTERATION IQ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof extend breezeway roof over entry- Tear-off; add ice & water; install 4 new windows 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. Install smoke detectors in all sleeping rooms and on all levels of the dwell 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 1 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 1200 .60 DOES NOT PR ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION O HE PERFORMANCE OF CONSTRUCTION. $40.25 Fire SC $1.20 PLAN CHECK FEE OTAL FEE 42. SIG AT RE OF CONTRACTOR R AUTHORIZED AGENT IOATEI PR ERLY ATED T IS YOUR PERMIT 7!/ Si URE IIF OWNER BUILDERI IDATEI BLDG 1q9P DATE ng. NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:SS/�I��/ Legal Description: Zol ,:7 u� 4.4 C /`,– 2—(?�C�, di e� Owner Name &Address: �ie (JZr2 431 Tel. # Contractor: 5e&. 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 F'ty-Vn /3� � � �� EDF (,%L LIVING AREA: Length dth Height Sq. Ft. bJ j-7 ' GARAGE AREA: Length ZWidth Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: x;5 u 4 -L Estimated Cost: $ / (Fee Schedule on Back) Driveway Curb Cut Width Needed: FLt.6= Ft x $ _ $ DATE: / ' IS �� APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ L� 041 TOTAL CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: �� -��e'!". Rm M- Vh,,A-14 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: ADDRESS : 431 MISSISSIPPI ST NE PIN : 143024240003 LEGAL DESC : RICE CREEK TERRACE PLAT 1 : LOT 3 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING VALUATION : $ 1,737.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (15 SQ) TEAR OFF STATE LICENSED CONTRACTOR APPLICANT PEAK ROOFING 14939 RAVEN ST NW ANDOVER, MN 55304 OWNER ROGNEY, LINDA 431 MISSISSIPPI ST NE FRIDLEY, MN 55432 1 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 coraWction or the performance of construc o' Annlica i � �^-�--�_ bate 17/� Bldg Insp 571-1287 PERMIT NO 4-00312 DATE ISSUED: 03/10/2004 BUILDING PERMIT FEE 63.15 FIRE SURCHARGE 1.74 STATE SURCHARGE, VALUE 0.87 LICENSE SURCHARGE 5.00 TOTAL 70.76 PAID WITH CHECK # 5422 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. R4 //61 NEW [ ] CITY OF FRIDLEY Effective 1/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: -74j/ ff%rr,; � Legal Description: Owner Name & Address: 1612 zCy Tel. # N- P a2Y,1— S-Y3i Contractor: 17-� 4 MN LICENSE # 20 -?,?07o3 Address: I Y9Itf �vc s /��✓ �d�-. /i!/�ST��Y Tel. #—'26 1 -7f -P-004'0 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: / v � Construction Type: / o��'' �'M"� ° Estimated Cost: $ 3s-oa • c d Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ -=$ DATE: plc 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. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side .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 [ J .R. STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE Ti M .Ti V MW CCAII --, -"- • -- --- 572-3604 FAX: (763) 571-1287 ADDRESS : 431 MISSISSIPPI ST NE PIN : 143024240003 LEGAL DESC : RICE CREEK TERRACE PLAT 1 : LOT 3 BLOCK 2 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT O.: 2004-00352----'\,, • - t DATE ISSUED: 03/18/2004 ` I-� l VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A INSTALL 5" B -VENT CHIMNEY FROM BASEMENT TO ABOVE ROOF; RECONNECT THE FURNACE AND WATER HEATER. # A/C UNITS 0 VALUE OF APPL OR WORK 700 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 APPLICANT ST MARIE SHEET METAL INC 7940 SPRING LAKE PAR SPRING LAKE PARK, MN 55432-2253 (763) 784-5241 OWNER ROGNEY, LINDA 431 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 work 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. Bldg HEATING PERMIT MINIMUM FEE 25.00 FURNACE SHELL/DUCT WORK 0.00 GAS PIPING FEE 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 25.50 SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - t Cl FY OF FRIDLEY INSPECTION DIViSION Effective January 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR FLOWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 - JOB ADDRESS-��.�.5 RATE SCHEDULE ' OWNER �»�� R&2o est r Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS__ 140 &-#?A Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) ESTIMATED COSTPERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ No. of Heating Units Circle One (Steam) - (Hot Water) (Warm Air) Trade Name Size No. *Air Conditioning - All Sizes $ 25.00 $ BTU HP EDR Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) 19ro Value Appliance r1 Burner Trade Name Size No. of of or Work BTU HP EDR Commercial/Industrial 1.25 Ja 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 e50 $-25--150 representations stated in this application are true and correct. DATE 9 -10-U q 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. HEATING CO Signed _ Q TEL # X63 - 79'1-5,2<e Y FAX #_A.1- Approved B Rough -In Date' Final Date 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 , 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( 1 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 manufacturers specifications. This does Include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The eY efing enmNinfinn Air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When required to install a new enmhiictinn air it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When Installing a new ventingnystem, the undersigned hereby verifies that itis a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes (.) No (; ) Appliance #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 K 15a cp v 4— 4-y to10®u e— jzo.- &t . -a c_6e eranizat 2-449-, '�-Cr �,e U✓ �r mar �, C. HEATING CO: r Signed By. Date: 3 —� CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 VAX: (763) 571-1287 ADDRESS 431 MISSISSIPPI ST NE PIN 143024240003 LEGAL DESC RICE CREEK TERRACE PLAT 1 LOT 3 BLOCK 2 PERMIT TYPE BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMI NO.: 2004-00409 DATE ISSUED: 03/31/2004 �, f VALUATION : $ 1,500.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. REPAIR EXTERIOR WALL WHERE CHIMNEY WAS REMOVED APPLICANT ROGNEY, LINDA 431 MISSISSIPPI ST NE FRIDLEY, MN 55432 OWNER ROGNEY, LINDA 431 MISSISSIPPI ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulatin construction or the performance of construction. Applic t Date Bldg Insp Dao BUILDING PERMIT FEE 54.00 FIRE SURCHARGE 1.50 STATE SURCHARGE, VALUE 0.75 TOTAL 56.25 PAID WITH CHECK # 5505 SLFAKA l h FFKMI 1J KGQ U1KF1J r UK W UKK U l HhK MAN 1JF6l:KWr it fuse v r,. NEW [] ADDN [ ] ALTER [ ] Construction Address: Legal Description: Owner Name & Address: Contractor. 1,59 F CITY OF FRIDLEY Effective 1/1/2004 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION 0 1 q6 ` s d , 6cv Tel. # /(0,:5 - MN LICENSE # Tel. # 9frm 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: DECK AREA: OTHER: Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. 1'-r-�-001 oa Construction Type: tt pal r2 +ry-m O V -u Estimated Cost: $ s a -�� Ch) Mn Driveway Curb Cut Width Needed: Ft. + Ft x $ _ $ DATE:3-3 0 `0 APPLICANT: �6:!� Tel. # Call (763) 572-3604 for Permit Fees if maili g in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL E CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: Building BUILDING Permit No.: r7 H S Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: (� 763-502-49}77 FAX EFFECTIVE -1-1-08 1 C� r7� -67 OI'W 4elz( fib' �r 60y"• re ry p �ex" `�I DATE ` YOUR E-MAIL ADDRESS _ SITE ADDRESS 7 Y4 l '� C ) 1";5 r 7P" 5r THIS APPLICANT IS: ❑ OWNER— NTRACTOR PROPERTY OWNER/ NAME: r T = pe TENANT ADDRESS: f 5 S S 5 r Ir• Sr CITY fk �'t� "T7 STATE" ZIP PHONE: �X -ZYZ- 93 NAME: 1ferL• in(oc i4-, t7o Cc,, A/ CONTRACTOR ADDRESS: IV' S /T'E- c ( °^ CITY t�"5r Ck STATE ZIPOZ SUBMIT A COPY OF PHONE / Z - _7 (• �a ZY FAX v�W�► e'-7cY YOUR STATE LICENSE STATE LICENSE # O 17 7-13 9 ('( EXP DATE 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 _B-eTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR -EnTE-MODELING DESCRIBE WORK BEING DONE: 120 - OP -L lZ1Ol( SIZE OF IMPROVEMENT -7LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yeso LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESC IBE SIZE OF _),,, L OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST Or LAn0R AND MAI EMALA: XING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 'k � 00 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 00 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) $1825 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 uavable 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 WR 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 I be in accord?r7 prov�in the case of all work which requires review and approval of plans. SIGNATURE OF APPL ANTS_ PRINT NAME'G►y'� (moi c®�`� DATE/6` / G a � 1 i7n�_ .� m S S, v U� I Q 1 i7n�_ .� m S, v U� I Q 1 S, v U� I Q ilding PLUMBING Permit No.: a ections FT RESIDENTIAL APPLICATION Received By: 572-3604 CITY OF FRIDLEY Dak"' 763-502-4977 FAX EFFECTIVE 1-1-08 DATE ffl -ell" QW YOUR E-MAILADDRESS 10 SITE ADDRESS THIS APPLICANT IS: ❑ OWNER DCONTRACTOR PROPERTY NAME: ADDRESS:�-�� /�1'i� .S� % s/V �� CITY r STATE ZIP OWNER/ TENANT PHONE: �� / 2 CONTRACTOR NAME: r ) h STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND #,ate jq S70 EXP DA' E CERTIFICATE OF ADDRESS: gal I?.2C�(�t�• �e CITY 8'r0f 7MLP STATE) �ZIPSs3o3 INSURANCE PHONTX�Lg l�9- PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK Ife.,42 PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00.. Labor cost between $300 to $500 = cost of labor x .05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUIVBER OF EACH BELOW). MINIMUM FEE $15.50. VBATH SINKILAV DRAINS _ SHOWER _ WATER PIPING _FLOOR _jeBATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK ve WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER Permit Fee $W 3 Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 (MINIMUM $15.50) (MINIMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances 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 whit requires review and approval of plans01 d4A.L!vvsTE ! �PRINTNAME�l'7ayj /b—oZ SIGNATURE OF APPLICANT` APPROVED BY DATE 11, City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 `` MECHANICAL Permit No.-?Odh OL Building Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Da 'POI f 32001 763-502-4977 FAX EFFECTIVE 1-1-08 DATE A9 — C�- YOUR E-M`AI/L ADDRESS SITE ADDRESS 4/3/ %yI, THIS APPLICANT IS: .OWNER ❑CONTRACTOR PROPERTY NAME: S _ ADDRESS: /A-) �v S �� !F CITY s e ► STATV, Sri' OWNER/ TENANT PHONE: ,4/4L^ CONTRACTOR COMPANY NAME: CONTACT PERSON: NOTE: SEPARATE CITY LICENSES ARE STATE LICENSE # EXP DATE REQUIRED FOR GAS AND HVAC. ADDRESS: CITY STATE ZIP SUBMIT COPY OF BOND PHONE FAX ANDINSURANCE PERMIT TYPE ,�<INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW :,REPLACEMENT XALTERATION/REMODEL TYPE OF WORK: DETAILED DESC PTION OF WORK —cc Z PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost andr $300 Labor cost between $300 to $500 = cost of labor X.05 = ___,)$15.00. FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZEIBTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU A/C $25.00 (GAS) $15.00 _GAS RANGE/OVEN $10.00 _FIREPLACE TO AIR EXCHANGEER $15 (WOOD) $35.00 _NEW GAS GRILL $10.00 _AIR _FIREPLACE $35.00 $35.00 GAS UNIT HTR $10.00 _BOILER _FURNACE CHIMNEY LINER $10.00 _GAS DRYER $10.00 ? OTiLATOR OL HEATER $35.00 V $15.00 DUCT WORK $10.00 PIPING $10 00 EN $ _GAS V. ,.. , Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $25.00 x $25.00 = $ --oL5,5u Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM $15.50 MINIMUM $15.50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a mechanical permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. PRINT NAMQ4V e= DATi�� — SIGNATURE OF APPLICANT APPROVED BY DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 `` Building $ BUILDING Plan Review Permit Ivo Inspections Fire Surcharge RESIDENTIAL APPLICATION c2, .001 times the total job valuation Received By: __q 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ i toTec p P()()6 2009 763-502-4977 FAX $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$, EFFECTIVE 1-1-09 $ $450 Conservation Plan Review DATE YOUR E-MAIL ADDRESS b I s+ f►�� (��`S�}�IC' � , �� SITEADDRESS 4131 m ISSIs(�1 Agreement necessary ( ) Non Necessary ( ) THIS APPLICANT IS: OWNER ❑CONTRACTAOR Make checks savable to: Citv of Fridlev Attach SODUlations PROPERTY OWNER/ r NAME: iap— i f '1/jC� t i` do _ TENANT ADDRESS: `�'3 1l , nISS�csli InrOSl. TY_ I Lt°�1 STATEff 3Z PHONE: —1(e3—oi q -q CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE 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 HOME CONSTRUCTION ❑ ADDITION MAINTENANCE/REPAIIcR ❑ REMODELING DESCRIBE WORK BEING DONE:__M'f VV4p�i bq S�-la Ce {, — ae iy� �y1 S 1 C� ✓L� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 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 19Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminu 1�Trim I. Site Plan/Survey showing the existing structures Other (WA 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 SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ h7q, a See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ c2, .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$, Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks savable to: Citv of Fridlev Attach SODUlations 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 on site; that the work will be in accordance with the approved plan in the case of all ork 0which re�J(y ir�es review and approval of plans. c ] f SIGNATURE OF APPLICANT ��y� Pw �C�.Gg,¢JA PRINT NAME L%Pid e S4 i a DATE Building 0-&0` O" V BUILDING Permit Fee Permit No.: Inspections Plan Review RESIDENTIAL APPLICATION Received By: 763-572-3604 $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge CITY OF FRIDLEY Date: 763-502-4977 FAX $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ EFFECTIVE 8-19-09 $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering DATE — 19-09 YOUR E-MAIL ADDRESS Agreement necessary ( ) Non Necessary ( ) SITE ADDRESS In l / 5-S jlssfi11 is 4. Make checks vavable to: Citv of Fridlev Attach Stiuulations THIS APPLICANT IS: /'OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME; d� TENANT ``�, ADDRESS: lJo3l {Nil s S j S S rc�Or �' CITY 9 [� f_ STATE%��✓ZIP c�c � Z PHONE: _ZLR 3'� y a- S� 3 CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE 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: 13 NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR 4f.REMODELING DESCRIBE WORK BEING DONE: +6_Li rt ! i K;F 3 b tJ W oo cte ✓1 (A) I to daw s — 12WJ' n -j � n S U J I ng i A - S& o SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: IDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures 13 Other ❑Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ¢i (USING THF. 199711 -R -C FF,F. RCEIRDIII.F,l TOTAL JOB VALUATION $ 0-&0` O" V OCCUPANCY TYPE Permit Fee $ , See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ v Make checks vavable to: Citv of Fridlev Attach Stiuulations 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 f r 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 ork whic and review and approval of plans. p ( �+ SIGNATURE OF APPLICANT PRINT NAME A rX s� cS 1 r DATE 9-d -6 / 2 �aL"v..A u"e.... S C' Building BUILDING Permit No.: '-®tn Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY e�'i 1 2009 763-502-4977 FAX See Back Page for Fee Schedule Plan Review EFFECTIVE 8-19-09 0-7 65% of Building Permit Fee DATE ® - /1/-- 6 5 YOUR E-MAIL ADDRESS $ SITE ADDRESS Y 166 (eS.S1"Al2(t O $ THIS APPLICANT IS: OWNER 6CONTRACTOR $ PROPERTY OWNER/ NAME: /,n `ems $ TENANT Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ ADDRESS: 1.5419-m>, CITY STATE ZIP $450 Conservation Plan Review PHONE: _10_02(49 $ CONTRACTOR NAME: $ SUBMIT A COPY OF Total Due $ YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE 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 -PLDECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: 1 l �/ �f✓d SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SO FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, S IDING 11 Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: 13 Aluminum ❑ Trim l . Site Plan/Survey showing the existing structures 13 Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ faTHE b OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 0-7 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 0 —71 Make checks Davable to: Citv of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application f9r a permi 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 o all ork whic uires review and approval of plans. ,[ q SIGNATURE OF APPLICANT PRINT NAME L/hdAL NS 1 f- DATE V., s Cl T - z1- , -2 4- -to lift W, zo