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PRE 2010 DOCSibing gas heating, �s. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 11 JOB ADDR RATE SCHEDULE "Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK)v 0 I; 1 % of Value of Appliance or Work d_�-, $ /S0 ► _A_ , /a It, Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ A CIO DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water)arm?AkTrade Nameri L� SizeNo. 6�aao BTU _ HP_ EDR Fuel `7' Gov Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATIN MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed 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. Tel No. Approved By ( Rough -In Date Final Date l6)' ZZ --I ( FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $ 2�2�0 Q that all the facts and representations stated in this application are true and correct. 9- .9- 91991 Gas Piping (Needed with neW furnace) $ 10.00 $ OWNER Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ ESTIMATED COST PERMIT NO.� _ "Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK)v 0 I; 1 % of Value of Appliance or Work d_�-, $ /S0 ► _A_ , /a It, Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ A CIO DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water)arm?AkTrade Nameri L� SizeNo. 6�aao BTU _ HP_ EDR Fuel `7' Gov Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATIN MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed 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. Tel No. Approved By ( Rough -In Date Final Date l6)' ZZ --I ( FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE ft CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes 00 No ( ) 2. Is free from rust or deterioration Yes (- No ( ) 3. Has no foreign objects lodged within Yes (K) No ( ) 4. Is securely supported Yes ('J) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes No ( ) 6. Has total heating BTU's of Q) /ir O �l All other BTU's TOTAL BTU's Remarks 1% W -,o- List Alterations Being Done: HEATING COMPANY G Signed By Date HEAT --LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.HN.. Construction No. Guide Windows Doors Reference 1,1 Out. Wall TInt. Wall Ceiling Roof Floor y'es-FoI e� s— o 19.__ FII7,— I-- Rneirrt L.enath If Width/0 Height p' 11 Windows and Doors—Crackage and Area 3 ( lie lCoef.1 w 1.11h Height I No. of Lineal ft. Area NO, or Dane of pane lights of crick 11q ft. 2 3r 2�zl 3 / 362 / Glass aw S d &/ Coef. Btu Infiltration 31(- Net exp. wall Glass / l am Glass Exp. wall S",)[ Ceding (/ M 900,49 wall i / n I . o___ It ---.L 017 ar:J.L r% LJ_:_L. -A- _Exp. Net exp. wall Floor 3 / 2y' - Int. wall %% Ceiling lix Floor _Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.14ZO Room I Length,ff Width Windows and Doors—Crackage and Area width Height No. of Lineal rt.F2.0 Ara& N.r. or pane of pane Il.hta of crackw. ft. � 2-0z �/ Windows Windows and Doors—Crackage and Area 3 ( lie lCoef.1 Btu Infiltration 3 3f / Glass aw S d &/ Exp. wall Cy Exp. wall 31(- Net exp. wall Glass / l Int. wall 3 Exp. wall S",)[ Ceding (/ M 900,49 Floor 1,91-1 Total Btu. Required s% ft. E.D.R. or sq. ins. W.A. Leader area i / n I . o___ It ---.L 017 ar:J.L Ceiling LJ_:_L. -A- Windows Windows and Doors—Crackage and Area 3 ( lie Windows and Doors—Cra kage and Area Width HeightNo. of Lineal ft. Area No of pane of pans liffhte of crack sq. ft. Z s /04' Exp. wall 'ef— / Net exp, wall 1i Coef. Btu Infiltration Exp. wall 31(- Net exp. wall Glass Floor L09 117 -710 3 3 Exp. wall S",)[ Required sq. ft. E.D.R. or sq. iris. W.A. Leader area 1 ew I rs 1 r I_ _ .r Net exp. wall Int. wall 133 / / Ceiling Floor 3 Z Total Btu. sq. ft. E.D.R. or sq. ins. W.A. Leader area Insulation How R... m Ilii,pmoth // Width /a Height Windows and Doors, --C, aekage and Area 3 ( lie Windows and Doors—Cra kage and Area Width Height N� , M Lineal ft. Area No. of pane of pane 11 :4111 or crack sq. ft. 16 ill- 04 s /04' Exp. wall 'ef— / Net exp, wall 1i Coef. Btu Infiltration�t Exp. wall Ceiling Net exp. wall Glass Floor L09 117 -710 3 � Exp, wall 7 1 Required sq. ft. E.D.R. or sq. iris. W.A. Leader area 1 ew I rs 1 r I_ _ .r Net exp. wall 133 / / Int. wall Ceiling Floor %% Total Btu. 1 I. — Required sq. ft. E.D.R. ora . ins. W.A. Leader area Fl.l Room I ngth /ZWidt Windows and Doors --Cr ckage and Area Width Height No or Lineal tt. Area No. or pans of pane Ili to or crack aq tt. Infiltration 3 ( lie Windows and Doors—Cra kage and Area Glass -w Exp. wall 'ef— / Net exp, wall 1i Infiltration /% Int. wall Exp. wall Ceiling Net exp. wall Floor L09 117 -710 3 Total Btu. Floor 7 1 Required sq. ft. E.D.R. or sq. iris. W.A. Leader area 1 ew I rs 1 r I_ _ .r VVPJ.L / rt.l ewvm 1 Wean �. •.... ....e... v Windows and Doors—Cra kage and Area Width Hot It No. Lineal It. Area No. of pane of pea* Ilih of crack w. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor 7 1 Total Btu. 11 Required sq. ft. E.D.R. or sa. 16s. WA. Leader area W1 3 SUBJECT P City of Fridley 2 69 9 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 4/9eo r NUMBER REV DATE PAGE OF APPROVED BY i I CITY HALL FRIDLEY 55432 ----� 612-571-3450 910-F15 8/5/98 JOB ADDRESS 1428 Mississippi St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marguerite E Pratt 1428 Mississippi St 571-8136 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house 10 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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 834 .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. $32.00 .84 PLAN CHECK FEE TOT L FEE 33.3 SI NATURE OF CONT RACTOROORRjA'UTHORIZEgD.�AyG��EGyNTT.- IDATEI N P DP ALIDA TNI$ I UR PERMI BL NSP PATE SG ATUR F OWNERUF OWNER B ERi IDATEI s NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FANIILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION (Q� 0 ConstructionAddress: Legal Description: Owner Name & Address. Tel. #��� �`/ 3 4 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 EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 11-3 f o Ai,., , ,,moi Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ 8�3 (Fee Schedule on Back) Ft x $ = $ - DATE: APPLICANT: 6 Tel. # 7 /--,ql 3 CITY USE ONLY Permit Fee $ 2c� OCC Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ ,S3 $.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 $ =33 3 STIPULATIONS: SUBJECT P . City of Fridley 2 7 0 7 0 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. 1 L PROTECTIVE INSPECTION SEC. �� 9 r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 8/10/98 JOB ADDRESS 1428 Mississippi St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mar uerite Pratt 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Best Siding Co 1310 154 Ave Ham Lake 55304 413-0500 2846 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 ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house and soffit & fascia 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 4702 $2.35 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OgfvANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI HE PERF09MANCg OF CONSTRUCTION. $99.75 Fire SC $4.70 Q/ 0 PLAN CHECK FEE TO L FEE ® 7;p!* ice S$5-W/111.80 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (FATE, N R P M LID T THIR-71-Te- j1r 11 OF OWNER I$F OWNER BUILDER$ IDATEI SIGNATURE BLPG INSP BATE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � 70 74 ConstructionAddress: Legal Description: Owner Name & Address: '4 e f e Qr4 Tel. #_ Contractor: MN LICENSE # Address: A",- 4-4 to 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: r@ S; A e AA D S So -)q;4 cL-1+-&,-i x Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: J �� Estimated Cost: $ V 76,;2 i (Fee Schedule, on Back) Ft x $ _ $ - APPLICANT: � /.,— & 4 's Tel. # CITY USE ONLY Permit Fee $ Ct r? - 71/ Fee Schedule on Reverse Side Fire Surcharge $ y. 7 0 .001 of Permit Valuation (1/10th%) . State Surcharge $ 2 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ <. o o $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: �//:� v54b /41 SUBJECTRMIT NO. - City of Fridley 2 9451 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. � `v _�____ COMMUNITY DEVELOPMENT DIV. SEC. 7d_// r PROTECTIVE INSPECTION ""'1'j CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L 612-571-3450 910415 5/12/99 JOB ADDRESS 1428 Mississippi Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Marquerite Pratt 1428 Mississippi St NE 571-8136 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sussel Corp 1852 Como Ave, St Paul, MN 55108 651 645-0331 1934 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK X] NEW O ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 22' Detached Garage 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] 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 $9,196 $4.60 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 $174.75 FirA SC $9.20 -r'l2n PLAN CHECK FEE Lice S $5 0 OT TL FEE $193.55 SIGNATURE OF C00RACTOR OR ACTHOR12EO AGENT iDATEo EN ROPjiqLZVALIDAT D/'_HIS IS OUR PERMIT S-GNATURE OF OWNER, -F OWNER BUILDERS IDATE, BL �hS� T/ATt /41 NEW Effective 5/ 10/99 L� ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FA I LY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 1 Construction Address: AfLUtil'jJ q it i4e 4e ' o \, Legal Description: Owner Name &Address: !�� cT U_y10 _ �f �''' Tel. # Contractor: S uU S �� C_ m J ® MN LICENSE # i t( Address: � L a i4 V S'rf �� �a l Tel. # 4P9 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length - Width4.0 1 Height Sq. Ft. - 6� DECK AREA: Length Width Hgt/Ground Sq. Ft.rj%` OTHER: Construction Type:t �n Estimated Cost: $ i 1. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �- 7 �' APPLICANT: cr �(/ tf o ,�� Tel. # V11 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 0/,- 2D .001 of Permit Valuation (1/10th%) State Surcharge $ �/ d �� $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ ;S. $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 $� �S STIPULATIONS: suejECT PERMIT City of Fridley i 6 � 1 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT N ` __���_ COMMUNITY DEVELOPMENT DIV. Tr r PROTECTIVE INSPECTION SEC. E _ , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L •� 612-571-3450 910-F15 3/15/01 JOB ADDRESS 1428 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 7 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marguerite Pratt 1428 Mississippi St NE 763-571-8136 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Aluminum Supply Inc 7701 Main St NE, Fridley, MN 55432 571-3440 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 7983 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION IR REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Replace window sashes 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO OWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,800 $1.90 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW Fire S $3.80 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $97.25 PLAN CHECK F TOTAL F Lice e SC $5.0 $10 .95 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN P OP IDATEDPH16 IS YOUR P OG So IoaTE //MIT /V S-GNATURE OF OWNER,IF OWNER BUILOERI IDATEI g03/11�4/2001 [ 1]4:13 ADDN C ] ALTER [ ] ConstructionAddress: Legal Description: 7635712260 ADVANCE ALUMINUM SUP CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION e PAGE 01 Effective 1/1/98 Owner Name & Address: f l��L]�Ytke_ i�(/�- - �` ( •`M""`rr` "` Tel. # 7/A �9/— Contractor:_ b'�i�t sr. �9 c•� ,�-� �. s o� �'•�°� 5 : i -�L MN LICENSE # 2P 8 Address: 770/ -7— 'q -0c- Tel. # S7/'- 3 Y518 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 Estimated Cost: $ • L� OMAJO (Fee Schedule on Bach) Driveway Curb Crit Width Needed: Ft. + 6 Ft = Ft x $ = $_ DATE: , APPLICANT: Tel. # CI"i'Y USE ONLY Permit Fee $ , ��� Fee Schedule on Reverse Side Fire Surcharge $ .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 $ /0/),! S . STIPULATIONS: �q rca,I'-�D -cat .GnG Q� Building Inspections 763-572-3604 DATE / 67 —,0& SITE ADDRESS l `-P DES THIS APPLICANT IS: PROPERTY OWNER/ I NAME: TENANT .-I I CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR /E-MAIL ADDRESS ST ❑CONTRACTOR PHONE: Permit No.; Received By: _ Date Rec'd: /i TEk*Tp.'-� ;:L - STATE LICENSE # EXP DATE ADDRESS:CITY STATE—ZIP nurnrF FAX ❑ SINGLE FAMILY/NE ❑ TWO FAMILY/NEW ❑ ADDITION ❑ BASEMENT FINISH ❑ DECK Is] DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ONo OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE W ROOF ❑ SIDING ❑ SWIMMING POOL ❑ ADDITION PAIR ❑ REMODELING LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS OF WINDOWS ❑ WINDOWS ❑ DRAIN TILE ❑ OTHER HEIGHT Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations Permit Fee 111,2,6$ A7 Plan Review Fire Surcharge $ $ Surcharge $ License Surcharge $ Ga'. 00 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$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach Sti THIS IS AN APPLION 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 which requires review and approval of plans. �1 SIGNATURE OF APPLICANT yr/ W7� vz y Eiae1 PRINT NAME, � � Y �C f 7 ' t Pfd DATE a y- / - 7 b