Loading...
PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT A -;z C/Date:............_.................... Owner ....................................... Address....................................... N® 3522 Builderf4-- a • ... .. ........... ....... Address ............................................ LOCATION OF BUILDING No.Street ...... Part o Lot ..............-�"''� ......... . Lot ... r7....... Block ........... Addition or Sub -Division .. .... / ....... . ...iJ.=. �... Corner Lot ............ Inside Lot A ......... Setback �� : �. r� Sideyard � ................ DESCRIPTION OF BUILDING To be Used ... Front 7 � :�%� Depth�U. 6 Height ,l. f .. Sq. Ft. ��,7 Cu. Ft. � q ®�� .................... Front ........ Depth ..,.J� .. Height ..� Sq. Ft. ........ Cu. Ft. ........ Type of Construction ................... hist. Cwt. � q.9.5101........ To be Completed .................... In consideration of the issuance to me of a permit to cog desribed above, I agree to do the proposed work in accordance with the description above compliance with all provisions of ordinances of the city of Fridley. x. ...................................... f� In consideration of the payment of a fee of $� `�., permit is hereby granted to ................. ....................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with - In the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. A Building Inspector ''dJ-. NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these item& City of Fridley, Minn.. BUILDING PERMIT N° 6577 Date: -2 l Owner: � � Builder Jr - Address Address Address LOCATIONO UID G No. f:' ,Street T P Lot09 - -- --�— Lot _ _ __ Block ______�, . _.__ _ Addition or Sub-Di"- Corner ub- oCorner Lot _ Inside Lot _ _ "'� tback , . Sideyard Sewer Elevation ____ -- Foundation Elevation DESCRIPTION OF BUILDING To U ar• Front Depth Height Sq. Ft. 6� Cu. Ft Fro __ Depth HZ--=To Sq. Ft. Cu. Ft. Type of Constructi Est. be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set ��mpliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that Idare in, around and uponFridley, Minnesota regardwithin te dty mits and t may be revoked at anytjmupon olatio of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover As conslrucNon, leslaWan for wiring, phm bkg, gas heating, rower, or water. Be sure to see the Building hupector for separate permits for these Nene. City of Fridley, Minn. BUILDING PERMIT Date: JUNE 28, 1965 B11MML BISTODEAU Builder SAME Address 6730 MONROE ST. N.E. Address FRIDLEY 32, Minnesota LOCATION OF BUILDING No. 6730 Street Monroe St. N. E. Part of Lot 7® Y�— N° 8051 Lot - 7 _ Block a___ _ Addition or Sub -Division __ _ _ Brook -view Terrace Corner Lot — Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: PORCH ON GARAGE Front 12 Depth 21 Height 10 Sq. Ft. 25 2 Cu. Ft. 2,5 2 0 Type of Construction Front Depth Height Sq. Ft. Cu. Ft. Fit. Cost _. X0._00 To be Completed the pconsideration of the Issuance to me of a roposed agree to do work in accordance with the description abovee smit to seett and in buildingtruct the th a�lescribed above l compliance provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 4.00 , permit is hereby granted to BERNELL BISTODEAU to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota �ngg location, construction, alteration, maintenance, all and moving of buildings within city limit this permit may be revoked at any time upon violation of any of the provisions of said ALLEN G. JENSEN NOTICE: ibb posit don not cam tbo conshudion, hwhildlen for wiring, ping, gn baring, sower or water. go an to ere the Wilding Wpodor for a pards paredb for dmo hems. OWNER -'S APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ADDRESS ADDRESS LOCATION OF,BUILDING Scree Part of Lo �_...w., LOT R ADDITION OR SUBDIVISION Corner tot Inside LOT Setback Side -Yard SEATER - ELEVATIDN FOUNDATION EE"ATIOX Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn On these Certificates. DESCRIPTION OF BUILDING To b used as; `j Front_ 4 _ Dept Height Sq. Ft._ �g;L. _Cu. Ft._," Front Depth Height Sq. Ft. Cu. Ft. _ Type of Cons tructio .;i -�} Estimated c 15 To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicetiog are true and correct. —�1W� 1., S SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). City Of Fridley App9carion for ng and Cv= Fbftg Pom* Dept. of Bldgs. Phone SW -3480 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL �. i� aL d I y I 1 °CE1 < `a 160 �j t x $1.50 � Catch Basin .. ....... ...... • I • N WATER HTR. GAS ELEC. Base x $3.25 $ Electric Water Heater s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL let 3 Fixtures ...... ................... I x $2.00 $ 2.00 Additional Fixtures . ..........1.......-x$.75 $ Lias Range to 199,000 BTU .............. x $5.00 lot JINSTAIL UA LTE 2nd 3rd 4th ° Future CoanecUm Openings Connect" with New Fixture. ON OpeningsI Sewer Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... ...... x $2.00 $ Future Fixture Opening .... ... ...... x $1.50 $ New Fixture Old Opening .... . .. x $1.50 $ Catch Basin .. ....... ...... x $3.25 $ Water Heater (Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg. x $3.25 $ Electric Water Heater s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL let 3 Fixtures ...... ................... I x $2.00 $ 2.00 Additional Fixtures . ..........1.......-x$.75 $ Lias Range to 199,000 BTU .............. x $5.00 . 66 REPAIRS & ALTERATIONS—Refer to Code Description ....................................... $ TOTAL FEE $ SO 6730 MONROE ST, N.E., City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn- ,19-6-9 Owner DENNIS A. ULSTAD Kind of Building -FRAME Used as REQ'. To be completed about _5-28-69 Estimated Cost, $ 5.00 _Q d—New. Building Permit No. �parie " 7- Sign B„ MINNEAP S GAS CO. ROUGH FINAL -( 7 a Business Phone No September 10, 1982 Mr. Ken Liu 1309 McKinley Drive Ames, Iowa 50010 Re: Residential Rental Property Located at 6730 Monroe Street N.E., Fridley, MN Dear Mr. Liu: Enclosed please find the City's application form for a License to operate residential rental property. Section 220.11, of the Fridley Housing Maintenance Code, states that, "To allow for a systematic enforcement of this ordinance upon rental dwellings, no person on or following the sixtieth day after the enactment of this ordinance shall operate a rentaL dwelling without first having obtained a License to do so from the City of Fridley... No operating License shall be issued or renewed unless the rental dwelling and its premises conform to the ordinances of Fridley and the Laws of the State of Minnesota." Therefore, you are required to complete the enclosed application, sign it and return it with the appropriate fee to the City offices no Later than September 24, 1982. If there are any questions or problems, please feel free to call on me at 571-3450. Failure to abate this violation may result in this matter being turned over to the City Prosecutor for his Legal consideration. Sincerely, s STEVEN J. OLSON, R.S. Environmental Officer SJO/mh ENC: 1 a su9�Etr City of Fridley 32 AT THE TOP OF THE TWINS BUILDING PERMIT (E7 r ' ' PT NO. • COMMUNITY DEVELOPMENT DIV. V.... r SEC. / 72 04 l NUMBER REV DATE PAGE OF APPROVED BY TY HALL fRIOLEY SS132 �.j 612-571-3450 910-F15 9/16/98 JOB ADDRESS 6730 Monroe St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 1 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Norman 574-2562 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Century Roofing 6336 L ndale Ave S Richfield 55423 869-5133 200 3168 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 0 ADDITION 0 ALTERATION Cj REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Reroof house & garage (24SQ) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 1 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 @ $1.03 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,056.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 F SC $2.06 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION e ,� PLAN CHECK FEE TOT L FEE P" 1/ Li SC $ 0 $82.84 S,G NATURE OF CONTRACTOR OR$ZED AGENT $DATE, EN ROP V LIDTHIS IS R P R IT BL G ,NSR J QATE S,GNATURE OF OWNERJF OWNER BUILDER, $DATE, a NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: ke / y b /'I' ciA Tel. # Contractor: MN LICENSE #--2o6 q3/,c Br Address: (356 x k ews , C.kf ie jc. 9;Q{ Tel. # 'L !-S/�— Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length DESCRIPTION OF EWROVEMENT Width Height Width Height Width Hgt/Ground OTHER: ,ie- V—&0 -.F � 7� n Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Sq. Ft. Sq. Ft. Sq. Ft. 224 S9 Estimated Cost: $ (Fee Schedule on Back) Ft x $ = $ DATE: 0111k H C1 1- APPLICANT:&AJ Tel. # SL 9' 5/3,3WZ STIPULATIONS: CITY USE ONLY Permit Fee $ �� 7�� Fee Schedule on Reverse Side Fire Surcharge $ & .001 of Permit Valuation (1/10th%) State Surcharge $ /, U-� $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge _ $ UCS $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 $ c� STIPULATIONS: SUBJECT City of Fridley 331 19 AT THE TOP OF THE TWINS BUILDING PERMIT PT NO. �` COMMUNITY DEVELOPMENT DIV. __ r >. ___ PROTECTIVE INSPECTION SEC. Ai( � 6493 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910415 9/26/02 JOB ADDRESS 6730 Monroe Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 7 3 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike/Jayne Norman 6730 Monroe Street NE 763-795-5288 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Budget Exteriors 8017 Nicollet Ave S, Bloomington MN 55420 952-887-1613 6564 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 6 windows within existing openings 9 CHANGE OF USE FROM 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. Per"InsPecti®n Cards 11 ill 00 MOW To homeowner To Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING 1 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 $3,085 $1.54 WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License C $5.00 $196.87 SIGN eruRE OF CON 'PAC TOP OR AUTHORIZED AGENT iO4TE. EN gOPE IOATED IS IS YOUR PERMIT/ BLO iNSP OAft S.GNATURE OF OWNER-IF OWNER BUILDERS iDATE, NEW [ ] ADDN [ ] ALTER ConstructionAd 3esl• Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/99 Owner Name & Address: J QYI't L0-*-%. Tel. #143 -X95-52a' Contractor: I A A A )5 x i aY s MN LICENSE # 1, S� Address: $QI -+ t i r -M leA AyC S. Tel. # 952-8d'3 - IL 13 �D» �A-Y' /-N� Attach to this application, a Certificate of Survey of the SSW D lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: S ,Estimated Cost: $ 3 _ 84 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: L3-23-02- APPLICANT: e, Tel. #162-982-11,13 CITY USE ONLY Permit Fee $ g4. 2S' Fee Schedule on Reverse Side Fire Surcharge $ :3 dy .001 of Permit Valuation (1/10th%) State Surcharge $ /. ,f'1 $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ s, 00 $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 $ 1010. 8 ENTERED SEP 2 3 2002 STIPULATIONS: ,V � b Building $ BUILDING See Back Page for Fee Schedule Permit No.• Inspections RESIDENTIAL APPLICATION Received By: OW- 763-572-3604 CITY OF FRIDLEY Date Rec' . 4 4W DATE t_�m YOUR E-MAIL ADDRESS .0005 x Permit Valuation Minimum $.50 SITE ADDRESS '30 hA p l%j-n ST. K .Co THIS APPLICANT IS: ❑ OWNER )g1CONTRACTOR $ PROPERTY OWNER/ NAME: F t AA Curb Cut Escrow TENANTADDRESS: b"7'3® A,�O^r®C1. rr Iy (Z <`� CITY � a -e L, STATEZ&II' Erosion Control PHONE: 016 ?q CONTRACTOR NAME: 41,1A ` fi 9 5 $ SUBMIT A COPY OF STATE LICENSE # D _ 7 L{ I EXP DATE YOUR STATE LICENSE ADDRESS: R z ll"-% 1-3(5t / `� CITY 6tMA 1:5�c S STAT ZIP ✓��' 33 8 WITH APPLICATION PHONE _T (,' % ;2t?Q FAX - '-(V) - y I �7 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH WROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: 1 ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: 4- `e{'® SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING�/ ❑ HOUSE ONLY NUMBER OF SQUARES 02 ( MOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl []Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ,q'4V•o0 OCCUPANCY TYPE Permit Fee $ 3 dZ� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ / , r] .0005 x Permit Valuation Minimum $.50 License Surcharge $ .Co $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 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 $ ;V. (ol Make checks payable 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 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 worhich re a rev'ew and approval of plans. !!ppo SIGNATURE OF APPLICANT PRINT NAME D Vl!\ ftlt n DATE OC g o DETAILEDDESCRIP'Cl•ONOFWORK _ — — —.------- 5 the Permit fee is a Fd9nirnnnt of �i15,00 or 5% of the total cost np to $Sdd.f]d, whichever is greater, for the PERMS 1GB.G6 [� S Is should reflect only the Bost of labor ) improvement, instal or replacement of a residential fixture, excludin the fixtures. (Tb Labor cosi under $300 = $1.5.00. Labor cost between $30Q to $500 =cost of labor �_�_ x.05=r� FOR,,,,,,rS WHERE. LABOR EXCEEDS M, FEES ARE BASED ON S 10.00 PTsR FIX TURF, EX > C) NOTED S E (INDICATE B rOTA.i. NUMBER OF EACH BELOW) MFO*: MODEi�i��^ S17..FJBTIJ Fquipmcntinst:+llcd MFO:� MODEL: 'SIZE•1BTU MFG: �� MODEL:—•_�—.— GAS RANGWOVEN $10.00 AIC 825.00 FIREPLACE (GAS) $15.00 -�V GAS GXU L $10.00 gTREPLACE (WOOD) $35.00 GAS UNIT iirR $190.00 Alli TO AIR EXCHANGEER $ilS FURNACE $35.00 �P POOL HEATER $35.00 �$01LER $35.00 —GAS DRYER 510.00—VENTQ.ATOR $15.00 CHID0MY LM1k $10.00 GAS PIPING $10.00 DUCTWORK$10,00 :. ,.• .PEM T F' • Number of fixtures @ $10.00 x Permit Fee $ .50 Number of fixtures @ $1500 x Surcharge Number of fixtures (a, $25.00 TOTAL 13LIE Number of fixtures @ $35.00 1 x $35.00 State Surcharge $0 Total $ b�S?_ THIS )S AN APPLICATION FOR A PERMIT•NOT VALID UNTIL PROCFSSED I hereby apply for a building permit and 1 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 as application for a permit ork isnot to start without a permit; that the work will be in accordance with the approved plan in the e o l Work w ra"lraes re iew pad approval of plans. SIGNATURE OF APPT `J City of Fridley Building Inspections ]Department 6431 University Avenue NE, Fridley, MN 55432 763572-3604 FAX: 763502-4977 From: 9528814491 Page: 2/3 Date: 3/10/200812:14:33 PM ,GS�74� Permit NO -%0 QL - MECH.A�NiCAi Building RESIDENTIAL APPLICATION Received By:- Date Inspections 763-572-3604 CITY OF FRIDLEY YOUR E.MATL ADDRESS DATR b SITE ADDRESS THIS APPLICANT 1st O OWNER =0•NTRACTOR PROPERTY NAME:I� c sTATt�'-��-� OWN%RtCrrY ADDRESS: ��� TENANT FHONI;.�� ' �1 Co N 1 RAC'TOA COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: STATE LICENSE# STATS ZiP, YOUR STATE� LICENSE WrM AJDUKESS: APPLICATION PHONE SIN iLE FAMILY O TWO FAMILY p TOW N140USE PE[tMrr TWE NEW 5CUPT.ACEMi NT C1 ALTERATION/REMODEL •RSL f YPE OF WORK 9 _ DETAILEDDESCRIP'Cl•ONOFWORK _ — — —.------- 5 the Permit fee is a Fd9nirnnnt of �i15,00 or 5% of the total cost np to $Sdd.f]d, whichever is greater, for the PERMS 1GB.G6 [� S Is should reflect only the Bost of labor ) improvement, instal or replacement of a residential fixture, excludin the fixtures. (Tb Labor cosi under $300 = $1.5.00. Labor cost between $30Q to $500 =cost of labor �_�_ x.05=r� FOR,,,,,,rS WHERE. LABOR EXCEEDS M, FEES ARE BASED ON S 10.00 PTsR FIX TURF, EX > C) NOTED S E (INDICATE B rOTA.i. NUMBER OF EACH BELOW) MFO*: MODEi�i��^ S17..FJBTIJ Fquipmcntinst:+llcd MFO:� MODEL: 'SIZE•1BTU MFG: �� MODEL:—•_�—.— GAS RANGWOVEN $10.00 AIC 825.00 FIREPLACE (GAS) $15.00 -�V GAS GXU L $10.00 gTREPLACE (WOOD) $35.00 GAS UNIT iirR $190.00 Alli TO AIR EXCHANGEER $ilS FURNACE $35.00 �P POOL HEATER $35.00 �$01LER $35.00 —GAS DRYER 510.00—VENTQ.ATOR $15.00 CHID0MY LM1k $10.00 GAS PIPING $10.00 DUCTWORK$10,00 :. ,.• .PEM T F' • Number of fixtures @ $10.00 x Permit Fee $ .50 Number of fixtures @ $1500 x Surcharge Number of fixtures (a, $25.00 TOTAL 13LIE Number of fixtures @ $35.00 1 x $35.00 State Surcharge $0 Total $ b�S?_ THIS )S AN APPLICATION FOR A PERMIT•NOT VALID UNTIL PROCFSSED I hereby apply for a building permit and 1 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 as application for a permit ork isnot to start without a permit; that the work will be in accordance with the approved plan in the e o l Work w ra"lraes re iew pad approval of plans. SIGNATURE OF APPT `J City of Fridley Building Inspections ]Department 6431 University Avenue NE, Fridley, MN 55432 763572-3604 FAX: 763502-4977