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PRE 2010 DOCS59917 City of Fridley, Mi. 11.4 0.9 6431 University Ave. N.E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: May 4, 1972 Owner: Viewcon, Inc. Builder Same Address 5901 Brooklyn Blvd. Address Same LOCATION OF BUILDING No. _154k_ Street l ort Oberlin Circe_ Part of Lot Lot —_ 6 _.. Block __._ 7—.---- Addition or Sub -Division Innsbruck North Corner Lot _______.___ Inside Lot X Setback — Sideyard Sewer Elevation To be Used as: Townhouse __.. Garage Type of Construction Foundation Elevation DESCRIPTION OF BUILDING 1240 Front — 2 01 Depth 31 t Height 281 Sq. FL 620 Cu. Ft. 17.3 0 14 2 101 3080 Front _ Depth Height Sq. Ft. Ca. FL Wood Frame Est. Cost 20, 819.84 To be Completed 10/1172 Stipulations': 1. Developer agrees he will supply all the materials noted in the letter written ,by the City Engineer dated 2/22/72 by May 30, 1972. 2. Ste as indicated on foundation permit. In consideration of the issuance to me of a permit to construct g above I agree to do the proposed work in accordance with the description above t fo and ' with aril provisions of ordinances of the city of Fridley. 19,41 State Sueehewge In consideration of the payment of a fee of $ 38.00 - , permit is hereby granted to Viewcon, Inc. 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 ordinonew of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of build }Within the city limits and this permit may be revoked at any time upon violation of any of the provisions of d ordinances. NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to seo the Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : __U ,( ^,t ,0 1M) J<,"' BUILDER : ADDRESS • D / / ADDRESS: NO:.�S" 0 STREET: NO-' (DQ LOT: (0 BLOCK:_ ADDITION:_ CORNER LOT: INSIDE LOT: K SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: /art) -,r )ht, tAj2 .1 Front: o?p Depth: J/ Height: S/0 Square Feet: a0 Cubic Feet:— Front: eet:Front: /- Depth: 0202 Height: /d Square Feet; t3Q Cubic Feet: Type of Construction: (.foo& An'llt-e _ Estimated Cost:_$ o70, 8/9.(g4l To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in st-kict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. n /1 DATE: 7 j I" u(3, A , l� � Z_._- SIGNATURE: 'I (See Reverse Side For Additional Information.) -W,3,9. 00 /0 . q1 Vz �V4'• q I /ya8 iay0 /17/209;0 (a 0 3o8 a') /I VS -13 _ /) 1,2q0 43 9.s"jI/ It) lgL-1 o 13 9S'�2 y 08/ 9.8 y �IOR� N -- 240-- _ 4 �y i 7, % C'� II / Cq:�� 1E0 OBERLIN 20.0 - O -- 1-14.00 40.0 -- / sr5'0 CIRCLE A / 1 T UIG.G/� L t I ' l I nsNbU Cn,)" OG) til R �' ,TT3 / /;.0 14.© 2CG.0 CIRCLE A / 1 T L t I ' l I d Z.0 -- 24 0 — i4 �S�lo 6, t�-" OG) til R �' ` 14.© 2CG.0 I o 4.0 20.0 Q 20.0 -7�4.0 t ° X4.0 '•/ / 'Ir //� /J� 20o c, / ;, / II / t'� I I i A' Q U j, ! to (j n of Cl t7)- t J I 1 `/ ST1 L d �l (, I _ I'� i I I i� C> �► / C �/ / 1 1 j i I I / i i �ti tr III,: T C, I I w �._`'� cII /� - � �;• ''1; // II � I I � / / I ' ' I I �-; j � I I � ;o � , , I c', r.: y / / � �,i /,• �rj C � , , i ;' � � n1 c_J i, � � / 2. `L0.0 4.0 2G.0 cp 0 i•0 I C) n b rJ ` O 0 �S�lo 6, /�roZ O I o 4.0 20.0 Q 20.0 -7�4.0 t ° X4.0 '•/ / 'Ir //� /J� 20o c, / ;, / II / t'� I I i A' Q U j, ! to (j n of Cl t7)- t J I 1 `/ ST1 L d �l (, I _ I'� i I I i� C> �► / C �/ / 1 1 j i I I / i i �ti tr III,: T C, I I w �._`'� cII /� - � �;• ''1; // II � I I � / / I ' ' I I �-; j � I I � ;o � , , I c', r.: y / / � �,i /,• �rj C � , , i ;' � � n1 c_J i, � � / 2. `L0.0 4.0 2G.0 cp 0 i•0 I C) n b rJ ` O 0 City of Fridley AppEcaftn for Phunbbig and Gnu Dept. of Bldga. Phone WD -3450 DESCRIPTION OF WORK Number. Kind and Location of Fixtuzeo MRIONEMMMEM MENEN!nw NNNEN Nnomn nomn in WKNOWNEMEn9ml REMENEWEENNEENNE • rutnra Connadios OpeningsI Goons sa wrm • New Fixture, Old Openings 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 Owner' Kind of Building Sou"� Used as PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ =(.._ x $2.00 $ .06— Future Fixture Opening .... :...... x $1.50 f—.. New Fixture Old Opening .......... x $1.50 t Catch Basin .................... x $3.28 i Water Heater 'Up to 99,000 BTU) .... x $3.00 $ J-06 New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL. lot 3 Fixtures Z52.00 $ Additional Fixtures .............. x $ .?6 $ Gas Range to 199.000 BTU .. ,......... x $5.00 $ State Surcharge $ .50 REPAIRSS & ALTERATIONS—Rater to Code _ Description m .. . e . . . .. ... a .. s.. . e... ... a.. . .... o ......� TOTAL FEE$ F) To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No.�� 1r) 1111 Signed Bu ' Phune No ROUGH MULL r� Applicailon for Power Fknk and Heath% Cooling. Ventilation. Re�igeration and Air Coedbioning Spstens and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: BR'A'G TOTAL Furnace Shell & Duct Work ....:..................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ /,0 "OD each add. 60.000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.0 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Eines—to 400 sq. ft. EDR Steam . .. .$10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 ' $ Each add. 320 sq. ft. EDR Hot Water : . . ........ ... 3.00 $ OIL BURNER—to 3 gal. per hour ..... ' ... ... .. ..... 6.00 $ over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 149,000 BTU) ..... ........'.......'.. 8.00 $ over 199,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE 1st 3 Fixtures ..... ................ x$ ?LW yTOTAL $� Additional Fixtures .................. x .75 $ Gas Range to 19900 ........... s$ 800 $ AIR C0R4DPPIONIItG $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM 4 �OTALFES $ / 1 ALTERATIONS do REPAIRS $ �' ROUGH kcllk� 16 - Dept. of Bldgs. Phone 880-34M City of Fridley: The undersigned hereby makes application for a permit for the work hereit 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 facts and representations stated in this application are true and correct. Fridley, Minn -13— Owner 13—Owner Kind of Building Used as To be completed about -� Estimated Cost, Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—.Steam, Hot Water. Wq0LAir­No e Trade Name Size No- Y -Q Capacity o Sq. Ft. E.D.R BTU H.P. Total Connected Load Y Kind of Fue BURNER — Trade Name Size No Capacity Sq. FL E.D.R BTU H.P. (REMARKS -OVER) 53-84—S-915.51 City of Fridley Application for Ptnie &g end G= FBI Pon k Depit. of BUkpL Pkona 9 ".DESCRIPTION OF WORK�„� 1546'bberlin Circle L-6 B-7 Number. Bind and Location of Fixtures F8111MMMMuMMMIMMMMI am NEENNEENNEENEENEOM ENEENEEMENEEMENEM MENNNEEMENEENNOMM MENSEEMENNEENNEEM 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 $3.26 $ Water Heater (Up to 99.000 BTU)... . x $3.00 $ New Ground Run Old Bldg........ . Electric Water Heater .............. GAS FITTING FEES: 1st 3 Fixtures . Additional Fixtures ................. . Gas Flange to 199.000 BTU.............. REPAIRS B ALTERATION --Rotor to Coda x $3.25 $ s $2.00 = NO. RATE TOTAL x $2.00 ; x$.75 3 1 x $5.00 s 5.00 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 Cita Ordinance and ruling of the Departnunt of Buildings. and hereby declares that alit the fact and representations stated in this application are true and correct. Fridley, Mier+ 9-26-72 19, Owner Darrell Farr Dee. Company - Kind of Building Frame Used as Res. To be completed about 10-3-72 Estimated Cost, $ 10.00 �1 New. Building Permit No. Permit NO. � / 2 Signed. T= By MINNEGP,SCO - ROUGH FINAL 62) � Description .......................... ; g� t -A'4 Sbr&- 0f9e iso TOTAL FM $ 5.00 (SURCHARGE $_,g� Business Phone No SUBJECT City of Fridley 7 2 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v r 1 PROTECTIVE INSPECTION SEC Ci( 1 I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 10/6/94 JOB ADDRESS 1546 North Oberlin Circle NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 7 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Tabor & Sons Inc. 3716 St Francis Blvd, Anoka, MN 55303 789-1902 20014248 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential Townhouse 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION j REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling & Install Gutters 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. 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 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 $2,036 $1.02 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $54.00 Fire SIC $ 2.04 PLAN CHECK FEE TOTALFEE �e/ License SC $5.00 1$62.06 SIGNATURE 6F CONTRACTOR OR AUTHORIZED AGENT IDATEI WHENPROPERL VALIDATED THIS IS YOUR PERMIT � SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI BL INSP BATE NEW [) Effective 1/ 1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application G -4 - Construction Address: 15-2{r - North Oberlin Circle , Fridley Legal Description: Owner Name & Address: Contractor: Tabor and Sons, Inc. Tel. # MN LICENSE # 20014248 Address: 3716 - St. Francis Blvd. Anoka, Mn. 55303 Tel. # 789-1902 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Roof i n g=gutters Estimated Cost: $ 2 0 3 6.0 0 Approx. Completion Date: TOTAL $ C ,2' D STIPULATIONS: 89-1902 Ga r $ai- l&'y.gy (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ — $ DATE: 10/3/94 APPLICANT: Tabor and Sons, Inc. Tel. # JJ M USE ONLY Permit Fee $1- Fee Schedule on Reverse Side Fire Surcharge $ ..001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ 5--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 $ C ,2' D STIPULATIONS: 89-1902 Ga r $ai- l&'y.gy �A sue'-Fc' PE J City of Fridley 31033 AT THE TOP OF THE TWINS BUILDING PERMIT RECEI i COMMUNITY DEVELOPMENT DIV. V _ r ��__ PROTECTIVE INSPECTION SEC. (�% g� NUMBER REV GATE PAGE OF APPROVED BY �­1 CITY HALL FRIOLEY 55432 612-571-3450 910418 6/8/00 JOB ADDRESS 1538,42,$6,50,54,58,62,66 No. Oberlin Circle 1 LEGAL[ LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED ..DESCR. 1-8.. 7 Innsbruck North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Innsbruck Townhome Association 651-224-5482 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Garlock-French Roofing Corp. 2301 E. 25th St. ls-, M 55406 612-722-7129 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 00001423 S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING "Residential 7. CLASS OF WORK ❑ NEW O ADDITION O ALTERATION] REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof Building 9;,, CHANGE OF, USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. permit "t' , e /1I :2rds 81 ,111,94, f® Home � rer 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 9 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 $15,610.00 $7.80 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 265.25 Fire SC $15.61 PLAN CHECK FEE TOTAL E 2 .66 SIGNATURE OFCON�RACTORORAUTHORIZE 0AGENT IDATEI OWEN P OPER LIDATED T IS IS YO R PERMIT S,GNATURE 01 OWNEA,IF OWNER BUILDERI IOATEI isp nA�t �A SUBiEC1 P� E City of Fridley 3217 AT THE TOP OF THE TWINS BUILDING P E R M I T r? ` _����_• COMMUNITY DEVELOPMENT DIV. t,. [P® ��� . RECEIPT N r PROTECTIVE INSPECTION SEC. 1 . � NUMBER REV OATS PAGE OF APPROVED BY 1 = ""'1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/19/01 JOB ADDRESS 1538 '- 1566 North Oberlin Circle NEy(es I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1-8 7 1 Innsbruck North Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Various 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Columbus Exteriors 2131 111 Lane NW, Coon Rapids, MIN 55433 763-757-7530 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING 8 Unit Townhouse 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION (R REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside Building; Soffit/Fascia; Window Wrap 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 REOUIREO 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 8 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 $60,625 $30.31 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $720.75 Fire SC $60.63 STRUCTION R THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE 0T LL FEE $811.69 lA SIGNATURE OFCONTRACTOR ORAUTHORIZED AGENT iDATEi RLY VALID TED THIS IS YOUR PERMIT d(&PP SIGNATURE OT OWNEA.If OWNER BWLOEAi IOATE. c OA�t Building PLUMBING Permit No.:7-qa- Inspections RESIDENTIAL APPLICATION Received BIEP 763-572-3604 CITY OF FRIDLEY DR'S1 200 DATE 9 / O 7 YOUR E-MAIL ADDRESS SITE ADDRESS SAmAt Owwta/- THIS APPLICANT IS: 0 OWNER *ONTRACTOR Mary Kastan PROPERTY .NAI„: 1546 North Oberlin Circle OWNER/ ADDRESS: Fridley, MN 55432 ATE ZIP TENANT • PHONE: 7635723788 CONTRACTOR Nom: SUBMIT A COPY OF STATE LICENSE # G EXP DATE ���� ADDRESS a CITY !/! STATE sfYo9' YOUR STATE LICENSE WITH . PHONE — 4103.3 FAX -9 7 -7 — 117 APPLICATION - PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: NEw XREPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 1613.665 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. CMis.should.reflect only.the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOREROJECTS WHERE LABOR EXCEEDS•J500;7FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPTW:HEREMTED :FIXT-URES:•_.(INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING _ _ GAS PIPING (mm cnyiim rsk) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER _ KITCHEN SINK_ WATER CLOSET _ BACKFLOW PREY. ($15) _ -LAUNDRY TRAY LWATER HEATER ($35) FOR IRRIGATION _DISHWASHER WATER METER OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15,00 = $ TOTAL DUE $ Number of fixtures @ $35.00 x $35.00 = $ 3S.0c State Surcharge = $ .50 Total = $ 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 ' app n 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 o 11 w rk which fres review and approval of plans. SIGNATURE OF APPLICAL/ JtT A 10A 0rY! DATE ?/1/4z u City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building $ (AJ5 BUILDING Plan Review Permit No.: 661 -O Inspedtidhs Fire Surcharge RESIDENTIAL APPLICATION Received By - 763 -572-3604 $ f J CITY OF FRIDLEY License Surcharge Dat d; 763-502-4977 FAX SAC Charge $ let Curb Cut Escrow $ EFFECTIVE 1-1-08 Erosion Control $ (/ DATE q ` /- O YOUR E-MAIL ADDRESS f� '1-U C� Vi a Yn S ��l ✓'�? ��S�v�� _ SITE ADDRESS ( S gljbSz Al 6'1z _ Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ ' / NAME: l0 �169 ADDRESS: 15 d Al � 0� (�Yl i/' ,- CITY _ —_STATE InAIZIP S.S TENANT PHONE: b 12 -%/K - 30©S V NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE ❑ SINGLE FAMILYINEW CONSTRUCTION SIZE /o�✓w h;;, 2 ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED INDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING .-O-OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR to MODELING DESCRIBE WORK BEING DONE: Pe pace - w.),aeW, c,J J,eade r5 - SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE I. 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 I . Site Plan/Survey showing the existing structures ❑ Aluminum ❑Trim and proposed project. ❑ Other 11 Fascia 2. Two sets of construction plans WINDOWS � 3. Energy Calculations IN EXISTING OPENINGS..OYes [IN, LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF /ila n i=l ow + F�p� 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 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ uf� OCCUPANCY TYPE Permit Fee $ (AJ5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ e .001 times the total job valuation Surcharge $ f J .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 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 $, r� Make checks payable to: City of Fridley Attach Sti ulatious 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 accordan ith the ap��prr ved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT 1 1st NT NAME Cl2a;q T y 62 WA? DATE APPROVED BY i/ l/ DATE