Loading...
PRE 2010 DOCSCity of Fridley, NUmn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: May 4, 1972 Owner; Viewcon, Inc. Builder Address 5901 Brooklyn Blvd. Address Same Same LOCATION OF BUILDING No. __15.5.4 — Street r.._ laorth ,Oberain Circle part of Lot Lot 4 Block 7 Addition or Sub -Division — Innsbruck North Corner Lot _.___._.__. _ _ Inside Lot _ Y R Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: Townhouse Front 20 ,Garage-___ int 14' Type of Construction Wood Frame Stipulations: DESCRIPTION OF BUILDING 59917 11413 1240 Depth 31' Height 28' Sq. Ft. 620 Cu. Ft. 17,360 Depth 22' Height 10' Sq, Ft. 308 Cu. Fir 3080 — Est, Cost .,._ 20, 819.84 To be Completed 10/1172 1. Developer agrees he will supply all the materials noted in the l6tter written by the City Engineer dated It 2/22/72 by May 30, 1972. 2."`� a as indicated on foundation permit. In consideration of the issuance to me of a permit to, Obnstru the buil g bed above I agree to do the proposed work in accordance with the description ab ov ' set f d co ]i ce with a111 provision of ordinances of the city of Fridley. S� 4 10.41 State Surnha In consideration of the payment of a fee of $ REBX 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 ordin4nees of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildtogs .Within the city limits and this permit may be revoked at any time upon violation of any of the provision of said ordinances. Building Inspector NASIM QURESHI NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to as 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,(.Q, X I9 JVTX i BUILDER:_ EPt.iYYL.-C� ADDRESS : / ADDRESS: ,l A� STREET • LOT: t BLOCK: ADDITION: V1 Cyt-, 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: tJ�r I�Zstt oo Front: o?Q y Depth: 03/ Height: "78/ '/o yp .. Square Feet: �0 Cubic Feet:_ —Front: /-S/ Depth: aa2 Height: /d TO Square Feet; Cubic Feet Type of Construction: _WQ-6& /Aj7t9 Estimated Cost:_$ To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict 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. DATE :���_ SIGNATURE as - (See Reverse Side For Additional Information.) Q© � So � �� d� l d 10- 441 iayo a 139s�:2d-/ I -�' I /.5-3 24 20R0 Cll 4DI z 4 nic � 1�0 -�� 4Jl 03ERLIN 40.0 lrso CIRCLE 11.0 0 --7-40 - 14.0 20.0 14 -C) O 24.0 9E140 *20.1 G) tTj 6 -Cc) 20 1-4 fn 14.0 Cp 6 CIRCLE 11.0 0 --7-40 - 14.0 20.0 14 -C) O 24.0 *20.1 G) vr Vr q.A.o 6 -Cc) 20 Cp 6 700 0 24 .0 C) I C) • <0 c 71 t7� 1 10. {' 111 / I I / � � t)1 / 'I I • f/ '% I I ,/// / /" Iq Ti 7.4 20 0 20,0 -2.0.0_� -29 M36 a 29"S"WRA City of Fridley Applicaflon for Phanibbig tmd Gas leg t Dept. of Bldgs. Phone 580-M DESCRIPTION OF WORK Number, Kind and Locakion of Fixtures M NO. RATE TOTAL Number Fixtures ................ I i O 0 Future Fixture Opening ............ x $1.50 MM New Fixture Old Opening .......... x $1.50 S MIN x $3.25 S Water Heater !Up to 99.000 BTU) • .. • f x $3.00 $ J. 0o New Ground Run Old Bldg......... x $33.25 S RE a $2.00 $ WIN NO. RATE TOTAL lot 3 Fixtures ................ M MEMNON Additional Fixtures ............... x $ .76 $ a x $5.00 $ State Surcharge $ .50 neul, EME"W"UNNim IMEMIN NERNMEMININEEMENNE EMMINNEEMMOM MEMNON MMEE NEME--ME- Em- Nowl • Future Co=wdion Openinip I • New n3dw e. Old Opeatn" PARTIAL RATE SCHEDULE City of Flridley: The undersigned hereby makes application for a permit for the work herei, specified, agreeing to do an work in strict accordance with the City Ordinance and ruling of the Department of Buildings6 and hereby declares that all the fact' and representations stated In this application are true and correct 9.�9 Fridley, Minn P Owner ,���"•e Kind of Building _�9:4 61 0 Used as PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ . x $2.00 i O 0 Future Fixture Opening ............ x $1.50 i New Fixture Old Opening .......... x $1.50 S Catch Basin .................... x $3.25 S Water Heater !Up to 99.000 BTU) • .. • f x $3.00 $ J. 0o New Ground Run Old Bldg......... x $33.25 S Electric Water heater.... • . , ....... a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL lot 3 Fixtures ................ — x $2AO $ Additional Fixtures ............... x $ .76 $ Gas Range to 199.000 BTU ............ x $5.00 $ State Surcharge $ .50 REPAIRS ! ALTERATIONS—Rater to Godo Description . . . .. . . . .. a .. a • ... • .... ....... • ... ... TOTAL FEE $ To be completed about Estimated Cost. $ Old—New. Building Permit No.. ROUGH FINAL 6-J Sigr E Applicaftn #or Power Pmts and Hewb% Coof n% lone Retr%erefts and , U Air Conditioning S"N nes and Devices PARTIAL RATE SCHEDULE Dept. of Bldgm. Phom W -UM GRAVITY WARM AIR: RATE TOTAL Locallea Furnace Shell & Duct Work ............... I .......... $10.00 $ Replacement of Furnace ............................'. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ CH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ I d' dv each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .. .$10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR 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 1118,000 BTU) .......:...... '......... 6.00 $ 3 over 199,000 BTU See Fes Schedule ; GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 100 Additional Fixtures ................. x .76 $ Gas Range to 199,000 ........... xa &W $ AIR CO1�iDITIONIIIG $ FAN HEATING SYSTEM See Fee Selo VENTILATING SYSTEM cam{LJe ALTERATIONS do REPAIRS TOTAL FEE $�_ ROUGH FINAL 'I -It - 7 V �d City of Fridley: The undersigned hereby makes application for a permit for the work hereic 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— 11� I -)- / ,. Owner Kind of Building Used as To be completed about Estimated Cost, $ L2 e U G� n Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name G Size No-�—�� Capacity g(-/) Sq. Ft. E.D.R. BTU H.P. Total Connected Load ql• -3, Sind of Fuel d'A=:� BURNER — Trade Name Size No Capa city Sq. Ft. E.DR- BTU HP. (REMARKS—OVElt) City of Fridley .53-84-S-915.51 for wdGim Fk1kq Pots* Dept. of Bldgs. none$eoTO - - DESCRIPTION OF WORK �,,� 1554 berlin Circle L-4 B - Number. Kind and Location of Fbelures 7 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........ . Electric Water Heater .............. GAS FITTING FEES: 1st 3 Fixtures .................. Additional Fixtures ................. . Gas Range to 199.000 BTU .............. REPAIRS & ALTERATIONS—Rotor to Cod• City of Fridley: The .undersigned hereby makes application for a permit for the work havi specified, agreeing to do All work in strict accordance with the City Ordinance and ruling of the Department of Buildings6 and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Mi— 9-19-72 19, owner Darrell Farr Dev. Company - Kind of Building Frame Used as Res. To be completed about 9-26-72 Estimated Cost, It 10.00 n New. Building Permit No. Perini S / Signed By MINNEGASCO Business Phone No x $3.25 $ ROUGH _ $2.00 $� NO. RATE TOTAL x $2.00 $— x $ .75 x$.75 $ 1 x $5.00 $ 5.00 Description .................. ,.......................... 4 Vjaw "Aft Uf hargo b•si TOTAL FEE 8 5-00 (SbRGHARGE $_.50) 0, ,1 iL -I 13I < �, • -1 • N WAT- MM. GAS ELK Base 1st 2nd 3rd 44th • Futures comm"don, Opel • New Fixture, ON Openings coaxed" with �� El 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........ . Electric Water Heater .............. GAS FITTING FEES: 1st 3 Fixtures .................. Additional Fixtures ................. . Gas Range to 199.000 BTU .............. REPAIRS & ALTERATIONS—Rotor to Cod• City of Fridley: The .undersigned hereby makes application for a permit for the work havi specified, agreeing to do All work in strict accordance with the City Ordinance and ruling of the Department of Buildings6 and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Mi— 9-19-72 19, owner Darrell Farr Dev. Company - Kind of Building Frame Used as Res. To be completed about 9-26-72 Estimated Cost, It 10.00 n New. Building Permit No. Perini S / Signed By MINNEGASCO Business Phone No x $3.25 $ ROUGH _ $2.00 $� NO. RATE TOTAL x $2.00 $— x $ .75 x$.75 $ 1 x $5.00 $ 5.00 Description .................. ,.......................... 4 Vjaw "Aft Uf hargo b•si TOTAL FEE 8 5-00 (SbRGHARGE $_.50) 53-84-s-915-51 City of Fridley P hy Pkmg--,", @ad C"m Min Pem* Min. of Rhigm. Pharm NO -34M Dz2C1UrMDw or "*RE Kle�1554 North Oberlin Circle 15�1 Install, U ril I PARTIAL RATE SCHEDULE RM MAIM, '17, 3-1XL Numbef Ptxft�,vzz ........ ....... — X $100 $ rutuirz nl%CWc 'Z-.,penhng . . . Z, . . . , , , — tl.w S—, - New Fixtuire 0102 Gvening ........ S1.0 $— Catch Basin ............ 11 ....... x 83.0 Water He@ter fuP to 90,000 BTU)— 233.00 S New Ground Run Old Bldg. ........ x 83.25 $ Electrk Water Heater .............. —a $100 $— GAS FlMXG FEES. NO. RATE TOTAL lot 3 Fixtures ............... x $2.00 .4"tional 313thim .......... x $ .75 Gas Range to 199,000 BTU z $6.00 S • State Surcharge .50. MWAMB it ALTERATIONS -4 dor ft Gods Install Grill •5.00 TcyrALY= s 5,,50- ctf,,v C2 FndMv, Jz ,a 3 4-4--73-- wrepce J. Croolla.., Kind of Building Frame -- Uw-d M Res. To be completed abm-,o 4-11-73 F—Mimited Cwt, New. Building P-rmit q Signed WMASW BY Business Phum class suBjEcr , ITN City of Fridley 22984 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. 0. �: ----- _ COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. r I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/6/94 JOB ADDRESS 1554 North Oberlin Circle NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 7 Innsbruck North Addition 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 ❑ ALTERATION j REPAIR ❑ 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 SQ. 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 $2,036 $1.02 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- Fire SC SP4,0 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $54.00 PLAN CHECK FEE TOTAL FEE License SC $5.00 $ 62.06 SIGNATU E OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PPRROOPERLY LI DATED THIS IS YOUR PERMIT 4HEN W�CLO NSP PATE SIGNATURE OF OWNERJF OWNER BUILDER] IDATEI ZRVI/ ADDN { ] CITY OF FRIDLEY ALTER { ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 1554 - North Oberlin Circle Legal Description: Owner Name & Address: Tel. # Contractor: Tabor and Sons, INc. Address: 3716 - St. Francis Blvd., Anoka 55303 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1/ 1/94 MN LICENSE # 20014248 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # 789-1902 Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Roofing - gutters Approx. Completion Date: Driveway Curb Cut Width Needed: _ DATE: 10/3/94 APPLICANT: Side Yard Setbacks Estimated Cost: $ 2036.00 (Cost on Back) Ft. + 6 Ft = Ft x $ _ $ Tabor and Sons, Inc. Tel.# 789-1902 Permit Fee $ CITY USE ONLY Fee Schedule on Reverse Side Fire Surcharge $ ?- 0,11 .001 of Permit Valuation (1/10th%) State Surcharge $ /0,2 $.50/$1,000 Valuation SAC Charge $ $800 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 $ 6'�- o C STIPULATIONS: sus"EcT PE City of Fridley 31033 J AT THE TOP OF THE TWINS BUILDING PERMIT r RECE • ______ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. (� r NUMBER REV DATE PAGE Of APPROVED 8Y 1 • CITY HALL FRIDLEV 55432 612-571-3450 910415 6/8/00 JOB ADDRESS 1538,42,46,50,54,58,62 66 No. Oberlin Circle 1 LEGAL NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. [LOT 1-8 ? 1 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., MN 55406 612-722-7129 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 00001423 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING "Residential ' 7 CLASS OF WORK O 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. 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 R 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 THE 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 $2;r66 SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT &DATES N PI[OPER,60YKLIDATED T IS IS YO R PERMIT BLDG OASP Daft S.GNATURE OF OWNER,IF OWNERBWLDER, IDATE, a— ' / SUBJECT PE City of Fridley 3217 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 • -------COMMUNITY DEVELOPMENT DIV. V c>•a G�',(� Ere 2.43 RECEIPT N r PROTECTIVE INSPECTION SEC. NUMBERDATE PAGE OF APPROVED BV CITY HALL FRIDLEY 55432 612-571-3450 910415 ry 9 /19/01 19/01 JOB ADDRESS 1538'- 1566 North Oberlin Circle NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1-8 7 Innsbruck North Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Various 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Columbus Exteriors 2131 111 Lane NW, Coon Rapids, MN 55433 763-757-7530 ♦ 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 O ALTERATION GR REPAIR O 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 REOUIRED 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 S0. 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 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 *NOT. � $30.31 WITH WHETHER SPECIFIED HEREIN OR THE GRANTING OF A PERMIT $60,625 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 R THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE OTAL FEE $811.69 SIGNATURE OfCONTRACTOR ORAUTHORIZED AGENT iOATEi H N&PPRLY VALID TED THIS IS YOUR PERMIT lOG INS c�' OAit S-GNATURE Of OWNERof OWNER BUILOERi Iorf-1 a— ' / SUBJECTE City of Fridley 5392 � AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. fr ______ PROTECTIVE INSPECTION SEC. 6,:;� C/® r : CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 763-571-3450 910-F15 9/30/03 JOB ADDRESS 1554 North Oberlin Circle 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 7 1 Innsbruck North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Judy Thorpe 1554 North Oberlin Circle NE 763-571-0855 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 1920 Co Rd C W, Roseville MN 55113 651-264-4777 20130983 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 Replace three windows within existing openings 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. arils Flailed To Hameawner %° 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 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 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 $4,275 $2.14 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR ILOCAL LAW REGULATING CON- $111.25 STRUCTION OR THE PERFORMANCE OF ONSTRUCTION Fire SC $4.28 PLAN CHECK FEE TOTALFEE Lic ns SC $5.00 $122. SIGNATURE OF CON'RAC TOR OR AUTHORIZED AGENT iDATE, W N PROPERLY Jl SNS VALIDATED THIf7 � P MI `(� MATE S-GNATURE OT OWNE R, IF OWNERBUiLOER, iDATEi NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FA MY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: AGJ�j'-% Legal Description: Owner Name & Address: J U.d ` V i(Sf Tel. Contractor:; •*%triC.Wa\MN LICENSE -21 Address: i9 ao cAWr1 1t aac� C. W�e.S�: u�lk m� ss ll� Tel. # (c51 •alo4 ��f-�` Attach. to- this- application, a- Certificate of Survey of -the lot, with the-propose&constriction-drawn..on-it to scale. DEKRI]?5 ON C1F I R4VEIVIENT '. LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Q. r,0r, r. %, 1►nnnr4?%, v -A. ► n VA- 1vtn N'�➢�tinn,n Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Estimated Cost: $ 4 ,a,`I5Q Ft k $ = $ Tel. #-06 a •34,5•L04 4 - CITY USE ONLY 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 [ ] Date: 3/28/2005 Revision Date: 3/28/2005 Site Information Address 1: 1554 North Oberlin Cir Address 2: City: Fridley County. USA Application Information Business Name: CenterPoint Energy Contact Person: Steve Trutwin Office Ph: 763-757-6202 Fax: 763-757-6701 Address 1: 13562 Central Ave. N.E. Existing Construction: Pre 1994. Project #: Lot: Block: Subdivision: MN Contractor License *CA01796 Cell Ph: City: Ham Lake State: Minnesota Zip Code: 55304 Minimum Mechanical Code Requirements Met Will you be replacing or adding.a water heater, furnace, or boiler? NO Will you be installing a decorative solid -fuel appliance? NO Will you be installing an exhaust fan 300 CFM or greater? NO You have met the minimum requirements for make -u it and combustion air ash required by the international mechanical code, as a opted by�ie state of Minnesota with amendments. Applicant Name (print):Signature/Date:J�� 3� Code Official (print): Signature/Date: /9;7g 0 2004 CenterPoint Encrgy Minnegasco. 2004 Mechanical Code Guidelines. Z00'd Page 1 EV : LO 900Z-GZ-HV14 coo*d lylol INSPECTION REPORT CITY OF IFRIDLEY MINHE,4. O (763) 572-3604 ADDRESS OWNER BUILDER DATE < Vol I ILI coo'd 0:0 gooz-GZ-Hvw C.kt138' CITY OF FRIDLEY BUILDING INSPECTION M 9 3431 University Ave NE 9=ridley. MN 55432 L 763-5723604 FAX 763-571-1287 i 9 D n RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Z1 Gas Range Gas Dryer S`00.2-1Z— Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 10B ADDRESS I SSS( N. o61er l I 0 (2 1 )E' Fee, Toth Owner 76 r 12 r-- $35.00 $ 35.OD Building Used As lad! $10.00 $ ESTIMATED COST �-15 CX? . O O PERMIT NO $10.00 $ *Air Conditioning -All Sizes $25.00 $ a5. D0 Cla.rroer 3gTaC�4oa� All Other Repairs or Alterations (List on Back) >- 1% of Value of Appliance or Work $ U Minimum Fee $15.00 for Residential or 5% of cost of Y . Improvement whichever is greater on work less than $300.00 i � Commercial/industrial/Institutional } 1.25% of Value of Appliance or Work (List on Back) $ Minimum Fee $35.00 for Commercial/industriaVinstitutionai Y State Surcharge TOTAL FEE $ top, v REINSPECTION FEE $50.00/1-IOUR V *Air Conditioners can not be placed in side yard without written approval ry from adjoining property owner - copy to City nJ FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CrIL DESCRIPTION OF FURNACE AND BURNER # of Heating Units_ �_ Circle One (Steam) (Hot W r) (Warm Sir Trade Name Car r i e: r S S C V A G -7 b- 1-1r— Size No. BTU 10 000 HP EDR Fuel ar t c� S Total Connected Load Burner Trade Name BTU L. : Size No. _ EDR 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 and rulings of the Building Division, and hereby declares that all the facts and repre-sentations stated in this application are true and correct. CENTERPOINT ENERGY HEATING CO 13562 CENTRAL AVE NE BLAINE, MN 55304 Signed '6T . Tel #763-757-6202 FAX fl 763-757-6701 Approved by Rough4n Date Final Date Zo ' d 1d101 FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 ()9 No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (y) No( ) The undersigned also verifies that the replacement unit is 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( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes (x) No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes �) No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Yes No( ) Venting Tables for fan assisted and natural draft appliances. 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 Type and Size/Common Vent and Vent Connector Information Appliance #1 Type Q. rv\%az BTU Input 10,000 Fan Assisted or Nat f::c-" Appliance #2 Type _", Sd 1��c BTU Input go,ow Fan Assisted or Nat 1I Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances `Z Total Btu Input k%i.00-0 Common Vent Type h Vent Height 'bo' Diameter �a— inches Appliance #1 Vent Connector Height3 4 ft Length __J�J_ft Diameter �_in Type �t _ Appliance #2 Vent Connector Height _-2,—ft Length H ft .Diameter a -i in Type Appliance #3 Vent Connector Height ft Length ft Diameter. in Type ALTERATIONS: (Describe) CENTERPOINT ENERGY HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304 Signed By: Date a -I5 --®s FA/Fs I A TG1 VA9 , 01 A2 101 dd A0 A110 WON -I (; : T T b00z-LZ-21dH Building $ BUILDING Plan Review $ Permit No.: 7 Surcharge $ (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ .001 x Permit Valuation (1/10%) Inspections $ RESIDENTIAL APPLICATION SAC Charge Received 763-572-3604 Curb Cut Escrow CITY OF FRIDLEY ft + 6 ft = ft x $20 = $ Date Rec'd:_ I NATE 1112181- YOUR E-MAIL ADDRESS Park Fee SITE ADDRESS % S S N• Q r (� C l L I Q Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations THIS APPLICANT IS: ❑ OWNER RCONTRACTOR PROPERTY OWNER/ NAME: A U n (3 J - .e TENANT ADDRESS: "S 1 CITY (-1 !'/% STATE—ZIP! � 3a PHONE: CONTRACTOR NAME:_ RENEWAL, BY ANDERSEN SUBMIT A COPY OF STATE LICE 1920 COUNTY RD. "C" WEST YOUR STATE LICENSE ADDRESS:_ ROSEVILLE, MN 55113 CITY STATE ZIP WITH APPLICATION PHONE C51-264-4777 tid&GLE F LICENSE #20130983 PROPERTY TYPE ❑ TWO FAN. -)RIES PERMIT TYPE QADDITION ❑ GARAGE/SHEDWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWD vIlNG POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: 0"LQ. 1 -,C'i U I ry AT IV ls4me' D n a SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S . Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2• Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS °Yes rr 2. 3. Two sets of construction plans Energy Calculations IN EXISTING OPENINGS ❑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 THE IT U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $__ I .L1 Ll_ __- OCCUPANCYTYPE_ Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley 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 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 rev ie� d approval of plans. SIGNRE OF APPLICANT `� �� PRINT NAME �`� SG 1��-- DATE Li' -3 Building MECHANICAL Permit No.: _,761 v Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D' 763-502-4977 FAX EFFECTIVE 1-1-2010 DATEr�YOURE-MAIL ADDRESS �enc� JI�QyyrcfL� •T� / - _ SITEADDRESS_j5 ru Qo4el;r1 Gird -c, THIS APPLICANT IS: O OWNER XONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR COMPANY NAME: CONTACT PERSON: ST-r'h SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 3 4181 10• T vs- CITY UI h STATE NOZIPS'St" APPLICATION PHONE 6S1'S 769-17-36 FAX 6S1 -1s8 -V S7 PERMIT TYPE SINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: O NEW ❑ REPLACEMENT RQ A•LTERATION/REMODEL DETAILED DESCRIPTION OF WORK LK1 �� " ►�/�r\T ter bwor►7 GeKp^ Uc.YfTr� �r►rt FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALCIS PER MANUAL J 2006 ASHRAE HANDBOOK. Equipment Installed MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 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 LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _GAS DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00 y �21 fF b . : ^` ffi '4 �i +��� '�;,,5, �•`3.J:_ t i' � ,. P if �a i 93 ftsftr. >°'' .. kw:�"r. THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED Thereby 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. 15�vl �lv►�ih SSCfh ,�^1•Jb SIGNATURE OF APPLICANT PRINT NAME � DATE APPROVAL INSPECTORS SIGNA DATE ,r 00W "KIN, 04Mw City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, N 4N 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC 0 NEW HOMES/ADDITIONS 0 EXISTING HOME 0 MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments MN Rule 1346 Sec. 501 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments 4. Heat loss & cooling load per room a. MN Rule 1322, Sec. N 1104.4.13 5. Ventilation a. Per MN Rule Chapter 1322. Sec. 1104 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. Building Permit Fee BUILDING See Back Page for Fee Schedule Permit No.: Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: (I 763-572-3604 Surcharge CITY OF FRIDLEY n 'd 763-502-4977 FAX $ six $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) EFFECTIVE 1-1-2010 $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review DATE ///Z//0 YOUR E-MAIL ADDRESS <P— – `tom Buc SITE ADDRESS 15-5-Y /i' C%6p�lz Agreement necessary ( ) Non Necessary ( ) THIS APPLICANT IS: JWOWNER ❑CONTRACTOR Make checks Davable to: Citv of Fridlev Attach. Stiuulations PROPERTY OWNER/ NAME: =74 74 0r TENANT ADDRESS: !S O /, �N /t/ CITY STATE PHONE: �f¢3. Ste. ®SS ✓� CONTRACTOR NAME: y a h Zan e 4" ®w SUBMIT A COPY .OF YOUR STATE LICENSE STATE LICENSE # Z-6 qt V (p g EXP DATE 21,fl 110 AND CERTIFICATE OF ADDRESS: ZlZCele J7�LidL�-� Fife ,+ CITY AW.- STATV-41/ZIP INSURANCE PHONE -747, Z E:b FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES Z " PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING R OTHER. ❑ SWIMMING POOL TYPE OF WORK: . ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR MODELING DESCRIBE WORK BEING DONE: %S"( 0:Z--- -- Cil 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 plate PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing structures ❑ Other ❑Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ j900®d OCCUPANCY TYPE Permit Fee $ e - See Back Page for Fee Schedule Plan Review $ � u_ 65% of Building Permit Fee Fire Surcharge $ ;yOQ .001 times the total job valuation Surcharge $ L W .0005 x Permit Valuation , Minimum $.50 License Surcharge $ six $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 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 $ (061. q('0 Make checks Davable 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 fibyla 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 off�alquires review and approval of plan. ".*9// SIGNATURE OF APPLICANT PRINT NAME C7�T% DATE 1©7 - /la Building PLUMBING Permit No.. 1 Inspections RESIDENTIAL APPLICATION Received B 763-572-3604 CITY OF FRIDLEY D d� 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE f I SITE ADDRESS THIS APPLICANT IS PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE TYPE OF WORK: YOUR E-MAIL ADDRESS ❑ OWNER CONTRACTOR PHONE: 743 • S71 • 6&. S STATE LICENSE STATE BOND # PHONE CITY EXP DATE EXP DATE FAX 7L 3 7 ❑ SINGLE FAMILY ❑ TWO FAMILY 'TOWNHOUSE ❑ NEW 76EPLACEMENT T tp" %�Jll ZIP sk 3W TE 4k0j ZIP Sa DETAILED DESCRIPTION OFWORK *W%09@1.jAd6 '6 "efi-ItJ Lk4kr00a.. 1r►s1*11 SAgwe. 14a,_A4jy1drr dosed . FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. l BATH SINK/LAV DRAINS O SHOWER PIPING _FLOOR PIPING (NEED CITY LIC) SWIMMING POOL —WATER _ WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER —GAS _ KITCHEN SINK 1 WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER 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 intl ca a ork which requires review and approval of plans. SIGNATURE OF APPLIC PRINT NAME0. IG 1h tri �np�i DATE �U �O (� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 License lookup License/Certificate Detail https:Hsecure.doli.state.mn.us/licensing/licensing.aspx Here are the details for the license/certificate you are currently looking for: License name: HC PLUMBING & ELECTRIC INC License doing business as: License address: 4266 DAHLBERG DR City state zip: ROBBINSDALE, MN 55422 License number: PM58420 License type: MASTER PLUMBER Company structure: Not available License status: ISSUED License original issue date: 11/18/2008 License expiration date: 12/31/2010 License print date: Not available Responsible person: ROBERT A. SAVITSKI Responsible person license #: PM58420 Contractor's phone number: 763-7462500 Enforcement action: Not available Another Lookup? 1 of 1 1/20/2010 8:09 AM