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PRE 2010 DOCSDate: May 4, 1972 City of Fridley, Minn. 6431 University Ave. N.E., Minneapolis, Minn. 55432 BUILDING PERMIT Owner: — Viewcon, Inc. Builder Same Address _._..5901_Brooklyn Blvd. Address Same LOCATION OF BUILDING No._ 12._ Street North Ob -din -Circle part of Lot Lot .<._._2 .—_____ Block __._......_7 Addition or Sub -Division.—_ Innsbruck North Corner Lot _.___.__. _ _ Inside Lot X Setback Sideyard Sewer Elevation _ _ __ _ _ __ _ Foundation Elevation _...... DESCRIPTION OF BUILDING 59917 11417 To be Used as: 1240 Townhouse 20' 31' 28' 620 172360 Front Uy_ Height Sq. Ft. Cu. Ft 0' Garage _ 2' 10' 440 4400 Front ._ Depth Height Sq. Ft. Cu. Ft. Type of Construction Wood Frame Est. Cost. 21L417.80 To be Completed 10/1%72 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. Same as indicated on foundation permit. In consideration of the issuance to me of a permit to consftuo the b / d . above I agree to do the proposed work in accordance with the description ab o set w1h and clf with a'll provisions of Ordinances of the city of Fridley. n In consideration of the payment of a fee of $ 41.00 , 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 ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings :within the city limits and this permit may be revoked at any time upon violation of any of the provisions 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 we the Building Inspector for separate permits for these hems. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME • V J -La) 4? blo BUILDER: ADDRESS • ADDRESS : o ,yyl p NO:. STREET:_��Z `�l> C`J1 D .4 1��►(,� ('.I h 1` o LOT: BLOCK:__ 2 ADDITION: _dVV.A J -t Q e J Alm jto CORNER LOT: INSIDE LOT:_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: hl�_.tdo--sFront: c;2Ca Depth:_ / Height: .1(91 i.24/C) 7.300 Square Feet: 6120 Cubic Feet: / T Front: Depth: ,�20 Height: /0 Square Feet; '41y0 Cubic Feet:_ Type., of Construction: Estimated Cos t:_ 1/, ,4//,7,8o To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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 n DATE: _ 3 I" uf;�-�1 l!%Z� SIGNATURE: (See Reverse Side For Additional Information.) IA14Cq llto A -I4-3 M/)v 191)0 11)JINO 199300 240-- - v 200 c, "40' OBERLIN 00 ----------- �o 14.0 140 14 I vo C Tj 4.0 CIRCLE I LID ,Z4.0 — -- 14 0 T- 70.0 fo N/i 17 / Vii! i•�', v rj qj /,x fri --T---5- 16.0 4.0 20-0 700 1 .,- p a j / /,ij , j//// 200 IN /� % i '!I / �� 1► / o t7 1I �'�T.1 ! / I ;�/' �I' ;' {� +I ; ;ii /'IW / = C7 i10 0 0 110 Cf) c: f VTI 1J) TT1 1 20.0 24.0 to, till c) Q 2. D Q —2 5.0 — I I " 71rC3 74 70.0 fo N/i 17 / Vii! i•�', v rj qj /,x fri --T---5- 16.0 4.0 20-0 700 1 .,- p a j / /,ij , j//// 200 IN /� % i '!I / �� 1► / o t7 1I �'�T.1 ! / I ;�/' �I' ;' {� +I ; ;ii /'IW / = C7 i10 0 0 110 Cf) c: f VTI 1J) TT1 1 20.0 24.0 to, till c) Q 2. D Q —2 5.0 — I lo 70.0 fo N/i 17 / Vii! i•�', v rj qj /,x fri --T---5- 16.0 4.0 20-0 700 1 .,- p a j / /,ij , j//// 200 IN /� % i '!I / �� 1► / o t7 1I �'�T.1 ! / I ;�/' �I' ;' {� +I ; ;ii /'IW / = C7 i10 0 0 110 Cf) c: f VTI 1J) TT1 1 20.0 24.0 to, till c) Q 2. D Q —2 5.0 — I I City of Fridley Appficaflon for Ptilmblaq and Gas R"I" Pwmit Dept. of Bldga. Phone 560-3450 DESCRIPTION OF WORE r ` Number. Kind and Location of FfxtuYes ' PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ D x $200 $ r� O.O O Future Fixture Opening ....:...... x$1-50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.28 S Water Heater !Up to 99.000 BTU) • • • • x $3.00 i ,3 " U New Ground Run Old Bldg. .... a ... x $3.25 S Electric Water Heater .............. a 3200 S GAS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures x $200 $ .7,' a 0 Additional Fixtures ............... x $ .75 $ Gas Range to 199.000 BTU ............ x $5.00 $ State Surcharge $ .50 REPAIRS k ALTERATIONS—Refer to Code _ Description ............ ...............................i _ TOTAL FEE 5A City of FYidley: 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 0 Fridley, Mina I9�•� Owner AS:i -� Kind of Building Used as To be completed about Estimated Cost. $ Old—New. Building Permit No. Permit No. Signed Business Phone o ROUGH Q�� WATER "M GAS [l[C. ,3 7 M ; rr 8 3 3 O Base I 1st 2nd _ 3rd 4th • Future Coaoeedoa Openinp wilt. Sewer e Now FIX urn. Old Opeaiup PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ D x $200 $ r� O.O O Future Fixture Opening ....:...... x$1-50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.28 S Water Heater !Up to 99.000 BTU) • • • • x $3.00 i ,3 " U New Ground Run Old Bldg. .... a ... x $3.25 S Electric Water Heater .............. a 3200 S GAS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures x $200 $ .7,' a 0 Additional Fixtures ............... x $ .75 $ Gas Range to 199.000 BTU ............ x $5.00 $ State Surcharge $ .50 REPAIRS k ALTERATIONS—Refer to Code _ Description ............ ...............................i _ TOTAL FEE 5A City of FYidley: 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 0 Fridley, Mina I9�•� Owner AS:i -� Kind of Building Used as To be completed about Estimated Cost. $ Old—New. Building Permit No. Permit No. Signed Business Phone o ROUGH Application for Power its and Dealing. Cooling, Vendlaftes Re igeration and Air Conditioning System and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL 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 $ Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ L ®• 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,$_ Each .00'$– 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 199,000 BTU) ....................... .. 8:00 $ over 199,000 BTU See. Fee Schedule ; GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 2.00 Additional Fixtures x .75 Gas Range to 199,000 AIR CONDITION1tNG FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS do REPAIRS ROUGH ........... is'sm See Fee TOTAL FEE FINAL ` _ /g - 7 9( JzAt ` i Dept. of Bldgs. Phone SW -3480 City of Fridley: The undersigned hereby makes application for a permit for the work hereir. 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- c�7" Owner Kind of Building an el.01 J / s Used as To be completed about Estimated Co;t, $ Old—New. Building Permit No. permitNo. DESCRIPTION OF WORK HEATING or POWER Hot Water, Warm Air—No Trade Name M&I Ih Size No Capacity /Y) Sq. Ft. E.D.R. BTU H.P. Total Connected Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. EM R- BTU S.P. (REMARKS—OYER) �.�.F iy / , 53-84-s-915.51 City of Fridley Applicagm for Mumbbg sed Gm Ph Faink Dept. of Bldgs. Phoas MCI -T/ -7.4- r. JUnd Td L OF WORK F 1562 �. Oberlin Circle L-2 B-7 Number. Riad and I.oedloa o! iYslu:es a, < I Z ~ Ito" I r a V I IZi3 �i o • • WATEN NTA. Base 1st 1 2nd 3rd 4th • Future Connection Openings • Now Fixture. Old Opaiags� Connected wft ❑ Caap°°1 ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $200 $ 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 Wates Heater .............. : $200 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............... x $2.00 ; Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU ... ,.......... 1 x $5.00 $ 5.00 REPAIRS h ALTERATIONS-Reftr to Code 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 Department of Buildings, and hereby declares that aR the fact and representations stated in this application are true and correct. Fridley, Minn -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 Signe . MINNEGASCO By _ Business Phone No ROUGH FINAL /W Gy ,,,/� Description ............................................ ; Gats VA"IuTthaTge 9,So TOTAL FEE ; 5.00 (SURCHARGE SUBJECT P City of Fridley 6 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV ______ r 1 L PROTECTIVE INSPECTION SEC 1 � 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 J 612-571-3450 910-F15 10/6/94 JOB ADDRESS 1562 North Oberlin Circle NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 7 1 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 ❑ 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 ] 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 $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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $ 54.00 Fire SC $2.04 PLAN CHECK FEE TOTALFEE � d1 ::d �G�%- ®- - % e/ License SC $5.00 1$62.06 SIGNATURE 6F CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERL �4LIDA ED THIS IS YOUR _ /PERMIT // /40- SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI - BL INSR DATE NEW [ ] ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 1562 - North Oberlin Circle, Fridley, Mn. Legal Description: Owner Name & Address: Contractor: Tabor and Sons, Inc. Address: 2716 - St. Francis Blvd., Anoka, Mn. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # Effective 1/ 1/94 MN LICENSE # 20014248 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 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: Side Yard -Setbacks Estimated Cost: $ 2,036.00 TOTAL $ a STIPULATIONS: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 10-3-94 APPLICANT: Tabor and Sons, INc. Tel. # 789-1902 USE ONLY Permit Fee $ D 4 Fee Schedule on Reverse Side Fire Surcharge $ d O ..001 of Permit Valuation (1/10th%) State Surcharge $ /. Oo? $.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 $ a STIPULATIONS: OF suBjEcr IT NO. City of Fridley 2725 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. �® NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 8/18/98 JOB ADDRESS 1562 N. Oberlin Circle 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 7 1 Innsbruck North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Luis Rubio574-9905 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wellington Window911-631110 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 :Rk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 2 windows 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. 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 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 $4550 $2.27 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 $99.75 Fir SC $4.55 PLAN CHECK FEE TOTA EE Licens 5.00 1 .57 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN OPVALIDAT BLDG NSP T I$ YOUR PERM LL BATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI OF Cityy of Fridley CUSTOMER RECEIPT OPER: TUROK OC $111.57 DRAWER: 1 DATE: 8/18/98 00 tunated Cost: $ 45aQ RECEIPT: 0005850 DESCRIPTION QTY AMOUNT TP TN PERMITS-BUILDINS 1 $99.75 HP CK FIRE SURCHARSE F 1 $4.55 FS CK SURTAX 1 Q.87 SU CK LICENSE SURCHARG 1 $5.00 HE CK WELLINGTON WINDOW 8 DOOR CO BP I272252, 152 N OBERLIN CIRC Effective 1/1/97 CITY OF FRIDLEY AIILY AND DUPLEXES R-1 AND R-2 -DING PERMIT APPLICATION Un O,1� 4& 4?,f, ,44N 6-6432- 04 543204 2 wWlobwS ;L0 Tel. # 9905 MN LICENSE # V(! / • -), -jb4A, PA) Tel. # 933-(o,300 ,plication, a Certificate of Survey o the posed construction drawn on it to scale. LIMON OF E"ROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. TINE: 10:08:03 TOTAL CHECK $111.57 '12 W;/vim tunated Cost: $ 45aQ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft.� $ _ $ DATE: V/10 APPLICANT: Tel. # 9.33 CITY USE ONLY Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ 4-S-5 .001 of Permit Valuation (1/10th%) State Surcharge $ 2-7-7- $.50/$1,000 Valuation SAC Charge $ $950 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�- STIPCILA"IJONS: 7 SUBJECT PEBbUX City of Fridley 31033 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEI COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. (� NUMBER REV DATE PAGE OF APPROVED BY 1 "i1 1 CITY HALL FRIDLEY U432 IL'i. 612-571-3450 910-F15 6/8/00 JOB ADDRESS 1538,42,$6,50,54,58 62 66 No. Oberlin Circle 1LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. .1_8 . ` 7 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 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Building 9. CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. P®rra p post 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 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. OWLG. UNITS a 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 $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 COW STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $265.25 Fire SC $15.61 PLAN CHECK FEE TOTAL E 2 • 66 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi N P OPER UpATED T IS IS YO R PERMIT T BLOC JASP r�ArE S,GNATURE OF OWNER„F OWNER BUILDER, 10ATE, 01 SUBJECT PVWIT NO. City of Fridley 31636 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT O. i fr, COMMUNITY DEVELOPMENT DIV. V ------ r � PROTECTIVE INSPECTION SEC. 1 � , ` "' �•� CITY HALL FRIDLEY 55432 A NUMBER REv DATE PAGE OF APPROVED By -__- L 612-571-3450 910-FlS 1/30/01 JOB ADDRESS 1562 North Oberlin Circle NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 7 Innsbruck North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Luis Rubio 1562 North Oberlin Circle NE 763-574-9405 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wellington Windows 3938 Meadowbrook Rd, St Louis Park, MN 55426 952-933-6300 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. City License 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 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. Permit inspection Cards Will Be Mailed 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 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 $2,390 $1.20 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE S C CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $83.25 Fire SC $2.39 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECKFE TOTAL F E $ .84 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEi p L T I$ I$ UR3RI�IT� S-GNATURE OF OWNER SIF OWNER BUILDER] iDATE. -�13LOGSP r�AtE 01 NEW [ ] VAIa Effective 1/1/2000 ADDN [ j CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address:ISG /U(,, �� e1` l �(n Gi 0 ( G Legal Description: Owner Name 4 Aodr/ess: (� i U iii Tel. # 76,� �- S7�-1W. Contractor. �� 4 MN LICENSE #t— Address: MPii ULJ tr�b s 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: Construction Type: �ceLna� 1ywwf Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ l DATE: APPLICANT: Ova,Tel.#. '�t,7? 49b4-7 CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (763) 572-3604 for Permit Fees if mailing in application $ 93, Fee Schedule on Reverse Side .00.1 of Permit Valuation (1/1Gth%) $.50/$1,000 Valuation $ $1100 per SAC Unit $ - $5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] Z TOTAL � STIPULATIONS:c-���/'G�, �Z�� � /�+ / • PE City of FridlesuB,IECT y (— 321 � ` AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT N 1 COMMUNITY DEVELOPMENT DIV. X004 i �; PROTECTIVE INSPECTION SEC.� �'j CITY HALL FRIDLEY 554 2 NUMBER DATE - PAGE OF APPROVED 8V L f\ 612-571-3450 9t0 -FIS REV 9j19/01 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 ADDRESS ZIP PHONE Various 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Columbus Exteriors 2131 111 Lane NW, Coon Rapids, MN 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 ❑ NEW ❑ ADDITION ❑ ALTERATION IR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Building; Soffit/Fascia; Window Wrap 9 CHANGEOFUSEFROM 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 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 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 $60,625 $30.31 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 $720.75 Fire SC $60.63 / +D PLAN CHECK FEE OTAL FEE / $811.69 SIGNATURE OF CON'RAC TOA OR AUTHORIZED AGENT iOATEi H N P P RLY VALID, TED THIS IS YOUR PERMIT SIGNATURE OF OWNER �Ii OWNER BUROE Ri IDATE. lDG INS BATE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57L -36U4 YAX: ( 763) 571-1257 ADDRESS : 1562 N OBERLIN CIR NE PIN : 243024410035 LEGAL DESC : INNSBRUCK NO T H 1 ST ADD LOT 2 BLOCK 7 PERMIT TYPE HEATING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION PERMIT N 2004-01565 DATE ISSUED: 09/09/2004 VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL RANGE WITH FLEX CONNECTOR, SHUT-OFF VALVE AND ANTI -TIP BRACKET. # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 100 APPLICANT CENTERPOINT ENERGYMIINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- C11`.•AI 91.7 LOSADA L R & WINDSPERGER J 1562 N OBERLIN CIR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating contruction or the performance of construction. ADDlir, Date Bldg Inspl 13ti.... N 4.-- Date. HEATING PERMIT MINIMUM FEE 15.00 FURNACE SHELL/DUCT WORK 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 15.50 PAID WITH CHECK # 1017409 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. E CITY OF FRIDLEY BUILDING INSPECTION 6451 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer I" *Air Conditioning - All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater 9 Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS (c e?AAA 111112117,111 tO MIL Fee Total Y CJ -- $35.00 $ Building Used As /�L��112 iwb $10.00 $ ESTIMATED COST__)[16 r 60 PERMIT NO �S $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. $25.00 $ BTU HP EDR Fuel Total Connected Load Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR $ Burner Trade Name Size No. BTU HP 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 representations stated in this application are true and correct. *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 25 Signed FAX #U/ � b��l � � Date M �v ' ; �� 2 (5 k1l or I �q&/ 5A*6�r Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existina 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 () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and 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 () 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 Venting Tables for fan assisted and natural draft appliances. Yes ( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : From: unknown Page: 2/6 Date: 1125/201011:27:49 AM Building L BUILDING Pamit Nu.:?C-40 -CV071 Iuspecticlas RESIDENTIAL APPLICATION Received By: c� 763-5'72-36a4 aS See Back Pago for Foto Schedule Plan Review _ 763-502-4977 FAX CITE OFFRIDLEi'� Surcharge. $ e . IsF1 E:(.TIVl; I-I-2QI0 License Surcharge DATE / tiQ %a_ YOUR L -MAIL ADI)I1.I3SS SITE ADDRESS SAC Charge THIS APPLICANT 111: CI OWNER OCONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS:S�Z �—IQ'%f��7��.i.".ITY��'�� CTATISLIP • �� $ -$ .I._� PHONE;: DJ 4ZW f? 44-95 .._ CONTRACTOR NAME . OL. -e*. t�'J;.Zd e, SU BMIT A COPY QF YOUR STATE LICENSE STATEII(;'h,'NSH* _ Qd1-10Sl i _ 4.XP0ATH— z., AND CERTIFICATE OF ADDRESS: IoV CITY 4a�/► STATLAVl�frlP,�rjg! INSURANCE p}t NC 1'AX $' —/ 7,�. PROPERTY TYPE ©SINGLL FAMILYiNEW C NSTRUC'TION SIZE, ❑ TWO FAMILY/NEW CONSTRUCTION STORMS --­_ — PERMIT TYPE ❑ ADDITION D GARAGWSHED Q WINDOWS XBASEMENT FINISH 4 II,O()N . d DRAIN TILE ❑ DECK 0 SII)ING Q OTHER. a SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION Q ADDITION ❑M/AiINTLNANCI•:IRI,PAJR. W1tEMODELING trl DESCRIBE WORK BEING DONL_ pnIOC4 1d0Ser't -" s7"1�!1-Q�rEe t�{�d�H1�e•Cl�lj�y . fwd ace aPEI SIZE OF IMPROVIWUNT LENGTH WIDTH BLIGHT SQ N'r 111001rING Cl HOUSL ONLY NUMBER OF SQUARES O HOUSE 8e. GARAGE BASEMENT REMODELING SUBMIT: C: A `S ❑ ATTACHED CARAGh I. Existing Floor Plan 2. Proposed floor plan PROPOSN,1) SIZE: PR.OPOS13D HECHT; ❑ DETAC'HF.n GARAGE 3. Liq ofttruclural mcmhcrs to he rased SIMM -0 FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl OSn5t ADDI-T_IONS._& PORCHE'S SUBMIT: ❑ Alumintmi ❑ Trim 1. Site Plam'Survcy showing the existing strocttucs O Other_ ❑ Nascia and proposcd project. WS 2, TT n sch ofeootnrction plarA _V01) IN EXIS'T'ING OPENING$ ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPL'N1NGS-DESCRIBH SI1,F.: 01' 3. Encrey Calculations FOR WINDOWS — PROVIDE U -VALUE AND OPENING} CHANGES & "'— MANUFACTURE STICKER ON WINDOW, TYPE OF WINDOW TO BE 1NSTA1.1-F;1) NUMBER OF WINDOWS A L FEES ARE BASED [3N VALUATION, INCLUDING THE COST OF LABOR. AND MATERIAI.S: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL.. ,IpD VALUATION $ ( -tv OCCUPANCY TYPE Permit roc $ aS See Back Pago for Foto Schedule Plan Review $ 90, 5-/ 65% of Building Permit Fee Fire Surcharge $ ZLc�V — .001 times the total job valuation Surcharge. $ _d .0005 x. Permit Valuation Minimum $.50 License Surcharge $ �e $5,00 (State. Licensed Residential Contractors) SAC Charge $ $2100 Nr SAC Unit (Plans to MWCC for dctermination) Curb Cut Escrow $_ A + 6 ft = ft x $22 = $ Erosion Control $ -$ _ $450 Conservation Plan Review Palk Fee Foo, Determined by Engineering Sr wor Main Charge $ ,A.groonont nccematy ( ) Non Ncccssary { ) Total Due $ ,Rake checks payable to: City of FridleyAttach Stionlations TH IS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED hereby apply far a building permit and I acknowledge that the• inti• rmatlon above is complete and accurate; that the work will be in conformance with the. ordinance% and codes of the City of Fridley and with the Minnctiola Conatntction Codes; that I undonstand this is not a lx rmh bui• only an application for a !hermit and work ir; not tti start without a pcn-nit on site: that the weak will be in accordnnco with the approved plan in the case of id work which reciuimei toview and approval of plans. SIGNATURE OF APPLICANT "P1LINT NAM TErf LO i1�E!CatNiCAL:'Ul►Ql�::� ::• :: ,-% a.I Ip ; Ai IPA L ravertil [UALa� ll 1 No,: N' V]VIECUAN lk I Inspections RESIDENTIAL APPLICATION R.'P* 763-572-3604 } 763`502-4977 FAX CITY OF FRJDL)EY . HFF') t`TIVL 1.1-2030 VOUR k.MAILA'7 OUSS 5191ranURk53 ~- "�.4R7GP i� �--r�� �. rte. _�� �. �r�.e•-- Ti.1lslAPP61CANrIS7 Xowmkx 17L""Owuc em p NANIt &L+ �7ZE014doe, OW'>wi1E�1 OWNEIRI IL LFiSS;,.fL � - /e<• ACiUi �: dL1T'J' rrl iii CTRTI:l 110 TMANT .3 AHON�:-„ l� �.j.= �_._ c - e l i Z/a r C} r q.& g C4 II ILtwCT01t COMPANY NAME! SUBMITA P.C1PY 4r V6NTATACRISDN• '- - C •-'---•►-'.•-�•-�-,---,��-��..r:•,--.,-��.r.--��„�-� i'OI Its STATE STATE LIC: NAV; 6___ li3:R17aTl LIGRNSE NrtTH A11t)RkRS:_ �� �C1'rV.�, STAT 410 APPLICATLON � PHONE IfA)( P>E10111• TVPE )(SINfL6 M•/ MILY 13 TWO PAMiLY 0 TOWNNfluSL TY1"EQr WORIL, 0 "w C;tVP.AcuAt104r AI.TSItarloNra�AIA11F.t PET.,AILED MSVRlii`i'iON OF WORM NtiIC4Akk BA.CLrr%fi.�4$IA.UQFeil FiX'fUIREtyL'1N(,'$PTNMil 4b'fkq. 1. vrvm1W: ttVp1CA'rR,I,0vAL%jj.mBgUgw }RACHBulkwl PIROVIDY HEAT LOW CALLS rRR VutitJAtr.1 x006 ASHNAI: HANORGOX IAWrIftal 111mm(scl h WI.- _ _ _ _ M011KL 3lGk lHYt, MFG: MCDEJ.� MWr; NILWELI __ s1 tl13rt1 A1C 5:5r031 _.�NI,[FVtA(;V. (CA5)Sta.Ofl P./SNfikii{)v1iN p10 on �- �tihS AattTOAM2:iCHANC}I:SItSIS Wltlr•PLtCK(W001I1535r00 WUWOAS Un.u.L$10.00 IL�tt $35.00 ,_,1''L KNACV. S35.ri0 GAS UNIT 14TR $10.00 ii1MNtY I,lN34 S 10.60 93AS DRY Ult $10.110 ::MOLNVATUR VSA0 4UCT x�ItK 6Io•Lb0 GAS PIPINC 510.00 VkHTILATOK515w00 .. ,.:..:......I w.3::,.. <:..• .t3'�', °1'f': n.i .....::r.•. ."73:� q!�!t;::..:.a.. , Lk.., "<•;�.!i::is >!'I:;s.;:c ;:.::;a::;:.;• ;;: :.si4:v;s;:3;;::';;.vi;-}„ , .. i•.....w••;;;;: �. •..a•:a' : R1.�..', t • ;:iiA,.wn:ri hL.L'.'l}:j•..;:r.a.:•'••t'.w'� 'ry...+":,la::: "%n''J ..l:. nC'':. ; .i\.�n. S• •'.• ;=nl•..'•:'',T„ 4}►'i'•� ;.Y..►1y::'.�? r, . r�.,.,-.: C;!4?•, . r:{:.• T"4'551' 'k•r"U.N., � .',,.:,..' n'•P. Y•' .^•t'•I .5.. �; ::g . •r2:: '2n:ii��i tic A'I� Sli' Ar 115,30 ..w} na rrl�' • i'7, IS,"1t'i+ Ifi a:iLha is L: •m tJYi • i + I y7.'���Q'�[7y��}^�,55aa``**wwa�:.•,' :�''�' �'-".a�"iintl;o:,:�":'�':::i:; �;:...�i.;... •: !I• n y,,...` .t• r. N T !.}:.fig:• �Jai'iYl•• N'a/• ' J}•r ,. iii•. 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J'Ir I i::2T: raC :t • •II:. wA, tYir. i•:;....r Jli..ww, ::i ��', i ri}Jj,..I,;'A";r� :Z ". TmjS IS AN APPLIVATION HOP. t} PHRMIT--NOT Vj)L10 UNTIL PROCESSED 1 hiv*, apply for Ry� building pcaltlit and l wknowle4gt Mar the. ittFDMatilm abOva is taruplth'c and wciArAo; that the work wilt iia in contbmvicc with tho ordimac" anti C-W%k- of fisc City of Fridley And wiatil Thea Minrteacltd Cona,Y Wion OtOdCs': that f Lend dd "nd thig iK tw a pCrrnit 2x,t only an Ap'plicarl" for A POM4 WW work ice nclt to start without a perinir; %hat d24 wofk will be in accordance with the approv4d plan i}2 thr come it moor w uires raview ,and a aval Ofplattes_ �1 J tlC� SIGNRTLKR Ai' drPl<IChN" +� _ _PRINT NdMB 1 !`uo $ ' d S OATk �� Crc Ap>ritOVAL INS91g-ImIts $7GLATURE, 12ATF; 2*JF,ir^ K a Eq P City of Fridley Suilidiln Inspections Dep$rbnent 6431 Uhima yy.Av=ue NL. I'ri&y, M'h1 55432 763-572-36+04 FAX 763-512-4477 Ad WOV:C 0WZ/Z/Z :01180 abed uhaouNun :w0 -j j •',"r -''A Gn n11n. vpa From: City of Fridley To: 9529551742 Page: 1/1 Date: 3/17/2010 3:24:13 PM Building PLUMBING Permit No.: r D�'e Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'ds n l J 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE ?-13- Jo YOUR E-MAIL ADDRESS SITE ADDRESS l s-foa - THIS APPLICANT IS: J? OWNER ❑CONTRACTOR PROPERTY NAME: J.,In Z S g"41_0 %s elm•- 1 OWNER/ ADDRESS: (W A( � P��r :�! CITY fr_ i_ d+ I -e ((z STATE TENANT PHONE: CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE, BOND AND STATE BOND # _ EXT DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PERMIT TYPE I 0 SINGLE FAMILY ❑ TWO FAMILY hil TOWNHOUSE TYPE OF WORK: 1 ONEW IDREPLACEMENr DETAILED DESCRIPTION OF WORD FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ BATHTUB _FLOOR GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) DISHWASHER YLAUNDRY 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 permit arml work is not to start without a permit on site; that the work will be in accordance with the approved plan in the ase ofi req i s review and approval of pl SIGNATURE OF APPLICANT `� A -WIC C- PRINTNAME IIl -"; 1/ f O DATE City of Fridley Building Inspections Department 6431 University avenue NE, Fridley, XfN 55432 763-572-3604 F14X: 763-502-4977