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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT No4695 ' ' Date: ' = C.– �— Owner: _.._._..�1� �_:.��.�" __._._.__ Builder -•_--��,...__�..�F�-�.::� `° Address _..._____••�t_11 _.._ _ _ .___. ..__.� _ ____ ._ Address. f -e. ,,. LOC TION � BUILDING _ . No. Street -....._. Jo Lot ...-,F }'�� ------ Block -_+.... ........................ .... Addition or Sub -Division �� t� . ?` °, ..�- ' � ✓ � _' y� _ � r�:.' '"G�t� Corner Lot ..... .................... _........ Inside Lot ...----#� - ----------------- Setback ... �, :-t:_ .._....:__...___.... Sideyard ....___. t' ?:... _... _................... .... ._.___. Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as _ r ......._.. ' .._.. fs. ....... Front ._._ Depth ;. -- Height ` '._.. Sq. Ft.Cu. Ft. _... --..... Front Depth ....'�.. Height ,P'r�_. Sq. Ft. ..�, Cu. Ft...... of Construction ............ ` ,. ,g,.,.µ "Est. Cost.,/.....,. , _ ,...._........ To be Completed ....._ ............._..._._.............._- r -A � STI N THIS PERMIT-," Fj P'!C)T gUTHORIZE VIOLAT ION OF ANY Pi:I'MTE LAND COVENANTS AND SUILi ,,i"JG RESTRICTIONS. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $.-; w -;;r . w""'-..., permit is hereby granted to ........................ ........._........_..._......._.. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at . any timgApon 14olation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, Baa heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. 4 APPLICATION FOR BUILDING PERMIT CITY OF FR.IDLEY, MINNESOTA Owners Nam_ a Builder Address Address LOCATION OF BUILDING No. �// Street _ -Part of Lot LotBlock RZ.Addition or Sub.Div. /7��v.� Corner Lot Inside Lot Set: Back _� , Side -Yard SEWER. ELEVATION ;Z� FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: c/ �. -��� e Front -7 Depth 0e,'✓, J Height Sq. Ft. Cu. Ft. eyQ� FrontDepth % Height Sq. Ft. Cu. Ft. Type of Construction _ Estimated Cost i 1 - :r M The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated in this application are true and correct, DATE /� / 7 6-1 SIGNATURE�-1- (A Schedule of Fee costs can be found on the Reverse Side.) 8915.51 City of Fridley Applicaii®n for Pk=Mng and (vas Fhtkg p Dept. of Bldgs. Phone SM -3480 DESCRIPTION OF WORK Number. Kind and Location of Fixtures ��rr��ss gg 5 c �gQ OF a` d $ �, Z o �c `a 5O x $1.50 yuj�� Catch Basin ... ... ... ....... • I • N WATER HTR, GAS ELEC. Base x $3.25 $ Electric Water Heater : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... I x $2.00 ; 2.00 Additional Fixtures . .................. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 loo instll lite ;� grill 6.00 Li ® G3 i 2nd 3rd -- 4th _ ° Futuro Connection Openings * Now Fixture, Old OpeningsSewer Connected with I Cesspool El 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 98,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. x $3.25 $ Electric Water Heater : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... I x $2.00 ; 2.00 Additional Fixtures . .................. x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ instll lite ;� grill 6.00 REPAIRS & ALTERATIONS—Refer to Code Description ..............................................$ TOTAL FEE $ 8.00 981 Overton Drive (Ftridley) 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 Qat. 20. 1969 Owner _Louis Co Nlarsehall Kind of Building f reme Used as res i rl en n e To be completed about Cat 2h., 1969 Estimated Cost, $ 20.00 OIdK-New. Building Permit No. Per ' Si e By FAPOLIS GAS W. Business Phone No .� ROUGH FINAL / G 4fSr Power Plants and Healft Cooling, Vemilattne Repigeration and Air Conditioning Sydenni and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIB: RATE 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 $___ _ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 $ each add. 60,000 BTU .................... .. 3.0o i Replacement of Furnace .... 6.00 $ Repairs & Alterationsr—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 8.00 Each add. 320 sq. ft. IDR 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) ... &00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures .. . ..... x$ 7.00 $ Additional Fixtures x .75 $ Gas Range to 199,000 _$ &00 $ AIR COFDI'I'Ji m i n a ave"z 2 HE$� FAN HEATING SYSTEM Sae Fee Schedule VENTILATING SYSTEM ALTERATIONS k REPAIRS TOTAL FEE -�0 ROUGH City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and corr'ecL Fridley, /Mdinn_ A �,/�� Owner 10LU S 1L/cLvy 7a0 Kind of Building - Used as - To be completed about __ 73 Estimated Cost, $_/ � 00-- Building 0Building Permit No. Permit No. DFaCAIP1ZOF OF WORK BEATING or POWER PLANTS--4tean4 Hot Water, Warm "—No Trade Name Size Ne - Capacity Sq. Ft. EDA_ BTU H.P._ Total Connected Load JUnd of Fuel BURNER — Trade Name Size No Cepecit7 Sq. P't. ED R BTU Hl$ (UNARKf—OVER) sueJEcr City of Fridley C6:0 AT THE TOP OF THE TWINS BUILDING PERMIT11 r -------- COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. Qor �� r 1 � PROTECTIVE � i1 i ��"'1;,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY •-_-� L 612-571-3450 910-F15 5/29/86 JOB ADDRESS 981 Overton Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 4 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Louis Marshall 981 Overton Drive N.E. 571-0251 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 Ij ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be the 2nd layer but not the 3rd. Install ridged galvanized valleys, 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 SQ. 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 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 $800 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $15.00 PLAN CHECK FEE TOTAL FEE $15.50 SIG TURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI ., WHEN PROPERLY VA DAT D THIS IS YOUR PERM T B D INSP 044E SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ J City of Fridley Effective 4/1/86 ADDN. [ ] L R-1 AND R-2 j ALTER. [ ] Building Permit Application Construction Address: 7 C,? Legal Description Owner Name & Address Tel. # -S7/ Contractor:_ l) -Tel. Address: cC 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: / �w 'eDo,-- Corner Lot [ ] Inside Lot [� Ft. Yd. Setback Type of Construction: Approx. Completion Date: Side Yard Setback Estimated Cost: $ AJ O6r ay Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: CITY Permit Fee $ r� Plan Check $ r State Surcharge $ SAC Charge $ Park Fee $ Sewer Main Charge $ i TOTAL $ J j STIPULATIONS: Tel. # USE ONLY Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 0 SUBJEET P City of Fridley 27961 AT THE TOP OF THE TWINS BUILDING PERMIT 'IR Ir? ` ECE PT NO. `� ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. (/® NUMBER REV DATE 2255 PAGE OF APPROVED BY "'1 CITY HALL FRIDLEY '55432 A, ' 612-571-3450 910-F15 9/9/98 JOB ADDRESS 981 Overton Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 4 lBrookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Louis Marshall Jr. 571-0251 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner a 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 Jk REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace window 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping ro m and on each level of house. SEPAATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTI ATING 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 W(DRK 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 3500 $1.75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVI IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $87.25 Fire S 3.50 PLAN CHECK FEE TOTAL F 4z9 .50 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PR E IO TED I$ IS P S}GNATUR E OF OWNERIIF OWNER BUILDER, �r IDATE, BILOG SP TSA �E 0 DESCRIPTION OF IMPROVEMENT AREA: Length Width Height Sq. Ft. sE AREA: Length Width Height Sq. Ft. AREA: Length Width Hgt/Ground Sq. Ft. :tion Type: IV 141 /)a Estimated Cost: $ (Fee Schedule on Back) v Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: J APPLICANT: A� Tel. # S7/. — ®aS/ CITY USE ONLY Permit Fee NEW [ ] Fire Surcharge Effective 1/1/98 AD DN [ ] CITY OF FRIDLEY $.50/$1,000 Valuation ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 License Surcharge $ $5.00 (State Licensed Residential Contractors) BUILDING PERMIT APPLICATION $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Co $ 701 OW�r7-a,41 1,9,c W1 Sewer Main Charge $ tructionAddress: TOTAL $ Leg 1 Description: Ow er Name & Address: .0 � 0411-< j jM;1--1/� L ,ToC, Tel. # Ile Coi tractor: ' aG w" MN LICENSE # Ad ress: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT AREA: Length Width Height Sq. Ft. sE AREA: Length Width Height Sq. Ft. AREA: Length Width Hgt/Ground Sq. Ft. :tion Type: IV 141 /)a Estimated Cost: $ (Fee Schedule on Back) v Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: J APPLICANT: A� Tel. # S7/. — ®aS/ . STIPULATIONS: CITY USE ONLY Permit Fee $ CO,2 9.-2S— Fee Schedule on Reverse Side Fire Surcharge $ 2. -SZ) .001 of Permit Valuation (1/10th %) State Surcharge $� $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ . STIPULATIONS: su9JEcr NO. City of Fridley 33229 AT THE TOP OF THE TWINS BUILDING PERMIT f 16_ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � � 1 NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 �.j 763-571-3450 910-F15 11/1/02 JOB ADDRESS 981 Overton Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 4 1 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Rite Way Waterproofing 448 Lilac St, Lino Lakes MN 55014 651-786-0550 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK install interior basement drain tiles stem 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. Caulk and flash all exterior openings. Pllf" InSPOCtiOn Wds ill Be mailed To ® o nero est 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 ORWORK 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 $3,700 $1.85 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE City L nse J402.80 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi HE PR Y VALIDATE THIS IS YOUR PERMIT � r G -14SJfOArE S-GNATURE OF OWNER��F OWNER BUILDER.. �DATEi NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: T,,,. ;-eA of R�Gc k7ra U/N 4; 1, �14 Owner Name & Address: 019 tAkL*4-, '\�)r Tel. # rl(,3- S-71- 0:)5 Contractor Rite -Way Waterproofing MN LICENSE# Address: 448 Lilac Street, Lino Lakes MN 55014 Tel.# 651-786-0550 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: Tntari nr RaspmPnt Drain Tilt- Systc-m Construction Type: _Qt4i):4-7 »a, Estimated Cost: $ 3-7CO- °o Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ji _ $ DATE: APPLICq NT Tel .# �7';L>d .. Call (763) 572-3604 for Permit Fees If mailing in application or ax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ -7 29 $ 3.7® $ Ids CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] TOTAL $ LOQ -70 STIPULATIONS: l SUBJECT PE City of Fridley3 3 4 61 AT THE TOP OF THE TWINS BUILDING PERMIT T NO. COMMUNITY DEVELOPMENT DIV. _____ r � � PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 4/23/03 JOB ADDRESS 981 Overton Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 4 1 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Louis Marshall 981 Overton Drive NE 763-571-0251 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 WORN ❑ NEW ❑ ADDITION ( ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install basement egress window 9 CHANGEOFUSEFROM TO STIPULATIONS Window to meet State egress 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 SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING 1 I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,000 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT 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- $38.75 Fire SC $1.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $40.25 S�GNAT RE OF CONTRACT j))�R OR AUTHORIZEDGENT IIDAATE. HEN PROPERLY VALIDATED THIS IS YOUR PERMIT Z JA Bl G i MATE S.GNATURE OF OWNEROF OWNER BUILDERS I IDATEi NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: ����5 v % Z Zl— Tel. # Contractor. MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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. v cio Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: l` ate`y3 APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL 3& 9S CITY USE ONLY - $ yo a s' Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 2 01e 9 ' CITY OF FRIDLEY 3uxlding ;nspechons 763-572-3604 MA 'ITE ADDMS.,_ -�U$ APPLICANT W. PROPERTY O'% TENANT SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICA'T'ION PROPERTY TYPE PERMIT TXPE TYPE OF WORK; BUMMING Permit No.:-, RESIODENTIAL APPLICATION TION Received By: CITY OF FREDLL+ Y Date Reed:_ YOURE-MAIL D OWNM )(00NTR.#=OR ADDRESS: Crry STATE 71P DESCRIBE WORK BEING SITE SQUARES. SIDING O vinyl 0 Alumimrat (3 Other.. WINDOWS INE)aS'iW0OPENINGS OYes []No OR FOR NEW OF24INGS-DESCRMZ SIM OF OPR41NO C1kANGES do TYPE OF WINDOW TO BE INSTALLED 3q 3q TOTAL JOB v', Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Contol Park Fee Sewer Main Charge r &E ,-- LENGTH O HOUSE OMY 0 HOUSE B GARAGE - 0 ATTACHED CrARAGE D DETACHED GARAGE OSoffit 0 Trim O Fascia LOCATION OF WINDOWS 17UT) _t } + iITr'� ALUATION, 4G THE COS,[' OF I FEE SCAMULE) ' OCCOPANCx Ft. DAV,MMU RZKQ=&Q SUBN91' 1. Existing Floor Pian 2 Proposed floor play 3. List of muatural members to be viced FOR NEW CONSTRUCTION INCLUDING DECKS. ADDITION& 1. Site PlWSurvey showin the MiStIM structures and proposed pmjut 2. Two sets Of aOn*uCtion PIM 3. Pnew Calautat OM $ See Back Pape for Fee Schedule $ 65% of Building Permit Fee $ (.0005) bones the total job valuation — Minimum $.50 $ 3. .001 x Permit Valuation (1/100/0) $ S . WORM $ • r $ R+68= ftx$20=$ $ $450 Cmservation Plan Review VA ]Fee Determined by En&eering $ Agreement uecessaty ( ) Nan Necessary ( ) S l n ,- l _ 1 Make checks payable to: City of Fridley Attar ■:• ala 1 i.Y �`■-r, ..-�� � ■ 1 ■ �rr • DESCRIBE WORK BEING SITE SQUARES. SIDING O vinyl 0 Alumimrat (3 Other.. WINDOWS INE)aS'iW0OPENINGS OYes []No OR FOR NEW OF24INGS-DESCRMZ SIM OF OPR41NO C1kANGES do TYPE OF WINDOW TO BE INSTALLED 3q 3q TOTAL JOB v', Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Contol Park Fee Sewer Main Charge r &E ,-- LENGTH O HOUSE OMY 0 HOUSE B GARAGE - 0 ATTACHED CrARAGE D DETACHED GARAGE OSoffit 0 Trim O Fascia LOCATION OF WINDOWS 17UT) _t } + iITr'� ALUATION, 4G THE COS,[' OF I FEE SCAMULE) ' OCCOPANCx Ft. DAV,MMU RZKQ=&Q SUBN91' 1. Existing Floor Pian 2 Proposed floor play 3. List of muatural members to be viced FOR NEW CONSTRUCTION INCLUDING DECKS. ADDITION& 1. Site PlWSurvey showin the MiStIM structures and proposed pmjut 2. Two sets Of aOn*uCtion PIM 3. Pnew Calautat OM $ See Back Pape for Fee Schedule $ 65% of Building Permit Fee $ (.0005) bones the total job valuation — Minimum $.50 $ 3. .001 x Permit Valuation (1/100/0) $ S . $5.00 (State Licensed Residential Contactors) $ $1450 per SAC unit (Plans to MWCC for determination) $ R+68= ftx$20=$ $ $450 Cmservation Plan Review S ]Fee Determined by En&eering $ Agreement uecessaty ( ) Nan Necessary ( ) S l n ,- l _ 1 Make checks payable to: City of Fridley Attar TRIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCBSSh`I7 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 Mhmesota Construction Codes; that I understand this is not a permit but only an application fo it mand work is not to start without a t; that the work will be In accordance with the approved plan in the case of all work cluitres d approval of plans. a.� �w10 DATE 7 G SIGNATURE OF APPLICANT PRINT NAME Building $ ' Ob BUILDING Plan Review Permit No.: Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 $ , '75— CITY OF FRIDLEY Date Ree 'd: 763-502-4977 FAX EFFECTIVE 1-1-08 SAC Charge $ DATE %4 _ — ®� YOUR E-MAIL ADDRESS Curb Cut Escrow SITE ADDRESS 9�Z ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee THIS APPLICANT IS: JLOWNER ❑CONTRACTOR Fee Determined by Engineering PROPERTY OWNER/ NAME: 2ar! Agreement necessary ( ) Non Necessary ( ) TENANT ADDRESS: F4!�l ODM % !M CITY ��/DLA �STATEA�ZIP Z PHONE: NAME: CONTRACTOR ADDRESS: CITY STATE ZIP SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE K SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE V XDECK ❑ SIDING XOTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR PEMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. 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 ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑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 Nu►TERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ ' Ob See Back Page for Fee Schedule Plan Review $ '' 0 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ , '75— .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 $ , , Make checks payable to: City of Fridley Attach Sti ulations 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 on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURELICANT PRINT NAME DATE APPROVED BY DATE Building MECHANICAL Permit No.: -fJ4 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date: AUC 1$ 763-502-4977 FAX EFFECTIVE 1-1-08 DATE YT'IaJOT YOUR E-MAIL. ADDRESS SITE ADDRESS s/ er,@ i a♦ [� . THIS APPLICANT IS: ❑ OWNER JVCONTRACTOR PROPERTY NAME: L• a tmf M A R y M A R S A I// OWNER/ TENANT l ADDRESS: 911 ® Via h;e Af. TATE A 'tZIP_FM Z PHONE: 763 - ED - CI Z S l CONTRACTOR COMPANY NAME: 14/9A k f-/ AA64 yyael A v O A o 4 Ge�✓P xo�­•-!;4 o WC SEPARATE CITY CONTACT PERSON: XP / I y /VI 410AF STATE LICENSE # EXP DATE LICENSES ARE REQUIRED FOR GAS AND HVAC. ADDRESS: 4 2 V 0 j_ 4 K? C Ar✓o A yr /t%s CITY. t/� �/2 O.4j!:r ✓ t04414'STATEM/4LIP SS*VI SUBMIT COPY OF BOND PHONE 7(03- S9% - 0667 FAX ANDINSURANCE PERMIT TYPE C9 SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW &REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK X4 ,WAV1 (A iyn/aA A' 4A4l 4. lJU—%A4A PER MS 16B.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. (This should reflect only the cost of labor ) OR Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) y Equipment Installed MFG: L41j'sox MODEL: V/ 71 tIPPA d 0 7o SIZE/BTU -/0,, o o MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU _A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 NEW _BOILER $35.00 FURNACE $35.00 UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 HEATER $35.00 _POOL _DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 PERMIT FEE PmEars,FQR UND $' FEEFOR PROJECTS'; OVER $500 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 J: x $35.00 = $ State urcharge = $ .50 MINIMUM $1 b MINIMUM $1 . otal = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a mechanical 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. SIGNATURE OF APPLICANT PRINT NAME Ke )/I- A R 5 /j DATE a /) Oaj APPROVED BY DATE PLEASE NOTE". -SE LARAXTE17ER %T.ARE::.:. f T1YtEI3 F(}R B[ i%bl r; R CAL AND MECHANICAL WORK , City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977