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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 7020 Date: -�� Owner: ��� Builder Address Address LOC TION Q# BUILDING No. Street ,� e(/ ,Part of Lot Lot _ Block Addition or Sub-DivisioLai Corner Lot _ // Inside Lot _ _ nom♦ Setback �� _ Sideyard �lL � d Sewer Elevation I® 3' %f ---Vvtm4Mion Elevation 6 • l '*c(' OF (=-cT fhlo DESCRIPTION OF BUILDING A To Used AW"P Front �� Depth s� Height ,�- Sq. Ft.Cu. nt Depthey Height Sq. Ft. 4 Cu. Ft. Type of coon Est. � '��o be Completed In consideration of the issuance to me of a permit to co described above, I agree to do the proposed work in accordance with the description above t fo pliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ ''�- , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that 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 reg location, construction, alteration, maintenance, repair and moving of buildings within the city limits and permit may be revoked at any timeupon y�alation of any of the provisions of said ordinances. �® .1 1 NOTICE: M permit don not eovw the construction, butaMen for whim plumbing, gas hearing, sorer or water. Be sure to see the Buibiing hopedor for separdo pernft for these haw. APPLICATION FOR BUILDING-;?ARMIT CITY o _ .. F FRIDLEY, MINNESOTA_ , •:,; `:: ":. �:.' r. `. OWNER'S NAME BUILDER ADDRESS.. ADDRESS LOCATION OF BUILDING. No. Street art . of. Lot Lot Block Addition or Subdivision &fP Coiner Lot Inside Lot SetbackSide-Yard,.. -7t/t SEWER ELEVATION FOUNDATION ELEVATION Applicant attach. to this. form ,Two Certificates of ;Survey ;of Lot and -proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front Depth Hgight Sq:, Ft:, Cu,, ft., Front Depth Height Cu.. Ft: Type of Construction l' Estimated Cost To be Completed a The undersigned heieby­inakes application••for:a•permit -for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings ef.,the;Department,.of. Butldiggs,, and hereby decd that sll'.the facts and representations stated 'in this application are,,prue erect:: DATE411 '1% ! -(rte SIGNATURE _(Schedule of Fee Costs can be found on the Reverse Side). y ,,1 9/ y_._ City of Fridley, Minn. N° 7897 BUILDING PERMIT Date: June 15, 1965 Owner. M Potee Builder Erco, Inc. Address 6771 Overton Address 3231 Central Ave. N.E. 6771 No. Lot 4 Corner Lot ,— Sewer Elevation To be Used as: Overton. Street Block 1 Inside Lot Front Front Type of Construction LOCATION OF BUILDING Part of Lot Addition or Sub.Division Meadowlands 2nd Setback Sideyard Foundation Elevation DESCRIPTION OF BUILDING Repair Storm Damage Depth Height Dept 30 _._._ Est. Cost _ In consideration of the issuance to me of a permit to c the proposed work in accordance with the description above ordinances of the city of Fridley. Sq. Ft. Cu. Ft. Sq. Ft. Cu. Ft. To be Completed zg described above I agree to do compliance with af1 provisions of In consideration of the payment of a fee ofl� o , permit is hereby granted to "co, Inc. to construct the building or addition as described above. This permit is granted upon the empress condition that the person to whom it is granted and his agents, employees and workmen, in all work done around and upon said building, or any paw thereof, shall cenform in all respects to the ordinances of Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings within the city lts and permit may be revoked at any time upon violation of any of the provisions of said ordinances. Allen Jensen Building Inspector NOTICE: Ibis pmO don not aerar the aondruc6m, dutaMm for vArtn& plumbing, gas heatlng, ewer or wafer. Be sure to no the BUM29 hsps r for spam* permits for thus Items. APPLICATION FOR BMIDM PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S BUILDER 07 ADDRESS ADDRESS LOCATION OF BUILDING No.Part Of Lot P.M. LOT BLOCK ADDITION OR SUBDIVI6100,A Corner .Lot ..._Inside LM2C" Setback Side -Yard 'Aft ELEVATIOk, SEWER ELEV ON FOUNDATION' Applicant attach to this form Tw6,Certificates of Survey,of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BU=Md� To be used Front Depth' Height Sq* Ft. Cu. Ft. —Front- Depth Height�_ Sq. Ft,- Cn. Ft.` Type of construction Eatimated*'Cost To be completed' e __/-r_466 The undersigned hereby makes application for a permit for the work herein'specified, agreeing to do all work in strict accordance with the City ofFridley ordinances and,rulingi of the Department of Buildings, and he'reby,-#eclar 1 69 'that 'all -the facts ' and representations stated in this application are vfvo and cotreet DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side'),, o" Ci f Fridley tY o Application for Plumbing and Comas Ming Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Loaatio 71 ® w m m a �U' O • F + N WATER HTR. GAS ELEG Base 2- 1st 2nd 3rd 4th _ • Future Connection Openings e Fixture, Old Openings I Connected with Sewer E]New Cesspool 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/ re true and correct. Fridley, Minn Owner Kind of Building Used as To be completed about PARTIAL RATE SCHEDULE Estimate cost, $ PLIIMBING FIXTURE RATES: NO. RATE TOTAL Old Ne ding Permit Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ '2K, O O / ROUGH New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ SO Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE $ c / 7. a FINAL J 42 By--%-� Business Phone City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PERMIT NO. c _ 19037 r COMMUNITY DEVELOPMENT DIV. tr ______ PROTECTIVE INSPECTION SEC. r 1 1 ` � 1 ---n CITY HALL FRIDLEY 55432 A, J 612-571-3450 RE 6-47 NUMBER 910-F15 REV. DATE 16/26/87 PAGE OF APPROVED BY JOB ADDRESS 6771 Overton Drive N.E. 1 LEGAL DESCR. LOT NO. 4 BLOCK 1 TR ACT OR ADDITION SEE ATTACHED Meadow Lanes 2nd Add.itlon SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Philip Bodine same 571-5424 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 WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK 16' x 23' Wood Frame Addition 9 CHANGE OF USE FROM TO STIPULATIONS 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 $35,85017.93 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 H3433 11 .56 S OF CON ACT R OR THORIZED AGENT (DATEI L A THIS IS YOUR PERMIT P o J?f % 3�= BLDG INSP DATE SIGNATURE OF O IIF OWNER BUILDERI (DATEI 0 NEW City of Fridley. Effective 4/1/86 ADDN. [ R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: � Owner Name &Address: ' Z � Tel. # Contractor: P -A / � l ,� ,7���/ /J�- - Tel. � Address: 4:�, 77i 0Vt-R70y­J Dig. /V.4 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Corner Lot [ I Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length _ 1 - Length Length Height Width - Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Tn miA_ o Ft. Yd. Setback - Side Yard Setback Type of Construction: Approx. Completion Date: S5 Pr l i7 -7 Estimated Cost: $ 3$ ig� •oA Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation � o -71''5�z% DATE: � % APPLICANT: � ._ __ .�i�-J= -�-� Tel. CITY USE ONLY Permit Fee $ js�� Fee Schedule on Reverse Side Plan Check $ $ �s 25$ of Building Permit Fee State Surcharge $ ( �� 3 $•50/$1,000 Valuation SAC Charge $ $ 525 per SAC Unit Park Fee $ _ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ j s gjCa 00 STIPULATIONS: dS► 00C — y 4 -so 4Q -SO ter_ � �.�.ti. ht t u ,.f land Planning WS -Al' hivoy ACs ALE. Land Stewy n' y Mirn�a�n/n Zl, S0115Teslv,9 ENGINEERING, INC. ''*;ws°ta Owl & Afmi6ml smut 440" r � E e� Engineers Survey&.s C@ timicate of surve T Joe 1 2111 / .Qa �... i =•{-, :,,3 ,� 1`�, � � i4 � ._ . _1 i -, ter,, `.� � \- \� / i i fbaE lliis is a fine and c rad re o Aan of a swve e& &w doMes flir 060M akaykd land m d r a&0 yf'.dJ t�►ldu�y , fM&eW and d/ risible dxroatrimenfs ,!,rang, f vn 0,r unsaid /and. As Surveyed by me tMs day A.v. SUBURBAN ENGINEERING, INC. Enginerrs Fr s�r-ruJors SUBJECT P NO. City of Fridley 2 8 02 AT THE TOP OF THE TWINS BUILDING PERMIT r? RECEIPT NO. a: __--� COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 4q r � PROTECTIVE , NUMBER REV DATE PAGE OF APPROVED BY I CITY HALL FRIDLEY 55432 612-571-3450 910415 9/29/98 JOB ADDRESS 6771 Overton Drive NE T LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 1 Meadowlands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul & Rose Lundequam 574-1648 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Attleson Constr. Inc. 3916 Willow Rd. Brooklyn Pk M 55443 427-6431 20099630 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential T CLASS OF WORK O NEW O ADDITION O ALTERATION ia REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof house and garage (33 S) Tear -off; Front foyer addition 6' x 3' 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. N See notations on plan. WARNING Before digging call for all utility locations 454-0002 REQUIRED BY LAUD 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 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 6828 $3.41 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVIS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU TIO OR THE PERFOR NCE OF CONSTRUCTION $124.75FiretSC $6.82 PLAN CHECK FEE TOT FEE �� 3 8 SIGNATURE OF QN'RACTOR OR AUTHORIZED AGENT IDA I RO VALIDAT TMI$ I$g PE MIT olkI S-GNATURE OF OWNER SIF OWNER BUILDER, IDATEI BAG INSo gAtE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 22 BUILDING PERMIT APPLICATION ConstructionAddress: (07-71 Llizo-Tz Legal Description: Owner Name &A"d'd�ress: �Gct,,//�►►'�-��it �X e q !,� c v,� Tel. # 74 `161 b /� Contractor: /'� '! a Scrn t...ar-a► S G -k ah AC-. MN LICENSE # 212x%6 3 U Address: A46;(. pod%! , keA- -,S el. # 42-7- (v43/ 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 142 Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Width Hgt/Ground Sq. Ft. ��Lennngth OTHER: Iia F 11 /'to4s� 1- 3 S. !W " �Igaa-r - Construction Type: Fv'Onf FayeW 44J-1,6, Estimated Cost: $ ��o000 $ .001 of Permit Valuation (1/10th%) (Fee Schedule on Bac L Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ $1000 per SAC Unit DATE: 18 APPLICANT: A/C4- "C,%% Tel. # $ Alt. "A" or Alt. "B" Above Erosion Control CITY USE ONLY $450.00 Conservation Plan Review Permit Fee $ 42�� Fee Schedule on Reverse Side Fire Surcharge $ .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 $ l STIPULATIONS: of. SUBJECT PE City of Fridley AT THE TOP OF THE TWINS BUILDING P E R M I T z 28180 572 EIPT N � • N Y DEVELOPMENT DIV. ,-369 ' V- SEC. PROTECTIVE INSPECTION E CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ,j 612-571-3450 910415 10/9/98 JOB ADDRESS 6771 Overton Drive 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 iMeadowlands, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Paul & Rose Lunde uam 574-1648 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 Bathroom alteration - new sheetrock around tub 9 CHANGEOFUSEFROM TO STIPULATIONS 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 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 $1200 $.60 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S UCTION OR THE PERFORMANCE OF CONSTRUCTION $40.25 Fire S $1.20 PLAN CHECK FEE TOTAL F A - - 42 5 I NATURE O ONTRACTOR OR AUTHORIZED AGENT tOATE, N P OP R V IDATE S IS V UR P IT NATURE WNERa00W R UILDM iDAT' MATE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ v]' SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: (o '77 Al l)li Legal Description: 40 T Al, i3 LOC, / M &--7V,Qd 6J Owner Name & Address: PPu i— leo SE (Jnl OEQ UAB Tel. # /6 e-/6 Contractor: MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BWROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: A L -T ZZ — lel ELL) f)F -E- T k-OQ,�- Al&) UlU n --J-U& Construction Type: b2VTTRROO fn PQ ATE Estimated Cost: $ / / a0 0 ..aa (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: /d 9 Qj APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ Q,o2S' g /. ,2 0 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] 1 Building $ 1 G1 �4ci BUILDING $ Gln C-1 I Permit No.:APOI Inspections Surcharge RESIDENTIAL APPLICATION Received B 763-572-3604 SAC Charge CITY OF FRIDLEY Curb Cut Escrow DalMd 763-502-4977 FAX $ Park Fee $ Sewer Main Charge $ Total Due EFFECTIVE 1-1-2010 DATE% �% ' I ° J YOUR E-MAIL ADDRESS L�b —C/ SITE ADDRESS 7 -20 25i- Al 1- F rZ ' o THIS APPLICANT IS: GYOW�NER ❑CONTRACTOR PROPERTY OWNER/ NAME: ` Ar.a 1 t ADDRESS: Cv ? b, CITY F f`- > STATEI'w! � ZIPS-SY341 TENANT PHONE: �(1 ��(-/fo`Cg CU' CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Z¢, d� 1i s3L 7�:c' K - A D D SIZE OF IMPROVEMENT LENGTH . 5' WIDTH )3' S� HEIGHT 3 � r SQ FT L ROOFING O HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1 ' 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: �� X 1 �. FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING _ ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit — -c'd �A 1. 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 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: �Q.[S]INQ THE 1997 U.B.0 FEE SCHEDULE) 'OTAL JOB VALUATION $ W d : `t' Permit Fee $ 1 G1 �4ci Plan Review $ Gln C-1 I Fire Surcharge Surcharge $ I License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ ) i IiT41 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Payable to: City of Fridley Attach 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 ofl 11york whictl requires review and approval of plans. SIGNATURE OF APPLICANT C/1� PRINT NAME i L. DATE / q -' �" LZy q0, 0o Building MECHANICAL Permit No. '51 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE 2� YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER XONTRACTOR PROPERTY z NAME: OWNER/ ADDRESS: CITY STATE IPZS�43 TENANT PHONE: CONTRACTOR COMPANY NAME:_5f SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # _ , EXP DATEd Q�� aTY q. POLL L STATE�N�ZiP S�1O LICENSE WITH ADDRESS:�G j'�'�-f >tl APPLICATION pHONE tiaS / f _9j2 FAX I0S-1 AINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE PERMIT TYPE 0 NEW PLACEMENT 17 ALTERATION/REMODEL TYPE OF WORK: DETAILED DESCRIPTION OF WORK CLL de- FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALCIS PER MANUAAJ 2006 ASHRAE HANDBOOK o Equipment Installed MFG: MODEL: , r i C 3 SIZE/BTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU $25.00 (GAS) $15.00 _GAS RANGEIOVEN $10.00 _A/C _FIREPLACE AIR TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 „FIREPLACE BOILER $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 DRYER $10.00 POOL HEATER $35.00 _GAS DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 „4 at..i "Z •'KK' iS � 'ti Y U 2 C 2 A� S.l\ � � �\�\l \ - ,�� 3\ A ,�,� yh,��� \ �\ +b ,3, ��� _ cca��� '�� b � � 3 i Sf••. 1� �\\R�3 � 4� Z�,a °l� 3 Y l0 �\ *r� \�'.� 8"' &. � y�� �5� �i..• R\_ �L� \`n\.� \Si y. � b __`i �j y. �`�sa\:.�'wtt. kr'3s �' t ,``\ �`. . S��v.: h'i aal.• � 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 ca` ee•of all work which requires reetie` and approval of plans. NA SIGNATURE OF APPLICA DATE APPROVAL INSPECTORS SIGNATUREN > F777MR71 IMF City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977