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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Na 4283 Date: - - /"` ...__......__^_..._. °� .._.._.._..-...._._..._.. a Owner: .......................... .............. _.............. -...... ..... ___._..... ................ ... ............ Builder ...... ,......................._. .----.:....._._._...----_-_._ _.._. _....._...... Address--- .............. ....... -......................... _............ _..__...._... .__..._.__.... Address ........ ................... ......... _..... _..... _._.......... L CATIO OF BUILDING No. /.._.._.... Street ..... - - •- ----• --- �'� "... .... ............... Part of Lot ............ -.......... _ Lot ....._ .......... Block ---.---•--.` ................................. Addition or Sub-Division7Pi�leCs,�"....?1��... Corner Lot X ....................... Inside Lot ....................................... Setback .3:47_. _P.._........ Sideyard'.d.... ' ..()....-- Sewer Elevation .........:.......... ........ ......_....................................... ........................ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: i �1...�� Depth e�.. .. _�' 'Height _1��.:... Sq. Ft./�s� Cu. Ft. -20,3/-Y'/ _............ _................... Front . _�s , .._ /6!T t —e� �...: c ®•� Ft.... Cu. Ft ..cl. _......._.......... Front ......._......._...... Depth..'......._.. eight / .. Sq. Type of Construction ..............._............._......--- .......... Est. CostT...../�dl'!RTo be Completed ..... .............. _............................. In consideration of the issuance to me of a permit to construct the proposed work in accordance with the description above set for ordinances of the city of Fridley. In consideration of the payment of a fee of $.'+. ........... .......... permit is hereby granted above, I agree to do with all iRrovisions of ......................... 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 time upon violation of any of the provisions of said nrdinanepa_ 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 items. a4180.4 _.__..__._._........._ APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Builder Address LOCATION OF BUILDING No. Street Part Part of Lot Lot _ Block Addition or Sub.Divc ;? o-�.�7 Corner Lot�side Lot Set Back 5 Side -Yard - SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certf� ca.te of Survey of Lot and proposed building location. ! DESCRIPTION'OF BUILDING To be used �W.: T:'ront Sq. Ft.,/� ��o Cu. Ft. —Front—' /5? Depth, 04Q Height Sq. Ft. Cu. Ft: Type"of'Construction ° / Estimated Cost To Po -completed The undersigned hereby makes application for a permit for the work herein specifiedp 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 tion&:'stated in thi appli tion are true and co t.�a DATE?5::.r ® SIGNATURE' (A Schedule of Fee costs can be found on the Reverse.Side.) City, of Fridley, Won. 1076 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Zate: - j„ 1 W R7 1971 Qom: Elmer Jahn Builder S li g G e 1 C o Address 891 Pandora nriva Address 1850 Como Ave..nue LOCATION OF BUILDING Na - gw Street Pandora Drive . _ Part of Lot Lot if) Block 4 Addition or Sub -Division Riverview Terrace 3rd Corner Lot Inside Lot Setback Sideyard — Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Garage Front - 24 Depth __22Height __ 1 n Sq. Ft. _528L_ Cu. Ft:. 5280 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction - Frame Est. Cost _ 2100 - To be Completed 90Days Hard Surface Driveway Garage slab elevation to be at least 181' above centerline of Able Street to drain toward Able Street. In consideration of the issuance to me of a permit to construct the building described above, I agree to do $die proposed work in accordance with the description above set Xorth and in compliance with all provisions of ordinances of the city of Fridley. – eG 1 1ti In consideration of the payment of a fee of $_ , permit is hereby granted to S11 s R e 1 Cn 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 n� city limits and this permit may be revoked at any time upon violation of any of the provisions ofordinsaid 2 zKell wilding Inspector. - HANK M MT('H NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. `7 APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: &,#- _k_ k h- BUILDER: �v..S j & ADDRESS: 8 9/ �2ct oho Da i v �a� ADDRESS: /e,SSB A✓ e C5�t to LOT: BLOCK: ADDITION• CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: -4 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: Front: CZ G�-- Depth: / Height: Square Feet: i Cubic Feet: 2�® Front: Depth: Height; Square -Feet; Cubic Feet: Type of Construction: /oda Q_ Estimated Cost: $ 2 To Be Completed: %O cy�,1 1✓f-��-c:=� �/ � /L' '�- -� 1���� 5 S-- -SeF ��` -� �i3� = a -3/2,6V 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. DATE : ' U ' l %'� SIGNATURE: (See Reverse Side For Additional Information.) �8 C/ aA/a v C/ cf,�y _ Process Service Associates 891 Pandora Drive, Minneapolis, Minnesota 55432 560-1540 JULY 15, 1971 Building Inspector City of Fridley Dear Sir: We are building a 22$24 garage on the rear of our lot. Our now attached 1 car garage will be converted into a family room in the near future. Yo T;uly, �- liner E. J Joanne E. Jahn LM SUBJECT PER City of Fridley - 7501 AT THE TOP OF THE TWINS BUILDING PERMIT �r! r R � COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY i � ,,� CITY HALL FRIDLEY 55432 L ____ 612-571-3450 910-F15 5/22/84 JOB ADDRESS 891 Pandora Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 30 4 BrookvieW Terrace 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elmer Jahn 891 Pandora Drive N.E. 571-4706 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 8 DESCRIBE WORK Convert existing attached garage to living area 9 CHANGE OF USE FROM TO STIPULATIONS Use moisture resistant wood in floor system unless it is vented. PERMITS REQUIRED FOR WIRING ,EPERATE AND 51QN& HEATING, PLUMBING 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,000 $2.50 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. $50.50 P AN CHECKFEE TOTALFEE $53.00 SIG"17 OF CONTRA R ur IZEDAGENT IDATEI r - WHEN PROPERLY V' IDATED TH S IS YOUR PERMIT SIGNATURE OF OWNER 0FOWAR BUILDER) IDATEI DG INSP DATE LM NEW [ ] ADDN. [ ] ALTER. [ ] Construction Addre Legal Description: _ Property Owner/Address: ,�Lfl�� e%��� �, �eV Tel. # Contractor: �l��Ele Tel. # City of Fridley Effective 4/1/84 �R-1 AND R-2 Building Permit Application Address: 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. C Q e e fa/ a OTHER: - -- — a -W 400 Corner Lot [x] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback o� Va*4mfl*oA 40 .� Type of Construction: Approx. Completion Date: SF Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: a� APPLICANT: Tel. CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] _ r ` 1 "'•; '- �~ J= to .! - - b 7'M ,z r�n, } vv 1 ! J1 M1s a "'€�'" 4 5 tom. L ij AS %✓ .°' f - Y ! .� �E �� r It 4� � - Rx�. 1{�+ r.`F" _ d °o.. ��. � A� 1 �' `•.,' 1 - �• �A � `.:j 1 ,. ; _ 'L. t .. J ..Y AZT, 'FINDr �.. ¢ $ r. \► - v s a �+ �, Ilk 419 40 p�,q}�rttC ��� � � �' �� _r � �;; +�'' f� .: •y _�'�' .ter.. Y\ al 1'�#k"t� ` - i� 'r r a i ♦ r �r r� SUBJECT PER City of Fridley 18142 AT THE TOP OF THE TWINS BUILDING PERMIT r REC COMMUNITY DEVELOPMENT DIV. 1 fr w (I� r , PROTECTIVE INSPECTION SEC. �� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/1/85 JOB ADDRESS 891 Pandora Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 30 4 Brookview Terrace 3rd. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elmer E. Jahn 891 Pandora Drive N.E. 571-4706 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 ❑X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 161 x 24. Sun Porch Addition [$creens Only) 9 CHANGE OF USE FROM TO STIPULATIONS Any wall of existing garage closer than 6 feet must be fire rated (sh&trock) and door must be fire rated. SEPARATE PERMITS REQUIRED FOR WARNING WIRING, HEATING, PLUMBING AND SIGNS. ire digging C89,10cal: utilities tWpN0 . r&&kjC.' d'AS Etc. REQ fD BY LAW 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $4,800 $2.40 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- $50.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $12.63 $65.50 ARIZEDAGENT (DATE) WHEN PROPE VALIDATED THIS IS YOUR PERMIOF WGIRE BLDG hATE OWNE F OWNER BUILDER) IDATEI •" -- NEW [ _I City of Fridley Effective 4/1/84 ADDN. [ �r�J000' tR-1 AND R-2 , ALTER. [ ] Building Permit Application Construction Address: i�2a2 e2 eiy E Legal Description: 1074 .?O , �i Lo eK �{ zj/eoo)�-/f erc) �'e"Z"oe P Owner Name & Address: ���r2 J,�lf�/ Tel. # %/�`te - Contractor: 5941-- Tel. # Address: -- 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. Corner Lot 00 Inside Lot[ ] // Ft. Yd. Setback Side Yard Setback Type of Construction: Co'?" � r� V voo C Estimated Cost: $ o° Approx. Completion Date: C4 MO. 00 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: 04M $ $ See Back Page for Explanation DATE:�� � APPLICANT: Tel. # 15-71- -CITY 5-%CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sever Main Charge F ifr f .1 �! Fee Schedule on Reverse Side 25$ of Building Permit Fee $•50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: '4-A L ' 0�� 3W___S t �. SUBJECT City of Fridley 2 500 AT THE TOP OF THE TWINS BUILDING P E R M I T Ir NO. i v -------COMMUNITY DEVELOPMENT DIV.�� r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 L J" NUMBER REV DATE 9/15/97 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 891 Pandora Drive NE I LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 30 4 Brookview Terrace 3rd I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elmer Jahn 891 Pandora Drive NE 571-4706 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dave Wiger Construction 901 Rice Creek Ter NE, Fridley, MN 55432 8293 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 572-8403 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 Reroof House & Garage (26 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 $2,168 $1.08 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 PROVIS16N*r, OF ANY OTHER STATE %OR LOCAL LAW REGULATING CON- $74.75 Fire SC $2.17 STRU ION OR THE PER RIA NCE OF CONSTRUCTION. PLAN CHECK FE TO L FEE Lic C $5. $83.00 SIGNATURE OF CO TRACTOR OR AU TNO IZED AGENT IDATEI EN ROP VALID T BCUCINSP THIS IS W PERMIT BATE SIGNATURE OF OWNERoF OWNER BUILDERI IDATEI NEW [ ] Effective 1 / 1 /97 ADDN [ ] CITY OF FRIDLEY ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 656d BUILDING PERMIT APPLICATION qp 9 ConstructionAddress: Legal Description: Owner Name & Address: �i,�� �%9`15�� Tel. # t?` Contractor: DA00 k) fGL MN LICENSE# 5o9,93 Address: To( etcL C'%z��i�' %T�,(�,c' Tel. # 5-,76,7—cyW-C 3 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: 1 Construction Type: Estimated C::n ��� (Fee Schedule on Back) Driveway Curb Cut.Width Needed: Ft. + 6 Ft = Ft x $ _ $ �5 ` DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee 41 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ % , Oco) $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge- $ S7.00 $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 $ ('�:. 00 s*nPULATIONS: 00 ' SUBJECT- City of Fridley ' , �jTjm�T,L� THE TWINS t BUILDING PERMIT 2 s 2 2 oo O. L5 1 `y ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. / (� r l/ Qf1/ NUMBER REV DATE PAGE OF APVNOVED Br i "'�•� CITY HALL FRIDLEY 55432 ._-•�; l 612-571-3450 910415 10/13/98 JOB ADDRESS 891 Pandora Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 30 4 lBrookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elmer E. Jahn 571-4706 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 B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 2U REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house 9 CHANGEOFUSEFROM TO STIPULATIONS Call for kbuilding wrap inspection before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 1800 $. go 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 $56.75 Fire SC $1.80 PLAN CHECK FEE TOTALFEE 59.45 S-G T E OF CO I' JOA DR A OmLED AGENT IDATEi WHEN PROPER/3F VALIDATED THIS IS YOUR PERMIT X4.NAT..E OF OWN LDEp, iDATE, BL G NSP DA iE I% i NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ; AIDu,2,4 ,G/ E - Effective 1/1/98 Legal Description: Owner Name & Address: J'ZW62 L�- o�,� #T/ Tel. # Contractor: S-5'cF MN LICENSE # Address: 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: efSeQ1 4A6 ,41,5f- Estimated Cost: $ dU `=- (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: & - /3 — 9,P APPLICANT: Tel. # —5-71- zF76, CITY USE ONLY Permit Fee $ 7 �o- %r Fee Schedule on Reverse Side Fire Surcharge $ 1,80 .001 of Permit Valuation (1/10th%) State Surcharge $ qO $.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: Building PLUMBING Permit No.: 6lVOU Inspections RESIDENTIAL APPLICATION Received By_ 763-572-3604CITY OF FRIDLEY n 'd 1 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE YOUR E-MAIL ADDRESS SITE ADD �� G' /► �} r THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: r✓ ADDRESS: � CITY STATE ZIP OWNER/ A� PHONE: CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE STATE LICENSE # C. j -f -Ind EXP DATE �i e' LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: 3 73 `'✓ CITY /yam STATEA&I Zl INSURANCE PHONE %!:�3 - of I'ci - - of C f- FAX AIJ - 4-Y ' Lc4, 6 PERMIT TYPE DdSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 1 ❑ NEW P&PLACEMENT DETAILED DESCRIPTION OF WORK Gro; �f` ► , lily FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINKILAV DRAINS SHOWER _ WATER PIPING _ _FLOOR _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER _ KITCHEN SINK_ WATER CLOSET _ BACKFLOW PREY. ($15) _ _ DISHWASHER _ _ LAUNDRY TRAY ,WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER �, rr epi '. `'. .. � n ,_. �"" �. ��' S ��' 7�''?F'� 'fi z�& his � s � ,1, � ,-'�• _ ��,Y� p � �r Sym Nom,. = �t g •�eN'$J� ;a3A. Yep •$, �K �"'# � '".,yf• ,'�R,`� ''� '��,`-, �'uj�„,!4� T `� h� �` �3a � f`l3' �'RY� - i� i��+ pY '�. � { �,"tg "il n`f a"'sc a•..����,e,''W9��� THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in theme' ase of all work which requires review and approval of plans_. SIGNATURE OF APPLICANT /B i ��°' Z�'!� r v� PRINT NAME fG' ^�C ��" r' DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 Building MECHANICAL Permit No.: pL6� 4� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY c 763-502-4977 FAX. EFFECTIVE 1-1-08 DATE & -2-9 1 Q YOUR E-MAIL ADDRESS •e,19 e_c 1, l ri �a o I . c O rrl - SITE ADDRESS � gq G+ W -Q R THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: J ah n m & ADDRESS: 9 Q CITY cl STATE ZIP55�f�y L OWNER/ TENANT — u PHONE: CONTRACTOR COMPANY NAME: Qyt BemelTQ�/I L NOTE: SEPARATE CITY CONTACT PERSON:'e- STATE LICENSE # EXP DATE LICENSES ARE REQUIRED / L ADDRESS: PPL Dss��,,77(i( ky6n �� CITY STATEI,IW_1Pj5I ANDHVORGAS AND HVAC. SUBMIT COPY OF BOND (1/�(� L ,. PHONE I Vg- L4L2A- 7® FAX-(RO-4/3 1/265 AND INSURANCE PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW XREPLACE1,1ENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (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) Equipment Installed MFG: Cali r�m r MODEL(�p 'l K f 0 O-1 r 6 f 1 2-c simBTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU 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 _BOILER $35.00X( FURNACE $35.00 UNIT HTR $10.00 _GAS 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 PROJECTS FOR UNDER $500 PERMIT FEE FOR 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 $3.00 = $ Stge = $ .50 Vurc MINIMUM $15.50 MINIMUMtal = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a mechanical permit and I aelmowledge 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 esota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to that the be ir&cordance start without a permit; work will withlie approved plan in the case of all work which requires review and approval of plans. l� SIGNATURE OF APPLICANT PRINT NAME4_)0—+t r � f Ao W YIa l cbATE APPROVED BY DATE PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department j 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977