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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: _ l �� Address N® '7406 LOCATION OF BUIL ING lvo.�� street `�L f Ilot Lot__ Block (addition or S-Divisi Corner Lot Inside Lot Setback Sideyaard,� Q Sewer Elevation - G - 57- .5- S ---Mma&0en Elevation S -� to r 0 t- PC" -r//1/ 0 A DESCRIPTION OF BUILDING T0, Used -�/��-�=� Front Depth Height Sq. F't. Cu. nol Front DepthHeight �� Sq. Ft. Cu. Ft. Type of coon - Est.. .s To be Completed 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 pUlm with a'll provisions of ordinances of the city of Fridley. e� In consideration of the payment of a fee of s/ ,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 anypart 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. _ /i /-�7 Building Inspector 0 NOTICE: " permit does not cover the conMrudion, hotallMloe for wiring, plumbing, on heattmg, sewer or water. Be son to ass the Building hupeetor for separate permits for these fteum APPLICATION FOR BUILDING. PERMIT CITY OF FRIDLEY, MINNESOTA,, OWNER'S NAME BUILDER ADD. ADDRESS.�� 411 �j r C , LOCATION OF BUILDING No. Street _PC a, k- Part of Lots Lot_, °f Block Addition or Subdivision;JK-Ze rr� � -��r� o.y �.� 2- Corner Lot Inside Lot X 1 Setback ,:f;Cf Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these. Certificates. To be used as; DESCRIPTION OF BUILDING _ Front ,3 Depth} Height %S Sq. Ft. •i3 Cu. Ft. /.� STO • i' Front Depth Z z Height,/ 3 Sq.. Ft. ! Cu. Ft. 3-6-" Type of Construction Estimated Cost To be Completed The undersigned hereby makes 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 of the Department.of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE J= L &J S (Schedule of Fee Costs can be found on the Reverse Side). GNOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55433 • (612) 571-3450 • FAX (612) 571-1287 October 31, 1990 owner/Occupant 7838 Pearson Way N.E. Fridley, MN 55432 RE: Monument Sign at East River Road/Pearson Way N.E. Dear Owner/Occupant: The monument sign located at the above referenced intersection has experienced substantial deterioration and is in poor condition. I have been unable to locate anyone who could be held responsible for the maintenance of this sign. This monument sign, which is located within the City right-of-way, has become an eyesore and it also constitutes a health and safety hazard. The City is currently considering removing the monument sign from this location for the reasons cited previously. Please contact me at 572-3595 on or before November 20, 1990, if you have concerns regarding this possible action, so that these may be taken into consideration. Sincerely, Steven Barg Planning Assistant SB:ls C-90-946 suejEci PERMIT NO. City of Fridley e2TF81 �9 AT THE BUILDING PERMIT 2.T3gd4 NO. • COMMUNITY DEVELOPMENT DIV. j PROTECTIVE INSPECTION SEC. F 1 � NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 2110/7/981 1013 ADDRESS 7838 Pearson Wav BE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DescR. 4 6 Pearson's Craigway Estates 2nd Addn. SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Curt Obermoller 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO L J Roofing 10151 Foley Blvd Coon Ra ds -M 55448 767-1587 9036 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 O NEW O ADDITION 0 ALTERATION J& REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 26 S 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 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 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 2225 $1.11 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION O TH ERFORMANCE ONSTRUCTION .$74.75 Fir 8C 2.23 >'/-/"� PLAN CHECK FEE LFEE .---00/ Y3.09 SIGNATu F CONTRACTOR OR AUTHORIZED AGENT IOATE, EN ROP Bl INSP ZlAiE ALIOTHIS IS Y UR PERMIT S-GNATURE OF OWNER ,-F OWNER BUILDER, IDATEI NEW [ ] Effective 1/1/98 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLEBUILDINGPERMITDUPLEXES �D R-2 BUG APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: �( vr7 (9 �ja��,.e lac �' Tel. # Contractor: l7- 40'(125 MN LICENSE # �o i Address: E"), 41, Ct Tel. # 7j ? 7 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 GARAGE AREA: Length Width _ DECK AREA: Length Width _ OTHER: -f— "-c ,, v Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. e Construction Type: Estimated Cost: $ p '�1C, T (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: A($` f APPLICANT: yam` ;7 Tel. # 7—%J�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: $ u13. C 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 [ ] CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley. MN 55432 763-572-3604 FAX 7636711287 RATE SCHEDULE Residential Furnaoe Shell and Duct WorK Burner & also Replacement Furnace Gas Piping (New Furnace, Flreplace, Insert) Fireplace insert Gas Range COO 751-, Effective 4/1,/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES EN ill $35.00 $10.00 $ $15.00 $ $10.00 $ Gas Dryer $10.00 $ *AlrConditioning- AllSizes $25.00 Ail Other Repairs or Alterations (List on Sade) 196 of Value of Appilanoe or Work $ Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater on work less than $500.00 Commercial/Industriauko tutlonal 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 forCommerciel/IndustriaVinstitutlonal Rate Surcharge if permit fee is over $1,000 multiply by .0005) JOB ADDRESS 7r3$ Pea✓5W cr, � N C'4le r„� Building used As Res; J,.,A"4 ESTIMATED COST .O D PERMIT NO # of Heating Units Clyde One (Steam) (Hot Water {Warm Air} Trade NameY�,� Size No. BTU A T .(.7 HP EDR Fuel ftp . --0- Total Connected Load 4PO.i of 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 to 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 owect. $ 0.5 _..__._ TOTAL_F_EE $ bo• -0 rAir Conditioners can not be placed In side yard without written approval rom ad j of ping property owner - copy to City 'ILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE FAX #1 Date J 7 ` U 4 p/fC,5, rjj /rt. 4r, CU/ C✓c-e],•f '6-1 ✓I U. -•,tom FL,- &t;"/-yJ9.5 7-7o - `rf-te% JtX cA, rL-e- Approved by Rough-ln Date Final Data n 0 m m M 0 m C 170 MAY -09-2005 1300 CITY OF FR I DLEY FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. The venting system is plasticfPVC and meets all current codes and manufacturer specifications Including sizing, length, number of elbows and termination. 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 -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The existing combustion, n air is sized and installed to meet the current codes and manufacturer's specifications. When required to Install a new combustign air, it will be sized and installed to meet the current codes and manufacturer's specifications. When installiag g 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. 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. Appliance #1 Type w.-,J,J'5 ETU Input 110 Wl Fan Assisted o( Appliance #2 Type BTU Input Fan Assisted or Appliance #3 Type BTU Input Fan Assisted or Total Appliances _�_ Tctal Btu Input +0 01 P.03/03 IJI=KM11 (v� No( ) ( t� No ( ) G�1 No( ) () No (v)� Ye No( ) I Yes (t� No ( ) Common Vent Type Vent Height I Diameter_,_ Appliance #1 Vent Connector Height ft Length ft Diameter in T Appliance #2 Vent Connector Height ft Length ft Diameter in T Appliance #3 Vent Connector Height ft Length ft Diameter in T &s I - y3F -'S- Date: sDate: .S'— 9 —D W111" No( ) TOTAL P. 03 zoo 18 %V3 ZT906CVT99 YVA L9:60 SOOZ/TT/50 rAir Conditioners can not be placed In side yard without written approval rom adjoining property owner - copy to City ILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE n"'. -F, cu'- rC4L'4/ ✓iv,m1�W Fc, Pvev>>4 {et &TI-YJ`1-5774 - 12�tek—ICS let,lcw Approved by Rough4n Date Final Date 10 N m W - G 0 & �` -,-� CITY OF FRIDLEY BUILDING INSPECTION �� Effective 4/1,2004 t 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 763-572-3604 FAX76"711287 REFRIGERATION j AND AIR CONDITIONING SYSTEMS AND DEVICES CD J09ADDRESS 7ir3k Pea✓se,., W" N.&. t� BATE SCHEDULE fr& i✓;dleN� T4tlll J Residential owner __ 4„_ a.Tj S k Iy e c V, W FumaoeShell and Duct Work. Burner & m also Replacement Furnace $35.00 $�_ Building Used Gas Piping(New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST_ kSD .off PERMIT NO Fireplace insert $15.00 $ Cas Range $10.00 $ DESC?IP77ON OF FURNACE AND BURNER Gas Dryer $10.00 $ Ilt of Heating units Circle One (Steam) (Hot Wa (Warm Air) o Trade Name_��� Size No. *AlrConditioning-ADSizes $25.00 $ j5- BTU HP EOR 0 Fuel zV -m- —Total Connected Load - � O, n 0 () fn All Other Repairs or Alterations (List on Back) 196 of Value of Appllance or Work $ Burner Trade Name Size No. Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever Is greater on work less than $500.00 The undersigned hereby makes application for a permit for the work herein Commercial/Industria)jin5ti uVonal specified agreeing to do aA work In strict accordance with the City Codes 1.25% of Value of Appliance or Work (Ust on Bach $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/IndustrieVinstitutionel and representations stated in this application are true and correct. N 3tate Surcharge $ 0.50 HEATING COGo If permit fee is over $1,000 multiply by .0006) M TOTAL FEE $ 60.5 Signed Tel # 6S/--L1.T%-Y77p to FAX rAir Conditioners can not be placed In side yard without written approval rom adjoining property owner - copy to City ILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE n"'. -F, cu'- rC4L'4/ ✓iv,m1�W Fc, Pvev>>4 {et &TI-YJ`1-5774 - 12�tek—ICS let,lcw Approved by Rough4n Date Final Date 10 N m W Y {.r+ , Ai7"2Kl66 PLdi! ®ER. „� � t , II 5�'�, l� �� q�'. : �v .j-.. ) ,"p��3 mak.., gAi�'9 `• jpaj]�'j�'�ypy�/�+ �Y1,'L19, 1.19�YB 'JIM, Jlji'k�i .'Vend ,r'e a•�;plG,C"!�}'� , �i��t4►� � d a�b Vk.G �� � � Z�q , �.�•- � )� .Ayy j i3 ,t' T •8 Q".�.� �ia 4 d i i3 .'�'i •I ' d, ,�R t�alt'��:'��": 6yty.%7:iaR4.E?'%9'`Y3F?�h�`�d9'#j �Y •` *a iii. i fid' 4i Yi� 12'e'idj,-rM7 y�t� t � n"lP t $ +id`eaen rpglt-d to i s 3 a OR to meet the currer ;codes and anufacturees specifications. Yes Q N® ( iNh8f1 iris I' a Maiweinfi stern the undersigned hereby verifies that it is ai Ilsted assernbly and mere the current codes and r6anufacturer's spwAcations. 7* does indtide AGA-0AMA Category I .Central Furnace Venting Tables for assisted! and natural draft appliances.. Yes 1w' No( ) „ Is the mammon ve an appliance has I; sepejrakely as per c II As Appl106ce #f TYPO Apptiarice #f2 TYpg Appliance #3 Type Total Appliana Common Vent Tyl Appliance #1 Vent Appliance #2 Vent Applla m #3 Veen A and vent', nnectors sized and installed correctly after Ban remove' from the common vent and vented Yes BTU! Input 40 Wl Fan Assisted o ;Nat BTU' Input Fon Assisted or a BTU Input Fan Assisted or Nat Trial Btu Input Vent mnector� eight mnecto I• eight ft Dnnector 1 eight ielght Diameter .ength ft Diameter_.____ in Tyf .ength ft Diameter �n Ty; .ength l Diameter,:_ _ Tyl Date .S- V No( ) TOTAL P.m3 918069VT99. XVA W ST 900Z/60/90 DESCRIBEIVVORCBN DONE: 0 .:....,,,� T V*,Tt-.q= WMT14 HEIGHT So. Ft b.LL Ur uVJ rXt.0 v r'1V1r 1N ROOFING j 11 ❑ HOUSE 014LY NUMBER OF SQUARES Building, g -7 I! GARAGES B�I, �G T I � .. Permit No.: e " Inspections, � ;ISIDE 13 DETACHED GARAGE, 3. List of structural members to be used TT �L PPLICATION Received By: �Z-X: 763-572-30041 SIDING 1CITY IOF F tIDLEY Date Rec'd:�/Z' DATE � ' �' .� ❑Soffit ADDITIONS & PORCHES SUBMIT: I ' e existing structures ❑Trim 1. Site Plan/Survey showing th g YOUR E-MAIL ADDRESS — ❑ Fascia and proposed project 2. Two sets of construction plans SITE ADDRESS' ❑No OR FOR NEW OPENINGS -D OPENING CHANCES & SIZE 0 (LABOR TYPE OF WINDOW TO BE INALLED E OF WS THIS APPLICANTjISc ❑OWNS ONTRACTOR ALUATION, INCLUD TH9 COST OF AND MATERIALS: PROPERTY�O1 WNER/ TENA1rT E; a W0 CITY 2 STATFIP VALUATIT DRESS:Y A J 1 $ See Back Page for Fee Schedule ONE 1 1 1 65% of:)3uilding Permit Fee CONTRACTOR I AME , h Surcharg e TATE LICEN # EXP DATE ` � SUBMIT A C�ISY OF YOUR STATE INCENSE WITH APPL,I(�AnON DRESS: HONE 7 ASC SAC Charge PROPERT� TYPE SINGLE F ILY/NEW CONSTRUCTION SIZE $ ; ft + 6 # = ft x $20 = $ TWO FAM /NEW CONSTRUCTION STORM 1 $450 Conservation Plan Review Engineering PERMITME Q ADDITION', ❑IGARAGEjSHED ❑ WINDOWS Sewer Main Charge $ BAS tJROOF ❑ DRAIN TILE $ ® Make checks payable to: City of Fridley Attach Stipulations DECK 164ISH -fj SIDING ❑OTHER I hereby apply for a b ding permit'and I acknowledie that the information above is complete and accurate; that the work will be in conformance with the ori ❑ ISWIMMIN6 POOL 'odes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a TYPE OF ORK: I NEW MAINTENY AADDITIOO�N ❑IREMODELING i whic e' DESCRIBEIVVORCBN DONE: 0 .:....,,,� T V*,Tt-.q= WMT14 HEIGHT So. Ft b.LL Ur uVJ rXt.0 v r'1V1r 1N ROOFING j 11 ❑ HOUSE 014LY NUMBER OF SQUARES RHOUSE &IGARAGE BASEMENT REMODELING SUBMIT: GARAGES ! 1. Existing Floor Plan ❑ ATTACHED GARAGE' 2. Proposed floor plan PROPOSED SIZE: 13 DETACHED GARAGE, 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl y ❑Soffit ADDITIONS & PORCHES SUBMIT: I ' e existing structures ❑Trim 1. Site Plan/Survey showing th g ❑ Aluminum ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS r IN EXISTING OPENINGS ❑YtRIBE ❑No 3. Energy Calculations LOCATION OF WS OR FOR NEW OPENINGS -D OPENING CHANCES & SIZE 0 (LABOR TYPE OF WINDOW TO BE INALLED E OF WS ALI ES ARE ASED O ALUATION, INCLUD TH9 COST OF AND MATERIALS: SING THE 1991 U.B.0 FEE SCHEDULE). TOTAL JOBI VALUATIT $ " 3 1 OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review 1 65% of:)3uilding Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharg e $ I � � .0005 x Permit Valuation Minimum $.50 (v License Surcharge i $ I co $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut 18sarow $ ; ft + 6 # = ft x $20 = $ Erosion Control $ 1 $450 Conservation Plan Review Engineering Park Fee $ Fee Determined by Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ ® Make checks payable to: City of Fridley Attach Stipulations IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a b ding permit'and I acknowledie that the information above is complete and accurate; that the work will be in conformance with the ori ances and 'odes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit buto,�y an appli on for a d k is not to start without a permit; that the work will be in accordance with the approved plan in the cc a of all wql whic e' d approval of plans. ) SIGNATURE OF APPLICAN to PRINT NAME_JhAJ f iI i Building j'I $IjjIj,j0 Permit NO.: P Inspections p � SIDENT�AL APPLICATION Received B : Y 763-572=3604 �'I CITY�� OF'RIDLEY' Date. - �0 DATE �- YOUR E- ADDRESS /Zi Gi S i • moi SITE ADDRESS OWN ❑C CTOR THIS APPLICANT IS: PROPERTY OWNER/ 'AME; 101 TENANT —CA DRESS: d, CITY STAT>a � NONE• CONTRACTOR AME: SUBMIT A COPY OF ;TATE LICEN # EXP DATE YOUR STATE LICENSE DRESS: CITY STATE ZIP WITH APPLICATIONH F PROPERTY TYPE SINGLE F YMEW CONSTRUCTION SIZE TWO F /NEW CONSTRUCTION STORIES PERrvM TYPE ADDITION ❑;1GARAGE/SHED 01WINDOWS IJ BASE FINISH ❑ROOF ❑ 1IN TILE IP DECK ❑!SIDING OTHER E3 SWIMMING POOL TYPE OF WORK: ADDITION CEZEP ❑ REMODELING DESCRIBE WORK BEINGI DONE: ! �� 9 / G Iq -� LE40TH 0TH WIDTH HEIGHT Sq. Ft. SIZE OF IMPROVEMENI ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE ❑ GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: PROPOSED HEIGHT: DETACHED 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Pian/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS DYt s ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DES E SIZE 0 OPENING CHANGES & TYPE OF WINDOW TO BE INS NUMBER OF'WINOOWS ALS.FEES ARE ED ON LUATION, IN LUDINTHE COST OF LABOR AND MATERIALS: SING THE 199 U.B.0 FEE SCiR EDULE) TOTAL JOS UATI : $ 3D® J OCCUPANCY TYPE Permit Fee ; $, -0 j See Back Pagefor Fee Schedule Plan Review $ II' 65% of8u Permit Fee Fire Surcharge $ e �� 001 times Zhe total job valuation Surcharge $ JZ? .0005 x Permit'Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per $AC 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 Maui Charge ( ) Agreement necessary( ry ( )Non Necessary( Total Due $ Z' Make checks payable to: City of Fridley Attach Stipulations TH; IS AN APPLICATION FOR',A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a buil i Ing', permitd I acknowledge, that the information above is complete and accurate; that the work will be in conformance with the or ces and c des of the City of ridley and with the Minnesota Construction Codes; that I understand this is not a permit but only! an applia on for a pei` it 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 worl TW,ch SIGNATURE OF APPLICANT requ' lWan approvakof plans; f1l�/ I PRINT N:10* 4 `�5. I /tel N�- %ADATE Buildin& BUILDINGPermit No.:� 2007A Insoection,'SIDENTIAL APPLICATION Received By 763572360 - -yve cd: CITY OF FWLEY DATE 14 YOUR E-MAIL ADDRESS ' C.0%4 SITE ADDRESS THIS APPLIC�NT IS- i . WN R ❑C apit PROPER O NER/ AME:0i DRESS: ITY sTAT LIP�2, TENANT CONTRACTOR AME: SUBMTr A COPY OF TATE LICEN E # EXP DATE YOUR STAVE LICENSE S: •' ^ CITY STATE ZIP WITH APkICATION ;H,1:rPROPERTY TYPE GLE F Y/NEW CONSTRUCTION SIZE TWO F Y/NEW CONSTRUCTI STORIES PERMIT TYPE ADDiTIONj BASE GARAGE/SH D WINDOWS FINISH ❑ ROOF C] DRAIN TILE DECK ❑ SIDING 0 OTHER ❑ S G POOL TYPE Off' WORK: W DrrloN MAINTEN CE/REPAIR [3 REM DELiN G DESCRIBE' WORK BEIM ` DONE: E' SIZE OF IMPROVEMEN �S LENGTH WIDTH ✓� HEIGHT S . Ft. ROOFING ❑ HOUSE ONLY NUMBER OF!�QUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ATTACHED GARAGE C HED GARAGE 1. Existing Floor Plan 2. Pro floor plan Posed S PROPOSED IZE DETA 3. List of structural members to be used PROPOSED HEIGHT: SEDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl I ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum Trim Site Plan/Survey showing the existing structures ❑Other❑ Fascia /and proposed project WINDOWS I' IN EXISTING OPENINGS 13Y ONo LOCATION OF WINDOWS I Two sets al construction plans/ 3. Energy Calculations OR FOR NEW OPENINGS -130 E SIZE O — — OPENING CHANGES & TYPE OF WINDOW TO BEM ALLED NUMBER OFWINDOWS AL FEES ARE ASED ON 111 kALUATION, INCLUDMING TI]11E'I COST OF LABOR AND MATERIALS: SIN E FEE SGiEDULE) TOTAL JOB ALUATIO $ �• OCCUPANCY TYPE Permit Fee$ See Back Page for Fee Schedule Plan Reviej _ $ ! �'%. �/ 65°�b of $tiildi# g Permit Fee Fire SurchargO $ A5, 0z) .001 timesthe total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $1675 per,SAt Unit (Plans to MWCC for detennination) 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 $ g permit '73� & Make checks payable to: Ci of Fridlpy Attach Stipulations $ IS AN APPLICATION FOR A PER �vII f -NOT VALID UNTIL PROCESSED Ind I acknowledge that 'the: }nf.ormation above is complete and accurate; that the work will be in I hereby apply' for a bui conformance with the ord inances and c ides of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an appli 'on i fo pe it and work is notwilhout a permit; that the work will be in accordance with the approved plan in the Ease; of all wor SIGNATURE OF APPLICANT a u roval of plans. �— �' RINT 14AME �J 19� e S 1— DATE i Building; ` MECHANICAL Permit No. 7' Ins eCflcnS Re Y� � I RE IDENTIAL APPLICATION ceived B 763-572:-3604 CITY OF FR.IDLEY Date Recd:, 9 a DATE h0 — YOUR E-MAIL ADDWS V, ' SITE ADDRES$ , ��� y� �✓r/ TICS APPLICANC IS: R DCO CTOR , PROPl7RTYr :'' G STAT�� E;� OW"R1, RFSB. CITY v TENANT'' P I' CONTRACTOR ANY SUBMIT A'COPY OF YOUR 5TA TATE ACT PERS IN: LICENSE F-0 DATE LICENSE WTIH ITE �RESS: CITY STATE ZIP APPLICATION P FAX PERMIT TYPE ING Li F Y O TWO FAMILY 0 TOWNHOUSE �I I , 0 REPLACEMENT ALTERATIONMEMODEL TYP` E OF WORK: � I DETAILED D�SCRIPTI N OF W0og PERMS 116B.665 the e is a nimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the of labor r'eplacem t of a residential fixture, excluding the fixtures: (This should reflect only the cost ) improvement, ipstal.W0 or Labor cost, under $300 = II = 115.00. Lab cost between $300 to $500 = rost of labor X.05 1A rX(=XM CTU1tE, 500, FEES ARE BASED ON 510.00 PER FDEXCEPT WHERE NOTED. FIXTURES: ONDICATE TOTAL FOR PROJECTS WHERE NUMBER OF EACH SELOV MODEL' SIZE/BTUEg wpmeni h }ad MF SIZFlBTU MODEL: ii SLMMTU FIREPLACE (GAS) SIS -0 GAS RANGFJOVEN $10.00 $10.00 A/C 5200IT0MAS AIR TO AIR EXCHANG GRILL 515 _FIREPLACE (WOOD) $35.00,GAS UNIT HTR $10.00 FURNACE $35.00 BOILER $35,011 Ci R"Y LINER $10. I� DAS DRYER $10.00 POOL HEATER 535.00 VENTILATOR 515.00 DUCT WORK 510.007GAS PIPING $10.00 Permit Fee '� i . i ^ $• ! Number of fixtures @ $10.00 x $10.00 = $ Number of furfures @ $15.Q0 x $15.00 = $ Surcharge T6`TA1'< DUE $ .50 � Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Total= $ ANJJ_ to 'r IS Tj IS AN APPLICATION FOR A PES -NOT VALID UNTIL PROCESSED I hereby) apply for a b ding p enni Land I acknowledge that the in ormation above is complete and accurate; that the work will be in Mumesota Construction Codes; that I understand this is conformance with the di>Yances an codes of the City of Fridley and with the a but only application or a permit and work is not to start without a permit; that the work will be in accordance with the not pe#mitj approved plan in the a of o w ' es d ap �rovil of plans. U SIGNATURE OF APPLI .� PRINT NAMETq V<� � i City of ridle Building Inspections Department . 6431 University Avenue;NE, Fridley, MN 55432 L 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or propanDUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. iMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a_ Required on new copstnxtion IMC 1346.0312 5. Ventilation a_ per MN Energy Code 7670 or 7672 6. Duct Design per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations 1 I* Q Buil in PLUMBING Permit No. tM�"' b Ins ctions� P� SIDENTIAL 1� PLICATION Received By: 763-512-1604 i CITY OF POLEY Date Rec'd: 1144vaj 763-5!04-4977 F j EFFECTtvE'i�1L' 0101 DATE YOUR E-MAIL Able S .' �?<'• �C - sITE ADDRESS 'f_t �8.. ' THIS APLI� IS: R ❑CONTRACTOR PR PARTY A1.2A+ Rll'S° CITY i STATEIP AD SS`.zz T1 T PHONE: � ��� SUB O bR T ASTAPT E OF STATE LIC E # EXP DATE LICEN E, BOND AND STATE $ON EXP DATE CEndAT EOF ADi)RLSS. CITY STATE ZIP SU►NC PHONE FAX PE TYPE AvGLE F LY ❑TWO FAMILY ❑; TOWNHOUSE TYP OF WORK: ❑ I�MPLAC I I DETA E DESCRIP O , OF W RK _e - I II FE BASED ES HAS ON 1 0, P R XTti FE EXCEPT WHERE NOTED. FIX "' INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM E 0 TU $ $]LAV SHOWER _WATER PIPING7SB0A BAAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35) _ CLWASHER CHEN SINK WATER CLOSET _ "' BACKFLOW PREY. ($15) _ DISI ASHER _ pUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION tl b I, WATER METER _ OTHER U j l 1 S IS AN APPLICATION FOR A PE T -NOT VALID UNTIL PROCESSED I hereby �p�ply for a p bing perm) and I acknowledge that the'inf rmation above is complete and accurate; that the work will be in conformance with the �, dittanlces ati codes of the City of Fridley an with the Minnesota Construction Codes; that I understand this is not aetn t but only a plic or a pernlian�d work is noU to tart without a permit on site; that the work will be in accordance with tltiep roved pl Case which regaires rcvtw d approval of plans. SIGNATIJRE'OF APPLIC P1 NAME l ��(°�°GT DATE City of F idley If I Building Inspedetans Department 6431 University Avenue! Fridley, MN 55432 I: ty Y 763-T2 3604 I; FAX: 76'x- 02-4977 i i I I Building din�,. gI BUILDING Permit vo.. L f Inspections IR ESIDENTIAL APPLICATION Received By: 763-5t-3604 � '�� CITY OF FRIDLEY Date AM 1 S 2 763-502-4977 F EFFECTIVE 1-1-2010 DATE YOUR E-MAIL ADDRESS SITE ADDR ISS i c-� �/'�C� 666 1 -R ❑CONTRACTOR THIS APPLICA IS: PROPERTY OWNER/ 7 ro TENANT ADDRESS: 'a/�'t �. ����� CITY STA�ZIP PHONE > CONTRACTOR NAME: SUBMIT, A COPY OF YOUR STATE LICENSE TA ADDi IE # EXP DATE AND CERTIFICATE OF CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPESINGLE F LY/NEW CONSTRUCTION SIZE TWO FAMI Y/NEW CONSTRUCTION i STORIES PERMIT TYPE ADDITION', ❑ BASEMENI ❑ QARACEISHED ErWINDOWS FINISHF ❑ DRAIN TILE Q DECK IDING ❑OTHER ❑ SWIM [ING POOL TYPE OF WORK: HO CONSTRUCTION 13 ADDITION AINTEN CEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DO SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES � ❑ HOUSE ONLY � ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT:1. GARAGES ❑ ATTACHED GARAGE Existing Floor Plan 2., Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: ID G j FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS_ & PORCHES SUBMIT: 1. Site Plan/Survey 13 Aluminum! 00(-' ❑ T mt showing the existing structures [3 Other 13 Fascia and proposed project. WIlVAOWS 2. Two sets of construction plans 3. Energy Calculations IN EXISTING OPENINGS t OR FOR NEVI( OP9NINGS-DES ❑No E SIZE OF LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OPENING CHANGES & MANUFACTURE STICKER ON WINDOW. TYPE OF WINDOW TO BE INS LED NUMBER OF WINDOWS ALL FEES ARE B$ D ON V UATION, INCLUDING THE COST OF LABOR AND MATERIALS: �I� { SING THE 1997 U.B.0 FEE,,, S HEDULE) TOTAL JOi VALUATIO OCCUPANCY TYPE Permit Fee $'� See Back'PP' a for Fee Schedule Plan Review $ ' 65% of Build ng Permit Fee Fire Surcha'ge i'I $' 6 .001 timeslth total job valuation Surcharge +, q $ .0005 x Perrrtt Valuation Minimum $.50 License Surcharge g $ i $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft +'6 ft = ft x $24 = $ Erosion Cotltroll $' $450 Conserviation Plan Review Park Fee $ ! Fee DeterminFd by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks' payable to: City of Fridle Attach Stipulations I hereby apply for a build) THIE l'g permit S AN APPLICATION FOR A PERMITINOT VALID UNTIL PROCESSED I the information is acknowledge that above complete and accurate; that the work will be in conformance with the ordiilknces and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applica approved plant in the case o in for a e l k w it and work is not to start without a permit on site; that the work will be in accordance with the d approval of plans. SIGNATURE OF APPLICANT _ OMANU ' , IA01'i'I'NU 10