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PRE 2010 DOCSCity: of Fridley, Minn. BUILDING PEIl.NEI Date: . d ........ ...' . .® ....... . Address ...................................... N® 35'75 Builder.........7 ............. Address ............ .............................. LOCATION OF BUILDING No. 4 ! �/ i%P Street :... .... Part o Lot............................... ev d Lot .. �. .... Block .. ........... Addition or Sub -Division . -A e.. 4r"r Corner;Lot :........... Inside Lot ........... Setback .:�... Sideyard S .................... DESCRIPTION OF BUILDING To be Used: /( .. ..... .... Front .. 'Depth,0: a Height O� :4). Sq. Ft. >. tq... Cu. Ft. 970 / a K .. Front Depth' ��� Height AV 4 Sq. Ft � Cu. FIX3.6i7 Type of Cons ction ................... lifst. Col/ ! .............. To be Completed :......... ...... . In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in complianceI� provisions of ordinances of the city of Fridley. J`.°�". _010 ............... J� In consideration of the payment of a fee of $1, ...... 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 with- in the city limits , and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building 6nsoe8tor for separate permits for these items. Applicathm for Power age Venfikabov, Rddsereflon tmd Air Conditioning System and Devi PARTIAL RATE SCHEDULE GRAVETY WARM AYR: RATE TOTAL Furnace Shell & Duct Work ..........:................. 3.00 $ Replacement of Furnace ............................. 6.00 = Repairs & Alterations—up to $500.00 ............`..... 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ CH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 '$ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to, 400 sq. ft. E'DR Steam .... .$10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00,$ Each 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 BTL) ................. 8.00 $ over 199,000 BTU See, Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ Z00 Additional Fixtures x .78 Gas Range to 199,000 .......' AIYi CONDTiIONIItG ' ' FAN BEATING SYSTEM See Fee Ochs" VENTILATING SYSTEM $ ALTERATIONS do REPAIRS TOTAL FEE ROUGH FINAL Z — ?� Dept. of BldgL Phone 880-3480 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 true and correeL Fr�dley,lffinn-s IS& Owner _ Kind of Used as To be co Estimate OI New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PZANTS--.Steam, Hot Water, Warm Air—No— Trade irNo Trade Name Size No Capacity Sq. Ft. E.D.R BTU - H.P. Total Connected Load Kind of Fuel BURNER — Trade �TAmp Size No- Capacity — Sq. Ft. E.DJt- BTLI �� ®� M. • (REx+wercs—ovee) SUBJECT PERMIT NO. City of Fridley 1 065 AT THE TOP OF THE TWINS I �I B U I ®I PERMIT r L A\ 1 , COMMUNITY DEVELOPMENT DIV. • �/ t PROTECTIVE INSPECTION SEC. 3 IF % 7 1 , 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 10/'31/90 JOB ADDRESS 6760 Plaza Curve N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 3 Rice Creek Plaza South. SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Carol Huss 6760 Plaza Curve N.E. 5716126 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Avenue N.E. 784-7543 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 .7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (.19 Squares) tear-off 9 CHANGE QF USE FROM TO STIPULATIONS On all new roofs or tear-offs and replacement roofs, State Cade requires that 2 layers of 15 Ib, felt, mapped together, be instailed to a point 24 incins up from exterior wall line, or the use of other approved underlayrnent membrane. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $950 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $25.00 STRUCTI N R THE PERFO MANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE reC $.9.5 $26.45 SGNATUREOFCO CT RORAUTHORIZEDAGENT IDATEI WHEN PROPERLY LIDATE THIS IS YOUR PERMIT ' SLOG INSP OAT SIGNATURE OF OWNER 11F OWNER BUILDER) IDATEI NEW [ ] Effective 8/16/90 ADEN [ ] R-1 AND R-2 AME 2 [ ] ,v C Building Permiit� Application Construction Address: 4760 ���,� bile` Legal Description: Owner Name &Address :� ry 9//-i d- Tel . # ��� 1l�— Contractor:Tel. Address- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. 5" LIVIIdG AREA: Length Width Height Sq. Ft. GRP -AM AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OMM: Corner Lot [ ] Inside Lot [Ft. Yd ck Side Yard Setbacks Type of Construction:' Estimated Cost: $ Approx. CmTpletion Date: Q® A7 m Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: _ D / APPLSCANT: C`(p Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on. Reverse Side Fire Surcharge $ '� .001 x P9rMit Valuation (1/10th �) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $600 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Qmrge $ Agreement Necessary [ ] Not Necessary [ l TDIAL $ Z-)� ST MIATIONS: sue,iEcr PERMIT NO. City of Fridley 29543 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. `y ___�__ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. Q r PROTECTIVE 1 NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/25/99 JOB ADDRESS 6760 Plaza Curve NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DIE 16 3 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carol Huss 571-6126 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New Haven Const. 4208 83rd Ave N Brooklyn Pk MN 55444 576-5225 20077950 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 UX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 25 S Tear -off CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO 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 COMM LACED. IS NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE EAD AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TOB U AND CO flECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OINANCES GOVE I G MIS TY E OF WORK WILL BE COMPLIED WIT W ETHER SPECIFI E IN OR N T. THE GRANTING OF A PERMIT $2142 $1.07 DOES T PRESUME T V AUTHORI Y TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVI SOF ANY TH R TATE O LOCAL LAW REGULATING CON- STRUC IONtE RF AN OF CONSTRUCTION Fire SC $2.14 o 7`' rl PLAN CHECK FEE TOTAL E Li C $5. $9 46 CON' CTORORAUTMORZEDAGENT �OATE, HE PROP VALIOAT T IS IS YOUR PERMIT a S,GNATURE OF OWNERJF OWNER BUILDER, ,DATE, ALIG ,NSP DATE ICY -10-1993 1006 FROM CITY OF FRIDLEY TO 6125667183 P.81i02 fiffecrive 5/10/94 NEW[ I r� EW [ [ l CITY OF FRMLEYADD1 ALTER [) SINGLE FAMMY AND DUPLEXES R-1 AND R-2 BUILDINO PERMIT APPLICATION Construction Address: 66 u v� Legal Description: owner Name & Address: Contractor: Address: xi�w yf 55-q<((( LIMG AREA: GARAGE AREA: DECK AREAL Tel.�`� � '" MN LICENSE # - �� '� '�01 ' #e� Attach to this application, a Certificate of Survey of the lot, with the proposed consumdon drawls on it to scale. DFS PMnON OF UAMOVUvfENT Length Width Height r -- Length Width --.—_ Height Lente _ Width Hgt/Ground Sq. Ft. Sq.Ft.� flTSER: _ �- - - ,� L: ®-c F'stimated cost. $ Construction Type: / �v � = Ft $ � $ Driveway Curb Cut Width Needed: Ft. + 6 Ft - DATE: APPLICANT: 'S�— ` CITX USE O. Y 7 $ 3 - ��� Fee Schedule on Reverse Side Permit Fee / .001 of Permit Valuation (1/10th%) Fire Surcharge $ $ O $.50/$1,000 Valuation State Surcharge SAC Charge $ $ u C) $1050 ger SAC Unit $5.00 (State Licensed Residential Contractors) License Surcharge Driveway Escrow $_ Alt. "A" or Alt. "B" Above Erosion Control $ $454.00 Conservation Plan Review Park Fee $ Fce Determined by ftinee'ing Sewer Main Charge $ Agement Nem Y I I Not Necessary E 1 TOTAL ST nniLATIONS: 40 �I 1 PERMIT for Power Plants and Heating, Cool- ing, Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Pleating Plants Qto be installed--altered—repaired Make -ate Oil fired ; Coal fired—, Gas afired ; Gas Authorization No. Remarks A Approved Final Inspection 19— Inspector Permit No - 4'75'7 Fee $ 9. 0 0 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. , 19i -b Owner CL) Location (® Kind of Building How Occupied (Ma �t=& a, ommenced Work to be Commenced—,19— ,19_To Tobe Completed 1 S-_ ,19..E Estimated Cost, $9'�5'o (gVew, Building Permit No. Permission is hereby granted to�("1 0 Yes . CV �, to install—erect—use the material and devices described in the above statement. This permit is granted upon express condition tha he person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings. '&,.L Inspector of Buildings 4 2 2M 11.67 d Building PLUMBING Permit No.-M46goig Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLJEY Da 'APP 1. 200 763-502-4977 FAX EFFECTIVE 1-I-08 DATE 4 - ��'® YOUR E-MAIL ADDRESS SITE ADDRESS 0 P/A2.4 THIS APPLICANT IS: 0 OWNER PCONTRACTOR PROPERTY NAME: M C ADDS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: l 41 M A- PI STATE LICENSE # _ EXP DATE ��y�� � SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # 3� 72-4 EXP DATE CERTIFICATE OF ADDRESS'. 0.^. CITY AA STATE M INSURANCE rn]Z3/491lecv\ . PHONE 4G S ��K/J�[ -- 3 �j FAX • '' O� PERMIT TYPE J SGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE 0 NEW RIEPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK 6e-} k 7tCGI �C Si 'j 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 ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $1 .00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. I BATH SINKILAV DRAINS d SHOWER _ WATER PIPING _FLOOR _ BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) DISHWASHER /' LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $OR State Surcharge = $ .50 (MINIMUM $15.50) 6 VVI (MINIMUM $15.50) Total = $ 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 ork 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 a uires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DCLt/e- 1 ,"M MA- DATE APPROVED BY DATE 7 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Permit Fee BUILDING `Q;R& See Back Page for Fee Schedule Permit No..�0* 9 _ 00439 Inspections 'k 415 f 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY Da 'dA PP U 763-50/2-49�77 FAX EFFECTIVE 1-1-08,,I S ICO $5.00 (State Licensed Residential Contractors) SAC Charge DATE �` — 7 ' YOUR E-MAIL ADDRESS T`1 r7 t�S a �/� t✓ �Yi'l� ' C ® eV" SITE ADDRESS o % ® i�,9Z'A C 11ZVi:F ft + 6 ft = ft x $21 = $ THIS APPLICANT IS: ❑ OWNER JOCONTRACTOR $ PROPERTY OWNER/ NAME:Q_,F)" OSs $ TENANT ADDRESS: 7 b o PZ ALPt U F—W CITY f Q_ibL STATI ° ) ZIP e- Agreement necessary ( ) Non Necessary ( ) PHONEIi�3���1' �e'f $ Make checks payable to: City of Fridley Attach NAME: C o u ADDRESS: 40 0) K3 'RJU S.e CITY-3AD f -c 0 0 h/ STATWK ZIP G�V CONTRACTOR SUBMIT A COPY OF PHONE % - ` ff `I - t5 3/® 3 FAX YOUR STATE LICENSE STATE LICENSE # ` EXP DATE Imo+ PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIDING ❑ DRAIN TILE A f3� PQOTHER e c s,, -4,A ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ADDITION ❑ MAINTENANCE/REPAIR k REMODELING DESCRIBE WORK BEING DONE: Ld.l 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 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 OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & Ie Z TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS - ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 12j'900 OCCUPANCY TYPE Permit Fee $ `Q;R& See Back Page for Fee Schedule Plan Review $ 'k 415 f 65% of Building Permit Fee Fire Surcharge $ 0,. .001 times the total job valuation Surcharge $ (D.4 0 .0005 x Permit Valuation Minimum $.50 License Surcharge $ S ICO $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 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 m accordance wi oved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME �O Vii ��i v� DATE 'LI^ �� APPROVED BY DATE Building PLUMBING Permit NO. 002-0,05Lip Inspections RESIDENTIAL APPLICATION Rweived By' 763-572-360. � A P 763-502-4977 FAX CITYOFFRIDLEY i�at : DAT7;---_, _ YoIi-MAILADDRER�S� PER IM 16B.665 the permit fee is a jnInImum of $15.00 or SO% of the total cost up to $Silt) oo, wNcbm r is pu ter, for the SITE ADDRESS should wffaot ody tiro cost of labor) Labor coat under $300 -$15.00, Labor coat between $300 to $500 = Cost of labor _ x .05 = phu.50 surcharge TMS APPLICANT IS: O OWNER. WONTRACTOR FOR PROJECT$ WIMtE LABOR EXCEEDS WOO. FEES ARE BASED ON a10.000 PER FIXTUFJ4 EXCEPT WHERE, NOTA}, FIXTURES: (INDICATE TOTAL NUh4 tOFEACHIXBLOW). UMMUMM &t3.". BATH AV S _SHOWR GASN0N WCrYGIC) gVMMNGpOOL PROPERTY NAMR: WPuV,(8�1 FOR MIttGATION - - _ WATFJt hSTER OWNER/ AM7RIIS3: TENANT FJ10NL+. CONTRACTOR NAME:.,. SUBMIT A GOFYOUR STATE ATI; STATE LICENSE # _ _ _ E, 6TE M+" a LIMSE, BOND AND STATF ESIOND � � E' EXP DATECUTIFICATE OF AAC►P:ES S: GI IY ` _ tiTATY, � zip� DOURANCE M1ONE '�� FAX 1A A .' e[. PERMT TYPIC ( )(SINGLE FAMILY 13TWO FAMILY ® TOWNHOUSE TYPE OF WOR1K: I O NEW )(REPLACMALNt DETAILED DESCRIP' ON OF W0jtK PER IM 16B.665 the permit fee is a jnInImum of $15.00 or SO% of the total cost up to $Silt) oo, wNcbm r is pu ter, for the improvement, WAR118tion of replaeentellt Ufa residential fixture, excluding tht; fug (T bW should wffaot ody tiro cost of labor) Labor coat under $300 -$15.00, Labor coat between $300 to $500 = Cost of labor _ x .05 = phu.50 surcharge OR FOR PROJECT$ WIMtE LABOR EXCEEDS WOO. FEES ARE BASED ON a10.000 PER FIXTUFJ4 EXCEPT WHERE, NOTA}, FIXTURES: (INDICATE TOTAL NUh4 tOFEACHIXBLOW). UMMUMM &t3.". BATH AV S _SHOWR GASN0N WCrYGIC) gVMMNGpOOL WATEtPMINO WATR {(635))IBHWASHI —FI.00RDRAW —,—� IUTCLOIE$ WA4R BNK WATER CLOW LAUNDRY _-WATERMIATER($33) WPuV,(8�1 FOR MIttGATION - - _ WATFJt hSTER T017= F.Uluuar W "Mures Lar a'LU.uu x MUM- $_w Numberofftxtures @ S15,00_1 $15.00= $ on Number of fixtures @ S35.00 _.- - - x $35.00 = $� State Surcharge $ 50 _ �vuvi um�iaau local=� TMS IS AN APPLICATION FOR A PSRWT N0T VALIDLRN= FR=fli FI) I hareby apply for a plsunbing peelnit and I acknowledge that the information above is complete and accurate; that the Work will be in CunforMflnec with the ordinance, and Codes of the City of Fridley and with t116 IVIinIle50ta ConStruCtion Codes' that ! wldetatand this is not a permit but only an application fur a perulit and work is not to start without a permit on site; that the work will be in accordatuo vial the approved plan in the oAll Irk which w4pires review and awtoval o€n1ans APPROVIdD BY City of FWdley %%thing Inspections Department 6431 University Avontle NE, Fridley, MN 55432 763-572-3604 �I]� J tid WUZZ:0T 8002 02 'adU 1?ZZL9ZVTS9: 'ON XUA INV 9S:9z:0 L 9002/001 :038(7 Z4 :G5Bd 17SZL9Z17l,99 :uaa,d ON I HWf -ld WlUcl: WMIJ \W\`)\ Building MECHANICAL Permit No.(� Inspections RES ENTIAL APPLICATION Received By: 763-572-3604 CITY OFF LEY Dat APR 220 DATE �'� YOUR E-MAIL ADDRESS ���w��`�`��Y1..C�Y�i1 SITE ADDRESS THIS APPLICANT IS: ❑ OWNER *CONTRACTOR PROPERTY NAME: ADDRESS: CITY STAT ZIP OWNER/ TENANT PHONE: CONTRACTOR COMPANY NAME: CONTACT PERSON: White Bear Mechanic SUBMIT A COPY OF 2'3 to Leibel t, to 600 YOUR STATE STATE LICENSE # Wl Bear Twp, PIN E16P DATE LICENSE WITH ifte 551 ADDRESS: 10 CITY STATE ZIP APPLICATION PHONEk n - �M-U_y FAX PERNM TYPE *SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT ALTERATION/REMODEL DETAILED DESCRE[ynON 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 ) 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 FLXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $10.00 AIR TO AIR EXCHANGEER $IS FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 TGAS DRYER $10.00 _POOL HEATER $35.00 --ff X %JDUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 o� PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @ $10.00 1 x$10.00=$ %t3_ Surcharge $ .50 Number of fixtures @ $15.00 2_ x$15.00=$ _50_ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Total = $ L1® PIK) 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 case Af all work w rich requires review and approval of plans. �G p SIGNATURE OF APPLICANT ,6 PRINT NAME, TE - I��g PLEASE NOTE: SEPARATE PE ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City ®f Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building WATER OR SEWER Permit No. -MI 01 Inspections PERMIT APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Lc P ® 200 763-502-4977 fax EFFECTIVE 1-1-08 APPLICATION DATE: �'� �1 YOUR E-MAIL ADDRESS: THIS APPLICANT IS CTO ❑OWNER ® JOB ADDRESS: NEW CONSTRUCTION PERMIT # (IF APPLICABLE): PROPERTY NAME OWNER/ ADDRESS: 0& TY: STATE: TENANT PHONE: CONTRACTOR NAME: c+ , SUBMIT A COPY OF ADD SS: ® Ce TY: STATE: ]P: YOUR STATE LICENSE PHONE: CELL PHONE: AND BOND _%� STATE LIC: STATE BOND: EXP: PERMIT TYPE ❑ SEWER CONNECTION PERMIT $50 ❑ WNNECTION PERMIT $50 WATER/ WER L PAIR PERMIT. $40 ❑ ADD STATE SURCHARGE $.50 ❑ SAC CHARGE @ $1825 TOTAL OTHER CHARGES (IF APPLICABLE_) PAY TO UTILITY BILLING NEW WATER METER COST SEE UTILITY BILLING SPECIAL ASSESSMENTS SEEFINANCE WATER TAP SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / WEEKENDS & HOLIDAYS $125 / HOUR -BILLED THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinames and codes of the City of Fridley. I understand this is not a permit but only an application for a permk ' s itho permit. _ SIGNATURE OF APPLIC PRINT NAMEq� �� °' DATE %'� rl�i APPROVED BY: DATE ® d COPY GIVEN TO:❑UTILITY BILLING V City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 EFFECTIVE: January 1, 2007 City. of Fridley 6431 University Avenue N.E. Fridley, MN 55432 (763) 572-3604 f WATER AND SEWER LINE INSTALLATION REQUIREMENTS WATER SERVICE LINES: TYPE K COPPER .PLASTIC PIPE WITH TRACER WIRE 6D Polyethylene D2239, D2737 6E Acrylonitrile D2282 6F Polyvinyl D2241, D1785 6G Polybutylene D2662, D2666 1. Flare fitting in yard area or silver (brazed) fittings underground, within building or yard area 2. Approved AWWA compression fittings permitted on existing lines. 3. Valves at meter to be gate or other full -way valve 4. Curb stop with rod must be used. 5. 7 foot minimum bury (only dense foam insulation allowed if needed). 6. 1 foot minimum separation of sewer and water. SEWER SERVICE LINES: Cast iron with matching fittings Plastic ABS Schedule 40, D2661 Foam Core, F628 Thin Wall, D2751 Plastic PVC Schedule 40, D2665 Foam Core, F789 Thin Wall, SDR -35, D3033, D3034 All PVC requires a two step process of joining; first a colored primer; second the solvent cement. Building $ BUILDING Permit No.:,960q 120 Inspections $ RESIDENTIAL APPLICATION Received By: ° 763-572-3604 $ (Q .001 times the total job valuation Surcharge $ CITY OF FRIDLEY Date Rec'd: �-� -- 763-502-4977 FAX $U $5.00 (State Licensed Residential Contractors) SAC Charge EFFECTIVE 1-1-09 DATE 1-)— 20 0 9 YOUR E-MAIL ADDRESS S e C2. o --e SITE ADDRESS 6 7 I L9 Pia y o�_ C L'- ry -p- ~� THIS APPLICANT IS: v❑ OWNER PROPERTY OWNER/ } 'CIONTRACTOR NAME: C0.rt7 ` TENANT ADDRESS: % 7 (o 0� C k r �✓ 't CITY l- r , � � C +.i STATE I 1 IJ ZIP S' 5N 3 � $450 Conservation Plan Review PHONE: % S ( - 32.4 - 3 of r CONTRACTOR NAME:_ w S -e_ ©c r e a. w° S SUBMIT A COPY OF Sewer Main Charge YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF 1 ADDRESS: L/C)D I CITYSTATEYhwZIP l2(0 INSURANCE PHONE (9 l - (i `1- $ 3� 3 FAX S C - 2 7 C)" 0 CP PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE 14ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION JOADDITION ❑ MAINTENANCE/REPAIR 11REMODELING II DESCRIBE WORK BEING DONE: Z%;-JA)rao f.--° 4 ( SIZE OF IMPROVEMENT LENGTH 1U' WIDTH I 0 � HEIGHT r SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: _)e I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, A Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes IrNo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF S -e-e Ia X a..-. s OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ —1'`— i 6-15 .c�Q OCCUPANCY TYPE Permit Fee $ 23-7,d5- See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ (Q .001 times the total job valuation Surcharge $ 0 S .0005 x Permit Valuation Minimum $.50 License Surcharge $U $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 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 $ q W I VIA Make checks oavable to: Citv of Fridlev Attach Stipulations 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 c!�c-eUaHl work uires review and approval of plans. SIGNATURE OF APPLICANT w-� PRINT NAME 1 0 DATE I Building MECHANICAL Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 2-19-09 SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION Permit No. Received By: Date Rec'd: A t YOUR E-MAIL ADDRESS ca 1�\Cx L cry. ❑ OWNER CONTRACTOR NAME:CCF-�L-' ADDRESS: CITY STATE-ZIP- PHONE: TATEZIP_PHONE: \ COMPANY NAME: CONTACT PERSON: 4I 1"�T d a iresid5e 12060 Hearth & Home . STATE LICENSE # EXP DATE 27-00 N. Falp.4sw Ave. ADDRESS: CITY Roseville, MN 55113 STATE ZIP_ 551/533-2501 PHONE FAX PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT)�k LT ERATION/REMODEL DETAILED DESCRIPTION OF FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: NDICATE TOTAL NUMBER OF EACH B LOW) Equipment Installed MFG: %�k&o MODEL: SIZE/BTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU A/C $25.00 5CFIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 TO AIR EXCHANGEER $15 (WOOD) $35.00 _NEW GAS GRILL $10.00 _AIR $35.00 _FIREPLACE $35.00 _GAS UNIT HTR $10.00 _BOILER LINER $10.00 _FURNACE DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY DUCT WORK $10.00 _GAS GAS PIPING $10.00 _VENTILATOR $15.00 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 ap lication 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 f 1 work which r ui s review val of pl SIGNATURE OF APPLIC I CjRINT NAME 11)6AT uity oz r rimey Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ftldT See Back Page for Fee Schedule BUILDING 65% of Building Permit Fee Permit No. jo5q0 Inspections $ �,{ �— RESIDENTIAL APPLICATION $ Received By: 763-572-3604 $2000 per SAC Unit (Plans to MWCC for determination) CITY OF FRIDLEY ft+6ft= ftx$22=$ DatRadMAY 07 763-502-4977 FAX $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ I l.-( 1, U EFFECTIVE 1-1-09 DATEnn�� YOUR E-MAIL ADDRESS SITE ADDRESS �� �6 V THIS APPLICANT IS: 2-6WNER ❑CONTRACTOR PROPERTY OWNER/ NAME: (, . s TENANT ADDRESS: C -CITYLe C' STATE IP PHONE: —� 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 ®'SINGLE FAMILYINEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ff115ECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑-REMODELING DESCRIBE WORK BEING DONE: Ad,4 d42f—k. SIZE OF IMPROVEMENT J LENGTH /2 WIDTH //W HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to he used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 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 OEWINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SI G THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ e ' 144 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge, Total Due $ (BAS See Back Page for Fee Schedule $ ( i 65% of Building Permit Fee $ a, .001 times the total job valuation $ �,{ �— .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $2000 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$22=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ I l.-( 1, U 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 of ork which re u' es review pproval of plans. SIGNATURE OF APPLICANT L PRINT NAME_ C S� DATE