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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3670 Date:.. ..- .. ........ .... ...... � Owner....................................... Builder ..A.Z . . AAAA .. .�..C. r�.. . Address ...................................... Address ............................................. LOCATION OF BUILDING No. .� Street ... �.... ... Part of Lot ...AAAA... .. . Lot .. J ... Block ........ ..... Addition or Sub -Division .. -. i ... .I. .. . Corner Lot ...4....... Inside Lot ............ Setback ....... Sideyard ................ DESCRIPTION OF BUILDING TIDke Used as . .. .. Front . !. P Depth .7�v. `. .. Height.": �. Sq. Ft /� Cu Ft.0l../,c/ .. :...... From : ; Depth . :�/e` Height / Sq. Ft �. .. CULFtAi? 00 Type ................... 11M. Cost Z/`6, �.?.1 t .�-. To be Completed .......... ...... . of Construction , , 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 compliance with all provisions of ordinances of the city of Fridley. :. ..... ................ In consideration of the payment of a fee of AAAA.., 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 maybe revoked at any time upon violation of any of the provisions of said ordinances. o NOTICE: This permit does not cover the construction, Installatian -or alteration for wiring, pl g, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Km& APPLICATION.FOR':BUILDING PERMIT CITY OF FRIDLEY;`..;1++INNESOTA ' Owners Name. '.�%�►•s�° Builder -.-T-.�...�. Address Address LOCATION OF BUILDING No. ,....._, Street- . _:_ Part of Let ;•jai-. , .. ;'. ._ """' :.. . .:.`'Sddition 'ar ' Sub. Div, �. ®� • � Corner'Lot}Y ::Inside Lot Set Back. `'®mow — zO .50ac' Applicant attach to, this form Certificate .of Survey •ef Let and proposed building loQat dn.. DESCRIPTION OF BUILDING To be used as Front Depth Height .__..�..t.,..�._ Sq. Ft. ._ Cu. Ft. Front Depth Height ,® Sq. Ft*. ®... Cu.. Ft. Type of Construction Cost ' To be completed The undersigned -hereby makes,applicatioh'for.a permit for the work herein specifiedA:agreeing'=o.•`do all. work iri strict accordance with the City Ordinanc�s.ana r4ling of`he Department'•ef Buildings, and hereby declares that''all•the facts and representations stated in this application are true and correct. Date g / 6'.. Si nature A? Aor (A Schedule of -Fee. -.Costs can be found on 'the Reverse Side) i ,.f'% a � _40 l'i, APPiication for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECI-L WARM AIR Furnace Shell & Duct Work to 124,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 S 5.00 $ 5.00 $ 2.50 $ Furnace Shell & bines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOT Imo. 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .5o $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN BEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE REMARKS: Dept. of Bldgs. Phone SU City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true apd correct. Owner T17"� Kind of Buildm Used as To be completed about 195- 195— Permit No. .3677o DESCRIPTION OF WORE TIj;aTG or PLANT =iSte Hot Water arm Air No Trade 1V4 �� y2 7 ize NQ Capacity Sq. Ft. E.D.R. S BTU H.P. 11 Total Connected Load Kind of Fuel BURNER — Trade Nam; &ZZ; Size No d/ i h , Capacity Sq. Ft. E.D.R BTU H.P. 11 POST 1M-12-58 By. No.4a !Z ' 7 -�,- IT City of Fridley Application for P}nmbing and Cas Fitting Pennit DegL of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORN Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N RATE = y Z `•2 N =} Y F �ha� nc N Z O to �Z X 02 U` zWATER Z Z Q x 1.20 HTR. GAS ELEC. 3i� $ m'F Catch Basin ............................ u, 3� ZZ e2 In o� �� <3 -j �a 0U' 4a '0p F N $ Base h •- Q 1st 2nd 3rd 4th " Future Connection Openings Connected with ae New Fixture, Old Openings Sewer El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 $ � New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures ......................... Additional Fixtures ................... Gas Range to 200,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL x $1.50 $ x .50 $ x 2.00 $ Description ................................................ TOTAL FE'1 ` City of Fridley: Q The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn 19� Owner 19 Kind of Building �`> 19— Used as To be completed about Estimated Cost, $ Old '1Vew. uilding Permit No 7®� I Signed`` Y ` Business Phone No Connection Permit No . ....................................................... MAR 2 7 1959Rough Water Sewer Meter Deposit %= - .QW11 IM -8-58 Cl City of Fridley SUBJECT PERM ----e� 139Q�4 AT THE TOP OF THE TWINS BUILDING PERMIT, te r ` .9 R E1PT O. COMMUNITY DEVELOPMENT DIV: r PROTECTIVE INSPECTION SEC.C�/ A NUMBER REV. DATE PAGE OF APPROVED BY /'--•{ CITY HALL FRIDLEY 55432 l----• �'' 612-560-3450 910-F15 12/29/76 JOB ADDRESS 6811 Plaza Curve N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 4 1 Rice Creek Plaza South SHEET 2 PROPERTYOWNER MAIL ADDRESSI PHONE globes 6811 Plaza Curve G� ®� O4) 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 'fford Sampson Company 4907 Excelsior Blvd St: Louis Park 927-5491 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK ElEl© NEW ADDITION ❑ ALTERATION A REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Fire damage-fireplace repair 9 CHANGE OF USE FROM TO STIPULATIONS 1. Replace all damaged structural members with approved materials. 2. Increase Hearth. depth by 2 inches 3. Replace existing built-rite back of fire place with 5/8" sheet rock 11ED IN �QN SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. frame OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. wood 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. - $5'000 2.50 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 OT ER STATE OR LOCAL LAW REGULATING CON- $30.00 STRUCyTION OR � E P R ORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ✓ $32.50 SIGNATUR OFcONTRA0T0 ORAUTHORIZEDAGENT (DATE) HEN PROPERLY VA DATED THIS IS YOUR PERMIT (� 1� -2 -% C• DATE ��— BL., - ✓,- SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) CITY OF FfZIDLEY Q e-Y6I IS APPLICATION FOR - RESI DENTIAL BU ILDI NG PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER'S NAME: BU ILDEit : , Q ADDRESS : 4 ADDRESS: O� / .. No:. STREET: a�--"� LOT: lg BLOCK: i' ADDITIO ;:� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form nio Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING 4 Front-: Depth: ®AV -AAA ` �Lt Square Feet: Cubic Feet: Front: Height: Depth: Height: Square Feet; Cubic Feet: Type of Construction: .To Be Completed: Estimated Cost: $®®� '� If /40 l 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: —/Z/awm/24' SIGNATURE: (See Reverse Side For Additional Information.) 6&3r t2A ' 0,' +/ Z. 2s -.aa ....�fop .?.� �1�tJP�•1��1. arJ�' �Pr 31 104axAo,coo— 444ok v v SUBJECT RMIT NO. City ®f Fridley 21219 AT THE TOP OF THE TWINS BUILDING PERMIT i • R _ COMMUNITY DEVELOPMENT DIV. tr PROTECTIVE INSPECTION SEC. 9 t/ NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 3/2/92 JOB ADDRESS 6811 Plaza Curve NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 4 Rice Creek Plaza South_ SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jamie Evans 6811 Plaza Curve NE 572-0829 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 Ek REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGEQFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 $1,50.0 $.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $35.00 Fire SC $1,50. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $37.25 IGNA UR/E^(OF/JCONTRAC AUTORIZEDAGENT IOATEyI�J7/� WHN PROPMRLI E THIS IS YOUR PERMIT /ROR 2 r i NAT RE OF OWNER 0 N R BUI DER, IDATEI G INSP LATE v v NEW [ ] Effective 3/1192 ADDN [ ] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor: Address: s Tel. # 6,7Z MN LICENSE # 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 r 'idth 2 He t Sq. Ft. GARAGE AREA: Length / Width He Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [�fj Inside Lot j ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ /,5; Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ _ $ DATE:�- - %' 7 APPLICANT: GQ% Tel. # 5-72 - 68z Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 0 SUBJECT City of Fridley 7ER AT THE TOP OF THE TWINS BUILDING PERMIT 2457 i � ECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. , r ; 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 4/26/94 JOB ADDRESS 6811 Plaza Curve NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 15 4 SHEET Rice Creek 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michelle Jamie Evans 681 572-0829 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE X❑ 8 DESCRIBE WORK Reroof House & Garage 26 S Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State BuiHing Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 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 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS I 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 $1,950 $.98 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $45.00 Fire SC $1.95. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $47.93 SIGNATURE `OFC�O/NNT7CCTOR OR RIZED AGENT ID TE) ' Z WHEN RLY VALIDATED THIS IS YOUR PERMIT/ /_1 ,71f BLDG IN f1A TE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI I 0 NEW ( ( Effective 1/ 1/94 ADDN CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application[ Construction Address: '� � l_ l 17C, -c'. _t_v_ Legal Description: Owner Name &. Address: M C ely- A, JCr�n E �u S Tel. # 6-7D - Contractor: 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: �U� ��A�i�' �% � D l0 �i w re-- Corner Lot [ ] Inside Lot ]. Ft. Yd Setback Side Yard Setbacks Type of Construction:S Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: C APPLICANT: Tel. # CITY USE ONLY Permit Fee $ 00 Fee Schedule on Reverse Side Fire Surcharge $ / S7 .001 of Permit Valuation (1 / 10th %) State Surcharge $ G4/ tQ $.50/$1,000 Valuation SAC Charge $ $800 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 $ 3 STIPULATIONS: SUBJECT PE \ City ®f Fraley 25 8.8 2 AT THE TOP OF THE TWINS BUILDING PERMIT r RE T NO. COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. d � t (� NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 L J` 612-571-3450 910-F15 3/30/98 JOB ADDRESS 6811 Plaza Curve NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 15 4 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michelle/Jamie Evans 6811 Plaza Curve NE 572-0829 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 `i;_ ❑ NEW ❑ ADDITION j7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Complete basement bedroom, egress window, new shower 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. Y OCCUPANCGROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,000 $1.00 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 S TE OR LOCAL LAW REGULATING CON- $62.25 Fir SC $2.00 STRUCTION ERFO AN E OF STRUCTION. JORHE PLAN CHECK FEE TOT EE r 65.25 SIGNATURE OF ONTRACTOR OR AUTHORIZED AGENT (DATEI N P OP IZALO INSP IDA THIS I�QUPERM _ BATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN ] CITY OF FRIDLEY ALTER [° SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �(� P/az CA- (�O/o' U Z - Legal Description: 61 o4L �j ids'' " f I e�-v- C rceL PLV-ai t4 Owner Name & Address: I L i U— A- 1 � i I- � U� Tel. Contractor: Address: MN LICENSE # 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: F( t'5-5 t o ank",-1 Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: aTel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: 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 [ ] 0 CITY OrFRIDLEY INSPECTION DIVISION Effective On January 1, 2002 154131 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back)' Gas Piping (Needed with new furnace,. but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE M71L`llu11u1iL4-4;co �I,`i71L�Jl1ItiLr7l�•Z+7�L`►L�31'1�`IIIiLiFAILO * • ; • I, • A ' TUMIUMUmm- REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner'. JOB ADDRESS �01/ N4'Zn 6&rVf .V6 OWNER acxf L I^/� Ur d TOTAL r ,J?) BUILDING USED AS 1f25i, �e� ' $ e� ESTIMATED COST ��%`� PERMIT NO. $ 1 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam) (Hot Water) arm ) $ Trade Name 4f61 '1e -v' Size No. BTU 704cF-V HP EDR $ Fuel "mfy-14( Total Connected Load ' Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application fora permit for the work herein specified agreeing to do all work in trict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Center Point Energy MGCO ^ATE 13562 Central Ave NE . HEATING CO Anoka, MN 55304 Signe C3 - FAX#_ ��P�J-1�J1 ��ol Approved In Date TEL # � �-15� 1 • Final Date e/ %" THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT_ VENT CONNECTOR AND COMRI I-STION AIR VERIFICATION When replacina an existing.furanma, 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. Yes ( No( ) The venting system is plasticJPVC and meets all current Codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( No( ) 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 pxi_n ina -emir ,_Minn air is sized and installed to meet the current codes and manufactureris specifications. When required to install a new rnmh ►stion air. itwill be sized and installed to meet the current codes and manufacturer's specifications. When insttalling,a new Venting eye, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufactureris 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 Appliance #2 Type Appliance #3 Type Total Appliances Common Vent Type BTU Input _ BTU Input _ BTU Input Total Btu Input Yes (`� No( ) Yes M/, No ( ) Yes `A No ( ) Yes (A No ( ) Yesjl�,No ( ) Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat Vent Height Diameter - inches Appliance #1 Vent Connector Height ft L—ebgth ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type Center Point Energy MGCO 13562 Central Ave NE HEATING CO: Anoka, MN 55304 Signed By: Date: ' CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2002 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** NO Gas Dryer** Back Flow Preventer Required ( )Yes () No Type Reinspection Fee $47.00/Hr TOTAL $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 -'lot Ltd ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge .50 JOB ADDRESS �gw Z c oz od- CU6r_6=e The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in 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 correct. .3-_4 , 2063 Owner 4k,,,- 6a@unict- Building Used As is e -'c ®j:t //,aG— Estimated Cost 6-'7©,,,► PERMIT NO. /39/1), PLUMBING COMPANY Z!"jcY k"A . ,A SIGNED BY Ugr.-TEL N0. 749 P FAX # I Approved By Rough -In Date Final Date 3-11-o3 TOTAL FEE $20 -So PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFNT, VENT CONNIFCTOR AND COMB IRTION AIRWRIFICATInN When r_ placing an t%xisfinrl hiranaga, 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. Yes() No() The venting system is plasbcIPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No( ) 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-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The exy isting _nmbustinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When required to *nMall a new nnmhunfinn air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When iostallina a naw yontinra svet m, 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. Yes( ) No( ) 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. Yes( )No( ) Appliance Jyg s and Si7e/Cnmmnn Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input„ Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1998 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures t Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water. Heater — Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 '7. ' $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 JOB ADDRESS &�S7( I �` �'04X Lr'E_' The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in 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 correct. 1998 Building Used AsJ� Estimated Cost PERMIT NO. PLUMBING COMPANY SIGNED BY TEL N0. 2 Approved Bytv!!t:4 Rough—In Date Final Date N.. r - �v nu/\M/ TOTALFEE $�o' PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. JUN -23-2005 14:31 JUN -20-2005 15:02 IEW ALTER [ ] Construction Address: Legal Description: Owner Name & Address: Contractor. `2) Address: 4n -Z) LIVING AREA: GARAGE AREA DECK AREA: OTHER: CENTRAL ROOFING Cil.,- 7635720230 P.02 CITY OF FR I DLEY 0?0,9-S;" P-01/02 CITY OF FRIDLEY n 6431 University Ave NE, Fridley, MN 55432 (793) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION 14-ke'-1.4.oV-� i3� Tel. # -7 Lg 3 � MN LICENSE #+ ret. # .-(e 3 r��Y)- Attach to this application, a Certif trate of Survey of the bt, with the proposed construction drawn on it to *scale. DESCRIPTION OF IMPROVEMENT Length 'Width Height Sq. Ft. Length VVidth Height Sq. Ft. Length _ Width HgVGround Sq. Ft �-(9 Construction Type: --W _ 5 Estimated Cost:UV U Driveway Curb Cut VVidth Needed: Ft + 6 Ft = Ft x s = DATE: %- 0 APPLICANT: C�� !�•� �.c x� cr Z .. Tel. # ! G & Call (763) 572.3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge Stale Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Contrui Park Fee Sewer Main Charge TOTAL. Cp,`j Fee Schedule on Reverse Side 650/6 of Permit Fee $_ .001 of Permit Valuation (1/10th%) $.50/51,000 Valuation $$1450 per SAC Unit $ E0 0.__. $5.00 (State Licensed Residential Contractors) $ Ad. "A' or Alt "B" Above $ _ $450.00 Conservation Plan Review $_ Fee Determined by Engineering $ Agreement Necessary [ ) Not Necessary [ $--1°7.7-_ STIPULATIONS: TOTAL P.OP docs - 6 / 9 NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner N Contract Address: r�� OF 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:��stima ed Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ Jj DATE: APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ 139, e�� Fee Schedule on Reverse Side $ 6 .001 of Permit Va!uation (1/10th%) $ $.50/$1,000 Valuation $ $1275 per SAC Unit $.C)� $5.00 (State Licensed Residential Contractors) $ Alt. 'W or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ STIPULATIONS* Building PLUMBING Permit No.: Utp Inspections RESIDENTIAL APPLICATION Re ® 763-572-3604 CITY OF FRIDLEY 1 Date Rec d. 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE - ? "" y YOUR E-MAIL ADDRES SITE ADDRESS N4? —7 Car THIS APPLICANT IS: ❑ OWNER ACONTRACTOR PROPERTY NAME: d A ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: STATE LICENSE # > ��� �` EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # J;Z 3 L) EXP DATE CERTIFICATE OF ADDRESS: -;Z 6 V / G J'; S _CITY ; «!!�STATE4, 4-' ZIP_5S k) INSURANCE PHONE /� - �P� ' C` FAX *3 _ `1 I? Z' %1-5%2 W SINGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE PERMIT TYPE * TYPE OF WORK: 11 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35,30. i� BATH SINK/LAV DRAINS _WATER PIPING _FLOOR _SHOWER GAS PIPING (NEED CITY LIC)_ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK +WWATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER F ��-�" d* • A S.ce'� b � �� Y19Flr" � F Rd �' 3 d� �'v ys�*',' �` � 'S k „�' ', � �g'' sem' `� a k� � "� �w � " _ �4 � - ��v �. s• ` � � �c � a �� � � � s'» x �z ^xin' �..Z f ze?kF•Fy" !i - z5��'3r _. 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 case of all w which requires review and approval of plans` C SIGNATURE OF APPLICANT • i- PRINT NAME 1 IJ e : Je DATE101 , City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977