Loading...
PRE 2010 DOCSCity of Fridley, Minn. � BUILDING PERMIT No 3548 Date: .... 9... J ..... Owner .......................... ............ Builder .......... Address ....................................... Address .........:......................... ......... LOCATION OF BUILDING � � t No. . �,...... Street ..... ........ Part of ........... ..... Lot ..i ..... Block ..... Addition or Sub-DivisionC.i+K/C Corner Lot ............ Inside Lot 'i....... Setback 30 4 Sideyard ./ ,'.: ................ DESCRIPTION OF BUILDING To Used � � � a ,� ,'a ,* �s «. Front I '� Depth Heigh 5q. Ft. Cu Ft. i9poi2i .................... Front ........ Depth ..... Height ... Sq. Ft. ........ Cu. Ft. ........ Type of Construction ................... St. Cost. 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 compliance with all provisions of ordinances of the city of Fridley: ........... ..... ........................ In consideration of the payment of a fee of $ ..�... permit is hereby granted to .........:.......... (� ...... .. ............ to construct the building or addition as described -above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota 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'pf 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 Inspector for separate permits for these items. City ®f Fridley, inn. N° 8587 BUHDING PERMIT --�2 YIP Date: NOVEMBER 52 1965 Owners JAMES HOLMEN Builder GORCO CONSTRUCTION Address 6701 Quincy St. N, E. Address Fridley 32, Minnesota LOCATION OF BUILDING No. 6 7 01 Street Quincy St. N. E. Part of Lot Lot _ _122 331ock 5 Addition or Sub -Division Brookview Terrace Corner Lot Inside Lot % Setback — Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Det. Garage Front 16 Depth 22 Height 10 Sq. Ft. 352 Cu. Ft 3$520 Front Depth freight Sq. Ft. Cu. Ft. Type of Construction Fri Est. Cost AL 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 compliance with 21 provisions of ordinancxs of the city of Fridley. ®, a-- a _. In consideration of the payment of a fee of 4 00 , permit is hereby granted to GORCO CONSTRUCTION the to construct the building or addition as described above. This permit is granted upon express oDndition that the person to whom it is granted and his agents, employees and workmen, in all work Aone in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of 7Fridley, Ntiaaesota regarding lavation, conatruct4on, alteration, maintenance, repair sad moving of buildings whin the dty limits and this permit may be revoked at any time upon violation of aay of the provisions of said inaacvas. ALLEN G. JENSEN Building Inspector NOTICE: This permit does not cover the eondruaHon, buteMon for wiring, phmbing, gai heathog, sower a water. Be sore to ere the Bundhm Inspector for "penis permits for thus Rena. r - - 4.c APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME a = ra zt: , , BUILDER WDRESS LOCATION OF BUILDING i:inz Street Part of Lot LOT K ADDITION OR SUBDIVISION - Corner Lot Inside LOT Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: ' Front l Deptl J_�Z Height Sq. Ft. I �, I 71 ®.--)— Cu. Ft. -- �� 0 Front DepthHeight Sq. Ft. Cu. Ft. 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 f L � - SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). G9 SUBJECT IT N City of Fridley 15 6 6 9 AT THE TOP OF THE TWINS BUILDING P E R M I T r R NO. � • __ COMMUNITY DEVELOPMENT DIV: ,: - --- SEC. r � � PROTECTIVE INSPECTION 9 1 . i `---1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 14/17/80 JOB ADDRESS 6701 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 5 BrookvieW Terrace SHEET 2 PROPERTY.OWNER MAILADDRESS ZIP PHONE George W. Colstrcm 6701 Quincy Street N.E. 571-6580 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK roof structure 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 $700 $•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 SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 SIGN EOFCONTRACTOR (DATE) PROPERLY VALIDATED THIS IS YOUR PERMIT �TGENT -W�HEN�� gr BLDG INSP DATE S NATUR OWNER qF OWNER BUILDERI (DATE) G9 CITY OF FRIDLEY i AP-PLICATim 1 -OR RESIDEN-ml_ RUILDING PERMITS (New, Alterations, Auditions, or Repairs) OWNER: BUILDER: ADDRESS: k Zc) ADDRESS: TEL X10: s" 0`_6_T TEL NO: Construction Location STRIMT NO : �0' ?O j STREET: n U I W L�-- S/• p X z LOT:BLOCK,: S ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO14 OF CONSTRUCTION --- Front: Square Feet: Front: Depth: Cubic Feet: Depth: Square -Feet: Cubic Feet: H eight : Height: G Type of Construction:/��-�S� Estimated Cost: $�0 ' To Be Cbmp-leted: Alto A Alt. B Proposed Driveway Width If New Opening Is Desired: $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a pezmit for the cork 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 arg true and correct. DATE:�c,v SIGNATURE: Stipulations: S V�bb CITY OF FRIDLEY Effective Date May 1, 1988 .APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND � 1 ®1 7 -3 AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE -RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 18 of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work RATE TOTAL Job Address $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ State Surcharge TOTAL FEE Reinspection Fee $15.00) Rough Insp. Date Final Insp, Dat Approval for Permit P MINIMUM FEE FOR ANY HEATING PERMIT I$15.00 PLUS $.50 STATE SURCHARGE jS"S-e *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Department of Buildings, 6431 university Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this applications are true and correct. Fridley, Minn. /y/��CG ZZ 19� OWNER '�, o l._ a e -,s / /�-(� 6� KIND OF BUILDING (,(/CPW L/ USED AS TO BE COMPLETED ABOUT ESTIMATED COST 'Q 00 Cl� UC.T I.�=,,Z1G fa��I r OLD - NEW BUILDING PERMIT NO. PERMIT NO. 123 DESCRIPTION OF FURNACE/BURNER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Capacity Total Connected Load Sq.--�Kt. EDR Size No. BTU HP Kind of Fuel No. Capacity q. Ft. EDR BTU HP _ i % Company Signed By i Tel. No. U F�1.1'" out back sid r ikation on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected _ Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Remarks Company Signed By Date 01 SUBJECTER N City of Fridley o 19944 AT THE TOP OF THE TWINS BUILDING PERMIT _MIT r REC -COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. � r PROTECTIVE � `1 ` �� -'>;,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By ---•� L 612-571-3450 910-F15 6/9/89 JOB ADDRESS 6701 Quincy Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 5 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Colstrom 6701 Quincy Street N.E. 571-6580 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Kerchner Construction 3630 - 153rd Avenue N.W., Andover, Nit`]' 55304 422-9644 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 221- x 14' Addition and a 16' x 8' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations On plan. Variance approved for rear yard setback from 25' to 17' . Ild I SEPARATE PERMITS REQUIRED FOR Before digging cal1 foul. in liffes WIRING, HEATING, PLUMBING ANIS SlQ t, TELEPHONE- ELECTRIC - GAS Etc. REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 j 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 $ 16, 2O0 $8.10 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $180.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PL N CHECK FEE TOTAL FEE $188.10 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) *WHEN PROPERLY VALI TED THIS IS YOUR Com// /PjE�RMIT I�ahAa lif Om SIGNATURE OF OWNER IIFOWNER BUILDER) (DATE) - BLDG INSP 01 NEW [ ] Effective 5/1/88 ADON [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: 6701 S -7e. %o Legal Description: 7-e f Owner Name & Address: [ if C^ q 615 �,��.-�___ Tel. # 15-;7 Contractor:1 ,ell >%�G e Xe .1rrz Tel. # baa -1'd Address: 36 5e) �s� �` `� 200 AJ sY 06L 49Z Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. rps -IIPTION OF STI' LIVnVx AREA: Length ?2 ` Width 19 Height %3 ' Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length !lam Width Hgt/Gr= d Sq. Ft. 07HER• 3ise 14 4k 7.:.aw.-I 6 V1441-zr Corner Lot [ ] Inside lot[ Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: Approx. Completion Date: 5-2zo/92 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ L����/j � Wil 6' See Back Page DATE: % `1 - �% APPLICANT': Tel. Permit Fee $ 180-W State Surcharge $ g,14 SAC aiarge $ Driveway Escrow $ Park Fee $ Sewer Main charge $ CITY USE CNLY Fee Schedule cn Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Za�v- 1 1 31C /80.00 WA SUBJECT P.E.RNHfi°WO City of Fridley2 fro 5 8 10 AT THE TOP OF THE TWINS BUILDING PERMIT P RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV DATEPAGE OF APPROVED 8Y 612-571-3450 910415 2/18/98 JOB ADDRESS 6701 Quincy Street nE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 5 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Colstrom 6701 Quincy Street NE 571-6580 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION 1i ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install bay window in existing opening 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Install smoke detectors to meet the State Building Code - on each level adjacent to the sleeping areas and in each sleeping area. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST, OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. 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 @ $ 75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,500 . DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $48.50 Fire SC $1.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $50.75 S NATURE OF CO NTR TO R A ORIZED AGENT (DATE, i WHEN PROPER • BLO INSP Y/-VALIDATED THIS IS Y04JR PERMIT �1ATE S,GNAT F OW Rii WNER BUILDERI IDATEI WA NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 0? J �� BUILDING PERMIT APPLICATION ConstructionAddress: � Z,�U V4 Legal Description: Owner Name & Address:-- C/�i Tel. 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 EUPROVEMENT LIVING AREA: Le Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: l,zL� _ Sq. Ft. _ Sq. Ft. _ Sq. Ft. .IV/11— Construction Type: C00 -c9 (�—' l &,�U2� Estimated Cost: Driveway Curb Cut Width Needed: + 6 Ft = (Fee Schedule on Back) Ft x $ = $ DATE: APPLICANT: Tel. # TOTAL $ STIPULATIONS: CITY USE ONLY Permit Fee $ '/'�0O Fee Schedule on Reverse Side Fire Surcharge $ f. S� .001 of Permit Valuation (1/10th%) State Surcharge $ `%S $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: SUBJECT City of Fridley JE� 347 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV.®t INSPECTION SEC. r PROTECTIVE 1 � ° CITY HALL FRIDLEY 55432 NUMBER REV OTE PAGE OF APPROVED BY 1 J` 612-571-3450 910_F15 10/21/98 JOB ADDRESS 6701 Quincy Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 5 Brookview Terrace I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Colstrom 571-6580 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Arrow Roofing 4938 Welcome Ave N Crystal 55429 560-1680 20149748 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 O ADDITION O ALTERATION Rk REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof house and garage (25 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2142 $1.07 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST UCTIQN OR THE PERFORMANCE O CONSTRUCTION 7 $74.75 Fire SC $2.14 PLAN CHECK FEE TOTAL FEE 11 License SC $5.00, 1 $82.96 ° GNAT RE OFCON'FACTORORAUTMOpIZED4GENT +DATE+ WHEN PROPERLY ALIDTED THIS IS YOUR PERMIT Bl0 +NSo - ,�- " gATE tE S�GNATUAE OF OW NER,iF OWNER BUILDER) +OATEi NEW [ ] AADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 16 % 0 Legal Description: Effective 1/1/98 , #�f'83 4 -1 Owner Name & AAdd�dress: Tel. # Contractor: C/® �� MN LICENSE #z o/ Address::7:7 L 6 j rj�/ `Q 15 C � Tel. # Z 9�j 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: Len Width,H_gt/Ground Sq. Ft. OTHER: �` .� S l `6 " Construction Type: na Estimated Cost: $ - (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ / � Fee Schedule on Reverse Side Fire Surcharge $_ , / .001 of Permit Valuation (1/10th%) State Surcharge $ % $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S,00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: From: unknown Page: 2/2 Date: 1/5/201010:37:06 AM J Building MECHANICAL Permit No. 6 Inspections RESIDENTIAL APPLICATION Received B 763-572-3604 CITY OF FRIDLEY 0 2 763-502-4977 FAX EFFECTIVE 2.19-M DATE 110&12010 YOUR E-MAIL ADDRESS dave@davesheatingandair mm SITE ADDRESS 8701 QUINCY ST NE THIS APPLICANT IS: O OWNER 000NTRACTOR PROPERTY NAME: JESS HERNANDEZ ADDRESS: 6701 QUINCY ST NE CITy FRIDLEY$TATE MN ZIP 56432 OWNER/ TENANT PHONE: 783`354'8800 CONTRACTOR COMPANY NAME- DAVE'S HEATING, AIR 8 ELECTRIC — SUBMIT A COPY OF CONTACT PERSON: AMY MADVIG YOUR STATS STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 1801 37TH Mfg NE CITY COLUMBIA HEIGHTS STATE MN ZIP 55421 APPLICATION PHONE 783-781-8901 FAX 763-789-8601 PERMIT TYPE ZNGLB FAMILY CI TWO FAMILY O TOWNHOUSE TYPE OF WORK: 13 NEWF./—�SPLACEMENT I7 ALTERATION/111iMODEL DETAILED DESCRIPTION OF WORK REPLACE EXISTING FURNACE WITH BRYANT MI#3599AV038060 FEES ARE BASED ON $1000 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: ' ° SIZEIBTU ° M MFG: MODEL: S12EtBTU MFG: MODEL: SIZE/BTU VC $25-00_, -FI REPLACE(GAS)$1g.00 _GAS RANGEtOVEN$10.00 (RTO AIR EXCHANGEER $IS (WOOD) $35.00 __NEW GAS GRILL $10.00 hIREPLACE BOILER $35.00 RNACE $35.00 PAS UNIT HTR $10 00 CHIMNEY LINER $10.00 SDRYER $10.00,HEATER $35.00 POOLVENT[1.ATOR DUC WORK $10.00 GAS PIPING $10.00 $15.00 Numb#r.offixtures @ $10.00 z $10.00 = $ Number of fixtures @ $.15.00 x $15:00 " $, _ Number of fixtures. @ $25.00 x $25.00 - $ Number of fixtures @ $35.00 1 x $35.00 = $ 35.00 State Surcharge - $ 50 (MMIMUM FEE $35.50 Total = $35.50 THIS IS AN APPLICATION FOR A PERMIT NOT VALID (UNTIL PROCESSED I hereby apply for a bu' 'ng permit and 1 acknowledge that the information above is complete and accurate; that the work will be in conformance with the r=,s and codes of the City of Fridley and with the Mipnesota Construction Codes; that I understand this is not a permit but only tion for a permit and work is not to start without a permit; that the work will he in accordance with the approved plan in the we 1 work w ' equires vig approval of pl s. SIGNATURE OF APPLI NT ov�RINT NAME TE ' P.LEASENOTE' SEPARATE EERtaS ARE REQUIRED YOR BUILOLNU I;LLLA-KM;AL, ANN M=nAN1 M, Wur*m Ci Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-504977