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PRE 2010 DOCSCity of Fridley SUBJECT P �23 AT THE TOP OF THE TWINS BUILDING PERMIT r � ECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �� 1 i � CITY HALL FRIDLEY 55432 L NUMBERREV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/8/85 JOB ADDRESS 6201. Rainbow Drive N. E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Sylvan Hills Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Ehlers 6201 Rainbow Drive N.E. 571-5192 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. - Q.C. Contractors 6101 Rainbow Drive N.E., Fridley 5711-1178 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x.141_Rorch Addition 9 CHANGE OF USE FROM TO STIPULATIONS Provide new footing on front of existing breezeway. Straighten and anchor rear wall of existing garage. SEPARATE PERMITS REQUIRE® FOR Vie{ Before digg,� WIRING, HEATING, PLUMBING AND SIGN& FE'LEAyg call local ttlilific �NE e ELEC�RIC-d N L/REO GAS EtC- �e LA y} SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3 7OO $1.85 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $44.50 ^` PLAN CHECK FEE TOTAL FEE 5V. 48 SIGNA URE OFCONTRACTOR ORAUTHORIZED AGENT DATEI WHEN PR PERLY V ED IS YOUR PERMIT OA E SIGNATURE OF OWNER OF OWNER BUILDERI IDA TEI 1 NEW [ City of Fridley Effective 4/1/84 ADDN. [' ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: Owner Name &Address: Tel. # Contractor: Tel. # Address: 42el Agum,,6 6 Eo® i2 .r-- we — L Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT _LIVI �A: Length' Width /`! L Height , Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Approx. Completion Date: & r- 7--, g 6 /913,5- Estimated 9135- Proposed Driveway Width If New Opening Is Desired: Estimated Cost: $ &� -�-)('ci Alt. A Alt B $ $ See Back Page for Explanation DATE: APPLICANT: 44 P045Nhk Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: "y Building BUILDING Permit No.: OUN Inspections RESIDENTIAL APPLICATION Received By: ! 1 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE � n YOUR E-MAIL ADDRESS -fD Ii 5 e e ell I GA as_ COY SITE ADDRESS (-3-n d VA1,4 isaw paiyE` THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: Pl.4LLIS I- LA "f C—Aup . TENANT ADDRESS: (' IA1460I4 pytiv1r CITY f d10Le STATFMrk` TJJZ— PHONE: CONTRACTOR NAME:_ RENEWAL BY ANDERSEN SUBMIT A COPY OF STATE LICE 1920 COUNTY RD. "C" WEST YOUR STATE LICENSE ADDRESS:_ ROSEVILLE, MN 55113 CITY STATE ZIP WITH APPLICATION PHONE 651_2644777 o 4oG LICENSE #20130983 PROPERTY TYPEE FA, -)RIES PERMIT TYPE QADDITION ❑ GARAGE/SHEDWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAW TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SW &LING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK. BEING DONE: 12 C,t Z �/1^rrD®-9 S SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project.. WINDOWS� 2. Two sets of construction plans IN EXISTING OPENINGS l 1", ON, LOCATION OF WS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF 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 $ 396S. OCCUPANCY TYPE Permit Fee $ ,aS See Back Page for Fee Schedule PIan Review $ 65% of Building Permit Fee Surcharge $ (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( } Total Due $ 1 oG . ; Make checks pavable 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; that the work will be in accordance with the approved plan in the case of all work which requires re ew and approval of plans. — SIGNATURE OF APPLICANT i PRINT NAME_rrs S C �! 433 sid t DATE 2I O Building MECHANICAL Permit No.: (� Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY " '`0 763-502-49!77 FAX EFFECTIVE 2-19-09 DATE A YOUR E MAII�ADDR�`ESS <� (1' e STIE ADDRESS THIS APPLICANT IS: ❑OWNER CONTRACTOR PROPERTY NAME: OWNER/ ADDRESS:I7 r�.�� \�y�1®�0�� `y1 . CITY _66 S� STATJFa IFa� L TENANT '--I ; _ 1) PHONE: d` :)-- j I p= CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # DATE LICENSE WITH ADDRESS.LoCk-1_ 1 ne CITY STATEa It� ZIk APPLICATION PHONE �' I� ' Qj_ FAX �c3 :Z5SC,' PERMIT TYPE I "El SINGLE FAMILY Q TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: I I] NEW LTREPLACEMENT 17 ALTERATIONIREMODEL DETAILED DESCRIPTION OF WORW-kCf!�-AO,—1 ` _� rl1`1 C)x hy 0 FEES ARE BASED ON $10.00 PER FIXTURE CEPT WHERE NOTED. FIXTURES: �ICATE T T ER OF EACH BELO ; Equipment Installed MFG: ri �i� MODEL: �'9gyp( ;� V • U� SIZE/BTU� �, i� u MODEL: %CC-lLA - 6 L4 SIZEIBTU Y� -/A/C $25.00 MFG: MODEL: FIREPLACE (GAS) $15.00 _GAS SIZE/BTU RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 $35.00 vfURNACE $35.00 GAS UNIT HTR $10.00 _BOILER M CHINEY LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 _GAS GAS PIPING $10.00 _VENTILATOR $15.00 IMUM FEE $35501 Total f- $ 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 onlyte plication for a permit and work is not to start wi ut a permit; that the work will be in accordance with the approved plan in the 1 work which r utres revppiew and approval of ISIGNATURE OF APPLI®/\ T PRINT N V ' DATE Y , PT .F A .qP V YTF • , CFIR A R A TV PFR: T``SI ARP'. I2 wlrthH , Vn V 0 AT TILT)TNCi_ ELEC-TRICAL " ' �HAI�TICAL'WOlm j City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977