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PRE 2010 DOCSCity of Fridley, 31bm. BUILDING PERMITN° QR) Date: Owner."` "` >' Builder Address _ _ _ Address L0 AT F BUILDING No. y� Streets -9_'/ ss rz _ _ Pam Lot._._ Lot _ Block Addition or Sub -Division Corner Lot .___ , Inside Lot ' _ Setback_ _ _ Sideyard Sewer Elevation ___ _ _ _ _ _ _ Foundation Elevation DESCRIPTION OF BUILDING To ' Used Front..� '� *�` Depth..:._.. Height Sq. Ft. Cu. Depth Height _._ _„ Sq. Ft. _ _ Cu. Ft. ._• 2!, �.. "r �.. Type of Construction _ Est Cost 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 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. y Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, Bas heating, sower or water. Be sure to we the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name'l�,c�' Address vA Address No. 6-Y16-1 LOCATION OF BUILDING i VL -:— Lot `,!Block 1-5Addition or Subdi Corner Lot Inside of Lot r Si iA-Yard /0 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building. location. To be used as: DESCRIPTION OF BUILDING X Front'Depth K z e ` Height Ael, l% Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Gu. Ft. Type of Construction Estimated Cost t�v:�/a To be Completed I 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. DATES d- a -d SIGNATURE (A Schedule of Fee Costs can be found on the Reve e�Side-) � " . . r City ofiFridley Application for Plumbing and Gas Fitting Perndt DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures (�o x $1.50 $ • & G 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 $__2!Z ' v New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... ` x $1.50 Additional Fixtures x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ _ TOTAL FEE $ Dept. of Bldgs. Phone SU 4-7470 Locatio e If/ f City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do al1 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 g f 19-L/ P Owner Kind of Building -�-� Used as To be completed about Estimated Cost, $ Old -(O. Building Permit No Permit No. Signed 4e 40�w� By Ai ROUGH - - % -7- 1- r FINAL .QW42 2M 7-59 Business Phone �^ Z' `02 QJz Oi< e z F N WATER HTR. GAS ELEG az 0O m Base 1st 2nd _ 3rd 4th • Future Connection Openings I Connected with Sewer New Fixture. Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures (�o x $1.50 $ • & G 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 $__2!Z ' v New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... ` x $1.50 Additional Fixtures x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ _ TOTAL FEE $ Dept. of Bldgs. Phone SU 4-7470 Locatio e If/ f City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do al1 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 g f 19-L/ P Owner Kind of Building -�-� Used as To be completed about Estimated Cost, $ Old -(O. Building Permit No Permit No. Signed 4e 40�w� By Ai ROUGH - - % -7- 1- r FINAL .QW42 2M 7-59 Business Phone a App' Heating. ' g Ventilation, Refrigeration and l�cat�on for Power Plants and Heap , C�tm , Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7M n GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & .Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—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 L 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU .......... x 2.00 $ AIR CONDITIONING FAN BEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS wj REMARKS: See Fee Schedule $ TOTAL FEE 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 and correct. Fridle Minn APR A 0 1., —, 195— Owner L` } 195_ Kind of Building 195— Used as To be completed about JUN ® 1961 Estimated Cost, $_ J-7 - �. — � ew. uilding Permit No.� !g3 DESCRIPTION OF WORK HEATING er, Warm Air—No Z Trade Size Capacity Sq. Ft. E.D.R 0'0 _BTU H.P. Total Connected Load 4-44 - 717 Kind of Fuel BURNER — Trade Name - &--Size No Capacity Sq. Ft. E.D.R,-1Q' • BTU H.P. GEO. SE®G? ICI HTG. & AIR-COND. CO 1001 Xenia Av. S. Minneapolis 16, Minn. Sign By ines 11 POST 1M-12-58 Buss Phone one .0 F OOVID eom iwJl hd®�'V' O.L'c� / .�+��% y'i`'N✓ iWW�j ��� , HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS BROOKLYN CENTER, MINN. Weatherstrips A.S.H.V.E,_ Guide Construction No. Insulation Windows I , oors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied es I es II 19— F1, Room I Lengthj4p 3aVidth eight Fl. Room I Length Width 9 Height . Windows and Doors—Crackag and Area i l Width Height . No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Net exp. wall girdJtAOIX �! Int. wall Coe£ Btu. Infiltration Floor ; Glass Exp. wall Net exp. wall Ceiling .:to d Own. Z. r Y Floor 1 otal Btu. Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Fl. p ® & Room ( Length Width Windows and Doors—Crackage and Area V idth Height No. of Lineal ft. Area No. of�rpaane of pane lights of crackle sq. ft. Windows and Doors—Crackage and Area Wldth Height No. of Lineal ft. Area No. of pane of ppane lights of crack sq. ft. JCoef.j Btu Infiltration ./" Glass Exp. wall .Y Net exp. wall V Int. wall Ceiling Floor ; Total Btu. - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area sight Fl. Room ( Length WidthHeight Windows and Doors—Crack and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Coef. Btu Infiltration' Infiltration , Glass , a�"47 Glass ' Exp. wall Exp. wall Net exp. wall, Net exp. waif- Int. wall Int. wall Ceiling Ceiling Floor .°� Floor ; Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length/ Wid Windows and Doors—Crackage anct Area Width Height No. of Lineal ft. Area No. 01 Dana Of p$ne 111%w of crack ea. EL Infiltration Glass Exp. wall ,e , Net exp. wall Int. wall Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Height F1jP1,V1,uey Rooms I LeneveZewidth Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of vanL. of.pans lights of crack sq. ft. A4, 5p oef. Btu. I I I Coef. Btu Infiltration , Eloor� ' ax mm Claes Exp. wall Net exp. wall` Int. wall Ceiling Floor yA V6 Total Btu. Required sq. ft. £.D.R. or sq. ins. W.A. Leader area 52-e4-5915°51 City of Fridley Application for PluniVing and Gas Fitting Porn* Dept. of Bldgs. Phone SII 4.7470 DESCRIPTION OF WORK Location W1 N E Regis Dr Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... ..................... Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ NO. RATE TOTAL x $1.50 $ x 1.20 $ x 1.00 $ x 3.25 $ x 2.00 $ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Gas Incinertor 1 2.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, Minn -a -°'u^ 19_ Owner Curtis Marzo2le Kind of Building frame Used as res To be completed about 31-16-66 Estimated Cost, $ 10.00 Old—New. Building Permit No Permit No. �T v2 v2 S. By Business Phone ROUGH FINAL TOTAL FEE $ 2 •00 QW42 _Z S Q3 �U' zU' ? t R N WATER HTR. GAS ELEC. �9 3� e� �i u.� U (�9 Sa C70 m Base In 1 Tne�nerat r 1st 2nd 3rd 4th ° Future Connection Openings Connected with Sewer El *� New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... ..................... Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ NO. RATE TOTAL x $1.50 $ x 1.20 $ x 1.00 $ x 3.25 $ x 2.00 $ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Gas Incinertor 1 2.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, Minn -a -°'u^ 19_ Owner Curtis Marzo2le Kind of Building frame Used as res To be completed about 31-16-66 Estimated Cost, $ 10.00 Old—New. Building Permit No Permit No. �T v2 v2 S. By Business Phone ROUGH FINAL TOTAL FEE $ 2 •00 QW42 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s72-3604 YAN: ADDRESS 5551 REGIS DR NE PIN 243024310083 LEGAL DESC PARKVIEW OAKS 1ST ADD LOT 4 BLOCK 3 PERMIT TYPE BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING VALUATION : $ 2,547.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (22 SQ) TEAR -OFF STATE LICENSED CONTRACTOR 1 APPLICANT L J ROOFING 10151 FOLEY BLVD COON RAPIDS, MN 55448 - OWNER OROURKE KEVIN & KATHLEEN 5551 REGIS DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Appli Date L 0/ 571-1Lb'/ PERMITO.: 2004-00413 DATE ISSUED: 03/31/2004 BUILDING PERMIT FEE 83.25 FIRE SURCHARGE 2.55 STATE SURCHARGE, VALUE 1.27 LICENSE SURCHARGE 5.00 TOTAL 92.07 PAID WITH CHECK # 6020 JDrt1At11 z rr'xuy111 a 1CP�l,(lJ i n r"L r Vit w V1111 V I. rmrkl 1 rIni'4 LP��7�.1\1DiiL t117 V Y L'.. NEW [ ] CITY OF FRIDLEY � fective 1/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: A r v-ve Legal Description: Owner Name /& Address: �� �' 1 ^ �' % ��j k) & 19k -e Tel. # t Contractor: 'T MN LICENSE # 9c>3 Address: 10 1 s1 (fe k K tak Tet. # ? � 3 - 7(-'? - e rP ? 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: Z. S� Construction Type: Cf ae- g44-- F -- Estimated Cost: $ 'v0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: 7)3/)0 N APPLICANT: Tel. # 96-3-76-2-1j-17 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 - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] STIPULATIONS: Building BUILDING Permit No.: �I L�i Ins RESIDENTIAL APPLICATION ,(y;� Received By: -,572- 60 763-572-3604 763-502-4977 FAX CITY OF FRIDLEY a p D�`--- %®10 EFFECTIVE 1-1-2010 �; t DATE �— � / !� (� YOUR E-MAIL DRESS p-� A� SITE ADDRESS _S&51 R W -r P/ • NC „ 1�� i� 5 THIS APPLICANT IS: ❑ OWNER FtONTRACTOR PROPERTY OWNER/ N TENANT ADDRESS.STATE IP�� PHONE: CONTRACTOR NAME: ! SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE n AND CERTIFICATE OF ADDRESS: 1 ' s Y CITY TATE IP INSURANCE PHONE `- FAX S� PROPERTY TYPE c1i-SING FAMILY/NEw CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED OWS ❑ BASEMENT FINISH Q -ROOF ❑ DRAIN TILE ❑ DECK m& SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR RYMMODELING DESCRIBE WORK BEING DONE: a f v SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT z SQ FT f V 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 be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, O&Vinyl 94offt ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum /� RTrim 1. Site Plan/Survey showing the existing structures ❑ Other,//:' V 15 -Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING'OPENINGS QWes ❑No LOCATION OF WINDOWS CO FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF i OPENING CHANGES & 4 0 7- — coj— MANUFACTURE STICKER ON WINDOW. TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (US G THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $_ � 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 $ 11„4-1 �ti�a See Back Page for Fee Schedule $_ 65% of Building Permit Fee $ .001 times the total job valuation $ /J�G/' .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $2100 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) R0,40�� 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 applica. ' ermit 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 wo hic a es review and approval of plans. 2 SIGNATURE OF APPLICANT PRINT NAME /� mj""' -DATE / 3 ®x>i r Ir n.