Loading...
PRE 2010 DOCSCity ®f Fridley, 3finn. LOCA PN N OFUVIL®ING No. ® Street Part f I Ant Lot _ .__ Block Addition or Sub -Division Corner Lot ._ Inside Lot _ _ Setback _ _ _ _ Sideyard _ Sewer Elevation — Foundation Elevation 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. CPV In consideration of the payment of a fee of $ `� , permit is hereby granted to— to oto 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 permit may be revoked at any time upon vie of any of the provisions of said ordinances. �a Building Inspector NOTICE: We permit does not cover the cons. ction, Installation for verug, plumbing, gas heating, sewer or water.. Be sure to see the Building Inspector for separate permits for thus hams. V owner's Name APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA i . S6 LOCATION OF BUILDING J No. Street` /�Part of Lot Lot Block Addition or Subdivision-,,-'- Corner ubdivision �. Corner Lot Inside Lot Setback ��� Side -Yard y6 � r� 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/7/ c/ Depth2 4/ Height Sq. Ft._ le­'� 6 Cu. Ft. Front Depth Height 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. (Schedule of Fee Costs can be found on the Reverse Side). 0 Application 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 ............... RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 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 - a%er, Warm Air—No- Trade Nam 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 TO A L 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ t "ALTERATIONS & REPAIRS TOTAL FEE $ °� FINAL Dept. of Bldgs. Phone SU 4- 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 tg9rrect. FEB 9. 13 Owner Kind of Used aq -ro oe compietea aoout Estimated Cost, $_ d9�57° ew. uilding Permit No. �.� Permit DESCRIPTION OF WORK �7 HEATING - a%er, Warm Air—No- Trade Nam Size No% Capacity. Sq. Ft. E.D.R - BTU H.P. Total Connected Loa Kind of Fuel BURNER — Trade Nam Size No J Capacity Sq. Ft. E.D. r�9BTU H.P. GEO. SED WICK HTG. & AIR -GOND. Co • f 1` � 1001 Xenia Av. S. Minneapolis 16, Minn. • (REMARKS -OVER) w 42 2M Business -3 � Tmry HEAT LOSS CALCULATIONS" DEPARTMENT OF BUILDINGS MINNEAPO S, MINN. Weatherstrips A. Guide E. GidConstruction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling I Roof Floor Kind How. Applied Ye No I es o 19_ Tt"R F1.1 Room I Length Width Height % Fl.jL: Room I Length Width / Height Windows and Doors—Crackage and Area r Width Height No. oP Lineal f . Area No. o p e f ne ghts of cra k sq. ft. t� eS ® ®� Height No. of Lineal ft. Area No. of pane Coef. Btu Infiltration Coef. B 1106 F-6 ej Glass ' S 's ® Exp. wall 3o >( 7 ! ( 0 C), Net exp. wall jvo Int. wall Exp. wall xf 9 Ceiling Net exp. wall Floor Ceiling 1. Total -13tu. riN I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 [ 2 L.&; 7 Room I Lensrth Width P D Heiaht Windows and Doors—Crackage and Area r Width Height No. of Lineal ft. Area No. ofpanerpanqlights of crack sq. tt. t� C7 13 ® ®� Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. B Infiltration Glass I i l (30 Exp. wall 3o >( Glass ! ( 0 C), Glass Net exp. wall �' 1300 Exp. wall xf 9 Int, wall Net exp. wall Ceiling 1. ,) /'(® Floor Total Btu. No. Infiltration Exp. wall Net exp. wall Int, wall Ceiling }z z. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 11 Windows and Doors—Crackage and Area Room I Length / ✓ Width Width No. of pane Haight of pane No. of Lineal ft. llghts of crack Area eq. ft. Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. I Coef. Btu Infiltration�jf(, I Y w 0 Glass ! ( 0 C), Glass �' 1300 Exp. wall xf Net exp. wall . I Ceiling y Vyv /L P-3 0, Floor Total—Btu. , Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F141y& Room I Length / ✓ Width tC ! Height Windows and Doors—Crackage and Area { Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. I Coef. Btu' Infiltration I Y w 0 Glass ®. 0 Net exp. wall Int. wall Ceiling' Floor Total IYu. Q Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl Room I Length 0 WidthC ° Height tf" Windows and"Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of vaof.pane lights of crack sq. ft. I COf3f. Btn Infiltration 17 K Glass / !D Oo Exp. wall Ch Net exp. wall Int, wa Ceiling t j, J Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area,/1 City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-1 DESCRIPTION OF WORK /� Number, Kind and Location of Fixtures Locatio:L f PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 12 Future Fixture Opening ................ x 1.20 24 N Z < Catch Basin ............................ x 3.25 61 Z 00 o' • F i N WATER HTR. GAS ELEG Base 1st 2nd 3rd 4th ° Future Connection Openings * New Fixture, Old Openings Connected with 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 $ 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 fact and representations stated in this application are true and correct. Fridley, Minn:— Owner Kind of Building Used as �- To be completed about Estimated Cost, $ Old New. uilding Permit ROUGH-!- / 9 - 6,-7 GAS FITTING FEES: NO. RATE TOTAL FINAL 1st 3 Fixtures .......................... x $1.50 s---/-, —5--6 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 ¢ REPAIRS & ALTERATIONS—Refer to Code ----- Hes on—..---..................$ TOTAL FEE $ az 2M ---- �O Permit No. ---1' 2 ne By Business Phone 19 O SUBJECT P®E I City of Fridley 18 7 1 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. 1 • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. v � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/28/86 JOB ADDRESS 1180 Regis. Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 ] Lakeland Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rata Praulins 118.0 Regis Lane N.E. 574-0021 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Milton L. Johnson Co. 2513 Central Avenue N.E., Mpls. 55418 781-9548 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 ❑ REMO E 8 DESCRIBE WORK Reroof and add gutters I 9 CHANGEOFUSEFROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleysl. I I SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LO D 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX GOVERNING COMPLIED THE $3f000 $1.50 WITH WHETHER SPECIE EDEREINIOR NOT. GRANTING OF APERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF AN OTHER STATE OR LOCAL LAW REGULATING CON- $38.50 STRUCTION OR T P RFO ANCE OF ONSTRUCTION. PLAN CHECK FEE TOTAL FEE �® $40.00 SIGNA E FCO R TORORAUTHORIZEDAGENT ID TE I a WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG AfSIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI WSP DATE NEW [ ] ADDN. [ ALTER.X\r_ Construction Address Legal Description Owner Name & /A►�ddress : Contractor: A;t- N a Address: 02 S/3 City of Fridley R-1 AND R-2 j Building Permit Application LL T f} YOeli u L j ,j s 00� � �4 //" fie✓ 7',C, L �7'i & - 6iOd/c. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Effective 441/86 i Tel. # Tel. # 2 J(-/ LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. t OTHER: ------------ ------------ - Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: 401PV 6U 'f 7-6'> -'j Estimated Cost • $ 19, Approx. Completion Date: 3 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation i DATE: APPLICANT: Tel. # Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONL Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Akreement Necessary [ ] Not Necessary 30(jC/ 0'(6 a C'— C ge SUBJECT i, P City of Fridley 1961 5 AT THE TOP OF THE TWINS U I Z D I� f i� BUILDING _ D[ D� A I T r D L 'v v r C R'V1 �• EIPT _ ___ COMMUNITY DEVELOPMENT DIV. INSPECTION r � � PROTECTIVE SEC. 6Q? i ` ----I I.� CITY HALL FRIDLEY 55432 A NUMBER REV. DATE PAGE OF APPROVED BY -If L 612-571-3450 910-F15 8/1/88 JOB ADDRESS 1180 Regis Lane N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Lakeland Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ruta Pnaulins 1180 Regis Lane N.E. 574-0021 3 CONTRACTOR MAIL ADDRESS ZIP PHON C NSE NO. American Remodeling 3700 Annapolis Lane, Plymouth, MN 55447 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. I 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION CR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Soffit/Fascia 9 CHANGEOFUSEFROM TO STIPULATIONS i I I I I SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOA 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 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 $2,750 $1,38 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SAC CHARGE P OVISION Y OTHER ST TE OR LOCAL LAW REGULATING CON- S CTI OR T E P FO E OF CONSTRUCTI $54.00 �- ^ (T LAN CHECK FEE TOTAL FEE $55.38 SIG ATUREOF ONTRACTOROR H 1 DAGENT (DATE) WHEN PROPERLY V DATED THIS IS YOUR PERMIT BLDG )NSP Sd SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) T I NEW [ ] ADDN [ ] ALTER [ ] Construction Address Legal Description:_ Owner Name & Address Contractor: Address: City of Fridley R-1 AND R-2 Building Permit Application Effective 5/1/80 Tel. # Tel. #�� 6 Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. Length Length Length Width Height Sg. Ft. Width Height Sg. Ft. Width Hgt/Ground Sq. Ft. Oorner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: __ ��'c�®� ���`�"d ' Estimated Cost: $ Approx. Completion Date: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ Width + 6" See Back Page DATE: 2 APPLICANT:Tel. # QTY USE CMY Permit Fee $ J�t -an- State Surcharge $�- SAC Charge $ Driveway Escrow $ Park Fee Sewer Main Charge $ TOTAL $ STI R IMIONS: Fee Schedule on Reverse Side $.50/$1,000 Valuation $550 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT City ®f Fridley 2 9 8 9 5 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. SEC. 42 If 7 f � � PROTECTIVE INSPECTION 1 = � o•�•II CITY HALL FRIDLEY 55432 ' '•� NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-FI5 7/19/99 � JOB ADDRESS 1180 Regis Lane I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Lakeland Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ruta Praulius 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Alum. Supply Inc. 7701 Main St. NE Fridley 55432 571-3440 7983 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 XII REPAIR 0 MOVE ❑ REMOVEI B DESCRIBE WORK Reroof (17 Sq) Tear -off - Hail damage 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Permit Inspection, Cards W1111 Be Mailed To Homeowner To Post SEPARATE PERMITS ARE REOUIRED 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 $1486 $.74 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CH E PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK F TOT L FEE Lice SC $5• 1.23 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT tDAYEi EN O LI A THIS IS YCWR PE T BL INSP E S,GNATUHE OF OWNER,6 OWNER BWLDERI DATE, a 612 571 2260 ADUANCE ALUMINUM 01 "aw' c t j Effective 1/1/98 ADIN [ j CITY OF FRIDLEY ALT ER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �V Rocas Cons ctionAddress:�! Lega Description: Dwn r Name & Address: /t U )-It /x,44 UL/ 4, S _ Tel. # �o nti actor: ,Ol/j9n-v�, Uvo �.�„.�, vA41'` i -7.G MN LICENSE# ys$ 3 Wdr ss• 7 70 ice- --Tel - # _ r/�3 YYD Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT s AREA: Length Width Height Sq. Ft. , G1E AREA: Length Width Height Sq. Ft. AREA: Length Width Hgt/Ground Sq. Ft.: TIONS: AJA_ Constn ction Type:. +,- Rvofitiw -- /7 SA� Estimated Cost: $ � (Fee Schedule on Back) Drive y Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE. APPLICANT: Tel. # Szt 3ztb CITY USE ONLY Permit ee $ -(g® Fee Schedule on Reverse Side Fire Su charge $ .001 of Permit Valuation (1/10th%) State SL rcharge $ $,50/$1,000 Valuation e SAC C1 arse $ $1000 per SAC Unit License Surcharge $ S,00 $5.00 (State Licensed Residential Contractors) Drivew y Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park F3ain $ Fee Determined by Engineering Sewer Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ f- ,� TIONS: AJA_ 01 SUBJECT City of Fridley 31914 AT THE TOP OF THE TWINS BUILDING PERMIT ` COMMUNITY DIV. .2®36®4 RECEIPT NO. 3�64? PROTECTIVE INSPECTIONSEC. 1 NUMBER REV DATE PAGE o: APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-Ft5 6/20/01 JOB ADDRESS 1180 Regis lane NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 1 1 Lakeland Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ruta Praulins 1180 Regis Lane NE 763-571-2295 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO j Renewal By Andersen 350 73 Avenue NE, Fridley, MN 763-502-4777 20120983 a 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 ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 6 windows and l patio door within existing openings 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per section 310.9.1.2 of the 1997 Uniform &XII.Aing Code. Permit inspection Cards Will Be Mailed To Homeowner To Post SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAF 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 12Q DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING 1 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 $4.19 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8,377 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 PLAN CHECK FEE FEE rt_ LicenwoC $5.0 7ThL $184.82 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE, THIS IS Y UR PERMIT AEPROP"VALID XF y D L SP GATE S-GNATURE OF OWNER,,F OWNERSURDERi iDATEi 01 NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE F'AAMY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: , J,'� C> Legal Description: Owner Name & Address: Tel. #(03.'�-1 •a�9S'" Contractor:; RENEWAL BY ANDERSON MN LICENSE # 350 -73RD AVE. NE. Address: r'RIDLEY, MN.Tel. # Att163/502-4777 Survey. of the lot, ,ICENSE# 20130983 on it to scale. DESCRUUMON OF VWPIROVEMNT LOVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Q ®n Vri.&A 1 c. 4l r ®a...s: %A S 4" `Aar o . Construction Type: Estimated Cost: $ $� 3�- Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ j%4 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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: lvs��r ��' , �c Building PLUMBING Inspections RESIDENTIA.L APPLICATION Received By: 763-572-3644 CITY OF FRIDLEY flMign 2 a-2gG7-- DATE December 21, 20107 YOUR E-MAIL ADDRESS wnelson0-larsonalumbing.com SITE ADDRESS 1180 Regis T,n NE THIS APPLICANT IS: La OWNER WCONTRACTOR PROPERTY NAME: Ruta Praulins ADDRESS: 1180 Regis Ln NE CITY Fridley STATEMN zip 55432 O'W'NER/ TENANT PHONE: _Ma/571-2295 CONTRACTOR NAME: Larson Plumbing Inc. STATE LICENSE # 3341 PM EXP HATE 12/31/2006 SUBMIT A COPY OF YOURSTATE ADDRESS: 3095 - 162nd Lane NW CITY Andover STATWN zip55304 LICENSE WITH PHONE 763/427-7680 FAX 763/427-9448 APPLICATION pER1VliT TYPE0 SMLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: O NEW N REPLACEMENT DETAILED DESCRrnTION OF WORK Water Heater Replacement PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.00, 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 1AMERE LABOR EXCEEDS $500, FEES ARE BASED ON S 10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) SINK/LAV DRAINS _ SHOWER— WATER PIPING —BATH _FLOOR _ GAS PIPING r D curbimAlss) _ SWIMMING POOL WATER SOFTNER ($35) � —BATHTUB CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. (S15) —9 -WATER _ _ DISHWASHER _ LAUNDRY TRAY HEATER ($35) FOR IRRIGATION _ WATER M=R _OTHER .P£RNII3':kE?R)CT,;O7Cl2'$tln•TY '4j'SS R�,E 3"©it PRbCTS flV�ER0 3 Permit Fee. $ 3 Dumber of fixtures @ $10.00 x $10.00 = $ Surcbarje .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $�_ TOTAL DUE $ .50 State Surcharge = $ 5C Total = $ 3 Sv Z 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 it 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 accordan e with the approved plan in the case of atA�wrk hich r quirts review and approval of pla s. SIGNATURE OF APPLICANT PRINT NAME , DATE � ..: q;..... .ELSL Qrcr o City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-3604 763-502-4977 FAX DATE SITE ADDRESS THIS APPLICANT IS: PROPERTY OR TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE TYPE BUILDING RESIDENTIAL . APPLICATION CITY OF FRIDLEY - E-MAIL ADDRESS: PHONE�763) S -7/ -,;L, -L-'9 NAME: ADDRESS. PHONE �, L� STATE LICENSE # % SINGLE FAMILY �pN D TWO FAMILY/NEW CONSTRUCTION 13 ADDTiTON O GARAG ❑ BASEMENT FINISH CI ROOF ❑ DECK ❑ SIDING TYPE OF WORK: 10 NEW HOME CONSTRUCTION DESCRIBE WORK BEING SIZE OF IMPROVRMFWT OIt OFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING CI vinyl 0 Alumimtm 13 Other VANDOWS IN EXISTING OPENINGS CIYes ONo OR FOR NEW OPENINGS-DESCRME SIZE OF OPENING CHANGES & 'OTAL JOB VALI Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge FAX _JAZL>f) I EXP DATE SIZE STORIES ?✓SID ff WINDOWS ❑ DRAW TILE NG POOL a ADDITION 0 HOUSE ONLY O HOUSE & GARAGE CI ATTACHED GARAGE O DETACHED GARAGE osofft 0 Trim O Fascia LOCATION OF WINDOWS OF 19997 UBC FEE SCHEDULE) 13 V, U v Permit No.• d-- -'DQ Received By: Ss� 3-Q.,. nmulir SQ FT BASEMENT REMODELING mMTT I. Existing Floor Plan .2. Proposed floor plan 3. List of strucbsel members to be used FOR NEW CONSTRUCTION INCLUDING DB=, ADDITIONS & POR 4 crtRMiT 1. Site Plan/Swvey showing the existing structwes andproposedproject. ' 2. Two seta of construction plans 3. Energy Calculations G • 7See Back Page for Fee Schedule $ 65% of Building Permit Fee $ 40 .001 times the total job valuation $ 7D .0005 x Permit Valuation Minimum $.50 $ do -$5.00 (State Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) —$ 3 Make checks payable. to• City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED 1 hereby apply for a building penuit and I acknowledge that the Df the City of Fridley and with theiota Construction Co permit on slte; that the work wM be is agcor lance wi9r t1tB soon SIGNATURE OF APPROV$D BY nation above is complete and accurato; that the work will be in conformance with the ordinances and codes that I understand this is not a permit but only an appUcation for a and work is not to start without a p in the a of aU work which requires 'eco an approval of lana. PRIIVT NAME DATE; ra