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PRE 2010 DOCSty ®f Fridley, BURDING PERAHT IST° 617 Date: W Owner: Builder fie Address Address LSCA _ OF BVIDG No. Street part t Lot Block _ _ Addition or Seib.Division Corner Lot W Inside Lot _ Setback _ _ _ Sideyard Sewer Elevation _____ _ -- Foundation Elevation DESCRIPTION OF BUILDING To Used Front ' Depth Height Sq. Ft. �YCu. _ Depth4r 71 Height Sq. Ft. Cu. Ft. r a o o .�.... Est. � To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do tha proposed work in accordance with the description above set forth and in compliance with ail provisions of ordinances of the city of Fridley. X 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 dty limits and flus permit may be revoked atany, ' u via n of any of the provisions of said ordinances. � -7 111 Building Inspector NOTICE: Wo porn& don not ewer the eondruedoe, hntallation for wirin& phnmbine, on hsathig, sewer or water. Be sure to see the Building hupeetor for separate permit for then items. d APPLICATION FOR BUILDING PERMIT CITY OF FRIDL.EY, MINNESOTA Owner's Name Builder Address LOCATION OF BUILDING No. Street� IS Z41AC-_ Part of Lot Lot s Block_Addition or Subdivision L� 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 Depth Height Sq. Ft. Cu. Ft. Front' Depth Height / 0 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 �4 SIGNATURE '` • (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Heating. Cooling, Ventilation, Refrigeration and 2 Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE 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 $LI 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 FIIrTING FEES: NO RATE TOTiAL 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 $ 0 ALTERATIONS & REPAIRS TOTAL FEE ' +� ROUGH FINAL Dept. of Bldgs. Phone SII 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 thisyappppiliic�ation are true aand correct.19 962 OST Owner Kind of Building Used as To be completed about 0E " I I o® Estimated Cost, $_ W/1 ®� - ( WQL6 "'wilding Permit No. �� Permit No. DESCRIPTION OF WORK HEATINGp t P r, Warm Air—No— Trade Nam r Size NV✓�_fZZ 49 _ Capacity Sq. Ft. BTU H.P. Total Connected Loa �7, �4 Kind of Fue BURNER — Trade Names Size No Capacity Sq. Ft. E.D. ®10 GEO. SEDC ICI< HTG. BTU —AIR-COND. CO Hp. 1001 Xenia Av. S. Minneapolis 16, Minn. Signed "1611 By w 42 2M Business Phoneo (REMARKS -OVER) D-56 HEAT LOSS CALCULATIONS DEPARTMENT Weatherstrips, A.S.H.V.E. Guide Reference 19— Construction N Windows Yes -No Doors Out. Wall Int. Wall &_Hi., _Yes_�—�o Infiltration F1.1Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal fi. Area • No. of pane of pane lights- of crack sq. ft. Net exp. wall Int. wall Coef. ---Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No of Lineal ft. Area No. of pane of pane, lig�ta of crack sq. ft. Coef. Btu Infiltration 771 - Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu-. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenjzth Width Heiaht Windows and Ddors—Crackage and Area WidthHeight No. of Lineal ft. Area No "z of pane of pane lights of crack sq. ft. Coef. Btu Infiltration i. Class Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area OF BUILDINGS MINNEAPOLIS. MINN. D. Insulation Roof Floor Kind How. Applied F1.1 Room I Length Width Height� Windows and Doors—Crackage and Area Width Height No f Lineal ft. Area No. of pane of pane llg�ta of crack -sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor, Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FLI-'Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft.. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor - Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenizth Width Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu' Infiltration i. Glass Exp. wall Net exp. wall Int. wall Ceiling Floor,. T, Total Btu. I . Required sq. ft. E.D.R. or sq. ins. W.A. Leader area,' 7 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A•S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No ( Yes— o 19_ F1.1 Room Length ;>7 ` Width ,Height II F1.I Room I Length Width Height Windows and Doors—Crackage and Area �M1 Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. Windows and Doors—Crackage and Area ti+ Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Glass Infiltration Exp. wall Glass Net exp. wall Exp. wall Int. wall Net exp. wall Ceiling ., Floor Ceiling - Total Btu. ti> Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room ( Length Width^ Height ;- Windows and Doors—Crackage and Area ti+ Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Coef. Btu Infiltration Exp. wall Glass Net exp. wall Exp. wall Int. wall Net exp. wall Ceiling Int. wall Floor Ceiling - Floor Floor Total Btu. &; Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FLI Room ILenath Width Height" Windows and Doors—Crackage and Area I Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. i I Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Glass „ Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area I Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. i I Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu IT Infiltration Coef. Btu Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft.; Area k No. of pane of pane lights I of crack I sq. ft. I r Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area r>i.1 r%oom 1 >f -engin w.uu, a,M.g.- " Windows and Doors—Crackage and Area i I Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and Cas Fitting Permit Dept. of Bldgs. Phones II -7470 DESCRIPTION OF WORK ' Number, Kind and Location of Fixtures Locatio °Z" g PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: RATE TOTAL Number Number Fixtures x $1.50 $ 1;2 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 $< G� New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ 11"S-6 Additional Fixtures x .50 $ Gas_ Range to 200,000 BTU.:..... .... x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................ $— TOTAL FEE $ 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. Owne: Kind Used To be completed about Estimated Cost, $ Old—New. Building Permit No e) Pe No. .r Signe B Business Phone No -e ROUGH 8g FINAL 42 2M E q?,S� wt Y Z a 4� w O (�9 Sc Z z (dry O • • N WATER HTR. GAS ELEC Base / ist 2nd 3rd 4th • Future Connection Openings I e New Fixture, Old Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: RATE TOTAL Number Number Fixtures x $1.50 $ 1;2 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 $< G� New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ 11"S-6 Additional Fixtures x .50 $ Gas_ Range to 200,000 BTU.:..... .... x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................ $— TOTAL FEE $ 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. Owne: Kind Used To be completed about Estimated Cost, $ Old—New. Building Permit No e) Pe No. .r Signe B Business Phone No -e ROUGH 8g FINAL 42 2M E of Fridley SUBJECT ,City 1384 ii3 AT. THE TOP OF THE TWINS PERMIT r BUILDING ECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-660-3450 910-F15 10/25/76 JOB ADDRESS 1225 Regis Lane N.E. 1 LEGAL LOT NO. BLOCK . TRACT OR ADDITION SEE ATTACHED DESCR. 8 3 Oaks First Addn. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE' Malcolm P. Mitchell 1225 Regis Lane N.E. 3 CONTRACTOR MAILADDRESS 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 ❑ REPAIR ❑ MOVE, ❑ REMOVE 8 DESCRIBE WORK Construct a 101 x 271 Addition to garage 9 CHANGE QF USE FROM TO STIPULATIONS Provide rafter design before capping s0ERATE PERMiTs RLQUIRED FIX WIRINC21 HFATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 SUSPENDr OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WOR 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. _ $1,500 $.75 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- STRUCTION OR THE PE FORMANCE OF CONSTRUCTION. $9.00 PLAN CHECK FEE TOTAL FEE $9.75 ,�15NATURE OF CONTRACTOR AUT ORIZED AGENT (DATE) WHEN PROP RLY VALIDA ED THIS IS YOUR i'A K�j U E OF OWNER�,0F OWNER UILDERI (DATE) BLDG iNSP CITY OF FRIDLEY APPLICATION FOR- RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER'S NAME :,��� ¢� BUILDER : ��� ADDRESS : ADDRESS: TEL. NO.. .S A NO:. STREET: - LOT: BLOCK• CORNER LOT: INSIDE LOT: ADDITION: SETBACK: SIDEYARDV Applicant attach to this form Two Certificates of Survey of Lot and proposed buildin location drawn on these Certificates. To Be Used As: 6A 4 �y ojx L` F�x�ont Square Feet: "2 Cubic Feet: .� DESCRIPTION OF BUILDIN'•G m Depth: ' Height: /0 Front: Depth: Square Feet; Cubic Feet: Height: Type of (Construction: Estimated Cost: $ .`To Be Completed: The undersigned hereby mattes 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 declaresthatall the facts and representations stated in this application are true and correct. oil lt/ DATE: I/® l RIX SIGNATURE: " (See Reverse Side For Additional Information.) �.:_,. /> pv(3 ✓dog /leg- i �� 5lcfvil n AGREEMENT ti owner of the property located at �.� �� lection to the r ,have no objection City allowing the construction of a to be s located at 1>7eau without the required certificate of survey thiQ the City ordinarily requires for all new construction. Signature Address 1. Y Date � , , L,,7 zi Witness SUBJECT PERMI City of Fridley 18185 AT THE TOP OF THE TWINS BUILDING PERMIT RE � • _____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 � NUMBER REV. DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/30/85 JOB ADDRESS 1225 Regis Lane 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8, 3 Parkview Oaks, First Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Malcolm and Annette Mitchell 571-2339 3 CONTRACTOR MAILADDRESS 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 R-1 7 CLASS OF WORK ❑ NEW ❑ ADDITION X1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Brick. on front of house (lower level) 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $900.00 .50 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. $15.00 PLAN CHECK FEE TOTAL EE 15.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) "' WHEN ROP LY I D IS YOURPERMIT ��ZU )1WNAT�URF.FO&N11 1NSP pA7E NERBUHIS tlF OWILDERI ID EI NEW [ ] ADDN. [ ] ALTER. [ ] Construction Addre Legal Description: City of Fridley Effective 4/1/84 �R-1 AND R-2 Building Permit Application Owner Name & Address: it- Tel. # ,VI -tA3 351 Contractor: 0,t-LJk- Tel. # Address: S - 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: MJF U. A& G.Aj CC& a &6 GF lam► a&4 Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: �c1..tC.rEstimated Cost: $ /d�. © d Approx. Completion Date: C� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: 22:!>Q- O C APPLICANT: a -=g r,/ Tel. #57 7 CITY F Permit Fee $ �.->.0 Plan Check $ State Surcharge $ . S-0 SAC Charge $ Park Fee $ Sewer Main Charge $ TOTAL $ ,+ STIPULATIONS: 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 [ ] City of Fridley SUBJECT ® 19519 AT THE TOP OF THE TWINS BUILDING PERMIT r � . ECEIPT NO. ' • ___ COMMUNITY DEVELOPMENT DIV. INSPECTION `28®l� I✓ PROTECTIVE SEC. 8 CITY HALL FRIDLEY 55432 L J` ptC� NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/9/88 JOB ADDRESS 1225 Regis lane N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION "' SEE ATTACHED DESCR. 8 3 ParkviewOaks 1st SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Malcolm Mitchell 1225 Regis lane N.E. 571-2339 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvenent 7401 Central Avenue N.E. 784-7543 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 1� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 20' Addition; a 14' x 141 Three Season Porch; Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, Provide fixe detectors on both levels of existing hone. Provide a4ftss, to new attic. Reccmmend..new floor joist under new kitchen be space 12 :inches on center. fibre i�gmg call IAcal utilities PERMITS REQUIRE® R �G F ®R WtW040I IE * ELECTRIC - GAS Etc. EATING, PLUMBING AND REQUiRED BY LAW st 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 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 $22 900 $11.45 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.' $234.00 LAN CHECK FEE TOTAL FEE $245.45 SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VAJePATED THIS IS YOUR PERMIT SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) BLDG WS DAFfE NEW L City of Fridley EEf ective 5/1/88 AMN R-1 AND R-2 ALTER [ ] Construction Address: T legal Description:. LOT- Building Permit Application ` -s Owner Name YX&ie`ss� PM4gi - lzac- L- F, o Tel. # �71- Contractor: Tel. # 71'Y-7,-TY3 Address: 777/-/0/ ee-A+Pvt AVP Attach to this application,, a Certificate of *survey of the lot,with the proposoed construction drawn, on it to scale. 30ESCRIPriouCP IMPROVENW LIVING AREA: Length Width Height Sg. Ft. GARAGE AREA: Length Width ;Height Sg. Ft. DECK AREA: Length Width Sgt/Ground Sg. Ft. LONE.. *3 SeASC�J ZY '1-/4( k 0 d S, Z) Corner Lot I I Inside Lot fel Ft. Yd SL-tback Side Yah Type of Construction: A1,00d I.. Estimated Cost: Approx. Completion Date: j -i -,e a? gdr q Proposed Driveway Width Xf-�New*.Is Desired: Width + 61 DATE: CITY USE CNLY Permit Fee State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Main Charge TOTAL 40) Alt. A Alt. B See Back Page Tel. 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 I I Not Necessary PL 12:11<?Oo 102- e4 �S. 0 0 . ,N,06 ` C • E . COULTER PLATTING 1 °CDU STRIAE BUSINESS FARM SURVEYS CITY LOTS LAND SURVEYOR LAKESNpRE TOPOGRAPHIC MAPPING REGISTERED UNDER LAWS OF STATE OF MINNESOTA JUDICIAL LICENSED BY ORDINANCES OF CITY OF MINNEAPOLIS 3300 LYNDALE AVE. SO. MINNEAPOLIS S. MINN. TAYLOR 4-0370 *urbepor'g Certificate — SCALE I II` ; soI ;MWS LAME I hereby certify that the above is a true and correct plat of a survey of: Lot 8, Block 3, PARKVIM OAKS FIRST ADDITION, Anoka County, Minnesota. As surveyed by me this 19th day of April 1960 A.D. ,-e'-- Signed 62 f 'Oe . Minnesota Registration No. 2584 Effective Date CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE W PLUMBING FIXTURE RATES: NO. W TOTAL New Fixtures o r4 k 14 m tr Water 3.50 Old Opening, New Fixture s Cm 1.50 E f Q1 0 e ,'uy M a �" � 5.00 Heater o 11 W �bj 5.00 .4 1 .0 C I 3 pN .UC -, gO w 4 5.00 $ 34 O $ 5.00 a� m O u •^ oron N r q vi W 3 o w° O ni O w 1� N v A V N 49 8 W V N 9 O Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type s 31ec Ba gap R ALL OTHERS AND/OR REPAIRS AND ALTERATIONS �. 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ 50 ($15.00) TOTAL 1st ®� $ ` 2nd 3rd FF 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 Old Opening, New Fixture s $ 1.50 $ Beer Dispenser S 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ 50 ($15.00) TOTAL FEE $ Job Address AS Rf jay Department of Buildings 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 application are true and correct Fridley, Mn. Ir- & , ly OWNER KIND OF BUILDING fj�a. 1 USED ASn(y►t TO BE COMPLETED ABOUT _ A� ►�� ESTIMATED COST ®®® 'yt OLD NEW BUILDING PERMIT NO. PERMIT NO. Company ®�' ®t �� e p h"bi r Signed By Tel. No. 7S- -2-7381 T- ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT A MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE 'AGREEMENT ar�c�e� owner of the property located at Pea i5 T" -,q ILf have no objection to the City allowing the construction of, a¢-aA SEC to be located at j, ;2 �—— P 1-9,vF , without the required certificate of survey that the City ordinarily requires for all new construction. s 5 4(31 Signature OVA Date u • T SUBJECT PERS City Of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT RE DEVELOPMENT DIV. -------COMMUNITY r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY "1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/14/92 JOB ADDRESS 1225 Regis Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 3 Parkview Oaks 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Malcolm/Arnett Mitchell 1225 Regi . s. Lane NE 5712339 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jedi Enterprises Inc 4354 Round Lake Rd W, Arden Hills 638--9460 3044 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 �7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 221 x 121 Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan, Before digging call for :uti�jr '454�� ;tb�lAliS . -02 BY LAW tEPARATE PERMITS.. REQUIRED`fOR : .WIRING, HEATING, PLUMBING AND SIGN& 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 BO 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 $3.,456. $1,73 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- $63,00 Fire SC $3,46 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5,00 $73,19 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN QP LY ALI AT THIS IS YOUR PERMIT LDG INSP GATE SiGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ) Effective 3/1192 ADDN [off CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: r Z,7 5' eq / 5 1,'0'� Legal Description: 4 G 7- o CA 3 Owner Name & Address: G o L44 --�y-eii' /�/�i`c� eLL -e Tel. # S,>/- 7-3,1g, Contractor: MN LICENSE # 309'� -- Rob --o L� �z r- "`/ 16G Address: ! 3S �/ 17 /1 � �`' � �! l5 Tel. # 6 7 Attach to this application, a Certificate of Survey of the K with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Z 2. Width / Z Hgt/Ground OTHER: Corner Lot [ ] Inside Lot [) Ft. Yd Setback _ Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: DATE: "f 41- 30 Sq. Ft. Sq. Ft. Sq. Ft. .4,5-0 Side Yard Setbacks Estimated Cost: $-��'' (Cost on Back) Ft. + b Ft = Ft x $ APPLICANT: �`� �' Tel. # Permit Fee $ a d Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ / $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ , $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ) Not Necessary [ ) TOTAL STIPULATIONS: V ,� 3 F- 7P 61---1 SUBJECT PE •- City of Fridley 21698 AT THE TOP OF THE TWINS BUILDING PERMIT i � RECEIP • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 19 qup 1 i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 12/18/92 JOB ADDRESS 1225 Regis Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 3 Parkview Oaks lst Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Coronado Stone 1634 Hwy 10, Minneapolis MN 55432 786-,2341 795 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 Q ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install Heat -N Glo, 6000. DVT, Built-in Fireplace 9 CHANGE OF USE FROM TO STIPULATIONS Install per specifications on testing agency. 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 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 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 $1,200 $.60 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- $29.00 Fire SC $1.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $30.80 SIGNATURE�A.TOR DAGENT (DATE) HEN PROP LY VA ID ED THIS IS YOUR PERMIT LDG )NSP MATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ J ADDN [ J CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address Legal Description: Effective 3/1/92 Owner Name & Address: Tel. # Contractor: /? �- c� e e L -L M v - e Ve v` ST ligMN LICENSE # 7 2!5-0 Address: /6 -5 '�4 /0 d4 S Tel. # S� Attach oto 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 116ight Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width ' HgyGround Sq. Ft. OTHER: 717 z /U `61®�uil�l Lr 0n i� Corner Lot[ J Inside Lot [ J Ft. Yd Setback Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Ft. + 6 Ft = Side Yard Setbacks Estimated Cost: $ n6 Ft x $ CITY USE ONLY. (cost on Back) = $ Tel. # 796 `,�) -5rY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contract ) ' L% co)s e Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary I. ] Not Necessary [ ] K - CITY OF FRIDLEY INSPECTION DIViSION 6431 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 / 6 :%-5CP- *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 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE'$47.00/Hr Effective On January 1, 2002 JOB ADDRESS Z-,OtJ OWNER L2Zat TOTAL � �� BUILDING USED AS z5 $r� ESTIMATED COST �- PERMIT NO. ,536 / DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Unitsircle One (Steam) (Hot Water) (Warm Air) $ Trade Name% ��- el ������ Size No. BTU3Y.ec,%;, HP EDR $ Fuel Nom" Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ 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 an $ 50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO"Ile- 4 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Signed FAX # Approved ByoC,f�,�/ Rough -In Date TEL # g . 1-6,-f3_DJ / E) Final Date Building Inspections 763-572-3604 DATE tl -24 - SITE ADDRESS 1 c THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS OWNER ADDRESS: �a S ��� i- �� ''� CITY. Permit No.: Received By:/ " DatcNd°, COMPANY NAME: Anderson Heating and Air -Conditioning CONTACT PERSON O'Tiitl V SUBMIT A COPY OF 4347 Central Ave N.E. %— STATE STATE STATE LICENSE N N�A LICENSE WITH ADDRESS _STATE ZIP APPLICATION PHONE Z&.5 - N/- �s // Col, HtS,1�ln 55421 �. PERNUT TYPE #MLLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW XREPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (Ais 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 WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELON+� MODEL: __ __— SIZE/BTUEquipment Installed MFG: SIZE/BTU MFG: MODEL: MFG: MODEL: SIZE/BTU _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 A/C $25.00 FIREPLACE (WOOD)5.00 —NEW GAS GRILL $10.00 _AIR TO AIR EXCHANGEER $15 —FURNACE (WO GAS UNIT HTR $10.00 BOILER $35.00 — —POOL HEATER $35.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 —VENTILATOR $15.00 —DUCT WORK $10.00 GAS PIPING $10.00 _....-.._..._.....�._....,._-.,.,.,��....zma...,sueu:sa±xxsxtst u::.rir±xr 1,uY�i. ."'G 'C`Y1b.x"D-oi-1 2i"."i'Ct'( FR �. CI I3~SEI✓..YK(Tyrt�.i�'rl�tc7:j.�vu.�ica�uya,.s: _r:�a4.ti<;,•��. �,.,., K�-.-,� .-,-. _.. _._.""_ . Permit Fee $ e L Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25:00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ 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 review and approval of plants. SIGNATURE OF APPLICANT L ��t/f L�-,Pi+'►GWP PRINT NAME • G( I iii/' DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel WC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations 3U11ding $ BUILDING- See Back Page for Fee Schedule Permit No.: 0 -nspections RESIDENTIAL APPLICATION Received By: 763-572-3604 /, L 3 CITY OF FRIDLEY '�e�G 2 3 2010 $ o 4 l dl i 011-1 S eo )ATE /� l Yo E-MAIL ADDR/E�SSS o cyi $ -Q -r ITE ADDRESS a S Z% S 2 'HIS APPLICANT IS: ❑ OWNER )CONTRACTOR $1450 per SAC Unit (Plans to MWCC for determination) ?ROPERTY OWNER/ NAME: 0 I to I M ., f e,t ADDRESS: 129.9 R10 9 . S C /� CITY : I Cr %f -STAT) ZIP S SQ 3 :� TENANT $ PHONE:_ 7 3.1_ S? - 3 3 9 $450 Conservation Plan Review rk Fee _ Windows & Doors N'�'— CONTRACTORPella ,wer Main Charge 15300- 25th Avenue N.- Suite 100 SUBMIT A COPY OF STATE LIC MN 55447 Plymouth, $ Y,QIJR STATE LICENSE ADDRESS: 745-1400 CITY STATE—ZIP WITH APPLICATION763/ PROPERTY TYPE License# 20165884 VTWO FA J .ORIES PERMIT TYPE ❑JADDITION ❑ GARAGE/SHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK. ❑ SIDING ❑ OTHER ❑ SWARNIlNG POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ANCE/REPAIR ❑ REMODELING ASCRIBE WORK BEING DONE: W / Wo W R U /i .r 1ZE OF IMPROVEMENT LENGTH WIDTH HEIGRY, S q. Ft OOFING ❑ HOUSE ONLY T JMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 4RA GES ❑ ATTACHED GARAGE I. Existing Floor Plan 2. Proposed floor plan .POSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used '_OPOSED HEIGHT: :DING 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. rNDOWS 2. Two sets of construction plans EXISTING OPENINGS BkYes ❑No LOCATION OF Wi�IDOWS 3. Energy Calculations FOR NEW OPENINGS- ESCRIBE SIZE OF L. L FO Mi � f OO !YI ='ENING CHANGES & "PE OF WINDOW TO BE INSTALLED 3 -wide. 00u1nm4NUM0ER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION (USING 3 2 -T -1 U.S.0 FEE SCHEDULE) TYPE :mut Fee $ '172 See Back Page for Fee Schedule an Review $ 65% of Building Permit Fee ircharge $ /, L 3 (.0005) times the total job valuation — Minimum $.50 re Surcharge $ .001 x Permit Valuation (1/10%) cense Surcharge $ $ y u $5.00 (State Licensed Residential Contractors) -.0 Charge $ $1450 per SAC Unit (Plans to MWCC for determination) arb Cut Escrow $ ft + 6 ft = ft x $20 = $ osion Control $ $450 Conservation Plan Review rk Fee $ Fee Determined by Engineering ,wer Main Charge $Agreement necessary ( ) Non Necessary ( ) )tal Due $ O7_ /07- Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED iereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in nformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a rmit but only an application for a permit work is not to start without a permit; that the work will be in accordance with the approved m in the case of all work which require e ' and approval of plans. M �i WATURE OF APPLICAN�-- PRINT NAME !' [ S [ e4 %I [C DATE �� o �� to From: City of Fridlev To: 7637816681 pane- 7/4 nntP• r;i:>7ionna 1 �•gn•gR DNA Building MECHANICAL Permit No.: Inspections• RESIDENTIAL APPLICATION e �` 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX EFFECTIVE 2-19-09 DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS J ❑ OWNER 'FONTRACTOR PROPERTY NAME: OWNER/ TENANT ADDRESS:-�.'S te-'y N:T. CITY '_STATE ~41P-SviL �1 PHONE: CONTRACTOR COMPANY NAME--lip _ CONTACT PERSON: Aj SUBMIT A COPY OF YOUR STATE STATE LICENSE P DATE LICENSE WITH (it ADDRESS: 4117-7 CITY STATE/ LIQ � APPLICATION PHONE - FAx 7° - %� PERIMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF N ORK: 0 NEW >VREPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FEES ARE. BASED ON $1(1.0(1 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL . UMBER OF EACH BELOW) LLImp hent Installed MFC,6a� MODEL: &Y\&21}�'3"OW- SIGEiBTU MFG: MODEL: S1ZEiBTU .... ....... .:.: THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit an eknowledgc that the information above is complete and accurate; that the work will be in conformance with the ordinances and odes 3f the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an 7ie rmit an'cl-" lois not to start without a permit; that the work will be in accordance with the. approved plan in the. casequir s review and"a royal of plans. �� I >1Ci\ATI RE OF APPLICAN ` INT NAME C a W� / �! �iti� DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977