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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N°5 � 4 s Date: _ G Owner. 'Builder CX0 kz— A-4 Address Address LOC ION OF ILD G NO. 4 Street Part -••-••• Lot Block ___ Addition or Sub Division . .r Corner Lot __ _ Inside Lot � Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To .Used as•,, y�� Front ,.+ G Depth Height Sq. Ft. i Cu. Ft A;;�4 ' i _o Depth Sq. Ft. __ Cu. Ft. Type of Construction .. - ,r_ ._ Est. Cost',-' jj: . —.---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 violatiorL any of the provisions of said ordinances. '0-% e► A Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to ase the Building Inspector for separate permits for these hems. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner I s - Address zoo -lv Address LOCATION OF BUILDING No. Street ` c rg vPart of Lot Lot _Block `i Addition or Subdivision �►� Al Corner LotInside Lot Setb&ck f.L Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front�Depth Z4 Height Sq. Ft. %e Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of To be Completed 1Z62ze -- ted Cost A9 4 0 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. DATE Z- L/ f� SIGNATURE (A Schedule of Fee Costa can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas F•rtting Penrdt Dept. of Bldgs. Phone SII 4-1 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location_ Gi G' � � _Z S} Z Z x 4 Q Z ztt44ll Future Fixture Opening ................ J O Z R N WATER HTR. GAS M.M x 3.25 $ Water Heater (Up to 200,000 BTU) ......—X x 2.00 $ - New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. 00 x $1.50 $ /a: 1st 3 Fixtures .......................... Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base ist 2nd _ 3rd 4th • Future Connection Openings Connected withI Sewer � New Fixture, Old Openings Cesspool El moor PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ............................... x 4 $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 x 2.00 $ - New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL x $1.50 $ /a: 1st 3 Fixtures .......................... Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code City of Fridley: 6 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;��z and correct. Fridley, Minn. / , 19� Owner — — Kind of Building Used as To be completed about d� Estimated Cost, $ / Old ew Building Permit No ��� Permit No. 6 Signe By � GQ%Is Business Phone No 4V ` f'�'e -3 S 3, ROUGH q - FINAL Description................................................$ TOTAL FTE 42 2M 7.59 s Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and r Air Conditioning Sments and Devices JI C 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 ............... (,l< MECH. WARM AIA Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or NOT WATER SYSTEM RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 AIR CONDITIONING 2.00 $ _ 5.00 $ 5.00 $ 2.50 $ 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 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 '0ENTILATING SYSTEM i*LTERATIONS & REPAIRS TOTAL FEE $<� REMARKS: Dept. of Bldgs. Phone SD 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. Owner 7)44,a . � Kind of Building n Used as To be completed about 195- 95_ 195- 195._ 195— 195_ Estimated Estimated Cost, $� New. ding Permit No. DESCRIPTION OF WORK HEATING�*'r' = "T"°� c*Pam —'�-{ ' ; Warm Air—No - Trade Names �2 -� , , y Size Capacity Sq. Ft. E.D.R,,'�,, BTU H.P. Total Connected Load Fi ZKind of Fuel BURNER —Trade Name' �"A-->�//_ Size No / `";1 Capacity Sq. Ft. E. B H p 7 1003 XCn;El A S. tel/ Minneapolis' 1 ,pilin. S* ed _"s -M 511 E 11 POST IM -12-58 Business Phone 11J6 D-56 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS NNNEAPOLIS, MINN. A.S.H. . i Weatherstrips Construction No. Insulation � Guide .Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How.Applied Yes_No I _W; --No I F1.1 Room I Lenath.-', Width Height 11 F1.1 Room I Length ,,,I Width A- Height Windows and Doors—Crackage and Area Ile Width Height No. oP Lineal fi. Area No. of pane of pane lights of crack sq, ft. 7 Width Height No of Lineal ft. Area No. of gans, of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Infiltration Exp. wall Glass Net exp. wall lExp. wall Int. wall Net exp. wall Ceiling 4, ,Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i' F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Width Height No. of Lineal ft. Area ,No. of pane of pane lights of crack sq. ft. Windows and Doors—Crackage and Area Width Height No of Lineal ft. Area No. of gans, of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Infiltration Exp. wall Glass Net exp. wall lExp. wall Int. wall Net exp. wall Ceiling 4, Floor Total Btu. E Required sq. ft. E.D.R. or sq. ins. W.A. Leader area M.HeightJ! Room I Length Width,,,�,,-- 't Windows and Doors—Crackage and Area Width Height No of Lineal ft. Area No. of gans, of pane lights of crack sq. ft. (Coef. 1 Btu Infiltration Coef. 1 Btu Infiltration Exp. wall Glass Net exp. wall lExp. wall Int. wall Net exp. wall Ceiling Ceiling, lw Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width HeightNo of Lineal ft. Area No. of pane of pane tights of crack sq. ft. (Coef. 1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room I Length,`,:- Width Height Windows and Doom—Crackage and Area I Width Height I No. I Lineal ft. I Area I f.. . I of Dane 11. ts of crack sq, t. Coef. Btu Infiltration Po Glass Exp. wall Net exp. wall Int. wall Ceilingi; Floor Total'Siu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area Fl.["` 1 1 1- 'T ' -, ' Height -- Room I Length Width Windows and Doors—Crackage and Area Width Height I No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. I I I I Coef. Btu Infiltration Glass I. Exp. wall Net exp. wall Int. wall Ceiling, Floor Totat,Btu. T -7 - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City ®f Fridley, jnn ,,/ 111 5 9 6431 University Ave. N. E., Minneapolis, Minn. 55432 G PERMIT Date: _ August 27, 1971 Owner: Dennis Moore Builder, Royal Alum Prod, Inc. Address 200.81 Creek- Boulevard Address 526 -6th Avenue North LOCATION OF BUILDING No. 200._____, Street Rice Creek Boulevard Part of Lot Lot _ _ ._ _ _ Block -- 4......._-.__ Addition or Sub -Division ..moi Corner Lot ___ Inside Lot - Setback Sideyard Sewer Elevation Foundation Elevation _.._ DESCRIPTION OF BUILDING To be Used as: Reside &,Soffit Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Front Depth Height Sq. Ft. Cu. Ft. Est. Cost ..$1' 883.0A To be Completed 1012 5 X71 In consideration of the issuance�thedoe, ermittodwork in accordance ption abt annc of the city of Fridley._ I agree to In coAoeration of the a Ronal Alum. Prod. Inc. payment of a fee of $ 12 .D ,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 ordin4new 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. i G' tt CLARENCE BELISLE OP NOTICE: This permit does not cover the construction, installation for whring, plumbing, gas heating, solver or water. Be sure to t the Building inspector for separate permits for these items. t APPLICATION FOR RESIDENTIAL, ALTERATION, , OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER IS NAM: ADDRESS: O G ' �� ADDRESS: NO: • '210 C> STREET:j�[' LOT: 12 BLOCK: "[ ADDITION i' CORNER LOT: INSIDE LOT: SETBACK:. SIDEYARD; 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: S o F L / front : Depth: Height: Square Feet: Cubic Feet: Fronts Depth: height: Square Feet; Cubic Feet: �y Type of Construction ''4A Estimated Cost: $,z d To Be Completed: The undersigned hereby makes 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 declares that all the facts and representations stated in this application are true and correct. DATE: � � � C SIGNATURE •f (See Reverse Side For Additional Information.) City of Fridley P . SUBJECT ®. 1490 AT THE TOP OF THE TWINS BUILDING PERMIT r S R NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ��� NUMBER REV. DATE PAGE OF APPROVED BY ' 1 CITY HALL FRIDLEY 55432 '*.J --" 612-560-3450 910-F15 9/5/78 JOB ADDRESS 200 Rice Creek Boulevard 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 4 Rice Creek Plaza N. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. P. .E1111-2 7 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHON LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK' CA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Swimming Pool 16 X 32; 7' deep; 500 sq. ft. Deck 600 sq. ft. 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING HI=ATIMG. Pt-1-1.18;1MG AND 'WrW;, WARMING adore digging call local utilities THEPNONE - ELECTRIC - GAS Etc. Licenc3 $35. 00 REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5, Boo 2.90 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 CONS UCT ON. 6 PLAN CHECK FEE TOTAL FEE �- $38.90 T SIGNATURE OFCONTRAC OR OR AUTHORIZED AGENT ) WAN P OPERLY VALIDATED THIS IS YOUR PERMIT - BLDG. INSP DATE SIGNATURE OF OWNER 0 OWNER BUILDER) (DATE) 'CITY OF FRIDLEY APPLICATION FOR RESMENTIAL BUILDING PEf2MITS (NEW,, ALTERATIoNsj ADDITIONS, OR REPAIRS) ° OVINER: I-� / 1 ®O�C�s MILDER: P.T. E E _ Address: �C� � i �l Address: ��`"di/7�� r' 0-0 Tel. No. 7M-.27 No.: Street: LOT: BLOCK: ADDITION: C� 6 . CORNER LOT: I14SIDE TAT: SETBACK: SIDBYARDS: Applicant attach to this form Wo Certificates of Survey of Lot and proposed • building location drawn on these Certificates. DESCRIPTION OF BUILDING , To Be Used As: A Vd 0 ( Front: 302 Depth: ° 7V Height: Square Feet:. Cubic Feet: &Wk ijW 'Front: • Depth: Height: Square Feet:' 6a Cubic Feet: Type of Construction: • Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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 d co-rect. 'See reverse side for additional informati n. DATE: 00 SI Stipulations: ' ; I cy sn .F F T s` August 31, 1978 0431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 PIE 2231 Cardinal Place St. Paul, MN 55119 TELEPHONE ( 812)571-3450 Re: Swimming Pool Construction at 20.0 Rice Creek Boulevard N.E. Dear Sirs: This letter is to make clear this departments requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, two (2) inlets of approved design for fresh and/or repurified water will be provided. 3. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6-8 hours. 4. A deck of at least three (3) feet wide, measured frau the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 5. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent 'the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 8. All electrical lines must be greater than 15 feet away from the pool surface. An alternative is to bury said lines. PIE August 31, 1978 Page 2 9. The pool fill.spout must be air -gapped or protected by a vacuum breaker. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1l� times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, ji;zv STEVENO ON Environmental Officer SJO/mh CC: Mr. Dennis Moore 200 Rice Creek Boulevard N.E. SUBJECT P City of Fridley 2 6 51 AT THE TOP OF THE TWINS � BUILDING U I L I G EMIT r 1 , e.s RECEIPT N ______ COMMUNITY DEVELOPMENT DIV. 1 L PROTECTIVE INSPECTION SEC. r y 1 � 1 � � l/ NUMBER REV DATE 7-8-98 PAGE OF APPROVED BY 1 r---1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 200 Rice Creek Blvd 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 4 1 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Moore 574-1695 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Four Seasons Roofing & Remodeling, 7930 University Ave Fridley, 55432 795A410 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20138780 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 D SCRIBE WORK emove and replace roofing (18 Sq) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $ I 501 $.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- $51.25 Fire SC $1.50 STTION R ERFORMANCE OF CONSTRUCTION. 7(.4, PLAN CHECK FEE TO FEE "— Licens C $ 0//$58.50 --?S SIGNATURE OF CO ACTOR OR AUTHORIZED AGENT IDATEI EN R - ^• g G INSP V LID THIS IS YOUR PERM qAT SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: d C e Effective 1/1/98 Legal Description: qq Owner Name & Address: ue n r\, < m nb c e gat 0 1 o c Cr„k el. # Contractor: Foy 5 �� ��+ �o� o ria R pyo �I a n MN LICENSE # Address: �� U n u g r-� -T ,� u Tel. # S Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MOROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length®® Width Hgt/Ground Sq. Ft. OTHER: I�,�mo ae,4pA/c e /$ � ®� ;S � A; A 5 Construction Type: Rerrooe. i ReolaceRaCk_a � Estimated Cost: $ (Fee Schedule, on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:. -8 8 APPLICANT: 014M Tel. STIPULATIONS: r CITY USE ONLY Permit Fee $ -� S Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ _ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A” or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: r Building PLUMBING Permit No.: No.:_"I-41 3 Inspections RESIDENTIAL. APPLICATION Received By: 763-572-3604CITY OF FRIDLEY Date - DATE YOUR E-MAIL DRESS SITE ADDRESS C THIS APPLICANT IS: ❑ OWNER CTOR PROPERTY NAME: ADDRESS: � t STAT IP J TENANT PHONE: r CONTRACTOR NAME: - STATE LICENSE # EXP DATE - SUBMIT A COPY OF YOUR STATE ADDRESS: STA LICENSE WITH PHONE FAX APPLICATION GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE PERMIT TYPE O NEW QMKACEMENT TYPE OF WORK: 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. (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 WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS SHOWER _ WA IPING _ _FLOOR _ GAS PIPING �o cnymc�) SWUVIMING POOL TER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) _ _ DISHWASHER LAUNDRY TRAY HEATER ($35) FOR IRRIGATION _ _ _WATER WATER METER OTHER =' Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ 50 Total = $ 151,:2 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 al which r es eview and approval of plans SIGNATURE OF APPLICANT PRINT NAME DATE 1,0101" ... .-_, .,, _ _— _ r, -- _c. a 2.s . ,., _ __.. ,eb ............ ..<.m .. 6KR. City of Fridley .11104 Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 V I . .. FEB -13-2009 01:20 PM STANDARD WATER CONTROL 763 537 itmuuing BUILDING Inspections RESIDENTUL APPLICATION 763-572-3604 CI'T'Y OF FRIDLEY . • : M1�U 717 M_1 7.Ma CONnUCTOR NAME: $UEWT A COPY OF STATE LICENSE YOUR STATE LICENSE ADDRESS: WITH APPLICATION munwv ;P O BASEMM FINISH in MCK DESCRIBE WORD BEING EXP DATE O DRAW TILE O OTHER 1882 P.02 Permit No.: gid® 64 Received By: Date Recd: ;P STATE_ZIP f4tR.1fyW N[IAM OF $Q•UA= O HOUSE & GrARAGI RASM TdRtufAiS�±I . M tar m�.Lr;; � O ATMEM GARAM BASM= Existing Flaar Plan PROPOSM SIZE: ❑ XMTACHETI GARAGE 2• Pmposed floor plan PROPOSED RMG7HT. I 'List of sV= t W members to be used FOR NEW CONSTRUCTION INCLUDING DEM. C7 Vutyl O&Aft t4 Tle5N anRr ra Rumm. la Aluminum O Trim L site PI-ISinvey showms the existiaS e:4votsares O Other ® Pastia and pralmwd pmJeaL XREM 2. Two seta of construction plus IN EMTJNG OPENINQS O'Yea ONo LOCATION OF WDMWS �. isut C,alculatiams OR FOR NEV APEhil OS -DESCRIBE SIZE OF OPENING CHANGE$ & TYPE OF WDMW TO U INSTALLED NUA+) M OF VIDWWS ALL FEES ARE BASTED ON VALUATION, IINCY UDING TFM COST OF LABOR AND MATEMALS: (USINGTOTAL JOB VALUATI N s .'a� 4.4.17 907 C UE VDU ----_ - ff['CiPANt'Y T"V'1PT' rermn r ee y 9 oL.� See .Back Page for Fee Schedule Plan Review _(o $ 650% of Building Permit Fee Fire Surcharge e $ 1, .001 times the total job valuation Surhsrge $ r 00 .0005 x Permit Valuation Mh9nwm $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ _ #t + f R=_ R x $31= $ Emsica Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Enginearing Sewer Main Charge $ Agreement neeossary ( ) Non XOcessary ( } Total Due $ ®� ® Make checks a $ble ta: C-* of Fridley Attach Stili oat: THIS IS AN APPLICA7IG3+1 FOR A PM= -NOT VALID UNTR. PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will lie in conformance with the ordirtuces and codes of the City of Fridley and with the Minnewta Construction Codes; that I understand this is :not a permit but only an application for a permit and work is W to start without a permit; that the work will be in accordance wua the approved pian in the case of all work vAch r r al of plans. JUGNATURE OF AP$iIQWT Buildinz PIJUMBPiG Permit No.VE�' InspeutzonsRESID ,i'J TLAI PPLICATION Received B763-5 i2 X604�'ITY ' , .. per, Daz d�d 763-502-497/7 FAX EFFECTIVE 1-118 �✓ DATE C7� YOUR E-MAIL ADDRESS I SITE ADDRESS ZOv 1940? CU�(� lkjd N,6 ! THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY NAME: NditiS Kb,*e-OWNEW r ���f �!! p ADDRESS:CVzf- '�lyUl M CITY Q✓1c1 �-w �Sj�3Z _,2,0t2 _STATEZIP PHONE: �i9�7' �� lr�S CONTRACTOR nn NAME: Pte% Ut!!/ t'it @WK6 op, SUBMIT A COPY OF ► YOUR STATE STATE LICENSE EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: 3340 h4 11 St 14 CITY r-yTdI/e . STAzip-5-242- IPS 2INSURANCE. INSURANCE PHONE �ID�j��✓" �l�i� FAX. � �✓'��� Z?� PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK 14,ftPn. �f Ir�� N1 GT V�%d �A/ k41"� PER MS 16B.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. (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 = plus 50 surcharge OR FOR PROJECTS WHERE LABOREXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (DTDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $1550. _ BATH SINK/LAV _FLOORDRAINS _WATERPIPING _SLOWER —BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL —WATER SO FTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) —DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharze .50 Number of fixtures @ $15.00 x $15.00 = $ OR Number of fixtures @ $35.00 x $35.00 = $ 3 TOTAL DUE $ State Surcharge = $ 50 (MINIMUM $15.50) (MINIMUM 515.50) Total = S THIS IS AN APPLICATION FORA PERMIT -NOT VALID UNTIL PROCESSED T hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in i conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is I not a permit but only an application for a permit and work is not to start without a permit on site; that the worl: will be in accordance with the approved plan in the case ofallwork which requires review and approval of plans. \PPROVGD BY u.,. ,.n... -)Aj PLEASE i OTTL': AR TE:PERMITS'ARE RE -01=1) I~i. RBIRLDIIVG:..EL CTIZIC:IL. AND. ivtECT4ATTTCAL. ,'vnRl C-1, i77 ')Z 4 r.".aIE°'�i pili d-ing l oec.n.ons Menar-men-r yL I _ niversi7, .4,venue ' JE. ridley:': Ig From: 763 263 8744 Page: 5/6 Date: 7/1/201011:17:34 AM Building BUILDING Permit No. -9 'g 3 Inspections RESIDENTIAL APPLICATION Received Bar 763-572-3604 a See Back Page for Fee Schedule CITY OF FRIDLEY Date Recd:l L) FAX 763-502-49FAX Fire Surcharge $ .001 times the total job valuation Surcharge EFFECTIVE I-1-2olo .0005 x Permit Valuation Minimum $.50 DATE a (P -77C) 9' -- / Q YOUR E-MAIL ADDRESS Cu � f re (l Grn SSG P oer l SITE ADDRESS o?U 0 2,-e. e i, to P K - I ✓r3l SAC Charge THIS APPLICANT IS: 13 OWNER )HtONTRACTOR Curb Cut Escrow PROPERTY OWNER/ NAME: Ar'-f— Erosion Control ADDRESS: a O U c C,- ee K 9),,,a /J t= CITY TE -M ZIP oq�g TENANT $ PHoNE: 2eJ-57Y- ! 5 Sewer Main Charge CONTRACTOR - iAmE L { e S Total Due SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # !� a re �1 — �Lo ' )N 1G �. EXP DATE AND CERTWICATE OF ADDRESS:IIqUJ +.tWt),el Su�:� �a CITY oD& STATE�ZIP SS��% INSURANCE PHONE (o -el, (0 3 - q Lo FAX 96 Ca - i PROPERTY TYPE ❑ SINGLE FAMILYINEW CONSTRUCTION SIZE O TWO FAWLY)NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION 0 GARAGE/SHED O WINDOWS ❑ BASEMENT FINISH D ROOF C] DRAIN TILE IG DECK O SIDING JZOTHER C rOriCf~c� �,e [3SWRVIMINGPOOL TYPE OF WORK-. ❑ NEW ROME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR Q REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SOFT ROOFINC ❑ HORSE ONLY BASEMENT REMODELING SUBMIT; NUMBER OF SQUARES 13 HOUSE & GARAGE ]. Existing Floor Platt rARAGE:S O ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. List orstructural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, E3 Vinyl Vinyl ❑Sottlt AODMONS A PO Cr4ES SUBMIT: 1. Site PlanfSurvey showing the existing struowres ❑ ntrm ❑ Trim t. and proposed project El Otho 13 Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS GYes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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 $ O • d OCCUPANCY TYPE Permit Fee $ a See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge S $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to VIWCC for determination) Curb Cut Escrow S ft -I- 6 ft = ft x $24 = $ Erosion Control S $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ o Make checks vavable to: City of Fridley Attach Sti Mations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED 1 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 on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME L2 i t - O �No . DATE b -O` t - l I PLEASE NOTE: SEPARATE PERMITS ARE REOUi1RED FOR PLUMBING, ELECTRICAL AND'_MEGI IANICAL WORK _� O M� t -d From: 763 263 8744 Page: 6/6 Date: 7/1/201011:17:34 AM ZBZ 6-9ZtrZ96 J a jotle- � G - M i+i 0 74 dZE:£0 0 L 0£ unr