PRE 2010 DOCSCity of Fridley, NUnn.
BUILDING PERMIT N9 (553
Date:
Owner: Builder — ----- .57
Address Address
CA, N OFffIING
NO. A Lot
Block Addition or Sub-]
Comer Lot Inside Lot Setback Sideyard - -----
Sewer Elevation --- Foundation Elevation
DESCRIPTION` OF BUILDING
To I* Used
Front Depth Height Sq; Ft. Cu. Ft. fl
Fro Depth Height sq. Ft. Cu, Ft.
Type of Construction Eat, cost coz --=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 in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
All'
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 building
m
within the city limits and this permit may be revoked at any tim upon violation of any of the provisions of
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for then Items.
.QW4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEYo MINNESOTA
Owner's NamE3�L;? Builder
Address/-5�.��`� Address
�r
LOCATION OF BUILDING:
No. 2. o o street (0l__+�v, /�. part of Lot
Lot 6 Block 2- Addition or Subdivision, �:�Z
Corner Lot _ Inside LotSetback bide -Yard
SETTER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
DESCRIPTION OF BUILDING
To be used as:
4z Front „ -Depth Lf ° Height
Type of Construction
To be
sq. Ft • �1 C).4 �, cu. Ft.
.
Front -_,__,,,Depth Height
sq,, Ft. Cu. Ft.
timated Cost'-
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 ruling of the Department of Build-
ings, and hereby declares that all the facts and representations
stated in this application are true and correct.
City of Fridley
Application for Plumbing and Gas Fisting Permit
Depf. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
• Future Connection Openings 4onae�ea wun
Sewer I]
New Fixture, Old `%finings Cesspool C l
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
$ 0. 196
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
8
QQ
Catch Basin ............................
�
!
•d
WG
!2
Z
� O
�
F
•
N
WATER HTR.
GAS
ELEC.
Base
GAS FITTING FEES:
NO. RATE TOTAL
x $1.50
$ 6
1st 3 Fixtures ..........................—
—
Additional Fixtures .....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
1st
2nd
_
3rd
4th
• Future Connection Openings 4onae�ea wun
Sewer I]
New Fixture, Old `%finings Cesspool C l
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
$ 0. 196
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ............................
x 3.25
$
Nater Heated (Up'to 200,000 BTU)
/
,...... ,L x 2.00
$
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
NO. RATE TOTAL
x $1.50
$ 6
1st 3 Fixtures ..........................—
—
Additional Fixtures .....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code I
Description................................................$
TOTAL FEE $ ��
Locatio
City of Fliq0P 9
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.
ROUG
FINAL
a2 2M 7-59
SUBJECT
P IT NO. ,
City of Fridley
2 6757
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
REC NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
��
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/22/98
JOB ADDRESS 209 Rice Creek Blvd
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
2
1 Rice Creek Plaza North Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Louis Kattnk
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Four Seasons Roofing & Remodeling LLC 7930 University Ave NE
Fridley -
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
20138780
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION 0 ALTERATION (A REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 28 SO Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
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
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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 VERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER S IFIED HEREIN OR NOT. THE GRANTING OFA PERMIT
$2335
$1.16
DOES NOT PRESfiVIE TO �aIVE AU RITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS O Y OTHER S ATE IR LOCAL LAW REGUL TING CON -
STRUCTIO HE PERR74.75
Fire SC $2.33 Fire
LllyArlt�� C)
PLAN CHECK FEE
TOTAL FEE
&I" .
License SC $5.00
1 $83.24
SI ATUREOFCONTRACTORO AUTHORIZED AGENT IDAT I
WHEN LIDATED THIS IS YOUR PERMIT
pPRO®PERLY
lfZ�o
BLD INSP
p .�,�
MATE
_
SIGNATURE OF OWNER OF OWNER.BUILDERI IDATEI
NEW [ ]
ADDN [ ]
ALTER [ ]
CIT'Y,,OF FRIDLEY .
SINGLE FAMILY,; AND DUPLEXES R-1 AND R -
BUILD ING. PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address: ��_u_I et,-i"+A) � TeL #:
Contractor: ;50 a r S 94 -Sun -5- R 0Q��In3 d /�T�--MN LICENSE # l
39 7W
Address: 17G%3 d U n t U uns,..TAUF AU4' Fr ► d lfz� Tel. #
Attach to this application;. a Certificate of Survey of the ..
lot, with the proposed construction drawn on it to scale.
Effective 1/1/98
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: Cl- Ce u r Lvn
Construction TY! e: I'S e4vtoe trod Estimated Cost: $ J
(Fee Schedule on Back).
Driveway Curb Cut Width Needed: Ft." + 6 Ft = Ft x $
_ $
�!
Tel. #
DATE:. I
APPLICANT:
IT
'CITY, USE ONLY
Permit Fee
$� Fee Schedule on Reverse Side
Fire Surcharge
$ - "41]%001. of Permit Valuation (1/10th%)
State Surcharge
$ > $.50/$1000'Valuation
SAC Charge_.
$ :.,; $1000 per SAC Unit
5 ,
License Surcharge
$ CID'.$5,00 (State Licensed Residential Contractors); y
Driveway Escrow
$ '-Alt.' "A" or Alt. "B" Above
Erosion Control
$ `$450 00 Conservation Plan Review
Park Fee
$ Fee Determined by Engineering
Sewer Main Charge'~
° $ a Agreement :Necessary [. ] Not: Necessary
'teat'` Ff ,s"`kk�.`�.a.
$L
TOTAL
He"
STIPULATIONS:
b 6OHz
Building
MECHANICAL
Permit No.; t�
Inspections
RESIDENTIAL APPLICATION
ely.
763-572-3604
CITY OF FRIDLEY
ateec'd:.
DATE ` ® YOUR E-MAIL ADDRESS
SITE ADDRESS ZOGI k I UL Cr C'.Q F kyot,
THIS APPLICANT IS: ❑ OWNER j1CONTRACTOR
PROPERTY
NAME: LO U.;_s 0.11„' k
OWNER/
pK i a
S -43Z -
ADDRESS: 2 09 6Z Cjt Cr_eS� R I V a(l •CITY ia.l �R STAT*At4IP SS -43Z-
TENANT
TENANT
PHONE:S _1 1- Z $ ®Pj
CONTRACTOR
COMPANYNAME: ��HiAI1111�� H TINA A AIR CONDITIONING UZ
SUBMIT A COPY OF
CONTACT PERSON: n Wgnundh Ave. SG
YOUR STATE
STATE LICENSE# PAinn®a{I?A 55420
LICENSE WITH
ADDRESS: !9521 �li1ml� STATE ZIP
APPLICATION
PHONE FAX
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
0 NEW b�REPLACEMENT E3ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK
hulr iokcA cr.
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 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW) (��" ,"�
Equipment Installed MFG: � )n OX MODEL:Q `(O t441 Pq--70 SIZE/BTU i ® 6 c) e, -
MFG:
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZEIBTU
A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $10.00
AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 GAS GRILL $10.00
_NEW
BOILER $35.00 ]LFURNACE $35.00 GAS UNIT HTR $10.00
_CHIMNEY LINER $10.00 _GAS DRYER $10.00 HEATER $35.00
_POOL
_DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00
PERMIT FEE PROJECTS FOR UNDER $500
PERMIT FEE FOR PROJECTS OVER $500
Permit Fee $
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 1 x $35.00 = $ 3 5', Gb
State Surcharge = $ .50
Total = $ 3 S. SCS
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 caswork w 'ch eq a' es review and approval of plans.
jj Q
SIGNATURE OF APPLICANT'M 0 PRINT NAME 6 Q 1/v C GATE 8U
PLEASE NOTE: SEPARATE PERMITS -ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977