Loading...
PRE 2010 DOCSDate: - ® ( V Owner: 2a.� Builder Address -'q �X'� N? '7017 LO TI N OF j BUILDING No. °) Street P of t Lot _ _ _ Block ___ Addition or Sub-Divisio D �' _ Corner Lot Inside Lot ®� Setback , I Q -5E 49— Sideyard' Sewer Elevation �� ®® Elevation � 3 ��y -tee ell F rlA*I DESCRIPTION OF BUILDING In consideration of the issuance to me of a permit to c the uilding described above, I the proposed work In accordance with the description above t in compliance r f 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 uponvation of any of the provisions of said ordinances. o _ � /1 Building Inspector NOTICE: Ibb paean does not corer the coestneeflon, hntdlation for whdng, phnabhng, gas heating, sower or water. Be sore to we the Bulldh* Inspector for operate pennhs for those hem Street Bart of Lot Lot., y.. Block Addition or.. -Subdivision Corner LotInside Lot Setback Side -Yard SEWER ELEVATIQN FOUNDATION ELEVATION _ Applicant attach to this form Two Certificates_of;Survey, of Lot and proposed build- ing location drawn on these, Certificates. "•i. DESCRIPTION OF BUILDINGw To- bo used as: Front Depth Height -sq.' it Cu.. Ft. Front . r Depth Height . Sq. Ft. Cu..rFt,,, _...«- Type of Construction Estimated Cost; To be Com' plated The undersigned Hereby makes application for alpermit-for the .work herein specified, agreeing to do all wo;k in.strict accordance with'the City of,Vridle'y Ordinances and rulings,.ef.the rDepartment ofsBuildings, and:.hereby.declares that all the facts and representations stated in this application are true and correct. DATE ('Schedule of Fee Costs can be found on the Reverse Side). City of Fridley ApFtication for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: / NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ ` 5� 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 $ GAS FITTING FEES: yNO. RATE +TOTAL 1st 3 Fixtures ..........................—E — x $1.50 �/ $ c 5- Q 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 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. Fridley, Minn Owner Kind of Building e Used as To be completed about Estimated Cost, $ 01 New. uilding Permit No Gj Permit No .\, - 12 Signe t By Bus' s Phone ROUGH FINAL d a 2M 7-59 N y �Z O J w V' Z Z ` WATER HTR, C70 a: Base r I t �' 1st 2nd _ 3rd 4th • Future Connection Openings I Connected with Sewer � New .fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: / NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ ` 5� 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 $ GAS FITTING FEES: yNO. RATE +TOTAL 1st 3 Fixtures ..........................—E — x $1.50 �/ $ c 5- Q 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 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. Fridley, Minn Owner Kind of Building e Used as To be completed about Estimated Cost, $ 01 New. uilding Permit No Gj Permit No .\, - 12 Signe t By Bus' s Phone ROUGH FINAL d a 2M 7-59 CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Job Address 2S0 Rice Creek Blvd. Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ 20.00 Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ The undersigned hereby makes application for a permit for the work herein Gas Dryer $ 10.00 $ specified agreeing to do all work in strict accordance with the City Codes ana rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. * Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn. �e.p:telnber 1 R 19 All others/Repairs and Alterations OWNER Gerald Sadowski 1% of Value of Appliance or Work $ KIND OF BUILDING Frame COMMERCIAL/INDUSTRIAL Residential USED AS 1% of Value of Appliance or Work $ - TO BE COMPLETED ABOUT 2 State Surcharge $ .50 ESTIMATED COST ,150.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. TOTAL FEE $ 20.50 Reinspection Fee ($15.00) $ DESCRIPTIO14 OF FURNACE/BURNER Rough Insp. Date HEATING or POWER PLANTS, Steam, Hat Water, Warm Air- No. Hot water Final Insp. //2 -6 Trade Name Carrier Size No. 61SWB150 Date Capacity Sq. Ft. EDR BTU 150,000- HP Approval for Permit Total Connected Load Kind of Fuel Natural Gas BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 Company . De endable eating A/C PLUS $.50 STATE SURCHARGE Signed By Attach stack verification form with. replacement Furnace permits 757-5040 *Air Conditioners can not be placed in side yard without Tel. No. written permission from adjoining neighbor. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 65432 672-3604 Effective On August 1, 19% APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS Now Fixtures 7.00 Old Opening, Now Fixture $4.00 Beer Dispenser $5.00 Blow Off Basin $7.00 Catch Basin 47.00 Rain Water Leader $7.00 Sump/Receiving Tank $7.00 Water Treating Appliance $10.00 Water Heater -Electric $7.00 Water Heater - Gas" Gas Range" p0'00 Gas Dryer** $10.00 Back Flow Preventer Require* d )Yes No Type — $15.00 Reinspection Fee $42.00/Hr,' ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or. -Appliance e_2() State Surcharge $ .50 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 Building Division, and hereby declares that all the facts and representations stated In this application are true and correct. INS-/ Owner Building Used As , 7Y -1Y24 0 - Estimated Cost41 o . . PERMIT NO. 4�Sl PLUMBING COMPANY-ji 4-jA C SIGNED WYTEL NO. 7,Fav - Approved By Rough -In Date Final Date TOTAL FEE $-:2 (1 PLUS THE 9-50 STATE SURCHARGE "COMBUSTION AIR. SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. 7 SUBJECT PER . City of Fridley 2 8 2 6 8 AT THE TOP OF THE TWINS BUILDING PERMIT 1 1 RECEIP • _ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. F o NUMBER REV DATE PAGE OF APPROVED BY �"—'1 CITY HALL FRIDLEY 55432 �"--A-If ��' 612-571-3450 910415 10/15/98 JOB ADDRESS 250 Rice Creek Blvd I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 4 Rice SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Jerry Sadlowski574-1426 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Peak Roofing 11506 S. 0938-8150 90045301 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 ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 25 S Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 1 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 Ti-IIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT 2142 $1.07 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 $74.75 Fir C $2.14 PLAN CHECK FEE TOT FEE Lice SC 5. 2.96 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT AATE, I 2hWEN O I A THIS IS YOUR PERMIT (f SIGNATURE OF OWNER of OWNER BUILOERL tOATE, Bl SNS OAtE 7 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: C>? 56 l c Cf r—f-e -e- lv o -I - Legal Description: Owner Name & AAdddress:jevw X �a �s s- lc , ` Tel. # Contractor: E'er- /�o�;�, MN LICENSE # Address: //S!a C% I e /f�;1 —0 AttachAttach 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: a 5—re, Construction Type: o Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: /��� Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ d 06 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ]