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PRE 2010 DOCSCity of Fridley, Minn.. WELDING PERMITN° 5502 Date: Owner: Builder Address _ ___ . __ Address z_ - L CATION OF BUILDING No.da Street --• �. _ ._ _Part t Lot _ _ .._ Block _ _ __.. Addition or Sub -Division ,� �. ` Corner Lot Inside Lot _._. Setback _.__ _ Sideyard,.�":.._.. _ Sewer Elevation ____ r _ Foundation Elevation DESCRIPTION OF BUILDING To , Used Front Depth '` Height- , Sq. Ft. shawl Cu. Ft. '4. 15X e1 �� -- Sq. Cu. Ft. nt Depth ; Height Typef Constru lion Est Cost .� "" `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 L 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 ola ' of any of the provisions of said ordinances � A - - Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these hams. 4 Miner I s Address APPLICATION FOR BUILDING PFOCT CITY OF FRIDIEY, MINNESOTA OF BUILDING No. j 6 Street t /r Z LEVI Part of Lot � ,+ Lot z Block ! Addition or Subdivisions, Corner Lot Inside Lot Setback Side -Yard SMMR ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To b6n used as: DESCRIPTION OF BUILDING Sq. Ft. Cu. Ft. t Sq. Ft. /', ' Cu. 1 -6 -- Ft. V ?1- 0 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 Ordinances and ruling of the Department of Buildings, and hereby declares thatVX he facts representati stated in this application are true and correct. (A Schedule of Fee Costs can he found on the Reverse Side.) City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 '01) 1 i DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL. d Number Fixtures ...................... - x $1.50 � ° "" Future Fixture Opening ................ x 1.20 ya New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... N N 3.25 $ w 0 z • R + N WATER HTR. GAS ELEG x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................--------- /-- x $1.50 Oz Additional Fixtures .................... x .50 ril Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st 2nd 3rd 4th • Future Connection Openings Connected with I S@W@P New .Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL. d Number Fixtures ...................... - x $1.50 � ° "" Future Fixture Opening ................ x 1.20 New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water heater (Up to 200,000 BTU) ...... --7z- x 2.00 $ C U U New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................--------- /-- x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE I City of Fridley: a The undersigned hereby makes application for a permit for the work herein specified, agreeing to do an 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 appliccation e true and correct. Fridley. MUD, ! �A �� 7 19A� Owner Kind of Building Used as To be completed about f Estimated Cost, $ Old �Nwding Permit Nom �� Pe t N Signe 14° o. By Business Phone No ROUGH FINAL 42 2M A 4 ly AppIlicat m for Power Plants and.. k Hec. CooVng. VenfiWon. ,Ref igeralion and Air Conditioning Systems and Devices Dept. of Bldgs. Phone SII. 4-7470 s � r Location-- 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 1.4 . ' each add. 60,000 BTU ... .................. 2.00 $ Replacement of Furnace x.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 r J GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ 9p r, Additional Fixtures ................. x .50 $ Old—New. Building Permit No. �a�- Permit No. Gas Range to 200,000 BTU ........... x 2.00 $ HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No AIR CONDITIONING Trade NamSize $ FAN HEATING SYSTEM See Fee Schedule H.P. VENTILATING SYSTEM Total Connected Load_ - Kind of Fuel $ ap`l ALTERATIONS & REPAIRS TOTAL FEE 9' _ ROUGH FINAL 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 -, 19 Owner Kind of Used as 1� To be completed about Estimated Cost, $ Old—New. Building Permit No. �a�- Permit No. 6 DESCRIPTION OF WORN HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No 7/1 Trade NamSize 9 A,5q E FI Capacity Zy Y Sq. Ft. EM.R BTU H.P. Total Connected Load_ - Kind of Fuel 9 `' ap`l BURNER — Trade Name a Size No- Capacity--L-Q-0 � Sq. It. EM.R BTU H.P. (REMARKS—OVER) Signed ," e By ` -- - - s`s 42 2M 7.59 Business Phone No- z Dd6 HEAT LOSS CALCU ATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors_ ... .Reference Gut. -Wall _ -Int. Wall-] Ceiling Roof` ''Floor—'Kind How Applied Yes -No ( Yes—No 19_ l 171.1 I3" r a Room I Length J V' Width /0 Height RI Length 1Y Width Height Windows and Doors—Crackage and Area F Width No, of pane Height No. of Lineal ft. Area of pane lights of crack sq. ft. _ G ry Width Height I No. of Lineal tt. Area No. of pane of pane lights of crack eq. ft. (� Int. wall Btu Infiltration Ceiling Y01 1.2 17L o Coef. Btu Infiltration - Total Btu. Exp. wall 661 1 X® (, Glass 'Net exp. wall 6 'f51 _ 6 Z 2 Exp. wall Int. wall O Ceilingf Net exp. wall 1:2 119-9 6173 /1 Floor Int. wall qS c Ceiling _216 C 9 I L 9— Floor I otal 13tu. Required sq. ft. E.D.R. or sq. ins, W.A. Leader area F1.1Room ( Length Width Windows and Doors—Crackage and Area W1.Height No. o[ Lineal ft. Area No. of Dd'thane of pane lights - of crack ea. ft. Btu Glass F Exp. wall Windows and Doors—Crackage and Area Net exp. wall Width Height I No. of Lineal tt. Area No. of pane of pane lights of crack eq. ft. (� Int. wall Btu Infiltration Ceiling Y01 1.2 17L o Floor ,36 6-6 5-51 - Total Btu. Exp. wall QA,V-f Required sq. ft. E.D.R. or sq. ins. W.A. Leader area k 1.1 Room ILength Width Height Windows and Doors—Crackage and Area Width Height I No. of Lineal tt. Area No. of pane of pane lights of crack eq. ft. 9EEf `l J Btu Infiltration I vL Coef.1 Btu Infiltration ` Glia . ,36 6-6 5-51 1 Exp. wall itf 'Net exp. wall Net exp. wall / . Int. wall r Int. wall Ceilingf Ceiling 1:2 119-9 6173 Floor Floor qS c 1 btal btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area ff Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. t1 Coef. Btu Infiltration I vL LO 17 GO Glass ,36 5'5 570 Exp. wall itf Ngt exp. wall Net exp. wall ( . Int. wall Int. wall Ceiling Floor Ceiling 1:2 119-9 6173 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area RoomlL.enstth 2.? Width /e/ Heiaht S Windows an Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Coef. Btu Infiltration 5 2100 Glass jam® S' a7 Jr'O Exp. wall Net exp. wall Net exp. wall 11 1 Int. wall Int. wall Ceiling Ceiling Floor Floor qS c Total Btu. Vg y;t,_ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Fl.l !?ted AVif" Room I Lenatth lb Width I IV- Heisrht e Windows and -boom—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor qS c I otal tstu. Required sq. ft. E.D.R. or so. ins. W.A. Deader area .. . D•J6 ....., a z HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19_ F1.1 Room I Length (� Width , Height z- c- Room I Length Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area Width Haight No. of Lineal it. Area No. of pane of pane lights of crack sq. ft. No. of pane of pane lights of crack sq. ft. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FIJ Eilol"t`A Room ( Length fr Width / g -Height $ Windows and Doors--Crackage and Area, 1 3676' 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. p t t® �Lo Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. A t/®r Coef. Btu Infiltration Btu 60 If - Glass 170 3 J`F" GlassZB Exp. wall /9;2- 92Net A!;;"6 Netexp. wall /► $' t% / D 241 Int. wall Net exp. wall gir Ceiling�f O ! ,� ` go Floor Floor 5'a-'47 x d Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FIJ Eilol"t`A Room ( Length fr Width / g -Height $ Windows and Doors--Crackage and Area, 1 3676' 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. p t t® �Lo Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. A t/®r Coef. Btu Infiltration Coef. Btu Infiltration O Floor Total Btu. Requieed sof . E.D.R. or sq. ins. WA. Leader area 170 ®® GlassZB 660 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A!;;"6 Exp. wall Net exp. wall `/ $ /1 .26(62- G6Int. Net exp. wall gir %J (S Int. wall Floor 5'a-'47 Ceiling (� "72 ?V- 6 Floor ;7- 171 51 61( - 1 otal Btu. 1 3676' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area y Z t 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 lights of crack sq. ft. A t/®r Coef. Btu Infiltration Int. wall Glass Exp. wall Ceiling q74 I/ Net exp. wall Floor Total Btu. Requieed sof . E.D.R. or sq. ins. WA. Leader area Int. wall Ceiling L l Floor Total Btu. 660 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A!;;"6 ItY 1411 ILI 2 0 1 Coef. Btu Infiltration 1 40 40 y Z t Glass 11 S Exp. wall Width Height No. of Lineal ft. Area No. of pane " of pane lights of crack_ sq. ft. Net exp. wall Al 6 / VZ l Int. wall Exp. wall Net exp. wall Ceiling q74 I/ S Floor Total Btu. Requieed sof . E.D.R. or sq. ins. WA. Leader area 13 JV U Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F1.1 Ronin I Length Width Height Windows and Doors—Crackage and Area Room (Length Width ` Height Windows and Doors—Crackage and Area Coef. Btu Width Height No. of Lineal ft. Area No. of pane " of pane lights of crack_ sq. ft. o .3® r c- s Exp. wall Net exp. wall Coef. Btu Infiltration L l cis 660 Glass Exp. wall A!;;"6 72 0 Net exp. wall AY24 /1 .26(62- G6Int. Int.wall Ceiling Aj ;? Floor 5'a-'47 (� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F1.1 Ronin I Length Width Height Windows and Doors—Crackage and Area �a�p 6 o- 3 0 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 1 otal Btu. Reoulred so. ft. E.D.R_ or en_ ins_ W -A_ I r,eor ,rr, j YH, Address _ Address LO OF BUILDING NO. Street�7 --Part O Lot Lot— -Block _______� Addition or Sub -Division _ Corner Lot Inside Lot _ Setback Sewer Elevation To be Used as: Type of Construction Sideyard Foundation Elevation 01410AUJIte i s Front Depth Height Sq. Ft. Cu. Ft. Front — DepthHeight _ Sq. Ft. Cu. Ft. Est. 9._ _.''� __ 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. _ - a 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 thus permit may be revoked at any tupon Wo of any of the provisions of said ordinances. 17-) A ! 1 Building Inspector NOTICE: Ibis permit does not rover the eonsfruclion, hwWWon for wiring, plumbing, gas hoeing, suer or wafer. Be sure to as the Building Inspector for separate permits for those items, APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name • Address LOCATION OF BUILDING No. -5919 Street 11,6e, d1 Fart of Lot Lot Block Addition or Subdivision M4,14 � 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 Sq. Ft. Cu. Ft. ' eo Type of. Construction Estimated Cost %04 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. v ,�1/. u� DATE i- 07 - 5 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 r GRAVITY WARM AIR: RATE TOTAL Lation ocMote 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 $ MECIL WARM AIR FurnaceShell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM ! 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) ................. 3.... 5.00 �. $� GAS FITTING FEES: NO RATE TOTAL 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 $ ®� CJ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL 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 Used as sk;$ To be completed about`` Estimated Cost, $ Old—New. Building Permit No. ��' Permit No -1,2 o)-6 6 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, arm No Trade Name 41-1; ° Size No Capacity Sq. FL E.D.R (Zo 1 'BTU A.P. Total Connected Load Kind of Fue] BURNER — Trade Name` ` " ` Size No Capacity. Sq. Ft. E.D.R BTU H.P. Ae` Signed By z' « 2M Business Phone No -14 - (REMARKS -OVER) Compliments of North Central Public Service Co., HEAT LOSS CALCULATIONS 3 DEPARTMENT OF Weatherstrips A.S.H.V.E. Construction No. Guide Windaws Doors Reference Out. WallInt. Wall Ceiling Yes -NO I Yes -No 19.. I I Fl. I ARoom I Length j 0 Width ✓ j, " Height' Win ows and Doors- trackage and Area _ No. No. Width of pane Height of pane No. ofjLlneal lightsrack ft. Area sq. ft. 7 as.` Coef. Coef. Btu Infiltration coef.1 Coef. Btu Infiltration J, Exp. wall Glass Glass Net exp. wall Exp. wall 2- Int. wall Int. wall Exp. wall / Ceiling m wall /O J Net exp. wall Floor Ceiling Total Btu. Total Btu. Int. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �- Total Btu. e " Ceiling / Floor Tatal Btu. fs Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length Width Height Windows and Doors-Crackage and Area _ No. Width of pane eight No. of of pane lights Lineal ft. of crack Area sq. ft. Area sq. ft. 7 as.` Coef. Coef. Btu Infiltration coef.1 Btu Glass / J, Exp. wall Glass 6 Net exp. wall Exp. wall Int. wall Int. wall Net exp, wall / Ceiling Ceiling wall /O J Floor Floor Ceiling Total Btu. Total Btu. Floor Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Fl. I A.- _ Room I Length l a Width 9 v Height 71 -- Windows and Doors-Crackage and Area _ No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. 7 as.` Coef. Coef. Btu Infiltration coef.1 Btu Infiltration / J, Glass 6 Exp. wall Int. wall Net exp, wall / Ceiling wall /O J Floor Ceiling Total Btu. Floor Total Btu. e " Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Insulation Roof I Floor Kind i How FL I Room I Length Width Height Windows and Doors--Crackage and Area. _ No. Width of pane eight of pane No. of Lineal ft. lights of crack Area sq. ft. Area Area ft. Coef. Coef. Btu Infiltration Coef. Glass Infiltration Exp. wall Glass Net exp. wall Exp, wall Int. wall Net exp. wall Ceiling Int. Wall Floor Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FL I Room I Length Width Height Windows and Doors-Crackage and Area Doors-Crackage and Area No. Width Height of pane of pane No. of lights Lineal ft. of crack Area sq. ft. Lineal ft. of crack Area Area ft. Coef. Btu Infiltration Coef. Glass Infiltration Exp. wall Glass Net exp. wall Exp, wall Int. wall Net exp. wall Ceiling Int. Wall Floor Ceiling Total Biu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FL Room I Length Width Height Windows and Doors-Crackage and Area _ No. Width of pane Height of pane No. of lights Lineal ft. of crack Area Area 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 f,iCity of / • Fridley, t' t BUILDING PERMIT Date: NOVMMER 23, 1965 Owner: B. G. BLACK Builder CBRLON CONSTRUCTION COMPANY Address 389 Rice Creek Terrace Address 6631 McKinly St. N. E. Fridley, Minnesota 55432 Fridley, Minnesota 55432 LOCATION OF BUILDING No. 389 Street Rice Creek Terracd part of Lot Lot — 7 _ Block 1 Addition or Sub -Division Rice meek Terrace. Plat 3 Corner Lot — Inside Lot __ Setback _ - Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: FIRE REPAIRS AFTER Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost_ $487.5 0 To be Completed — In consideration of the issuance to me of a permit to construct the building described above I ato do the proposed work in accordance with the description above set forth,and in pHance wi ill p , ons of ordinanoea of the city of Fridley. VBG In consideration of the payment of a fee of E 4.00 pmt is hereby granted to CORLON CONSTRUCTION COMPANY construct the building or addition as described above. This Aermit 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 thereof, shall conform in all respects to the ordinances of Fridley, ith e thud Minnesota this location, construction, ad alteration, maintenance, repair and moving of buildings ordinances. city time upon violation of any of the provisions oP said ALLEN G. JENSEN Building mor NOTICE: Ub pormit dos not cover the construction, Installation for wMh& phmbine, on hoatiee, nwer or water. Be ars to ase the eulMloo Inspector for separafe p units for these Nae. APMF ICATION FOR BUILDIM PEP,MIT CITY OF FRIDLEY, Mlat MSCaA OWNER'S NAME . LOCATION r'. u® D'_j AC i BUILDER ClnnTlolr C0 TEST. CO. ADDRESS 753P D,._t ce cre'- 1z Tei, ADDRESS 6631 Mcl�' t. i� ,ley St.- LOCATION OF BUILDING No. Street 'dice Creel-, Tei, Part,.of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDIFG To be used as: RE !-'= 1-7= D np 'AG Front Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. _—_ Cu . Ft . Type of Construction __21 rec1C=nae Estimated Cost 0 To be Completed Dec- 152 1065 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 i'Tov• 2j, 1965 SIGNATURE Schedule of Fee Costs can be found on the Reverse Side). r AGREEMENT owner of the property located at IQ C C L C C ,-Fir KV , have no objection to the City allowing the construction of a C- to be located at 3 C&C- j� K' �(g'kr= without the required certificate of survey that the City ordinarily requires for all new construction. �� Signature Address Date W' ess 0 kr 0- SUBJECT MIT NO* City of Fridley iT. 14664 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. `L ______ COMMUNITY DEVELOPMENT DIV. r . PROTECTIVE INSPECTION SEC. f �� 1 � ` CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/2/78 JOB ADDRESS 389 Rice Creek Terrace 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 7 I Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rick Aune 389 Rice Creek Terrace Fridley, MN 55432 3 CONTRACTOR MAIL ADDRESS 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 7 CLASS OF WORK ❑ NEW IX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Deck 9 CHANGEOFUSEFROM TO STIPULATIONS M01A) 70�1A) ,A) c� m13 P -r %e s � � � � �- i � d � � e�%� e 1- 5 e- .5 l y'qj z a 13 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 I 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, IRx $600.00 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. _ Amu1 PLAN CHECK FEE TOTALFEE 18-00 SIGNATURE FCONTRTOR ORAUTH0 ED AGENT�a (DATE) WHEN PROP RLY VALIDAT D THIS IS YOUR PERMIT r BLDG INSP DATE SIGNATURE OF OWNER OF OWN RBUILDERI (DATE) C• kr 0- • CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEIZ14ITS (NEW, ALTERATIOPdS, ADDITIONS, OR REPAIRS) OWNER: BUILDER: Address: .3 if l Address: Tel. No.: No.: Street: j 1 � LOT: BLOCY.: ADDITIOP� COMER LOT: INSIDE IAT: 5e SETBACK: SIDEYARDS: Applicant attach to this form Ttico Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: - Height: �® Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Estimated Cost: $ ® o Type of Construction: 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 13uildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. • DATE: SIGNATUP.T. 0 Stipulations: Land Planning a75-Afi9hrvay *CS NE. Land Surveying min rs 2/, Soils ToMy Ai fo ENGINEERING, INC. Civr/ fr Alunicipo/ SUnsel4f066 £ngineerny Engineers 16 Surveyors ----� ev C'aY i�.iiate` ® Sry �V'�•-�.!'J`ff{L f v d-.. ^.�✓r res. .'�b �f . +may �.�� •.�� ♦ , .. `'. f i r' s C� eN / hereby cerliry lbaf Ibis rs a brae and corned rep-esenf,7 on ofa survey 4 ,*e bon ndories of the aba.e &wyhed land, and af'{f /� gtioq o�'al! trraldrn9s ,(hereon , and ol! risible mncrrmvcbmenfs , �f any , ffwn or ea surd land. As surveyed by me A.D. I9-L.' SUB URBAN ENGINEERING, INC. E�rneers E Sur-reyors CITY OF FRIDLEY 97-84-416051 APPLICATION FOR PLUMBING AND GAS FITTING PaMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE +� tt•.mber Fixtures x $3.00 v Future Fixture Opening x es $ Water x $2.00 0 $ Catch Basin x $5.00 H Yater ?seater - to 99,000 BTU m a $ ro a w $ Water Softener Heater $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater .a+ $5.00 $ g U a w � � a U � x •$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS 5 ALTERATIONS g n First $100.00 $5,00 $ a�! ars v a m c`� $ .50 TOTAL FEE a w 4 W $ 8-00_ U m a 3 8 U o as lec 1st r].1 2nd 3rd 4 th (P.) a Future Connection Opening Connected with Sewer (°) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL tt•.mber Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 0 $ Catch Basin x $5.00 $ Yater ?seater - to 99,000 BTU x $5.00 $ 100,000 B2"J to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x •$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS 5 ALTERATIONS First $100.00 $5,00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8-00_ REINSPECTION FEE r Job Address 389 Rice Cr Tern 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. _-5-31-78 , 19 OWNER ALINE KIND OF BUILDING — frame USED AS res TO BE COMPLETED ABOUT ESTIMATED COST 20.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. � CO Compan Signed B • Tel. No. MINNEGASCO ROUGS INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT ! MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.S0 pLUS $.SO STATE SUS CITY OF FRIDLEY 63-8b-416051 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT .mi mU m b r` a! NO. N 3 b'i t'[roi 04 c� V a� 3 w w m c O Water Heater s lec $ Beer Dispenser S 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve 1st $ 5.00 S Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 2nd Gas Dryer $ 10.00 g ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 18 of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ 3rd ($15.00) TOTAL FEE $1().5(,) 4th (R) c Future Connection Opening (*) - New Fixture, Old Opening Connected with Sewer 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 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 S Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 g ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 18 of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ ($15.00) TOTAL FEE $1().5(,) Errective Aug. 1, 1981 R4411111111M Job Address 389 Rice Creek Terrace 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. 11-23-81 . 19 OWNER KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 11-30-81 ESTIMATED COST 50.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company" x. L� Signed By R3iMP.' Tel. No. ROUGH INSP. Date FINAL INSP. i�4 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................ . Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR 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 HOT WATER SYSTEM RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8 Uo- -$--- Furnace $ - - _ 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 TOTAL 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 $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone SU44-7470 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, Alinn 7— l V _ 194g� Owner Kind of Building Used as I"To be completed about -- 3 Estimated Cost, $ _--- Old -16e. Buil Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER P1.A.NTS--Steam, Hot Water, Warm Air—No Trade N ame�� Size No Capacity. Sq. Ft. E.D.R 1-2-Z BTU H.P. Total Connected BURNER — Trade Kind of Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signe By;4 Al/ 4 Z 4M Business Phone No su6JEcr NO. City of Fridley IPERMIT �AT THE TOP OF THE TWINS BUILDING PERMIT(� 7PT NO. COMMUNITY DEVELOPMENT DIV.�� 1 L � PROTECTIVE INSPECTION SEC. r , NUMBER REV DATE PAGE OF APPROVED BY ' /'��1 CITY HALL FRIDLEY 55432 �.j 612-571-3450 910-F15 8/24/95 JOB ADDRESS 389 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 1 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James/Nancy Lambert 389 Rice Creek Terrace NE 571-2374 3 CONTRACTOR MAIL ADDRESS 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 X 6 DESCRIBE WORK Construct a 14' x 16' Screen Porch 9 CHANGE OF USE FROM TO STIPULATIONS Call Gopher One at 454-0002 before digging. See notations on plan. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1.86 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAN CHECFEE TOTAL FEE /--, j . $92.83 OF CONTRACTOR O UTHORIZED AGENT IDATEI EN PPOFARL ALI ATED THIS IS YOUR PERMIT 0 ;,GNATURE rA 3iGNATURE OF OWNER OF OWNER BUILDER) IDATEI VotINS DATE NEW [ ] Effective 8/1/95 ADDN [ ] CITY OF FRIDLEY ALTER (.] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 11' - Building Permit Application ;�' 4(° 61 Construction Address: 389 Rice Creek Terrace, Fridley, MN 55432 Legal Description: Lot 7, Block 1. Rice Creek Terrace Plat 3 Owner Name & Address: ,lames M and _Nancy A Lambert, same as above Tel. #_.57 Contractor: Homeowner, dames M Lambert _ MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # -571-2374 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: i le x 16' Screen Porch offback of the house S& Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Cedar Estimated Cost: $ 6m< 3 r) J l� Approx. Completion Date: October 1995 (Cost: on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Au g u.s t 16 , I9APPLICANT: Tel. # d , �V711007 LreI CV -f 3 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 82 "Ar 571-2374 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 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 [ ) CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 5.5432 572-3604 Effective On August 1, 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO SE INSTALLED ON EACH FLOOR Warr t3pith . Wash ' :::. I Floor Catch ; Auto, - Gasp'' Gas Wsc: °°! 1h0ater Hr ;: Stories Closet . Urinal Tub . � .. Sho mr Sink : Tray Fount:":;: Orcin Basin Washer is Ran Fixt . - y Ga. Eiec Basement' Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader SumplReceiving Tank Water Treating Appliance Water Heater —Electric Water Heater - Gas** Gas Range** Gas Dryer" Back Flow Preventer Required ( )Yes () No Type S7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10:00,_ $10.00 .$10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance 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. Owner Buildim Estirnatad Cost PERMIT NO, PLUMBING COMPANY A4 ln- 6 SIGNED BY TEL NO�._ ---- Approved By Rough—In Date Final [date State Sun:hatge $ .50 htlNiMQM FSE OR ANY PLUUWNGl TOTAL FEE S PLUS THE 1j.N STATE SUR GE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. sueJECT IT NO. City ®f Fraley 27167 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/13/98 108 ADDRESS 389 Rice Creek Terrace 1 LEGALLOT NO. BLOCK -- TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Lambert 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO All Quality Const 506 Polk St Anoka 55303 427-9582 4256 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 XE REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 32 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 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 2668 $1.33 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- ST UCTIO ORT E PERF RMA E F CONSTRUCTION. $74.75 Fire SC $2.66 PLAN CHECK FEE TOTALFEE 83.74 SIGNATURE -OF CONT RA OR AUTHORIZEDAGENT DATE$ EN PR P VALI BLAn INS - r THIS I$�GQUR, ERM 4ATE SIGNATURE OF OWNERoF OWNER BUILDER$ (DATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Contractor: z� Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 41 Effective 1/1/98 Ell Tel. # MN LICENSE # Tel. # •—� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Length Width Lena Width t1?onr r� Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. eJ/_ , / Flu s ' v ' ;), Construction Type. Estimated Cost: $� 3 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: -- PLICANT: Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ �� Fee Schedule on Reverse Side Fire Surcharge $ % (-, .001 of Permit Valuation (1/10th%) State Surcharge $ % .3 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S-,00 $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 $ 83.7 STIPULATIONS: PLUMBING permit No"' U Building Received By: Inspections RESIDENTIAL APPLICATION Dat d AR 3201 763-572-3604 CITY OF FRIDLEY YOUR EMAILAD.DrS DATE SITE ADDRESS THIS APPLICANT IS: ❑ OWNER WONTRACTOR PROPERTY NAME: STATE 1 Y OWNER/ ADDRESS: `1 TENANT PHONE: �Q CONTRACTOR NAME: I-3Is5-'9 3 c DATE 0 �–` �� STATE LICENSE # SUBMIT A COPY OF o;-� �� .�� °= °. # V ,,� CITY STAEXP STA TE ZIP YOUR STATE ADDRESS: � LICENSE WITH PHONE APPLICATION SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE PERMIT TYPE 0 NEW 03MPLACEMENT TYPE OF WORK: DETAILED DESCRIP'T'ION OF WORK 0.is for the PER MS 16B.665 the permit fee is a minimum of $15.00 or 5%f the tong talcost U so (Th�sshould reflect onigyr the c st of labor) improvement, installation or replacement of a residential fixture, under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X'05 TOTAL Labor cost (INDICATE FEES ARE BASED ON $10.00 PER FIXTURE. EXCEPT WHERE NOTED.R FOR PROJECTS WHERE LABOR EXCEEDS $500, PIPING WATER SOWN NUMBER OF EACH BELOW) FLOOR DRAINS _ SHOWER SINK/LAV — SWIMM NGPOOL GAS PIPING (ems crrrLjCFNS4 — —' R ($35) — BACKFLOW PREV. ($15) _BATH _BATHTUB — KITCHEN SINK WATER CLOSET CLOTHES WASHER -- LAUNDRY TRAY WATER HEATER ($35) —FOR IRRIGATION OTHER — DISHWASHER — WATER METER — __._._ 7771 Number of fixtures @ $10.00 x $10.00 =Permit Fee Number of fixtures @ $15.00 x $15.00= $Surchar a Number of fixtures @ $35.00 x $35.00 = $TOTAL DUE $ State Surcharge = $i� Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED that he information above is complete and accurate; that the work will be in I hereby apply for a building permit and I acknowledge Construction conformance with the ordinances and codes of the City of Fridley to start lwithouth the ta permit that the work will be in accordancethat cewithlthe not a permit but only an application for a permit and work is n approved plan in the case of all wor hich it eview and approval of plans. �— DWI,"NAM� Vy1nn. 6 DATE SIGNATURE OF APPLICANT City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604�� FAX: 763-502-4977 Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: .� 763-572-3604 CITY OF FRIDLEY Da d , % B' 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE a YOUR E-MAIL ADDRESS q , Ar, SITE ADDRESS N DAL rJety THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME:V�pa� V4 2 ADDRESS: 3y"1 4i,Ct= C Ld_- 1�y L CITY STATE"' ZIP `� $t- TENANT TENANT ,1n PHONE: nu, -- ----)1 t'- Li1'1 CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: CITY STATE ZIP APPLICATION PHONE � FAX PERNUT TYPE ❑ SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 11NEW [3REPLACEMENT �ALTERATION/REMODEL DETAELED DESCRIPTION OF WORKr- ice. G aCi"- FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE BEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK �;,� a �",� S SIZE/BTU40 Equipment Installed MFG: ({[�i^ 4+�-( vv� MODEL: f MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU AJC $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 AIR TO AIR EXCHANGEER $15 YFIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 _CHININEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM FEE $35.5(1 Total= $ J �✓ 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 fo a p and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of at rk c r review and approval of plans. `,� Q r � W 5 C t SIGNATURE OF APPLICANT PRINT NAME . u DATE \ 4 APPROVAL INSPECTORS SIGNATURE DATE PLEASE NOTE: SEPARATE P RE D FOR BUII,DING, ELECTE NVMECHANICAL WORK City of Fridley Building Inspections Department 6431 Universitv Avenue NE. Fridlev. MN 55432