Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PRE 2010 DOCS
City of Fridley, Minn. BUILDING PERMIT Date: .... !. 1....�...�. ......... owner ....................................... Address ..................................... Builder .a............ Address ............................................ LOCATION OF BUILDING No. ..�D.. ®. Street .�t? ..Y.. Part of Lot ............................ Lot .... ...... Block .... ........... Addition or a r �i Corner Lot ..- ........ Inside Lot ............ Setback -.0.> Sideyard ..f�� ::a 6 ............... DESCRIPTION OF BUILDING To be Used as: i y ,�^ �g -i ,/" Front 7.1. ®T.. Depth 24 :: � +s� Leight ./ : '? '. Sq. Ft. /Q . /. X Cu. Ft. 070 ®P[ �� .................... Front ........ Depth.. Height ......... Sq. Ft. ........ Cu. Ft. ........ C 90 Type of Construction ................ ... Not. J1' 6 j W. ... To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribe above, I agree to do the proposed work in accordance with the description above set forth in pH a with all provisions of ordinances of the city of Fridley. .. . ...................... /' � In consideration of the payment of a fee of $ J .� 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 this 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .. .... .y .... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for sgparate permits for these Items. V A City of Fridley, Minn. BUILDING PERMIT N? 5929 Date:` _ :.` :' .° Owner: ` ` . - Builder �.. . !�RAddress _ �. _ Address �. ._.._ L TI OF, UIL®1NIG No. �w Street f Lot Lot _ __.__ Block Addition or Sub-Divisio- Corner Lot _" Inside Lot _.._.,-_:._ Setback _ _ r'deyard Sewer Elevation _ _ _ _ Foundation Elevation DESCRIPTION OF BUILDING To as: ' g„' "DepthFront r Height r Sq. F't. Cu. Ft. ,;:._.� j { _ _ Front Depth geight Sq. Ft. _iW Cu. Ft. Type of Construction Est. C " �' To be Completed r' _. p _ 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. )k ; 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,ound and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, nesota regarding location, construction,, alteration, maintenance, :repair and moving of buildings rdin within a= the'city limits and this permit may be revoked at;any upon Yiol._ of any of the Provisions of said o 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 these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name &ZA Addressi i %� ,/� 1/ i_ Vii+ Builder+. LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SE14HR 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: P r r Front Depth Height Sq. Ft.Ft. Front Depth 7""Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost e -p To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). - P-9%.s� City ®f Fridley, Mfim N? 8257 BURDING PERMIT Date: July 23, 1965 Owner: ARTHUR PAYNE Builder WILLARD EGGAN COM T. INC. Address 620 Rice Creek Terrace AddressXIAXM 16725 Luther Way Fridley, Minnesota Eden Prairie, Minnesota LOCATION OF BUILDING No. 620 Street RICE CREEK TERRACE Part of Lot Lot _ Block Addition or Sub -Division . Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Home Front 41 Depth 25 Height 13 Sq. Ft. 1050 Cu. Ft.. Atte Front 24 Depth 22 Height 11 Sq. Ft. 528 Cu. Ft. Type of Construction Frame Est. Cost $18$000.00 _ To be Completed REBUID DUE TO STORM DAMAGE 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�comli compliance with aJl provisions of -, ordinances of the city of Fridley. . /, A/ In consideration of the payment of a fee of $ 10. 00 , permit is hereby granted to ARTHUR PAYNE to construct the building or addition as described above. This permit is granted upon S' express condition that the person to whom it is granted and his agents, employees and workmen, in aYi work. done in, around asci upon said building, or any part thereat; shall conform in all respects to the ordinances of Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings within the city limitta and permit may be revoked at any time upon violation of any of the provisions of said ortidinanoes. ALLEN G, JENSEN Building inspector NOTICE Uh peneh does not carat the conatm0w, hataMBen for ukk& pluml+mg, gas heating, sewer or water. Be soca to we 60 Building Inspector for aparata pen ft for thea aeon. APPLICATION FOR BUILDING PERM[T CITY OF J;RIDLEY, MINNESOTA OWNER'S NAMEi E ADDRESS LOCATION OF r r NA2 .c� NO,ET -1% J AuAf / OF r LOT BLOCK - ADDITION OR SUBDIVISION CORNER LOT PNSIDE LOT SETBACK -t SIDE YARD SEWER ELEVATION FOUNDATION ELEVATION �. p Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. _ .'tee-® '�`.✓� DESCRIPTION OF BUILDING• To be used as: Front Depth_.,7 J— Height c� Sq. Ft. /,0 Cu. Ft. Front _ 4 may° Depth Height Sq. Ft. ��""— Cu. Ft. Type of Construction ,gyp, _Estimated Cost OV 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., (Schedule of Fee Costs can be found on the Reverse Side). 01 SUBJECT P 1T NO. City of Fridley ® 18570 AT THE TOP OF THE TWINS BUILDING PERMIT _ r � CEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/34/86 JOB ADDRESS 620 Rice Creek. Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Allen Matthis 620 Rice Creek Terrace N.E. 377=7000 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Greco Construction Inc. 7070 Brooklyn Boulevard 560-6178 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 161 x 10= Addition 9 CHANGE OF USE FROM TO STIPULATIONS Wp, - digging pall local utilities . ELECTRIC - GAS Etc. ffidED S!Ep ATE PERMITS REQUIRED FOR � j ,�Y p,�,�f WILING, HEATJR�. PLUMBING AND SIGN 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 1 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 $7,100 $3.55 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 - $68.50 C R THE PERFORMAN E OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $17.13 $89.18 GNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY VALIDATED T IS IS YOUR PERMIT e J� YLDG )NSP OA SiGNATURE OF OWNER OF OWNER BUILDER) IDATEI 01 NEW [ ] ADDN. [ ALTER. [ ] Construction Address Legal Description Owner Name & Address: r-nntractor: (!Se_ City of Fridley FR -1 AND R-2 Building Permit Application I Address: 70 099 LIVING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length /6 Length f i DESCRIPTION OF IMPROVEMENT 4,15AI Effective 4/1/86 Tel. # 377- 7022-1 Tel. # Width /0 Height Sq. Ft. _��___ Width __ Height Sq. Ft. /G d Sq Ft. DECK AREA: Length Width Hgt noun OTHER: t �'f'� ' . R,' 10 6 /v L(q. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback ��' Estimated Cost: $ Type of Construction: e`1 Lf L6 Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation `� A Tel. # g DATE:71-Z APPLICANT: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ -V3 25$ of Building Permit Fee State Surcharge $sem $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ " 7 Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ e / ® e! STIPULATIONS: 50 Y � e. e SUBJECT 0. City of Fridley 2006 AT THE TOP OF THE TWINS BUILDING PERMIT RE • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. l A /'►'1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ►►►► •� 612-571-3450 910-F15 8/15/89 JOB ADDRESS 620 Rice Creek. Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 3 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Allan Matthys 620 Rice Creek Terrace N.E. 571-8883 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION IX ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Install windows 9 CHANGE OF USE FROM TO STIPULATIONS Every sleeping room shall have at least one window with a sill height of not more than 44" Wui ,the floor and shall provide not less`than'V sq, ft. of openable area with a rain. height of 24" and a min. width of 20". 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 $500 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $15.00 PL N CHECK FEE TOTAL FEE hi —1 a$15.50 SIGN ,+ OF CONT (DATE) — HEN PROPERLY AALIDF,THIS IS yOUR PERMIT/ BLDG )NSP SATE 'GNATU E F Of&aER [IF OWNE LDERi (DATE) NEW [ ] ADDN [ ] ALTER [ ] Construction Address: Owner Name & Address: R-1 AND I-2 Building Permit Application 1 Effective 5/1/88 mel. # S- W- UP Contractor: 'rel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed vorm xuation drawn on it to scale. H •'H �' - • • Y I71• � � I sem, �' n �.. ... �..►...LG Y r , Height Height Hg"/Gmund Sq. Ft. Sq. Ft. Sq. Ft. Corner Int [ ] Inside lot [ ] Ft. d Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ n Approx. C alpletion Date: Proposed Driveway Width If New DATE: AFPIMM: Permit Fee $_'i State Surcharge $ A SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ N e 510 S'I'IPUTATIC NS: Fee Schedule an Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B° Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] (Very sleeping room shall have at least one Vindow with a sill height of not more 1ren ,ode the floor arid shall provide not *$len 5.7 sq, It of -openabl• area with i O. height of 24" and a min. width of 20'4. F. CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION.AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 6*2-z6 RATE SCHEDULE -.The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL : specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00.• $ representations stated In this application are true and correct (Side Vent — Fill Out Back) Gas Piping (Needed with new furna e) $10.00 • `�` $ OWNER -A LA k) A-� Gar Ran $10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ ESTIMATED COST 2-C v' PERMIT NO. *Air Conditioning — All Sizes $ 20.00.: $ OF AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) DESCRIPTION FIJRACE 1% of Value of Appliance or Work $ No. of•Heating Units Circle One (Steam) (Hot Water) (Warm A)r) _Trad"ame Size No. Commercial/Industrial : BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel . Total Connected Load State Surcharge .50 Burner•Tmde Name Size No. • • � _ BTU' ' HP EDR TOTAL FEE�I.Sv HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION S %1,SG REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—In Date Final Date *Air Conditioners can not be placed In a side yard without FILL OUT BACK SID OR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE 01 SUBJECT PE City of Fridley 6775 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. top 1 � NUMBER REV DATE PAGE OF APPROVED BY � CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/22/98 JOB ADDRESS 620 Rice Creek Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 1 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Anderson 586-9641 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Westurn Cedar Supply 705 N Hwy 169 Plymouth MN 55441 541-0304 20014207 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 E REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (25 S 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2085 $1.04 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE F ANY OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTION OR PERFOR NCE OF CONSTRUCTION. $74.75 ire SC $2.08 - ' PLAN CHECK FEE License SC $5.00 TOTALFEE $82.87 ATURE OF CON RACTOR OR AUTHORIZED AGENT IDATEi WHEN PROPERVNALI DATED THIS IS YOUR PERMIT Z01,r Q `B G INSP 4AT SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI 01 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION r p ConstructionAddress: ktatlE, e4< Taa- Legal Description: Owner Name & Address: wsAwmuswj Tel. # 58(v - 9(*Af Contractor: W s5roaojC+.�-•o A4L �d � MN LICENSE # Address: -70'5 &AJ . ¢f -JY (iy¢ �� Y €� ✓ Tel. # 5-z(1 0;,'V Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF ]IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE -AREA: Length Width Height Sq. Ft. DECK AREA: Length_ Width Hgt/Ground Sq. Ft. OTHER: • / Z - 6 d Construction Type: Z' ® Estimated Cost: $0 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: ZZ APPLICANT: W IF -5M4-1 cte—,� Jv Pt.i Tel. # S`f ('0 3 d STIPULATIONS: CITY USE ONLY Permit Fee $ 2 /S Fee Schedule on Reverse Side 2 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: Inspections $ RESIDENTIAL APPLICATION Received By:.r 763-572-3604 65% of Building Permit Fce CITY OF FIUDLEY Date Reed: MA DATE -70 YOUR E-MAIL ADDRESS S ,�' .0005 x Permit Valuation Minimum $.50 THIS APPLICANT iS: 17 OWNER )NTRAC rOK PROPERTY OWNER/ NAME: '<< _._Q.105►�'1 TENANT �._.r..__..._ ADDRESS; '(�1�, CITY it d Ise -k STATJ4 II'gaa3Z� Curb Cut Escrow PHONE: " !!!5 &_Oi( 41 'i CONTRACTOR NAME 3Vv-,_. SUBMIT A COPY OF STATE LICENSE Ili 4-1% EXP DAl'r; 3 —3 t --C>7.__._. - YOUR STATE LICENSE ._......,.... Ire f ADDRESS. 4wi ....0,ITY ne STATRA/zIPSMI/ WITH APPLICATION PHONE I -='t y'— Zoo FAX PROPERTY TYPE 0 SINGI,R FAMiI,Y/NEW CONSTRUCTION SIZE Total Due 0 TWO FAMILY/NEW CONSTRUCTION STt?RIE. PERMIT TYPE 17 ADDir1ON d GARA(iE/SHED1N1:)OW$ 0 BASEMENT FINISH 0 ROOF O DRAIN TILE 0 DECK 13 SIDING 0 OTHER _ 0 SWIMMING POOL TYPE OF WORK: NEW 0 ADDITION MAINTENANCE MPAIR 13 REMODELING DESCRIBE WORK BL41NG DONE: 940 SIZE OF IMPROVEMENT NGTIi WIDTH HEI 'HTa 5 1 t. ROOFiNC . 0 USEONLY NUMBER OFSQUARi:S __ 0 HOUSE & UAKAUH BASEMENT REMODELING 0 NITACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE; _ 0 DETACHEL) GARAOF 2. Proposed floor plan PROK)SE13 RETORT: 3. List or structural members to be used SIDING 0 Vhr 1 y VOR NEW CONSTRUCTION INCLUDING DECKS, OSotiit 4 Aluminum G] Other L4PlIld?rlrS. & l'r1NC:HHS StlteMt'I': CI 'frim 1. Site Plan/Survey showing the existing structures 1 0 Fascia and ptoposod projccl. W�NDUyVS `� 2, Two sets of construction plebs IN EXISTING OPENINGS Yas ©No 012 POR NEW OPENIN(j.. -r)SCRlHE %Zi OF OPENING CHANGES & TYPH OF WINk)OW TO BE INSTALLED 1>14 ALL FEES ARE BASED ON N VA LOC:ATi(N OF WINDOWS 3. Energy Calculations INCLUDING THE COST OF LABOR AND MATERIALS: 1997 U.B.0 FEE SCHEDULE) Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fce Fire Surcharge $ , ' .001 times the total job valuation Surcharge S ,�' .0005 x Permit Valuation Minimum $.50 License Surcharge S , ( $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWC:C for determination) Curb Cut Escrow S 11+ 6 ft= ft x S21 = S Erosion Control $ $450 Conservation Plan Review Park Fee S Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $. Make checks payable to: City of Fridley _Attach Stipulations THiS iS AN APPLICA'170N FOR A PERMIT -NOT VALID UNTIL PROCESSED I lieruby apply for a building perwit 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 l understated this isnot a permit but only an application Pur a permit and work -is not to start without a permit; that the wotk will be in accordance with the approved plan in the case of all work w ' h requires r and a roval of plans. a SIGNATURE OF APPLICANTo PRINT NAM&n 'tJ t� t) f✓ DATE Ed Wb0V :0i 9002 90 'unr L8ZZ ZLS�9L : 'ON Xtid F,a l p l ad 30 6310: WOdd d1 i " —, "9 Building $ BUILDING See Back Page for Fee Schedule Permit No.: Inspections RESIDENTIAL APPLICATION Surcharge n Received ByQN 763-572-3604CITY (.0005) times the total job valuation — Minimum $.50 OF FRIDLEY $ Date Recd: DATE C7 / % /01 YOUR E-MAIL ADDRESS $ SITE ADDRESS D i G $5.00 (State Licensed Residential Contractors) THIS APPLICANT IS: ❑ OWNER 4QCONTRACTOR PROPERTY OWNER/ NAME: 'Yel . �ND61� Syl� $ TENANT ADDRESS: S4�"'1C CrrY—/'-` � STATw ILIP $ PHONE: $450 Conservation Plan Review CONTRACTOR NAME: 140 E4 At, 1J STATE LICENSE # BC EXP DATE Sewer Main Charge SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: ✓ CITY STATFi1/�LIP WITH APPLICATION PHONE763-5f - 010% FAX Make checks payable to: City of Fridley Attach Stipulations PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: S.' A-& 01 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2• Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, inyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF 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 So & & OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ ? (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ O .001 x Permit Valuation (1/10%) License Surcharge $ .00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ j �. Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all workwhic requires review d appn val of plans. SIGNATURE OF APPLICANT PRINT NAM DATE 1 D / l 7 /01� Building PLUMBING Permit No . Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat 763-502-4977 FAX EFFECTIVE 1-1-08 DATE Y YOUR E-MAIL ADDRESS SITE ADDRESS _a10 ��_ � %6- /L' 7�� THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY -° NAME: Iry A j L,� t= (z `J t ADDRESS: 6 A D R , c, & C?2 G A - it !� 2 CITY FIZ/ 9 C, E y STAVE --)ZIP OWNER/ PHONE: CONTRACTOR NAME: STATE LICENSE #_LLf,_q_5 f Ah EXP DATE /z/3' t o S SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # /4/(, 5 / / EXP DATE CERTIFICATE OF ADDRESS: .50 � i--' ✓ J A CITY Ali d u- 4 STATLrh,J ZIP_5'5 `°3'_ INSURANCE PHONE 7 b 3 S --7-J- 8 d' IkO FAX __7 �` 3 6 PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT 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 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. _ BATH SINKILAV _FLOOR DRAMS _ SHOWER _ WATER PIPING GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER SINK CLOSET _ BACKFLOW PREV. ($15) _ —KITCHEN —WATER 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 = $ TOTAL DUE $ 1-5, OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $_____,L0 (MINIMUM $15.50) (MINIMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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. % J SIGNA RE OF Ai'PLICANT PRINT NAME J,'g C o L 4� `U v DATE `3 / O APPROVED BY DATE \ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977