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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMI N?( -4=821 Date: Owner: '....,�.: __�' Builder _..._......_...._ __ Address.... __..... ... :_.._.__..___-..._.._. _ __. Address ........ ... _ fi"y......:...::_.._.__...__._.__._._......._......._.._... d.. A �IOC 31ON OF �VILDING No. ...... t. ...... _ Street ._..� __..., !r'_. f° af! ......... Part of Lot Lot ......_ _.:..... Block ..... .........../ . ....... ............ ... Addition or Sub -Division ..: , . ... -.." .ter Corner Lot ........................__........ Inside Lot ... ......... Setback ; „ : ..... Sideyard 446-............. _............. _.......................... Sewer Elevation....._......._...._............._............._............................_............._........ Foundation Elevation DESCRIPTION OF BUILDING Toy iS�e Used a ' r :._ _..: � Front _ _. ._.. Depth ` Height .._.. Sq. k't. -;,� Cu. Ft. . ............ ........ - ............. ----- •----- Front ...... Depth ......... Height.................... _.. Sq. Ft....................... Cu. Ft. ..... _................. Type of Construction .---........ Est. Coit.. f ...,.1� To be Completed ---._ ............._............._......._....... y ,• YT r y��� r div"aV�'�' ` • W � ~ In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. @:........._.....__..... _... In ..:.._---_....., permit is hereby granted to. ..... _............................................. .._.. _..:._.._._....�.__._...._........n of the payment of a fee of $.�--/ .... ._...._........ 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 F0 'olatiorn "` any of the provisions of said 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 these items. 4 APPLICATION FOR BUILDING PEMUT CITY OF FRIDLEY, MINNESOTA Owners Name Builder, Address Address LOCATION OF BUILDING No. �K- J-e�Part of Lot 3 Lot , Block,:, 1 Addition or. Sub.Div. '� lle--=' Corner Lot,_ _ Inside Lot 2� SeSet Backs � ,Side -Yard / SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location.. DESCRIPTION OF BUILDING To be used as: FrontLi Depth Height / Sq. Ft. Cu, Ft, Front Depth Height Sq. Ft. Cu. Ft. Type of Construction '�Y&,C �"" 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 that all the facts and representa- tions stated in this application are true and orrect. DATE SIGNATURE Z7, (A Schedule of Fee costs can be found on the Reverse Side.) APPLICATION FOR BUILDING PERMIT CITY OF .FRIMEY, MINNESOTA OWNER'S NAME o� BUILDER ADDRESS � � � �-�° �'�� ADDRESS LOCATION OF BUILDING NO. 9 STREET < _MART 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 building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be completed The undersigned hereby makes application fora 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, P DATE ' SIGNATURE'e (Schedule of Fee Costs can be found on the Reverse Side). a City of Fridley, Minn. No 10267 BUILDING PERMIT Date: June 6, 1969 owner:. Kenneth Lohr Builder Same Address 711 Rice Creek Terrace address Same LOCATION OF BUILDING No. 711 Street _ Rice Creek Terrace part of Lot Lot — 14 Block 1 Addition or Sub -Division _ Brookuiew Terrace Mrd Addu . Corner Lot _ Inside Lot — x Setback —_ Sideyard Sewer Elevation ____ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front _ 30� Depth 24' Height 10' Sq. Ft. 720 Cu. Ft 7200 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost r $1500.00 -_To be Completed Surfaced Driveway is required....... 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 ail provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $--1-1- 2.0 , permit is hereby granted to Kenneth Lohr 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 anworkmen, in all work done in, around and upon said building, or any part ihereoiy 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 tune upon violation of any of the provisions of said ordinances. Clarence Belisle V Inspector NOTICE: 'fids permit does not cover the construction, installation for miring, plumbing, gas hoothM sewer or water. Be sure to we the Building inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME �to�ttiw�✓� BUILDER ADDRESS 7// it��_�n ADDRESS LOCATION OF BUILDING NO.2:// STREET LOT -/ ?d BLOCK / ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING 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 Ll Square feet % Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction Estimated Cost Z62e 61 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 C SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side.) ti A landPlanniny (4tt&t T-6uliL Land Sur 116ry Soihsksh;)y ENGINEERING'l INC' OVII &JUMIC/�O/ i Enyiieers Sur veyor5 3704lis slsslppisf NE Afmlwqlwfi.s 21, AfilWMI� Sllngf -,A;066 c; t,j 17i V I hereby clprj;,ry Ifiaf #71s rs a JrUe andandconlec' ,elvesenla�1c17 trke oboe &5Cr;,6eJ ;and, a&J ran, Ll. fre or -Y7 said la,7d. As -surveyed by mffi/ e s-- a�y m SU6UP.BAM LNGINEERIN6 WC fjy;ncers Ell sur reYor-1 4t" City of Fridley SUBJECT (7, ®14069 AT THE TOP OF THE TWINS P E R r BUILDING 10 RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � { "l CITY HALL FRIDLEY 55432 IL L---'A `�� NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/10/77 JOB ADDRESS 711 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 1 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Terry Merriman 711 ,Rice Creek Terrace N.E. 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 Q. ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 16' Deck onto dwelling 9 CHANGEQFUSEFROM TO STIPULATIONS VVARING before digging can local • utilive S£PEKAT£ . PERMITS. REQUIRED EJOR TELEPHONE-ELECTRIC.W Etc. HEATING, PLUMBING AND SIG M REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING., TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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. $550.00 $.50 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. PLAN CHECK FEE TOTALFEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT - SIGf:R BUILDER) (DATE) BLDG. INSP DATE CITY OF FRIDLEY. APPLICATION FOR RESIDENTIAL BUILDING PERMITS t, (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: BUILDER: 6/4167rc Address: 7// & %gA'y'e Address: Tel. No.. N0.: Z// A% LIE Street: P,eie "e<_(c % "exo'ee LOT: /�' BLOCK: �_ ADDITION: %e",,? CORNER LOT: INSIDE LOT: k SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: -zo/ Depth: /6 ' Height: /y" Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: 11�zyw &W 4ervuszU Estimated Cost: rz) To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: / 7 SIGNATURE: /� c Stipulations: 5) - LondPlannmy e 570 ASSISST WE rist LondSurveyi;7y M1171wpol& 21, Soils T esh;)y ENGINEERING, INC. civil b- Alu'?Iclpo/ Eapeermy Engineers Surveyors .—. certR*fl*cate of surve ) 2 7 pgc'le. I CZ t _ E_ V P 7- t CC) "D I hereby cerht'y 1W /h/s rs a Irve and carred re ,Pre5enlaf,6,7 Ora surrey e,*e 6,,ndrcr;es orme a6dre o6cf4ed land, and 1,,,6,,7 vrall bwldin93 ,thereon , and all ri5jble ma-mchmeds , many, f *n or va said land. As surveyed by Me lftis dad Al.? rn A.O. Ila. SUB UP BAN ENGINEERING , INC. Ln�ineers Surreors A r ZONJIG - NOTIFICATION OF IIM-T (Check one or both:) Family Foster Home Family Day Care. Home or Pnlltica.l Sub --Division) FRM:i11/oC-f County Welfare Department or eet Address) 7. City) jAzat SM 8Y: �ta•�� De APPSSCtii4*T: >6z.i,q�-)L-Q5 iuntary Agency �i o t. -tient Ip Street) %�'O�% 2 • J J— % FOSTER CAM Number of Natunal Children under 18 in Home: (Circle Number) 0 6)2 3 4 5 Number of Fo= Children included in License: (Circle Number) 0120456 7 RAY CAIG Number of Natural Preschool Children in home: (Circle Number) 0 1.2.3 4 Number of Day= Children included iii license:—(Circle Nuv ber) 0 1 2 3 4 5 DATE OF NOTIFICATIO14: susaEcr1T NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT('"" r 1 , O _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �•"' �'d 612-571-3450 910-F15 8/19/98 JOB ADDRESS 711 Rice Creek Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 1 lBrookview Terrace 3rd SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Schwartz694-3800 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. John Pederson Const, 897 Dund Ave NF q:pring T.,qkp Pk MN 99432 Un-2344 20100361 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 8 DESCRIBE WORK Reroof house and garage 26 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 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 $2168 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $Z4.75 Fire SC 2.16 PLAN CHECK FEE TOT FEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (OATEIT ENPRMOPVALIDAfHIS IS � 1R PERMIT J� SIGNATURE OF OWNER I IF OWNER BUILDER) IDATEI BLD INSP MATE AUG17-1996 14:20 FROM CIn* OF FRIrLF TO ADDN L CITY OF FRIDLE'Y ALTER " SINGLE FAMILY AND DUPLEXES R-1 AND R-2 off' EUiLDING PERMIT' APPLICATION ConstructionAiddress: 7859'79 P.01/02 httective 1t1198 Legal Description: _ Owner Dame & Address: ��-��,,5��� let. # 6gi�"i Contractor: ® x\ N LICENSE # aQX00_Q 1 Address: I ��a6nL L_c.`Q_ Vc o(_Tei. # 3ao- Q31AIA 4 � � Attach to this application, a Certificate of Survey of the Pot. with the proposed construction drawn on it to stele. DESCRIPTION OF IMPROVEMENT LIVLNG AREA: Length Width Height GARAGE A: Length Width height DECD AREA; Length Width Hit/Ground Sq. Ft. e Li Sq. Ft. Sq. ]Ft. OTHER. ��-`� � _ � �- Tou 6 Construction Type:tN AfA �' Estimated Cast: $ Y (Fee Schede a on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ $_ DATE; • I� "�� APPLICANT: Tel. # crrY ISE ONLY Permit Fee $-, -7 *17 Fire Surcbarge $ f(® State Surcharge $ �$ SAC Chane License $ SdO Surcharge Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/14th%) $.681$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "E" Above D I $430.00 Conservation Plan Review Fee Determined by Engineering #1 Agreement Necessary Not Necessary G SUBJECTIT NO. City of Fridley 30230 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE I I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 9/16/99 108 ADDRESS 711 Rice Creek Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 1 1 Brookview Terrace, 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Schwartz 571-1464 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sierra Homes Inc. 2735 196th Ave NE Cedar MN 55011 433-9098 5126 0 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 Ex ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel Bathroom B CHANGE OF USE FROM TO STIPULATIONS 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 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 4.800 $2.40 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 $111.25 Fire SC $4.80 PLAN CHECK FEE TOTALPE Licen a 5.00 $1 3.45 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATE. (DATE N7PPERLof g0 IS IS R PE / pAtE S.GNATURE OF OWNER.IF OWNER BU0.DERi iOATEI G NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 'f Construction Address: Legal Description: Owner Name & Address:Tel. # Contractor:] ,�Jl �1 flzn��ao ��C , MN LICENSE # Address: Tel. .# 4/ LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale: . Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Length Width Height Sq. Ft. Len Width H Ground S . Ft. i Driveway Curb Cut Width Needed: Estimated Cost: $ !yg''0-0 i Ft. + 6 Ft = Ft x $ A"'?'i S—/0 --I Seg DATE: APPLICANT: 1 I�(l S� P M),� Tel. # q 3 3 — Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ $ 41, ffo $ 'Q $ Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: S00 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 SQL -36U4 N'AN: (7b3)2571-1257 ADDRESS 711 RICE CREEK TER NE PIN 143024110054 LEGAL DESC BROOKVIEW TERRACE 3RD ADD LOT 14 BLOCK 1 PERMIT TYPE ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION � I PERMIT NO.: 2004-01813 l DATE ISSUED: 10/05/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER SCHWARTZ MARK J SR & CHRISTINE 711 RICE CREEK TER NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 118132 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On May 10, 1999 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS % /t- ire 0 re e- K Te riace- New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 The undersigned hereby makes application for a permit for the work herein $ 4.00 A OL-) specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 �y $ 7.00 1 $ 7.00 $10.00 Owner I i"Y1 — S! C�Y'r $ 7.00 r $10.00 Building Used As $10.00 $10.00 Estimated Cost PERMIT NO. � 2 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $moo _ SZ) PLUMBING COMPANY Alar t/1 S/a r&4226a } jD114 LhIl l SIGNED BYTEL N0. Approved By Rough -In Date Final Date • � � � � �% **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. M -. D Building PLUMBING Permit No.: 1 Received By:� Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY Date Rec'd: C) DATE � ' 6 � YOUR E-MAIL ADDRESS �►l` SITE ADDRESS f I Tie. ceelL " Ne -r -ax - THIS APPLICANT IS: El OWNER WONTRACTOR PROPERTY NAME: / vl .SC% W of m Mack OWNER/ ADDRESS: SCNfY1.Rt CITY An- lGU STATSMt4lP 6 W3 TENANT PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE 1 ai l% lv SUBMIT A COPY OF YOUR STATE W ADDRESS:- 36' ��) ��� �`� ,,t 1�� 'h���-gyp-CITY STATE - ZIP LICENSE WITH PHONE IS40 APPLICATION PERMIT TYPE _41SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW POREPLACEMENT DETAILED DESCRIPTION OF WORK In "AJ-Zr 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) BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR GAS PIPING (xEm crrrtrcEa �%) _ SWIMNIING POOL —WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER KITCHEN SINK_ WATER CLOSET _ BACKFLOW PREV. ($15) _T _ DISHWASHER _ LAUNDRY TRAY „WATER HEATER ($35) FOR IRRIGATION _ _ WATER METER —OTHER Permit Fee $ Number of fixtures @$10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x$35.00=$ 3S.00 TOTAL DUE $ State Surcharge = $ .50 Total = $ .So 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 andcodes f Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application fora rmit and work 1s of to start without a permit; that the work will be in accordance with the approved plan in the case o=or ch r ices review an approval of plans. , DATE �- %I// SIGNATURE OF APPLICANT PRINTNAME�� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Ab WEVIT Building MECHANICAL Permit No. -V01004%44, Inspections RESIDENTIAL APPLICATION : Received B' 763-572-3604 1 20 CITY OF FRIDLEY e 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE 1 YOUR E-MAIL ADDRESS SITE ADDRES THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: CITY STATIP C TENANT "' -' '` U PHONE: 1�-� CONTRACTOR COMPANY NAME: CONTACT PERSON: SUBMIT A COPY OF YOUR STATE STATE LICENSE # 2n �Pn EXP DATE _ LICENSE WITH ADDRESS:1 CITY I STATE MOIPSS` APPLICATION PHONE qLDJFAx PERMIT TYPE qINIGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK' ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (IINDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUA Jj� 2006_ASHRA BOOK L `( Equipment Installed MFG: MODEL: SS �--�JN� SIZE/BTU ' MFG: MODEL: SIZEBTU MFG: MODEL: SIZEIBTU A_A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 _DUCT x v. ,, ,�.} { •5 _e I _ 5 q \\ ,; a,d Y f. ?' 2ti.'L i 1 1 1 ' ? 6� d" .� s.� .c '� � -' +�"� � i�� � ✓ R� / i ray z `''SiiS 7 i� 5% •:'`�"' `t C� "6' _" f>a. @� \\ 0 ?•' _ $ -x C E«� EPA '@9%4 '{._, I'm `•t -±y, ? m S 1 o L '{'�,* Yc £. i 1 �. -5� _ - v P - �f E "5�:p h � z m %tom .., ¢ t #. •s -R Y z ; iia ,a. � z a:v �C � ��b �.. �c"� � t '� \ *j, s \� �"' �� ��c' ,.p •ti �:a'"fi l.' �. �. �✓ '—,-.—�_'�z i� ." �., M C3?"'u� '�3y\>�{,,. 'U/ }F '�Nr ii��yy;''�} A A '• � ei�. t �l -� �F i� i�" \ f � A si�`�"� i 1 ,•�„:��T •��4"ec� �'l'1` 'r` �y-yt �.� ; `�. �'F�.�,*.. ' �b � - '�'� �y �.�F D .E•T ^� rw�� �„ C1q� �'€3' 't^9 !� "k',.4 hh 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 ordin d codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an on ft a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the cas of rk w ' require r view and approval of plaps. ho (� SIGNATURE OF APPLIC PRINT NAME 0 APPROVAL INSPECTORS SIGNAL DATE ® \J City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977