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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: ....._.. ..._'..."�°.'........_._.... - -_ ..__....._..._.. Owner: ___..._............. Address .01 ._ ..�.._.... .._._. �`�' ::._. Builder..... ............. ..........._.._.._.._......_.._------ ------------ _...___ -----._..._------ _-------- Address:....._....... .- -:.. .. .-...._ -----.._.._......_--------_..._......._-------- LOCA GN F, NG No......... Street....- _..._... _ _.....Part of Lot ....._.................._.._...._._._....._.... _..__------._. - ..._...._.... Block --------------Z.-----------.......... Addition or ... .---...... ..... .._� Lot ....._a-�^ CornerLot ........... ............__....-... Inside Lot .-----.----....... Setback ...___..._.:..........._........ Sideyard ....._.._....... .... ........ --------............ Sewer Elevation ..._ Foundation Elevation DESCRIPTION OF BUILDING To be Used ' � ----•r - Front • - Depth ...-..._ ... Height ..... .... ..... Sq. Ft. Cu. Ft � . 4A1 Front . , .- . Depth - ..-.. Height .... Sq. Ft.._ Cu. F`t ......: : Type Construction _ .............. 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 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 constructs 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 violation of any of the provisions of said ordinances. _r`"xtarit .._ Building Inspector (NOTICE: This permit does not cover the construction, installation for wiring g ,' plumbing,gas heatin , r re to see the Building Inspector for separate permits for these items. g CSR LAT - ION OF f PRIVATE LAND ('OVENAIWTS AND BUILDINU RESTRICTIONS.- �, APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Build Address _-_Address 4;2ul LOCATION OF BUILDING No. Street F,� �,1, lfNV +`T Pert of Lot Lot Block. ,� Addition or Sub.Div. Corner Lot Inside Lot--)( set Back Side -Yard_ i 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: Front 61 Depth r Height / % rfr Sq. t. 41- , Cu. Ft. fL._�____ 01 Front ? r Depth 2 Le Height Sq. Ft. _.._......_Cu. Ft. _... _ Type of Constructions a' 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 corrept. _ (A Schedule of Fee costs can be found on the Reverse Side.) 1 4, City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4.1 DESCRIPTION OF WORK Number, Kind and Location of Fixtures rn VVI RATE TOTAL Number Fixtures ...................... x $1.50 �Q Future Fixture Opening ................ 8,a Z New Fixture Old Opening .............. x 1.00 (9 gU' O 'l F N WATER HTR. GAS ELEG Base J $ -2 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ......... (........� x $1.50 Additional Fixtures ... ................. S $ 1st x 2.00 j 1 2nd _ 3rd _ 4th Future Connection Openings New Fixture, Old Openings Connected with Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 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) ...... x 2.00 $ -2 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 REPAIRS & ALTERATIONS --Refer to Code Description .., .........................................:...$ TOTAL FEE $ City of Fridley: The undersigned hereby .makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all `the facts and representations stated in this application are true and correct. Fridley, Minn �- — �� 1916 -6 - Owner Kind of Building (/ Used as To be completed about Estimated Cost, $ Old—New. Building Permit No 4z7Permit No. ate. Signe By a t T Tao Business Phone Nd� �y.T J VIA 1-1952 ROUGH.- OUGH FINAL— FINAL .01�42 2M 7-59 Application for Power Plants and Healing. Cooling. Venfliation..Reirigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 3U_ 4-7470 w 12 1 �- 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 $ each add. 60,000 BTU ....:a ........ .......... 2.00 $ _ Replacement of Furnace %.00 $ Repairs & Alterations—up to $500.00 .... ............ 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.56 $ STEAM or Hn'r wSYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ y 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 $ r AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH- OUGH FINAL- FINAL See See Fee Schedule 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,, Owner a Kind of Building Used as To be completed about Estimated Cost, $ Old—New.. Building Permit No. Permit DESCRIPTION OF WORK HEATING or PQWWER PLANTS—Stearn, Hot Water, Warm Air—No 19 ('0'/- Estimated '0'/" Trade Name Size No. (:I! i, W CapaciSq. Ft. EM.R `i® BTU�c 11,1 � Qj2 H.P. Total Connected Loa a tiKind of Fue BURNER — Trade Name �Al 4=4-,d Size No- ,ZJe ab . Capacity___,�,4 Sq. Ft. E.D.R- _Z0BT[J dQ o H.P. TOTAL FEE $ o T ,0 (REMARKS—OVER) Sign BY -1-1 az 2M 7_59 Business Phone No, a2 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS IFRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Yes Doors Yes— Reference 19��',Y Out. Wall I Int. Wall Ceiling Roof Floor Kind How Appli Infiltration at , �:� �.--A Room j Lengt Width He' ht Fl, d Room Length ' Width . Windows ael' Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. tt. Windows and Doors—Crackage and Area I t Width Height No. of Lineal ft. Area No. of ane at pane 11ghts of cra s ftft. Width Height No. of Lineal ft. Area No. of pane of pane llg is of crack sq. tt. _ Coef. Btu I Coef. Infiltration '+',' 0 Glass Exp. wall Net exp. wall Int. wall Ceiling Not q "Floor Total Btu. ' Required sq. ft. E.D.R. or sq. ins. W.A. Leader,area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area 14 -w - Width Height No. of Lineal It, Area No. of ane of pane lights of c_tack eq. tt. Arm ,+ Coef. Infiltration Glass Net exp. wall - Int. wall Ceiling i� Glass Exp. wall Net exp. wall Int. wall Ceiling h Floor Total Btu. Windows and Doors—Crackage and Area Cho If Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Total Btu. I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Coef. Btu Infiltration Glass Height Exp. wall Net exp. wall FLJ Room I Length Width eight Int. wall Ceiling Floor 1 otal btu. Total Btu. I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Requi ed sq. ft. E.D.R. or sq. ins. W.A. leader area F1. Room I Length Width1-6 Height FLJ Room I Length Width eight Windows and Doors—Crackage and Area a Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llg is of crack sq. tt. Width Height No. of Lineal ft. Area No. of pane of paa lights o[ a sq. f Ir Chef. Btu C�ef. Btu Glass Exp. wall Net exp. wall Int. wall Ceiling _Floor _Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. leader area 9 Infiltration _ -, _ Glass _ Exp, wall Net exp. wall Int. wall J. Ceiling Floor _ Total Btu. i Required sq. ft. Jr p' R., or sq. ins. W.A. Leader area AME- HTG. CONTR . [ADDRESS COEF.1 i R "=k DATE NAME JOB [ADDRESS- LhJ INFILTRATION FL. 3 ,� m t ROOM LENGTH WIDTH HEIGHT " FL. `= . ROOM LENGTH W I DTH 4 ' g ,,,-.,HE I GHT WINDOWS AND DOORS-CRACKAGE AND AREA N0. WIDTH HEIGHT No. OF LINEAL FT AREA LIGHTS OF CRACK SQ. FT 13 17 bv _ EXP. WALL NET EXP. WALL CEILING,. WINDOWS AND DOORS-CRACKAGE AND AREA " * N0 N0. OF LINEAL FT. AREA . WIDTH HEIGHT LIGHTS OF CRACK SO. FT NET EXP. WALL CEILING COEF. BTU FLOOR * COEF BTU INFILTRATION d; P INFILTRATION GLASS tG,o Gw GLASS111r, EXP. WALL " I , EXP. WALL4 : NET EXP. WALL IENGTH WIDTH HEIGHT WINDOWS AND DOORS-CRACKAGE AND AREA - NET EXP. WALL WINDOWS AND NO. WIDTH ° NO. OF LINEAL FT. AREA N0. WIDTH HEIGHT LIGHTS OF CRACK SO. FT. CG CEILING CEILING COEF� BTU. �e. •,ra INFILTRATION g INFILTRATION GLASS FL R R TOTAL BTU. r.�.' TOTAL BTU. FL. s ROOM LENGTH,I'VIDTH jY HEIGHT FL. I ROOM LENGTH WIDTH WINDOWS -AND DOORS.CRACKAGE AND AREA WINDOWS AND DOORS•CRACKAGE AND AREA NO. OF, LINEAL FT. AREA NO. OF LINEALrFT. AREA N0. WIDTH HEIGHT LIGHTS OF CRACK SQ. FT. N0. WIDTH HEIGHT LIGHTS OF CRACK SO. FT. I''"b _.a4,: � -' HEIGHT COEF.1 BTU"�,,--.�� COEF. BTU. INFILTRATION j� U� INFILTRATIONS GLASS ;�r�" F 4 ' g GLASS EXP. WALL NET EXP. WALL CEILING,. * EXP. WALL NET EXP. WALL CEILING FLOOR * FLOOR TOTAL BTU. TOTAL BTU. FL j '` .' ROOM LENGTH,,,. " W I DTH ;SHE I G 1T { ¢ FL. ROOM IENGTH WIDTH HEIGHT WINDOWS AND DOORS-CRACKAGE AND AREA - WINDOWS AND NO. WIDTH DOORS-CRACKAGE AND AREA NO. OF LINEAL FT. AREA. HEIGHT LIGHTS OF CRACK SQ.FT. NO. OF LINEAL FT. AREA N0. WIDTH HEIGHT LIGHTS OF CRACK SO. FT. COEF� BTU. COEF. BTU. INFILTRATION g INFILTRATION GLASS 0 L) GLASS EXP. WALL .;: �.1 -' a " EXP. WALL NET EXP. WALL 4 --' NET EXP. WALL CEILING ("a CEILING FLOOR= FLOOR TOTAL BTU. �E. 4> ; r TOTAL BTU. TOTAL BTU. HEAT LOSS HEATING UNIT TOTAL E.D.R._.STEAM TOTAL SQ. FT. H.W. NAME H T G. C 0 N T R [ADDRESS w, FL. I ROOM LENGTH 0 WIDTH HEIGHT7/f?. WI D WS AND DOORS-CRACKAGE AND AREA 1 4 NO. WIDTH HEIGHT N0. OF LINEAL FT AREA LIGHTSOF CRACK SQ. FT 6. BTU INFILTRATION fora 0. ,GLASS 41-0 EXP.. WALL WINDOWS AND DOORS-CRACKAGE ANDREA .tiaaiYW NET EXP. WALL, R `. :J V a CEILING HEIGHT NO. OF, LINEAL FT. AREA LIGHTS OF CRACK SO. FT. #-- FLOOR. Z, m ROOM LENGTH Z WIDTH TOTAL BTU. fora 0. FL- ROOM LENGTH WIDTH EIGHT WINDOWS AND DOORS-CRACKAGE ANDREA .tiaaiYW FLOORov R `. :J V a NO. WIDTH NO. HEIGHT NO. OF, LINEAL FT. AREA LIGHTS OF CRACK SO. FT. #-- 4 FL. Z, m ROOM LENGTH Z WIDTH HEI GHT WINDOWS AND DOORS-CRACKAGE AND AREA r� N0.WIDTH HEIGHT N0. OF LINEAL FT. AREA LIGHTS OF CRACK SQ. FT. COEF. BTU. INFILTRATION oft) LENGTH GLASS BTU. WINDOWS AND DOORS-CRACKAGE AND AREA a Q EXP. WALL fora NET EXP. WALL CEILING .tiaaiYW FLOORov R `. :J V a TOTAL BTU. #-- 4 FL. Z, m ROOM LENGTH Z WIDTH HEI GHT WINDOWS AND DOORS-CRACKAGE AND AREA r� N0.WIDTH HEIGHT N0. OF LINEAL FT. AREA LIGHTS OF CRACK SQ. FT. FL. ROOM LENGTH COEF� BTU. DATE NAME JOB [ADDRES41 FL. ROOM `LENGT WIDTH HEIGHT' WINDOWS AND OORS-CRACKAGE AND AREA NO. WIDTH HEIGHT, NO. OF LINEAL FT. AREA LIGHTS OF CRACK SO., FT. a] cbEF.1 BTU INFILTRATION fora GLASS EXP. WALL NET EXP. WALL V a CEILING #-- FLOOR TOTAL BTU. FL. ROOM LENGTH WIDTH WINDOWS AND DOORS-CRACKAGE AND AREA NO. WIDTH HEIGHT NO. OF LINEAL FT. LIGHTS OF CRACK AREA SQ. FT. INFILTRATION GLASS EXP. WALL NET EXP. WALL CEILING FLOOR TOTAL BTU. FL. ROOM LENGTH WIDTH WINDOWS AND DOORS-CRACKAGE AND AREA NO. WIDTH HEIGHT NO. OF LINEAL FT. AREA LIGHTS OF CRACK SQ.FT. HEIGHT COEF. BTU. HEIGHT COEF. INFILTRATION INFILTRATION GLASSIry i4fc-0 GLASS EXP. WALT EXP. WALL " NET EXP. WALL `°-� NET EXP. WALL CEILING CEILING FLOOR FLOOR TOTAL BTU. TOTAL BTU. TOTAL BTU. HEAT LOSS TOTAL E.D.R. STEAM TOTAL SQ. FT. H.W. HEATING UNIT THE CITY OF R SUBJECT DIRECTORATE OF 3 Tree Trimming A E N s +gt ,µ ACTIONI INFO. We received a phone call from Mrs. Karen Bakke, 59 Rice Creek Way, re the City's trimming of a boulevard tree. During the recent weeks, the Public Works Department has been engaged in trimming boulevard trees and completing the removal of debris and dead branches as a result of last fall's storm® Whenever we trim a tree, it is essential to balance the tree so it has an equal distribution of weight and can withstand the wind pressures placed upon it, Accordingly, some good branches must be removed when damaged or dead branches are cut. Also, in the process of trimming, we attempt to improve `the tree to obtain the best ball on the top. Many people are of- fended when a healthy branch is cut from a boulevard tree® They do not understand that if this branch was not removed, a future storm could cause the entire tree to be blown and damaged. There are some questions regarding the City's requirement regarding painting of the wounds -of a cut branch. There is no statistical information that indicates there is less damage to a tree by painting a cut or leaving it alone; therefore, because of time and economics, we do not paint cuts or wounds on a tree. Our experience factor supports this decision. I explained the above to Mrs. Bakke on Monday, February 23, 1981. Her con- cern was based on the fact that she was not notified of the City's work, and she did not understand what we were doing and was distressed to see sap coming out of the tree cuts. After our discussion, she understood our proce- dures and rationale and felt comfortable with what we had done. In the future, we will summarize our tree cutting procedures in the Fall Newsletter as a means of advising the City residents of what and why we are trimming boulevard trees. JGF:ik SUBS & City of Fridley 29800 AT THE TOP OF THE TWINS BUILDING PERMIT r i RECEIPT NO. � `� COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMQER REV DATE PAGE OF APPROVED By I I CITY HALL FRIDLEY 55432 �---'� %'' 612-571-3450 910-F15 6/30/99 JOB ADDRESS 59 Rice Creek Way 1 LEGAL LOT NO.BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10A & 106 A'1 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Herman Bakke 574-7465 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems Inc. 3770 Dunlap Ave N Arden Hills 55112 717-0700 20093688 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 O ADDITION Q ALTERATION ®X REPAIR ❑ MOVE O REMOVE 6 DESCRIBE WORK Reroof house and garage 34 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Permit Inspection Cvsis Will Be Mailed To Homeowner To Pest 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 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 1 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 $2872 $1.49 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION G PLAN CHECK FEE T AL FEE 36 Lice C $5. 92.71 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT VAL ED THIS IS UR PERMI ffWIHPP'LY I � &GNA TORE OF OW NEQ di OWNER BUILDER, tDATE1 OG SNS riATE NEW - [ ] Effective 1/1/9 ADDN [ ] ; 5 ;..a CITY OF.FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: t) Legal Description: Owner Name & Address: �Ae 1 Cl 2n K Ke ti9 Rica a Tel. # '� Ll - -1 4 [,c� Contractor. �� 2n rd � �ir , f r)C - MN LICENSE #QOD9 Nc:)X1R Address -2n--70 be fll AUS.. K . ArcIfn hl o I.l f5S r 1 a Tel. # U ` � i n - ®a n 0 - LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach 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 Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type:" -C' -e - (( Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: LP I I Q APPLICANT: e ig 9-mk(---- Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control P 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 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary. [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: i ,f CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 t AX: ADDRESS : 59 RICE CREEK WAY NE PIN : 153024140001 LEGAL DESC : EDGEWATER GARDENS : LOT 10 BLOCK 1 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION # INSPECTIONS 1 APPLICANT JNK ELECTRIC INC 321 QUINCY ST NE MINNEAPOLIS, MN 55413-2313 (612)378-1403 MOHAMED, AMRO 59 RICE CREEK WAY 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 wort 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 571-1"287 PERMIT NO.: 2004-00565 DATE ISSUED: 04/22/2004 ' ELEC PERMIT FEE - MIN (RESI) 30.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 30.50 PAID WITH CHECK # 16969 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Receipt # /'/7/ Fee: $ o(O—o2— CITY OF FRIDLEY �% LAND ALTERATION PERART APPLICANT 14 T I F O5.S ( Tel. # (70) 15-72,--z-o- 2 - Address Sq R %' Ce CY-C4- kf-�A e, i Effective November 3, 2000 NAME r��r 9` '?,00 S S; t Address NAME . Address Lot PROPERTY OWNERS d Tel.# d Tel. # LEGAL DESCRIPTION OF PROPERTY Block Addition Address: OVO, rj ZOO DESCRIPTION OF LAND ALTERATION �y Z,' Z�e►� ,, Value of Work: $ 1,600 --Starting Date: Completion Date: Source and Composition of Fill: ; 0 015A)"60 . ,0 Cy PURPOSE OF LAND ALTERATION ;O - ATTACHMENTS TO APPLICATION The following plans, drawings, calculations, bonds and/or statements may be required by the Public Works Department: [ J Half -section map or sketch of property showing all adjacent property indicating the existing buildings and/or structures. [ ] Grading plan showing existing and proposed finished contours and evaluations. [ ] Drainage plan showing existing and proposed drainage structures, stabilization walls, retaining walls, cribbing, dams, or other protective items. [ ] Calculations for and approximate quantities of excavation and/or fill required. [ ] Signed statement from the property owner accepting responsibility for the operation and granting permission for land alteration/mining operation. [ ] Statement to be attached to deed advising of potential need for soil tests prior to any construction on lots where additional fill material has been placed. [ ] Rice Creek Watershed District Approval. [ ] Soil Borings [ ] Other STIPULATIONS READ BEFORE SIGNING APPLICATION 1. A surety bond or certified check in the amount of $ 1 (5% of value of work to be completed) must be submitted after approval of application and prior to aAy work commencing. This bond or check is to ensure satisfactory performance and compliance with the below stated stipulations. The surety bond or check shall be kept active until the completion of work and/or expiration of permit and can only be released by written notification of the City after a satisfactory final inspection has been performed by the City. 2. All access and street frontage of the land alteration site must be controlled by a fence, a minimum of four (4) feet in height. All entrances must have gates that are capable of being locked. 3. Only rock, sand, gravel, dirt, or similar natural earth fill is permitted. No concrete, asphalt, or demolition wastes will be permitted as fill unless a demolition landfill permit is first obtained from Anoka County. 4. Operations shall be limited to daylight hours and shall not interfere with the health and safety of surrounding residents and the premises shall be maintained at all times so as not to create a nuisance. . - . Stipulations Continued 5. Any explosives used must be done so in accordance with Chapter 212, subsections 212.07.5A, .5B, .5C, .5D, and .5F. of the Fridley City Code and any other applicable standards, e.g. Federal, State, Industrial, etc. 6. At the end of each season's operations and no later than the last day of December each year, the site is to be left in a neat and orderly condition, with maximum slopes of 2:1 with no overhang or vertical banks and with a level bottom. 7. On the Friday of each work week, or when required by the City, material from this operation that is found to exist on City streets shall be cleaned to the City's satisfaction by the applicant. 8. Upon completion of land alteration operations, the land must be left according to the plans and contours submitted with this application and planted with suitable vegetation to prevent erosion. 9. Upon completion of land alteration operations or expiration of this permit, an inspection will be made by the City of the premises and adjoining streets. Any damage found to have been caused by these operations will be corrected by the applicant upon notification by the City. Applicant's Signature "I EZ-Z�� Property Owner's Signature Property Owner's Signature Date: Date: , " /& Date: FOR CITY USE ONLY Recommended for A pr val By: ! Date:'5—/,25/-- D ,�, Approved By: Ir Date: PERAHT EXPIRATION DATE: F Z 2®O(o DNP, Oz .-A.a . LAND ALTERATION PLAN -CHECKING FEES 50 Cubic Yards or Less ....................................................... No Fee 51 to 100 Cubic Yards ....................................................... $ 23.50 101 to 1,000 Cubic Yards ..................................................... $ 35.00 1,001 to 10,000 Cubic Yards .................................................. $ 49.25 10,001 to 100,000 Cubic Yards ................................................. $ 49.25 for the first 10,000 cubic yards plus $24.50 for each additional 10,000 Cubic Yards or fraction thereof. 100,001 to 200,000 Cubic Yards ............................................... $269.75 for the first 100,000 cubic yards plus $13.25 for each additional 10,000 cubic yards or fraction thereof. 200,001 Cubic Yards or More .................................................. $402.25 for the first 200,000 cubic yards plus $7.25 for each additional 10,000 cubic yards or fraction thereof. LAND ALTERATION GRADING PERNIIT FEES 50 Cubic Yards or Less.....................................................r. . $ 40.00 51 to 100 Cubic Yards ........................................................ . 0 101 to 1,000 Cubic Yards ..................................................... $ 47.50 for the first 100 cubic yards plus $10.50 for each additional 100 cubic yards or fraction thereof. 1,001 to 10,000 Cubic Yards ................................................... $167.00 for the first 1,000 cubic yards plus $9.00 for each additional 1,000 cubic yards or fraction thereof. 10,001 to 100,000 Cubic Yards ................................................. $273.00 for the first 10,000 cubic yards plus $40.50 for each additional 10,000 Cubic Yards or fraction thereof. 100,001 Cubic Yards or more .................................................. $662.50 for the first 100,000 cubic yards plus $22.50 for each additional 10,000 cubic yards or fraction thereof. Building BUILDING Permit No &13 tq Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 Ci�'� CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX EFFECTIVE 8-19-09 DATE q—Q —0!9 YOUR E-MAIL ADDRESS dx!n-® cl an d[ C _ 17021e, a��:Ja-rte SITE ADDRESS t4_Q°wg-,V, LAJfgV THIS APPLICANT IS: ❑ OWNER [CONTRACTOR PROPERTY OWNER/ NAME: llee-4 -) TENANT ADDRESS: ai Loza!d CITY �` cSV Fen STAT$ ZIP PHONE: 61 I !R -1 W)�!i CONTRACTOR NAME: 0e=4 W�d' Lie - SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE #._ n t �'. EXP DATE AND CERTIFICATE OF ADDRESS: Li4&5�/5 ` � °' X) . CITy2kxia�STATE AI INSURANCE PHONE (Q C5 FAX PROPERTY TYPE AP SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES .J i.Qcr PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH EI ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR I& REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES 1@ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: IDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim L. Site Plan/Survey showing the existing structures 13 Other 13 Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes []No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SI 997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee$ 1,`U5 - See Back Page for Fee Schedule Plan Review $ 1 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ P Agreement necessary ( ) Non Necessary ( ) Total Due $) Make checks uavable to: Citv of Fridlev 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 on site; that the work will be in accordance with the approved plan in the case I which requires review and approval of plans. llans. SIGNATURE OF APPLICA R PRINT NAME 6 jj 16 S DATE C( " 4( -0 Building MECHANICAL Permit NO.. - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY Dat9 A 763-502-4977 FAX EFFECTIVE 2-19-W DATE IkIYO JV YOUR E-MAIL ADDRESS 44iA PP SITE ADDRESS '' C r C r, - P P %., ep THIS APPLICANT IS: `OWNER OCONTRACTOR PROPERTY NAME: ► t e ONVNE ADDRESS: Z K, V (w ?�I� e ®�' % CITY Y', C`° P� STATE A/WZIP� TENANT PHONE: %� 71 2 -`?e - `?eCONTRACTOR CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: CITY STATE ZIP APPLICATION PHONE FAX PERMIT TYPE SINGLE FAMILY O TWO FAMILY O TOWNHOUSE TYPE OF WORK: O NEW XREPLACEMENT j9ALTERATIONAtEMODEL / DETAILED DESCRIPTION OF WORK zgeA cf �^ ®�o ca° �'®°^ Q�✓d �(O T/7 N �i q FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES:(INDICATE TOTAL NUMBER OF EACH BELOW_) NuipmM Installed MFG: `X }�P /' P MODEL: ilsl i Q SWEMTU MFG: 49 MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU AIC $25.00 Z7=LACE (GAS) $15.00 _ZGAS RANGE(OVEN $10.00 AIR TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _FIltEPLACE BOILER $35.00 1 FURNACE $35.00 %GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 XGAS DRYER $10.00 HEATER $35.00 _POOL DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Number of fixtures @ $10.00 5x$10.00=$ Number of fixtures @ $15.00 x $15.00 = $ ° Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.04= $ 5!:5 State Surcharge.50��.� FEE $35.50) 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 til-- 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 ork which requires review and approval of plans. approved plan in the case ofun, SIGNATURE OF APPLICANT PRINT NAME N L DATE PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUR DINELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 9 Building Inspections 763-572-3604 763-5024977 FAX PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFECTIVE 2-19-09 Permit No.: Received By: DATE �/ 3 / �% YOUR E-MAIL ADDRESS K 97`I 10` ( SITE ADDRESS �S 37i'G . C P ✓i< JAIG jll� THIS APPLICANT IS: JrOWNER OCONTRACTOR PROPERTY NAME: (' OWNER/ ADDRESS: Z f e � P V- -1 CITY STATE2�Wff TENANT PHONE: 7077 57-7 � 74 A CONTRACTOR NAME: _ WATERCLOSET SUBMIT A COPY OF L DISHWASHER / LAUNDRY TRAY YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY 13 TOWNHOUSE TYPE OF WORK: MINEW 14 REPLACEMENT DETAILED DESCRIPTION OF WORKfe f a &( P V- ! CIWt �/i•�®®Q+�t 1 , P " FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. 9 BATH SINK/LAV DRAINS /SHOWER WATER PIPING BATHTUB _FLOOR / GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($35) -L LCLOTHES WASHERKITCHEN SINK _ WATERCLOSET _ BACKFLOW PREV. ($15) L DISHWASHER / LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER _ OTHER 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 pian in the c#se of all work which requires review and approval of plans. SIGNATURE OF APPLICANT City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 554322 763-572-3604 FAX: 763-502-4977 " AIVIrAl _ Wn7Mt Building BUILDING Permit No.:'-', Inspections RESEDENTLAL APPLICATION Received By: 763-572-3604 CITY OF FR DLEY n 763-502-4977 FAX $ _ > .0005 x Permit Valuation Minimum $.50 EFFECTIVE 1.1-0�9y `, $ DATE /0'- � " 0 � �i YOUR E-MAIL ADDRESS t, :V.\ $, I tc oVnESC;tnat SITE ADDRESS S� 12 l °.ems;$" $ ft + 6 ft = ft x $21 = $ Erosion Control $ THIS APPLICANT IS: 0 OWNER OwNTRACTOR $ PROPERTY OWNER/ NAME: Jkln 1&ia2--4u i4 m oct --- TENANT ADDRESS:�jee awe Q ice. CITY '�itIIwai STATE LIP Make checks payable to: City of Fridley Attac PHONE: �ja. - el 101 THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED CONTRACTOR NAME:Z�rx:ra icn L tar l Y® - z (° STATE LICENSE # aCAA"Qa EXP DATE r r1 Cjr SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: 6q6tsd 4., CITY i'2 i STATOk Z - INSURANCE PHONE - V FAX `/13- 1< 1 ' I . PROPERTY TYPE PtSINGLE FAMILY/NEW CONSTRUCTION SIZE 0 TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE O ADDITION 0 GARAGEISHED M WINDOWS 0 BASEMENT FINISH 0 ROOF 0 DRAIN TILE O DECK O SIDING Q(OTHER 0 SWIMMING POOL TYPE OF WORK: O NEW HOME CONSTRUCTION 0 ADDITION O MAINTENANCE/REPAIR X REMODELING DESCRIBE WORK BEING DONE:r "U- r e-110de- t JyL *es oil, 0- ize-o k[''N -CLLC ugg,%-, SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING 0 HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 0 HOUSE & GARAGE 1 Existing Floor Plan GARAGES 0 ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. List of sftctural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMrL 0 Vinyl OSoffit 1. Site Plan/Survey showing the existing structures 0 Aluminum 0 Trim and sed project. J 0 Other O Fascia 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS 'oYes ONo LOCATION OF WINDOWS C--A%x-c "mj5<,., 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUNBEROFWDMWS19 ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: I � (USING TMJ 97 U.B.C.,FEE SCHEDULE) Permit Fee See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge °` j $ .001 times the total job valuation Surcharge-, $ _ > .0005 x Permit Valuation Minimum $.50 License Surcharge `, $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ _ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attac 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 on site; that the work will be in accordance with the approved plan in the case o k whiehwquires review and approval of plans. SIGNATURE OF APPLICANT �.:�� .' PRINT NAMES� ` -��y DATE I '"