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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. N? 2 Q 21 Date / �• • •�• OwnerBuilder ........................................... 7.... �I�� .. Address Address 14. LOCATION OF BUILDING No. 443......... Street �...... ......... Part of Lot ....................... Lot .... ,,3........ Block ...... ....... Addition or Sub -Division.. ........ . Corner Lot ............ Inside Lot .. ...... Setback Sideyard AP. 144.............. DESCRIPTION OF BUILDING To be Used as: r r E .... Front #V... Depth �`� ... Height . .... ....... Front .PU ... Depth ;2,1e -..Height; Type of Constructior�j�... Est. Co� ....... . Sq. Ftf..,f.. Cu. Ft. ..... Sq. Ft......... Cu. Ft......... To be Completed 4/6.' Ve&.=_ . 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 village of Fridley. In consideration of the payment of a fee of $11� .... permit is hereby gran t� ... ....... . 4- to construct the building or addition as described above. This permit is gr ted upon Xe 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 with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. 7 i ll .,,,/,JJ4.V..P/. d 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 separate permits for these items. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 571-36U4 r'AX: (763) 571-1287 ADDRESS : 113 RIVERS EDGE WAY NE PIN : 153024430083 LEGAL DESC : RIVER EDGE ADD : LOT 13 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PE NO.:200401622 DATE ISSUED: 09/16/2004 VALUATION : $ 9,362.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. INSTALL 13 WINDOWS AND WRAP WITHIN EXISTING OPENINGS. STATE LICENSED CONTRACTOR 1 APPLICANT CUSTOM REMODELERS INC (1748) 474 APOLLO DR LINO LAKES, MN 55014 OWNER SOLI PATRICK F 113 RIVERS EDGE 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 worl 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 regulatingconstruction or the performance of construction. Annlican" t \ Date , BUILDING PERMIT FEE 181.25 FIRE SURCHARGE 9.36 STATE SURCHARGE, VALUE 4.68 LICENSE SURCHARGE 5.00 TOTAL 200.29 PAID WITH CHECK # 47092 • %, r SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW I ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address:. Legal Description: Owner Name & Ai Contractor: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: r A(q-7 ) Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax "nUffL%Yi1TM MN LICENSE # ( *7 4 5�-- ll� Tel. # 5j -7 f q -a-(J Lt(0 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: ( Estimated Cost: $ q, Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x = $ DATE: q —1—Q L APPLICANT:6—TSI.#� J�� '7 CJ % Call (763) 572-3604 for Permit Fees If mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ 5, o 0 TOTAL $ �Da'�� CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee, .001 of Permit Valuation (1/10th%) $:50/$1,000 Valuation $1350 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 [ ] STIPULATIONS: J From: unknown Page: 114 Date: 8/7/2008 2:24:09 PM Building BUILDING Permit No.: .J' 'b M3 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604�� OF�'I�:IDL�Y • DAM 763-502-4977 FAX EPFECTiv 1.1.08 DATE d A - YOUR E -MAIC. ADd Ste► w SITR ADDRESS THiS APPIdCANT iS; D OWNUP. )kONTRACTOR PROPERTY OWNER/ NA,Mt;;C% l !1 TENANT _ ITY _ ADDRESS:Ae STATS PHONE: 7 NAME: CONTRACTOR ADDRESS: `21, I _y CiTY STATE P SUBMIT A COPY OF PiIONE. .n 0.37 '�,�� FAX i 2 -_,,, YOURSTATE T.ICi N3r STATIz I.TCENSE a.' EXP DATF ii? t,7 PROPERTY TYPE SINOLE FAMILY/NEW CONSTRUCTION SIZE ® TWO FAMiLY/NEW CONS'IRUCTION STORIES PERMIT TYPE 17 GARAGFd REDbiVINDOWS C3 BASEMi NT FINISH O ROO11 t7 DRAIN TIS © OLCK 0 SiDING Q OTHER D SWIMMING POOL TYPE OF WORK: Q NEW HOME CONSTRUCTION ❑ ADDITION �n G MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BRING DONE: SIZE OF1MPROVEMENT L aW WiDTH HEIGHT SQ FT ROOFING NUMBER OP SOUARBS 0 HOUSE. ONLY © HOUSE&GARAGE !�S,F-M iT REMODEL1NCr SIJI3MiTc 1, 6.1cistingnoorPlan GARAGE.R 13 A7TACHF.D GARA01; 2. Proposed door plan PROPOSL•D Sn'. E3 DOFACHED GARAGE 3. List ofstWurol members to be wa PRQPOSF.Ta HE10i•1T; PR � C FOR NEW CONSTRUCTION INCLUDING DECKS, 13 Yitryl ®Soffit A1212111 MR Mt~HF�^_SUBMIT: D Aluminum D Trim 1, Site Plan/Survey showing the existing stmm�ures ID Other 17 Fastin and pmpmd protea 2. Two sats afaomwuptipn plans VIGNTAM 3. EnergyCalouiation4 IN EYJSM0OPENINGS ❑Yos a LOCATION Of WINDOWS OR POR NEW OPENINOS-Db:9CRI C SiZE OF — X36 OPFNINO CHANGES A t TYPE OF WINDOW TO BE INSTALLED to Nl]MBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, iNCLUDING THE COSI' OF LABOR AND MATERIALS: , _ _(USING THE 1"7 ieIBC F FF, SCHEDULE) Permit Fee $' L._Z$" See Back Page for Fee Schedule Platt Review $ 14. .01 65% of Building Permit Fee �Le/I ' � Fire Surcharge��_. _ _. , .001 times the total job valuation 61 Surcharge $ 1 OT 0005 x Permit valuation Minimum $.50 License Surcharge $ Sl 00 $5.00 (Staft Licensed Residential Contractors) r SAC Charge $ $1825 per SAC Unit (Plats to MWCC for deteermination) e Curb Cut Escrow $ ft -i• 6 ft = ft x $21 —$_ Erosion Central $ $450 Conservation Plan Review � Park Fee $ Fee Determined by Engineering l Sower Main Ch e $ Agreement necessary ( ) Nem Necessary { ) Total Due 09AA a Make checks payable to., City of Fridley Attach Stipulations TI.114,1 13 AN APPLICATION FOR A Pr,.RMiT-NOT VALiD UNTIL PROCESSED I hergby apply for a Iwildmg pannit and i ackn ga that the triformation ahm-o is c�mplcte and pCCltrate; that the work wlfl be to ConFarmanee with the ordtnanaca an cacics of the City of Fridley and with tho Minnesota truetion Cad i understand this is not a permit but application for a permit and work is not to start permit an site; tltattha Work will be in acro with the aA ease afnll work wlilalr roq and apprpvld f pt s. SIGNATURE QIP APPLICA PRINT NAME. � } DA APPROVED 13Y DAT jT M From: 6516282047 TENANT CONUACTO)R ADDRESS; SM"r A COI" Y• OF PHONE Y(JUR STATE LICENSE . STATE LICRM F CI TWO FABIILTMEW O BAS049INT FINISH 0 DBM O INEW HOW CONSTRUC O MAINTENANCFA WAIR DFSCMEWQkKBEING DOM: _- r Idk ,die. L. Buildinig Li ,] aspec bas RESID. :7•�3-57�-604 � '761-502-4977 FAX ® ATI DAATE 31701; ADIJItBSB ► { (a1R /%i TM APPLWAM IS,, XOWM QC01VUkAt TENANT CONUACTO)R ADDRESS; SM"r A COI" Y• OF PHONE Y(JUR STATE LICENSE . STATE LICRM F CI TWO FABIILTMEW O BAS049INT FINISH 0 DBM O INEW HOW CONSTRUC O MAINTENANCFA WAIR DFSCMEWQkKBEING DOM: _- r Idk ,die. L. SIZES OF RIPjOVEME NT Li N.MZOFSWAM Op fCB ® ATI • FROFO SEM—DDM FRfDPOSEI'1iiF1GHT: SWIM •©•Unyl EPSOM 'd Altminam 0 Trirn •O 0"M • O Faaci IITIi MTM OPEMKi,4 17Y= ONO LOCATION C OR FOR NEW OPEMMS-AE.SCItIDB SIZE OF OFENING.CIi' ANtrM & - f� (C75INtG � TOTAL JOB VALUATION S alb Permit Fac • $ a,6 .5 Piga R®vlew $ Fire Slrtcharge $ Sur bmZe $ Licem SWtreb&W $ SAC Cbwp $ Curb Cut Eserow $ Erosion Control $ Park Fee' • $ Sewer Maiat,Charge $ Total One . $ TMS IS AN APFLK I hereby AWly for a builft pm* and I a1000agvledp9W the i a Of the City' ar Fridley and with the ATmum to Cunwo don Codes; Pcmtt an site; that the work will be in accords�=r� with file approva SIGNATURE OF APPLICANT /r/1 _ 14 Page: 215 Date: 919/200810:18:15 AM BUILDING Perimiit No. -A (aid 8 TIAL APPLICATION Roeived $y:�- E Y OF FRIDLEY Date tRec'd: ( c'l FAX EXP DATE RUCIIOIN s]ZE rCrION S rGRiFs t (9aserr�rF El GARAGIIMII6D o WrnmawS CI ROOF O DRAW M LE OWING O OTHER 17 3WD&VO 'iG FOOL O ADDMOX ❑ REMODELING e aegO +i -f ONI,X & GARAGE GAMGE UD GAUGE, 1997' UBC m ScImmutz) BAS R#MT REWWELMO KrRM>7': 1. EXIF log Fluor Flan 2. Fmpnsed floor plan 3. List of a mclmal mwben to tx used FOR NEW CONSTRWnON INCLUDINQ DECKS, Ari20tarNs & EMM SIBMED 1. Sits Rlam/survey ahowbuftexisftstrurames and propo%4 project 2. Two sets ofooaow don p1= 3. EMB Calculations 00 _ See Back Page for Fee Sdw"b _ 65%ofBailding Pormit Fee _ -001 Mmes the total job valuation _ .0005 x Permit Valuation Minhunua $.50 _ $5.00 (SUW Limussed Residential Coniractors) $182.5.per SAC Quit (Plans to 1WIWCC for deiernmmoon) ft+6ft= 1ix$21=$ $450 Conservation Plan Review _ Fee Deteua AWA by En&eeft _ Agreement ueoessary ( ) Non Neces my { ) Make checksm4ble to: Citic of Fridley Attach Stipulations 'ION FOR A MMT -NOT VALID UNIII,•I•ROMSSFA Id- above b -MOOm and accsaem; dW to mm* will be 9n conbvzl> wo WA the aodma cis and codes s i tm&mam¢ this is not a permit but a* as application 2bt a pow* sad work is no •to eget with" a %he case of all work which i requm review and appo,? of ptaoa. pRINTNAIVIE S ftA 'QW DATE � � � Building MECHANICAL Permit No.: 'cob Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 FAX CITY OF FRIDLEY 20 EFFECTIVE 1-1-08 DATE763-50y2-4977 DATE l ' 0 YOUR E-MAIL ADDRESS SrM ADDRESS (I _3 jV'e- THIS APPLICANT IS: ❑ OWNER ]XCONTRACTOR PROPERTY NAME: rY-' c., 9-r'—'I OWNER/ADDRESS: Se. "� CITY STATE ZIP TENANT / PHONE: 6 S I- -7S_:5_-?-V0 CONTRACTOR COMPANY NAME: NOTE: SEPARATE CITY CONTACT PERSON: p __j__>A I G." LL'? STATE LICENSE # EXP DATE LICENSES ARE REQUIRED FOR GAS AND HVAC. ADDRESS: �d S )�c:c enZ.e C-,+ NZ CITY 5.t: (Y1.',_ka.e j STATE /�°1�ZIP'S SUBMIT COPY OF BOND PHONE —IG - L4 q `7 - Z Z q O FAX -7(o 5 ` 411- Ll -26-3 AND INSURANCE PERMIT TYPE [SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT IXALTERATION/REMODEL DETAILED DESCRIPTION OF WORK Oda I +o )e v L l 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 ) OR 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) Equipment Installed MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 _AIR TO ABR 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 HEATER $35.00 _POOL UCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Permit Fee $ (-5- Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ I'S . SD OR Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM $15.50 MINIMUM $15.50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a mechanical 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 inoordance with approved plan in the case of all work which requires review and approval of plans. bei IG��� SIGNA O PLINT/`"G�c f✓ PRINT NAME DATE V APPROVED BY > DAT) FLi2' 31 :'' TE I'iRMTIS.ARE'I U1RED<O1t City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-36, DATET. SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY ❑ OWNER �AME: DRESS: PRONE: COMPANY NAME;_ CONTACT PERSC . STATE LICENSE #_ ADDRESS: PRONE_ `la" SINGLE FAMILY E-MAIL b & —"'E• o _ STANDAR®NI 410 W FAX 0 TWO FAMILY TYPE OF WORK: I ❑' LACEMENT DETAILED DESCRIPTION OF WORK MN 55408 [3 TOWNHOUSE 0 ALTERATION/REMODEL I, Permit No.: PER MS 16B.665 the permit fee is a mbdInam of $15.00 or 5% of the total cost up to $500.00,.whichever is greater, for the should reflect only.the cost of labor ) unprovem 'ut, installation or replacement of a residential fixture, excluding the fnctxrres.:.(This..... . Labor cost under $300 = $15.00. Labor cost between $300 to $500 = costof labor X.05. FOR PROJECTS WHERE LABOR EXCEEDS., $500 ARE $AS ON $10.00 PER FMTUP .EXCEPT'6iW[HR9 NOTED. r1 KWRBs: (INDICATE TOTAL NUMBER OF EACH BELOW) 3 SSIZE/BTu � � r 000 MFG: MODEL EquipmentInstalled MFC: MODEL: SATO------ MFG: MODEL SIZFATU AJC $25.00 FIREPLACE (GAS) $15.00 GAS RANG RILL $ 0.0.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS BRILL 0.0.00 �-FURNACE $35.00 GAS UNIT HTR $10.00 COINSIGNER $10.00 GAS DRYER $10.00 POOL FIEATER $35.00 DUCT WORK $1000 GAS PIPING $10 0 00 VENTILATOR $15.0 Number of fixtures @ $10.00 x siu.uu = Permit Fee $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00= $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 �L x $35.00 = Stale &=harge = $� Tor Total = $ THIS IS AN APPLICATION FOR APERMIT-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 it conformance with. the ordinances and the City of Fridley and with tale Himesota•Construction Codes; that understand this i the work will bel acro ce the not a permit but only an licition a and work is not to start without a permit; that. . approved plan m.��7"Ywo 'ch review and approval ofplans l SIGNATURE City of FricIIey Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS X7STING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTINABOMES --J:l 1. Combustion Air (See note belo'dcr) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropanoUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas TMC Chapter 8. with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & doling load per room a.. Required on new construction IMC 1346.0312 S. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design PerIMC 1.346 0603:2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations