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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N® 4022 Date:-I�...._.._........_.r... _ - Owner- ..... ............ –.... ... -....................... ........ --...... ........... _........... _.... ..._........._ Builder _ .. - -- •-... . _-........ ._... Address.... -............ _..... __........ _ .._.._.._............ Address ....................... -............. _............. ... -.... ..._....--........................ LOCATION OF BUILDING No.......... Street ....._. .. 4�� _...... ._ ..... ............. Part of Lot ........................ _..... _ ......... ..._................._ ... Lot_....._��................. Block ............. ... /............................ Addition or b-Divispnm� F.... ----.........� °.:. .._..... �� �. HI CornerLot .................................... Inside Lot...X............ _......... --..... Setback...---..l�..............._........ Sideyard...I.�..........._........�.----...................... _..... ...... Sewer Elevation ..... . ............. .............................. _........................................... _........ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 009 r �0 @@ss _ lfl _.._� .............:.._- .......... Front al_ Depth-? ...:.� Height>®f.1.. Sq. Ft Q - .5 Cu. Ft. � � Front T:.. f Depth _ _ Height Sq. Ft. ... Cu. Ft. ®� Type of 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 co fiance with all provisions of ordinances of the city of Fridley. Al"A I -® C" In consideration of the payment of a fee of $....._.'"'.'.."-permit is hereby granted to ..... _-......... _.................................. ..-........ to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _ I �— Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. lication far rawer Plants and Heatin , Caolin venruarion, Refrigeration and APP' � � g�• � Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 GRAVITY WARM AIR: RATE TOTAL Locaiio*+ - - - 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 $ 19 oQQ each add. 60,000 BTU ....................... 2.00 Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 ,$ Each add. 320 sq. ft. IDR 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 $ 5 , oo Q" saer3 �.a® GAS PIPING(Upto 3 Fixtures) ........... 1.50 $ ®� 0 (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARK& See Fee Schedule TOTAL FEE $ �� • 0 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- 00 it 2 Owner Mol'lb Jones 195— Kind of Building r2raMe 195— Used as ns To be completed about "DC C . 12 19 Estimated Cost, $ 520,100 Old—a� ew.;wilding Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water Warm Air -No Trade Name Pe� r f 6 C 110 -n Size No RIM 110-nx yJ Capacity Sq. Ft. E.D.R BTU OCT H.P. Total Connected Load 37;995 Kind of Fuel G a S BURNER — Trade Name Size Capacity Sq. Ft. E.D.R BTU H.P. P Sign By . � - - - 11 posr 1M-8-58 BusinesTAhMWAVE, 510, Q TA, 0.5207 MINNW-Qkl5 a MIIVN%OTA .460.0 CALCULATIONS. DEPARTMENT OF BUILDINGS I N. NN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall" Ceiling Roof Floor Kind How Applied - Yes—No Yes—No 19— .f ,g. #2 4 Room Lenizili Width i, Height, II % Fl.l Room I Length 12Width J4) Height Windows a Doors—Crackage, and Area ' Coef. Btu Width Height No. of Llneal ft. Area No. of pane of pane lights of crack sq. ft. ZC) 7Q 1/7 t12H f I Infiltration n 0 0 CD Glass Btu h C, 0 Exp. wall Net exp. wall Int. wall C� ® yr Ceiling / —� Floor Net exp. wall U v Total Stu. ® 0 Required sq. ft. E.D.R. or sq. ins. W.A. Le r area 1 FI.I a Room I Len .f , Width /,e Height Windows and oors—Crackage and Area Width Height No. of Lineal ft. No. ofpane of pane lights of crack Width Afelght No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. - (- 22— 42-Coef. Btu Infiltration Infiltration C� Z Glass Exp. wall / —� P 6-13 Net exp. wall U v Glass Net exp. wall Int. wall Int. wall — 0 Ceiling Floor Ceiling 0 Ceiling Total Stu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / FI.I Room I Length" -)7 Width /-0 Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. No. ofpane of pane lights of crack Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 6 (- 22— Coef. Btu Infiltration Infiltration q-0 s (o Z) Glass Glass Exp. wall P 6-13 / U v Glass Net exp. wall Int. wall — 0 Ceiling Ceiling 0 Ceiling Floor Floorv i,) 0 a Total Btu. Reauired so. ft. E.D.R. or sa. ins. W.A. Leader area Windows and Door s—Crackage and Area Width Height No. of Lineal ft. No. ofpane of pane lights of crack Area aq. ft. 6 -7 3Z Cfief. Bcu Infiltration q-0 s (o Z) Glass Coef. Btu P 6-13 Exp. wall U v Glass Net exp. wall Exp. wall Int. wall Net exp. wall Int. wall Ceiling 0 Ceiling Floor 7d i,) Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.112% m .ARoom I Length 12 Wid , p Height ' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. No. of pane of pane lights of crack ArgA sq ft. 6 -7 3Z Coef. Btu Infiltration 0 Z 0 D Glass Coef. Btu P 6-13 Exp. wall U v Glass Net exp. wall Exp. wall Int. wall Net exp. wall Int. wall Ceiling 0 Ceiling Floor fa FV Total Btu. S b Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i FU Z IP , .j Room I Length Z. Width / ? Height ' >� Windows and Doors—Crackage nd Area Width Height No. of pane of pane No. of Lineal ft. lights of crack Area sq. ft. -7 3Z Coef. Btu Infiltration U v Glass Exp. wall Net exp. wall Int. wall 0 0 Ceiling Floor "Total Stu. ft. E.D.R. or sq. ins. W.A. Leader area DARREL CLARK "" q; SUBJECT PERMITNO. -- City of Fridley 12124 AT THE TOP OF THE TWINS BUILDING PERMIT r �. REC COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. j CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY J 612-580-3450910-F15 ' 5/10/73 JOB ADDRESS 140 River Ed $ Way N.E. 1 LEGAL LOT NO. BLO CK TRACT OR ADDITION SEE ATTACHED DESCR. 16 1 River Ede Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lary R. Johnson 140 River Ede Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Rareb, family -room, denk 7 CLASS OF WORK ❑ NEW ❑x ADDITION j] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Enclose 141x9' porch and build deck 9 CHANGE OF USE FROM TO STIPULATIONS 1. Wall between garage �- patio to have necessary fire rating. (1 hour) IL 7gXXk¢X►XIXri�X1��tXXxc1�X�X>C 2. The wall on the North side of the patio is to have no openings and contain the necessary fire rating. (1 Hour) SEPERATE PERMITS REQUIRED- FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, WOOd frame 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. $2800.00 $1.40 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_- $16.80 STRUCTION OR HE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 6'afl'_�� $18.20 SIGNAT FCONTR RORAUTHORIZEDAGENT (DATE). HEN P OP R V )DATED THIS IS YOUR 'PERMIT BLDG INSP 0 F1, ' SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) DARREL CLARK "" q; Z60 -'71VF APPLICATION FOR RESIDENTIAL. .AETERATION1 OR, ADDITION BUILDING PERMIT CITY OF FRIDLEY s MINNESOTA OWMIS NW; BUILDEit: �/ ril4Fv�s *.w�� as a� ins • ADDRESS: /q® Ever 157 p /,t u ADM=S: //j� /1 iyP W04;4.-, �S R ■ G I ��t!^eo e / LOT;, BuxV.1 -OVITION1 LvCf-' 5d,4e 4ORNER LOT: I== LOT; X ETBACKs SIDEYARD: AWj-4-cAMX gttAch -te dtU f _io Certificates of Suxva of Lot and propoeed i14fts Uvaticn 4TWR m se CertificaatesI PESORIPTION OF BUILDING Be UmW As: ®porch/ 76.,-/y v-oo,'^- ,, clerk C-Kclose 1'4 Depth. a�d� eefc Square Feet;- Cubic ftetz., Depth; Height: square Feet; Cubic Feet Tyfa Of Constructim; Estimated Cost: $ To toted; TM Undersigned hereby ss s application icor,a permit for the work herein VpQQjf#,e4,, agreejmg tp do all Wprk Jn stftct accordance with the City of S*Ul4vOrd*aaees 4a4 zutUp 0 0a Department Qf BuWtngs, OrA hereby declareq all tha facts and representations stated ja this applir-ation axe true =4 correct, DATA; -ld � -23 SUMATURg : (060 RWW#e Udo pot' AddWoral Infortption. ) _ .vim. �0 �9 v SUBJECT PER City of Fridley ®13599 AT THE TOP OF THE TWINS P E R M I T r BUILDING RECEIPT NO. 1 L'___. COMMUNITY DEVELOPMENT DIV.�� r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ---- �'� 612-560-3450 910-F15 6/22/76 JOB ADDRESS 140 River Edge Way 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 1 Rivers Edge Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Larry R. Johnson 140 River Edge Way 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 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 re -roof 9 CHANGE OF USE FROM TO ti STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. shingle 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 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 90000 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .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- 6,00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 6.50 S NATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) IT I ISYOURF2- jC.EN PROX�a7 A' 6-2,2--75 ��" IGA OF ERpFOWNER BUILDER) )DATE) BLDCr INSP DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: IXIe le =119HAJ-50 BUILDER: ADDRESS: %0 zC;yev- 6-e lV;�aZ ADDRESS: NO:. STREET: !i / ✓e✓' f e �� y e LOT: l� BLOCK: ADDITION: 1191"e-4- CORNER 191"e% CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. r DESCRIPTION OF BUILDING To Be Used As: A-Va07`�- Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Square Feet; Type of Construction: To Be Completed: —/0%0 Height: Cubic Feet: Estimated Cost: $ 9y® The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stxict 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: 6-22--7101 SIGNATURE : (See Reverse Side For Additional Information.) �e—v wAfy wows w•tN ..A•s o'a�•u: FO�IM! T. ILOOa Crum" iR &o t AY►S) w� ant ass OAS Aet•ugOt 11 00 I W r• I� I W I CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE -RESIDENTIAL RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 Gas Piping $ 10.00 $ (piping needed with new furnace) Gas Range $ 10.00 $ "— Gas Dryer $ 10.00 $ * Air Conditioning (all sizes) $ 10.00 $ •yK) All Others/Repairs and Alterations 1% of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work $: State Surcharge $ .50 TOTAL FEE Reinspection Fee ($15.00) $ Rough Insp. �U Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE ,It *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address\qo �( � 2� \ J Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. � -J( \ , 19ER� OWNER KIND 0 USED AS TO BE COMPLETED ABOUT V UV ESTIMATED COST S1 OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Asir- No. (� Trade Name � �� 1(�S(iiz►,e No. Capacity Sq. Ft. EDR l w,_ \ BTU HP Total Connected Load Kind of Fuel °& BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company r� ` !i 1 Signed By '' Tel. No. P a G Fill out back side for stack verification on replacement furnaces CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; I. Has been carefully examined Yes (�' No ( ) 2. Is free from rust or deterioration Yes ( No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s � '3v 60 0 13UA®oo FRED VOGT & CO. HEATING & AIR CONDITIONING 3260 GORRAM AVE. 929.6767 Company ST LOUIS PARK. MINNESOTA 55426 a Signed By } - Da to SUBJECT PER City of Fridley ® 19 9 51 AT THE TOP OF THE TWINS BUILDING PERMIT rp RECEIPT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. J I � ` ;'j CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-Fl5 6/13/8 JOB ADDRESS 140 River Edge Way. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 1 River Edge Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jean Johnson 140 River Edge Way N.E. 571-4755 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sawhorse Construction 4740 R 42nd Avenue North, Robbinsdale 533-0352 55422 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 Ek ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 161 x 121 Addition (.Deck) 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS REMQUIRkEDFOR., WIRING, HEATING, P UMBING. AND SIGNS. Bef0te di9gillg Cali 10CG' utilities TEL�pH SIVE - ELECTRIC - GAS E - y D �Y LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY'`ROUP 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 $TALLS 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 $1,350 $-68 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- $33.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE a, $33.68 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN V IID/A�TRED THIS IS YOUR PERMIT AAPROPERLY �4_'�_N SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG INSP NEW I City of Fridley Effective 5/l/88 ADDN [ 7 R-1 AND R-2 ALTER I ] Building Permit A a ication Construction Address: kFV6C WA y Legal Description: Owner ka me & Address: 140 r1 U)FP EP*E WAY J EAMQRgJ', # !E ! -4 755" Contractor:51gk-4 1?56 Tel. - 5z Address: -.4740 A 2_ A)D A ) E . Attach to this application, a Certif icate of Survey of the lot, with the proposoed construction drawn on it to scale. DESQtIPrION OF IMPROVEMMT LIVING AREA: Length Width Height Sg. Ft. GREAGE AREA: length Wi cit:: Height S3. Ft. ' D= AREA: Length Width �r Hgt/Ground Sg. Ft. 1. c?2 C7 Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: 5 Approx. Completion Date: JUl& %, LgAj 13 V4 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: 1 5 $ Width + 61. See Back Page DATE: V YAPPLIaM: __a F -P ;!M252AP Tel. CITY USE CHLY Permit Flee State Surcharge SAC Charge Driveway Escrow Park Flee Sewer !lain Charge TOTAL STIPULATIONS: Fee Schedule on 'Reverse Side $.50/51,000 Valuation $550 per SAC Unit Alt. 'A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] e 4 1406 q%0NEW [ J Clrr OP FRIDLE'Y ADDN [ J 6431 University tY Av a NIY, Fridley, MPJ 55432 I J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: f 510 111 C - a ®,;241'& Effective 1/1/2004 (763) 572-3604 131rlg Ir1sp (763) 57.1-1257 Fax Owner Name & Address: SELA ROOFING & REMODELIN(01 INC. p Tel. # Contractor: &t.LtSt nnrl Address: 10 #0001060 LICENSE � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. 13ESCRIPTION OF IMPROVEMENT LIVING AREA: Length____ Width_ Height Sq, Ft. GARAGE AREA: Length Width Height_ Sq. Pt, DECK AREA: Length With 1-191/Ground. Sq, Ft. OTHER: Construction Type:–7-, 0 &r<<� Ja �� 1-16 S ) stimatcv Cost: �_ U 3 Driveway Curb Cut Width Needed; Ft + 6 Ft = Ft x $ _ DATE: 10 ' It- 0S APPLICANT: Tel. Call (763) 572 604 for Permit Fees if mailing In application. Fax to 763-571.9287 if using Credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $e t� $.50/$9,000 Valuation $ $1350 per SAC Unit $°[ $5.00 (State Licensed Residential Contractors) $ Alt, "A" or Alt. "B" Above $ $¢50.00 Conservation Plan Review Fee Determined by EnrainePrinn $ Agreement Necessary [ j Not Necessary [ $— l0 ` ' 0 STIPULATIONL., -- —6/2'd TS2.0H S31HS 0<300 1 ,y13S WHOF : L SPO3 ' T T • iX Building BUILDING See Back Page for Fee Schedule Permit No.: —00 nspeciiansRESIDENTIAL APPLICATION archarge Reye ' yA � ��� 763-572-3604CITY (.0005) times the total job valuation — Minimum $.50 OF FRIDLEY $ Date Recd: 4 b D O 41 � Q ` � ` V x s . (O p) ).ATE YOUR E-MAIL ADDRESS $5.00 (State Licensed Residential Contractors) 1TE ADDRESS 14 ® I v i r W C1 $ $1450 per SAC Unit (Plans to MWCC for determination) arb Cut Escrow 'HIS APPLICANT IS: ❑ OWNER PCONTRACTOR ft + 6 ft = ft x $20 = $ PROPERTY OWNER/ NAME: 2 t 16 TENANT /nr G ADDRESS: 140 IC p 1 V'! r Qq C ay 1(( CITY 61 Ct l t W E' � 2 STATIP—'5'6'Y 3 � PHONE:_ Z b -a J -1 (- S 7 ,/ Ll -Z ;wer Main Charge $ to NAME:_ Pella Windows & Doors JCd� d t P S CONTRACTOR $ 15300- 25th Avenue N.- Suite 100 q 5; l 3k S- L 0 4 7 SUBMIT A COPY OF STATE LIC Plymouth, MN 55447 '4Qt1R §TATE LICENSE CITY ADDRESS: 763/ 745-14Q0 STATE ZIP WITH APPLICATION PHONE PROPERTY TYPE 9-fMNGLE License# 20165884 �E ❑ TWO FA I .ORIES PERMIT TYPE ❑TADDITION ❑ GARAGE/SHED t3-WfNDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK. ❑ SIDING ❑ OTHER ❑ SW VIMING POOL TYPE OF WORK: ❑ NEW Pip A 1A ❑ ADDITION C-MAINTENANCE/RE$AR ❑ REMODELING >ESCRIBE WORK BEING DONE: (P window f c A cie it tv/J-1� /,S 'o n IZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. OOBING ❑ HOUSE ONLY UMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: ARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan ROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used ROPOSED HEIGHT: mIN+G FOR NEW CONSTRUCTION INCLUDING DECKS, I Vinyl []Soffit ADDITIONS & PORCHES SUBMIT: I Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures Other ❑ Fascia and proposed project. 2. Two sets of construction plans 'INDOWS 3. Energy Calculations I E)aSTING OPENINGS [mss ❑No Ct&TJON O OWS gtdibaf�l fryt►S R FOR NEW OPENINGS -DESCRIBE SIZE OF itllll (1 f e{n , �' PENING CHANGES & CAy11n111 �`S G YPE 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 $ i / , 600 OCCUPANCY TYPE__ -rmit Fee$ [ 56 - See Back Page for Fee Schedule :an Review $ 65% of Building Permit Fee archarge $ S • S O (.0005) times the total job valuation — Minimum $.50 re Surcharge $ ! I. a o .001 x Permit Valuation (1/10%) .cense Surcharge $ 6-00 $5.00 (State Licensed Residential Contractors) kC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) arb Cut Escrow $ ft + 6 ft = ft x $20 = $ -osion Control $ $450 Conservation Plan Review irk Fee $ Fee Determined by Engineering ;wer Main Charge $ Agreement necessary ( ) Non Necessary ( ) )taI Due $ 21G.176, Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in nformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a rmit but only an application for a permit Aanw k is not to start without a permit; that the work will be in accordance with the approved an in the case of all work which�re u�es r�d. pproval of plans. (' JNATURE OF APPLICANT__ - A PRINT NAME � r A i n k DATE T z 7 Building MECHANICAL Permit No.: Inspections CV- RESIDENTIAL APPLICATION Received By.- 763-572-3604 D 9 CITY OF FRIDLEY Ox (A - - ®S YOUR E-MAIL ADDRESS DATE SITE ADDRESS �1 e r THIS APPLICANT IS: ❑ OWNER J]CONTRACTOR PROPERTY NAME: e--m-n OWNER/ ADDRESS: OCi® �iV e f T�� � Crry r" i g STAT14 AW ZIP_a�[_%;1; TENANT PHONE: -1 -5 -7 t ' �, S CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN Z INKEN SUBMIT A COPY OF YOUR STATE STATE LICENSE #I EXP DATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE BITY "COON"°RAPIDS STATEMN zIP55433 APPLICATION pHONE 763 - 757 -- 6202 FAX 763--757--6701 PERMIT TYPE )SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �rS�r�..tt gecc�>`�C 'r_ -Lr nal o' 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 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) l Equipment Installed MFG: >t� �. n MODEL: UC (p® —O, SIZE/BTU -7 4F� j OC)C>d-rl,L MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU $25.00 FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $10.00 _A/C TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 _DUCT PERMIT FEE PROJECTS FOR UNDER $500. ` PERMIT FEE FOR PROJECTS OVER $506 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ 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 = $ 3M.00 State Surcharge = $ .50 Total = $ 3S •SYJ 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 work which requires review and approval of plans. SIGNATURE OF APPLICANT�C5 ew'*­ rT NAME ROGER HOFFHE IN DATE a PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK= City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC 0 NEW HOMES/ADDITIONS EXISTING HOME 0 MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC 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 IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. 3uilding BUILDING Permit No.: ',, -- Inspections RESIDENTIAL APPLICATION Received Byi02 763-572-3604 29 D�'Y CITY OF Fl�II�IIEY `ATE YOUR E-MAIL ADDRESS ib al d) t 1 di r 16n.r s_/'©/n :TE ADDRESS L e> lyt p,? LY Why ,6 9- HIS APPLICANT IS: ❑ OWNER XONTRACTOR 'RUPERTY OWNER/ NAME: Jlbn O h TENANT // ADDRESS: 111 P Ll CITY (1 rn STATL_ IP 'rs (/ 3,7 -7 PHONE:_ -7 t, % 1411 _V —� AME:Pella Windows Doors , N AME: CONTRACTOR _ 15300- 25th Avenue N.- Suite 100 R S� ) $4 STATELIC S L G tt '� SUBMIT A COPY OF Plymouth, MN 55447 Y QUR•STATE LICENSE ADDRESS: 763/ 745-1400 CITY STATE—ZIP WITH APPLICATION PHONE PROPERTY TYPE &,$, INGLE License# 20165884 �E ❑ TWO FA 1 DRIES PERMIT TYPE 17ADDITION ❑ GARAGE/SHED `l WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION kqMA-INTENANCE/REPAIR ❑ REMODELING ESCRIBE WORK BEING DONE: a las/ nd o W 4 r do 6 r rt: o l n b nv A4 //a -4 k /J4lm D® i a a CZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. DOFING ❑ HOUSE ONLY UMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: ARAGES IJ ATTACHED GARAGE 1. Existing Floor Plan ZOPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan zOPOSED HEIGHT: 3. List of structural members to be used DING FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl. ❑Soffit ADDITIONS. & PORCHES SUBMIT: Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures Other ❑ Fascia and proposed project INDOWS 2. Two sets of construction plans EXISTING OPENINGS Kes ❑No LOCATION OF WINDOW4 3. Energy Calculations ® Z FOR NEW OPENINGS -DESCRIBE SIZE OF je t� d`D Ml (il AA 1 h it 0 'ENING CHANGES & PE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS / ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING WE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ II [ Q OCCUPANCY TYPE :rmit Fee $ `� See Back Page for Fee Schedule an Review $ 65% of Building Permit Fee .rcharge $ b (.0005) times the total job valuation — Minimum $.50 -e Surcharge $ - `1 .001 x Permit Valuation (1/10%) sense Surcharge $ 4.00 $5.00 (State Licensed Residential Contractors) �C Charge $ $1450 per SAC Unit (Plans to MWCC for determination) rb Cut Escrow $ ft + 6 ft = ft x $20 = $ osion Control $ $450 Conservation Plan Review rk Fee $ Fee Determined by Engineering wer Main Charge $ Agreement necessary ( ) Non Necessary ( ) taI Due $ f y y Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED 1ereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in lformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a reit but only an application for a permit anh work is not to start without a permit; that the work will be in accordance with the approved n in the case of all work which re u'rev nd.approval of plans. _/ /� NATURE OF APPLICANI\ PRINT NAME / f I e �� J �i Y� DATE ( D b Building MECHANICAL Permit No.: 1 Inspections RESIDENTIAL APPLICATION ReER&A' 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX EFFECTIVE 2-19-09 DATE 0 YOUR E-MAIL ADDRESS SITE ADDRESS L D / Ve �S G +e wQ THIS APPLICANT IS: ❑ OWNER CONTRA TOR PROPERTY NAME: wear,®lens®� I �A ADDRESS: lino je, v ers ii;4 e W y CITY�r ! lG STATETENANT PHONE: L®`� . % %� inc. CONTRACTOR COMPANY NAME: dba Pireeide Hearth & Home License 10utm SUBMIT A COPY OF CONTACT PERSON: an N �dlndm &a_ R� MN 88113 YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: CITY STATE ZIP APPLICATION PHONE FAX PERMIT TYPE ❑ SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: lEW ❑ REPLACEMENT ❑ ALTERATIONIREMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPTWHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BEJOW) 2 &t -?-> Equipment Installed MFG: H_`__`� a MODEL: Me n' 7' SIZE/BTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU $25.00 ,FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 _A/C TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR _FIREPLACE BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00 LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY DUCT WORK $10.00 3EGAS PIPING $10.00 VENTILATOR $15.00 � '.3 I„ Y\ ``` g kv r h S �& •'.cam r 4 ff G4+ '''.. • :� 1.� eK.' ,* : {T dd` .us 'i, d % a 'E' R�^� ;�Y R^ Y ,� 72 K � C� xi �. i➢ vR£ "4 Est- i.� iia ym $ Z ', 4 � � . ' ;�'' yYaz � `4_ 3+I„t •��hd``'�t P R �v r. � £ v3 f `.cfi �, � r3'_ � � , jy, t � 6 c _ n 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 work which requires review and approval of plans. //�!! PRINTNAME fl ! rIJ e DATE SIGNATURE OF APPLICANT �`� APPROVAL INSPECTORS SIGNATURE DATE . City of Fridley Building Inspections Department, 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977