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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. Date /f.'®: &70.7 ....... .............. . Owner W. .. .. ......./?,r. ............... Address �.2;V. - . ... ,/.?/.. R....... . N° 2Q03 Builder........................................... Address................. LOCATION OF BUILDING No. ...... Street .. .l? .o... `E'.1 o, .. i� �'t�.C, e, Part of of .... v ® ...... . . � • 9 Lot .... �......... Block ........ Addition or Sub -Division ... Corner Lot ...I ...... Inside Lot ............. Setback X0`1. ' . Sideyard 140.o ................. DESCRIPTION OF BUILDING To'/ be Used as: I� ` ..... . J ........ Front: ' Depth ... . height Sq. Ft. �1./�. Cu. Ft. 3 r .�. .. ........ o ... ... ........ Front �®°!®� Depth `,�.�.... H!ight l.oe�4.. Sq. Ft. � /� Cu. Ft. Type of Constructio Est. Co t!®® ...d ......... . s�w� 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 village of Fridley. W"'A'/ w L�consideration of the payment of a fee of $ �- permit is herWgranted 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 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 7\ 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 Inspeotor for separate permits for these items. City of Fridley Application for Plumbing and Gas Pitting Permit D DepL of Bldgs, Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 00 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 $ °®�0 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 & ALTERATIONS --Refer to Code Description ............................................... TOTAL FEE Z/4 City of Fridley: W11 `-1– v 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 Owner ' Kind of Building Used as To be completed about Estimated Estimated Cost, $ / ®� Ol —New uilding Permit No J 19AI-19, 9— 9i9_ Business Phone Connection Permit No . ....................................................... 1) ) 3– Y � ® �/v Water 19- q � Sewer Meter Deposit .46W11 IM -8-58 O Z_ 6 Z_ O x ,1 WU' Z y ,� WATER HTR. 3 3� �a �Z � �a F N GAS ELEC. ul m m m oLL LLo m a3 a � coo Base 9 �^ 1st I 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings Sewer El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 00 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 $ °®�0 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 & ALTERATIONS --Refer to Code Description ............................................... TOTAL FEE Z/4 City of Fridley: W11 `-1– v 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 Owner ' Kind of Building Used as To be completed about Estimated Estimated Cost, $ / ®� Ol —New uilding Permit No J 19AI-19, 9— 9i9_ Business Phone Connection Permit No . ....................................................... 1) ) 3– Y � ® �/v Water 19- q � Sewer Meter Deposit .46W11 IM -8-58 Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 5.00 $ 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 ....................... 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. EDR 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. 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 $ 6) GAS FITTING FEES: NO RATE L 1st 3 Fixtures ...................... x $1.50 Additional Fixtures ................. x .50 Gas Range to 200,000 BTU ........... x 2.00 AIR CONDITIONING l FAN HEATING SYSTEM \See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS: 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 truce ,and correct. Fridley, Nfinn � 195 Owner 195— Kind of Building ^ 195— Used as To be completed about Estimated Cost, $ O1d�Building Permit No. C>10 C;:0 /8 DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Wa Warm No— Trade Namer04 Size Noll0�/ 'c Capacity Sq. Ft. E.D.R. rOS. a o o BTU H.P. Total Connected Load 3T , Kind of Fuel i BURNER — Trade Name— VOJ— Size No Capacity Sq. Ft. E.D.R v U v BTU H.P. y?a€g> e F 4T sti.s'3 �i a►�t � siL,��i�� a JiILLI 1L� lL Signed By it POST 1M-12-58 Business Phone No D-56 z. 6 -ff7"� 1 HEAT LOSS CALCULATIONS DtPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.uideH. e.E. Construction No. Insulation G Windows Doors Reference Out. Wall I Int. Wall Ceiling Roof Floor How Applied ,Yes—No I Ye —No 19 Room Length 19%lYf Width /G•/iyr�Heiaht 066" II / .1 oom Leng ( �` Width$ G�� Heightg i Windows and Doors---Crackage and Area Width Height No. of Lineal tt Area No. of sane of pane liBhte of crack sq. ft. Windows and Doors—Crackage and Area 1 V Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. t 0 c 0 Net exp. wall Q Int. wall 45-, 3 AS Coef. Btu Infiltration Coe£ Btu Infiltration rtMo �� Exp. wall 5 Glass Net exp. wall Net exp. wall ' Int. wall .p ap. wall p Ceiling, Floor Net exp. wall Net exp. wall Int. wall Ceiling p a 00 Ceiling Ceiling Floor Floor Total Btu. 7 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area j /' F1.1 R . / Room l Length 0 °�.f l Width •7/p e/ He--" �' � r" Windows and Doors—Crackage and Area 1 V Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Y v Net exp. wall Q Int. wall 45-, 3 AS Coef. Btu Infiltration f Coef. Glass rtMo �� Exp. wall 5 ,5 � Net exp. wall Net exp. wall ' Int. wall Int. wall Ceiling112 p Ceiling, Floor Net exp. wall L -Floor Ceiling Total Btu. j (o Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / 1:1 I 77 .� � R....... I 1 .....•1, a // r.o/lil:.7•L �� /�// L.r�:..t• � if Ir ---I - ---- 1 ----v— / - - "- ----- I Windows and Doors—Crackage and Area 1 V ----4--- Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Y v Net exp. wall Q Int. wall 45-, 3 AS CoeE Btu Infiltration �D, Coef. 1 Y Glass �� d C/ Exp. wall ,5 � 0 � 5, Net exp. wall ' Int. wall p Ceiling112 p j - Floor Net exp. wall �btal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Kind mm ME", z. Coef. Btu Infiltration 6 zo '✓o / 1% Glass Exp. wall Net exp. wall Q Int. wall 45-, 3 AS eiling �pp Z7 Z Floor Coef. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area `1v� / • 1_ 1 f f • 1 R/_ e r m imwm 1 a.cusut ip cr .uua Room I Length /A t� Width a u.aua &f Windows and Doors—•Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 45-, 3 AS Coef. Btu Infiltration 3 7-0 0l Y Glass a ,5 � 0 � 5, Exp. wall 1?2- Net exp. wall p j - Int. wall Net exp. wall Ceiling J 2 - Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I ' f 6 Fl.1 Room I Length /A t� Width G / Height 47 Windows and Doors —Crackage and Area Width Height No. of Lineal ft. Area No. of pane of.pane lights of crack sq. ft. 45-, 3 AS CoeE Btu Infiltration t ya 0 Glass Exp. wall Net exp. wall p Int, wall Ceiling Floor Total Btu. 3 Requi sq. ft. E.D.R. or sq. ins. WA. leader area Vie/ Application for Dower Plants and Heating, Ceding, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 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 ....................... 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. EDR 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. 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 $ K, 0-0 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $4� Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE OFA 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 representatio toin t is application are true and correct. -dley, 1VLinn_ 1,3 195— y Owner '7 195— Kind of Building 195— Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. 6 �! DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No - Capacity— oCapacity Sq. Ft. E.D.R BTU H.P. Signed REMARKS: By -01�11 POST 7M-12-58 Business Phone No +-A sueJECT MIT NO. City of Fridley � r2- 182S6 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT • COMMUNITY DEVELOPMENT DIV. t: te------ r PROTECTIVE INSPECTION SEC. I ` i -'1 I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/7/85 JOB ADDRESS 6211 Riverview Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 2 Juli Ann Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ted Burandt 6211 Riverview Terrace N.E. 571-2050 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 '],,4/ Construct a �!�' x 12= Addition to Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS Variance.approved for a rear yard setback on 10/15/85. W ARK HI M'I"u SEPANTE PERMITS REQUIRE® FOR Before digging call local utilib P I`NG➢ HEATING, PLUMBING AND SIGNS. TELEPHONE - ELECTRIC o GAS Etc. REQUIRED BY LA SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING $Q. FT. _ CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 144 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 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 eR NOT. THE GRANTING OF A PERMIT $$& $7,415 ONM $3.71 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �2yk $68,50 PLAN CHECK FEE TOTALFEE - � 17.12 M $89.33 SIGNATURE OF CONTRACT R AUTHORIZED AGENT )DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT i y BLDG INSP TE SIGNATURE OF WNERIIFOWNER BUILDER) (DATE) NEW [ ] City of Fridley ADDN. [ ] R-1 AND R-22 ALTER. [ ] Building Permit Application O M Construction Address: Legal Description:_ Effective 4/1/84 Owner Name &Address: Tel. #,<-2k-20 Contractor: Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. %41 DESCRIPTION OF IMPROVEMENT (6i ®R � i dcra• LIVING AREA: Length Width V1- Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHEV68 Corner Lot [ ] Inside Lot ] Ft. Yd. Setback Type of Construction: Approx. Completion Date: Side Yard Setback Estimated Cost: $ Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: / ' 7 i3 1- APPLICANT: Permit Fee `S $ Plan Check /% $ State Surcharge-i•'I/ $ , SAC Charge $ Park Fee $ Sewer Main Charge $ TIOTAL ,q -O, $ STIPULATIONS: 6cr Tel. # CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 0 01 SUBJECT PE - city of Fridley 21144 AT THE TOP OF THE TWINS BUILDING PERMIT i � R COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. ^� CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE Of APPROVED BY j 612-571-3450 910-F15 11/8/91 JOB ADDRESS 6211 Riverview Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 Juli Ann Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fredrick W. Ash 6211 Riverview Terrace NE 571--5029. 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. B USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION � ALTERATION ❑ REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Install egress window for basement bedroom 9 CHANGEOFUSEFROM TO STIPULATIONS Install smoke.alarms on both.levels of dwelling; Provide outside combustion air for gas furnace. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,000 $.5a0 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $25. 00 Fire SC $1,00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $26450 CON�R TO R UTH IZED AGE (DATE, WHEN PROPERLY VALI TED THIS IS YOUR PERMIT 7ATUREO� SIGNATURE OF OWNER 0FO ER BUILDER) IDATEI BLDG iNSP OAT 01 NEW [ ] Effective 1/1/91 ADDN j ) CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor: 7-11 k11,11 E Tel. # r/-50 2 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground —�- Sq. Ft. OTHER: E9k�h dt),o - ,,, 7' c�'►i��1 Corner Lot [ ) Inside Lot [ I Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. Yd Setback DATE: //- APPLICANT: Side Yard Setbacks Estimated Cost: s--10607 06 Ft. + 6 Ft = Ft x $ MIN aam*) Permit Fee $ 0(0 Fee Schedule on Reverse Side Fire Surcharge $ 1,00 .001 of Permit Valuation (1/1 State Surcharge $ eSO $.50/$1,000 Valuation SAC Charge $ $650 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engmeerm Sewer Main Charge $ Agreement Necessary [) Not TOTAL $to, ab STIPULATIONS: Cl) TAJ S %, Seo #0 ®tot puft,mocr. = S Every sleeping room shall have at feast one.., window with a sill height of not more than 44" above the floor and ;bsll provide not I than 5.1 sq. ft. of operable area with' P, height of 24" and a min. width of 20". At. A AA T ®i #I®g _9444061760 4406'760 ' SUBJECT Cit of Fridley 57 � THE TWINS BUILDING PERMIT 28525 r -SHEC E COMMUNITY DEVELOPMENT DIV. ______ r � PROTECTIVE INSPECTION SEC. E CITY HAIL FRIDLEY 53132 ��t;'� i _- NUMBER TREv GATEPAGE OF APPROVED BY -__•�� 612-571-3450 s�aF�51114198 108 ADDRESS 6211 Riverview Te ace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. C7 2 Juli Ann Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rick & Diane Ash 571-5029 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Town & Country Roofing - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING REsidential 7 CLASS OF WORK ❑ NEW Q ADDITION ❑ ALTERATION :Ek REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (39.33 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 13E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 3428 $1.71 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $87.25 FirA SC $3.43 PLAN CHECK FEE TOT FEE - Lice 5 7.39 SIGNATURE OF CONTRACTOR OR AUTR RIZED AGENT I ATE, EN/PAO BLO IN ALID THIS I$ YOMSIGNATURE OATE OF OWNER OF OWNER BUILDER, IDATEI OF AUG -13-1998 08:42 FROM CITY OF FRIDLEY TO 8589320 P.01/02 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-28� BUILDING PERMIT APPLICATION Const uctionAddress: 0021 Y-� r r - Legal Description: Ir' D Owner Name & Address' K; cl-x1- 1-) 1'6L tj p /- Sin Ina 11 Nve ry i w Tel. # �3/ 1 -- Contractor: Address: Attach to this application, a Certificate of Survey of the Iot, with the proposed construction drawn on it to scale. DESCRI]MON OF IMPROVEMENT CENSE# ZOD9)aga _Tel. # '54/S L/off d.3- Attach 33 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 33 3 9.33 _Is; Construction Type: Z) ® Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft ffi Ft x $ =$ DATE: ZD I APPLICANT: C_' .ZAl Tel. #IF Jf�l� ' yo�•L CF)l'Y USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ � .001 of Permit Valuation (1110th%) State Surcharge $ i '� $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 6 ,, � $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alta "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $� STIPULATIONS: CI I Y OI- I MOLL) IIV:,I'I.l. i wIv I) IV 6431 University Ave NE I: ndley, MN -55432 (763 572-3604 PLUMBING FIXTURE RATES: 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 () NC Type Reinspection Fee $47.00/Hr $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge .50 TOTAL FEE The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city odes and rulings of the Building Division, and hereby declares that all the fads and representations stated in this application are true and correct. c4 , 20,:� Owner iR)re& Building Used As _ 7)% Estimated Cost `�� )— PERMIT NO. G �� "c) PLUMBING COMPANY,�J(i SIGNED BY - TEL N0. i� FAX #� Approved By Rough -In Date Final Dat MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT- IS $20'00, PLUS THE $.50 STATE SURCHARGE - COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE f �' THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When r nlarina an existingforanne _.,�, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes No ( ) The venting system is plesticlPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( No ( ) The undersigned also verifies that the replacement unit is a listed assembly BTU Input and meets the current codes and manufacturers specifications. This does Appliance #3 Type include AGA-GAMA Category I Central Furnace Venting Tables for fan _ Fan Assisted or Nat Fan Assisted or Nat assisted and nature! craft appi!ance3, Yes No ( ) The existing numb ,Minn air is sized and installed to meet the current codes and manufacturers specifications, Common Vent Type Vent Height Yes No ( ) When required to in�tail a naw comb ustinn ai- it will be sized and installed ft Length to meet the current codes and manufacturer's specifications. Yes ( No ( ) When installina a nPw venting system, the undersigned hereby verifies that _in ft Diameter in Type it is a listed assembly and meets the current codes and manufacturer's ft Length specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. AppliannP Tvn and SixP/r'nmmon Vent and Vent ronne or Yes (--� No( ) Infor natinn Appliance #1 Type Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input BTU Input _ Fan Assisted or Nat Fan Assisted or Nat Total Appliances _ Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter Type Appliance #2 Vent Connector Height ft Length _in ft Diameter in Type Appliance #3 Vent Connector Height Al TFRATI ft Length ft Diameter in Type HEATING CO: Signed By: I — Date: I GNOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 June 22, 2004 Mr. Rick Ash 6211 Riverview Terrace NE Fridley, MN 55432 Re: Final Inspection at 6211 Riverview Terrace NE, Fridley Contractor: Northwoods Mechanical Dear Mr. Ash: A plumbing permit was issued on July 7, 2003 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh Building Inspections 763-572-3604 DATE 6<— 1 e9 e��— S ITE ADDRESS (PP11 1 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY %0flept al -e &L) T( THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRIBE WORK BEIN( YOUR E-MAIL ADDRESS ❑ OWNER /96ONTRACTOR ADDRESS: PHONE: 74 3 � , `' rO ;`2 Permit No.: Received By:/� Date Recd: STATE LICENSE # EXP DATE ADDRESS:/ 0 CITY 0 �_ STATI 1�7 Z vunwp %o $ 5'%Z -P 77 FAX S'%2 -2 7 MINGLE FAMILY/N1 ❑ TWO FAMILY/NEW SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other ❑ ADDITION ❑ BASEMENT FINISH ❑ DECK NEW ❑ ROOF ❑ SIDING ❑ SWIMM cif V- /2 e, ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia ❑ DRAIN TILE ❑ OTHER POOL JG WIDTH HEIGHT Ft. BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: I . Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 97 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ , / .0005 x Permit Valuation Minimum $.50 License Surcharge $ i6 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ �° Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DATE IEW [ ] CITY OF FRIDLEY ,DDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp .LTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description:7 Owner Name & Address: Tel. # 7,& A Contractor. MN LICENSE # Aridress S/ Z c�-.s� 9°�� C�/�a .5 .� �i i Tel. #7d�--- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to'scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA. Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft +Ft = Ft x $ _ $ DATE; -3 - 13.O APPLICANTf]Z Tei. # 76 ir --'K 32 7 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. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ $ DO $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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: Building Permit Fee BUILDING See Back Page for Fee Schedule Permit No.: 30106 a� Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: Y 763-572-3604CITY Surcharge $ °'� .0005 x Permit Valuation Minimum $.50 License Surcharge FAX OF FRIDLEY SAC Charge Da 'd 763-502-41977 Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ "1 JL $ $450 Conservation Plan Review EFFECTIVE 1-1-2010 $ Fee Determined by Engineering DATE ��— � , e ��4��LADD�RESS , SITE ADDRESS ®T( �� r V l o Make checks payable to: Cq of Fridle Attach THIS APPLICANT IS: ❑ OWNER %CONTRACTOR THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED PROPERTY OWNER/ NAME: Na ne- ' , TENANT ADDRESS: Spm CITY STATE ZIP PHONE: 7&�5 CONTRACTOR NAME:K " VaS SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS. C o F� 1 _ CITY �9 STATEPZIP INSURANCE PHONE r - !S' ® FAX PROPERTY TYPE OLS SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH A ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR NREMODELING DESCRIBE WORK BEING DONE: T T'x—_rex,!,� z5cos'F= SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING 0513 [1 HOUSE ONLY NUMBER OF SQUARES 'gHOUSE & 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: SIDING 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. 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 OPENdNGS-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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ °'� .0005 x Permit Valuation Minimum $.50 License Surcharge $ 1 $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ o Make checks payable to: Cq of Fridle Attach 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 ork is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of rk wh' es review and approval of pi &±' SIGNATURE OF APPLICANT PRINT NAME :yepe DATE FOR