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PRE 2010 DOCS11. City of Fridley, Minn.. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BURDING P]E . T Dater - December 1. 1972 Owner: Address Allen D. Blamker 8131 Ruth Circle 1 .*, o e Builder Castle Homes 6,-5q--57 11819. Address. 7613 Central Avenue N.E. No. 8131 Street _ Ruth Circle N.E. Part of Lot Lot _ Block 5 --- Addition Addition or Sub -Division Bourdeaux's Spring Brook Addn Corner Lot _.___. Inside Lot Setback 35' Sideyard Sewer Elevation To be Used as: Foundation Elevation _...._. M4,161,1421• • -Dwelling__ Front26 ` Depth 40' Height ,Sq. FL Cu. Ft. arage _ _ Front 24' Depth 26 ` Height Sq. Ft. Cu. Ft Type of Construction Wood Frame Est, Cost To be Completed 611173 �--)i, i/o Provide verification survey and hard surface drive. "Y" 50' North of M.H. "Y" Elevation 848.52 Top of footing Min. 851.52 Inv. Elevation of M.H. 847.97 Water Stop Box 10' North of Sewer In consideration of the issuance to me of a permit to cons et the building described above I agree tp do the proposed work in accordance with the description above t orth and. in comp with all provisions of Ordinances of the city of Fridley. In consideration of the payment of a fee of *__5l 00 , permit is hereby granted to Castle H9mes 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 ordin4nees Of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiIIggn�� Within anthe. city limits and this permit may be revoked at any time upon violation of any of the provisions of siaid Building rnspeotor DARREL CLARK NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sower or water. Be sure to see ?'the Building Inspector for separate permits for these items. h. row APPLICATION FOR RESIDENTIAL, ALTERATION# OR ADDITION RITILDINC PERMIT CITE' OF RRIDLEYj MINN9SOTA OW MIS i-dL=.:.U;.1 BugLD� : I ADDRESS: 7yt l r � � G �-P ��+a�s+u � i �[o l �e ,�-A � ay F s ION 4KMM LOT; I== LOT:, _SETBACK: -36— SIDEYARD: A"Mant attach to f+p=_Vo Certificates ©f Survey of Lot and propooed VAJAUg location drama 4= #ase Certificates, DESCRIPTION OF BUILDING Square Feet;,//,/ Cubic Feet-, Front: —Depth - Height: Square Feet; Cubic Feet: Tyof Constructions ��s1�I�. "�'r4 � Esti=Ated Cost: $e30 The s:poorpigned hereby makes application for, a permit for the work herein opectite,d, agreeing to do all work in atttct accordance with the City of M414w Or+ Uw=es and vuU *f the Department of BuWtngs., mW 'Thereby doolax4n Owt all the facts and, representations stated is this applt"tion exe true im4 correct, SIQ �+1iee S#.dsr F r AddWonal Information.) r k f for Power Ptah: and Hoaltnga ding. Ventilation. Re>tutgerwIlon and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ................ .. $10.00 i Replacement of Furnace .... 6.00 f Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ MECH. WARM AIR &00 $ — Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 each add. 60,000 BTU .................... .. 3.00 ; Replacement of Furnace .... 6.00 $ Repairs & Alterations -up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. Furnace Shell & Line --to 640 sq. ft. EDR Kot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00 Each add. 320 sq. ft. EDR Hot Water 3,00 $ OIL BURNER—to 3 gal. per hour &00 $ — over 3 gal. per hour—See Fee Schedule GASB (up to 188,000 BTU) 6.00 $_ Dear 189,000 BTU see Fee Schedule GAS PITTING 170 RATE TOTAL 1st 3 Fixtures x$ 100 $ 024 Additional Fixtures x .76 $ Gas Range to 199, s$ 5.00 $ Alli CONDITIONING g FAN HEATING SYSTEM See Fee Schwinlo VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE (ROUGH (SHRCHARGE $ _50) Dept. of B1dgL Phone 980_3480 City of Fddley: The undersigned hereby makes application for a permit for the work bereir specified, agreeing to do all work in strict accordance with the City Ordinance* and ruling of the Department of Buildings, and hereby declares that an the facts and representations stated in this application are true and correct. .. ,Ydley, Minn -- 18 Owner Kind of Building Used as To be completed about Estimated Cost, Ol New. wilding Permit No. Permit No.S capaci Sq. Ft. E.D.R BTU mp. (REMARKS -OYER) BIS dI T C. & AIR CONN. CO. ' �_odlf�av E. SO. 545 - PRF MINNEAPOLIS, MINN. 55416 Sedqw" I.l G�►ea°- a2 5/s HEAT LOSS CALCULATIONS HEATING& AIR CONDITIONING CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Guide Reference fg Construction No, Insulation Windows Doors Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes -No Yes -No FI. 1 / 6— Room I Length Width rreight FI. ® 7-CIIZjV Room Length �� Width�Height Windows and Doors-Crackage and Area No. of Lineal ft. Area lights of crack sq. ft. Windows and Doors-Crackage and Area ei Width Hght No. of Lineal ft. Area of ane of pane lights of crack sq. ft. Width Height No. of pane of pane No. jCoefl Btu Coef Btu Infiltration ® Infiltration S -716 - Glass 1-400 Glass Exp. wall Exp. wall 9s Net exp. wall �-� Net exp. wall 6 Int, wa I I. Int. wa I I. Ceiling Ceiling Floor Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Lea er area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. ® Room I Length IZW Width/27'Height FI. Room I Length Width Height Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. No. Width Height No. of Lineal ft. of pane of pane lights of crack Area sq. ft. 3 Coef Btu Coef Btu Infiltration Infiltration Glass 9 _je) Glass Exp. wall ,I Exp. wall Net.exp. wall ` Net exp. wall Int. wall Int. wall_ Ceiling 1 ® Ceiling �® Floor Floor Total Btu. Total Btu. JAL® Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room Length Widt& Height I. Room Length Width Height Win ows and Doors-Crackage and Area Area sq. ft. Windows and Doors-Crackage and Area Width Height No. of Lineal ft. No. of pame of p lights of crack NO' Width Height No. of Lineal ft. of pane of pane lights of crack Area sq. ft. e 0 Coef Btu Coefj Btu Infiltration �J` Infiltration Glass Glass01 ( Exp. wall Exp. wall Net exp. wal I Net exp. wall /® Int. wall Int. wall. Ceiling 15'6 Ceiling Floor Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area . HEAT LOSS CALCULATIONS fza- HEATING&AIR Seee9u`tc�¢ C6RIDtTIONING CO. MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Guide Reference Construction No, Insulation Windows Doors Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied 4 Yes—No Yes—No Fl. e ' oom I Length Width// Height FI ®oom Length / Width/ ® Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Is— Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef Btu Coef Btu Infiltration 06 Infiltration Glass Glass Exp. wall . ® Exp. wall , Net exp. wal l ® Net exp. wall y 49 Int. wall. Int. wall. Ceiling Ceiling ® ZZe /V 1760 Floor 09 Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room Length Width /r Height FI�jJ� �� Room Length Width Zk}eight Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area No. Width Height No, of Lineal ft. Area 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. Coef Btu Coef Btu Infiltration Infiltration Glass Glass — SO Exp. we l l �� Exp. wa l l Net exp. wall Net exp. wal I Vo I to Int. wall. Int. wall. Ceiling Ceiling Floor a -3 FloorVY7 / ,V mix Total Btu. ayTotal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I.Room Length Width Height I��/� �Room Length Width Height ,� Windows and Doors—Crackage and Area No. Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of vc7ra�ckk sq. ft. Coef Btu Coef Btu Infiltration Infiltration G I ass 4 Glass Exp. wa I I Exp. wa I I Net exp. wal I 3 zmNet exp. wall Q33 /D I A3 Int. wall Int. wall. Ceiling Ceiling Floor Floor Total Btu. Total Btu. Required sq, ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley �� pli Dept. of Ridge. !lo=ts 560-3450 DESCRIPTION OF WORK Number. Kind and Location of Fh t res Locatt�s J I �:ontassxsa ®arra — ° f efttas Cotansel5oa Ossainge Sswu * New Fixture. Old Openings Cesspool a PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 I 3f 6 t <3 (�9 t�9� WATER H". FI GAS ELEC. . x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU) .... x $3.00 $- Q d New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............ • • • • • • x $2.00 $ Additional Fixtures .... , ............. x $ .75 $ 2nd x $6.00 $— a 3rd 4th I �:ontassxsa ®arra — ° f efttas Cotansel5oa Ossainge Sswu * New Fixture. Old Openings Cesspool a PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ 2.D® Future Fixture Opening ..... • • • • • • . x $1.50 $-- _New New Fixture Old Opening .......... . x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater ;Up to 99,000 BTU) .... x $3.00 $- Q d New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............ • • • • • • x $2.00 $ Additional Fixtures .... , ............. x $ .75 $ Gas Range to 199,000 BTU ................ x $6.00 $— REPAIRS & ALTERATIONS—Refer to Gods Description .................. TOTAL FEE $ 26 ' 0 0 .aS.56 City of Fridley: The .undersigned hereby makes application for a permit for the. work herei specified, agreeing to do all work in strict accordance with the Qtly Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true annd- correct Fridley.,, Minn .�, ^ % 1943 Owner _ ( - ®J Rl 6=2._4 / Kind of Building j Used as 109:6 A be To be completed about — r 3 Estimated Cost, $ .2,_ d el !l d A �J - o Old—IEP Building Permit No. Permit No. Signed Business Phone No 'S✓'S✓T'S%� { ROUGH FINxt. A-11- 53-84-s-915.51 =ZC@N or mom nuwRna. K and mos @i, PARTIAL RATE SCHEDULE N i b` YIT �:m ......... .. a . maw �-- - -- - - - Tata m; we ' pe nfins x &. New nXtum Old owning ........, . � % SIM s D. o4 sm6m. phot 8131 N. E. Ruth Circle City at RTt&ey, .�.. ,. .__ .:.. L.Eiraa,Ln e,7r2g Allen Blomker Catch BasAn1 ................ ®. x Water Heater (Up to BTU)— New TU)—mow New Ground Run Old Bldg. ........ n Q .............. oe GAS FVMNG FEEB: NO. RATE TOTAL lot 3 Fixtures • ....... • • .... • ffi AAdettonal TWum . * .... -x8.75 On R=p to MWO BTU.'...... 1 $85.00 5.00 State Surcharge SWAM ALIX® _ 0 0 0. 0..... ... 0 0 .... 0 ... 9 0 0 0.0.0. 6 0 0 0 0 0•. • as - 5 -5o class 's $urearge 5.50 e ' 1r,11 SUBJECT P IT NO. 711 City of Fridley 15114 AT THE TOP OF THE TWINS BUILDING PERM RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. ;,:------, Sa r I � PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 4/10/79 JOB ADDRESS 8131 Ruth Circle N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 5 Bourdeaux Spring Brook Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Allen Blomker 8131 Ruth Circle N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Simmons Construction 251-5585 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Q. ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a masonry fireplace. 9 CHANGEOFUSEFROM TO STIPULATIONS WAR IN SEPERATE PERMITS REQUIRED FOR MIRING, HEATING, PLUMBING AND SIGNS. Before digging call local utilities TELEPHONE - ELECTRIC - GAS Etr,. Ip TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Masonry THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT' ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $3,000 $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $18.00 ST ON OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $19.50 OF COM R TO RAU HORIZED&AGT (DATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT kLSIGNATORE - BLDG. INSP DATE NATU EOF OWNER IIF OWNER BUILDER)(DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS,' OR REPAIRS) OWNER: Address: 6131 60 tK• No. Street: LOT: _ _ /BLOCY.: CORNER LOT: INSIDE LOT: BUILDER: M Pi NS 1�0�1 j ae 1�70t Address: Tel. No. !j�kLoLr S,^:TBACY.: SIDEYARDS : Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: - Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: MASOPu Estimated Cost: $ 33ca 00 To Be Completed: ��J lq1q Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the artment of Buildings, and hereby declares that.all the facts and repr sent tions stated in this application are true and correct. See reverse ide or additional nformatio . DATE: i 0 1� SIGNATURE: Stipulations: ' 0 Gerry p� .At�d"� �//-3V ONTv�rry �V NE .�• - U WIC ®F .04E�r, 1 N �rzs ALv�t_ytj BLOM x City of Fridley SUBJECT P ®� 6 2 AT THE TOP O'F"TWE"TW1NS BUILDING PERMIT r ' , ECEIPT COMMUNITY DEVELOPMENT DIV. �y t✓ PROTECTIVE INSPECTION SEC. 6' i 1 1 tea/ NUMBER REV. DATE 7/20/84 PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 8131 Ruth Circle N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 5 Bourdeux;s Spring Brook SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Allen & Evelyn Blomker 8131 Ruth Circle N.E. 784-0274 3 COTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW EX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK construct a sun room deck 15' x 12' 9 CHANGE OF USE FROM TO STIPULATIONS Variance granted 6/26/84 RIXZXI'X#KXNIKliXkIXXdiXXRRXXKI#KXXXXIKKKXXXXgtgNXXIXX911X§Xgmxm SEPERATE PERMITS REQUIRED FOR WIRING HEATING, PLUMBING AND SICII & TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. wood 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 3 150 1. �8 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 44.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 1/1 11.13 57.21 OFCONTRACTORORAUTHpRIZEDAGENT f DATEIEN PROPERLY VALIDATED THIS IS PERMIT tSIAT �YOUR fP GN OF OWNER IIF OWNER BUILDER) 1DATEI B/L DIGJ(I�N/S OWN NEW [ ] City of Fridley Effective 4/1/84 ADDN. 17 �R-1 AND R-2 ALTER. I J Building Permit Application Construction Address Legal Description: Owner Name Address: +� R Tel. # % Contractor: Tel. Address: V�LZ 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: Le thWidth 6-Y /Hgt/Ground Sq. Ft. OTHER:�C;_ t� � � � 3 �� Ft. Yd. Setback __ Side Yard Setback 11114 �1_ Ci X t --.. I'* 40 h Corner Lot [ ] Inside Lo] Type of Construction: ��co�/ Estimated Cost: Approx. Completion Date: ' I 19b Alt. A Alt B Proposed Driveway Width If NewOpeni Is Desired: _ $ See Back Page $ for Explanation DATE:��� :W1ArrLICA T: Tel. # CITY USE ONLY Permit Fee $Fee Schedule on Reverse Side Plan Check $ � • �04 25% of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ ago* Fee Determined by Engineering Sewer Main Charge $ 6000ft Aowowk Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: Building $ ®"'d d!7 2 BUILDING Permit No.:AA 0 — ) InspectionsRESIDENTIAL 65% of Building Permit Fee APPLICATION Received By: 763-572-3604 Surcharge $ 3 , 8U .0005 x Permit Valuation Minimum $.50 License Surcharge $ CITY CITY OF FRIDLEY Date Rec'd: (� 763-502-4977 FAX $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ EFFECTIVE 1-1-2010,q $ $450 Conservation Plan Review DATE 6 4! m YOUR E-MAIL ADDRESS SITE ADDRESS 41 Sewer Main Charge THIS APPLICANT IS: .OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: TENANT-4//&,zADDREss; . G� STATEIP c[TY h'��= _ PHONE: CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE W'SINGLE FAMILY/NEW CONSTRUCTION SIZE ~' ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK I&SIDING ❑ OTHER. ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR )9.REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 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: SING • FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl woffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing structures ❑ Other 6 ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS JlYes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & /Z/f TYPE OF WINDOW TO BE INSTALLED er=k MBER 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 $ f 1'—z' '' OCCUPANCY TYPE Permit Fee $ ®"'d d!7 2 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ (4 .001 times the total job valuation Surcharge $ 3 , 8U .0005 x Permit Valuation Minimum $.50 License Surcharge $ $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 $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ /Y , Make checks savable 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 of a work which requ' esCee�iew and appipval of p ans. SIGNATURE OF APPLICANT='���%/ %"—C�PAIT NAME+1 'LlJ 1 DATE Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DaJEMMAR 17 2- 763-502-4977 FAX EFFECTIVE 1-1-2010 ✓��`� DATE YOUR E-MAIL ADDRESSL� SITE ADDRESS d�✓I I!/Ti7� THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY NAME: A4 T + � CITY STATELOZIP� OWNER/ADDRESS: TENANT e�'%2 - X79 C PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PERMIT TYPE )l SINGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW .REPLACEMENT DETAILED DESCRIPTION OF WORK .� — /t ���6 eC FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $so. AY -WATER PIPING YBATH SINK/LAV DRAINS ( SHOWER _FLOOR F BATHTUB GAS PIPING (NEED CITY LIC)SWIMMING POOL _ WATER SOFTNER ($35) _ WASHER KITCHEN SINK � WATER CLOSET�'Co,�,5 _ BACKFLOW PREY. ($15) _CLOTHES DISHWASHER ,_ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER _ OTHER t i MN Y+ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for aplumbi -permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ord nance and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only applica ion for a permit d work is not to start without a permit on site- that the work will be in accordance with the approved p in the c of all wo k w ' requir revi wand approv%1/of,�plans.axs�TE SIGNATURE OF APPLIC RINT NAME L-� — City of Fridley .4-, 1, " -� q Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.:,e0 [ Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: G 763-502-4977 FAX EFFECTIVE 1-1.2010 DATE 6 YOUR E-MAIL ADDRESS SITE ADDRESS'✓��� THIS APPLICANT IS: XOWNER OCONTRACTO PROPERTY NAME: ADDRESS: GIC CITY eg e r i STA IP �J OWNER/ TENANT PHONE: / _: CONTRACTOR COMPANY NAME: CONTACT PERSON: SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ,DRESS: CITY STATE ZIP APPLICATION PHONE FAX PERMIT TYPE JINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE OF WORK: 0 NEW [3 REPLACEMENT �ALTERATIONIREMODEL TYPE DETAILED DESCRIPTION OF WORK `S'7 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALCIS PER MANUAL J 2006 ASHRAE HANDBOOK ��' SIZEBTU I Equipment Installed MFG:m%��[/r�Li� MODEL. MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU $25.00 (GAS) $15.00 GAS RANGEIOVEN $10.00 _AIC _FIREPLACE AIR TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _FIREPLACE BOILER $35.00 $35.00_ AS UNIT HTR $10.00 _FURNACE CHIMNEY LINER $10.00 GA�WRYER $10.00 OOL HEATER $35.00 DUCT WORK $10.00 AS PIPING $�10.00 VENTILATOR $15.00 ' a... � r'�„`" 3 � � �.n' €.' 3 yr'•' at, i "� s Y �� '*i £ b� J� h��`�' �_ � kC .�^y� W .vim" i R ? £ 4` � � d � % `f � .t �k � i - d � �+�` G� y�`'` �. i �✓� tt _s _ " •.� 1 - `� ,x are F '�-`:- ,.d _ _e,�...+ .,�.. zaa ����� 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 plc tion for a ermit d work is not to start without a permit; that the work will be in accordance with the approved plan in the -28e of all rk whic qu' s revie ::and pproval of plans. :� PRINT NAME Nzd' ATE /`[.c`// SIGNATURE OF APPLICA APPROVAL INSPECTORS SIGNATURE DATE E City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 11