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PRE 2010 DOCS� D City of Friclley, Mm. Rec. #NO 10356 BUILDING PERMIT .,. Owner: Random, TncQrPQrated Builder Same Address 700-77+.h - PinesAddress Same LOCATION OF BUILDING No. —8191 —Street Ruth Girolp Part of Lot Lot .._._..1_ _ Block ____5 __ Addition or Sub -Division demz' s S=ing Brook Corner Lot — Inside Lot __ Setback ____ Sideyard •,(»n. - • . : / / 5: �>;.Ysr'f:Lw?P;1'�%dr.- ::F;.Y'r: (. i I I . NOWMAIGN-611MON.WN Top •Footing DESCRIPTION OF BUILDING To be Used as: _ DwP1 I i ng Front _ 3' _ Depth 401_ Height 20' Sq, Ft, 1128 Cu, Ft 22, 560 C,.a•ragP Front 22 W Depth 2.4 _ _ Height .. 10 Sq. Ft. 528 _ Cu. Ft. _ 5280 Type of construction F -^a_ me- Est, cost — $20, QOO_ To be Completed 90 Days SEWER LOCATION: 301 South of Manhole WATER LOCATION: 40' South of Manhole Note: Provide hard surfaced driveway. Pilaster and water and sewer on Ruth Street. 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 setrth and in a with all provisions of ordinances of the city of Fridley. q 5100.00 Sewer Connection Charge In consideration of the payment of a fee of $ -_QQ , permit is hereby granted to Random. lnjgSLuporated 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 an 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 -cd any of the provisions of said ordinances. NOTICE: This permit dose not cover the construction, installation for whing, plumbing, gas heating, roarer or water. Be are to we the Building Inspector for separate permits for then itemm e Is APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'S NAME //f/ C__ BUILDER A/ D� ! �� ADDRESS 700 ` 77 &�fLPDRESS -S�'a e•ci . Q LOC�ATTI`ON OF/BUILDING NO. O 0 STREET LOT BLOCK ADDITION OR SUBDIVISIONo'e'9' Ed'a'x S.'SP,0463 &0(),k CORNER LOT L� INSIDE LOT SETBACK SIDEYARD g� SEWER ELEVATION TOP OF FOOTING 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:, le?111AIa Front A Depth Height Square feet f Cubic Feet Front L Depth t� C-�� Height Square feet Q r A V��' Cubic Feet Type of Construction Estimated Cost .2g 006 To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work its strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and re resentations stated in this app lic ion are true and correct. DATE / — SIGNATURE ` ���✓ (Schedule of Fee Costs can be found on the Reverse Side.) CL t f.r_. � a MINDER ENGINEERING CO., INC. LAND SURVEYORS AND CONSULTING ENGINEERS 6418 56th AVENUE NORTH, MINNEAPOLIS 28, MINN. - KE 7-3637 CIVIL AND MUNICIPAL ENGINEERING LAND: SURVEYING LAND PLANNING SOILS TtSTING ioso d, �.� 6 Drvina9e f Uti/it� Easerne�fs , M � V - --- s�� Sca% o De/701es 1ra,e7 I Vol4 ' 9y0-9 Jc_ q I I'UTy c//f cz ,F Lot 1, Block 59 Bordeaux='s Spring Brook Addition V WE KERESY CERTIFY THAT THIS IS ATRUE AND CORRECT REPRE5ENiAT16N QF A SUVEY Of THE StUVADAR1ES OF 7HE IAN A®OYE DESCRIBED AND QF THE LOCATION 04 All tUlLDINGS, IF ANY, THEREON, AND ALL VISI6LE ENCROACHMENTS, IF ANY, FROM OR ORI SAID LAND. MINDER ENGkNURtNG U., INC. •QA'CEO THIS DAY Of _. �L'i� AA. iV6/� r C F3 s Z -Z Xe, 7-,'-'-' . I W, . 6 . . � I I City ®f Medley p. , Rbug Md G" Rubs pwa* Dept. Of Bldgz. Phone -3490 DESCEUPTION F'7"InWr, Kind and o aflF"durld Nubas comesdon Openings wua Now Fiziun, Old Openings Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures & x $2.00 Future Fixture Opening .. .3_ x $1.50 $ `i New Fixture Old Opening x $1.50 $ Catch Basin .. x $3.25 _(9 U' O ® W WATER HTR. GAS ELEC. Base = $2.00 $, GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .... .... .... ...... .. x $2.00 $L 1`60 Additional Fixtures ..... .............. x $ .75 $ (has Range to 199,000 BTU .............. x $5.00 $ 1e — - 2nd 3rd - - — — — 4th - — Nubas comesdon Openings wua Now Fiziun, Old Openings Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures & x $2.00 Future Fixture Opening .. .3_ x $1.50 $ `i New Fixture Old Opening x $1.50 $ Catch Basin .. x $3.25 $ Water Heater (Up to 99,000 BTU) x $3.00 $ . U New Ground Run Old Bldg. x $3,26 $ Electric Water Heater = $2.00 $, GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .... .... .... ...... .. x $2.00 $L 1`60 Additional Fixtures ..... .............. x $ .75 $ (has Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refor to Code Description . .............................. TOTAL FEE City of Fridley: 'q> 1.24 X zh The undersigned hereby snakes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn S ALPT • 1 i9�i Owner ANDD INC., Kind of Building UJ&LI.ING Used as is 0ME To be completed about �EL. /S, /969 Estimated Cost, $ /SOD Old—New. Building Permit No.____/ 0 f 3 S_Permit No. 42 Signed. Business Phone No_ 71%. — WOO ROUGH FINAL_= � I " 7 C) PARTIAL RATE SCHEDULE , Dept. of Bugs. Phone 890-3480 GRAVITY WARM AIR: RATE `DOTAL Locaffion Furnace Shell & Duct Work .....:..:: �/ / .....I......... $10.06 $ / City of Fridley: �• 91 Replacement of Furnace ....................... 6.00 $ The undersigned hereby makes application for a permit for the work herein. Repairs & Alterations—up to $500.00 ................. 6.00 $ specified, agreeing to do all work in strict accordance with the City Ordinance: Repairs &Alterations each add. $50@.00 .......... • . 3.00 $ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and cgrrect. Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ..................... I ....... 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 Hot 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 .......... ... .. ..... 6.00 $ over 3 gal. per hour --See Fee Schedule GAS BURNER (up to M.000 BTT) ....... ....... •.......... 5.00 $ over 189,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x$ 2.00 $ Additional Fixtures .................. x .78 $ Gas Range to 199,0W ........... is 8A0 $ AIR CONDITIONING FAN HEATING SYSTEM isee'ree schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $.1 0 FIENlgI,�l Owner Find of Used a4 To be completed about Estimated Cost, $ Ol —New.. uilding Permit No. 0 Permit NO. O DESCRIPTION OF WORK Y HEATING or PO N1 "team, Hot Water, Warm Air—No ? Trade Nam �'w Size No Capacity Sq. Ft. E.D.R BTUZIA A14/7 H.P. " Total Connected Load t � a S Kind of Fuel BURNER — Trade Name Size No Capaci Sq. Ft. E.D R BTU xpi (REMARKS -OYER) SU�'f�RBp{� �1t� �`QNDITtf�flilVG �. Signed } By .WANA 44�-- Business Phone Ne Original PERMIT for Power ants and Heating. Cool- ing. ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No.Heating Plants 2 to be(nstal �' tered—repaired Make , Size�� ; Oil fired—,- Coal fired ; Gas fired_X ;Gas Authorization No. Remarks ✓-- I - Approved Final Inspection Date '19 Inspector Permit --0 Fee $ 1'7 . &-r) N. _ 4583 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. -6- , 19. Owner 4✓, • ° Location 1191 Kind of Building_dK�_� How Occupied Work to be Commenced To be Completed_______.r I -) ,19-" Estimated Cost, $ & s o . 6-c Old -New, Building Permit No. 1 ®T 3 Permission is hereby granted Lz-ti, L-0 to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, nd to the specifications set orth in the approved application for this ' permit on file in the office of the Inspector of Buildings. Inspector of Buildings .01�42 2M11 -67V Origin Permit for RUMBING AND GAS FITTING N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for inspection shall be phoned in to the plumbing Inspector, 560-3430 giving number of this permit., DESCRETION OF WOMB Number. Bind and Location of Fixtures .Stories � M J U Z C 7 M , {p F- Z < 0 Y Z U) m y 4 t Z Z LL O O U. 3 = (p p 2 O e O V Z dd M U m Z� U K W X C .OA E 4. m .J Q d 0 4 � < O WATER HTR. GAS ELM Basement est t r 2nd 3rd 4th Connected with Sewer-�A Gas Piping for 3 Openings Permission is hereby granted 44ZI ` to do the plumbing and gas fitting in the building described in the statement kreto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date N? 5009 I Permit Fee $ �® City of Fridley ,19 Owner Location Kind of Build' Used To be Completed A2z,/ ,19-kj Estimated Cost Old -New. Building Permit No. % 0 % Date n o Inspector. Inspector of Buildings. 42 1M-�9-v 01 SUBJECT PERMIT N . City of Fridley �. 437 AT THE TOP OF THE TWINS BUILDING PE MIT i? RECEIPT COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. _I l CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE Of APPROVED BY �""'jkl 612-571-3450 910-F15 7/9/92 JOB ADDRESS 8191 Ruth Circle NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5 Bourdeaux's Springbrook Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William Schacher 16940 117th Ave N, Dayton, MN 55327 420-5497 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Backyard Building 5590 222th St E, Hampton, MN 55031 2966319 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 12' Storage Shed 9 CHANGE OF USE FROM TO STIPULATIONS Shed to be at least 61 .from North and East property lines. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 1 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 $,50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT i 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 License SC $5.00 $31.50 SI CONTRACTOR I AUT RIZED A T ID EI HEN PROP LY VALI AT THIS IS YOUR PERMIT �ATURE ! LDG iNSP 0ATE SiGNATUREOFOWNERii OWNERBUILDERi (DATE i • 01 NEW [ J ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 3/l/92 MN LICENSE # Tel. # 02 96.,- k,13 12 Attach to this application, a Certificate of Survey of the K with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground j - _ W.,f ) Corner Lot .10 inside Lot [ J Ft. Yd Setback _ Type of Construction: Approx. Completion Date: 2 Driveway Curb Cut Width Needed: Ft. + b Ft = Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost: $ 1400 Ft x $ (Cost on Back) = $ I �,//a'� 9 `! DATE: (,� � '?� APPLICANT: y��%e.��, � � J Tei. # Ya 6 -_ Permit Fee $ 24;z90 Fee Schedule on Reverse Side Fire Surcharge $ �` �� .001 of Permit Valuation (1/10th%) State Surcharge $ ,�^4 $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ 5-00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ --- Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: F! U #01, - P �7- 6 lvwa�e jr Z-Ofj 2,4 Ivo Lot 1, Block 5, Bordeaux -Is Spring Brook Addition I Scale 0 Petioles 11"W7 WE 14FRISY CERTIFY .THAT T141,5 Is &-TvtUT AND CORRECT REPRESENTATION OVA, SIAWX OV.TRV- %WRDPR%% Or 'NE I -PAID A%Oyt rjtStRj%Srj ANO, OF THE LOCATION OF ALL %UjLb%46%, IT ANY; THEREON, AND Alt VI%\%Lt ENCROACHMENTS, IF ANY, FROM R CA SAID WAD. KID. 11C.,14 2X4 STUDS 24"OG. 1 r J OS.B. FLOOR DECK 2X4'a ABOVE FLOOR PLAN FLOOR FRAMING . 2X4 OVHG. i 2X4 RAFTERS 24'QC. 2X4 FLOOR JOISTS .12100 1 s S 0235 SELF-SEALING SHINGLES 2, BAR SIDING LEFT SIDE ELEVATION FRONT ELEVATION ROOF FRAMING )S.B. ROOF DECK le ZX4. TOP PLATE -2X4 BOTTOM PLATE FRONT WALL SECTION 1OX12X9 CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDR New Fixtures Water Closet Bath Urinal Tub Shower Wash Drink. Floor Catch Auto. Gas Sink Tray Fount. Drain Basin Washer Appl. Gas Misc. Water Heater Range Fixt. Gas Elec Stories Basemen $ 7.00 Catch Basin $ 7.00 Rain Water Leader Floor 1 SumpJReceiving Tank $ 7.00 Water Treating Appliance $10.00 Floor 2 $ 7.00 Water Heater - Gas $10.00 Gas Range Floor 3 Gas Dryer $10.00 Back Flow Preventer Required ( )Yes () No Type Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDR New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 SumpJReceiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas $10.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer Required ( )Yes () No Type $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge .50 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 199,x, Owner SQ -k A C% , ° \ Building Used As �� X � Q - C --C -.Z- Estimated Cost 3'56CDC _ PERMIT NO. i PLUMBING COMPANY ��} Mfnn� �Aw w 700 —. 1nden Avenue SIGNED BY P. 0. Rax 116gEL N0. Minneapolis, MN 55440-1165 Approved By E.- Rough- n Date Final Date MINIMUM FEE FOR ANY PLUFIBING/GAS PERMIT IS $15.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE SUBJECT City of Fraley 217 61 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT N ICOMMUNITY DEVELOPMENT DIV. SEC. r PROTECTIVE INSPECTION CITY HALL FRIDLEY 55432 NUMBER REY, DATE PAGE OF APPROVED BV L J\ 612-571-3450 910-F15 3/18/93 JOB ADDRESS 8191 Ruth Circle NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5 Bourdeaux 1 s Spring Brook SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bill Schacher 8191 Ruth.Circle NE 783-0519 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. VanHorn Home Improvements 339 W 1st Ave, Shakopee 55379 496-2112 3783 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 ❑ ALTERATION IR REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Dwelling (28 Squares. (Tear-off) ; install soffit & fascia 9 CHANGE OF USE FROM TO s STIPULATIONS iin.derlayment must comply with the State Building Code. L TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $4r012 $2.01 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $72.00 Fire SC $4.01 TRUC, N R IHE P RFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $83.02 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT MAT I WH P OPERky NLIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER OF OWNER BUILDERI (DATE)DATE BLDG NSP NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Effective 1/1/93 Legal Description: Owner Name & A ess: Tel. # �� G�`e-Rs.. �n t� (i��d.-= MN LICENSE # Contractor: �P Address: -3� ��J-/!�T Jif -C 0A ; MAI SSy / Tel. # 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. DECD AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 2 aC- Corner Lot (] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: ��'v� ' Sor ��� ?_ �- � '�,7�-yf Fs�r� Estimated Cost: $ Approx. Completion Date: — Z r-3 �` S Driveway Curb Cut Width Needed: Ft. + 6 Ft = (Cost on Back) Ft x $ = $ DATE: APPLICANT: Tel. # 2 - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow $ 00 $ 0( Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ 2-0a CITY USE ONLY Fee Schedule•on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary ( ] Not Necessary [ ] T PERMIT for Power Plants and Heating, Cool- ing, Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK D. f t eating Plants WgAm ice / le to a installed tered—repaired ake �,�i , Size ; 1 fired_ Coa fire ; Gas fired `'L; Gas Authorization No. marks Droved by_ al Inspection 19_ Inspector Surcharge Permit Fee s-30,00 12 416 ti Office of the Inspector of Buildings City of Fridley City of Frid , Minn. 9-,5- , 19y ' Owner LL. �� 7v �Cffi7�LI7�lZ. Location a191' ;L77-1 Kind of Building /:/2 I L How Occupied &0E_LL1 Work to be Commenced—, 1.9— To be Completed / ,19_ Estimated Cost, Old- ew, Building Permit N Permission is hereby granted to � 0"' -S / /'� � L' Yffi7�/. (`lfL. to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his ap,ents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein men d shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein nam9d, a to the s tions set forth in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector CITY OF FRIDLEY INSPECTION DIV. l,4J& q16V94 Effective On August 1, 1995 6431 University Ave NE --�' Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATibN, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY�r,6 �S �O6Cfff 1 e Signed By Tel No. 6011 (1 Approved ByRough—In Dale Final Date FILL OUT BACK SIDE OR STACK VERIFICATION•ON REPLACEMENT FURNACE IL JOB ADDRESS L,9117 fO 4-2 eG RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back)��� Gas Piping (Needed with new furnace) $10.00 $ , OWNER�IL�. ���✓�� Gas Range $10.04 $ , . BUILDING USED AS /9 Gas Dryer $10.00 $ ESTIMATED COST V00, ejO PERMIT NO. *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units / Circle One (Steam) (Hot Water) arm Air) Trade Name 1i.sf-X4-AJZ- Size No. > Commercial/Industrial BTU 600 HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load • State Surcharge X50 Burner Trade Name Size No. TOTAL FEE - Ot BTU HP EDR MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY�r,6 �S �O6Cfff 1 e Signed By Tel No. 6011 (1 Approved ByRough—In Dale Final Date FILL OUT BACK SIDE OR STACK VERIFICATION•ON REPLACEMENT FURNACE IL J CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. 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's connectedYes No ( ) 6 Has total heating BTU's of -7 Q cc) V All other BTU's y , 000 TOTAL BTU's o o 0 7. Has a liner been provided for water heater Yes) No ( ) 8., Has combustion air been provided for water heater Yes ( No ( ) Remarks: List ALTERATIONS Beim Done: HEATING CO: Signed By: Date: eC_o,qJ,,C�l ss37% 11 CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2002 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer �- *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work JOB ADDRESS P/9/ OWNER Jailer., _:"ade- e - Rate TOTAL -- BUILDING USED AS $ 30.00 $ ESTIMATED COST ierc::'-01tJ PERMIT NO..����, $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating U its--� Cirple One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name qi2e. c9--s-Lez) BTU ;?- HP EDR $ 25.00 $ Fuel Total Connected Load State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr Burner Trade Name Size No. $ BTU HP EDR $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO Signed TEL # FAX # *Air Conditioners can not be placed in a side yard without Approved written permission from adjoining property owner. '- %�""" FILL OUT BACK 0:066 I 141A) Rough -In Date D� Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When raI� a-ina an existing furanra, 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 (i No ( ) The venting system is plastic/PVC 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 and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The exisfingSomht,a_tion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to Install a new comhusfiaaairA will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When lt]Stalleng a naw v _ntinoywctam, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's 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. App iance and R*7 Vent Yes( )No( ) and Vent Conn Information wee Appliance #1 Type _! Common BTU Input _ctor Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input 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 in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date su9,lEcr MIT NO. City o� Fraley 30955 AT THE TOP OF THE TWINS ? BUILDING PERMIT , Ir RECEIPT NO. ►v __��__ COMMUNITY DEVELOPMENT DIV. SEC f PROTECTIVE INSPECTION ��'�' �•� CITY HALL FRIDLEY 55432 i NUMBER REV DATE PAGE OF APPROVED BY -_--� L 612-571-3450 9 5/19/00 JOB ADDRESS 8191 Ruth Circle NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5 Bourdeaux's Spring Brook Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Bill Schacher 8191 Ruth Circle NE 763-783-0519 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Deck Creations 4548 Zenith Ave, Robbinsdale, MN 55427 763-504-2960 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 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 12' Three Season Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Variance #00-09 approved to reduce the rear yard setback from 25 feet to 15 feet. SEPARATE PERMITS WARNING REQUIRED FOR: Def®r® da digging PI.UNI WIRINGnNG call all utility IO qE D SIGNS 454-0002 REQUIRED UIRE Y LAIN SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $12,000 $6.00 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- Fire SC $12.00 TRUCTION OR THE PERFORMANC OF CONSTRUCTION $209.25 � PLAN CHECK F TOT FEE Licen $5.0 $232.25 S-GNATURE OF CONTRACTOR OR AUTHORIZED AGENT i TE, HE PROP NIS IS YOUR PER ' ,,.,VALIDATED V BL IhSP f1A7 S.GNATURE OF OWNER qF OWNER BUILDER, (DATE, , P� NEW [ ] Effective 1/1/2000 ADDN [ J CITY OF FRIDLEY 63) 572-3604 Bid Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES -2 (1) BUILDING PERMIT APPLICATION Construction Address: Legal Description: M" Owner Name & Address: b Tel. # 7&.3 `lam Contractor: MN LICENSE # 7-®d :!1 r o q&-, Address: LJ cAIA Tel. # V61z, Ste`{ 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 1 Width �� Height Z ® Sq. Ft. 0 Z,0 GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: Estimated Cost: $ cm�r' Driveway Curb Cut Width Needed: Ft. + 6 Ft= Ft x $ —=$. DATE: E,- (_ - ®C1 APPLICANT: tS::l Tel. # ;�6 ?7 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ C 7",c25 Fee Schedule on Reverse Side `` v Fire Surcharge $ ZQCO .001 of Permit Valuation (1/10th%) () . State Surcharge $ $.50/$1,000 Valuation` v SAC Charge $ $1100 per SAC Unit License Surcharge $ � j, CO $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $AgJreeXnent Necessary [ ] Not [Necessary [ ] TOTAL $ STIPULATIONS: WC WTIERI' "`c ND CONSULTING ENGINEERS 41VIL 'ANDMUNICIPAL ENGINETRING OILS Re oqA —6 PI-alhafe JC ale 96 ly CIRCZ Lot 1, Block 5 Bordeaux,es Spring Bro ok Addition DA*,TttJ TRIS ENGNEWNG CO., INC. i 1, look PLUMBING RESIDENTIAL APPLICATION City of Fridley 400§ -Odd Permit Number Dfite Req6ived NOTE: IF PROPERTY IS NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. T DATE. YOUR E-MAIL ADDRESS t rile M& SITE ADDRESS THE APPLICANT IS: (CIRCLE ONE) ONTRACTOR 1 'OWNER NAME PROPERTY OWNER/ ADDRESS TENANT CITY STATE 0 ZIP5- S'L 3Z - PHONE # �� 3 101.-FrOpeujorms LICENSE # I 1 NAME a2 i ADDRESS 3670 kP�,��I,�A Read CONTRACTOR CITYT TE f _ ZIP �� 9®5 1:3 z PHONE # # SC PERMIT TYPE SINGLE FAMILY TWO FAMILY TOWNHOUSE TYPE OF WORK LI NEW V REPLACEMENT — MCk--%'P- kkttA-� `a c -e4-..- DETAILED DESCRIPTION OF WORK 1 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED FIXTURES: (INDICATE TOTAL NUMBER OF EACH) BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (Need City License) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15) DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION WATER METER OTHER 3S,`0 Permit Fee $ MINIMUM: $15:00 or 5% of cost of the improvement -whichever is Plan Review $ greater on work less than $300 Surcharge $ .50 TOTAL DUE $ 3sso Make checks payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT - NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approvalplans. �Y r ( r NAME OF APPLICANT DATE Please ty t SIGNATURE OF APPLICANT -4i. ': 4 4y! ' PLEA$E"111p`TE ��P P T1 �iWp 9 .. z��Y�.7t �,...�ca. "r, rr�r �ci!; 1 r�r>msN�S ;�-:� ... s..,�.. CITY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT 6431 UNIVESITY.AVENUE NE, FRIDLEY, MN 55432 50 1 I tom. (763) 572-3604 �'+"Y 3uilding hspecnons 763-572-3604 irMADIORESS--- L wS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICSNSE WrM APPLICA'T'ION FRtOPERTY TYPE PERMIT TWE TYPE OF WORK: CITY OF FRIDLEY B V 1LI)ING RESEDENTUL APPLICATION CITY OF FREDLLY $ermit NO.: ADDRESS: — — CifY SFAs PHONE v PHONE $ Cl q..; i ' ❑ SINMZ Y/NEW STIt;UCTION O TWOFAMILYINEW IMNSTRUCTION O ADDITION r AG ElBASEMEN I' FDM J�R00F O DEM © SIDING $5.00 (State Licensed Residential Contractors) ❑ SWIM<vl _$ $ ADA 9 1MArnr7ENANCFJREPA1k ❑ REMOL DESCRIBE WORK BEING SIZE GARGEES PROPOSED =F:^ PROPOSED H LIGHT: Sr MG o vinyl ❑ Altuninum O Other,, _. M O HOUSE pNLY ❑ HOUSE & GARAM ❑ ATTACHED GARAGE. O DETACHED GARAGE QSom ❑ Ttun ❑ Fascia wrnlntw& IN EXIST�IG OPENINGS ❑Yes ONO LOCATION OF WINDOWS OR FORNEW OPMQNGS-DESCRI$ir SIZE OF OPENWG CHANGES & TYPE OF WINDOW TO $E DWALM NUMBER OF %T=WS ALL FEES ARE RASED ON VALUATION, INCLUDMG THE COST E (USING THE 1997 UC FEE JcXMUL TOTAL JOB VALUATION$ 0 cM 611 3- oCCUPA l FL SASMgENT REggauLaiO SUBMIT, 1. Erosting Flow Pian 2. Proposed $oar plan 3. List of Wud rAl tu=bers to be used FOR NEW CONM=ONINCLUDINO DESKS, AQQMQN& & 1. Site Flwv$urvey sbmft I to Vds&g ShUcW" and proposed prRiect• Z. Two sots of amuftction PIM 3. Energy Caicumorts Permit Fee $ Cl q..; i ' See Rack Page for Fee Schedule Placa Review $ $ 65°/a of Building Permit Fee (.0005) times the total job valuation — Mini OM $.50 Surcharge Fire Surcharge $ 3o S6 . I/10%) 001 x Permit Valuiatian( License Surcharge OU $5.00 (State Licensed Residential Contractors) SAC Charge _$ $ $1450 per SAC Unit (Plans to MWCC for detewfiiadon) Curb Cut Escrow $ _ft + 6 8 = ft x $20 = $ Erosion Control S $450 Conservation Plan Review Park Pee S ]Fee Detmmined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ i r Make checks 2=bW to: Clof Fri Atta< This IS AN APPLICATION FOR A PEJWT NOT VALID IJXM PROCW= 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 Mhwesota 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 accordaartee with the approved plan in the case of all work whieh requires review and approval of plans. C ® 0 SIGNATUREOFAPPUCANT pRINTNX�5-