PRE 2010 DOCS�a �
City of :�" ridley
Permit- No.
AT TMS TPP OF TH9 TIMMS
4
PLUMBING PERMIT APPLICATIONI
4
�L-------1 CONUVMItY AIEVELCIM4ENT DIV,
t i PAOTEGTIVIZ M9.1PUCTION VIPT,
CITY MALA. FRIOL4V 00,02
�brV. @,ATE
PAGE 07
APIPROVE0 6Y
.J M-060-SEATOPili7�.y"`�
�1l - IS 0 12/15/73
1 1
I 800
Job Address
KI W .e
UwneI*I Address Phone
Contrac A rasa Phone
� �
Kind of Building
Use
Completion Date
Fstimated Cost
I
I {
Plumbing Fixture Rates- NO. RATE XEAL
J
W
W
(
- ' —�!
Number Fixtures _ x 2.00 �o
I
Future Fixtures x $1.50
stl9
New Fixture-Old Open. x $1,50
U
Catch Basin x $3.25_
Water Heater-99,000 BTU x $3.00 0o I
— �•
•oslwl
(
I
I
•saa,(�
,
Ground Run Old. Bldg, x $3.25
•MNlva
I
I111
Elec. Water Heater x $2.00
y0„ SNISVS
1
tau,
_ �°
Gas Fit.tin _Lees.
�
Pi wSNIVU0
i0 0
M
a001d
oIlst
(tjI
3 Fixtures x $2.00 d00
iO Sa3fAOH$I
t�.,�\I
\��.jl
I
I-
Additional Fixtures .75
x $
! LNno-4
xNINO
Gas Range-199,000 BTU x $5.00
U•
la SAtlall
HStlM
$
Repairs &Alterations
I`--
sNNIS
I
See/
Description: Code
(<-�
}
SNISV81
State-Surcharge .50
-- -
'~I
I
6®nl
f
( •�
TOTAL FEE$
I
\ +Ilt
H1V81
I
_3L,00
I
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
U
of the Department of Buildings, and hereby declare that
all the facts and re resentations stated in this
ap cation are d u and correct, f
0
'.'ig ature �M � Date
'�'- i - %�j'/_�
SUBJECT -
PER ND.
City of Fridley
1 2259
AT THE TOP OF THE TWINS
PERMIT
r
BUILDING
RhGEIPT NO.
COMMUNITY DEVELOPMENT DIV.
L r
PROTECTIVE INSPECTION SEC.
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
IL----
L"" 612-560-3450
910-F15
7/27/73
JOB ADDRESS 8118 Ruth Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
3
Bourdeaux I s Spring Brook Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Robert Venne
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Castle Homes Inc. 7613 Central Avenue N.E.
4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
]U NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBEWORK Construct: 38' x 38' Dwelling and 24 x 28 Garage
9 CHANGE OF USE FROM TO
STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before
capping. Excavate to step footings 3'6" below grade.
SEWER LOCATION: 63' South of Manhole (Inv. 841.49)
Wye Elev. 841.76
Top Of Footing: 844.76 (Minimum)
WATER LOCATION: 79.5'SS.W. of Manhole
160.8' S.W. of Hydrant
SEPERATE PERMITS REQUIRED FOR WIRING#
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Wood Fraffie
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 R-1 1396 34,110
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 OR NOT. THE GRANTING OF A PERMIT $26,368.56 13.18
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE
PROVISIONS OF ANY OT STATE OR LOCAL LA REGULATING CON- 64.00 $275.00
STRUC NOR THE O MANCE OF ONSTR ION.
PLAN CHECK FEE TOTALFEE
VP
$352.18
SJSWTUREONTRACT01TOR AUTHORIZED GENT (DATE) HEN PRWYVATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) - BLDG. INSP D.NrE�
J.
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S
NAME :_R8_ es J V P ►\ Vl _BUILDER:_
ADDRESS:
ADDRESS : _ Za?,
,
NO:. r ��' STREET • I I U I V\
LOT: BLOCK: ADDITION:�o,,
CORNER LOT: INSIDE LOT:X _SETBACK: .3.5- SIDEYARD:/p f
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: s'i� I[? 1-e FigVL41 17
l5 C., . S 1 Front: 3 Y_ Depth : I Height: --'2-
Square
'2_
Square Feet: /,3 f 6 Cubic Feet:
C Ig F Front: Depth: Z. _ Height: P
Square Feet; 2 Cubic Feet:
Type of Construction: _096m WEk,1) ; nIY I Estimated Cost:_,S 3S, v O 0, d0
To Be Completed:
s
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulings of the Deparf.,jnent of Buildings, and hereby,
declares that all the facts and representations tate in thi application
are true and correct. l�i5 � 'Ga�Gs
DATE:
(See Reverse Side For Additional Information.)
7
BLOCK � I hereby certify tient this survey, plan or
a ' g�ort was�repared. by me or under my direct
AO��Osupervision and that yam a duly'Registered
�„ fluted Surveyor weeder the laws of tl�e,State
P .;CO.Q 4..� /YJ i�lNOO T of Minn'§otae }
i/
7-7
NR
M.
plica01 . for Pewer Pknb and H Coolings VenH at ans ReMpniNon and
Air Co ening Stens and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIRt RATE TOTAL
Furnace Shell & Duct Work ................ $10.00 $
Replacement of Furnace 6.00 $
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $—_._
MECIL WARM AIA
Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00
each add. 60,000 BTU .................... .. 3.00 i
Replacement of Furnace .. .... 6.00
Repairs & Alterations --up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 .... .. &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. IDR Hot Water
3.00
$—
+OIL BURNER—to 3 gal. per hour
6.00
$ _
over 3 gal. per hour—See Fee Schedule
GASB cup to 199,000 BTU)
8.00
a
over 199,00013'M See Fee Schedule
GAS FITTING
NO RATE TOTAL
1st 3 Fixtures
x$ zoo
$
Additional Fixtures
x .75
$
Stas Range to 199,000
s$ 800
$
AIR CONDITIONING
e
FAN HEATING SYST= See Fee Schadals
VENTILATING SYSTEM
ALTERATIONS & REPAIRS TOTAL FEE
R01JOH (SURCHARGE $ _50)
FINAL da -/ a. -7 ell
Dept. of Bldgs. Phone
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 Ordbumcec
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
idl , Minn 1g
OwnerlA:�41-
t�i�
Kind of Building
Used as
To be completed about
Estimated Cost,
of New. wilding Permit No. Permit No. �!
DESCRIPTION OF WORN
HEATING or PO team, Hot Wa , W Air. No� .
Trade Name � a � Size g O J I Ae
Capacity_ Sq. Ft, E.D.R. H.P,
Total Connected Load IT � of
14
Total
BURNER — Trade Name Size No
Capaci Sq. Ft. E.D.R BTU
S
B
Business Phone No
WMARKE-OVER)
Roft" !I I&A.179-6--
•
HEAT LOSS CALCULATIONS H EATING & AIR GAN ITIONING CO. MINNEAPOLIS, MINN.
Weatherstrits
A.S.H.V.E.
Guide
Reference
19
Construction No.
Insulation
Windows
Daurs
Out. Wall
Int. Wall
Ceiling
Roof
Floor
Kind
How Applied
Yes—No
Yes—No
FI. �p— Room Length
Width
�"
Height
FI�/j0�� Room Length Width
Height
Windows and Doors—Crackage and Area
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of paRe of pAVe lights of crack sq. ft.
19le 9
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
-4/ Ole
I
Coef
Btu
ICoefl
Btu
Infiltration
0
Infiltration
C/®
,Glasso
Glass
Exp. wall
Exp. wall
Net exp. wall
9 41
9 elo
Net exp. wall
Int, wall O
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
/
JF1. 770 Room Length
Width ®
Height
FI ®�� °�' Room 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.
V3—`pane
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of of pane lights of crack sq. ft.
Coefj
Btu
I ICoef
Btu
Infiltration 1
4049
A 40
Infiltration4
®
el
Glass
'T�
Glass
Exp. wall
Exp. wall
ot
Net exp. wall%
(�
Net exp. wall �®
Int. wall
Int, wall
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
F1. / Room Length
Width
eight
Fl. Room 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 cracksq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
-yy
1 47
f
ov ® Y1-3
Coef
Btu
Coef
Btu
Infiltration
Infiltration
Glass
®
Glass
Exp. wa 11 ? ff
,
Exp. wa I I
Net exp. wal I
Zff
0
Net exp. wallQ
Int. wall
Int. wall
Ceiling
Ceiling Ze 116
Floor
Floor
"c
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
fea-
HEATING&AIR
_5�
CO TIONING CO.
MINNEAPOLIS, MINN.
Weatherstrips
A.S.H.V.E.
Guide
Reference
19
Construction No.
Insulation
Windows
Doors
Out. Wall
Int. Wall
Ceiling
Roof
Floor
Kind
How Applied
Yes—No
Yes—No
FI.��! oom Length A Width/ Height
FI. a Room Length Width Height
Windows and Doors—Crackage and Area
Windows and Doors—Crackage and Area
WitHeight 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.
Coef Btu
Coef Btu
Infiltration
qCp
Infiltration
Glass
Glasse
Exp. we I I
Exp. we I I
Net exp. wall
Net exp. wall °
1�
Int. wall.
Int, wall.
Ceiling
��1
Ceiling
Floor
Floor
Total Btu.
Total Btu, G
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
FI. Room 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.
Width Height No. of Lineal ft. Area
NO' of ane of pane lights of crack sq. ft.
Coefj Btu
Coef Btu
Infiltration
Glass
NInfiltration
Glass
Exp. waI l A
Exp. wall
Net exp. wall
'''
Net exp. wall
Int, wall
Int. wall
Ceiling
Ceiling
Floor 7
Floor
Total Btu. °r
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 Height
FI. Room 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.
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
Infiltration
Glass
Glass
Exp. wall
Exp. wall
Net exp. wal I
Net exp. wal I
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
rj
SUBJECT
PER
City of Fridley
3
AT THE TOP OF THE TWINS
B U I L D I N G PER
M I T
RECEIPT NO.
' ______ COMMUNITY DEVELOPMENT DIV.
v
r 1 PROTECTIVE INSPECTION SEC
'zoZSD
CITY HALL FRIDLEY 55432
NUMBER
REVDArE
PAGE OF
APPROVED BY
' 612-571-3450
910-F15
7/18/96
JOB ADDRESS 8118 Ruth Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
3
1 Bourdeaux's
Spring Brook Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Stock Roofing Inc 289 Liberty St NE, Fridley, MN 55432
780-3561 3112
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
Reroof House & Garage (28 Sq) Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
the State Building
Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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
1
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$2,300
$1.15
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-
STRUCTION OR ANCE OF CONSTRUCTION,
PLAN CHECK FEE
O AL FEE
Lice C $5
$83.20
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
PR LY V
D THIS 1 UR
- LDG IN
DATE
SIGNATURE OF OWNER IIF OWNER BUILOERI IDATEI
rj
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress :
Legal Description: PIP
Owner Name & Address:
Contractor: S�-I�
Address: 2 F9 ZSee- y
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Effective 3/1/96
2So
Tel. #
MN LICENSE # 3 111'2
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
Tel. #
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Comer Lot [ ] Inside Lot [ ]
Type of Construction:
Approx. Completion Date: _
Ft. Yd Setback
Driveway Curb Cut Width Needed: _
DATE: 711 APPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Side Yard Setbacks
Estimated Cost: $ -2-360- 4r->
(Cost on Back)
Ft. + 6 Ft = Ft x $
Tel. #
CITY USE ONLY
$ 7, Fee Schedule on Reverse Side
$ `), 3 D .001 of Permit Valuation (1/10th%)
$ /,/$" $.50/$1,000 Valuation
$ $900 per SAC Unit
$D $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 [ ]
$ 6g 0
SUBJECT
City ®f Fridley
25634
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r z. PROTECTIVE INSPECTION SEC.
1 . I
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/27/9
JOB ADDRESS 8118 Ruth Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
3
3
Bourdeaux's Spring Brook Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Robert/Ethel Venne 8118 Ruth Street NE
784-0110
"3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Ron Williams Construction 600 Janesville St NE, Fridley,
MN 55432 2350
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
784-6497
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION Ck ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace dining room window - existing opening
9 CHANGE OF USE FROM TO
STIPULATIONS
Install smoke detectors to meet the State Building Code.
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 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
$1,600
$.80
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-
Fie SC $1.60
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$51.25
PLAN CHECK FEEL
FEE
Li C $5. 0
$58.65
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
ENP OP VALI
D THIS YOUR PER�%MIT
BLf2ZINSP
���IS
I . �7
GATE
SIGNATURE OF OWNERoF OWNER BURDERi IDATEI
NEW [ ] Effective 1/1/97
ADDN [ ] CITY OF FRIDLEY
ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,?6&34
BUILDING PERMIT APPLICATION �� f
ConstructionAddress:s-�-
Legal Description:
Owner Name & Address: jQ b e a T y 5--- `{ e j tZ e N tue Tel. # o
Contractor® „J //� i9 �� MN LICENSE # ®7 3
Address: 60 0 'mac ,vim �� f�� 57- l— E j dII& X 04,, 5SY3 a- Tei. # 79Y_6. 9 ? 7
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: ,�/`,c4 f wr3 'moo®.rr 1s9�sv�® x `/96, d e-w174As Aj
Construction Type: _ -_ _- , Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: % - APPLICANT: Tel. # W4-4- `t 9 Z
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$�
$ , 0
$ '80
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%) �,��
$.50/$1,000 Valuation 5
$950 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 [ ]
CITY OF FRIDLEY PERMIT NO.: 2005-00511
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 04120/2005
703) 572-3bU4 k AX: ( 763) 571-1287
ADDRESS : 8118 RUTH ST NE
PIN : 033024240040
LEGAL DESC : BOURDEAUXS SPRING BROOK ADD
: LOT 3 BLOCK 3
PERMIT TYPE : LOAD LIMIT MODIFICATION
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : LOAD, OTHER BLDG MATERIALS
VALUATION
NOTE: THIS PERMIT IS ISSUED TO ALLOW AN INCREASE OF AXLE WEIGHT FROM FOUR (4) TONS PER AXLE TO
FIVE (5) TONS PER AXLE OVER THE FOLLOWING DESIGNATED ROUTE:
THIS PERMIT IS VALID ONLY FOR VEHICLES ENROUTE TO CONSTRUCTION ADDRESS DURING THE HOURS OF
8:OOAM TO S:OOPM.
APPLICANT
VENNE ROBERT E & ETHEL J
8118 RUTH ST NE
FRIDLEY, MN 55432
OWNER
VENNE ROBERT E & ETHEL J
8118 RUTH ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of other state or local law
regulating construction or the pe ance of construction.
ADDlicant � Date
LOAD LIMIT MODIFICATION FEE
TOTAL
PAID WITH CHECK # CC
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
25.00
25.00
04/20/2005 09:23 FAX 6512909484 ST.PAUL DISPATCH 16001/001
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APPLICATION #04 -
CITY OF FRIDLEY
2004 LOAD LIMIT MODIFICATION PERMIT
JOBADDRESS:
MATERIAL TO BE HAU1 ED: -5 4 / /C',5
BEING HAULED BY: UNA---A /' ep—O c -c-,64 -V
PERMIT REQUESTED BY: `'%
DATES OF DELIVERY: V—/z- / (Up To 3 Days)
DATE: 4/he) / a S -
THIS PERMIT IS ISSUED TO ALLOW AN INCREASE OF AXLE WEIGHT FROM FOUR (4) TONS
PER AXLE TO FIVE (5) TONS PER AXLE OVER THE FOLLOWING DESIGNATED ROUTE:
NOTICE: This permit is valid only for vehicles enroute to contruction address during the hours of
8:00 am to 5:00 pm.
Sea Resol ion #01-2004 and State Statute Section 169.87
Signature of Applicant
PERMIT FEE: $25,00
RECEIPT #
ISSUED BY:
Copies Given To Police &T& Engineering
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REF: 0002 BCH: 046
CD TYPE: Vi
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AMOUNT: $25.00M
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------------------------------
V
NEW [ ] CITY OF FRIDLEY
ADDN j ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: F // _ 4;74h -
Legal Description:
Owner Name & Address: A&�ee� �Iwye- Tel. # 7&3 -
Contractor: 3�L Pay yk'�, 0 0 . MN LICENSE # _ ®?® 3 ?'159 !
Address: L4550 Wadi &- AP S , IL4 n 55 -VZ / 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.
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER:
Construction Type: !ei y?r ,,-,r s/�e Estimated Cost: y
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. # 6/2- cP6d""-%'® —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.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ c)-3-7. Q 5
$ 13.40
$ &o-70
$
$ Q5 6 .
CITY USE ONLY -
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: