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PRE 2010 DOCSCity ®f Fridley, Minn.. No 10562 BUILDING PERMIT Dates March 2, 1970 Owner: Random Incorporated Builder Same Address 700 -77th Street,, Circle Pines Address Same LOCATION OF BUILDING No. 8135 ____ Street Ruth Street part of Lot Lot 9 Block 4 Addition or Sub -Division Rnurdeaux' c Gnr; noo Brook Park Corner Lot — Inside Lot —. R Setback 35' _ - Sideyard 20' & 211 NM Elevation 842,00' w m i n 845.00' Wye Top of Footing To be Used as: Dwelling Front 24' Depth 36' Height 20' Sq. Ft. 864' Cu. Ft. 17,1280' Garage Front �26' Depth 4' Height _ 10° _ Sq. Ft. _ 6241 Cu. Ft. 6240 Type of Construction _ _ Frame Est. Cost $23-.-QMa0_0__ To be Completed May, 1970 WATER LOCATION: SEWER LOCATION: 118' South of Manhole In consideration of the issuance to me of a permit to c r the bt the proposed work in accordance with the description abort orth and ordinances of the city of Fridley. / a -`1 I agree to do provisions of In consideration of the payment of a fee of $ 36.00 permit is hereby granted to Random Inc. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Qka'o- � �ding Inspector HANK MUNICH NOTICE: This permit does not corer the construction, Installation for whring, plumbing, on heating, sewer or wafer. Be etre to an the Building Inspector for separate permits for them items. APPLICATION FOR BUILDING PERMIT 11 CITY OF FRIDLEY, MINNESOTA OWNER IS NAME ." /& BUILDER //I/ � ADDRESS 70 0 — 7 % eS` ADDRESS d` ftfff &"a S �✓%/ls� LOCATION OF BUILDING NO. STREET LOT S BLOCK ADDITION OR SUBDIVISION r/ CORNER LOT INSIDE LOTSETBACK 3 S SIMARD � 6 V � �P 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: 452-2--e 4 rI'M Front W Depth 36 Height Square feet Cubic Feet f `° 4 P,,,? o ,0 Front Depth Height Square feet 4' Cubic Feet 6 Type of Construction Estimated Cost 2 �j To Be Completed 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 Department of Buildings, and hereby declares that all the facts and representations stated in this applicat'on are rue and correct. 4 DATE / �� SIGNATURE .(Schedule of Fee Costs can be found on the Reverse Side.) NOTE: A Certified Survey of the once it has been constructed, will framing.. a ^2 r lot, showing the location of the foundation, be required before proceeding with the 6 r" t PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture Old Opening Catch Basin . . Water Heater (Up to 99,000 BTU) New Ground Run Old Bldg. Electric Water NO. RAPE x $2.Q0 /TOTAL $• 0 t� x $1.50 $. x $1.50 $ x $3.25 $ .x$3.00 $ •6o x $3.25 $ P N WATER HTR. GAS EIEC — U' O O Base - - — ist 2nd ! - -- -- 3rd -- - -- 4th--- ° ri%2=0comm Openinp Co ed wM— NOW er Fixhm, OldOponingsI Cesspool PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture Old Opening Catch Basin . . Water Heater (Up to 99,000 BTU) New Ground Run Old Bldg. Electric Water NO. RAPE x $2.Q0 /TOTAL $• 0 t� x $1.50 $. x $1.50 $ x $3.25 $ .x$3.00 $ •6o x $3.25 $ : $200 $ GA$ FITTING FEES: NO. RITE �TOTAL lot 3 Fixtures .... .............. - -1 x $2.00 $ Additional Fixtures ..... .............. —x$.75 $ Gas Range to 195,000 BTU .............. x $5.00 $ Description ................. TOTAL FM $ City of Fridley: 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 riling of the Department of Buildings, and hereby declares that all the fac9 and representations stated in this application are true and correct. ..., Iridley, Minn-- -7 19Z-6 Owner Kind of Building Used as To be completed about Estimated Cost, $��� Old New.uilding Permit No.� Permit No. Signed By- Business Phone No FINAL %l- %d - 7Q N? 5111 Origin Permit for PLUMBING AND GAS HTTING / N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit permit.. inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this I Fee 20 � I DFSCRMTION OF WORK II Number. Sind cmd Locatinn of Fixturnn Stories W< a° J 3. J z Ir F m a I- m F 2 'm a m m z Gl = m a a Y K t X Z z 5 z 0 O LL o K Z oo a 2 Z �a `m Q X m X m a W m °z rc WATER HTR. GAS ELEC. Basement �' f 2nd 3rd 4th Connected with Gas Piping for Openings Permission is hereby granted N-- to do the plumbing and gas fitting in the building described in #e statement hereto 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 Inspector. City of Fridley iq-ID Kind of Building ._ AI -AA CLQ Used as L-wy, To be Completed , 19— Estimated Cost $_ Z or) 0- 0 a Old ew. Building Permit No. Date Inspector of Buildings. Air Condbioning m -and Devices PARTIAL RATE SCHEDULE G 9_TY WARM AIR: 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 $ CH. WARM AIR Furnace Shell & Duct Work to 120,000 BTu ............ $1o.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. IDR I%t 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 199,000 BTW .......1 ................ 8.00 $ over 189,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 100 $ Additional Fixtures ................. x .75 $ Gas Range to 198,000 ........... z$ 800 $ AM CONDITIONING FAN HEATING SYSTEM isee'Fea Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH Dept. of Bldaa. Phone 860 -MW City of Fridley: The undersigned hereby makes application for a permit for the work hereir 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. �1 fridley, Minn ,- lry d Owner Kind o] Used as To be completed about Estimated Cost, $ Old,4New./Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or PO PLANT'S --Steam, Hot Wate , Warm Ali /o� Trade Nam Size No- Capacity Sq. Ft. E.D.R. BTU H.P. Total Connected Load ® Kind of Fuc BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R- BTEI H.F. jRV"RKS-0vE1t) Signe By SUBURBAN AIR U®NDMOUINA 6A� _ 41.9 CENTER ®RIVE - Business qL. WOUNES= &U32 Original No. Make PERMIT for Power rlanYs and Heating. Cool- ing, ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK Plants UJ,' a-k� ) to be installed—altered—repaired Oil fired ; Coal fired—, Gas fired -' ; Gas Authorization No. Remarks Approved by. Final Inspection Date , 19_ Inspector Permit N° 4710 Fee $ 1� �. 06 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. ) , 19 Owner 6'yt""' v Location LiL1 Kind of Buildi Q� How Occupied Work to be Commenced—,19— Oil ommenced ,19_ To be Completed l ,19_ Estimated Cost, Old -N w, Building Permit No Permission is hereby granted to ( I ALA-) ' � ' - 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, and to the specifccations set fort in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector of Buildings 42 2M 11-67 v Ciit of Fridley DESCRIPTION 1OF WORK 0 Ifuipher, Kind and Locatio4 of Fixtures PARTIAL RATE SCHEDULE 53Z8..4"87M.1— M&OW F"nq pemdr Dept. of Bldgs. Phone 560-3450 •7 - Lam " 81,35 RiAh St City of Fridley: The undersigned hereby makes application for a permit for the work' herei specified, *sreeing to do all work in strict accordance with the City Ordinance and rulin#1 of the Dep4-anent of Buildings, d hereby declares that,:,all the. fAcl and representationi stated, in thii application are true and - correct. 20k lq- Owner is Midi -frme . , Kind of Bul,ding Usedlas To be completed about oct. 26, 1970 00 ,Estimated ". est, - Old New A-r TD No PLUM13ING FIXTURE'RATES: NM RATE TOTAL !$ igr e Number Fi3dutes ...... .......... t ..... ------ x $2.00 F N .'WATER "TR. GAS ELEC Base New Flxtur,,jbld Opening ................ x $1.50 1 Catch Basin .. .......... ........... x $8.25 co -Water lKeater 0Jp to 99,000 BrM x $3.00 ist -New Ground Run Old Bldg. .......... x $3.25 ROUGH Electric wa-4 11"ter sioo GAS FITTING PEES:n NO.,.. RA MOTXV- j* 37ixturo- a ......... 3.... 2nd - ...... ;Additional FlAures ..... : ..... 1 "r $'.75 ri �qas Range't6 -1-99,000 BAT. �X. $q.00 ­Ve e 00 plad mez; REPAIRS'& ALM4TtONS­Ref�r to Code 3rd Mi!scriptio"d ........ 4th • Fuge Connection Openings stew FIxitire, Old Openings Connected with Sewer El cesspool F1 PARTIAL RATE SCHEDULE 53Z8..4"87M.1— M&OW F"nq pemdr Dept. of Bldgs. Phone 560-3450 •7 - Lam " 81,35 RiAh St City of Fridley: The undersigned hereby makes application for a permit for the work' herei specified, *sreeing to do all work in strict accordance with the City Ordinance and rulin#1 of the Dep4-anent of Buildings, d hereby declares that,:,all the. fAcl and representationi stated, in thii application are true and - correct. 20k lq- Owner is Midi -frme . , Kind of Bul,ding Usedlas To be completed about oct. 26, 1970 00 ,Estimated ". est, - Old New A-r TD No PLUM13ING FIXTURE'RATES: NM RATE TOTAL !$ igr e Number Fi3dutes ...... .......... t ..... ------ x $2.00 -Future Fixtui6 Opening ............ x $1.50 by New Flxtur,,jbld Opening ................ x $1.50 1 Catch Basin .. .......... ........... x $8.25 co -Water lKeater 0Jp to 99,000 BrM x $3.00 -New Ground Run Old Bldg. .......... x $3.25 ROUGH Electric wa-4 11"ter sioo GAS FITTING PEES:n NO.,.. RA MOTXV- j* 37ixturo- a ......... 3.... x $2.00 ...... ;Additional FlAures ..... : ..... 1 "r $'.75 ri �qas Range't6 -1-99,000 BAT. �X. $q.00 ­Ve e 00 plad mez; REPAIRS'& ALM4TtONS­Ref�r to Code Mi!scriptio"d ........ TtL City of Fridley, Minn. 6431 University Ave. N.E., Minneapolis, Minn. 55432 BUMMING PERMIT Date: —August 18._1,9. Owner: -Marza= BIC= Rulzine. Builder Same Address JU-35..1 til gest N.E. Address .Same _P010&UC9jZ W9112 -.111i IRTIM No. 8135..__,_, Street ____-Ruth Street N.E. Part of Lot Lot 5 —_ Block ^ 4 _.. _ Addition or Sub -Division urde itgSp-ring Arook Corner Lot ____ Inside Lot Setback Sideyard Sewer Elevation ___ Foundation Elevation 1'11*141'A1 �• 'v ♦ 1 ; - .J To be Used as: Finish Lower Level (Basement) Front __ Depth _ Height Sq. Ft. Cu. Ft. Front . _ Depth Height Sq. Ft. Cu. Ft. Type of Construction _ Fram _ Est, Cost —$900, Q To be Completed A S Ei - P 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 city of Fridley. 9 In consideration of the payment of a fee of $ 6.00 , permit is hereby granted to M gM€3 rg i1 r eM„ 1 r i ne 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 buildb wyithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of Saeid ordinances. NOTICE: This permit does not cover the construction, .installation for wiring, plumbing, gas heating, sower or water. Be sure to sac the Building Inspector for separate permits for these items. • APLICATION FOR RESIDENTIALP ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA I OWNER'S KANE:-&rg&? rel ou b_/11'Z- BUILDER:_ Naqg re_e ADDRESS:. 19/ A—DD—RES—ST 178'1- q6 NO:. STREET: LOT: BLOCK:—q ADDITION: CORNER LOT: INSIDE LOT: A —SETBACK: SIDEYARD: 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: f�AO_A"e_ Estimated Cost: To Be Completed: 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. WM�111111111111111 ll m�v_-W1WP1AA- (See Reverse Side For Additional Information.) If z f 10 rte_ rr L 7-4 PLUMING FIXTURE RATES. NO. RATE TOTAL. Number Fixtums ................ x 52.E $ 6 6 Future Fixture Opening .... . I. m . e . e 75 $1.50 $ New Fixture Old Owning .......... x $1.50 $ Catch Basin ................ ®... x $3.26 $ Water Heater 'Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Wates ......... a $2.00 $ GAS rLTTING FEES. NO. RATE TOTAL I�stta� .... e . e .... a .. .. 232.00 $a .7ya8Fixtures 6fY{a9Cavnal1112tturegx $ .76♦♦ Gas a to 199,000 0 B a RV . e e. m s o ®o ... x $6•0 i State Surcharge $ .50 REPAIRS & AI. TIO ter to Cam _ Description a. m o 0 m m • m . m.. • o. a m.o o n... ...a... a... o.... City of Ridley: The undersigned hweby makes application for a permit for the anode herein speciiled. agreeing to do ail work in strict accordance with the City Ordinance and nding of the Department of Buildings. and hereby declares that all the fact' and representations stated In this application are true and correct Ridley, Minn I 94 Cir Find of Buildi Used as To be completed about v Estimated Cost, $ �3 d ®I Near. Building Permit No. P• it No. rPAI � Signed Business Phune No ROUGH i°Il►LlIL �'�� CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND $ .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE $ $10.00 $ 10.00 $ $10.00 f GRAVITY WARM AIR: RATE TOTAL Job Address V a Furnace Shell & Duct Work $12.00 $ Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ Fridley, BMinn. --� 'r 192Z OWNER 07 /! $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 (AIR CONDITIONING xUi vra®. e FAN'EI�TiNG SYSTEMS see Fee sd edule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. Date A� Q APPROVAL FOR PERMIT $ $ .50 $ cl •00 MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE KIND OF USED AS :Lv D.Ci WL*iCLL° 1l.:tJ tfDVU'�. ESTIMATED COST OLD NEW BUILDING PERMIT NO. _ PERMIT NO. CJC� DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, _Hot Water, Warm Air- No. Trade Name Size No. Capacity Total Connected Load BURNER - Trade Name Sq. Ft. EDR BTU HP Kind of Fuel Size No. Capacity Sq. Ft. EDR BTU / HP- t Company rz o) Signed B 15 Tel. No.( 20 53f City of Fridley SUBJECT 1567 xDN AT THE TOP OF THE TWINS B U I L ®I N G P E R M I T r REC -------- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/18/80 JOB ADDRESS 8135 Ruth Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 1 Bourdeaux ' s Spring Brook SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Margaret Mulrine 8135 Ruth. Street N.E. 784-7069 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. American Builders 3758 Penn Avenue North 522-3367 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 X 8 DESCRIBE WORK Construct a 141 x 32' Addition to Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS Variance approved April 14, 1980. WARNING B*re dig* call 1=1 utaiits TELEPHONE - ELECTRIC - W E BY !.' REQUIREDGt SEPERA`iE PEWTS REQUIRED F FOR 1�PlIRtI! HEAT'M% PLUAISING qp �1 „ 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $16,400 $8.25 DOES NOT UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVIS S O ANY OTHE STATE OR L LAW REGULATING CON- TRU THE PERF AN F CONS UCTION. 99.00 NONE A PLAN CHECK FEE TOTAL FEE e� 92-4-75 S132,00 SIGNATURE OF CONT ACTOR OR AUTHORIZED AGENT DATE) WHEN PROPERLY LI DATED THIS IS YOUR PERMIT 4 .. L -w 1, 41-18 BLDG INSP HATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLXC/l'I'IQN FOR l�CSII3ENTI111. BUILDING PERMITS (Neer, Alterations, Additions, or Repairs) OWNER: �� „� Le���— �y��'��� BUILDER: T� ADDRESS: ADDRESS: — �a�.�e � TEL NO: TEL tdQ: 3 6.: Construction Location ST:RIIMT NO: (7135 -- STREET: c -r da LOT: BLOCK: ADDITION: u +c n ,+ �i� s' .Sy» P Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Square Feet: ,$ Cubic Feet: Front: Depth: Height: 5 ?' Height: Square -Peet: Cubic Feet: Type of Construction: Estimated Cost: $ To Be Clompleted:------- K- ef) ' 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application a?ue and correct. �---� DATE: V l e d" d SIGN71TUM, Stipulations: P c2q %.10 ,rr 01no� g� v i 5 0 - o-- 0.00 , 24,Nf w a _ SOT 5 BLOCK [30P,pEauxS SPRANG Rr:00K PARC r RUTH STREET Y �4 Land Planning C� ([ [ • 6875 Highway No. 6S N. E. Land Surveying • Soils Testing �,' J009FMinneapolis, eync.Civil Engineering Minn. S543z Municipal Engineering Telephone 784-6066 Engineers & Surveyors Area Code 61z Mortgage Loan Survey for l'a,�dOm /roc. 0 ,SG:q,- c .3ell Z. O T SJ LDC/- � This is a true and correct representation of a survey of the boundaries of the 1 nd above de�� ed and'ofthe location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agreed no monuments have been placed for the purpose of esla4lishing lot lines or boundary corners. Dated this 1-7 }jay 02r SUBURBAN ENGINEERING, INC. Engineers Su�rvryyors �2»- Ci /O� O a + a Q 3s. 03to.tgp y 1 1 J 'st 'ti t Win, 4 �j iaso Se_' 0 ,SG:q,- c .3ell Z. O T SJ LDC/- � This is a true and correct representation of a survey of the boundaries of the 1 nd above de�� ed and'ofthe location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agreed no monuments have been placed for the purpose of esla4lishing lot lines or boundary corners. Dated this 1-7 }jay 02r SUBURBAN ENGINEERING, INC. Engineers Su�rvryyors �2»- SUBJECT ,✓ City of Fridley 1. 5751t AT THE TOP OF THE TWINS BUILDING PERM I T r RECEIPT NO. v COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/4/80 JOB ADDRESS 8135 Ruth. St. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 1 Bordeaux's Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Margaret'Mulrine 8135 Ruth St. N.E. Fridley 55432 784-7069 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hearth. & Home Inc. 2004 Lyndale S. M ls. 871-0558 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 Q NEW Ek ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a built in fireplace_ 9 CHANGE OF USE FROM TO STIPULATIONS Must be install in accordance with manufacturer specifications. TYPE OF CONST. ' OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Metal & 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 R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000.00 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANC OF CONSTRUCTION. $7.50 PLAN CHECK FEE TOTALFEE 0 r -e I �_ z �SIGNATURE $8.00 OF CONTRACTOR OR ALIORIZED AGENT (DATE) V7jiEN P'R P V LID ED THISIS YOUR PERMIT s BLDG INSP DATE SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE)' CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS s (New, Alterations, Additions, or Repairs) ' e OWNER: `tel ADDRESS: aof oi c6 TEL NO: 7 BUILDER: r ADDRESS: TEL I•40: Construction Location STREET NO:�3 _5 STREET: [l ! U1 -- --® --- s7L LOT: BLOCY.: T" ADDITIONPe'td C/' J 1117 �c Al Corner Lot: Inside. Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to. scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Squane. Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: .,, Estimated Cost: $ To Be CDmpleted: 4 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 11he 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATUM Stipulations: { CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE- PLUMBING CHEDULEPLU RING FIXTURE RATES: NO. RATE N'-.ber Fixtures J x $3.00 tcre Fixture Opening New Fixture, Old Opening Catch Basin :cater Heater - to 99,000 BTU 10,000 BTU to 199,000 BTU Water Softener New Graurd Ran Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATION'S x $2.00 x v x $5.00 x $5.00 x ra x o x X x $5.00 Water A m m k c R ..4 m a a•+ k cL N 0 c Heater o u ,-4 a k m ro Cr a .+ o c ci lec aaas L 1st qq 1 2nd 3rd 4th ({ t . (R) s Future Connection Opening Connected with Sewer ('3 s Ne;d Fixture, Old Opening Water PARTIAL RATE SCHEDULE- PLUMBING CHEDULEPLU RING FIXTURE RATES: NO. RATE N'-.ber Fixtures J x $3.00 tcre Fixture Opening New Fixture, Old Opening Catch Basin :cater Heater - to 99,000 BTU 10,000 BTU to 199,000 BTU Water Softener New Graurd Ran Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATION'S x $2.00 x $2.00 x $5.00 x $5.00 x $10.00 x $7.00 x $5.00 x $5.00 x $3.00 x $1.00 x $x:0.00 TOTAL First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ I s •SZ� REINSPECTION FEE ($10.00) Job Address 133 ' " -6 Department of Buildings City of Fridley Tel, 4571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and'rulings of the Department of Buildings, and hereby declares that all the facts and•reprosontations stated in this application aro true and correct Fridley, Mn. u Kie 9,6 '19,90 OWNER + 1 IV o Q l e. C /j lel e &� - KIND OF BUILDING _ t:1Z1A t✓1 16 USED AS _2 W TO BE COMPLETED ABOUT IJP I 1 �� ESTIMATED COST C' OLD - NEW BUILDING PERMIT NO. � �j PER141T NO. Company d IF I J ovi 6a -x% W jA)L a Signed By Tel. No. f ROUGH INS?. Dat© FINAL INSP. Date o APPROVAL FOR PERMIT t MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND 4.00 AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE P. -PA S;q.gA GRAVITY WAIM AIR: RATS TOTAL _ .lob Address Furnace Shell & Duct Work * $12.00 $ Replacenent of Furnace 7100 $ Repairs & alterations -up to $SQo.00 7.00 $� D C Department of Bgtj.angs Repairs & Alterations each add. $500;00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Cedes - each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and 'hereby declares that all the *replacems:t of Furnace 7.00 $ Pacts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 Repairs & Alterations 7,00 4,00 $ 1 1. each add. $500,00 Fridley, Minn. -5r , 19X STF11M OR HOT T ATER SYSTEM: (74NER Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BUiR.\ER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from loo,000 BTU to }gq,g9q RTP (over 199,999 BTU see Fee Sc4eq!4;ej GAS FITTI::G FEES: - 1st 3 Fixtures A2ditional Fixtures Gas Range to 199,QQQ BTU AIR CONDITIONING FAX HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS 4 REPAIRS ROUGH INSP. Date FINAL INSP. Date . APPROVAL FOR PERMIT f;2. PQ $ 4.00 $ 7 -PP $ P. -PA S;q.gA S }A�Aq S s . X S A. AL1 :S S }:AA afu:QA State Surcharge TOTAL FEE PND PF )1SEP M TP Fr PQNP4LF_ Fp RQuT FsT}?GFR CRST PR - M PRTRTNP F€R•MTT N0. PFRVITT NO. PESDRTPTTPN PIF FPMNACE/$URNER PAT;?lG Ar powp?, PWT -sr §tp-4m, got- ?74ter, Waw A}r- No. Trade Name Size No. $ $ Capacity $q. Ft. EDR BTU $ $ .50 Total Connected Load Kind of Fuel BURNER - Trade Name Size No. REINSPECTION FEE capacity Sq. Ft. EDR BTU HP LS10.00) , OWENDABLE HEATHNG & SIR CONDITIGNING I. 2615 Coon Rapids Blvd. Coon Rapids. Minn. 55435 Fn% -L -:'.:J4 FEE FOR A21Y HEATING MY= IS $7.50 PLUS ' $. 50 STATE SUp=L% GE *Attached stack verification form Company Signed By Tel. No. CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE -RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer RATE TOTAL $ 20.00 $ 10.00 $ 10.00 $ la. 00 • Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work State Surcharge Reinspection Fee ($15.00) Rough Insp. Date Final Insp.d. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address 31-357 A4 A ST A E $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley $ Tel. #571-3450 $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application true and correct. $ 10,00 %are Minn. /0 19 9d ® /� ^F�ridlesy,� OWNERdt $ KIND OF BUILDING USED AS A — 's 770 $ TO BE COMPLETED ABOUT 01 /500 ESTIMATED COST $ .50 ) OLD - NEW BUILDING PERMIT NO. PERMIT NO. $ �® DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. /) L�f Atox Size No. kl'sa)-3-// Trade Name Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. a Capacity Sq. Ft. EDR �BTU 30, doo HP ��A�e} Company M tl3r1 ��a�1aA) & Pa(Z- G A . Signed By Tel. No. U o b Fill out back side for stack verification on replacement furnaces CHIM14EY 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 connected Yes ( ) No ( ) 6. Has .Total heating BTU's of All other BTU's TOTAL Rema rk s Company Signed By Date SUBJECT M City of Fridley 21442 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. - !� 3 7 r i PROTECTIVE INSPECTION SEC. 1 i NUMBER REV DATE PAGE OF APPROVED BY = "1 CITY HALL FRIDLEY 55432 �'"""A"� 612-571-3450 910-F15 7/14/92 JOB ADDRESS 8135 Ruth Street NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 Bourde.aux e s Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Greg Hanson 8135 Ruth Street 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. House Calls 1401 Brenner Ave, Roseville 631-8511 6408 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 (30 Sc�uaresj Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with.State Building Code. 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 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 $1,590 $.80 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- $37.00 $ Fire SC $1.59, STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE D aAg tc-_ 2— License SC $5.00 $44.39 -1-(4-c7 SIbNATURE OFC NTRACTOR OR AUTHORIZED AGENT (DATE) P ,ERLY Y L( TED THIS IS YOUR PERMIT 10 �WHEI� BLDG )NSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] Effective 3/1/92 ADDN (] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: 1 Dc -/c- 60urdeau)c' ori vt g ,rook '�)ci r iC- Owner Name &I p Address: � PQ �a n S o n w 13 5 e u `� S4- Tel. # Contractor: 14 L, .S-Q� 1 1S MN LICENSE # 4- VOP Address: l l n/_jre n m e r 2� Q S ui l/ e. Tel. # 631-M] 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: TPQ Y-0 r— hC) U, S Sq U. c r e s Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: )71 be r Q I a 5 3 Estimated Cost: $ 2 Approx. Completion Date: JS C (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ = $ DATE: "/ / y / 9 L APPLICANT: (::)x ,Q ��, Tel. # & 31, y s'1 1 Permit Fee $ 7 00 Fire Surcharge $ /''.S79 State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT PERMI City of Fridley 2 1 8 6 6 AT THE TOP OF THE TWINS BUILDING PERMIT i -MO. _ COMMUNITY DEVELOPMENT DIV. COMMUNITY A' PROTECTIVE INSPECTION SEC. �� CITY HALL FRIDLEY 55432 NUMBER REY DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/21/93 JOB ADDRESS 8135 Ruth Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 B.ourdeaux' s Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Greg/Brenda Hanson 8135 Ruth Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ultimate Exteriors 7475 W 110 St, Bloomington MN 55437 884-4712 4226 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 D NEVJ 0 ADDITION D ALTERATION � REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Reside and add aluminum trim 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $3.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,,200. PERMIT FEESAC InVy Fee CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $9St9 Fire SC $7,20 STRUCTION THE PERFORMAN F CONSTRUCTION. $99,00 •O.Q PLAN CHECK FEE License SC $5,01D TOTAL FEE $2.13,80. n 51GNATu FCONTRACTORORAUTHORIZEDAGENT (DATtl HEN AL AT THIS IS YOUR PERMIT :FOPLY BLD NSP �aTE SIGNATURE OF OWNER tiF OWNER BUILDER) IDATEI i NEW [ ] P-M&tive 1/1/93 ADDN [ ] CITY :OF FRIDLEY. ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: .P �-� S �V��� �7 rleT Legal Description: Loi 51, ,,-&v',e V" Owner Name & Address: Glees -' & e-v-ivJ°L- Tel. # Contractor: i/f 4 -H rv% e-- A4e �' o�-S MN LICENSE # J%)- 6o Address: 7172-5- We&7- l /6 7 tt rj! �oow•i �.,E.f��✓ %1IJVTel. if 2Z!V ` ti Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK. AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgth3rround A Sq. Ft. Sq. Ft. Sq. Ft T Corner Lot [ ] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks Type of Construction: WOo'j Fra w► Estimated Cost: $ -7/ y1 aO • Approx. Completion Date: SI -3119'-3 Driveway Curb Cut Width Needed: Ft.. + 6 Ft = Ft x $. (Cost on Back) = S DATE: 3 APPLICANT: ,�. Tel. # -?o?y yN4)-- USE ONLY Permit Fee $ 00 Fee Schedule on Reverse Side Fire Surcharge $ a O .001 of Permit Valuation (1/10th%) State Surcharge $ 2.60 $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ 5-,06 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ AIL "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not, Necessary [ ] TOTAL STIPULATIONS: $o3,C,3C) Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE �D YOUR E-MAIL ADDRESS SITE ADDRESS 8135 )eUtb "A- nl F THIS APPLICANT IS: ❑ OWNER PCONTRACTOR PROPERTY NAME: S OWNER/ ADDRESS: e"41-9. CITY f-riGltx,t4 STATEIP S 3 TENANT PHONE: CONTRACTOR NAI STATE LICENSE # 9 AXP DATE SUBMIT A COPY OF YOUR STATE ra ADD jj�Si P . f i )', CITY STATE ZIP LICENSE WITH PHO �< APPLICATION PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW -rkEPLACEMENT DETAILED DESCRIPTION OF WORK p 1,-)16 1` �Gc�%f '� r PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) SINKILAV DRAINS _ SHOWER _ WATER PIPING —BATH _FLOOR GAS PIPING (AEo cr77LjcDvm) _ SWIMMING POOL —WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) _ DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER S .• Number of fixtures @ $10.00 x$10.00 = $ Permit Fee $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = s-3 5. 0o TOTAL DUE $ State Surcharge = $ .50 Total = $ • S0 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 applicati 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 r ich req es review and approval of plans JJjj A G �0 (11 SIGNATURE OF APPLICANT PRINT NAME�� L/��� DATE / 7 F " .•'�•: v« sun a v..r . ..i .w� F City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 66