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PRE 2010 DOCSCity ®f Fridley, Mm. BUHDING PERMIT w® .6616 s &10 cA Builder Address -SA' e [L -r I LOCATION F BUILDING No. Street Part o t Lot _ Block Addition or Sub -Division �® v Corner Lot Inside Lot — �1 Setback M____ deyard Sewer Elevation — Foundation Elevation 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 seforth and in con/i.Hance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $j:C , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Mitmesota 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. _ ---,% Building Inspector NOTICE. Ufa permit does not cover the construction, iastaQatien for whing, phmbing, gas headn& "War or water. So sure to see the Building Inspector for separate permhs for these hams. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA i ADDRESS Arod ADDRESS z4r-a LOCATION OF BUILDING No. Strae.t II Part of Lot Lot Block Addition or Subdivis on ,,�• y �� Corner Lot Inside Lot A -*O" Setbacks oS' Side Yard SEWER ELEVATION FOUiTDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing uild-ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; �e� Front Depth ?X � Height Sq. Ft. (® Cu. Ft. - Front / Depth Height Sq. Ft. Aja Cu. Ft. Type of ConstructionEstimated Cost 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 application are true and correct. s DAiE SIGNATURE ('Schedule of Fee Costs can be found on the Reverse Side). a p City of Fridley Application for Plumbing and Comas Fitting Pornrit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ............... x $1.50 $ Future Fixture Opening ................ x 1.20 New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 2' - New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL s 1st 3 Fixtures ..........................� x $1.50 $—/ r - V' Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .......................................... $ TOTAL FEE City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the 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. U Owner Kind of Building Used as To be completed about V Estimated Cost, $ Old New uilding Permit Permit o. ROUGH � � 7 — (� FINAL az 2M Business Phone i 2 � z OZ OLL T�uz{ Ot us �U' �U' UN' Z �U' • R • N WATER HTR. GAS ELEC. 7 F Vl 3 C t� < 4, G �a O Base (%'(Lop J, ist f 2nd 3rd 4thr - — ' Connected with • Future Connection Openings Sewer e New Fixture, Old Openings Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ............... x $1.50 $ Future Fixture Opening ................ x 1.20 New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 2' - New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL s 1st 3 Fixtures ..........................� x $1.50 $—/ r - V' Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .......................................... $ TOTAL FEE City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the 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. U Owner Kind of Building Used as To be completed about V Estimated Cost, $ Old New uilding Permit Permit o. ROUGH � � 7 — (� FINAL az 2M Business Phone i SUBJECT PERMIT N City of Fridley X679 AT THE TOP OF THE TWINS BUILDING PERMIT ' r ECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 . r CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY 612-b60-3450 910-F15 15 7 4 JOB ADDRESS 130 Satellite Lane N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION, SEE ATTACHED DESCR. 3 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Robert Lee 130 Satellite Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sam 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Garage resent` garage converted to bedroom 7 CLASS OF WORK ❑X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Detached 24 x 26 garage 9 CHANGE QF USE FROM TO STIPULATIONS .1. Provide a hard surface driveway. SEPERATE PEONIITS REQUAREO FOR I RING, HEATING, ,pLA N SING NO S1GAo TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. wand fraMm THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED ISNOT COMMENCED WITHIN 60 DAYS, ORIF CONSTRUCTION 624 6,240 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $3 3O%.2O 1.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 12.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 3.65 ti SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHE -PROPE LY LI EDT IS. IS. YOUR PERMIT SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) - BLDG_INSP. DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME • //) /_ BUILDER: r ADDRESS: 13 D J 7C L ` , i --e 1.4,-1 e ADDRESS: 'f NO:. J 3 0 STREET: LL I /-C Z'/ -a ^,/If LOT: �BLOCK: ADDITION: 'J'1; ,Z CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front:. Depth: 2-6 Height: Square Feet: 2 Cubic Feet:_ i 2 `9 Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: W 0 D D F2 6 e Estimated Cost: D To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict 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: f� 4 / I/q�YSIGNATURE:--- (See Reverse Side For Additional Information.) / d-zi CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432. APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Si Tel No. Approved By �CU Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOJ STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE JOB ADDRESS . Ly' RATE SCHEDULE _ The undersigned hereby makes application for a permit forthe 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) ® /®' ' ,1997 Gas Piping (Needed with new furnace) $10.00 $ OWNER / 6 Gas Range $10,00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST PERMIT NO. �C *Air Conditioning — Ail Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER Al 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 W,4jc,6 Size No. Commercial/Industrial BTU e' - HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge .50 Burner Trade Name Size No. BTU HP EDR . TOTAL FEE 1 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Si Tel No. Approved By �CU Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOJ STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CMAMY 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 connected Yes( Jy No { ) 6 Has total heating BTU's of .9 If All other BTU's Pau TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: Yes 44 No { ) Yes" No ( ) SUBJECT City of Fridley 26217 AT THE TOP OF THE TWINS BUILDING PERMIT P ', R EIPT NO. I _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. e , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE Of APPROVED BY 612-571-3450 910-F15 6/12/98 JOB ADDRESS 130 Satellite Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Lee 130 Satellite Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Mike Lunemann Construction 11617 Zane Cir, Champlin,. MN 55316 421-7726 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20045212 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House (15 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 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 $.62 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,251 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- $43.00 Fire SC $1.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTf$/49.87 flog� Licen C $5 0 IG TURE OF CONTRACTOR ORA'11, HORIZED AGENT (DATE, E P P je�pf ,g INSP VALIDAT D HIS IS YOUR PERMIT DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 l/ BUILDING PERMIT APPLICATION ConstructionAddress:-- Legal Description: Owner Name & Address: Tel. # Contractor: VM f!k� C �� e _ _ _ _ _ �,�n MN LICENSE # 1000 1 C -Z 12 - Address: ZAddress: //y / '% Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Le gt Width Wt/Ground Sq. Ft. OTHER: '() /L -'Ll - S e_ Construction Type: 4,° �..,��� Estimated Cost: $ L l�S% (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: / APPLICANT: IP14.r LaVNr~ri Tel. # 2 % Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: $ -496-2 , CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] Building BUILDING Permit No.. - ° _ Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: l i 763-502-4977 FAX EFFECTIVE 1-1-09 DATE z/ D YOUR E-MAIL ADDRESS SITE ADDRESS / '3 THIS APPLICANT IS: ,OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: -5-e-e— j � TENANT i ADDRESS:_1 3 0 S hTe LL,* fiQ LN. CITY ��'�. !d/., 1, STATE//°/ ZIP�.i 3 Z PHONE: 7 L 3 --3-2/_— 7 6 '7 9 CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE . AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE X51NGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ,MOTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION 0 u e,b CUT— ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: &F4 L my S cop-6 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: 11 Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF. WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge SAC Charge CagbXut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= P-7 ftx$22=$6CI -4 $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary { ) Make checks savable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all wgk,which requires review and approval of plans. SIGNATURE OF APPLICANTr a�L -mow � � PRINT NAME 14 L r DATE / y