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PRE 2010 DOCS-3 �7�32,5 City of Fridley, Minn. N9 9456 BUILDING PERMIT Date: Sept. 18, 1967 Owner: Jo4n, J. Clutter Builder Swanstrom Company Address Address 1350 Skywood Lane LOCATION OF BUILDING No. 1324 Street „_ Skywood Court _ part of Lot Lot _ _.__ Block 1Addition or Sub -Division _____ Swans trom 1 s Court Addn . Corner Lot Inside Lot — A Setback 35 ' — Sideyard Sewer Elevation _— Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dwelling Front 42' Depth 261/28"t 20' Sq. Ft. Cu. Ft Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost _622, 000 _ To be Completed 111/68 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 t forth d is compliance with ail p oma of ordinances of the city of Fridley. � 1 9 $100.00 Sewer Connection Ch rge In consideration of the payment of a fee of a 41.00 , permit is hereby granted to Swanstrom`s the Company to construct the building or addition as described above. This permit is granted upon express condition that the person to whom it is granted and his agents, employees anworkmen, in all work. done in, around and urn said building, or any part thereof, shall coffiorm in all respects to the ordinances of Fridley, Minnesota reg d� 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. CLAREN'CE BELISLE NOTICE: This peewit does not cover the construction, tnctalWon for wiring, plumbing, gas heating, sower or anter. Be sure to we the Building inspecior for separate permhs for these Items. AP? uIC11VU..r1 i FOR BUILDING M311 I.T C!' Y OF SrRxJ:,3 y NiN10SOCTA OWNER'S NAME� RF; s 1. DER � I ADDRESS ADDRESS 1. S LOCATION OF BUILDT?% N0 ./.�� CwET �,,•� C��� ` =-PART OF LOT LOT 5' BLOCK __. ADDITION OR SUPDIVISIO �( 4a CORNED, LOT INSIDE LOT c/ SETBACK SIDE -YARD /e)' EWER ELEVATION �� FOUNDATION ELEVATION 47, Applicaht attach to -this form Two Certificates of Survey of Lot and proposed building location draum on theseCertificates. y DESCRIPTICI OF BUILDING To Be Use , :�s . Depths Height ✓(� Sq. Ft. Cu. Ft, Front Depth Height Sq. Ft. Cu. Ft. O Type of Construction if -yl^"zY ed Cost 'P';� 0C) Z;; To Be Completed Q,�� 40 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. DATE/ f ��� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT PERMIT City of Fridley 1817 AT THE TOP OF THE TWINS BUILDING PERMIT � CEIPT COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 �.j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/23/85 JOB ADDRESS 1324 Skywood Court N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 1 SwanstrcmaS Court Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Clutter 1324 Sky -wood Court N.E. 571-4783 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be the. 2nd layer but not the 3rd.. Ins:ta,ll ridged galvanized valleys. 1Z 4 P i 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 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 $�50 $� rj0 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $15.50 "X . SIGNATU OF CO TR CTOR RAUTHORIZEDAGENT (DATE) WHEN PROPEVY VALIDATED THIS IS YOUR PERMIT 8' 3 rr s BLDG INSP S' ATUREOFOWNER (IF O ER BUILDER) ATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] FR -1 AND R-2 I ALTER. ( ] Building Permit Application Construction Addri Legal Description Owner Name & Address: J a !4N C lUT TIW Tel. # �� 7 - g� Contractor: J ® HN 0)-Q IT�hT Tel. # Address: /3 �q JCKYW Ob CRT AJ,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: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback G -d Type of Construction: Approx. Completion Date: Estimated Cost: $ 6 • Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: 0 7 a� 0'5' APPLICANT:UL Tel. # '/,8� CITY USE ONLY Permit Fee $ Is -.6)0 Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ 6-6 $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ TOTAL $ Agreement Necessary [ ] Not Necessary [ ] /� . S7J STIPULATIONS• SUBJECT ERMIT NO. City of Fridley 21682 AT THE TOP OF THE TWINS BUILDING MIT t � 6 _ COMMUNITY DEVELOPMENT DIV. v _ PROTECTIVE INSPECTION SEC. 6 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 12/1/92 JOB ADDRESS 1324 Skywood Court NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 1 Swanstrom ts. Court Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John/Marcella Clutter 1324 Skywood Court NE 571-4783 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Custom Remodelers Inc. 8729 Central Ave NE Blaine MN 784-2646 1748 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 S DESCRIBE WORK Construct a three season porch. 9 CHANGE OF USE FROM TO STIPULATIONS See notations. on plan. VAR 92-23 approved 11/23/92 to reduce side yard fl= 10 feet to 7 feet. Add smoke detectors on each.level of home if not already installed. WARNING Before digging call for all utility locations 454-0002 REQUIRE® BY LAW 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 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 $3f693 $1.85 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- $63.00 Fire SC $3.69 STRUCTION THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 %$73.54 SIGNATURE OF NTR TO ORA HORIZED AGENT ATEI EN PROW A DATED THIS IS YOUR PERMIT BLDG iNSF' )ATE SIGNATURE OF OWNER t IF OWNER BUILDERi IDATEi VAR #92-23 John/Marcella Clutter I. k e- ao N S c c'u L Q=T P*LA--:t-ft-� J sv SITE PLAN NEW [ ] ADDN k - ALTER] Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application l 3 '�- q S Effective 3/1/92 Legal Description: Owner Name & Address: C'-! Lc.` -ear Tel. #/- ,V7,F,3 Contractor: �� �, tea® �-� MN LICENSE #4000 / 7 Address: S 74.9j e e2n d �Al i r 1414. XAj Alt l Tel. # !-9 O Y� 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: C'o Comer Lot [ ] Inside Lot { ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. b Ft = DATE: APPLICANT - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park . Fee $ --0- Sewer Main Charge. $ —4e�' Side Yard Setbacks Estimated Cost: $ ®� (Cost on Back) Ft x $ = $ Tel. # Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$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 PER R City of Fridley 2 0 0 8 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. __--� COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. 572-3604 1 d/ p NUMBER— REV DATE 17/17/01 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 1324 Skywood Court NE z 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Swanstrom's Court Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Clutter 1324 Skywood Court NE 763-571-8582 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Titus N Winger Contracting Inc 17715 12 AVe N, Plymouth, MN 55447 763-475-3175 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20270544 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 (27 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with 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. OWLG. UNITS OFFSTREET PARKING 1 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 $2,761 $1 •38 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- $83.25 Fire SC $2.76 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT FEE Licens $5.0 92.39 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEq EN ROP VALIDATE THIS IS/�/yjOUR PERMIIST[] �j p BLO INSV rsAyt S.GNATURE NEA0f OWNER BUILDER. IDATE. NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: /j 2 =/ .j- "Wep es r -A 'AJ Legal Description: Owner Name & Address: JdJ.,%��'-cr Tel. # Contractor: e-1 -P �„ +° �, . MN LICENSE #.20Z >®J- Address: 2' .V 1A A AJJ JY,9 Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. FL Length Width Hgt/Ground Sq. Ft Construction Type: Ple - AG.'r Estimated Cost: $ ev Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ .=$ DATE: APPLICANT: _��, Tel.# CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $� Fee Schedule -on Reverse Side $ �2 , % (a .001 of Permit Valuation (1/10th%) $� $.50/$1,000 Valuation $ $1150 per SAC Unit $ , ®C) $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 [ ] . V, t JZITY OF FRIDLEY INSPECTION DIViSION �S 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 JOB ADDRESS RATE SCHEDULE OWNER Jb�1 Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $-30.00 (Side Vent - Fill Out Back) ESTIMATED COST r� PERMIT N0. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNEIZ':� `h Gas Range $ 10.00 ;sex No. of Heating UJJ its l Circle One (Steam) (Hot Water),. rm r) Gas Dryer $ 10.00 $ Trade Name_rte/ Size No._'fl1.&P "7.27ic1W. U ; BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel —Total Connected Load ' All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts'�and representations stated in this application are true and correct. TOTAL FEE $ �J DATE f 71, ELAINE HTG. A/C ELECT., INC. 13562 CENTRAL AVE. N.E. MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO ANOKA, MN bSSp�} REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed e^, �- TEL #���J FAX # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough-in Date Final Date.. written permission from adjoining property owner. . R, THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When re In acing an axisHng furanep, 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 No ( ) The venting system is plasBcJPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes V 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 o No( ) The exisfing cem6ustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes Oy No( ) When required to install a new cnmhustinn air -it will be sized and installed to meet the current codes and manufacturer's specifications. Yes q No( ) When installing a naw venting--gys em, 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 o 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. Yes kNo ( ) Appliance Tyne and Si7e/Cnmmnn Vent and Vent Cennectnr Information Appliance #1 Type l IV V\ - BTU Input 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 Diameterin ;Type Appliance #3 Vent Connector Height ft Length ft Diameter ? irijype ., . 13562 CENTRAL AVE. N.E. HEATING CO: ANOKA. MN 5 304 (� Signed By: en, Date: p 1 -� of CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, NIN 55432 6Mr_M_11112 ! w:v wwii1u54A o F44A ADDRESS : 1324 SKYWOOD CT NE PIN : 243024340035 LEGAL DESC : SWANSTROMS COURT ADD : LOT 3 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PERMIT N .:2004-00904! DATE ISSUED: 06/15/2004 VALUATION : $ 1,700.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. INSTALL ONE EGRESS WINDOW TO MEET CODE. STATE LICENSED CONTRACTOR 1 APPLICANT SCHWEICH DAVID CONSTRUCTION (202626 21716 KENRICK AVE LAKEVILLE, MN 55044 (952) 469-3222 OWNER CLUTTER JOHN J & MARCELLA A 1324 SKYWOOD CT NE FRIDLEY, MN 55421 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 wort 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 provisio s of any other state or local law regulating construc 'on or thZ performance of construction. ApplicantA7 Z Date SEPARATE PERMITS REQUIRED FOR BUILDING PERMIT FEE 59.58 FIRE SURCHARGE 1.70 STATE SURCHARGE, VALUE 0.85 LICENSE SURCHARGE 5.00 TOTAL 67.13 PAID WITH CHECK # 34160 OTHER THAN DESCRIBED ABOVE. f63a?y NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDIS! [ ] 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 R M - � Construction Address: (32-q 6�-Lj, W(OOJ �'���' 1�-3 G Legal Description: Owner Name & Address: 31 fli-p S12v ® -vn Tel. # Sl 14 --7 �4 ) Contractor: —bftjjih cWi)-e °I, MN LICENSE#oi®5�69&XgL, Address:201 to E{'l✓1..8'7 c nA. .i �� , � y Tel. #9S3 -4bq-3-2-aa- 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: Leng Width HgVGround Sq. Ft. OTHER: C v7j Construction Type: Estimated Cost: $ i _ / Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ 77 DATE: APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees " mail ipg 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 CITY UZe�jonReverse Side $ 1' ? _ $a 65% of Permit Fee 001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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: Building MECHANICAL Permit No.QC07 -00' . InspectionsRESIDENTIAL APPLICATION (Z--. Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: ® �—t DATE—'7-1 I 10� YOUR E-MAIL ADDRESS SITEADDREss �� ��-i �� c7t N E - THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY NAME: ill q Vl OWNER/ ADDRESS: 2_ S" 9-) ell 01 -t N rrY �' 1 ex u� STAT ZIP SS`IL TENANT PHONE: '1 G2 5-13 Z�t 6 CONTRACTOR CoMpANy NAME: EATING & AIR CONDITIONING LLC SUBMIT A COPY OF CONTACT PERSON: 7 O WentWOrth AVe. STATE LICENSE # Minneapolis,IV YOUR STATE LICENSE WITH ADDRESS: OO CITY STATE ZIP APPLICATION PHONE FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: [3 NEW "%REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK Q,�eW 1,a CL '&Ma (_L � A C . &A A � S ����( '� �e�✓ � . PER MS 1613.665 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) Equipment Installed MFG:r(Q Cx MODEL: rNvIMVV 3120_4,-7 1 SIZF/BTU 70 000 MFG: l 4 -An dl r��_ MODEL: XC ,L3 f3� �_.r SIZE/BTU ZC> G U a MFG: MODEL: SIZEBTU A/C $25.00 FIREPLACE (GAS) $15.00 RANGE/OVEN $10.00 _GAS AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 NEW BOILER $35.00 i= FURNACE $35.00 UNIT HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 HEATER $35.00 _POOL EDUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @ $10.00 t x$10.00=$ 10.Co Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ ZS IJv Number of fixtures @ $35.00 1 x $35.00 = $ => 5 c o State Surcharge = $ .50 Total = $ -7 o. S G 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; that the work will be in accordance with the s. approved plan in the cas ll.work which Xqq ' es,revi,ew and approval ofplans. r ) p C SIGNATURE OF APPLICANT ti_J`PRINTNAME_ bY1AOt� b �JCJj(W\U SATE 01 ► V PLEASE NOTE: SEPARATE PERMITS ARWREQUIRED FOR BUILDING, ELECTRIC AND MECHANICAL. WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 12 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 PLUMBING PennitNo.-QPT7 S2i Building Inspections RESIDENTIAL APPLICATION Received By: Date Rec'd:4A (Q (v-1 763-572-3604 CITY OF FRIDLEY DATE f7 — f CYOUR E-MAIL ADDRESS 3� if SKy SITE ADDRESS J THIS APPLICANT IS: 0 OWNER WONTRACTOR PROPERTY NAME: 1 adv �— PA OWNER/ ADDRESS --1,3,?-,/- yw CITY STATEi % 6 -r -c° � rs� ZIP / TENANT PHONE: n % t( - 7 ? `f ( CONTRACTOR NAME: SAS tvg ' STATE LICENSE # �C9.�ji�L EXP DATE f Z - 36 '®`� %'GIP �f S�:N SUBMIT A COPY OF YOUR STATE ADDRESS: `% �l ' � '4'ef vC.0 CITY��'Ma'i STATE s LICENSE WITH PHONE �]y FAX APPLICATION ,� /' SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE PERMIT TYPE TYPE OF WORK: 0 NEW LACEMENT DETAILED DESCRIPTION OF WORK �5t4Ce 1444 6kr6 " PER MS 1613.665 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) WATER PIPING — BATH SINK/LAV _FLOOR DRAINS _SHOWER WATER SOFTNER ($35) POOL BATHTUB _ GAS PIPING (xrm clrrlrcm) _ SWIMMING CLOTHES WASHER KITCHEN SINK _ WATER CLOSET —BOR N ($15) _ _ IRRIGATIOOW DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) WATER METER —OTHER _ ;. Wi t , ;.. ft�, .� r f fixtures Permit Fee $ Number o @ $10.00 x $10 00 $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ x.50 Total = $ 6 s 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. . j ' l ` /CZ may, PRINT NAME G� DATE SIGNATURE OF APPLICANTS _ r City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977