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PRE 2010 DOCSCity ®f Fridley SUBJECT < 82306 AT THE TOP OF THE TWINS BUILDING PERMIT r � RE ° -------COMMUNITY DEVELOPMENT DIV. � LV INSPECTION SEC. r PROTECTIVE c = � ��"1 CITY HALL FRIDLEY 55432 IL....A, NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/7/01 JOB ADDRESS 1306 Skywood Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Skywood Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Craig & Jean England 1306 Skywood Lane NE 763-757-2926 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Nedegaard Construction Inc 4200 Central Ave NE, Minneapolis, MN 55421 2068 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 763-757-2926 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK 7 NEW 0 ADDITION 0 ALTERATION O REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Construct a 29' x 36' Dwelling and a 21' x 32' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide City with copy of verifying survey before capping. Provide sod in the front and side yards. Provide a hard surface driveway. Paid $1,500.00 park fee. WATER & SEWER LOCATIONS: See City Engineering Dept. 'WARNING SEPARATE PERPA6 IS Before digging call for REQUIRED FOR: all m ility locations ® 02 UG'D PLUMBING � SNS REQUIRED BY LAW IG SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE 00 CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION � OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX Fire SC ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $181,008 $90.50 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- $1,452.95 $ 150.00 STRUCTION OR THE PERFORMANCE OF CO TRUCTION PLAN CHECK FEE License/$5.0 T L FEE 2 879.45 + PF ' �✓ / S" ATUREO1:CON•RACTORORAUTHORIZEDAGENT iDATE, MEN PRO VAL Bl G 1NSP - A THIS IS YOUR PERMIT !//� gATE S-GN4TURE OF OWNER,-; OWNER BWLD.E R� iD��E" NEW Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: 204 1 R /o c M Owner Name & Address: Cr �-, l, e,NJ on �AglCa �C Tel.# 763 JS -7 -I?ALS Contractor: 4 erok- ! a CAYI-. t MN LICENSE Address: ga.o0 Ceh+ ,/ AJr. nrr. <Sy2.3 Tel.# 76',S — Attach to this application, a Certificate of Surrey 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. 037 DECK AREA: Lengt Width �^� Hgt/Ground Sq. Ft. OTHER: � j%'4 &rv/y4t,1-44 //OZ 3 Construction Type: �� .�1� ��.r.:1y �-� 56 �` Estimated Cost: $ - Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ = DATE: /0 - )-2,' -0 I APPLICANT: 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) 672-3604 for Permit Fees if mailing in application $_/�ee Schedule on Reverse Side Tel.# �r`2-are"-13flf $/ r�/, 00 .001 of Permit Valuation (1/10th%) $_QD • 5�® $.50/$1,000 Valuation $ / / 60 • dO $1150 per SAC Unit $ S. 00 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ -- Agreement Necfiessary [ ] Not Necessary [ 4 V C�- ., MECcheck Compliance Report 1999 Minnesota Energy Code MECcheck Software Version 3.2 Release 1 TITLE: 201406 COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 10/10/01 DATE OF PLANS: 10/08/01 PROJECT INFORMATION: ENGLAND RESIDENCE COMPANY INFORMATION: NEDEGAARD CONSTRUCTION COMPLIANCE: Passes Maximum UA = 664 Your Home = 454 31.6% Better Than Code Ceiling 1: Raised or Energy Truss Wall 1: Wood Frame, 16" o.c. Window 1: Above Grade, Vinyl Frame, Double Pane with Low -E Door 1: Solid Door 2: Glass Basement Wall 1: Solid Concrete or Masonry, 9.0' ht18.5' bg/9.0' insul Basement Wall 8: Solid Concrete or Masonry, 4.0' ht/3.5' bg/4.0' insul Basement Wall 9: Solid Concrete or Masonry, 9.0' ht16.0' bg/9.0' insul Furnace 1: Forced Hot Air, 90 AFUE Proposed and Maximum U -Factor Averages Above -Grade Windows and Glass Doors Includes Foundation Windows > 5.6 ft2 Permit Number Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R Value R Value U -Factor UA 1739 44.0 0.0 38 4010 19.0 0.0 209 367 0.320 117 74 0.140 10 21 0.320 7 900 11.0 0.0 50 138 11.0 0.0 10 189 11.0 0.0 13 Proposed Average U -Factor 0.320 Maximum Allowed U -Factor 0.370 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, lculations submitted with the permit application. The proposed building has been designed to meet 1999 esota Energy Code requirements ' MECcheck Version 3.2 Release 1. Builder/Designer 9 DateOL ( 1 Z7 SA 0 , , , U „r -# (q 5. SU :ITY OF FRIDLEY INSPECTION DIVISION 431 University Ave NE ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 63.572.3604 REFRIGEnATION AND Ain CO RATE SCHEDULE esidential Furnace Shell and Duct Work, Burner . 41so Replacement Furnace (Side Vent • Fifl Out Back) aas Piping (Needed with new furnace, but not replacement) aas Range sas Dryer Air Conditioning - All Sizes k1l Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work )mmercial/industrial ..25% of Value of Appliance or Work NDITIONING SYSTEMS AND DEVICES JOB ADDRESS 130 S?,k Effective On January 1, 2001 OWNER_ b ( !I U Rate TOTAL BUILDING USED AS S))1 $ 30.00 $ 1 ESTIMATED COST ®• PERMIT N0. $ 10.00 $_ $10.00 ESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units t Circle One (Stearn) Warm A ) (Hot Water) ir} $ 10.00 $ Trade NameSize No. BTU O HP EDR $ 25.40 $_2 Fuel6xiE Total Connected Load Burner Trade Name Size No. $ BTU HP EDR o� $ 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 -i TOTAL FEE representations stated in this application are true and correct. O $ DATE d 9 ®z- NINIU Yl FEE FOR ANY HEATING/COOLING/VENTILATiON TRIGERATION/AIR CONDITIONING PERMIT IS $25.00 MS THE $.50 STATE SURCHARGE .INSPECTION FEE $47.0011 -Ir r Conditioners can not be placed in a side yard without - itten permission from adjoining property owner. r T w HEATING CO WSI Signe M 0b TEL# 63 -09 -TT 7® m Approved 13Y Rough -in Date Final Date -4- -- BACKSIDE MUST BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTIO AIR VERIFICATION JAN -08-2002 08-49 FROM CITY OF FRIDLEY TO 4980006 P.02i02 COMMON VENT,_VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When relacing an existing furanee, 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 plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. YeV) No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. When required to Install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. When installing a new venting -system, 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. 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. Aes (} No Yes( Nox YesNo ( ) Yes K No ( Yes( )'No( ) Appliance #1 Type BTU Input D Fan Assisted or Not Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input _. Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type , Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CC Signed By: TOTAL P~1@2 INSPECTION REPORT CITY OF FRID NESOTA 3) 572-3604 OWNER BUILDER DATE DESCRIPTION PERMIT NO. ^^yyINSPECTION REPORT REPORT DATE � 0* t�V L violation of the or n if ypJa�do n�tCaHT corrections as ca L� �f-40�4 e< CITY OF FRIDLEY INSPEC'I ION DIV. 6431 University Ave NE Fridley, MN 55432 763-572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2001 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures$ 7.00® no Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas**_ f� $10.00 Gas Range*" $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes O No Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE JOB ADDRESS_ 13 ®lo 4!k, (Wo, a j L-6,rke The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner C �-�A w, cy lcj N5 f Building Used As 5, P Estimated Cost PLUMBING COMPANY SIGNED BY/ 'fit' G�-DI ,200 PERMIT NO. ® 334 Approved By / I Z Rough -In Date Imo Ka 1' U k .fit c TEL N0. _ Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) No The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type 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 Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describe) HEATING CO: Signed By: Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY PERMITO.: 2004-00981 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 06/23/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 1306 SKYWOOD LN NE PIN : T000046 LEGAL DESC : SKYWOOD MANOR : LOT 1 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK VALUATION : $ 2,980.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 20'X 12' DECK. APPLICANT BUILDING PERMIT FEE PLAN CHECK FEE 83.25 54.11 JEAN & CRAIG ENGLAND 1306 SKYWOOD LANE NE FIRE SURCHARGE 2.98 FRIDLEY, MN 55432 STATE SURCHARGE, VALUE 1.49 TOTAL 141.83 OWNER JEAN & CRAIG ENGLAND 1306 SKYWOOD LANE 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 work will be complied with whether specified herein or not. The granting of a permit does not pre a to give authority to violate or cancel the rovisio f any er state or local law regulatingco ction or rf ce of construc ion. Applicant Date Z� Bldg Insp w SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [] ADDIS! [] ALTER [ ] Construction Address: Legal Description: 1-14 Owner Name & Address: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 4/1/2004 (763) 572-3604 Bldg insp (763) 571-1287 Fax AILSW u zt Lam Tel. # `710 -r-51 0d oa L5,59 Contractor. i1oa , St'1 Y v MN LICENSE # Address: 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 v� Sq. Ft OTHER: - � `[ X Construction Type: Eh •�� l Oyu Estimated Cost: $ in®® �� oLl Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # AIJA) .� 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. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side 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 [ ] L TOTAL $ / STIPULATIONS: I. sm �d 'es ere - j A/Ulv� ch amE4 ol,l 4,k -(�Oolk—lo,,VV IDNED CODE C PLIANCE B I sp toa ;j :�� so CERTIFICATE OF SURVEY r 20 FOR NEDEGAARD CONSTRUCTION 13 PROPOSED BUILDING ELEVATIONS TOP OF FOUNDA TION �� 9 f , 8'___ FRONT OF HOUSE `'�`� _0 p GARAGE FLOOR _M `� 9 . ; REAR OF HOUSE LOWEST FLOOR WALKOUT sYWOOD`LAN�01' A=91018 loo " �� "3- �, . R=10.00 , L=15.94 EAST 72.27 `j 14.74 41.33 i �C j---�o i o ty PROPOSED 5 i `� DRIVEWAY 32.0 --16.9-- k b O I N PROPOSED ro a" G 43- W i GARAGE N 9.33 la C O I N 4.0 t,� J.. co�^ ^ PROPOSED USEED • 1• Jai �sg'� S Q� O I '� tn 0 N 40.0 -24. - 36.33 AOL •'J 5 I ' o St�tJ11 C i o 15 (,Q i o co ` " �� ' Ir 22.31 41.33 ID%l n 0 o EAST 82.74 v / Q DENOTES SET IRON PIPE R.L.S. NO. 25287 F'GAL DESC_R_IPTTnJV DENOTES FOUND IRON PIPE ® DENOTES SET IRON PIPE FOR BLDG, OFFSET LOT 1, BLOCK 1, SKYWOOD MANOR, P 890 DENOTES PROPOSED ELF vAnnni ACCORDING TO THE PLAT OF RECORD Building $ 1 1 1, 2 S�: BLT}ILDING Plan Review Permit N2 q_ 00 Inspections Fire Surcharge RESIDENTIAL APPLICATION —.00 1 times the total job valuation Received By: 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ Date Rec'd: 763-502-4977 FAX $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ EFFECTIVE 1-I-09 $ $450 Conservation Plan Review DATE �� pt YOUR E-MAIL ADDRESS l a6 G 4yif 6(dLhc—y SITE ADDRESS V iF' 5i'-VJ0 000 44U 1�r e f leylyiu �5 $ THIS APPLICANT IS: MDWNER ❑CONTRACTOR _ PROPERTY OWNER/ NAME: 8'wc E j,14-ec n1 TENANT ADDRESS: 61 16 W E"�i%CITY i^g��. STATFY�ZIP PHONE: 41 1 p-1 1..3 S CONTRACTOR NAME: SUBMIT A COPY OF P YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE JZSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS `?BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR la REMODELING DESCRIBE WORK BEING DONE: Fa-,,; S 11S Seevie rl i— �c� , Flet f-4 rvr- - vt `� ". t'P, c' : ^� I'dC _6.,, SIZE OF IMPROVEMENT 6 `7 t P_k' �F LENGTH 3 3 x ' I HEIGHT % �� (f SQ FT Z/// 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: ❑ Aluminum ❑ Trim l . 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 UAC FEE SCHEDULE) TOTAL JOB VALUATION $ ;0cc, OCCUPANCY TYPE Permit Fee $ 1 1 1, 2 S�: See Back Page for Fee Schedule Plan Review $ ` 65% of Building Permit Fee Fire Surcharge $ co —.00 1 times the total job valuation Surcharge $ �,�� .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Detennined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due _ Make checks payable to: City of Fridley Attach Sti ulations 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 work whic re es review and approval of plans. SIGNATURE OF APPLICANT A&4 � _ PRINT NAME Cr tm 4 &1 1,)nd DATE _ _ 3_3 _0 7 !r f S2 co ;t u VVA 1tv so, clw, d-li U -C IE VE 33'4__ qLA Ec�� Ut-�ES su it sd 5ultL' ducfs 4c) 7c- zwLpv s PgoudF— Vo�Uwt-EPf1 r P do1 C7 BEDROOM 75 11,6 x 1Z6 IF -1 at.4 AppPOVEJ i Ath,14 frIG i,tiNE-d- L*JdE P- S-�; ( P- (�w t,,40 u.44 LIVING AREA 882 sq ft 0. 34'8 Nei ��KA � p, 1-- 1 REAM` FOR OE "I LkEIA Building MECHANICAL Permit No.d- Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 � Da Ay 0 5 200 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 2-19-09 DA URE -MAIL ADDRESS 0019 e �a� `�' `J�r%�' 60 IvA SITE ADDRESS THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY NAME: crqlf +vfn r\ j;r;z-,?V n OWNER./ ADDRESS:®��y CITY S STATI7fJZIP .!U42/ TENANT PHONE: 7L 5 —S 7 ,;?— k c,19 CONTRACTOR COMPANY NAME: CONTACT PERSON: SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: CITY STAVE ZIP APPLICATION PHONE FAX PERMIT TYPE °SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT XALTERATION/REMOD L �^ �j DETAILED DESCRIPTION OF WORK f- rEn 5 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU _A/C $25.00 (GAS) $15.00 _GAS RANGE/OVEN $10.00 _FIREPLACE _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 ": n � � �:: -� � �L.��3 �.. x � � �z �' 4�t � � f �: - t � • � STs" »r'a' �-" f '� "��` rr .t'_ x�` : 9 92 obi.' 4�d�P •-EX y£' tiinr 3 a-r�r�T�' F �? d - �` '3 3 l t� �'h :tY k : nom' k b 4 �'�..'s.'"1[S Det F' S^ B'!Y'� � 1,y •�' ''^ � 'i Yv �"k y 1 X, ,- N�tF,. F, d Y'� �, Mi d ,.Lw 3 "2 g •�� 'Xd �� klJ !��'��i�i 'f. d lfii �%1f 5� ��"tz'�A�� - � fir' r i �"� i f <e& #.. T�,�� ,ray t.�' ! �� : � xq J✓ �x s �;i� �t ¢'� ��„a� 3'�. �^�1 �•Y s�, � '" �'��va.�'�"'r�ef'r �x �5'`.�`��`' ,-:.: �°rs r wt�"�' �? a'"�'+ �x i � THIS 1S 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. q // (' 9 SIGNATURE OF APPLICANT 1 PRINT NAME � / (vh DATE ✓ S �p / .. ... _ r sw v City of Fridley Building Inspections Department 6431 University Avenue. NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY ria MA 763-502-4977 FAX EFFECTIVE 2-19-09 0 . DATE J'® ( YOUR E-MAIL ADDRESS SITE ADDRESS I ®� 5 KyGJ O61i L -P )7, id le- eTHIS THISAPPLICANT IS: �0 OWNER ❑CONTRACTOR PROPERTY NAME: CY'a , 45_�rt l ✓ k7 TENANT ADDRESS: iv S JC D ® (� CITY_ � i l / el STATE n1AAP S.S 41Lr PHONE: '� i.)-- CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: IPINEW❑ REPLACEMENT S�1�nen+ ,- -i q1redV i n P`�ce DETAILED DESCRIPTION OF WORK _ V( ' 15 � �J K t-0 s (er-(— -6l 0 cc-�,e r FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. ( BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING _ —BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL SOFTNER ( 3 —WATER _ CLOTHES WASHER _ KITCHEN SINK CLOSET PREY _WATER _BACKFLOW _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER C� � ?:•. �� 2 .c�z' t � � �,•� 'N � Ey y "�., � � z "�'a,, z�i �� . g,� : �`ss z r-� � � � Y�', �•*> au h1 '� �� , .y�"-� �er� •' q i� v C` i �� nm '�S �'" `3�`^ "%�.t..t•P � o- ? W $m i � `3,�.a, >� ,d` �� E• � Z. 3 � �,.: : & ��'� � "Y"^: � as �� F FIRE, y 8s et � . ... „.. - .��, •.e _� ,. «n ,�2 ,�� _,.- . ,._ ,k �..� x, �.'�. �.!.s _� "ft.. ,F�ud„ s THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. } s� C� Q SIGNATURE OF APPLICANT PRINT NAME ra_ DATE 1 0 01"141,11 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604` FAX: 763-502-4977 W