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PRE 2010 DOCSCity of Fridley, Minn. 1 2 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Mate: October 18, 1972 OWnw.-_.7)PVP1 wpm .nnt, Corp_ Builder ,S.AmP Address --2-R99 - 5t'h Auganilo S t b Address S2.me V0. 1 500 Street Sou. h Ti tuber R i d_g_e N_E _ ..,.. part of Lot Latrt of SecticM0L3 Addition or Sub -Division Corner. Lot inside Lot Setback _ _ Sideyard Hewer Elevation ' Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Tmmbtmtse Front .-51 _ Depth 29g7i„ Height _ 01 _ Sq. Ft. _18541 -Cu. Ft. Front Depth Height — Sq. Ft. . Cu. Ft. Type of Construction Wood_ Frame Est, Cost _S21.187 To be Completed 6 months Stipulation: See 1531 South Timber Ridge In consideration of the issuance to me of a permit to construpt the building described above, Y to do $he proposed work in accordance with the description above set Orth and in compliance with all visions of ordinances of the city of Fridley. a 11.00 State Surcharge In consideration of the payment of a fee of $ 51.25 ,permit is hereby granted to_ , andvest DQy,„Corp. 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 NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sere to no the Building inspector for separate permits for these items. I Ib APPLICATION FOR REUDENTIAL, ALTERATION# OR ADDITION BUILDING PERMIT CITY OF FRIDLEYs MINNESOTA NO 8 17TR=gp.nvt w� i�+tel ■ i +,Lfal %.s 4�i+WAla �dbdHMORI tt gttach Vo ft" f+a= io Certificates of Survey of Lot and proposed 10"14ftg location dry 4M terse Certificates, — DESCRIPTION OF BUILDING :*e4 4a DMft. �2 "_ -7Z " $eight- o7C7 ' Square Feet;" ' Cubin Feeti Front: Depth; Height; Square Feet; Cubic Feet; Tyf; of Constructioul cQ Estimated Cost:- $ /� wP E R 1 To toted; 0-) The tunderreign+ed hereby makes application i`or. a permit for the, work herein SpepIfled, agreaInS to do all VoTk in attict accordance with the City of lvtdlvw ordUumces and -xatftp Pf 0e Department of BuWtngs, mW 'hereby doolaref all the facts and representations stated In t As appItcation are true sx4 correct, /, (gees Rwaroo Side For Md:Wana2 Infortgation..) f 6.2. �'s — City of Feo l®y ft? rambbe d c9m Who Pan* -- teat. of mdoz. Phoma DESCMPTION or w® hm"A' ¢dad. .■r The mdersigned hem - ea ®1ppAkn on for a Pwalft 90E v a specified, aggeeng w do an wo7h in diet ac me w th the MY G-MUnwace and mHas of the DL-partment of Suit , and hereby declarez that AA the fact and mprwmt&Uzm atated in thAs mpplicatlom am tray: =ad see% ftidby, man As— Kind I of Bvdlding PLUMBING 6GXTM ]RATES: RATE BTOTAL�-A - Num f Fixtures ................ ,M06 p` x wo $-\l —C% Sig Mauro rixture Opening .... a ...... $1.60 S_ New Fixture Old minis ........ o . x 11 - CatchCatch Basin 3 .. c .. a .. a ......... 0 x � Vater Heater to 99.009 BW) .... ROUGH- New Ground Run ®id Bldg. .... a ... s .M ROUGH- t El Elmtrk Water Hastar ............. • a $100 8— GAS FITTI Nes FECS. GAS NO. RATE TOTAL �,— woo s let 3 Fixt ... 0 ...... e . e . . : • • z ff9Nmim conal Mturm• s . e e . . ... e . e .. m ® .76 Gm 1i&! to i e . e.. s . o • ... •� Q� • • State Surcharge MCFAno & AL T1® Oe go CS& • i Rsi AffI cat% for Power Pkand oei S I d Deni a�eR RelfteNon. . Aireg Ys *m PARTIAL RATE SCHEDULE GRAIITITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ................ .. $10.00 $ Replacement of Furnace ..... .. 6.00 $ Repairs & Alterations—up to $500.00 B.00 $ Repairs & Alterations each add. $500.00 3.00 $—__ -. KECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 $_l Q U 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. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam $,O(1 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 GASB (up to 199,000 BTU) ... war 199,000 BTU See Fee Schedule GAS FITTING FEES. 1st 3 Fixtures _ Additional Fixtures _ Gas Range to 189, _ TOTALNO RATE „o c * �SUPICHARGE $i _.50) Dept. of Bldgn. Phone 880-3490 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 an the facts and representations stated in this application are true and correct. Owner Kind of Building Used as To be completed about Estimated Cost, Building Permit No. Hermit No. D OR OF WORK EMA77Nit G or PO tm, Hot Water ar -No Trade Name 4- - sin N e Capaci 0I OC Sty, Ft. E.D.R. BTU $I,p Total Connected Load d of rue BURNER — Trade Name Size X* Capacity Sq. FL E.D.R HP (REMARKS -OVER) I 01 SUBJECT City of Fridley ® 20026 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. r ; PROTECTIVE INSPECTION SEC. 3� I ^a J , i �� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY •--.� j L 612-571-3450 910-F15 7/27/89 JOB ADDRESS 1508 South Timber Ridge N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Part of lection 13 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Timber Ridge Townhouse Association 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hanggi Bldg & Remodeling 1901 - 85th.Avenue N•E•, alainer MN 55434 786--5900 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 C3 MOVE ❑ REMOVE 8 DESCRIBE WORK Rebuild,front entry (6110" x 51) 28" off ground 9 CHANGEOFUSEFROM TO STIPULATIONS 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 $480 $.50, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY V IDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER (IF OWNER BUILDERI (DATE) BLDG INSP DATE 01 NEw [ ] ADDN [ ] ALTER [ Construction Address Legal Description: Effective 5/1/88 R-1 AND R-2 Building Permit Application Owner Name & Address: 77 r m Seg- �Q�� � 7'� ��� �.� sS� Tel. # S - 76-O.2 >6 Contractor: 'e'j lyelel r (��C., // r �L.Ai� !' �,�t5�ts �r� Tel. # ''�� •• 59 6 • ... - �`� +, ,. - � err Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. MMM AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: length Width Hgt/Growxi Sq. Ft. Corner Lot [ ] Inside lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: ZC c-. ¢e Celo o ,� Estimated Cosa: 0 -D Approx. Completion Date: ale e ,e s Proposed Driveway Width If New opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: 27 ,T 7 APPLICANT:62r/C`�'g�isJ�c) Tel. # s7/^C�.�?� Permit Fee $ 8;s"00 State Surcharge $ n� SAC Charge - $ Driveway Escrow $ Park Fee $ Sewer Main Qzarge $ STIPULATIONS: CITY OSE cNLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT PE City of Fridley 2 0 4 2 AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT I COMMUNITY DEVELOPMENT DIV. L e PROTECTIVE INSPECTION SEC.*0 1 e CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/24/91 JOB ADDRESS 1508 South Timber Ridge NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS PHONE ZIP 571^6861 Janet Kacoembia 1508 South Timber Ridge NE 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 Cad ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reconstruct 12'_x W Deck 9 CHANGE OF USE FROM TO STIPULATIONS See. notations on plan. WARNING Before digging call for all utility locations 454.0002 REQUIRED BY LAW 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 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 $600 $"50WITH 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- $17.0.0 Fire $.60 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $18.10 SIGN R-0�CONTRAC W11 N PR PE DA E THIS IS YOUR PERMIT 7OR0RIZEDjKGEVIDATEI v t; /_7� -7 14 - BLDG )NSP DATE Si NATURE OF OWN E14 IIF OW4EA BUILDER) IDATEI NEW [ ] ADM [ ] ALM [ ] CCnstr ction Address: M=« Effective 1/1/91 R-1 AND R-2 Building Permit Application S• l r Nly t� 4 ��iQ ed, G a l Owner Name & Address: ---V—r, � L C �Qc� 'lei . # Contractor: 5tMA. , Tel . # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. rBE " XFTICK OF INFROVH�TP LIVM AREA: Length Width Height Sq. Ft. GARS AREA: length _ Width Height Sq. Ft. EBB AREA: Length Width Hgt/Ground SQ. Ft. Corner Lot [ ] Inside Lot [ Ft. Yd Setb�a�ck Side Yard Se e Type of Construction: e_- m—,Estimated Cost: $ Approx. Cczpletion Date: -5- 0(s, Proposed Driveway Width If New Opening Is Desired: Ft. $. $ Width + 6' See Ba Pa e nom: c APPUCANT: Tel. # ,_Ie _ Permit Fee $ ['106 Fire Surcharge State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ t. QTY UBT CMLY Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 0' o ul City of Fridley SUBJECT 4 41 AT THE TOP OF THE TWINS BUILDING P f E R M I T GE1PT iV1�. � • _ COMMUNITY DEVELOPMENT DIV r I � PROTECTIVE INSPECTION SEC. /J i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED ev 612-571-3450 910-F15 4/1/96 JOB ADDRESS See Below North Timber Ride & South Timber Ridge) 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. The N 24.7 feet f the W J of the NE i of the NEi of Sec 13 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Various 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Dahl Builders & Remodelers 451 Ma le St NE, Spring Lake Park MN 55432 784-6353 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 X 8 DESCRIBE WORK Repair work 9 CHANGEOFUSEFROM TO STIPULATIONS 1501,1505,1513,1529,1530,1534,1538,1542,1546 North Timber Ridge NE 1503,1507,159°8,1512,1515,1519,1523,1527,1531,1532,1536 South Timber Ridge NE Replacing cedar trim board covering concrete block projection at base of walls. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OFCONST OCCUPANCY GROUP OCCUPANCYLOAD 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 1 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 $5,900 $2.95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $112.25 Fire SC $5.90 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION /� aai'"6 ��/� PLAN CHECK FEE License SC $5.00 TOTALFEE $126.10 SIGNA—uFTE OF CONTRACTOR ORAUTHORIZEOAGENT IDATEI WHEN PROPS Y VALIDATED THIS IS YOUR PERMIT B DG INSP 4A TE SIGNATURE OF OWNER OF OWNER BUILDERi IDATEI • � suB.let:T P . City of Fridley 28705 AT THE TOP OF THE TWINS BUILDING PERMIT O r i �• COMMUNITY DEVELOPMENT DIV. _ _ __ r PROTECTIVE INSPECTION SEC. ��o� CITY HALL FRIDLEY 55432 �--•-� �'' NUMBEItREV DATE PAGE OR APPROVED BY 612-571-3450 e10415 12/3/98 JOB ADDRESS 1504, 150$, 1512 1516 South"'Timber Ride N.E. 1 LEGAL LOT NO. LOCK TRACT OR ADDITION SEE ATTACHED DESAL SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO A-1 Roofing & Const -5919 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential I CLASS OF WORK O NEW O ADDITION O ALTERATION Cc REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK 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 WORKIS 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 NAVE READ AND EXAMINED THIS APPLICATION ISTALLS 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 4970 $2.48 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF Aj4Y OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR T PERFORMANCE OF CONSTRUCTION $99.75 Fire SC $4.97 PLAN CHECK FEE TOTAL FEE 12 _q License-- C 5 0 112.20 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ,DATE, WHENPPROPE VALI ATED THIS IS YO PERMIT B ,NSo 4ATE S.GNATURE OF OWNER,,f OWNER BUILDER, ,DATE, NEW [ J Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R -Z BUILDING PERMIT APPLICATIONrj ' C'-- ConstructionAddress: 1 cM Legal Description: Owner Name &Address: Tel. # Contractor: n MN LICENSE # Address: Tel. # r `l Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF DIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: r— -0-1 -% Til Construction Type: C e-' �"J Estimated Cost: $ 49170 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �7 - 7 ' q APPLICANT: Tel. # CITY USE ONLY Permit Fee $ S Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ . 00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ i . . STIPULATIONS: Building BUILDING Permit 1v0.: %. Inspections RESIDENTIAL APPLICATION Received By: 11. 763-572-3604 DaAM A P 11 200 65% of Building Permit Fee. CITY OF FRIDLEY DATE �G/ A % YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME:_ X1SS�/yr®r ADDRESS: —CITY f7�r J%rte STAT>sLIP TENANT $ PHONE: -7/6-� CONTRACTOR NAME: 60-f em C�t�1�G�1ll ft + 6 ft = ft x $21= $ STATE LICENSE # a 9 yq+ EXPDATE -P—r SUBMIT A COPY OF YOUR -STATE LICENSE . ADDRESS: W— 7$- , to °a Lu �c7ad CITY -&& n1 STATE/ WITHAPPLICATION PHONEJo?- FAX C�ScZ - ZZ -.Qdz� q ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE PROPERTY TYPE Sewer Main Charge ❑ TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS $�2 ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE DECK ❑ SIDING ❑ OTHER THIS IS AN APPLICATION FORA PERMIT -NOT VALID UNTIL PROCESSED ❑ SWIMMING POOL TYPE OF WORK: 1 ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DQNEaf e%//�'�-' -mac SIZE OF 1MPROVEMEN'T LENGTH S WIDTH HEIGHT Sq. Ft. 4� ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: [3DETACH D GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing st uctures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONo 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 5�9 6 ; U8.®C FEE SCHEDULE) TOTAL JOB VALUATION ANCY TYPE Permit Fee $ a See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee. Fire Surcharge $ . 53 .001 times the total job valuation Surcharge $ 5'D .0005 x Permit Valuation Minimum $.50 License Surcharge $5.00 (State Licensed Residential Contractors) SAC Charge $ c $1675 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 Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary () . Total Due $�2 , Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FORA 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 whi IFApires,rt�view and approval of plans. SIGNATURE OF APPLICANT Building PLTJIVIBING PermitNo.• L Inspections RESIDEN TIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX EFFECTIVE 1-1-08 DATE ®b YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: 0 OWNER WONTRACTOR PROPERTY NAME; ES Lt' _ ADDRESS: Imo` 7°­-,,E3Z" Le` STATE_91'�JZIP �S Y3z OWNER/ TENANT PHONE: %C©3 ESQ f - C0 CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE, BOND AND STATE BOND EXP DATE STATe_ZIP 33 CERTIFICATE OF ADDRESS;U CIU, I CITY INSURANCE PHONE FAX PERMIT TYPE W4KG'LE FAMILY 0 TWO FAMILY 0 TOWNHOUSE 0 NEW CEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK ZmS 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 = plus .50 surcharge ATETOTAL FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $1.000 PER FIXTURE, EXCEPT WHERE NOTED. FIXTUR�RPI' NUMBER OF EACH BELOW). MINIMUM FEE $15.50._ BATH SINKILAV _FLOOR DRAINS _SHOWER _ W PING BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL _ ATER SOFTNER ($35) _ _ _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER �t � eh. r.-3, S^p�`:q HY ;` b ate' 'E• Number of fixtures @ $10.00 x $10.00 =$ Permit Fee $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM $15.50) MINIMUM $15.50) Total = $ 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 bu%pnly an application for a per .t and work is not to start without a permit on site; that the work will be in accordance the of S. lan in the case of a wo wIich requires review and app7V� with approved SIGNATURE OF APPL�CT / -- PRINT NAME DATE-- l !, APPROVED BY DATE. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC J NEW HOMES/ADDITIONS KEXISTING HOME LJ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel tither than gas IMC Chapter 8 with MN Amendments REQUIRED EOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and male -up air calculations. Date: 10/15/2010 Revision Date: 10/15/2010 Site Information Address 1: Ann Essling Address 2: 1508 South Timber Ridge NE City: Fridley County: Anoka Apalication Information Business Name: Standard Heating & Air Conditioning Inc. Contact Person: Dave Bauer Office Ph: Fax: Cell Ph: 612-685-4138 Address 1: 130 Plymouth Avenue North City: Minneapolis State: MN Zip Code: 55411 Existing Construction: Pre 1994. Project #: Lot: Block: Subdivision: MN Contractor License #: Combustion Appliance Water Heater: Natural Draft input STUs: 34,000 Common Vent Combustion zone 2 Combustion Zone 2 Furnace/Boiler: Fan Assisted Input BTUs: 66,000 Common Vent Other Combustion Aggila, races Gas Fired Direct Vent Fireplace(s): No Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): One Exhaust Eaulnment Continuous Exhaust Ventilation Capacity (cfm): NA Clothes Dryer (cfm): 135 Exhaust Fan Rating (cfm): 50 Make -Un Air No Make -Up Air Required by Code Combustion Air Combustion Zone One: Minimum Combustion Air Requirements Met. Minimum Combustion Air Requirements Met. Applicant Name (print): 1' Signature/bate: 1011J __ 0 If Code Official (print): Signature/Date: (D 2004 CenterPoint lrnergy Minaegasw. 2004 Mcchanical Code Guidelines. INV Z£:6Ve 0Wz/g1.l06 :algia £1£ :96ed 60£Z9£1?Z49 :wad Page l