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PRE 2010 DOCS4, City of Fridley, Minn. 1-1727, 6431 University Ave. N. E., Minneapolis, Minn. 55432 P IPTG PERMIT Date: _ October 16, 197 Owner: Landyest DevelQp=nt- Corp. Builder game Address 2828 - 5th Qyenue South _ Address R am _ LOCATION OF BUILDING No. —1515— Sheet South T3aaber liidge TV T? Part of Lot P t of Sectio 1 iorit _ ._ 110 __ Addition or Sub -Division Cosier Lot _____.._— Inside Lot ___ Setback - Sideyard Sewer Elevation ____ __ _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dwelling Front 38' Depth 29 t 7 a Height 20' Sq: Ft. 18546 Cu. 17, 880' Front . _ Depth Height Sq. Ft. Cu. Ft. Type of Construction W -od Frame Est. Cost ...$2.1.,1.82. To be Completed _ 6 moni-bgs Stipulation: See 1531 South Timber Ridge In consideration of the issuance to me of a permit to cons/tryc t the building described above r to do the proposed work in accordance with the description above sefifi� rth and in compliance with a'll visions of ordinances of the city of Fridley. 1 _ r, " In consideration of the payment of a fee of $ 51.2 , permit is hereby granted to Landves t Dev. . 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 ordinkaces of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings W. ithin the city limits and this permit may be revoked at ana upon violation of any of the provisions of said ordinances. c NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be VPe to no the Building Inspector for separate permits for these hears. 0 9 APPLICATION FOR RESIDENTIAL, ALTERATIONS OR ADDITION BUILDING PERMIT CITY OF P1IIDLEYs MINNESOTA WT;yLOCA; 101R? ZQ R LOT: XMIME LOT;w ^ ISRTBACKs SIMARD:,� Ant -J attach to ChU fvm io Certificates of Surv2x of Lot and proposed lmtldftg Location drawn on these Certificates, �lG DESCRIPTION OF BUILDING To Be [fed As DMth. '79 $eight: ::;20 r Square Feet; / ;�� Cubic Vvet-j Fret. Depth* Height: . Square Feet; Cubic Feet: Tyfa of constructions Wn-O-OCQ`/� Q IULl1LFstiawted Cost: $ 1 ARE P 1 1 IM andWpigned hereby ams appllca"on for, a permit for the work herein $pe0jfie4,j agreeing to do all work in sttict accordance with the City of .t ley Oxo es mad vuUAp of Oe Department of BuiL3 inge, and 'hereby 4001areg OWS all the facts and representations stated la this application sxe true =4 correct, 12 DATA; 16-77, � SjrXATO": - (Re Rwarve We For Add#4=4 Infort4atien. ) a i I � i■f i j a i, i i II -Application for Power Pkmft and Heallft Cooling. Ye ns R r�otioD and Air Conditioning Sydems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATIO 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 $___ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ .. $10.00 $ each add. 60,000 BTU .................... .. 3.U0 i Replacement of Furnace .... 600 $ 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 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 GASB (up to 199,000 BTU) ... 5.00 $ , o o over 199,000 BTU See Fee Schedule GAS P11 NG N® RATE TOTAL 1st 3 Fixtures .. .... x$ 200 $, Additional Fixtures x .75 $ Gas Range to 199, x$ 5.00 $ AIR CONDITIONING a() FAN HEATING SYSTEM S" Fee Scheftle ATING SYSTEM _7ea__V__ $ U 0 ALTERATIONS & REPAIRS TOTAL � ROUGH. FINAL S -l6 - % V 'SURCHARGE �—•5®j Dept. of Bldq & Phone 880.3480 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordimancei and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Owner �! $�-fes/tel l �l V , V Kind of Building Used as 73 To be completed about _ ; Estimated Cost, Old ew Building Permit No. Permit No. .5_6 16•7 (REMARKS -OYER) _:,,. •:� .1./i`r_/1 ria/w • ,. �. 1 plic>�ian for Plcl���gz ,�:� s�bI Al � ��T M1 Dept. of Bldp. Phony DESCBIlTI1?i i. vl Or=� i,o..nt.:Ass ` Numb4r. Kind a-nd Locrt3on of Fixtures New Old 07-ar rss Cc:apool PARTIAL RATE SuHEDULE PLUMBING FIXTJ1?£ RATES: NO. RATE TOTAL � Nurntber Fixtures .... • ........... Future Fixture Opening ........... x H New Fixture Old Opening......... • x 51.50 wA7EA r+i&. x $3.25 $ Cotch Basin .................. d . i{°°CAS Water Heater 'Up to 93.000 BTU) j x S30 S New Ground Run Old Bldg....:..'.- ncc. zl-i NO. R TOTAL : S FITTING FEES: 1st3Fixtures •••••••••••••••••• —Z^xS2.00 Additional FZztures ................ - - x Gas Rtnze to 199.000 BTU ............ ------ x $5.00 B 2 r.3 -3.- — rd . 4th New Old 07-ar rss Cc:apool PARTIAL RATE SuHEDULE PLUMBING FIXTJ1?£ RATES: NO. RATE TOTAL � Nurntber Fixtures .... • ........... Future Fixture Opening ........... x New Fixture Old Opening......... • x 51.50 x $3.25 $ Cotch Basin .................. d . - - Water Heater 'Up to 93.000 BTU) j x S30 S New Ground Run Old Bldg....:..'.- Eloctrlc Water Hastsr.....:........ NO. R TOTAL : S FITTING FEES: 1st3Fixtures •••••••••••••••••• —Z^xS2.00 Additional FZztures ................ - - x Gas Rtnze to 199.000 BTU ............ ------ x $5.00 City o1 Fridley:. The undersigned hereby makes application for a permit for the -ork her ei � specificd, aecing, to do a'J. -,vcrk In strict accordance with the Cita 0:dis:ance and ruling of the Department; of Build.'nr,,s, and hereby declare -:t that 41 the fad and representations stated in this app'lica°tion are rue anal correct- Fridley, Minn / 1��- • F'u~moo Cca:.:.ci::a Gj;:nlr- 's 0-wner _ -t 'L /c4lr fr Kind of Building �� Used as To be completed about Estirr aced Cost, Old—New. Building Permit No. Si, ned . Business ROUG p.F•'?i;gS t+c xLTE..RA?10?dS--P.afer to Code 50 Stage Surcharge .Y3e:.cri;.Sori •.•..••••.• .. •.••..•••s.••.. •.... o..o-� TOT AL FMIZ S Parmit No. 0 une No�G—�---- • FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • 16121 571-3450 • FAX (612) 571-1287 June 21, 1994 Resident 1515 South Timber Ridge N.E. Fridley, MN 55432 RE: Home Occupations Dear Resident: In the zoning district where you live, home occupations are permitted as an accessory use, provided that certain criteria are met. I have enclosed a copy of this City Code section for your review. Recently we received information suggesting that you may be operating a clothing business out of your residence which is not in conformance with the restrictions. If this is correct, please comply with the City Code by discontinuing this activity immediately. Feel free to call me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation! Sincerely, Steven Barg Planning Assistant SB:ls cc: Raymond and Ingeborg Fritz 4819 Howe Lane Minneapolis, MN 55429 CE -94-313 01 SUBJECT 7 2 6 4 4 City ®f Fridley AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. �P PROTECTIVE INSPECTION SEC. r -y CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY I'J 612-571-3450 910-F15 6/28/94 JOB ADDRESS 1515 South Timber Ride NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Part of ection 13 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Wikstrom Construction 5787 Fairview Ave N Shoreview, 784-6648 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Townhouse 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair Deck: Handrails, posts, 2 footings, add 2 support posts 9 CHANGEOFUSEFROM TO STIPULATIONS Owner to provide smoke detectors adjacent to all sleeping areas and in basement. 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 80 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 $250 $ �)ro 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- $15.00 Fire SC $.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $20.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT !DATE) WH VAL TED THIS IS YOUR PERMIT BLDG INSP �1ATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 01 NEW j j Effective 1/ 1 /94 ADDN j j CITY OF FRIDLEYPS ALTER j j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit'Application Construction Address: ,�/ �'r .��!16' �(. �r-1�'�/1� Legal Description: - - -- -- Owner Name 8c ddress: Tel. # Contractor: �U®/���Di� �'� MN LICENSE Address:7& lJ U- A/1 -S/o26 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. - DE$CRiMON OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft_ GARAGE AREA: Length Width Height . Sq. Ft. DECK AREA:Tngth Width Hgt/Grouhd Sq. ,Ft. OTHER: �/�' °� I�IA Corner Lot Inside Lot (] Ft. Yd Setback Side Yard�Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �` APPLICANT: G��-'6 Tel. # >,J ->I - CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ . ,5^ .001 of Permit Valuation (1 / 10th %) State Surcharge $ I S-0 $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ - G C $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 $ STIPULATIONS:,,;}" ,1,4ao� H �✓ ��:� City of Fridley SUBJECT ? 4 Q 41 AT THE TOP OF THE TWINS BUILDING Ir � ' PERMIT -GEI T -W6. ' • _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i i CITY HALL FRIDLEY 55432 NUMBER REV OATS PAGE of APPROVED BY 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 if the W t of the NE J of the NEJ of Sec 13 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Various 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Dahl Builders & Remodelers 451 Maple 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 CHANGE OF USE FROM TO STIPULATIONS 1501,1505,1513,1529,1530,1534,1538,1542,1546 North Timber Ridge NE 1503,1507,1508,1512,15v',t,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 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. 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 $5,900 $2.95 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. PLAN CHECK FEE License SC $5.00 TOTAL FEE $126.10 SIGNAL"UFTEOFCONTRACTOR ORAUTHORIZED AGENT (DATEi EN PROPS Y VALIDATED THIS IS YOUR PERMIT 124!; G GATE S,GNATUREOFOWNERUF OWNERSUILDER, IDATEI SUBJECT P City of Fridley 28708 AT THE TOP OF THE TWINS BUILDING PERMIT r �• COMMUNITY DEVELOPMENT DIV. /O ____ PROTECTIVE INSPECTION SEC. ! � 1 NUMBED REv DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 53432 612-571-3450 910-F15 12/3/98 roe ADDRESS 1503.15-07.1511(17i5 151 1523 1527 ,1531 South Timber Rid2P K -'F - I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Part Of Sgc SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO A-1 Roofing & Const. 3Q20 Sumter Avp N rrygral 59427 S46-5939 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential T CLASS OF WORK O NE1M O ADDITION O ALTERATION 5aj REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof town hom s 11Tear-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 REOUIRED 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. ' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS I GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL SE COMPLIED r 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 OT STATE OR LOCAL LAW REGULATING CON- STRUCjJpN-pR THE PE MANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE C \ 1 9 Cc �� �_ `9176-90 WHEN PROPERLY IDATED THIS IS YOU PERMIT SIGNATURE OF CON'RACTOR OR AUT04ORIZED AGE NT IOATE! r, I 4wz SIGNATURE OF OINNERld OWNER BUILDER! IDATEI BI OG oO DATE NEW r" ] Effective 1/1/9 0 ADDN [ ] CITY OF FRIDLEY �� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 1'5b ? c3 I I , p5«,1 S iq ConstructionAddress: M LjLr (' ` t Z t Z 7 f Legal Description: Owner Name & Address: Tel. # Contractor:�'"C .�"�` f, A C1 MN LICENSE # Address: ` n n Tel. 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 Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: rc3O Estimated Cost: $ 4991'a (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: \2, -3 --q APPLICANT: 6 w (�a� Tel. #. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control 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 $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 [ ] 3ITY OF FRIDLEY INSPECTION DIV. 3431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NLIMRFR OF FIXTI IRF.R TO RF INSTAI I Fn nm FArW 1=1 nnR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader NO. RATE Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas" Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 TOTAL JOB ADDRESS NNE -ts 6u3OIE�e- 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 wilding Division, and hereby declares that all the facts .and representations stated in this application are true and correct. CHIODO, MILDRED Q %� % 1515 TIMBER RIDGE SOUTH (POD D 20_L FRIDLEY, MN 55432 Owner (763)571-5498 .. ._ - Building Used As1=at'��RI Cs, o� Estimated Cost PERMIT NO. o7 PLUMBING COMPANY Oi�C %U1'✓��7IAJ� ,� Reinspection Fee $47.00/Hr SIGNED BY TEL NO.110 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ _50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $M-550 PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE Fyn M k, Fin M a PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader NO. RATE Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas" Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 TOTAL JOB ADDRESS NNE -ts 6u3OIE�e- 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 wilding Division, and hereby declares that all the facts .and representations stated in this application are true and correct. CHIODO, MILDRED Q %� % 1515 TIMBER RIDGE SOUTH (POD D 20_L FRIDLEY, MN 55432 Owner (763)571-5498 .. ._ - Building Used As1=at'��RI Cs, o� Estimated Cost PERMIT NO. o7 PLUMBING COMPANY Oi�C %U1'✓��7IAJ� ,� Reinspection Fee $47.00/Hr SIGNED BY TEL NO.110 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ _50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $M-550 PLUS THE $.50 STATE SURCHARGE 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 O No( ) The venting: system is. plastic/PVC and meets all current codes and manufacturer specifications :including sizing, length, number of elbows and termination. Yes O 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 Appliance#2 Type Appliance #3 Type Total Appliances BTU Input ® BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat' Fan Assisted or Nat Fan Assisted or Nat 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 Cb; Signed By: Date : CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 F63) 572-3604 FAX: (763) 571-1287 ADDRESS : 1515 S TIMBER RIDGE NE PIN : 133024110116 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : BUILDING PROPERTY TYPE : TOWNHOUSES CONSTRUCTION TYPE : DECK PERMIT .: 2004-01313 DATE ISSUED: 08/19/2004 VALUATION : $ 1,611.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT AN 18'X T DECK. APPLICANT GASSEN COMPANY INC 7275 BUSH LAKE RD EDINA, MN 55439- (952)522-5575 Cil 30 01.7 CHIODO WILLIAM S & MILDRED M 1515 S TIMBER RIDGE 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 worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or yance prstate or local law regulatingion o e rmanc of cons o Annlicant Date d - i BUILDING PERMIT FEE 60.10 FIRE SURCHARGE 1.61 STATE SURCHARGE, VALUE 0.81 TOTAL 62.52 PAID WITH CHECK # 24679 SEPARATE PERMITS REOUIRED FOR WORD. OTHER THAN DESCRIBED ABOVE. V7NEW ADDN [] ALTER [ ] Construction Address: Legal Description: Owner Name & Address: CITY OF FRIDLEY Effective 4/1/2004 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION te S -&A Tel. # Contractor Ff��s� ��i MN LICENSE# Address: `�� J'�d_ r Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVINGAREA: Length tv Width Height Sq. Ft C —1 GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Yom, 2�en-,o- Estimated Cost: $ Construction Type: - Ktl Driveway Curb Cut Width Need : t + 6 Ft = Ft x $ _ $ �5- DATE: � PPLICANT• Tel. # S Z - 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 TOTAL 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 [ STIPULATIONS: ._. - - .,. Building Permit Fee BUILDING Permit No.: '7- '3d Inspections $ RESIDENTIAL APPLICATION Received By: 763-572-3604CITY .001 times the total job valuation OF FRIDLEY D 0 DATE eG�4 % YOUR E-MAIL ADDRESS ' 7APMer" ��?< ✓9. ^P SITE ADDRESS -117,06 $5.00 (State Licensed Residential Contractors) THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: ADDRESS: CITY 2/e STATE ZIP SS`s TENANT Erosion Control PHONE 26G�— 5�7'e — 3/! CONTRACTOR NAME: �a5�5eh G�«amu $ EXP STATE LICENSE # �!9-2! ,l DATE 313 /lU 9- e? SUBMIT ACOPY OF YOUR -STATE LICENSE -40i> ,--�— n ADDRESS: moo? �✓ , La-Z icc��� CIf _,L- r►a STATF✓1°D 9 WiTHAPPLICATION PHONE cScK` "'r7t9 FAX —®"�[� PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION STZE _Total ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE )(BECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF 'WORK: ❑ NEW ❑ ADDITION ❑ MAIN NANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DQNE:� D 45h0;�W— - - SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE 13ASEyfl—ENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES E3 ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: 13 DETACHED GARAGE 3. List of structural member 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 structures ❑ Other ❑ Fascia and propos projea 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS [Wes [Wo LOCATION OF WINDOWS ORFORNEW 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 1397B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ `1 a b • OCCUPANCY TYPE Permit Fee �(� •.� See Back Page for Fee Schedule Plan Review $ 1 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .-150 .0005 x Permit Valuation Minimum $.50 License Surcharge $ -117,06 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = R x $21= $ Erosion Control $ $ 450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Due $ 3,2 . FS Make checks payable to: City of Fridley Attach _Total 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 wlu'c�l s ire piew and approval of plans. ,' SIGNATURE OF APPLICANT , t * q---1 ilk NA ..........