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PRE 2010 DOCSCity of Fridley, Minn. N° 10510 BUILDING PERMIT Owner: Amber Construction Builder Ambe—rConstrnction Address Im 5941 Renjamin StrApt N -E- Address 5941 Bemlam et N.F,- LOCATION OF BUILDING No. 6070 Street - Stinson Boulevard part of Lot Lot _ __6�__ Block 1 Addition or Sub -Division -_ Amber Oaks Corner Lot --X--.._....._ Inside Lot _ _ Setback Sewer Elevation Sideyard Foundation Elevation los. , . • ; ,� • r To be Used as: Dwelling, Front 26 Depth 42' Height 20 ' Sq. Ft. 1169 Cu- Ft. 23,380 Garage Front 20' -6" Depth 241-011 Height 10' Sq Ft. 492 Cu. Ft. 4920 Type of Construction _ FYame Est. Cost — , 000_,-00 _ To be Completed April 15th, 1970 Provide hardsurfaced driveway. SEWER LOCATION: Saddle necessary. Main 18' E. of W. prop WATER LOCATION: Tap necessary. Main 8' East of West prop Varification of basement necessary before completigti jq1Yjdweg j/ 2. Iconsideration of the issuance to me e a permit to cot dtil described! v/ /Y�to do the proposed work in accordance with the description above t o c in compliance ons of ordinances of the city of Fridley. s tion Charue In consideration of the payment of a fee of $ 43.00 , permit is hereby granted to Amber NNli r.nnst. 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 ordinances. L�" `/�� `' Building Inspector HANK MUHICH-Building Official NOTICE: This permit dam not cover the construction, installation for wiring, piomhing, gas hosting, sawer or water. Be care is see the Buildh* hapector for separate permhs for them hems. z APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'S NAME-- 4 IV s BUILDER ADDRESS 04 4 ADDRESS LOCATION OF BUILDING 1� 0. S'Cim LOT BLOCK ADDITION OR SUBDIVISION L 4 CORNER LOT INSIDE LOT SETBACK :3-' 5- -SIDEYARD_i4�1 SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front Depth Height Square feet //_� 9 Cubic Feet 3 G? T CC72 e Front ZO Depth Height 0 Square feet Cubic Feet. 2�> Type of Construction Estimated Cost %�7 01 To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. 7 DATE-" SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side.) -2 2 1 V-j—K -)I- (d7'? -- y -7 /'/ /14� -2 3 ----------- ------ C /v o H BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing structure or building,.or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Uniform Building Code: Type 1, 2, & 4 - $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical cnntents. Type 3 & 5 $1.50 for each one thousand cubic feet. For the purpose of computing fees for building permits, the cubical contents of any 'building-01—addition to a uniform height throughout 'by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average height.of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. NSSSD Connection Charges based on location - Area 1 or 2. Original PERMIT for Power Pants and Heating. t' ea , Cool- ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of / Heating Plants to be installed--altered—repaired Make �'i® Size G-'17 ; Oil rwed-----4 Coal fired—,— Gas fired !L—; Gas Authorization No. Remarks € A a Lt b A 6 ") L:2,4' . (�Ya ,) J Approved Final Inspection 19_ Inspector Pest N° 4160 Fee , OD Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. 9 , 19� Owner Location 'n `) n a Kind of Building- How uilding How Occupied Work to be Commenced—,19— To ommenced ,19_ To be Completed ,19_ Estimated Cost, $ 46 • ® o Old<S Building Permit No. Permission is hereby granted to l` -49 -- to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to thespecificatio set rth in the approved application for this permit on file in the office of the Inspector of Buildings. � ��� zM I I -Vv - N A ° , Inspector of Buildings N® 5163 Original Permit for PLUMBING AND GAS FITUNG 6_d -,S--7 v N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for I permit inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee $- 2 DESCRIPTION OF WORK II Number, Kind and Location of Fixtures Stories t � Q Z K �� Z < Y Z 'A Y Q Z Z C: +y I O Z U Z K Q 6 Z_ � U T x -I Q 0 WATER HTR. C Q J '= U 7 Q O m F [0 N 3 F O O LL N LL O U m D LL' ..1 L LL C '3 Q Q GAS ELEC. b K Basement let 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings 4 Permission is hereby granted to do the plumbing and gas fitting in the building described ' the statement hereto attached, u on the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date nspector. Final Inspection Date Inspector. 42 Jae_."9-v City of Fridley Owner Location Kind of Building_ _tb.'Tit & Used as— �LJLL� To be Completed _19— Estimated 19_ Estimated Cost Old-ogo Building Permit No. Date Inspector of Buildings. r Power Phaft and HaWkS. C@WIM Ventliales. R 4-j 1 cmd Air CondIti®ning S Devices PARTIAL RATE SCHEDULE ' GRAVITY WARM AIR: RATE 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 $ CH. WARM AIA Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ 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 .............. 9.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .... .$10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR 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 GAS BURNER (up to 195,000 BTU) .............. .. .. 8.00 $ over 199,000 BTU See.. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ Z00 $ Additional Fixtures x .78 $ Gas Range to 199,000 .......... 45" $ AIRCONDITioInNa J'��- F HEATING SYSTEM Sae ra %BL VENTILATING SYSTEM $ ALTERATIONS do REPAIRS TOTAL FEE A16 Dept. o€ Bldgs. Phone 6W-3460 City of Fridley: a The undersigned hereby makes application for a permit for the work hereii specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. ___1 Fridley, Minn r Owner Find of Building Used as To be completed about Cost, $ building Permit No. Permit No. f DESCRIPTION OF WORK. HEATING or POWER team, Hot Water, Warm Air—No / Trade Nam Size No Capacity Sq. Ft. E.D.R BTU p® 0 " H.P. Total Connected Load Rind of Fue BURNER — Trade Name Size No- Capadty Sq. FL EM.R- BTU I c�41 CIPIV IV q/R Mlq�N� SDR 1 r1p��G r Signed kt By (REMARKS -.OYER) Business Plume xn n=77TW _WT.T­;W�' PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures X wo Future Fixture Opening X $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin x $3.25 I of z 0 0 WATER 14TR. New Ground Run Old Bldg. x $3.26 $ Electric Water Heater x $2.00 $_ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... .... ...... .. x $2.00 10 $_��Q Additional Fixtures .... .............. x $ .75 $ Gas Range to 199,000 BTU .............. L' 0 P N GAS EIEC Base -1st 2nd 3rd 4th ?Mgwa cannection Openinp connected wM N@w FIZ2un, Old apeninpI r-- , — Cesspool Ej PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures X wo Future Fixture Opening X $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin x $3.25 $ Water Heater (Up to 99,000 BTU) x $3.00 - 0 0 New Ground Run Old Bldg. x $3.26 $ Electric Water Heater x $2.00 $_ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... .... ...... .. x $2.00 10 $_��Q Additional Fixtures .... .............. x $ .75 $ Gas Range to 199,000 BTU .............. x $6.00 $_ REPAMS & ALTERATIONS—Refer to Code Description ......... ...................... . ........... TOTAL FM &a9_1 _�_ City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn- 19 Owner Kind of Building Used as —J)— _. - 4 To be completed about Estimated Cost, $ Oldew: uilding Permit No.—,-- —Permit No. Signed. By_ Business Phone No. 0 FINAL—L— 1 '7 - 7 0 City of Fridley B��EGT AT TME TOP OP THE TI M$ r L • t,.------ COMUVNITT DEVElOPEMT MV, PLUMBING PERMIT APPLICATION ( I PROTECTIVR 1X9ftCTI0q OW, CITY HALL FRIM`V 0004 1...«�r� .J d1E'bi0'34b0 Mlpfm qaV. PATE WE OiA OV 0 BY Job Address - 0 2 15 1 1 800 04 Contractor Kind of Bu Common r eaaress Phone Address Phone Z -,.r Use •X11 •saa-1 MN IYa In m SNISVS 4 tt� H�tY7 -6 tsNlYaa O � aoo�d 0 O� I saaMol{g O4 10 93 1Nfl0d l ,� aNlaa v� j� s�vaal Q NSYM SNNISI Ian ___ 1-1 ��_I� . I e, - / -2-- - 7_5�X_,.�l O w 'a C7 scimacea cost Plumbing Fixture Rates; NO. RATE TOTAL If - Number Fixtures x $2.00 Future Fixtures 3 x $1.50 0 New Fixture -Old Open. x $1.50 Catch Basin x $3.25 f Water Heater -99,000 BTU ! x $3.00 i Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 j Gas Fitting Fees: I 1st 3 Fixtures x $2.00 I ' Additional Fixtures x $ .75 I IGas Range -199,000 BTU x $5.00 Repairs & Alterations See Description; Code State Surcharge .50 TOTAL FEE �B !The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declare that all'the facts and representations stated in this applicat n are true and ect. 0 B ignatu Date a r I I !I h W I I aosval ' ( G f I I 9 vYa �"t I •X11 •saa-1 MN IYa In m SNISVS 4 tt� H�tY7 -6 tsNlYaa O � aoo�d 0 O� I saaMol{g O4 10 93 1Nfl0d l ,� aNlaa v� j� s�vaal Q NSYM SNNISI Ian ___ 1-1 ��_I� . I e, - / -2-- - 7_5�X_,.�l O w 'a C7 scimacea cost Plumbing Fixture Rates; NO. RATE TOTAL If - Number Fixtures x $2.00 Future Fixtures 3 x $1.50 0 New Fixture -Old Open. x $1.50 Catch Basin x $3.25 f Water Heater -99,000 BTU ! x $3.00 i Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 j Gas Fitting Fees: I 1st 3 Fixtures x $2.00 I ' Additional Fixtures x $ .75 I IGas Range -199,000 BTU x $5.00 Repairs & Alterations See Description; Code State Surcharge .50 TOTAL FEE �B !The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declare that all'the facts and representations stated in this applicat n are true and ect. 0 B ignatu Date a r SUBJECT IT City of Fridley ® 18482 AT THE TOP OF THE TWINS BUILDING PERMIT r REC T NO may__ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � ` CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L.__.' �•� 612-571-3450 910-F15 6/9/86 JOB ADDRESS 6070 Stinson Boulevard 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Barbara Kleist same 886-5415 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. I. Ken Co. 566-2730 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ ( ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORIBathroom remodel 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OF CONST. 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 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 $4,000 $2.00 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. $44,50 ; 6-9—?4 PLAN CHECK FEE TOTAL FEE 4 1r7 $46,50 N—SId*WfURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) u WHEN PRO RL ID TED IS�UR PE766 BLDG (NSP GATE SIGNATURE OF OWNER CIF OWNER BUILDER( (DATE) NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: z 76) Legal Description: Owner Name & Address: fyr.��+ ��!� J s fA/'l �® �° i % s cs�, �y� Tel. # Contractor: � /1s6y Tel. ` Address: 13a x 19 M91.n 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 Type of Construction: / xx /eve~-We ' Estimated Cost: $ -( Approx. Completion Dater Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: �i� APPLICANT• r dd,1 :7_oW6A4e--P Tel. # .273® CITY USE ONLY Permit Fee $ '44 Z10 Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ 01 100 $•50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ LQ STIPULATIONS: %�0 00 �(0 qq,�-c� BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Total Valuation $1.00 to $500.00 $501.00 to $2,000.00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 $50,001.00 to $100,000.00 $100,001.00 and up Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. SUBJECT POERMIT N City of Fridley Q 18864 AT THE TOP OF THE TWINS BUILDING PERMIT RE PT NO. • COMMUNITY DEVELOPMENT DIV. , S� I✓ PROTECTIVE INSPECTION SEC. 1 ; � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 4/7/87 JOB ADDRESS 6070 Stinson Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Amber Oaks SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE John Sell 6070 Stinson Blvd N.E. 574-9859 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. I. Ken Co. P.O. Box 19, Holmes City 56341 566-2730 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 (k REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Structure 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,600 $•80 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- TRUCTION OR)HE PERFORMANCE OF CONSTRUCTION. 26.5j0 LAN CHECK FEE TOTAL FEE �� //- 7 7 $27.30 I ATURE OF CONTRACTOR OR AOrfHORIZEDAGENT (DATE) WHEN PROPERLY V DATED THIS IS YOUR P RMI SIGNATURE OF OWNER IIF OWNER BUILDER) iDATEI LDG INSP qAT NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 1W70 Legal Description: ^Z%L /� c/< �/'�i�s<i2 6 *-A S Owner Name & Address: �/� Z ® 70 s7r, gem i %v� �V iz, Tel. ���-� Contractor: ���� �� Tel. # �S�IG•'��30 Address: / ay 17�e1AWA ' 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 Type of Construction: �� ' �l o� Estimated Cost: $ �4 • D O �a- .iv9/� Approx. Completion Date: /d- ` 8ell Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: li- 7- / APPLICANT: /- Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ $ cn 0 $ $ $ '�°7..30 Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.00 $ 072) a® $ 10.00 $ - $ 10.00 $— $10.00 $10.00 $ *Air Conditioning - All Sizes $10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $-"W"50 50 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. a JOB ADDRESS CPO -70 560,50n 61 UCJ lV The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. fQ ,199. OWNER Joh n 1 BUILDING USED A$ ESTIMATED COST /955 < 60 PERMIT NO. /1� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (War�Air) Trade Name Zcono k Size No. Gaon BTU 75,,06b HP EDR Fuel Mat, 9 Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING Signed No. �/01q ' 0,110 Approved By G?,r— Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE V CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (,K) No ( ) 2. Is free from rust or deterioration Yes (Q No ( ) 3. Has no foreign objects lodged within Yes (y,) No ( ) 4. Is securely supported Yes (A No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes No ( ) 6. Has total heating BTU's of ® All other BTU's 3a) 660 TOTAL BTU's 1 d 7� Q�rn Remarks List Alterations Being Done: ��4L'� ,beLng LY) �Q.W-d SuBJECT PERM -- - City of Fridley 21 4 9 AT THE TOP OF THE TWINS BUILDING P RMIT i (/< RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. r I PROTECTIVE INSPECTION SEC. , I NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910415 5/12/93 JOB ADDRESS 60.70 Stinson Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Amber Oaks SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Sell 6070 Stinson Blvd NE 574-9859 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 B DESCRIBE WORK Construct an 1W x 15t Three Season Porch and'a V x 4' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan, 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 , STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TYPE OF WORK WILL BE � 4IF 787 $7'39 WITH WHETHER SPECIFIED EREINIOR NOT. THE GRANTING OF AOPERMIDT 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- $162.00 Fixe SC $1.4.79 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $184.18 SI URE OF CONTRACTOR AUTHORIZED AGENT IDATEI EN OP Y VA)DATR THIS IS YOUR PERMIT dffDG INSP DATE _q.GNyTUT4E0F0VVNERoFOWNERBUILDERI MATEi NEW [ ] ADDN CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 1/1/93 Construction Address: o 70 '�fm nscn _B 10.j . Fria isN 575+3, Legal Description: Lc+6 k 6icck Oaks Owner Name & Address: �toh 111. Sr2 l ( Same a-, C'kd e. Tel. # 5 74- 9 Contractor: Ser MN LICENSE # Address: 6070 S%6 A_sr_, o_j . 6 d o c) . Tel. # !S7 q - qg,5:- cj Attach to this application, a Certificate of Survey of the 337 lot, with the proposed construction drawn on it to scale. DES RIPTION OF IMPROVEMENT LIVING AREA: Length Width l �S_® Height 4/ Sq. Ft. a76 GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length e Width 4/ Hgt/Ground 4' Sq. Ft. OTHER: Comer Lot 0 Inside Lot [ ] Ft. Yd Setback _ Type of Construction: I'��w Approx. Completion Date: jtkn e_ 1 B q Side Yard Setbacks Estimated Cost: $ (Cost on Back) Driveway Curb Cut Width Needed: F 6 Ft = Ft x $ _ $ DATE: q`1 j 4q1 APPLICANT: Tel. # 7°`1 CITY USE ONLY Permit Fee $ , 2, 496 Fee Schedule on Reverse Side Fire Surcharge $ o 79 .001 of Permit Valuation (1/10th%) State Surcharge $ o $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ gffr $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: S� .0 /6 2 .D® /I t 79 70'.3q 3o70 TT/7 8 :94 0 I 5 &C' - - 'r i r---' J b ------- ONSI.- WASTES DAILY ALL REFUSE OVER ALL I Rim V -EXfO$Ep E TERIPR I ..OP ENING� A i P7 MEN omm■ MEMEMEN 0 10091:�"� PAM I I I 11MI FM I OVER ALL I Rim V -EXfO$Ep E TERIPR I ..OP ENING� A i GERALD T CK. AVCOYNE A PRASCH f LOT SURVEYS COMPANY RAYMOND f 1, 1A. 'y, V. I N, LAND SURVEYOR`) HRCXWl YN PARV, MINN REGISTEMD UNDER 'LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY or MINNEAPOLIS 6917 Walm Ave. N. ..13 9722 Mintlealloli,4, Minnvv-aa .55-1211 r ... %?J Y! A, P'�, ;�C; Y L rl-A-1 I I NG 6urbepar5 Certificate SURVEY FOR AMBER CONSTRUCTION CO. INVOICE X0a 2837 F*B* 141 -(a5 0 DENMES IRON SCALE 1" = 301 61 ST AVE. N. E. 125.24 /,5 i. > 0 C\j 0 0 OD U) N k- 8'--A Cf) Azi 135.0 3 �53 LOT 6. BLOCK 1, AMR OAKS V'/,f l.oreny rvrfl4y that this is a true dndcoarect rppresentA- t-f a --ey of lKt boundaries of the above described Signed of ,I ,;:clinq, and visible encroach )T SURVEYS COMP.-ILN't Ir,-- ai n s—d' ad , 7 t I I d.+. 04 196 �z PUP 2• R �XTERI OR ENVEt.01 r AVERAGE "U" COMPUTATION —lila rrr y Total foundation arcz7 a a k DO SS, CTO R. ' .., *.,. DATE: `` PHONE: DETERMINE WORKING SQUARE FOOTAGE OF EACH: TOTAL EXPOSED WALL AREA........ �.0�1� � sq ft x „U„ TOTAL. OTAL `ROOF/CEIL1NG.:AREAq •••.•••• � ��:"D... .. sq- ft X 'VII.026.- TOTAL..EXPOSED WALL AREA CALCULATIONS: - :;7 5 Total exposed wa 11 ° t. fi=F t 4 -MA area above f 1 oor �' Total wall window area: glazed......,Z ft sq ft x I,U,1 i sq.. ft x We b Total door area -...Z` ' �.: x' �� c) Total slldinq glass door area• �� '" X44 glazed... • s • "'sq- ft�x IIUILI R. N dazed...... -�'� 'Sq9,0 fL.'7C IIH d) TotaI fireplace wall area sq. ft x "U" a --> .. :. e). Total wall framing area (Average 109;)............ s ft x U f) Total net wall area above r. floor (insulated)....... Z,_,'`2S"aq`ft x ,full , g) Total rim joist area...... sq ft x '/UI' Total foundation arcz7 a a k �- k, ' d' Y. C E R T I F I C A T I O N 1 hereby certify that I have calculated the ."U", factors ;and "R!' values herein and that the buitdinq,here described meets or exceeds he Stat of,;. Minnesota Energy. Conservation Act. �..,..,��,..�.,�.�..�,� •max v � y r c ,q '+' 4: 1 s t h 4 a s 1 -[Signature) ignature ' f w t r ,*• ? y � { eta a s ��iJtx� �t � �y���r�i y�, ���' %t ah 4'���`f -c �i. :,� � •��a >'�}�, :u'. �t '�' :.. � ..-.: i ti y,,rt }z's a��. ,Y• .y�"a�txaat Ckr-'t,.:i" ",�..' �. o y>,� "ic ���� a; 50- R`r,+'ri. ' a �v, 4. TOTAL EXPOSED ROOFICE I L I NG CALCULATIONS: K; r '� �^} Total exposed ft roof/cel l lnq area........ �i [ sq J} Totalskyllght area....... �8 sq ft x "U'' �'°,� `' If, F? It Total roof/cellinq framing1. ��' "f� , D �►Vti f t U z area (Average I WO ...... sq x 1) 'Total net -insulated' " " ` �j sq ft x ��U�� _ _• x-7 0 roof/ceiling area....... _ rr TOTAL J) thru 1); . If total of #4 is the same as, or less than P2." you have met the intent 2 XCAR 1.16008 A and 0. z _ ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum - of 3 and 4 shat l not be greater than the sum of . items fl, and.. #2. .items + 2._ 3. + 4. C E R T I F I C A T I O N 1 hereby certify that I have calculated the ."U", factors ;and "R!' values herein and that the buitdinq,here described meets or exceeds he Stat of,;. Minnesota Energy. Conservation Act. �..,..,��,..�.,�.�..�,� •max v � y r c ,q '+' 4: 1 s t h 4 a s 1 -[Signature) ignature ' f w t r ,*• ? y � { eta a s ��iJtx� �t � �y���r�i y�, ���' %t ah 4'���`f -c �i. :,� � •��a >'�}�, :u'. �t '�' :.. � ..-.: i ti y,,rt }z's a��. ,Y• .y�"a�txaat Ckr-'t,.:i" ",�..' �. o y>,� "ic ���� a; 50- R`r,+'ri. CONSTRUCTION R VALUE WALL FRAMING SECTION: 1 Interior air film 0.61 1�1 Unheated Slabs: Minimum R = 6.2 • rage s i (LcFY(+.C�i^-t� ::"x!RMT.� ';�iF i] t.r�;.,c� x n . c.c+• c�. a; r, r; �rt�. . � , . .. , .. , . y.�Ey .. �iR,,'t?:f2Y:�2!?K?;2`F?t?`it?R?`<�X2.. zR'f<2?2�2q�x2�y'2st�t+:�ijt tHtlTcs(: •:1 = U= 1/Rkv— WALL SECTION (INSULATED) 1 Interior air film n.6R 2 X17,5 I Q ort o, 45` "a I% o n 3 b !{ 3'1e ?,-Yklg o,`7`� 13 ,, 9 fesW 5 •^ 1>l 4 (+ Exterior air film 0.17 TOTAL R - ,ZZ. C 5� U= 1/Rs RIM JOIST SECTION: n•68 I Interior air film 2 3 4 5 6 Exterior air film n.17 TOTAL R = FOUNDATION INSULATION REQUIRED: Min. R-5 on entire wall OR U = 1/R = p•A.;•,d Min. R-10 down to frost depth FOUNDATION SECTION: 1 Interior air film n. f;8 -.. 3 '' • '''�' IA. G 4 Exterior air film n• 17 d-• _ ••a• A (5 \ A, :;.� d TOTAL R U= I/Ra SLAB ON GRADE Unheated Slabs: Minimum R = 6.2 • rage s i (LcFY(+.C�i^-t� ::"x!RMT.� ';�iF i] t.r�;.,c� x n . c.c+• c�. a; r, r; �rt�. . � , . .. , .. , . y.�Ey .. �iR,,'t?:f2Y:�2!?K?;2`F?t?`it?R?`<�X2.. zR'f<2?2�2q�x2�y'2st�t+:�ijt tHtlTcs(: •:1 VENTED 6itotl�;,a �) 0 CONSTRUCTION R VALUE CEILING SECTION (INSULATED): 1 Interior air film O.Al 2 4 Exterior air film (still) G.g1 TOTAL R = t ' Z. U = 1/R - CEILING FRAMING SECTION: 1 Interior air film 2 3 4 Interior air film still —5-7-1 5 '/ inches soft wood 1 Lz.. 0,61 - e TOTAL R - ! Z, y Un i/R=r•® CEILING SECTION (INSULATED): V Interior air film 0,61 2 V L p, 3 _ P, b 4 Exterior air film still 0.6 TOTAL R = U= 1/R=�_ CEILING, FRAMING, SECTION: i• interior air film O,F1 2 VZ.- j 1+t_ t.}- r 3 4 Exterior air film still n.61- 5 . 15 inches soft wood TOTAL R _ _LL,+Lf %L pt- b� V'= i ,Inside air film A,61 2 j 3 4 5 Outside air film x.17 TOTAL R a U - 1/R- ' Pae4 1 `,\, '{ij<ki i SS�'{i iA.4+i+2 "'�' ] T: TRRiTt`i+Z+(" C"`r.t < ?.^iR?iTt*C'2�i+ 1�i`cTi`CM1Zi'c'Cii z c•c`r••-•-" ��k.;.•,7. 777t. itit i+"'k'i(�A'tg t i+r+i CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR TOTAL '::1<N>'a:`•%:e::{>;;:::'?; ;.<:. Urinal :i3 tlti : Shower '`':€�>�<': Tray '"........ ���'``•.. Floor �•�.. �h�''���� ..... Auto. erWash •�....R .Water eater rWash Gas .:.:.::::.:.:.. anDrain e .• < Gas Ele c l�t<>�..... Stories e Bas ment ; a Catch Basin $ 7.00 Rain Water Leader FloorMx­ 1 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 FI oor 2 Water Heater — Gas $10.00 Gas Range $10.00 v.! Gas Dryer $10.00 F o 3 to r Back Flow Preventer Required ( )Yes O No Type • $5.00 Reinspection Fee $30.00 FI oor 4 1 / of Value of Fixture or Appliance `. Vv State Surcharge $ .50 TOTAL FEE JOB ADDRESS -00 �� t1 C� C 2— , 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. 2 ,1 993 Owner, Building Used As Estimated Cost (2 PERIO. fa PLUMBING COMP SIGNED BY R. 0 F ' w qf-ON(DOX 1165 Min dp011S, MIN 5544`1)-I l r) e Approved By Rough—In Date Final Date q^ MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4:00 Beer Dispenser $ 5.00 Blow Off Basin $7.00 a 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 $10.00 Gas Range $10.00 v.! Gas Dryer $10.00 { Back Flow Preventer Required ( )Yes O No Type • $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 / of Value of Fixture or Appliance `. Vv State Surcharge $ .50 TOTAL FEE $-" JOB ADDRESS -00 �� t1 C� C 2— , 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. 2 ,1 993 Owner, Building Used As Estimated Cost (2 PERIO. fa PLUMBING COMP SIGNED BY R. 0 F ' w qf-ON(DOX 1165 Min dp011S, MIN 5544`1)-I l r) e Approved By Rough—In Date Final Date q^ MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE 6431 University Ave NE Fridley, MN 55432 b °� (763) 572-3604 `" 9' APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 'i, euuz PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () Nc Type Reinspection Fee $47.00/Hr NO. RATE $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance TOTAL PO���� OB ADDRESS (00.16 "'_p 221j 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. State Surcharge .50 TOTAL FEE $ c9 C) .5(5 Owner 0 Irl r Building Used As " WOU4P(�— Estimated Cost 6 PERMIT N0. I L3� 9 McGuire & Sons PLUMBING COMPANY 12th AveSo SIGNED BY MNI TEL N0 - " 2 FAX #_ Approved By ;KT Rough -In Date Final Dat 1 1GL( 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 THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When ►n la ing an La Asting furan =, _, the undersigned hereby verifies that the venting has been examinedand is free from rust, deterioration, obstructions, .and is securely supported and firestopped where required. Yes (1 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-GANA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The EaYhetin enmh is inn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When required to install a new enmbustinn air. it will be sled and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When *mtallana a new ventingnuStem, 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 #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 HEATING CO: Signed By: Date: 73 � CITY OF FRIDLEY 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 Construction Address: a 70 a Legal Description: Owner Name &Address: Tel. # 761'7 .S"7/ -7®z 2— Contractor: Contractor: MN LICENSE # fflf F/p 7 .Address: lC 6l A).�.� .vaS'ff�ucic ��. //'117tKy Tel. # -7e3 572 -a q / ? 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: �!S 1��it m i If 4Z4 r A%7 1wG' A&1 117A -JOS ®•�GY ®B / Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: a APPLICANT: Tel. # 6'/Z -5- 9 ® - Z 4*'7 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 7631-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee l$� Fee Schedule on Reverse Side Plan Review �I �� I$ 65% of Permit Fee Fire Surcharge 6.)3 $ .001 of Permit Valuation (1/10th%) State Surcharge 'a, $ $.50/$1,000 Valuation SAC Charge $ $1450 per SAC Unit License Surcharge $ 6 0 $5.00 (State Licensed Residential Contractors) Curb Cut 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: lw 2 1 PACO d OF ` am P,15 TOROORG 6 S-rINSOxi 04vahic. rp �'. --g--� Z``Xg''Tr-D n Z >19' iTO 7TO LC A Ips «, jeq � .'? Ops x �-S'°K N � c ec //oo ff Ilk i q� cp L.1— "map DO 13 s v el 0 10 ®6 OZ` 0 ML2 N W ti N J" MIN RUV CX - " 11 11 1 . �'Ii . I �, I - i I 1� ,r MIAI c� �3 2 (I r"-'� - FEB.23.2006 8:53AM SELA ROOFING SALES NEW ) ] CI rY OF FRIDLEY ADDN (] +6439 University Ave NE, Fridley, MN 55432 ALTER (] SINGLE FAMILY AND DUPLEXES R�1 AND R-2 BUILDING PERMIT APPLICATION NO.880P.3/4 �1 --0/,�> Construction Address: 4' b 20 /U.5 r.3 A 9(f), Legal Description: --ftAM3 L. --� f-rL- N . T®rb c, rq Owner Narrie & Address: _ kR tS T o r borTel. Contractor: MN LICENSE; Address: 3EA A. A€ FIr , $ l]E1 No we Tel.1 4100 EXCELSIOR BLVD. W A ROOFING & IIEMODt=r i$ ta]�1id0W a Certificate of Survey of the 410+0 EXCELSIOR tat Iv tW00606sed construction drawn on it to scale. ST: LOUIS PARK, 5n 55A1 ID atoms DESCRIPTION OF IMPROVEMENT Effective 1/1004 ��- [763) 572'-3604 Bldg Insp ;763) 571,1287 Fax LIVING AREA: Length Width . Height_ Sq. Ft. GARAGE AREA: Length Width Height _� Sq ; ~ DECK AREA: Length Width Hgt/Ground ____-_ Sq,': OTHER: Construction Type: • o re tmf 4WD JS S Estirnated Cost: $ LO Ci Driveway Curb Cut Width Needed: AFt. + 6 Ft = Ft x $ = 8 07 PATE: 103 6PPLICANT.- rf Call (763) 672-3so4 for Permit Feesif mailing in application, Fax tc� 763-579-1287 if using Z 7O . -77 7/ you for card nm 1ber. g xdd Card and we,will call CITY USE ONLY - Permit Fee Fee Schedule on Reverse Side Fire Surcharge $_ li .001 of Permit Valuation (111 Oth%) State Surcharge $ c $.501$1,000 Valuation SAC Charge $, ---- $1350 per SAC Unit license Surcharge_ - _ $5.00 (State Licensed Residential Cor actors) Curti Cut i scrow $ Alt. "A" or Alt. T" Above Erosion Control $_ $450,00 Conservation Plan Review Park Fee $_ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary[ a Not Neces ; ry ( ) TOTAL Building PLUMBING Permit N� � Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITE' OF FRIDLEY D 11 763-502-4977 FAX EFFECTIVE 1-I-08 DATE /�V/�� YOUR E-MAIL. ADDRESS SITE ADDRESS 1�O 70 f ,7A,' -rd A) J ✓�" THIS APPLICANT IS: 0 OWNER 16CONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: �VW 1 - STATE LICENSE # oS�� EXP DATE SUBMIT' A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS' ?;W _/_;& -_V � " .� CITY _STATE%2'-" ZIPJ7'201 INSURANCE . PHONE 76J—gX,a-1Y'J_x14- FAX 7.0 ArOt _ o PERMIT TYPE WINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: ANEW 0 REPLACEMENT DETAILED DESCRIPTION OF WORK f�9� fry� �yc�' �;�t giac�// &l':ii�vv-i PER MS 16B.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 0 FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. SINKILAV DRAINS _ WATER PIPING —BATH _FLOOR —SHOWER GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ _ WASHER SINK CLOSET BACKFLOW PREV. ($15) _CLOTHES _KITCHEN —WATER DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER -G $"' MOVIE � Permit Fee $ S7 CO Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ 1! 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 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,_r-equir/es review and approval of plans. � PRINT NAME �4,� DATE�� SIGNATURE OF APPLICANT �! 1 ` APPROVED BY DATE y ;l 0 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977