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City of Fridley, Ngnm �a BURDIN GBuilder Date: JU4 30s 1965 N? 8291 Owner: Ray French Dalberg Builder Inc. Address W6 Stinson Blvd. Address 7472 Stinson Blvd. Fridley: Minnesota Frid7�ya Minnesota LOCATION OF BUILDING No ��� Street STINSON BI,UD• Part of Lot Lot 6 _ Block Addition or Sub -Division Dalberg Terrace: corner Lot Inside Lot Setback 1 Sideyard 10 A 18 Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Hone Front 52 Depth 24 Height 20 sq. Ft. 1218 cu. Ft. 2:J.�960 Garage Below Front 24 Depth 214 freight 16 Sq. Ft. �! 6 cu. P% 760 � of Construction Frame Est. �� X18 6 O.00 To be Completed Oct, 30. 1965 House and Garage In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work In accordance with the description above ;Zor�lhiftz com ce th ih provisions of the city of Fridley. In consideration of the payment of a fee of 0 e 00 ,permit is her granted to D ERG BLDRS to construct the building or addition as described above. This permit is granted upon the eupre� 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, cronstruction, alteration, maintenance, repair and movhig of buildings within the city ]units and this permit may be revoked at anj► time upon violation of any of the provisions of said ordiaanoea TTFN G. JENSEN Building Inspector NOTICE: Yids pWMh doss not Carer the condmC1ion, kdal affim for rrtrleg. phnah(ng, gas heating, sewer or water. Be ems to sae the Bundko Iespester fee wpm" pWMft fee these Item... l APPLICATION FOR PERMIT CITY .OF FRIDLE NNESOTA S NAME BUILUEI2 ADDRESS .. AM90 % _ LOCATION OF B I;1G Straet ���!�/k�azt of Lot, Block �Additib* or Subdlvisiou Corner Lot Inside Lot X. __< SetWo-1k Side Yard SEWER ELF'VATI()N FOUNDATION EUVAfiYE4 Applicant attach.to this form Two Certificates of gurvey of Lot and proposed « ing location drdwn on these CA-ttificates . DESCRIPTION OF BUILDING Tyr be used as: �- Front_ S4. Ft. - % �u. Ft. l ontDepth Height r2 Std. Ft. Cu. Ft. �� 6 Type of Construction Estimated Cost 9 The undersigned hereby make* application for a permit for the work herein specified, agreeing to do all work iii 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 ar Mp and correct. Vii' s jScbedxdo.of Fee Costs can be found on the Reverse Side). BUILDING PERMIT FEE SM90ME Section 2. The Inspector of Buildings�s4ail, before ies,UAgg.any permit for the erection of any building or structure',, •ox'for any add,Lti to any exist- ing building or structure, or for:any aiterat�6A&i"Ar'repaire to any existing buildtxig or structupe, upon applicatl:ba t4erefor, teouire the pay"at by the applicant for such permit of fees,to t&r amount 'herons••• below. set 'forth. -and in the manner herein provided to-witt For any ouch permit for the erecttoti-ofany fireOiprW* butldipg, other a tea a garages warehouse, factory. ox •g i t' ? r .. fair the . er.."UAm of re- ..•. any'fiproof addition,. for`. ci,%Ilat`Id.4upanc�y� b apy exiscipg bufldi Shall be at the rate ttf $1.40 for each..pae thottsftd .�.mbie feet, orfrac"an :thereof, in such cubical e'onteno. `. 2.'2. For any sudls permit for'... a erection of. any fire -proof goraee. c.•���-�---�,' Ory or grain elevator, or -for-the emectian of aay4j& o' fi � for similar occupancy* . to.. any..eklse4ng ia[ldi `shall bg..,:�tt t}ae' :-rrf each one .thousand cubic .feet,,',,cslassified �"firep'roaf" by .Si the--xtrmeapoL. L8---Susiidirig. Cot 4; ;i, Gar �' HOUSES _ 2_ 1 FO"r any such permit 'for the erection of any note-fireprf�iildircg _ than a garage , 'ware hOuse, factory or. grain elevator, br any none-ff ' addition, for simildr octupp'hcy, to any eiiatift'btkilding - pe tit $1.bo for each one thoubalw$ •ctbie feet.. GARAGES 2._; 4._ For any such permit for the erection of any non -fireproof garage,,,,, wareh®use, factory or grain elevator, ot.for the erection of.any non-fireprogC a r--4*r -similar* occupancy, to any existing building tit for each such -'a ging or addition. -_ ninety cents_ ($0.90) for each one thousand cubic feet firactian thereof, in the cubical -contents thereof with a minimum :of $440". • For the purpose of computing fees for building permits, the.cubical coft"nti9r' Of any building or addition to a uniform _height .throughout iiy multi�2ying the -'' ground area covered .from a point six (6) inchoa belam the Moot' line of basement or cellar to the average height of the -upper surface or to -'the average height of the roof surface of the mann, gable of a•#it$hed roof. 2., ;5� •. For repairsor alterations to an existii* strucu",. A4 free swil at the rate ' of $3.00 per each Five gwndred Doll ar..s .($3#);.or. ractiozc' ,therebf in the cost.'of nll proposed work. 2 In no case •shall 'the . sed °fa#'th in Section-21e,.4.les i land Plan 6875 Ajhnvy AC5 AfE LOW Survey My SOWS lejturq ENGINEERING, INC. clvllb Err rneerrn� Enqineers E SurveVor& f certificate of survey Cole Da__l6arabuilders "Iric. No R71-4 I - - -- " - - I Deno -les -Iron +e ."Oefloles &/'/f� -f-'Brulave Easarflenl LOT--;— 5LOCk oz — ZMLBERG TE,1-7.QACE — ANOKA COU"-rY -- h&-eki cerhif 4" fhaf this Is o true and e"red re?remntahan 0/?a :wLrveq qCt* boundaries �'& abome Asuhed lwd,,,AY AsZn a// i4tdiip, AxmW, Mdall Py$rble aM-1V4ZhMefth , tiaw , f -On or 07 Mid 1Wd. As sur` vetted by fm ffi- deq SUBUR6AN WGINEERINCY, INC ale SUBJECT,�- ERMI City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r IP1422 R T N L ______ COMMUNITY DEVELOPMENT DIV. � PROTECTIVE Z9�50?( r � INSPECTION SEC. �4 "1 CITY HALL FRIDLEY ' 55432 NUMBER REV. DATE PAGE OF APPROVED BV 612-560-3450 .910-F15 7/18/77 JOB ADDRESS 7436 Stinson Boulevard N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 Dalberg Terrace SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Michael F. Mules 7436 Stinson Boulevard N.E. 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 j1 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a wooden patio & Deck (12' x 16') and a concrete patio 9 CHANGE QF USE FROM TO -STIPULATIONS SEpERATE PERMITS REQUIRED FOR WIRING. HEATING, PLUMBING AND SIGNS. 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 1 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. $1,000 $.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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PR PERLY VALIDATED THIS IS YOUR PERMIT ATUOF OW R IIF OWNER 8 ILDERI 1 A E)BLDG INSP DATE LI I Y UI t M1JLLY APPLICATION FOR RESIDENTIAL BUILDING PERMITS NEW, ALTERATI oNs, ADDI T I OiNS, OR REPAIRS) owIIR: :a �•��'��� ��...� � • �� BUILDER: Address: �'�G �: z_ ,,pa Address: Tel. No.: No. '7qStreet: '�>� LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: 1,9 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 41V Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: To Be Completed: Estimated Cost: $ / Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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 tru�ef d correct. See reverse side for additional information. DATE: ® SIGNATURE: Stipulations: I/ SECTION 2. The Irv:;pector of Buildin{Js; :shall, before i.ssuiriq permits for the erection of ally },u.ilc7.it;'J or :;La:uct-ua.e, or for �u,y <a(Hit:ion to any ez.i,;tiiig buildin,J or strur_.turf-, or- for any a:lturation or r :jaair:, to any er;i :ti.nq I:ui.l(li.ng or structure., upon aj�l}l.i.c,ti:n therefore, rucJuiru the payment by tlic applicant for such pur.t"iit of fees to the amount herein },c:low sc:L forth and in thu manner herein provided 'Lo -wit: MW CONSTRUCTION: Single Family homes and Garages: $4.00/1,000 cubic feet. PLAN CIII.CK: 25 percent of building permit fee. DIUVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Drivcway width plus 6 feet r, (11.75 Alternate B: Removal and rel}lacument of concrete curb and gutter and instill a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $15,40 DDI T I ONAL I NFORMAT I ON For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined 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 heights 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 $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: 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. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. 6. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 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 - Aiso Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes - Rate TOTAL $20.00 $ �� $10.00 $10.00 $ $10.00 $ $ 10.00 $l b .� 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 $ ' b , 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. JOB ADDRESS 7 3 5ie7/?!5 Oz, 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. Z - ,1991 OWNER BUILDING USED AS ESTIMATED COST :5 O0 - PERMIT NO. 6, DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Wat (Warm Air) Trade Name 12u4e Size No. - BTU Al90 cae> o HP EDR Fuel G -/a-7 Total Connected Load ? � Burner Trade Name Size No. BTU HP EDR HEATING Signed Approved By Tel No.. W'!���- Rough-In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( No ( ) 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes ( ) No (X) 4. Is securely supported Yes -()e) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (7C) No ( ) 6. Has total heating BTU's of !00,00 All other BTU's TOTAL BTU's Remarks List Alterations Being Done: Re-/ �� A& HEATING COMPANY! Signed By Date CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 () No Type- $7.00 ype $7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance _ State Surcharge .50 TOTAL FEE $ JOB ADDRESS 6)4e YI g'0 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. 1-'6- ,199 Owner Building Used As e 'I Estimated Cost 1� PERMIT NO. PLUMBING COMPANY �l%� l/�/: d-fif• SIGNED BY TEL N0. 6S`%S— 1.7V Approved B Rough -In Date Final Date PP Y 9 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT PER - _, O City ®f Fridley 21 AT THE TOP OF THE TWINS BUILDING PERMIT r O COMMUNITY DEVELOPMENT DIV. ` _ r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. GATE PAGE OF APPROVED BY 612=571-3450 910-F15 12/23/91 JOB ADDRESS 7436 Stinson Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 Dalberg Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael/Sharon Miles 7436 Stinson Hlvd NE 786-3075 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW k2 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 24` Addition 9 CHANGE OF USE FROM TO STIPULATIONS Seenotations, on ,plan. 'i-�sj' Before digging call for all utility locations 'SEPARATE P�°RVMITS REQUIRE® FOR 4.54-0002 WIRING, �-r��T� w�V�Y PLUMBING AND SIGNS. REQUIRED BY LAVA TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIBIS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $38,700 $19.35 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- $343.00 Fire SC $38.70 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOT L FEE $401.05 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) PROPER E HIS IS YOUR PERMIT A�WHE oij SP ryATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] Effective 1/1/91 ADDN (,q CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 1 Legal Description: L O i- L: AA Owner Name & Address: _ ®� �� � ,� 2-7 -a& 1L ff Lf Tel. 7 Contractor: Tel. # Address: Attach to this application, a Certificate of Survey of the K with the proposed construction drawn on it to scale. DESCRIPTION OF EhIPROVEMENT LIVING AREA: Length .2V Width Height Sq. Ft. X -7G GARAGE AREA: Length — Width Height Sq. Ft. _ DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [a<] Ft. Yd Setback_ Side Yard Setbacks /j Type of Construction: Estimated Cost: $ e Approx. Completion Date: -?00 SNK0111,r- Dnveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: /.2 • l 7-9 J APPLICANT:j�� ,.�. J� i �,-, Tel. #%�/ •.� ® 7� CITY USE ONLY o Permit Fee Fire Surcharge State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $1 Sewer Main Charge $ TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of 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 [ ] 3'W-)cKJ a 14(jL,--- e �,� 1 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 amount of fees to the herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100. or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate 'A": Removal and replacement of puff 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 it has been constructed will be required before proceeding with the framing. DEC -16-91 MON 16:25 U 4�ileN,o. TA323572 Michael and Sharon Miles 7436 Stinson Blvd. N.E. Fridley, MN 6/2, Dalberg Terrace P. 02 Exhibit , PROPERTY SKETCH ( This is not a survey) 131 .00° +o 26 2 CAR WLOT 6 a Z STONY 3> L STUCCO 26 0 M d 1 3'+ .00' o LJ a � C) D 00 m 0 Ln z W 11 o, rl" -Y, Property Address., "The location of the improvements shown on this drawing are .0,paroxirl,ate and are based on a visual inspection of the premises. The lot dimensions are taken from the recorded plot or county records. This drawing is for informational purposes and should not be used as a survey. It does not constitute a liability of the company and is Intended for mortgage purposes only," sue�Ett PER City of Fridley 7 9 4 2 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 , IPT _ COMMUNITY DEVELOPMENT DIV. - PROTECTIVE INSPECTION SEC. f �� j 1 1 � � NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 .••.;"','� L 612-571-3450 910-Ft5 9/23/98 JOB ADDRESS 7436 Stinson Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 1 Dalberg Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Miles 55432 786-3075 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner Same a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW C ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Screened in porch (13 x 16) Construct roof and screening over existing deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION 1,801.28 SURTAX $.90 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE 59.50 SACCHARGEFire SC $1.8( PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TO FEE $62.20 SIGNATURE OF CON'RACTOR OR AUTHORQED AGENT IDATEI E PR P VALI D THIS 1 UR ::] 7-' $,GNATUBE OF OWNERtIF OWNER BUILDERI tDATEI G IN$O DATE NEW ADDN [ ] ALTER [ ] ConstructionAddre, Legal Description: Effective 1/1/98 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION r d ,� Owner Name & Address: �� ' ® ��� - Tel. # /� - Z�% Pia .�� Contractor:, `%, ,�y� J MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: ' f AJ $5.00 (State Licensed Residential Contractors) Driveway Escrow /?0rc4 *1-7M. o-4 Alt. "A" or Alt. "B" Above Erosion Control $ L>gGk- Construction Type: X9/7. %6 g'o 1. Z'g Estimated Cost: $ I�®l• 2y Fee Determined by Engineering (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ $ DATE: APPLICANT: A�� ��®� - - Tel. # 2 757 CITY USE ONLY Permit Fee $ TY- 5-0 Fee Schedule on Reverse Side Fire Surcharge $ j . 10 1 .001 of Permit Valuation (1/10th%) State Surcharge $ • a/O $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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 $ t9'� • . STIPULATIONS: 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 VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,00,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 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 it has been constructed will be required before proceeding with the framing. i ��fl��jll�l'I I I II�i i BAKKEN EDUCATION CENTER (612) 574.3352 liGaAn75F7aP,J I i I i I , I j I I I i i i l i I I l i l t , BAKKEN EDUCATION CENTER (612) 574-3352 SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT ®� r RECEIPT NO. v ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �� 0 111-/3 1 � 1 � NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/27/01 JOB ADDRESS 7436 Stinson Blvd 1 LEGAL LOT Ng. BLOCK 2 TRACT OR ADDITION Dalberg Terrace SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Miles, 7436 STinson Blvd, fridley, MN 55432 763-786-3075 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Mark III Maintenance, 4580 235th Lane NW, St. Francis, MN 55070 612-804-5989 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO BC -6600 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION E3 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Tear -Off' RE -roof for repair, house (7 sq.) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. - NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $716 $.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. $32.65 ire SC .72 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE 4& ? 2q`®( -212q LIcense $ .00 $38.87 SIGNATURE OFA N'RACTOR OR AUTHORIZED AGENT iDATE- N PRO ER V SLOG INS ATED IS Y R PEBMIT TATE S-GNATURE OF OWNER,6 OWNER BUILDER, iDATE, NEIN [ l Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 672-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: e�13 1,5 s �,J Legal Description: Owner Name & Address: /Y1 t k 44" -z;= -'z Tel. # Contractor. _4.4ozl 22T -O,l .Gv� �,�,��c —v MN LICENSE # -, <:� d 0 Address: 's -'yo 3 s 4,.,l ir/ Gc% Tel. # 61.2- eo `y -.S i ?% 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: 4 916 Construction Type: al'�Ir Estimated Cost: $ Svgs S Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: l APPLICANT: CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application Tel. # $ 30-&S— & S— Fee Schedule on Reverse Side $ ,J' .001 of Permit Valuation (1AOth%) $ 4 50 $.50/$1,000 Valuation $ $1150 per SAC Unit $ -5-,00 $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 [ ] 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 VALUE FEES $1 to $500 $23.50 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to _$50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 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 $15.50. 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 $23.25. 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 it has been constructed will be required before proceeding with the framing. New Houses Only CITY OF FRIDLEY PERMIO.: 2004-009�4s` 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 06/21/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 7436 STINSON BLVD NE PIN : 123024140048 LEGAL DESC : DALBERG TERRACE : LOT 6 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING VALUATION : $ 3,589.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (31 SQ) TEAR -OFF STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE FIRE SURCHARGE 97.25 3.59 STOCK ROOFING CO (20381592) 4550 MAIN ST NW MSTE 100 STATE SURCHARGE, VALUE 1.79 MINNEAPOLIS, MN 55421- LICENSE SURCHARGE 5.00 TOTAL 107.63 PAID WITH CHECK # 2807 OWNER MILES MICHAEL F & SHARON K 7436 STINSON BLVD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cance e p ovisions of any other state or local law regulating structi or the rf nstruc on , Applic Date d Bldg Insp �►—,� D�j ' SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 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: 613& S-h7,5c/-7 AlUq Legal Description: Owner Name & Address: ��'1Q �� n -C S Tel. # -763- % ?6-507S Contractor S 'tic, eolo MN LICENSE # ZG -,�?O 38`/ 5i2 Address: 'ism 1117e?1117 Mk 525`l12Tel. # `7� 7- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Height Width Height Width "�' y5L- "'/ 'Ae - Sq. Ft Sq. Ft Sq. Ft 3/ S4 Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: Z( APPLICA�`� l 4e Tel. Call (763) 572-3604 for Permit Fees if mai ng 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 S 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 [ ] TOTAL $ (, 3 STIPULATIONS: BUILDING PERNUT 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 of 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 VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate 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. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location "of the existing foundation will be required before proceeding with the framing. New Houses Only A NEW [ ] ADDN [ ] ALTER [� Construction Address CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 3 ! � �i� Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 571-1287 Fax .11 fir- C7,;?8V Legal Description: Owner Name & Address:� b2 n Same A4 r,.r1 Tel. # r%a S0'7.� Contractor: MON-RAY, INC MN LICENSE # 0005111 Address: 801 Boone Avenue North Golden Valley, MN 55427 —Tel. # 763-546-8625 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Width Hot/Ground Sq. Ft. Construction Type: �Svh I"Gt 6 L 1 Estimated Cost: $ % 7® o I Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ . —=$ DATE: APPLICANT: 4Tel. # Call (763) 572-3604 for Permit Fees if miling in application. Fax to 763-671-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ k,16 Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $. t'� $.510/$1,000 Valuation $ $1275 per SAC Unit $ 6,00 $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 [ ] TOTAL $ 6 rz& BUELDING PERNIIT FEE SCHEDULE The Chief Building Oficial 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 VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 ', F! 11 • ' 11 i!1 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00. 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. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required. before proceeding with the framing. New Houses Only $ , , State of N6nnasot4 aft- en 4ommrGa L tc��tsing ©tvtstan -� R .s_. ^" •° Felt �, a' ^"".^ �� �` �. ;r;�gt5 �� � 4 ; i , . _ -.. �.,AC 1�7�ix♦♦T1.�-6 � E����E!RY.M rw ,�T��itK'rwix-w iiier< �' �.'�'�' . - .. .� � ..r ..� L®gat MameO(A fl,,r 4 [SBA � �} �,'' '� • ,�„ �' Address: ]8/01(1OEN License lde*ntifieation License Expirattdn Date tftt a twda �, F-WARN71 Building PLUMBING Permit No.: C Inspections RESIDENTIAL APPLICATION Received By: 7-u _'Lz)_ 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE ,_5_ e- 060 YOUR E-MAIL ADDRESS SITE ADDRESS a%12 1 }#a O'd6n THIS APPLICANT IS: D OWNER XCONTRACTOR PROPERTY NAME:� vjna d ADDRESS: 7'Z%2 t 5hij.3on J&Ao_CITY���`�,Iea/ STATEM1 LIP q OWNER/ TENANT ��3_ 2& - ��� PHONE:_ CONTRACTOR NAME: La PLLfx11ji1 STATE LICENSE # AEXP DATE hi jjj�h,STATEhIOZIP -(-l3 SUBMIT A COPY OF YOUR STATE ADDRESS: 4iW4715� CITY -la LICENSE WITH PHONE FAXg„�� %L T APPLICATION PERMIT TYPE AISINGLE FAMILY O TWO FAMILY IJ TOWNHOUSE TYPE OF WORK: 0 NEW PLACEMENT DETAILED DESCRIPTION OF WORK LQ�jA Q 14 4 h PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _ SHOWER _WATER PIPING _ _FLOOR GAS PIPING (AEw cirruCEh* _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _BACKFLOW PREY, ($15) DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION - _ WATER METER —OTHER PERMITTEE© I1 p� , M FIR� OCT Permit Fee $ LaU Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $35.00 x $35.00 = $ — State Surcharge = $ .50 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 which re ' s rev' and approval of plans. SIGNATURE OF APPLICANT PRINT NAME��L_s7�� (� DATE/�T ULo :.PL` EASE NOS DiIIG�R; _' P City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit NO.: 7- Inspections RESIDENTIAL APPLICATION Received B 763-572-3604 10 2001 CITY OF FRIDLEY e�V q S b '� DATE - - YOUR E-�TADDRESS SITEADDRESS_ILA J, �i,Y\50yj (S-\,J CIA6� THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: r O , �5 OWNER/ADDRESS:�`i-3l� �o(%S®h M,jS e� CITY —r i l STATEl'nAjLLIP S Sq TENANT PHONE: -) G 3 - '9 ? 1, - CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN 7INKEN SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE BITY "COON"°RAP.IDS sTATEMN zIP55433 APPLICATION PHONE 763 — 757 -- 6202 FAX 763--757--6701 PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW YLREPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK X vis ca. ` PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) -�7 Equipment Installed MFG: `�� tr. MODEL: kke P `z. ° , ® SIZER 9 ®, O0 C, MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU $25.00 _FIREPLACE (GAS) $15.00 =; GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 1 FURNACE $35.00 GAS UNIT HTR $10.00 _ _CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 _DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 _\ x $35.00 = $ 35 .00 State Surcharge = $ .50 Total = $ 3%, 50 THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. QA � ' HOFFHE C I S I O -7 SIGNATURE OF APPLICANT • r= vT NAME ROGER IN 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 ❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ 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 other than gas IMC Chapter 8 with MN Amendments REOUIRED FOR 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 make-up air calculations.