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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn.. ° 2 0 0 i Date _.�s; :. Owner ' 4 Builder ... .... , ' "' Address �., 1 o Address ...... ............................ LOCATION OF BUILDING No. .a. Street .� .. :... Part of Lot ....................... Lot . .�',.... Block ... Addition or Sub -Division................... 'i Corner Lot .. Inside Lot ............. Setback ., Sideyard .../I f.. ,+ . a DESCRIPTION OF BUILDING To be Used as: L . Jt Ay Front ►. Depth Height ` t Sqi Ft......... Cu. Ft ,f, ...... . .... Front ........ Depth .... ... Height ......... Sq,, Ft......... Cu.. Ft... .. . Type of Constructi-7.10 "L ..e Est. Cost To bel Completed I In consideratio of the issuance to me of a permit to construct the building ,Ideseribed above, i agree to do the proposed work" accordance with the description above set forth and in compliance with all provisions of ordinances of the age of Fridley. In consideration the payment of a fee of $.",*''°: ; permit is hereby granted to .. . I ..p...... . to construct the building or addition as described above', This permit is granted upon express conditio that the person to whom it is granted and his ' agents, employees and workmen, in all work done in, around andpon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota r garding location, construction, alteration, maintenance, repair;; and moving of buildings with- in the village limits d this permit may be revoked at any time upon violation of any of the provisions of said ordinances. r wilding Inspector NOTICE: This permit d es not cover the construction, installation or alteration for wiring, plumbing, gas, heating, sewer or water. sure to seethe Building Inspector for separate permits for these items. City of Fridley, Minn. WELDING PERMIT Builder..2-� ...................................... Address............................................. LOCATION OF BUILDING No. .. Street .. ....��.':`' .... Part of Lot ............................... Lot ............ Block .... ............ Addition or Sub -Division ....................................... Corner Lot ............ Inside Lot ... X...... Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To be Used as: Ito f .1 f 1 -q 44441' Front . Depth TIP /. 0 Height .� :P Sq. Ft,J 0.�1.O Cu. ... ........ .. �..... .................... Front ..•....... Depth ........ Height ..... Sq. C mp ...... Cu, Ft. ........ Type of Construction --.... BBt. cost. JR.... ... .. To be Completed .......... ....... . In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. .. ..�...... ................a. In consideration of the payment of a fee of $..1.. s. ., permit is hereby granted to ................... ......................... 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. e ......... Building Inspector NOTICE; This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. 5j -84-S915-51 City of Fridley prifor Mmbbg Dept. of Ridge. Phone 980-34M DESCRIPTION OF WORK I.ee� 120 Sylvan Lane N E Number, Kind and Location of Fixtures ® c �< V VO I WATER W". N GAS EIEC. + !T� O �� <3 Base I IstlGas Iryer 1st 2nd 3rd 4th Future Connection Openings I c,oaa:esaea warn Sewer * New Fixture, Old Openings Cesspool Q PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ 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 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water heater .............. a $2.00 S. GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $200 ;- Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU.. . x $5.00 $ Gas Dryer 1 5.00 REPAIRS & ALTERATIONS—Refer to Code Description.............................0................. TOTAL FEE i 5.00 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 Cite Ordinance and ruling of the Department of Buildings, and hereby declares that ail the fact and representations stated in this application are true and correct Fridley, Minn 12-9-70 18� Owner P Lindquist Kind of Building frame Used as res To be completed about 12-14-70 Estimated Cost, $ 10,100 Old—New. Building Permit No. Pe No. By :. U� Business Phone No ROUGH FINAL ,91 • s'1 AZ - 7/ CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND Furnace Shell & Duct Work to 100,000 BTU AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 4.00 $ *Replacement of Furnace - to 100,000 BTU GRAVITY WARM AIR: RATE TOTAL Job Address 'A g 'gr�elydlo, 4� a Furnace Shell & Duct Work $12.00 $ $� *Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 Repairs & Alterations each add. $500.00 4.00 $ C-ty of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ *Replacement of Furnace - to 100,000 BTU 7.00 $ Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 4.00 $� STEAM OR HOT WATER SYSTBI: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ /0.00 (over 199,999 BTU see Fee Schedule) $ GAS FITTI\G FEES: lst 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $ M 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn.,' , 19 1E OWNER Z2✓;�'3 �� ZVZC - KIND OF BUILDING 4&QZ, , USED ASf�/'Y� TO BE COMPLETED ABO /s ESTIMATED COST' OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, WIM Air- No. Trade Name ��>_1i_J/��sC Size No. EaZ_�_ Xxte 446 z- Capacity Sq. Ft. EDR BTU el HP. Y `3 Total Connected Load Kind of Fuel A�m BURNER - Trade Name Size No. ROUGH IMF. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date (.$10.00) FINAL INSP. n Company Date Signed By APPROVAL FOR PERMIT t roe Tel. No. MINIMUM FEE FOR. ANY HEATING PERMIT IS $7.50 PLUS.. $. 50 STATE SURCHARGE *Attached stack verification form CITY OF FRIDLEY Q- zs65 Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RATE Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 Gas Piping $ 10.00 (piping needed with new furnace) —5 Gas Range $ 10.00 Gas Dryer $ 10.00 * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations The undersigned hereby makes application for a permit for the work herein 18 of Value of Appliance or Work specified agreeing to do COMMERCIAL/INDUSTRIAL 18 of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BeeTU HP AA Company !/Ir Jr, �G�"(('��r�°j d (4di. signed By e 1 d' Tel. No. 5�' 06& / Fill out back side for stack verification on replacement furnaces Job Address / Z0 ✓ " TOTAL —5 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley $ Tel. #571-3450 $ 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. $ Fridley, Minn. � 7-3 � % OWNER $ 1/ KIND OF BUILDINJ USED AS 9— J— 91 $ TO BE COMPLETED ABOUT 9o'0-0 ESTIMATED COST $ .50 NO. $ J5,50 OLD - NEW BUILDING PERMIT NO. PERMIT �%5���1 Y/�2 � /i✓S�� � �M o� $ -� DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BeeTU HP AA Company !/Ir Jr, �G�"(('��r�°j d (4di. signed By e 1 d' Tel. No. 5�' 06& / Fill out back side for stack verification on replacement furnaces 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 ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s &P&OS�� s //�✓ N -om Company M _ d- A. (Z ° Signed By .Da to SUBJECT RMIT City ®f Fridley 6 560 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I i NUMBER REVDATE PAGE OF APPROVED BY ` CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/13/98 JOB ADDRESS 120 S lvan Ln 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 S lvan Hills Plat 3 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Peizgv Lefti 574-1848 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Siding 416-4814 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION D ALTERATION g❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house 19 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 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 $1584 .79 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE SC $1.5 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST C ION OR THE PERFORMANCE OF CONSTRUCTION. 151.25xxxER3H€X I �� �� PLAN CHECK FEE TOA FEE 1 5 8.62 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI N ROP V LID THIS ISY FIZ,BLD )NSP �PERMILA ryATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R -2(p q BUILDING PERMIT APPLICATION (!�j ConstructionAddress: 5�IV11t.,l ��✓ Legal Description: Owner Name & Address: Pei !� w L r- jr/,' Tel. # Contractor: M r dt< s[ MN LICENSE #, 77 Address: N92% �a��s � �1�� �°® �� G� � Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: /{vie M 750-i Construction Type: 115 - 7eV-0 41;r Estimated Cost: $ �7 (Fee Schedule. on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 7-1.3 - e5; S' ' APPLICANT: �� OJ Tel. #� Permit Fee $ "?S Fire Surcharge $� State Surcharge $ SAC Charge $ License Surcharge Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ C 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 Determiried by Engineering Agreement Necessary [ ] Not Necessary [ ] V/6 - Md f 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 $509001 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 $1,000,000 $2887.25 for the fust $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. AUG -31-2005 1127 CITY OF FR IDLEY PLUMBING RESIDENTIAL APPLICATION City of (Fridley Perolt Number Received By Date ReWved P.01i01 NOTE: IF PROPERTY 19 NOT OWNERJOCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE _ X I dH 10 y YOUR E-MAIL. ADDRESS 91TE ADDRESSao S Lviq%U LE. THE APPLICANT IS: (CIRCLE ONE) OWNERNTRACTO NAME PROPERTY OWNER/ ADDRESS SAf- V'ENANT CITY STATE ZIP - PHONE 0 IPPHONES `7 ie3 — �r% K ...... .r..� ........,........,.., ...... NAM LICENSE 0 Wr SJUft 39 ., CONTRACTOR ADDRESSr pn► srAT>= zIP pHdM754-2199 Fax (76754-2906 FAXII PERMIT TYPE SWGLE FAMILY TWO FAMILY TOWNHOUSE U TYPE OF WORK ❑ NEW Y REPLACEMENT DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $90.00 PER FIXTURE, EXCEPT WHERE NOTED FIXTURES: (INDICATE TOTAL NUMBER OF EACH) BATH SINWLAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB 0AS PIPING (Abed City Liaenso) SWIMMING POOL WATER SOFTENER ($M CLOTHES WASHER KITCHEN SINK WATER CLOSET -BACKFLOW PREV. ($15) DISHWASHER LAUNDRY TRAY WATER HTR (W) FOR IRRIGATION WATER METER OTHER Permit Fee $ 3s, ©o MINIMUM: $15.00 or So% of cost of the Improvement -w ichever is Plan Review $ greater on work less than $300 Surcharge $ .50 TOTAL DUE $ 3 S. c� d Make checks payable to: City of Fridley City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit # 06 Residential Application City of Fridley See Back Side For Required Information Date I 30 o5 Site Address: ap S Theapplicant is: (cirice one) OwnerContracto Property Owner. Address: S A w,t City: a- State: Zip: Phone: 116 3 -5014 — 184 2 Cell: Fax: Contractor Infon9Q City Sheet Metal, Inc. Company Nam 1 91 11 E 99— C Contact Person. Address: t-noley, IVINI 55432 City: (M) 754-2199 Fax (7031e754-2908 Zip: Phone: Cell: Fax: Email: MN Bond# & Exp Date Type of Work (circle one): New Replal;emen Alteration/Remodel Detailed Description of work: I �C® Equipment Installed: MFG: Model: Size/BTU: MFG: Model: Size/BTU: MFG: Model: Size/BTU. Please check all that apply: �C A/C $25.00 _Fireplace (gas) $15.00 New Gas Grill $10.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _Air to Air exchanger $15.00Furnace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ GO. 00 (Total from above -Minimum fee $35.00) Surcharge $ 0.50 Total Due $ D Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical 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 case of all work which requires review and approval of plans. Signature of Applicant:Date: Ica 9 10 Approval Inspector Signature: Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005