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PRE 2010 DOCS'I BUMMING 345 Office,of INSPECTOROF BUHMING& lr OwneY� ' ,� c p x� "s b A Architect 1I Frid'_ey Minn.- Builder, CSinn Builder y LOCATION OF: BUILDING ISI, No. 'Street \ Part of Lot , Lot Block _%, d Addi on or Sub -Division DESCRIPTION OF BUILDING Front 4 f*, Depth �` stories - Height. Stories Manner of Construction To be used as i To .be completed "°r"" Estimated Cost .�' � .J' ,�� �4�� ����-t• r a F � �p1. R �. e ��' 1 a�� � '+"'i s� j-�-c�Y„"`�.. •F�',..,t"�'+�P tl' li Permit is her ebye ted to f}` }o`Tn� rr' the buiiding described in. the,above statement. This permit is granted upon the express c edition that the rson to whom it bi granted, and his agents, employees and workmen, in all the work done in, round and, upon laid building, or any part- thereof, shall conform in all respects to the ordi- nances of Fridley, inn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city 1€mii s, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Inspector of Buildings. Ip' AGREEMENT AND `SWORN STATEMENT In consideration df the issue and delivery, to acne bY" the Inspec'ton of buildings of Fridley of the above permit, -I hereby agree to do the propoaec work lbw+'accordance with the description above set forth d according to the provisions:-sof the ordinances of Fridley, and, being fntst duty sworn,. I hereby state and, say that the facts stated by me and contained in the abo;,�e, permi are true as therein sated. i, SIN , r Subscribed and, sworn to before me at Fridley, Minnesf9ta, ` Wis ° xt Architect - A Builder '' No. Street" Bari of Lot Lot Block' Addition or Sub -Division DESCRIMON OF BUILDING Frontes De i�th ¢ height Stories Manner of Construction §tw s�ie a To be used as W To be completed ]Estimated Cost 4 Permit is hereby ted to <r to °' edix p the building described in the above statement. This permit is granted upon the express cc clition tbat the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any pert thereof, shall conform in all respects to the ordi- nances of Fridley,Minn., regarding the construction, alteration, maintenance; repair and moving of buildings within the city Its, and this permit may be revoked; at any time upon violatioin of any of the provisions of said ordinances. '+ko� Inspector of Buildings. i AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the In^pector of ' Iluildings of Fridley idley elf the above permit, I hereby agree to do the proposed, work: in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby! state and say that the facts stated by me and contained in the above permit are true as therein hated. Subscribed ar sworn to before meat Fridley, Minne-nota, thg 1 � dayof—A.D.41 II li CITY OF FRIDLEY t APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM:' Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: RATE TOTAL Job Address �fJ $12.00 $ 0. 7.00 $ 7.00 $ Department of Buildings 4.00 $ City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ Fridley, Minn. . 190 $12.00 $06 4.00 4.00 $ 7.00 $ 6.00 $ $10.00 10.00 $10.00 1st 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 TOTAL FEE ROUGH INSP. Dat e FINAL INSP. ®L�- Date APPROVAL FOR PERMIT je� REINSPECTION FEE ($10.00) OWNER RIND O USED AS 0-16"0 "[ TO BE COMPLETED ABOUT $ Q $ ESTIMATED COST " 6 / l $ - 0� OLD - NEW BUILDING PERMIT NO. PERMIT NO. $ 2 v� MINIMUM FEE FOR ANY HEATING PERMIT IS $7. SO PLUS $.50 STATE SDR ZhRGE DESCRIPTION OF FURNACE/BURNER HEATING or POWER fPLANTS, I'St�eam, Hot Water arm Air- No. Trade Name j/��� i!/ �0� Size No. j! (2 Capacity Sq. Ft. EDR BTU / HP Total Connected Load Kind of Fuel / V BU R - ade Name Size No. Capacity Sq, Ft. EDR BTU HP ®�.Company Signed B Tel. No. �• LXF. WALL 'ET EXP.. WALL 3" CEILING' FLOOR TOTAL BTU. o FL . ROOM I LENGTH . W I DTN n I:A11T to : ; KUVIW L LnV i n w TV 1 n ..r...�.. WINDOWS AND DOORS•CRACKAGE;..AND AREAIN OW$ AND DOai$•CRACKAGE AND AREA NO. WIDTH NE14HT 10. Of LINEAL FT. AREA L I 6 OF CRACK !. f T. NO .+rR1tlTN :1 tiMT -0f LiNEAt PT.' AREA 1 T OF Cakax G iA ®G 0 / SV Mir CttEF. BTU. COEF BTt INFILTRATION - IRIFILTRATION GLASS r GLASS EXP. WALL 93110. WALL NET EXP. WALL NET EXF. WALL CEILING: 7.1 GE{LINIi FLOOR t PLO" OTAL:BTU T '. TOTAL 'BTU.: Fl. ROOAA LENGTH W16TH HE11V FL. R LENGTH WIDTH ' HEIrHT WINDOWS AND DOORS•CRACKAGE AND AREA, WINDOWS AND DOORS•CRACKAGE AND AREA., Nq. '• WIOTM HEIONT N0. Of LINEAL FT. 'AREA LIiNTS OF CRACK SO -Fr. NO. _ WIDTH HEIGHT N0: Of LINEAL FT: A k LIGHTS OF CRACK $0. FT. f ;07 d i F. BTV. ''`: COEF RTU INFILTRATION 1N#ILtRATION , GLASS EXP: WALL MX►. wAirl NET .EXP. WALL �00 ''olr gxp. WALL CEILING nAVE, I�iE'LIM4 FL002 FLOOR TOTAL BTU. TOTAL T U. HEAT LOSS TOTAL E.D.R. TOA6 gTU. $9`BRM �_ tOTAL.50. FT. H.W. HOUSE HEATING TEST RECORD ADDRESS t DTA L fi � ESS _ , RAPT. FLOOR CITY SUBUR OCCUPANT OWNER HEAT LOSS _ DATE TG. 1 . SOLD BY Ct t �ST� n INSTALLED BY rag s Electrical Work By Gas Line By — TYPE OF HEAT GA FA HW TEAM SPACE HTR. UNIT HTR. OTHER GE CONVERSION MAKE MAKE OF BURNER Model "` Y4ro_ Model Serial Al V Max. BTU` Rating INPUT / Z•k 00;2 MAKE OF FURNACE Model Percent CO2d . Date 'Teste -Percent 02 Company Testing ro Percent CO Name of Tester: _ CONTROLS �, 7 THERMOSTA Hect Plug Vent Size Valve KIND OF LINER SIZE NONE Limit f<�V Draft Hood �� Regularor Limit Setting Filters Size ^lumber Fan Setting Chimney Location Inside �Out Plot Type )1 C Chimney Construction Iot Make Model V,, Via, {� Smoke Bomb Wiring t Timing Draft Test Tag- Cut Off Door Pressure., s _A w Lighting Inst. Percent CO2d . Date 'Teste -Percent 02 Company Testing ro Percent CO Name of Tester: _ CITY OF FRIDLEY ` APPLICATION FOR PtiMING AND GAS FITTI.f1G PEFNIT PARTIAL RATE SCHEDULE N PLUM3ING FIXTURE RATES: NO. RATE TOTAL r-ber Fixtures �— x $3.0 3 K V $2.00 Water d N x a $ Sr e C •-+ M $ u m k p, 2 G. c Heater p L r1 E M x E •••i m Sr 0 $4 N 0 6 0 4 A: x $5.00 0 L• 0 .•t L N c c 7 3 0 0 0 .9 0 •.+ +J M o x +3 N N ti N N u J+ Gas Range to 199,000 BTU W 4 -4 U s+ a n G M C3 •.i W m s+ e W c U3 14 44 ro U Mm " a M F. $ m C7 V � o as lec State Surcharge $ .50 �• TOTAL FEE $ REINSPECTION FEE 1st (110.00) 2nd 3r,4 i 4th I Connection Opening Connected with Sewer (*) = New Fixture, Old Opening PARTIAL RATE SCHEDULE PLUM3ING FIXTURE RATES: NO. RATE TOTAL r-ber Fixtures �— x $3.0 3 -"—e Fixture Opening x $2.00 $� New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ :later :ieater - to 99, 000 BTU �_ a $5.00 $ i001000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric dater Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ 0 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $1.0.00 $ REPAIRS v ALTERATIONS'' First $100.00 $5.00 $ C each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 �• TOTAL FEE $ REINSPECTION FEE (110.00) Job Address —''0� i Department of Buildings V 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 tho facts and•roprosontations stated in this application aro tree and corroct Fridley, Mn. / � - , 19 A OWNER E1 N W • USED A TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERN.IT NO. PEP14IT NO. Companyr Signed By Q p Tel. No.? O D ROUGH INSP. . Date FINAL INS?. Date APPROVAL FOR PERMIT , MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SUR^ I rt 0 µ f,, � A. Q O O h �c m rt �0' p . '< c M m n c 3 oc y h -V c d cr O s °. N C z w orvo c a m ►-' 3 z i7 41 L. 1 m O ti Z s 2 D a zD c m Y T 10 I\1 m 1 o+ Tm 03 3� �, y ��„' 3 D' co C1 7 m O S a < N Q c O r. C 5' Ln OD C • rp� ,w 4 City ®f Fraley" AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PERM O. 2 2 3 5 1 P COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 612-571-3450 RECO. 9-33 NUMBER 910-F15 REV DATE 3/22/94 PAGE OF APPROVED BY JOB ADDRESS 130 Talmadge Way NE 1 LEGALLOT DESCR. NO. 3 BLOCK 2 TRACT OR ADDITION SEE ATTACHED Elwells Riverside Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daniel Halonen 130 TALMADGE WAY NE 574-1036 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. American Remodeling 3700 Annapolis Ln, Suite 145 M is 55447-543553-002 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 a D NEW ❑ ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace basement windows; no egress windows 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 THIS TYPE OF WORK WILL BE COMPLIED 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $81.00 Fire C PLAN CHECK FEE TOTALFEE $License SC .00 $94.40 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PR Y V LIDATED THIS IS YOUR PERMIT "'BLDG INS DATE SiGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] ADDN [ ] ALTER j ) Construction Address: Effective 1/1/93 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-23 Building Permit Application Legal Description: Owner Name & Address: � way� i-� �, c� �� e Tel. # �'� �-1 - ®6 3 Contactor: n -e W e.A t MN LICENSE # 000 .016 Address: -?CO �� C , �vv �t.y d Tel. # 5.5.3 -00-2n Attach to this application, a Certificate of Survey f e lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECD AREA: Length OTHER: State Surcharge Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: FL + 6 Ft = Ft x $ _ $ DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft - Width Height Sq. FL T Width Hgt/Ground Sq. Ft. T 6 l�� Q nI C�© �f S Ft. Yd Setback Side Yard Setbacks Estimated Cost: DATE: �` s l - R APPLICANT: 1-)aV :r � ��-�%�� Tet. # �`�',3 0�c5 CITY USE ONLY Permit Fee $ ? 1 ° ® Fee Schedule on Reverse Side Fire Surcharge $ 6.(00 .001 of Permit Valuation (1/10th lo) State Surcharge $ - go $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit _ License Surcharge $ 00 $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: )e -r CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763.572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes AI' Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective On January 1, 2001 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 Burner Trade Name Size No. BTU ,-_ HP EDR 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING CO Sign Approved By ACK SIDE MU ND COMBUST DATE ,'-29 -6/ Rough -In Date 3E FILLED IN ON VE AIR VERIFICATION aier TEL # 0 -- Final Da JT SIZE, VENT CONNE RS JOB ADDRESS 90 OWNER Ae Rate TOTAL BUILDING USED AS n $ 30.00 $ ESTIMATED COST�Q PERMIT.NO. $ 10.00 DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units ._ Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel _ Total Connected Load State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 Burner Trade Name Size No. BTU ,-_ HP EDR 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING CO Sign Approved By ACK SIDE MU ND COMBUST DATE ,'-29 -6/ Rough -In Date 3E FILLED IN ON VE AIR VERIFICATION aier TEL # 0 -- Final Da JT SIZE, VENT CONNE RS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( ) 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-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type 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 ALTERATIONS: (Describe) HEATING CO: Signed By: 4!t!� l - h C[iYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 March 29, 2002 Kelly Halonen 130 Talmadge Way NE Fridley, MN 55432 Re: Final Inspection at 130 Talmadge Way NE Contractor: Suburban Air Dear Kelly Halonen: A mechanical permit was issued on May 31, 2001 to install an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DA SEN BuVftInspector DJ/mh - SUBJECT City ®f Fridley13241`9 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. Ile r e CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L J\ 612-571-3450 91041' 2/15/02 JOB ADDRESS 130 Talmadge Way NE 1 LEGAL LOT N0, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Elwell's Riverside Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Halonen, 130 Talmadge Way, Fridley, MN 55432 763-574-1036 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Pella Windows & Doors, 1530025th Ave N, Ste 100, Plymouth, MN 55447 763-745-1400 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20165884 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Dwelling 7 CLASS OF WORK J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 15 windows within existing openings 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking and flashing for all exterior openings. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $10,000.00 $5.00 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- $181..25 $10.00 Fire SC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT FEE $5.00 ense A201.25 SIGNATURE OF CON'PACTOR OR AUTHORIZED AGENT IDATEI HEN ROP ALIDA FD THIS IS YOUR PERMIT S-GNATUREOFOW N ERJFOWNERBUILDERI IDATE, Bl -INSo - pAtE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY - ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: -bov'3 idol® Tel. #'(s� „ Contractor:; PELLA WINDOWS & DOORS MN LICENSE # Address: 15300 -25TH AVE. N. STE. #100 PLYMOUTH, MN 55447 Tel. # Attac 763-745-1400 e . of the' LICENSE #20165884 y lot, o _ _____ __.. ...: to scale. DESCI3N OF IM"VNT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length WidthHgt/Ground. Sq. Ft. OTHER: �Lnle1.r a 15 U -h L .h sI,S V --4L CQAMIrk . Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft = _ Ft x DATE: _ APPLICANTiii i !� + .►_.� . 'i• _ CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ l ®o .001 of Permit Valuation (1/10th%) State Surcharge $ $.501$1,000 Valuation SAC Charge $ $1050 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 $ O�bj STIPULATIONS: /��L L1IY Ul• UKUUKLYN PK. ID:612-493-8391 JUL 06'98 16:22 No.009 P.02 COMMUnft Development Department BUILDING (BL). Permit. Application 62oo sm Avenue North home:612-4993. 09&5 t Pam No. Date Site l elation:Fn sure No.' ca TenardMuilding- Name DD tp7 BLOCK AITION OR SUB-DMSdON PROPERTY iD NUMBER The Appy is L7 Owner ❑ Contractor/Other tai Property Name Phone PUiS Owner Address ' N city State Zip Code Contmdor Company PELLA WINDOWS & DOORS cense No. 15300-25TH AVE. N. STE. #100 Name — PLYMOUTH, MN 55447 none 763-745-1400 Address _ LICENSE #20165884 City State Zip Code Architect/ Cornpany Phone Engineer Name Registration No. Address city •, State Zip Code -- - — Valuatkm of LAW" $ Estimated Completion Date V iNCLU0INQ one Written Description of Work: -� Square Footage 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 Brooklyn Park and with the Minnesota Building 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 work which requires a. review and approval of plans. AppllMM Slgf=re Date '— Building- $ 03,95— BUILDING Plan Review Permit No.: Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 $ A A CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow EFFECTIVE 1-1-08 ft + 6 ft = ft x $21 = $ Erosion Control a $450 Conservation Plan Review ��}}i_ +®`2, e- Co '"\ CL) °tit Ca^ s+` DATE YOUR E-MAIL ADDRESS ��lG r .Si_ �`� SITE ADDRESS 1 ® (� Total Due $(j tl Make checks payable to: City of Fridley Attach THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY OWNER/ NAME: TENANT T---, ADDRESS: 1 Jlb' G. W CITY STAT ZIP PHONE: '763-1? J Ir NAME: CONTRACTOR ADDRESS: 3�® s'�� f�'� CITY®t e tea, STATEZIPy SUBMIT A COPY OF PHONE -26 7 - I y FAX YOUR STATE LICENSE STATE LICENSE # ®f' EXP DATE ®5° PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING 14d OTHER ❑ SWIMMING POOL�� u TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR EMODELING DESCRIBE WORK BEING DONE: 9!5� a–G S. LJ tgy ki i k S 1A ` -' d, SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SID1NG ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWSg 3. Energy Calculations IN EXISTING OPENINGS ❑Yes VII LOCATION OF WINDOW OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ 03,95— See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 4 a 70- .001 times the total job valuation Surcharge $ A A .0005 x Permit Valuation Minimum $.50 License Surcharge $ it) $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $(j tl Make checks payable to: City of Fridley Attach 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 es; that 1 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 accordanthe app ved p e�nA� i the case of all work which requires reviewandapp oval Off lans. SIGNATURE PLICANT PRINT NAME to h G e°, ke / DATEli U APPROVED BY DATEe"C Page 2 Building Residential Application 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 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1" $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1- $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for Is' $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for Is' $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1" $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the I' $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. 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 City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 . 763-572-3604 Fax: 763-502-4977 �p_ 4 C/ —- ss C,) { - J 0W X//,� j d 6 er, S 15 11SJ- 4 � MAY CStq kM�Lwt 1-1 a J, - W�4 �,7t S-kty- UO 5a::A SA!50t.�4 caorv, a.,\.qz%c cq\.. 44v ka A.,C Building Permit Fee BUILDING See Back Page for Fee Schedule Permit No.: /o -®1 02/ Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY .0005 x Permit Valuation Minimum $.50 Date Rec'd:- 763-502-4977 FAX $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow EFFECTIVE 1-1-2010 ft + 6 ft = ft x $24 = $ Erosion Control DATE 2 115 2-i c, YOUR E-MAIL ADDRESS _r6h"- C (1J0 )C &,ST• Co N-. SITEADDRESS130 TAI L --)O-4 $ THIS APPLICANT IS: ❑ OWNER XCONTRACTOR $Agreement PROPERTY OWNER/ NAME: " e $ ADDRESS: 1 2DO 'Cca a W -" CITY STATE Mk) ZIP 55Y 3 z TENANT PHONE: 76 3 5 7 1 CONTRACTOR NAME:(ooDGresrt CSC tYLicTlo�. TQC STATE LICENSE # 2 o O EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: 1 2 3 7 0 �Cs (. S -c W w. CITY (d a� R A, Q S STATE01--) ZIP 5 Y INSURANCE PHONE ? 6 -755 -G'532 FAX G 3 o So 6 PROPERTY TYPE KSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH .ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING re- - DESCRIBE WORK BEING DONE: - '_r a� Q 5"� %-� �- 5 — r a CC4 - 6�,1 � 1+ t , SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES -3 7- )&HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, IDING ADDITIONS. & PORCHES SUBMrf: ❑ Vinyl �ISoffit 1. Site Plan/Survey showing the existing structures El Aluminum ❑Trim and proposed project. ❑ Other Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes []No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (U5,ING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ _ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $Agreement necessary ( ) Non Necessary ( ) Total Due $ , Make checks payable to: C!q of Fridley Attach 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 on site; that the work will be in accordance with the approved plan in the case of all wor requir s view and approval of plans. SIGNATURE OF APPLICANT�� PRINT NAME -r" �-S 6- Cry r�,/� DATE � J'201 o Page 2 - Building Residential Application 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 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for V $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1" $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for I " $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the V $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the I' $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. 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 City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977