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PRE 2010 DOCSVillage of Fridley, Minn.. BUILDING PEI 3M O N. 1Q7 Office of INSPECMB OF BUILDINGS Owner, Architect Builder Fridley, Mirlin.1—i"L I ---z, -"Y L�Lz LOCATION OF BUILDING Street —Part of Lot Lot Block— Addition or Sub-Dion 1121 D&SCRIPTION OF BUILDING Front De pth��_ Heights '_ Stories Manner of Construction Tobe used C cj C,8inpleted _4 Estimated Cost, Z Permit Is hereby granted to If the described in the above statement. This permit Is granted upon the express condition that the personto whom It is granted, and his agents,, employees and workmen, In all the work done in, around and upon said building, or any part 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 limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Inspector of Buildings. AGREL'XMNT AND SWORN STATEAMISTT In consideration of the issue and delivery to me by the Inspector of Buildings of 'Fridley of 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 duty sworn, I hereby state and say that the facts stated by and fo ntajned in the above permit are true as therein stated. J X' Subscribed and sworn to before me at Fridley, day of A.D. 19—_ ILII. *ota, th*-,,-- SUBJECT PERM.IT.N.O,.,_ City of Fridley q." AT THE TOP OF THE TWINS BUILDING PERMIT Y' r RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC ,•� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY l 612-571-3450 910-F15 3/28/95 JOB ADDRESS 180 Talmadge Way NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 1 Elwell's Riverside Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Judith Beine 180 Talmadge Way NE 571-1104 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Replacing 8 windows; partial residin • roofing 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors adjacent to all sleeping areas. Bedroom windows being replaced must meet the State Egress Code. Underlayment for roofing must meet the 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 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,637 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $72.00 Fire SC $4.64 PLAN CHECK FEE TOTALFEE $78.96 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT tDATE) WHEN PROPE5b1Y VALIDATED THIS IS YOUR PERMIT r B DG )NSP _ gaTE S)GNATURE OF OWNER OF OWNER BUILDER) tDATEI Effective 1/ 1/95 NEW [ ] NEW] CITY OF FRIDLEYADDN _ ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (® Building Permit Application Construction Address: ) 0 Legal Description: Owner Name & Address: s Tel. #_ Contractor: CSL LMY�r MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # 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. Length Width. a Hgt/Ground Sq. Ft. q Corner Lot ( ] Inside Lot (&J,' Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date. (Cost on Back) Driveway Curb Cut Width Needed: F + 6 Ft = Ft x $ = $ DATE: _—'S APPLICANT: Tel. #� CITY USE ONLY Permit Fee $ ®� • Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1 / 10th %) State Surcharge $ •3.�L $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Pian Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary ( ] Not Necessary ( ] TOTAL $ • «`+ STIPULATIONS: 4cc4v�A- '° JV' �° ' � x BUILDING mmmrr FEE SCHEDULE The Building; Ufticial shall, bel -ore issuing permits for the erection of any building or stricture, or tier 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 firth and in the manner herein provided to -wit: l'OTAL VALUIi $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 FEIs $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $45 for fust $2,000 plus $9 for each additional $1;000 or fraction thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for each additiona_1 $1000 or fraction thereof, to. and including $50,000 $414.50 for first $50,000 plus $4.50 for each additional .$1,000 or fraction thereof, to and including $100,000 $63950 for first -$100,000 plus -.$350 for each additional. $1,000 or fraction thereof, to and including -$500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $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 replac $13.50_ ement of curb -'and .gutter only - Driveway .width plus 6 feet times Alternate "Q": 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 widl 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 tite lot, showing the location of the foundation once it has it has been constructed will be required betbre proceeding with (lie framing. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On March 1, 1996 Approved By Rough -In Date Final Date NORBLOM PLUMBING charge $ .50 Dm VENTCO/APPLIANCE 1 (612) 827-4033 MINIMUM FEE 70R ANY PLUMBING/GAS PERMIT IS $ 2W5 QARFIELD AVE. SOUTH TOTAL FEE MINNEAPOLIS, MN 55408 $ a PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. SE I NE JUDY 180 TALtADGE WAY NORTHEAST PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS FR I DLEY d 55432 — H 571-1104 W 280-3'6 New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 -' 1996 Sump/Receiving Tank $ 7.00 0 Water Treating Appliance $10.00 Owner t�fj 1 Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 %Q'(dO Building Used As se or tinaReN N.4RBL0 G CO. Gas Range** $10.001.� DBA VENTCO/APPLIANCE INSTALLERS Gas Dryer** $10.00 -4033 Estimated Cost PERMIT NO. (RFI 82ELDAVE.AVESOUTH I�flS GARFI Back Flow Preventer Required ( )Yes O No i N 55408 Type $15.00 PLUMBING C P NY Reinspection Fee $42.00/Hr SIGNED BYTEL No.� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance j1X Approved By Rough -In Date Final Date NORBLOM PLUMBING charge $ .50 Dm VENTCO/APPLIANCE 1 (612) 827-4033 MINIMUM FEE 70R ANY PLUMBING/GAS PERMIT IS $ 2W5 QARFIELD AVE. SOUTH TOTAL FEE MINNEAPOLIS, MN 55408 $ a PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. SUBJECT PER City of Fridley 2 912 8 AT THE TOP OF THE TWINS BUILDING PERMIT • _____ COMMUNITY DEVELOPMENT DIV. r 1 � PROTECTIVE INSPECTION SEC. 1 1�'-'1 CITY HALL FRIDLEY 55432 NUMBER RE v DATEPAGE OF APPROVED BY L ... 612-571-3450 910415 4/1/9 9 / JOB ADDRESS 180 Talmadge Way NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 1 Elwell's Riverside Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Judy Beine 180 Talmadge Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Donahue Construction 8470 Center Drive, Spring Lake Park, MN 55432 785-2919 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 1107 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW 0 ADDITION O ALTERATION REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof House &Garage (18 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 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 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 $1,542 $.77 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 OCAL LAW REGULATING CON. $51.25 Fire S�', $1.54 STRUCTION OR HE PERFORMANCE OF NSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $58.56 If SIGNATURE O%CONTRACTOR OR AUTMORIZEDAGENT TDATEI WHEN PPRSOPER- VALIDATED THIS IS YOUR PERMIT V✓ S,GNATUBE 0F OW NEAai OWNERBU40ERt IDATEI OG INS GATE NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 { BUILDING PERMIT APPLICATION I �� ConstructionAddress: t 2�1® TALM 1244 - UA -V Legal Description: Owner Name & Address: ju ®y L i g r, Tel. # Contractor: hxrAA r --v k5, MN LICENSE # Address: . c0 J1-- 0.111YE Sp s ��zTel. # zA5 - 7-191 LIVING AREA: GARAGWAREA: DECK AREA: 171 . . 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. Length Width Hgt/Ground Sq. Ft. r"c , ; F,4W-0�� Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 1 - � APPLICANT• Tel. # &y = -?-3 1 Permit Fee $ C 5 Fire Surcharge $ State Surcharge $ 99 SAC .Charge,, , :_ $ License Surcharge . $� Driveway Escrow $ Erosion Control $ Park Fee $ Sewer` Main`'Charge ` $ TOTAL:.,_ STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) s . Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] r City of Fridley XOI-CW73 6431 University Ave NE Fridley MN 55432 (763) 572-3604 or Fax (763) 502-4977 Water and Sewer Permit Application ❑ New Connection)&tailti:and Line Repair/Relocation "PExisting Sewer Connection Date: 2 - o7o © 7 - Job Address: %® Name of Applicant (Plumber): _ Name of Property Owner: Existing Structure Permit # Permit Type: Sewer Fee: Water Fee: Meter Fee: Repair Fee: � b 4o Relocation: State Surcharge: s !g6 SAC Charge: Special Assessment Fee: T Applicant Signature Inspector approval: M Water Meter Repair - Weekend & Holidays $125/hour Water Connections Permit $50 Sewer Connections Permit $50 Inspection Fee for Water/Sewer Line Repair $40 Special Assessments See Engineering Cost of Water Meter See Utility Billing SAC Charge $1675 State Surcharge $ .50 Water Tap See En 'neerin