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PRE 2010 DOCSSCALKI I INCH FEWr THE JOHN J. RYAN M. 1802 SELIWAVENUM. grr. PAUL 431"Iy- - PLAT'O.IV game. V'"T S OF PROPERTY OF C s,7z- LOCATION0 AS POI OWS Z�DESCM13FM 01' 7. 4 .1 -Z� A- t L7 ell Ir 4K, --V /7 C CEIVTFICATE OF LOCATION OF BU11ZING CERTIFICATE' OF SURVEY I heieby certify that on —1972 r 1 hereby certify that on this survey, plan, or report was prepared by me or under —19 this survey, plan, or report was prepared by me or ulader my direct supervision and that I am'a duly Registered Land my direct supervision and that I am a duly RiVstere,& Land: ,,-Surveyor under .the I s of the State of Minnesota. Surveyor under the laws of the State of Minnesota., JOHN J. RYAN. REGISTERED SURVEYOR. No. 4489 PAUL J. CRANF— REGISTERED SURVEYOR. No. 44,49 SUBJECT City ®i Fridley ® AT THE TOP OF THE TWINS 12529 BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION t r i SEC. --'1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF - APPROVED BY 612-560-3450 910-F15 5Z7/74 JOB ADDRESS 6451 Taylor Street N.E. 1 LEGAL LOT NO. BLOCK TR ACT OR ADDITION SEE ATTACHED DESCR. 11 Auditor's Subdivision #88 SHEET -F-PROPERTY OWNER ' ' MAIL ADDRESS ZIP PHONE . Michae 1 E. Wieman 6451 Taylor Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK 14 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 181 X 301 Garage 9 CHANGE QF USE FROM TO STIPULATIONS provide a hard surface driveway. FOR WIRING, PERMITS REQUIRED SEPERATE AND SIGNS. OFATING, PLUMBING TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame_ 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 R-1 540 5400 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, 1.43 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,862 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTION OO.i THE PERFORMANCE OF CONSTRUCTION. $10.00 PLAN CHECK FEE TOTAL FEE $11.43 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DAT) WHEN rROJER AT THIS IS YOUR PERM) DG. )NSP DATE SIGNATURE OF OWNER(IF OWNER BUILDER) IDATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: `�% lC�/�%G I/f%%Ct9 i2J BUILDER: S f ff ADDRESS : & G/s/ /<Qr lU . 4C -ADDRESS : NO:. STREET: Z211-4-11 J i fu l: A LOT:_ // BLOCK: ADDITION: -5-ez yeSCQA- _d'o' CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: i 2 �rE�4 e- Front: � Depth: J D Height: �o 1. Square Feet: 3_Y0 Cubic Feet: Front: Depth: Square Feet; Cubic Feet: Height: Type of Construction: (..0 a o8 Estimated Cost: $ ,� To Be Completed:e�7` The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in st-kict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE : � /, / �/ SIGNATURE d (See Reverse Side For Additional Information.) 4(/D; --d / �1-3 /% Z/-3 BUILDING PERMIT FEE SC4iEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION 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 $5.00. 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 Certified 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. 7 Building MECHANICAL permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DAM, 763-502-4977 FAX EFFECTIVE 1-1-2010 �i� ATE ^ ^ t; C% YOUR E-MAIL ADDRESS /` / <' %J <a` t S L SITE ADDRESS ztf e VJt f N S APPLICANT IS: O OWNER OCONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR �s A COMPANY NAME:CA A E & i l . CONTACT PERSON: ®AV o/Q SUBMIT A COPY OF 3 EXP DATE 1-9 - ®® YOUR STATE STATE LICENSE # WITH �,. ®- C ®J,d e� AE STATEAWZIPST, LICENSE ADDg g; ,r/ CITY APPLICATION % FAX Moil- ^ PHONE— - l PERMIT TYPE SINGLE FAMILY O TWO FAMILY O TOWNHOUSE O NEW REPLACEMENT O ALTERATION/REMODEL TYPE OF WORK: DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANU+ 2006 HRAE HANDBOOK �j Equipment Installed MFG: iT I��%/ice MODEL: SIZEBTU MFG: ARto 'S MODEL: SIZEJBTU MFG: MODEL: SIZE/BTU A/C $25.00 (GAS) $15.00 _GAS RANGEIOVEN $10.00 _FIREPLACE TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR _FIREPLACE $35.00 ,,FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER CHIMNEY LINER $10.00 DRYER $10.00 POOL HEATER $35.00 _GAS EDUCT WORK $10 00 GAS PIPING $10 00 VENTILATOR $I S 00 d E fav ��jae ibE r �, F '•'�,^�e�` S fai3s` ,�1 E9 §q 1 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. fl� SIGNATURE OF APPLICANT _ ^ �1"�` PRINT NAMEA(45 C' 7 A' ��M DATE APPROVAL INSPECTORS SIGNATURED ATE _ a .. ........ .. . ... . N e -.- �r .a _ 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 MN Rule 1346 Sec. 501 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments 4. Heat loss & cooling load per room a. MN Rule 1322, Sec. N 1104.4.13 5. Ventilation a. Per MN Rule Chapter 1322. Sec. 1104 6. Duct Design Per IMC 1346.0603.2 a. RCCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. Building PLUMBING Permit No.:'� Inspections RESIDE SALA-PPLIWTION Received By: 763-572-3604 CITY OF FRIDLEY 134@4'00 2 3 70-1 763-502-4977 FAX EFFECTIVE 1-1-2010 ii / E-MAIL ADDRESS M)G 6 l (G (A'77 G M C O DATE Q5I YOUR E-MAILYl h G Ta ed £rl� mN SITE ADDRESS &qSt yIor rIU2 THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME:& IT& IE SUBMIT A COPY OF 7 EXP DATE YOUR STATE STATE LICENSE # -S-70q) r� e� ® (el Z EXP DATE l� ' J LICENSE, BOND AND CERTIFICATE OF STATE BOND # c2 o2 ,e ADDRESS: (L h V4-, /� 10. CITY e_®_® rA" C'- STATE lftArZIP.S . INSURANCE PHONE �5� - % FAX ��t? PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW REPLACEMENT TYPE OF WORK: DETAILED DES�w} TION WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. I BATH SINK/LAV FLOOR DRAINS SHOWER _ WATER PIPING _ GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER y' k WN L E K i A� ✓.f �rE i � ,�. ��T �N ��4 2 � � F 3 P'�'Y� K E � yib''0 C 't W+ �h: �� .•'�54` �,'.Y � f"„�" '. �y1tE wF ' "u' SFpt 3 Y1 zy i^•'." +y�" ,..,r,,. �' .bn V Ts ��SS G 5` y Z ' r C•�s.`i : ✓ c ' � �,z � 'Z�n. -�. • � �.rfn � ,m �,«,;. .,.9� ,i4.H '. E '•. 7'; ,, , k2_ ,h; u$ o 5 a't , -. ...,,, .�. . ;`.. • s. -iii Y r, . , N.0 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. PRINT NAME c� lAfC$"+® !r`(SbATE SIGNATURE OF APPLICANT /'! City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 & 51 1-151 pyla Engineering LOAD LIMIT Department MODIFICATION APPLICATIONPermit No.A'1Cqjb504 763-572-3551 CITY OF FRIDLEY Received By: 763-571-1287 fax EFFECTIVE innolo DateWM MVA2 3 APPLICATION DATE: i 0 A YOUR E-MAIL ADDRESS: —e //I/I'W2 2 THIS APPLICANT IS: ❑ HAULER ❑ PROPERTY OWNER � y I PROPERTY OWNER: D f 16w �!'(f JOB ADDRESS: I MATERIAL TO BE HAULED:_ DATES TO BE HAULED (UP TO 3 DAYS): ` a' I - I C) THIS PERMIT IS ISSUED TO ALLOW AN INCREASE OF AXLE WEIGHT FROM FOUR (4) TONS PER AXEL TO FIVE (5) TONS PER AXEL OVER THE FOLLOWING DESIGNATED ROUTE: 9 �/ weSf % %S nl fo 7z z ®• a X66 lef r Q wh NOTICE: This permit is valid only for vehicles enroute to construction address during the hours of 8:00 am to 5:00 pm. See Resolution #01-2004 and State Statute Section 169.87 PERMIT MUST BE IN VEHICLE WHILE HAULING ON ESTABLISHED ROUTE. NUMBER OF LOADS . $25 per load PERMIT FEE ods THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a load limit modification 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 a City of Fridley. I understand this is not a permit but only an.. application for a permit and hauling on re . e oa is o start ithout a permit. %% � � - SIGNATURE OF P T PRINT NAME d U ��l / S // lP s 16 t TSG !1 DATE o73 APPROVED BY DATE COPIES GIVEN TO: ❑ OLICE ❑ ENGINEERING City of Fridley Engineering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3551 FAX: 763-571-1287 Building �'� �, ��,� BUILDING Permit No. 0o I6 -- 65 Inspections RESiDENTLAL "PLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX EFFECTIVE 1-1-2010 ATE 3-93-4) YOUR E-MAIL ADDRESS %�/%% sem/ �Lrl'!'f/ c, C fo f S }?ilk,/ CG M ITE ADDRESS bg S 1 7 Of a r S r e e+ kk_ Fr, i/T M&) APPLICANT IS: ❑ OWNER EfCONTRACTOR PlkOPERTY OWNER/ NAM TENANT ADDRESS: CIT'. _ STATE X -d ZIP -4 PHONI-- CONTRACTOR NAME: v SUBMfT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: a IP STATES 9� ZIPJ �q INSURANCE PHONEn Q i FAX I'S a • �l L � '" � PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE A ❑ 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 ❑ MAINTENANCE/REPAIR El REMODELING p DESCRIBE WORK BEING DONE: Frt,04Z L Jb S e_+ b 6�cs1 r i ll � ' rr Ee cL r 1 SIZE OF IMPROVEMENT ec" Q � r kJ 2L - 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, SIDING ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑Trim t. and proposed project ❑ Other El 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: y(� SJ'�ING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ N Ul l./ - OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due 2 9-1 See Back Page for Fee Schedule 65% of Building Permit Fee p� .001 times the total job valuation c2 .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2100 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary Make checks 'navable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED Attach 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 work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME �Y/2� ) DATE