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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3932 Date: ........�............. Owner ....................................... Builder .... ..:..... ............... Address ...................................... Address .............................................. LOCATI.7 OF BUILDING r _ No. 49717 . .7 Street ...... PartXof...............Lot . � (,p..... Block .... .......... Addition or Sub-Divisik�yard Corner Lot . ....... Inside Lot ........ Setback .�...... ......................... DESCRIPTION OF BUILDING To Used as • e _ . ..... Front X�� Depth �. ... i Height J F. .0 Sq. Ft. �/. Cu. Ft:V f Front ..... Depth ..... !• Sq. Ft. ........ Cis.. Ft. ........ Type of Construction .................... Flat. Cost. •..... To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed above, I agree do the proposed work in accordance with the description above set forth and inance with all ovis'ions of ordinances of the city of Fridley. X. . .... ` .... ..... ............ In consideration of the payment of a fee of $.rK....., 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. 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. Date: Addres, City of Fridley, Minn. BUILDING PERMIT N® 4653 �) z.� r Builder Address 9 .... .._ f eL CATION N OF BUILDING No.Sheet ....... w.. --- --- �.... .............:......_.............. Part of t .._............. ............... ........ ...�........ .. Lot ....-- -�.... Block ....._.,... _.........-•---. Addition or Su i ion ... ._ _ _ i fM_ .. _ � .. 0 4 Corner Lot .................................... Inside Lot ...... ..................:..........Setback eyard ....._ ............. I ................... ... ....... Sewer Elevation ............... ...................... .---- --- -------- ------------- ---- .............._.... Foundation rElevation........... ....................... _................ ............. DESCRIPTION OF BUILDING To;�e Uses: ...._.tt ......... Front ....." Depth .. -- Height ,f. &.._;. Sq. Ft.. __ Cu. Ft.. - .................- ......................... Front_.. Depth H fight Sq. Ft. ..... _................. Cu. Ft......... --------- _.. Type of Construction ...... .......... Est. Co y ,..... To be Completed .................... ............................. C ;.LITI N THIS PERi,flT DOE.; NOT AUTHORIZE VIOLAT. ION OF ANY PRIVA- `L LAND COVENANTS AND SUIWING RESTRICTIONS. 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 set forth and in compliance with all provisions of ordinances of the city of Fridley. . ............ In consideration of the payment of a fee of __:'......:.., 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, shallconform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenanc_ pair and moving of buildings within the city limits and this permit may be revoked at any tim�aony viplatio of any of the provisions of said ordinances. ,�' ,�./,��,dt _.._ Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 Owners N Address APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING No. Street Part of Lot p Lot Block .. Addition or Sub.Div. Corner Lot inside Lot Set Back Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: C112,�, Front 2 Depth'"" Height, Sq. Ft. � «Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated in this application are true and correct. DATE, % _ SIGNATURE 01 (A Schedule of Fee costs can be found on the Reverse Side.) BUILDING PERMIT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, 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: 2.1. For any such permit for the erection of any fire -proof building, other than a garage, warehouse, factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fireproof garage, ware house, factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non - fireproof addition, for'simi.lar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non. -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non - fireproof addition, for similar occupancy, to any existing building for each such building or addition. Ninety Cents for each one thous n7d cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits the cubical contents of any building or addition to a uniformheight throughout by multiplying the ground area covered from a point six. (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 for each Five Hundred Dollarp ($500.00), or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. .. . CITY OF FRIDLEY 63-84-h16051 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer ALL OTHERS AND/OR REPAIRS AND ALTERATIONS $ 5. OU $ 3.50 S 1.50 S 4.00 $ 5.00 $ 5.00 S 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 TOTAL Effective Aug. 1, 1981 Job Address 6299 Trinity Drive Department of Buildings 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, Mn. 7-9-82 , 19 OWNER RIND OF BUILDING frame USED AS res TO BE COMPLETED ABOUT 7-16-82 ESTIMATED 'COST 50.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date Company j Signed By Tel. No. FINAL INSP. O - 2-49 j Date APPROVAL FOR PERMIT �w r4A 18 of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ INIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 ($15.00) TOTAL FEE $ 10 0 grit PLUS THE $.50 STATE SURCHARGE M >, m u m Water � m V ►+ p, a W Heater a �m0 W o +fro�y A V1 g r�tl 1 3 to U .7N iq t�A 3 W W U IA t7 t7 O s lec Bans - 1st ri 1 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer ALL OTHERS AND/OR REPAIRS AND ALTERATIONS $ 5. OU $ 3.50 S 1.50 S 4.00 $ 5.00 $ 5.00 S 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 TOTAL Effective Aug. 1, 1981 Job Address 6299 Trinity Drive Department of Buildings 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, Mn. 7-9-82 , 19 OWNER RIND OF BUILDING frame USED AS res TO BE COMPLETED ABOUT 7-16-82 ESTIMATED 'COST 50.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date Company j Signed By Tel. No. FINAL INSP. O - 2-49 j Date APPROVAL FOR PERMIT �w r4A 18 of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ INIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 ($15.00) TOTAL FEE $ 10 0 grit PLUS THE $.50 STATE SURCHARGE SUBJECT PER City of Fridley 18084 AT THE TOP OF THE TWINS BUILDING PERMIT R O. Ir? Ly ______ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 6/24/85 JOB ADDRESS 6299 Trinity Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26 2 1Van Fulls Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walter Shu ien 6299. Trinity Drive N.E. 571-7998 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Inc. 2309 Snellincr South. ls., MN 55404 721-6628 -Panelcraft 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION? REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside with aluminum siding and aluminum trim. Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS RoofAW can be 2nd layer but not 3rd. Install ridged galvanized valleys, 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 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 $7,000 $3.50 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 S TE R LO L LAW REGULATING CON- $62.50. ST CTION OR THE PERFO A OFC STRUCTION. PLAN CHECK FEE TOTALFEE •WHEN $66.00 A DNTRACTORORAUTHORIZEDAGENT (0 EI PROPERLY ALIDATED HIS IS YOUR PERMIT BLDG INSP SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. Building Permit Application Construction Address: Legal Description Owner Name & Contractor T- �R�O��v Tus�: Tel. # �219� Tel. # 7 07 Address: ,-S '�� 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback /moi e ��'°s�e�6r� S�/A�P� Estimated Cost: $ Type of Construction: Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: DATE: 4 �'�'L �/ Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Alt. A Alt B $ $ See Back Page for Explanation A APPLICANT. Tel. # / �I //TY USE ONLY $ Sz Fee Schedule on Reverse Side $ 25$ of Building Permit Fee $ $.50/$1,000 Valuation $ $425 per SAC Unit $ 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 Valuation $1.00 to $500.00 $501.00 to $2,000.00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 $50,001.00 to $100,000.00 $100,001.00 and up Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $170.50 for the first additional $1,000 or including $50,000. $283.00 for the first additional $1,000 or including $100,000. $25,000 plus $4.50 for each fraction thereof, to and $50,000 plus $3.00 for each fraction thereof, to and $433.00 for the first $100,000 plus $2.50 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, shoving the location of the foundation once it has been constructed will be required before proceeding with the framing. SUBJECT City of Fridley T AT THE TOP OF THE TWINS BUILDING PERMIT r REC 1 v ______ COMMUNITY DEVELOPMENT DIV. r t PROTECTIVE INSPECTION SEC. t � � I CITY HALL FRIDLEY 55432 ,`j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/19/85 JOB ADDRESS 6299 Trinity Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 26 2 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walter Shupien 6299 Trinity Drive N.E. 3 CONTRACTOR MAIL ADDRESS ' ZIP PHONE LICENSE NO. Panelcraft Inc. 2309 Snelling South., Nlpls., 55404 7216628 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 p ❑ NEW % ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 12' x 22` Addition to Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3F200 $ 1.60 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S R TION OR THE PERFOR E CON TRUCTION. $44.50 `' LAN CHECK FEE TOTAL FEE �° $46.10 NATUR �RACTORORAUTHOR12EDAGENT (DATE) WHEN PROPERLY ALIDATED THIS IS YOUR PER IT BLDG )NSP TE SiGNA URE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: �ik�Ti Legal Description: Owner Name Contractor Address 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 I'L- Width 27L-- Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: W)d Valli Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ 72>10 C) Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: / lf Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge 0 i STIPULATIONS: APPLICANT! Tel. C Y USE ONLY $ Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ �� ; $,.50/$1,000 Valuation $ $48 per SAC Unit $ Fee Determined by Engineering ►I� Agreement Necessary [ ] Not Necessary [ ] P /IN 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 valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 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 been constructed will be required before proceeding with the framing. SUBJECT P City of Fridley 30047 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 35432 NUMBER REV DATE PAGE OF APPROVED BY II 612-571-3450 910-F15 I 8/12/99 JOB ADDRESS 6299 Trinity Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26 2 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walter Shupien 571-7998 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of MN 3118 Snelling Ave S Mpls MN 55406 721-6628 2179 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 ❑ ADDITION ❑ ALTERATION N REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 28 S Tear -off: Reside; r' 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. 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 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6130 $4.28 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- TRUCTION OR THE PERFORMANCE OF CONSTRUCTION $167.25 + $167.25IF Fire SC 8.58 iey/,n 6W PLAN CHECK FEE TOTAL FEE License $5.00 2.36 SIGNATURE FCON 'RaCTORO AUTHORIZED AGENT iDATEi N OPE ALIDAT HIS IS Y PE T S,GNATUR E OF OWNEROf OWNER BU4.DERi iOArE, BIOG iNSP DatE i'1 Liv " I r,1 ADDN II nI. rElt I I isti-uctionAddress: CITY OF I-RIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R - Building Permit Application 1si1cCllve 1/1/94 # a.999� �s Legal Description: _ _ Dr ��/- 7% %�! . Owner Naine & Address: h%Gt Iles- ice _ sSqa— Tel. // Contractor: C,�c ``� o�� -� MN LICENSE // --Z/ 7 19__— -- Address: -3/1,r Sire //� S- ��/�� 55Ydlo Tel. // 6v; �e) a -fit .;2_'7,ff LIVING AREA: 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. GARAGE AREA: Length Width Height Sq..Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot Inside Lot Ft. Yd Setback Side Yard Setbacks — Estimated Cost: $l� Tvne of Construction: ��s�• _ �� :ox. Completion Date: (Cost on .Back) Driveway Curl) Cut Width Needed: Ft. -I- G Ft = I -t x $ _ _ $ _ DATE: 94' APPLICANT: 6Tel. // t, 'In )< CITY USE ONLY Permit Fee Fire Surcharge $ I,ee Schedule on Reverse Side .001 of Permit Valuation (1/1 $ State Surcharge $L� _, o(o $.50/$1,000 Valuation SAC Charge $_.__. $800 per SAC Unit ! 5 -- License Surcharge $_� $5.00 (State Licensed Resid S-110 Ao%.,�((`� Driveway Escrow $_ __ Alt. "A" or Alt. "I3" Abov,''?y� � 8 Erosion Control $ $450.00 Conservation Plar0 Park Fee $ _ Fee Determined by Engineu..._�aSa?.,, . Sewer Main Charge __-- $ -- _-;-------- Agreement Necessary (( Not Necessary I .'OTAL STIPULATIOI` Building BUI LDING Permit No.: _ Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE�] YOUR E-MAIL ADDRESS "� , SITE ADDRESS O.Iq —t _ t FI V) , +XA -) i I t THIS APPLICANT IS: 0 O OCONTR.ACTOR PROPERTY OWNER/ NAME: i' TENANT ADDRESS:_ `�� CITY STATE—ZIP PHONE:-7tg2 CONTRACTOR NAME:_ The Home Depot A.H.S. Inc. SUBMIT A COPY OF 'TATE LIC 3200 Cobb Galleria Pkwy. YOUR STATE LICENSE ADDRESS: Atlanta, GA 30339 CITY STATE—ZIP WITH APPLICATION PHONE 763-542-8826 o Twa License #20268257 PROPERTY TYPE A _.oR�s PERMIT TYPE ❑ADDITION 0 GARAGE/SHED 0 WINDOWS 0 BASEMENT FINISH 0 ROOF 0 DRAIN TILE 0 DECK 0 SIDING 0 OTHER 0 SWRVMGNG POOL TYPE OF WORK: ❑ NEW 0 ADDITION ❑ MAINIM4ANCEIREPAIR 0 REMODELING DESCRIBE WORK BEING DONE. I SIZE OF IMPROVEMENT LENGTH WIDTH IIEIGHTU V S9. F ROOFING 0 HOUSE ONLY NUMBER OF SQUARES 0 HOUSE & GARAGE BASEMENT REMODELING SUBMrr: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: 0 DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, 0 vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: 0 Aluminum 0 Trim I. Site Plan/Survey showing the existing structures 0 Other 0 Fascia and proposed project. WENDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS 3. Energy Calculations 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Surcharge Eire Surcharge License Surcharge SAC Charge -urb Cut Escrow 3,rosion Control ?ark Fee >ewer Main Charge Cotal Due $ See Back Page for Fee Schedule _$ 65% of Building Permit Fee $ _ (.0005) times the total job valuation — Minimum $.50 $ .001 x Permit Valuation (1/10%) $ f5 -l $5.00 (State Licensed Residential Contractors) $ $1450 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$20=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering - �$ Agreement necessary ( ) Non Necessary ( ) — Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED 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 >ermit 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 )Ian in the case of all work which requires review and- approval ofplans. TGNATURE OF APPLICANT PRINT NAME DA Em Building gqj;/ 1V11L(:R"IUAL - ecei_.... Inspection RESIDENTIAL APPLICATION Received By: �U 7.63-572-3604 DLEY Date Rec'd: CITY OF FRI -�`-®YOUR E-MAIL ADDRESS =MDRESi< V THIS APPLICANT IS: O OWNER jJCONTRACTOR PROPERTY OWNER/ADDRESS: NAME; C `U ' flwi e- C: -T-r k n i SS = CITY r , �I STATE ftftP � TENANT PHONE: _16_6 ` se'1 1 _ �q9 -- CONTRACTOR CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY SUBMIT A COPY OF CONTACT PERSON: JOS 2TNKEN YOUR STATE LICENSE WrM STATE LICENSE # EXP DATE ADDRESS: 13562 CENTRAL AVE NE CITY ANOKA STATE ffi�ZIP 55304 APPLICATION PHONE 763757--6202 FAX 763-757-6701 PERMH TYPE q ,SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK lf R- e- d -0- an PER MS 16B.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) i �� j (�,(�(j(Q® SIZF•lBTU �O Equipment Installed MFG: f MODEL: --„— �E MFG; r' e MODEL: C!3 SIZEIBTU — MFG: MODEL: SIZEBTU 1 A/C $25.00_FIREPLACE (GAS) $15.00 —GAS RANGE/OVEN $10.00 NEW GAS GRILL $10.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 BOILER $35.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 $15.00 _DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR -- Permit Fee $ Number of fixtures @ $10-00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $25.00 1 x $25.00 = $_a5_1 _00 TOTAL DUE $ Number of fixtures @ $35.00 t x $35.00 = $ State Surcharge = $ .50 Total = $ (DO - SiO 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 workwhich requires review and approval of plans. SIGNATURE OFAPPLIC @� `� PRINTNAME ROGER HOFFHEIN DATE Q '- X10 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 9r 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 PropanoUGC 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 REQUIRED 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 TMC 1346.0603.2 .a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations