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PRE 2010 DOCS
City of Fridley, Minn.. BUILDING PERMIT N y 4 s 0 5 Date: ....._.._ "_"� .._ -------------- --- – V .� YK-4 Owner: :. ..... Builder .£ ... ....- _. .... w Address ..... -............. _........... _...... Address , OCATION OF....WILDING - No. ..._ . S ._ ...'..: -.. ...::... :._4......... Parte Lot_.._.._..._...:_..._.._...._...._.._----.._.............___ Lot ..... _........ Block ..... _.. �:..--------................. ddition or Sub -Di ' 'ons ... rl_ ;. ..... Corner Lot .......................... _........ Inside Lot ... ............. Setback .......... !.....v .... ......... Sideyard .... '- .... �' _ � , Sewer Elevation....._............._............._............._......._.................._................._.... Foundation Elevation DESCRIPTION OF BUILDING To beUsed as - .7 s , Front _. De th O' - Height ... q. _ a Cu. Ft. .. ..._ .. ._, Fro .. Depth .... — Height ..�..,.._.. Sq. Ft. ••°r.. Cu. Ft.._°..!!.. Type of onstruction il?....:..: Est. Cost::..- ........_.. To be Completed .................... ............ .._................. 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. .,........... _.._.._ .......... y In consideration of the payment of a fee of $.424$!.0 .; ....... 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 within the city limits and this permit may be revoked at any time ups violatio of any of the provisions of said ordinances. "ell-, ll iv, . ::.. 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 Address APPLICATION FOR BUILDING PEMUT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING No. Street �J��� . _ Part of Lot Lot Block Addition or Sub,,Div.-,VW5A9A&e& Corner Lot Inside Lot Lset Back Ye2.' Side -Yard %90 J-3=9: 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: Front 0 ,e Depth Height Sq. Ft. 1:5r7a Cu. Ft. ;1U. L4M Front Depth Height Sq. Ft. Cu. Ft, Type of Construction � Esti'ma.ted Cost To be completed ..� /s7 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 - l the facts and representa- tions stated In this application are true and cor DATE (A S4hedule of Fee costs can be found on to Reverse aide,) 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-,7or--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, iIare- 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 similar 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 or for each such building or addition.. Ninety Cents for each one thousand 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 uniform height 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 Dollars ($500.00)0 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 $1+.00. 3 City of Fridley Application fcrr Pimn ing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures 1 a La V1 X O r+�� v -S 8 Zy ii 5Q °d w Z O • F & N WATER HTR. GAS ELEC. Base 1st i 2nd 3rd 4th _ • Future Connection Openings I New Fixture, Old Openings Connected with Sewer E] Cesspool F1 PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ L3 5-o Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ..... ...................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 2-60 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... 1 x $1.50 $•'9 O Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Dept. of Bldgs. Phone SII 4-7470 Location--------/ Y S o City of Fridley: 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 representations stated in this application are true and correct. Fridley, Minn ��'^-� 19 -'Lo Owner - _ . 19— Kind of Building''rr^��i, ��DD 19— Used as ��— To be completed about _ Estimated Cost, $ 11S0 Old—New. Building Permit No Signed Business Phone No Lei- 7 7 Y ®,- Description................................................$ TOTAL PEE $ Bl 0 4ewil POST IM -12-58 IApplication for Power Plants and Heating, Cooling, Ventilation. Rehigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 NGRAVITY WARM AIR: RATE TOTAL Locat-o a� Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ City of Fridley: Repairs &Alterations up to $500.00 ............. .... 5.00 $ 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 Repairs & Alterations each add. $500.00 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS F'ITTIN'G PEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU .......... , x 2.00 $ AIR CONDITIONING FAN BEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS iiEMARKS: See Fee Schedule $ $ TOTAL FEE $ Owner / I /(:eZ z' Kind of Building Used as To be completed about 195- 195- 195- 08 Estimated Cost, $ V �w.,Bifflding Permit No. - /C DESCRIPTION OF WORK HEATING o -� ex�9 arm Air—No / � � Trade Name � Size No'Z "f12 Capacity Sq. Ft. E.D. D©® BTU H.P. Total Connected Loa 4e' y' Kind of Fu BURNER — Trade Nam Size No Z e-� ' -/0— Capacity— `0Capacity Sq. Ft. E.D.R 09' BTU H.P. 1 / GEO. SEDG CK HTG. & AIR-COND. CO 1001 Xenia Av. S. Minneapolis 16, Minn. Sign - By r i 11 POST 1M-12-58 Business Phone o � � 4 � Y i V® �F�MY�� V'�� t� I • _ Ddb �s HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide WindowsI Door's Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Yes—No 19— irr!"% _ &1 Room I Length ckt. Width t7. Height Q% II FL cs,eil ci I Room I Length 14 Width I I Height � Windows and Doors—Crackage and Area tcoom 1 Lengtn Width Height No. of Lineal f Area No. of one of pane lights of crack sq. ft. 1 Aj nelgnt Windows and Doors—Crackage and Area — N Coef. Btu Infiltration Glass Coef. Exp. wall Coef. Net exp. wall Int. wall Infiltration Ceiling Coef. Floor Infiltration Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ri. tcoom 1 Lengtn wlatn 1 Aj nelgnt Windows and Doors—Crackage and Area — N Coef. Btu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. lz Coef. Btu Infiltration 39M Coef. Btu Infiltration % Glass Floor (� Glass SO 1600 Exp. wall Int. wall Exp. wall `ze WtA, Ceiling Net exp. wall Int. wall Net exp. wall t S� I Q 1 103<' Int. wall Ceiling Floor 1 Floor Yj Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area t F1.1 i f .. `fir a 1 Room I Length Q Width `7 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �®ba — N Coef. Btu Infiltration Coef. Btu Coef. Btu Infiltration 39M Glass Exp. wall Int. wall � " % Glass Floor -b SO 1600 Exp. wall Int. wall Ceiling Net exp. wall Int. wall ;Z Floor q ISi z Ceiling Floor 1 1 Yj Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area t Ff I i ._ . _p I .. P Room 1 Length ,L-7 Width n Height ijk Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �®ba — N Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall 38 39M Glass Exp. wall Int. wall � " 60 Net exp. wall Floor Net exp. wall Int. wall C Int. wall Ceiling Ceiling Floor ;Z Floor Total Btu. ' Required sq. ft. E.D.R. or sq. itis. W.A. Leader area Height %k -2. MJ .l Ronm I Length G' Width < Height4A Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. t Coef. Btu Infiltration K ASS Glassy ®. Exp. wall 38 Net exp. wall Int. wall So A 0(!) Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration 38 Glass So A 0(!) Exp. wall Net exp. wall C Int. wall Ceiling Floor �^ Total Btu. sq. ft. E.D.R. or sq. ins. W.A. Leader area D•36 79 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H. V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No I Yes—No 19— _ Room l Length iii.. Width G Heiaht Ca II Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Height Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 316 �. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. AJ Coef. Btu Infiltration 1369 Glass %120 Exp. wall %S X a 0 Net exp. wall a Int. wall -1-1-0 Ceiling 14 Ic Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area r1.I ft -W % Room I Length Width Height Windows and Doors—Crackage and Area 316 �. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. AJ Coefl Btu Infiltration Coef. Btu Infiltration Z Glass a 0 Exp. wall Net exp. wall y -1-1-0 Int. wall Ceiling I%K L CA, Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Room I Length t L Width 0 . Height C. Windows and Doors—Crackage and Area Width Height I No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 316 �. Coefl Btu Infiltration Glass , Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley susJEcr� PERMIT 1466 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 4/27/78 JOB ADDRESS 1450 Trollhagen Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 3 XXXXX Innsbruck 2nd Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Thomas Dietz 1450 Trollhagen Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Norm Larson 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 E� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 10' Addition to Dwelling and a 23' x 21' Deck 9 CHANGE OF USE FROM TO STIPULATIONS provide roof pitch and covering detail by May 10, 1978. Provide verifying survey of lot by June 6, 1978. Variance granted 7/19/77. \.--" � m SEPSIATE PERMITS RE ARHI G REQ IR`ED FOR WIRIlvGe Before digging c8II 10CM utilities HEATING, OLUMBf�G AN SIGNS. TELEPHGNIE - ELECTRIC - GAS Etc, REQ01RED By LAVA/ SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 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 $8,000 $4.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $8.00 PLAN CHECK FEE TOTALFEE $14.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) HEN P OP L�LlED THIS IS YOUR PERMIT LDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDE (DATE) Address: ILI�—o No. L% 5�0 LOT: CORNER LOT: CITY OF FRIDLEY 'PLICATION FOR RESH)ENTIAL BUJI_DING PERMITS (NL' -W, ALTERATIONS,, ADDITIONS, OR REPAIRS) BUILD13R: Address: Tel. Ido .=� Street: BLOCK: J ADDITION : V'– —g' INSIDE LOT: SETBACK: SIDEYARDS Applicant attach 'to this form T<oo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: 1® Depth: © Height: Square Feet: Cubic Feet: J2� Front: Depth: Height: Square Feet: Cubic Feet: 0 Type of Construction: Estimated Cost: $ d0 To Be Completed: �j -- /- Alt. A Alt. H Pr®posed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of L'uildings, and hereby declares that all the facts and representations st ed in this application are true and correct. See reverse side for additio a information. DATE: �6 /� SIGNATURE: Stipulations: , � : v E- ( ; f, ® amu, e'J iia, &PAO-'L'�4 Jpw a 411ct' 6 BUILDING PERMIT FEE SCHEDULE N 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 appiic.ant for. such permit of fees to the wtiount herein below set forth and in the manner herein provided to -wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $14.50 Alternate B: Removal and replacement of concrete curb and.. gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $17.20 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 $7.50 plus $.50 state surcharge. 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 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. CERTIFICATE OF OCCUPANCY "..'k Application fora Certificate of Occupancy shall be made ten'(10'y days prior to the use or occupancy of an structure for which a building p y y g pexinit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. 01 SUBJECT PERM of Fridley 20182 AT THE TOP OF THE TWINS BUILDING PERMIT _ rpCity • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. '•1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/30/89 JOB ADDRESS 1450 Trollhagen Drive N.E. I LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 3 Innsbruck 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dick Brandt 1450. Trollhagen Drive N.E. 572-0592 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Avenue N.E., Fridley 784-7543 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 IR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Tear off.and Reroof Dwelling (25 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS On all neve roofs or fear -offs and replacement roofs, State epode requires that 2 layers of 15 lb, telt, mopped together, be installed' to a point, 24 iq heg asp trorll exterior wan lirFe, or the rase of other endertaymvnt he t rnerrar 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 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 $1,250 $.63 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 PRO ONS DF ANY OTHER STATE OR LOCAL LAW REGULATING CON. 31„OO ST CT NOR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE nxl, j $,31.63 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN E HIS IS YOUR PERMIT r PhOERaYV p DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI 01 NEW [ ] ADEN [ ] ALTER [ ] R-1 AND R-2 Building Permit Application Effective 5/1/88 construction Address: �✓ Z)` Legal Description: Owner Name & : /�.�'���` Tel. Contractor: I Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. I&I W; aVF •i� o) I�I:�;..�/;n„1 X1.1 LINING AREA: length Width Height Sq. Ft. GAPJM AREA: length Width Height Sq. Ft. DECK AREA: length Width Hgt/crotuxi Sq. Ft. OTHER: Corner Iat [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: P/) 3�-� 7P—Aee e- Estimated dost: Approx. Ompletion Date: Proposed Driveway Width If New Opening Is Desired: Width + 6' See Hack Page DATE:�� 0 .t APPLICANT: JTel. # Permit Fee $/ State Surcharge $ (Q 3 SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ S'!'IPULATIC NS: cny USE COY Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by E_j n eri ng Agreement NAY [ ] Not Necessary [ ] I The Qiief Building Official shall, before issuing ng 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 a=mt herein below set forth and in the moaner herein provided to -wit: $1 to $500 $15 (Minimum Fee is $15 plus surdarge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction ti=Wf, to arra including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction UM60f, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1, 000 or fraction thereof, to and including $100, 000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1, 000, 000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof EPJNEMY I E I MMON ffiCwp (CMxMete Curb Streets Only) Alternate "A": Removal .and r+eplacem'ant of curb and gutter only - Driveway width plus 6 feet tmes:$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. Permits for Mian will be issued a minim m of 24 hours frcm the time Of application to allow for proper review of the proposed structure and of the i=zwtructicn site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been Constructed will be required before proceeding with the framing. FROM :City of Fridley Building Inspections 763-572-3604 763-502-4977 F DATE— — - SITF, ADDKESS _.— 'I'}TtIS APPLICANT IS: r PAOPTRTY OWNEW TENANT CONTRACTOR SURMIT A COPY OF YOUR STATE LICENSE, BOND AND CERT1hIC:ATE OF INSI MANCE PERMIT TYPE TYPE OF WORK: DETAILED DESCR FRI PFR MS 1613.665 the improvement, installat Labor cost under $300 FOR PROJEC"IS WHERE, NiJMBP.R OF BAC 14 BRI. _HATH SiNKILAV _ BA:I'HTUB _ CLOTHES WASHER DISHWASHER Permit Fee TOTAL UM $15.51 I htreby apply for a p conformance with the not ape�nit but only with the approved pla, SIGNATURE OF APPROVED RY FAX NO. :7635711287 Feb. 15 2008 12:55PM P2 PLUMBING Permit No.:_G RESIDENTIAL APPLICATIOl� Received i3y:�.—••— CITX OF FRIDLEY naSe Recd fri".CTIyE 1.1-03 — _ YOUK E-MAIL ADD IEK •UNTI�4CTOR ,,� � •—. — —.-- — •- F.XF PATE— 'rC L.ICIs'NSF.. # . --.. —. •—..— .— �_ —EXP DATE_— —. TF BONI).—. — .-- •— ' 4 — . am _ STAT►: _ZIP _, )KESS: �:aTTI1 C�®�'iJ'�—�—� . I�GLE FAMILY D •rwo 5 ll NiiOuse ❑ NFW REPLACEMENT ION OF WORK — — — — — — — —. —.— — unit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, far the a or replacement of a residential fixture, excluding the fixtures. {This should reflect only the luss50 sabhaege $15.00. Labor cost between $300 to $500 =cost of labnr — —.._ x .OS _ —• — W OR NOR EXCEEDS $500, FEES' ARF OA.SED ON $10-00 PPR FIXTUR)-„ UXCFPT wHIERE NOTED. FIXTURES: (INDICATETOTAL 0. MiNNuM FEF. st5.50. ' SHOWER _ WATER PIPTNt•i 1-I.DOR DRAINS SHOWER SOTTNER (335) _ GAS PIFTNG (NEPI) CITY LIC) SWIMMING PO01, BACK PLOW PRL•v. ($15) N KITCHEN SINK 'WATER C.I OSt: r -- FOR IRRIGATION WATER FIER'I'ER ($35 LA[INDIZY'I1tAY ) OTHER - - WATER METER — —w— _ ^ Number nr fixtures @510.00 _ x $10.00 - S \ .50 Number of fixture% @ S 15.00 — x $15.00 = $—. $ OR Number of ftxtures a $35.00 _ _ x $35.00 $ — . 50 - State Surcharge = S (MINIMUM $15.50) Total = THIS Ic AN APPLICATION AOR A rERMIT-Ntyr VALID UNTIL MOCES.SFU ombing pennit and i acknowledge that the information above is cotnpictc and accurate; that the: work will be in ,rdlnances told codes of the: City of Fridley and with the Minnesnia Construction C )des; that 1 understand this is n application for a permit and work is not to start without a permit on site; that the work will be in accordance in 1&e c e ' 11 work 'c ~vires review and appro //1of pians. 1 Q� in _ PRINT NAMSIT E City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977