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PRE 2010 DOCSI BUILDING PERMIT ' N° 2025 Village of Fridley, Minn. f Date SII . Owner'.. s :,.... Builder; .............. . .............. ........ .. Address........................ Address ......... .. ........................ LOCATION OF BUILDING No. Street ..... .. .... .. .... (.!L!c�x-r! I ... Part; of Lot ....................... Lot ...... ".. I ' . Block ... �- ..... Addition or Sub -Division 42 Corner Lot ... ... Inside Lot ..A :...... Setback - - r I Sideyard .. .� "`.... DESCRIPTION OF BUILDING To be Used as: 4'.111ki t ;, . Front ..i ".. Depth , "` . Height ... Sq. Ft......... Cu. Ft........ . .. .... Front Depth . Height , Sqi Ft. ... Cu. Ft. ........ Type of Constxucti n '2-- ;. Est Cost .. .. ...... �....... To be Completed . s:- -� • Alze- ay ii i 'i i u iy In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work accordance with the description above set forth and in compliance with all provisions of ordinances of the lage of Fridley. ._ El�c c In consideraticiii of the payment of a fee of $. ..`' 'permit is hereby granted to ;ii m! to construct the building or addition as described above. This pert is granted upon the•express conditi n that the person to whom it is granted and his agents, employees ,and workmen, in all work done in, around and Fridley, Minnesota i,liregarding upon said building, or any part thereof, shall conform in all respects to the ordinances of in the village limits; location, construction, alteration, maintenance, repair and moving of buildings with- and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation or alteration,for wiring, plumbing, gas heating, sewer or water. i' Be sure to see the Building Inspector for separate permits for these items. II ,, City of Frichey, Mm. N? 10088 EUH DING PERMIT ... Owner: Builder Warren Osborne Address Address 756P; 7-n i vansi-ty LOCATION OF BUILDING N(x 751 Street TJnivassitu Part of Lot Lot —42-- Block 2 Addition or Sub -Division Os1aoxne -- Comer Lot — Inside Lot — X Setback 43.01 —._ Sideyard 101 141 Sewer Elevation _____ 859.84 862.84 'Pop of 'Won+..i ng DESCRIPTION OF BUILDING To be Used as: T)wP j I i ng Front 23! Depth , 411 Height 2 61 Sq. Ft. 182 5 Ca. Ft 26.x.!! gage Front 26 ! _ Depth _24 2 ._ Height 101 _ Sq. Ft 6242 cu. Ft 6 .240_ Type of Construction ......I..rsme__ _.. __ Est Cost _$2"O____ To be Completed SEWER LOCATION: 491 North of Manhole WATER LOCATION: 391 North of Manhole G 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 se forth and in co pliance with all provisions of ordinances of the city of Fridley. $140.00 Sewer Connection Char, -e In consideration of the payment of a fee of $ 41,01— , permit is hereby granted tom rA n Osborn P 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 upon. violation of any of the provisions of said ordinances /,, 74Avr t1l Building MoWr NOTICE: This permit does not cover the construction, Installation for wfdng, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permhs for theta items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LI"�, M� ADDRESS ADDRESS YiLCv �E 2LW2 ° x cizrr LOCATION OF BUILDING NO . !�KSTREET LOT ?� BLOCK ADDITION OR SUBDIVISION C010M LOT INSIDE LOT_��SETBACK > SIDEYARD— / SEWER ELEVATION TOP OF FOOTING Applioant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on thes3 Certificates. DESCRIPTION OF BUILDING To Be Used As: levey, Front;` Depth ® Height Square feet 110 -2 � Cubic Feet �Front= Depth Height— 6 Square feet _ U, Cubic Feet J, Type of Construction Estimated Cost��T d�-r •� 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 of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and L�..dresertations stated in this application are true and corrects DATE (� �i SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side.) 1 r 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 structure or building, 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 - $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.50 for each one thousand cubic feet. 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 the 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. 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 lees than $5.00. NSSSD Connection Charges based on location - Area 1 or 2. d Cstyy Of Fridley AppikMaN fw MmMol and Qu RM" pemb Dept. of Bldgm. Phone SM -S DESCRIPTION OF WORK Plumber. Kind and Location of Fixtures PARTIAL RATE SCHEDULE FLUIMING FIXTURE RATES: ygyg�� TOTAL Number Fixtures ...... ...... x $2.00 ® $ o Future Fixture Opening ..... ... ...... � �gj ii yy 5 �$.i y $ • • N WATER HTR. GAS EIEC. Base 4l x $3,00 dP ® D New Ground Run Old Bldg. ......... x $3.25 $ Electric Water Heater : $2.00 $ GAB FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... ................... x $2.00 lot Additional Fixtures . .......... . ....... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 2nd 3rd -- 4th Future Connection Openings Connected wfih Now Fixture, Old Openingssewer I Cesspool ❑ PARTIAL RATE SCHEDULE FLUIMING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... ...... x $2.00 ® $ o Future Fixture Opening ..... ... ...... x $1.50 $ New Fixture Old Opening ..... . .. x $1.50 $ Catch Basin ... ... I ........... x $3.25 $ Water Heater (Up to 99,000 BTU) ......--L x $3,00 $ ® D New Ground Run Old Bldg. ......... x $3.25 $ Electric Water Heater : $2.00 $ GAB FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... ................... x $2.00 Additional Fixtures . .......... . ....... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ -if, Description ..............................................$ TOTAL FEE r M City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this applicatio are true and correct. (� Fri ey, Minn Owner Kind of Building E Used as To be completed about Estimate Old New l� 17 . iz Of Signe By `ems Business Phone No ROUGH FINAL' N° y4869 Original Permit for PLUMBING AND GAS FMING� � 4z- N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., DESCREMON OF WORK Number, Kind and Location of Fixtures to City of Fridley �%` ,19 Stories to K W iW- 0 'Q J 3 U W Q Z C _... -a.rP m d 7 m I. 2 is d M x Z N t U m 4 d a F Y Z Z a a 0 o LL a w O I y 0: 0 Q J K LL O 2 z F m d d U M �y z a d 0 ¢ J �_ K i Ii o a d d O d W 0 Z d d t9 a WATER HTR. GAS ELEC. Basement 1st 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for -5 Openings .Permission is hereby granted `'- �6 to do the plumbing and gas fitting in the building described in the sta ement herattached, upon the express condition that the person to whom this permit is granted, and his agents.,mployees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Inspector. Final Inspection Date Inspector. u� 42 9@9-6.63_v MM -110- � f .location � Kind of Building Used as To be Completed ,19— Estimated Cost $ Old- em. Building Permit No., / ®� Bate Inspector of Buildings. C Application for Pourer Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 • $ Repairs & Alterations each add. $500.00 ............... 3.00 $ NECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............$10.00 $ /6 each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ..................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule $ TOTAL FEE 3 • t - -V Dept. of Bldgs. Phone 560-3450 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 -2 19 Owner Kind of Building�,z C� Used as To be completed about Estimated Cost, $ 7 vzi • Lr -C) Old—New. Building Permit No. Permit No. "I V5 � DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size No. Capacity/Sq. Ft. E.D.R ,��'�BTU H.P. Total Connected Load 1 7 0 Rind of Fuel BURNER — Trade Name Size No Capacity. Sq. Ft. E.D.R I BTU H.P. (REMARKS -OVER) By COID.42 Business Phone No- 2 O- c% — Ss HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTIONS MINNEAPOLIS, Weatherstrips A.S.H.V.E. Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied —Yes—No Yes—No 19 1 :L — F1.1 L i a j'# a Room I Lenath 1 al, Width 0 IJ Height % II Fl.1 Room I Length f L Width Height Windows and Doors—Crackage and Area 4 Room I Length I I Width Width Height No. of Lineal ft. Area No. of pane of pane lights of crack aq. ft. 6'f 11 z� 'I Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Btu -LCoef.1 Infiltration 75 3 F 1 '2-` Glass „ L% 21k Exp. wall q? r Exp. wall3,,u Net exp. wall :i 5 &, Exp. wall n3 ,. �. Net exp. wall Int. wall lqp 16 42 r Ceiling C Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Windows and Doors—Crackage and Area 4 Room I Length I I Width Width Height No. of Lineal ft. Area of pane of pane lights ofcracksq. ft. �No. 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 Btu JL Glass Btu Infiltration „ L% 21k Exp. wall q? r Glass Net exp. wall :i 5 &, Exp. wall n3 ,. �. Int. wall Ceiling /,77 r Floor Floor /- 11 Total Btu. F1.1 � , N I N 4 Room I Length I I Width 1 0 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 Coef. Btu Infiltration „ L% 21k Glass Glass ; :i 5 &, Exp. wall Exp. wall Net exp. wall Net exp. wall Int. wall Ceiling I !b Floor Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 0 Fl.l Room I Length it// Width ,'fi'� Height �° Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of panne lights ofcracksq. ft. Coef. Btu Infiltration „ L% 21k Glass ; :i 5 &, Exp. wall Net exp. wall q Int. wall Ceiling Floor Total Btu. 1.5. y H%- Total Btu. I I I yAp` �1 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. iris.VA. _Leader area Inspectors notes: I MR Permit Fee $............................ APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT No. P ................ Dateof issuance ....................................................... 196...... Location .................................. ............ Minneapolis, Minn ................................................. 196 ------ Inspector of Buildings The undersigned hereby makes application for a permit for the installation, alteration or repair of a hcating, air conditioning or ventilating system, device or equip-ment, as herein specified, agreeing to do all such u+ork in strict accordance with the City Ordinances and rulings of the Department of Inspections and the specifications set forth in this application mg. approved and filed in the Department of Inspections. Owner-----------------------------------------------------------------------------------------Iddrem of Owner....------ ------------------ - Kindof Building•-•-•------------------------•--•------........................--How occupied ..................................................... Work to be started --------------------------------------------------- 196 ...... Work to be completed ........................................ 196...... Estimated Cost$............................................................... Old — Neu, Building Permit Xo...................... ...-- DESCRIPTION OF WORK Note: insert the word install, add, alter, or repair, according to which is to be done. Under "Remarks," itemize removals, If any, and alterations to equipment. ------------------------------------------------Mechanical Warm Air Heating Plants—Furnaces•--------------•-----------------................................. Make-------------------------------------------------------------------------------------------------------------- Size ................................................ Connectedload-------------------------------------------------------------------------------------------Capacity ............................. Air Conditioning System: Summer — Winter — .Rll rear; ------------------------------------- ---------------- Make ------------------------------------------------------------------------------------------ -------------. Make------------------------------------------------------------------------------------------ --Capacity ------------------ ------------------- C)sm•-------------------------------- ------------------------------------------------------------------------------------------------------ ----------------------------------------------------------------------------------------------------- VentilatingSystem:Make ------------------------------------------------------------------ Capacity -------------------------------Cfm ............................... Explanation of work to be done: ..................... Plans with permit (yes) (no) ... ......... ................................................................................................................ -............................................................................. -----------------------------------------------------------------------------------------------------------------•------............................................. ---------- ......................... .-----•---•---•-•.................................................................................... ..•-----------------•------------.......------•-----..._..........--•---------...-----•-----------•-- Signed-----------•------------------------------------------------•--------------------------- .Rpproved--------------------------------------------------------------------- 196---... ..---------•----.......................... Inspector. By------------------------------------------- .I ddress-------------------------------------------------------------------------- .............e .. .............................--•---------.......................................... D-20 . ... Telephone------------------------- ------------------------------------ HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTIONS bHNNEAPOL.IS, MINN. Weatherstrips A.S.H.V.E, s Construction No. �11:,5i Insulation Glass Guide Btu Infiltration` 6) Exp. wall Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No I Yes—No 19— P� ; 2- 2, Int. wall . Ceiling '� Fl.Room I Length Width Height FIT A Room I Length Width Height r 7() Floor Windows a d Doors—Crackage and Area Ceiling width A. Height No. of ' Lineal ft. Area No. of Wane of Wane lights of crack ft. \ Windows and Doors—Crackage and Area Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Btu Infiltration s �11:,5i Glass Coef. Btu Infiltration` 6) Exp. wall Glass c t L l Li;.L ; Glass Net exp. wall 0 10 Exp. wall P� ; 2- 2, Int. wall . Ceiling Ceiling Net exp. Wall Int. wall Floor `'3Z- r 7() Floor Ceiling J Floor Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 31 FI -1 - j Room I Length / ;�7- Total Btu. I E ` (- Required Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room I Length 1.,5- Width 1 7— Height 1;" Windows and Doors--Crackage and Area Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. it. Btu Infiltration s �11:,5i Glass Coef. Btu Infiltration 6) Exp. wall Glass c t f 4t Wass Net exp. wall Net exp. wall Exp. wall P� ; 2- 2, Int. wall . Ceiling Ceiling Net exp. wall Floor `'3Z- Floor Int. wall U Ceiling Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 31 FI -1 - j Room I Length / ;�7- Floor A / Height Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Inspectors notes: Windows Ind Doors-Crackage and Area Coef.1 Btu Infiltration s �11:,5i Glass Btu f�o a 6, 6) Exp. wall Glass Net exp. wall Net exp. wall Int. wall P� ; 2- 2, Int. wall . Ceiling Ceiling Floor `'3Z- Floor f Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI -1 - j Room I Length / ;�7- Width A / Height Windows Ind Doors-Crackage and Area Width Height No. of Lineal ft. I Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration;, Glass Exp. wall Net exp. wall "i Z- P� ; 2- 2, Int. wall . Ceiling Floor `'3Z- - 2 / Total Btu. Reauired sa. ft. E.D.R. or so. ins. W.A. Leader area Permit Fee f ............................ APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT No. P --------- ------------ Date of issuance ................•-------•.......------------......--- 196---.-- Location ............................. --------.---- Minneapolis, .Minn ............... 196...... Inspector of Buildings The undersigned hereby makes application for a permit for the installation, alteration or repair of a heating, air conditioning or ventilating system, device or egir.ipment, as herein specified, agreeing to do all such work in strict accordance with the City Ordinances and rulings of the Department of Inspections and the speci fceations:set forth in this application as.approved and, filed in the Department of Inspections. Owner.......................................................................................:Jddress of Owner ............................. ....... ....... ..................... Kindof Building--------•-----------------------------------------•-.-----.......How occupied ..................................................... ....................... Work to be started --------------------------------------------------- 196.----- Work to be, completed .....-------:........I ................... 1196 ..... Estimated Cost $-----------------------.....---...............................Old Neu+ Building Permit No ............................................. DESCRIPTION OF WORK Note: Insert the word install, add, alter, or repair, according to which is to be done. Under "Remarks," itemize removals, IF any, and alterations to equipment. ................................................Mechanical Warm Air Heating Plants—Furnaces Make---------------------------------••--------............----------------------------..........................Size-------------------------------------- --- -------------------------- Connectedload— .................... ..................•-------------......................---------......Capacity..-•------------...------------•----------------------.......... Air Conditioning System: Summer — Winter — .Flll rear; ......................................................................................... Make------------------------------- ....................... --................................. -- Capacity -------------------- -------------------- Cfm.......... ---------------------- VentilatingSystem: Make .............................................. 7 ................... Capacity ................................ Cfm•------------------------------ ....--------------------------------•------...----....----••------•---..........-•---...................------...................--•------...--••--------------...........--------------------...----------- Explanation of work to be done: ........................ Plans with permit (ares) (no) .4pproved--------------------------------------------------------------------- 196 ------ Inspector. 0.20 zaQW15 Signed--------------------------------------------------------- ------------------------------- .I ddress-------------------------------------------------------------------------- Telephone-------------------------------------------------------------------- R1 Fit=, cQ M e�ay h HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTIONS MINNEAPOLIS, 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— Fl. I Room I Length ' ` Width R f� Heistht II Fl.l 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. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 17 L Coef. Btu Infiltration Coef.1 Coef. Btu Infiltration v <r Floor Glass Glass 7 � 3) Exp. wall s Exp. wall' Net exp. wall ` 6 3 6 Net exp. wall Int. wall 7: Ceiling Floor -77 Floor . 52 Total Btu. I - `x Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 41.1 Room i Length /1 Width -7 Height f -- 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 Dane of pane lights of crack eq. ft. 17 L Coef. Btu Infiltration Coef.1 Btu Infiltration Ceiling v <r Floor Glass 7 � 3) Exp. wall s Net exp. wall f 6 3 6 Int. wall Ceiling Floor -77 7 . Total Btu. ft. E.D.R. or sq. ins. W.A. Leader area Inspectors notes: 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.I 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. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W area m Permit Fee $............................ APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT No. P ........................ Dateof issuance -------------------------------------------------------- 196--.... Location ------.....------------............-----------....----.......---------••--•-•------ .Minneapolis, .Minn------------------------------------------------- 196...... Inspector of Buildings The undersigned hereby makes application for a permit for the installation, alteration. or repair of a heating, air conditioning or ventilating system, device or egidprnerct, as herein specified, agreeing to do all such work in strict accordance with the City Ordinances awl rulings of the Department of Inspections and the specifications set forth in this application as approved and filed in the Department of Inspections. Owner----------------------------------------------------------------------------------------- lddrem of Owner ----------------------------- --.....------- ------ Kindof Building ........... :...................................................... How occupied..........................--------------------------- ---------------------- Work to be started ................................................... 196...... Work to be completed ................................ ......, 196 ----- EstimatedCost$..............................................................Old — .Nein Building Permit.No...... -...................................... DESCRIPTION OF WORK Note: insert the word install, add, alter, or repair, according to which is to be done. Under "Remarks," itemize removals, if any, and alterations to equipment. ................................................ Mechanical Warm Air Heating Plants—Furnaces •----•--------......................... .......................... .Make-------------------------------------------------------------------------------------------------------------- Size ----------------------------------------- ------- ----- Connectedload--------------------------------------------------------------------------------------------Capacity............................................ Air Conditioning System: Summer — Winter — .411 rear--------------------------------------------------------------------- Alake-------------------------------------------------------------------------------------------- Capacity ....................................... Cf m... ---------- Ventilating System: Make ------------------------------------------------------------------ Capacity ...-••---------•-----•----------------------------•--------.....------•-----...------------.....-•--•-.-•..................----.--- Explanation of work to be done: Cfm. Plans with permit (yes) (no) .......................................... ......................................... ..................... ..................... Signed---------------------------- By---------------------------- .4pproved--------------------------------------------------------------------- 196...... ................... Inspector. .Rddress----------------------------- Telephone---------------------------- . ..............................................•-••--•----........................................................................................ azo e .... PERMIT for Power Plants and Mooting, Cool- ing, ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to be installed—altered—repaired Make�'�� , Size ; Oil fired—,- Coal-fired—,- Gas fired ; Gas Authorization No. Remarks j'G � Approved Final Inspection Date , 19_. Inspector Permit N°- 4438 - Fee$ /Q� ��ssl Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. , 19 Owner Location Kind of Building How Occupied - Work to be Commenced `Le' ,19-4 To be Completed "/- -,-- ,19 —&-L Estimated Cost, $ ' ft , �> Old -New, Building Permit No. Permission is hereby granted to A- &7 , to install—erect—use the material and devices described in the above statement. This permit is granted upon the express coAdition that the p son to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein naryed, and to the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings. � ,Inspector of Buildings .41�42 2M11 -67V Original PERMIT for Power Plants and Heating, Cool- ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to be installed—altered—repaired Make ,Size ; Oil fired—,— Coal Remarks Approved ; Gas _ frred ; Gas Authorization Final Inspection Date , 19_ Inspector _- S _a 3 Permit N° 4494 Fee $ Office of the Inspector of Buildings City of Fridley City of Fridley Minn. a o , 194 Owner Location Kind of Building 9�qk-� B How Occupied Work to be Commenced—,19— To ommenced ,19_ To be Completed ,19— Estimated Cost, $ Old -New, Building Permit No. Permission is hereby granted to V �` to install—erect—use the material and devices described in the above statement. This permit is granted upon the express c6dition that tffe person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named„ and to the specificatiops set in the approved application for this permit on file in the office j'ice o f the Inspector of Buildings. Ljtsf l�/�/ Inspector of Buildings Original PERMIT for Power Olants and Ideating. Cool= ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to be installed—altered—repaired Make �� , Size r ; Oil fired—, Coal fired ; Gas fired ; Gas Authorization No. Remarks Approved Final Inspection Date , 19._ Inspector Permit N° 4507 Fee Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. , 194 Owner L� J Location Kind of Building How Occupied Work to be Commenced ,19� To be Completed L0 ,19--4A Estimated Cost, $ 6.0 , ft Old -New, Building Permit No. Permission is hereby granted 12" ® �-4 to install—erect—use the material and devices described in the above statement. This permit is granted upon the express Andition thth the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings.,.[/ y , Inspector of Buildings .41�42 2M I I-" V Application for Power plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560-3450 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............$10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ _"� ` Additional Fixtures ................ x .75 $ ' Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL A. 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, AUnn_ ` r®� 19 y Owner' / s Kind of Building-%_ Used as To be completed about A Estimated Cost, Old—New. Building Permit No. Permit No. 4! l y DESCRIPTION OF WORK HEATING or POWER PLANTS—,Steam, Hot Water, Warm Air—No Trade Na P Size Capacity. Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) az Business Phone No Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ... .................. 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal, per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 200 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING$ - FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone 560-3450 M 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 1 19 — Owner ?rte _ Kind of Building a Used as To be completed about Estimated Cost, $� Old—New. Building Permit No. Permit No. ,v6b DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P, Total Connected Load Rind of Fuel BURNER — Trade Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signed By. C4100.42 Business Phone No 'Vow, Ar rat- a a 4-v -cr,&-tp Now '.xalre-f y SUBJECT PE 0. City ®f Fridley 21935 AT THE TOP OF THE TWINS BUILDING PERMIT RE 6 COMMUNITY DEVELOPMENT DIV. - PROTECTIVE INSPECTION SEC. y s ---ti CITY HALL FRIDLEY 55432 "'j NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 7541 University Ave . NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 2 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Stachel 7541 University Avenue NE 785-9046 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 8 DESCRIBE WORK Construct a 14' x.121 Deck 8 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Install smoke detectors as per UBC 1210 adjacen to all sleeping areas and in basement. EPA RA rrP WARHIH DING' Before digging Call tOr EN I �S NEA REQU/ ut ilocations®t G' ��Vl�j�� FOR 454-0002 ANS sI�Ns, SQUIRED BY LAVA. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $1{ 800 $.90 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- $41.00 Fire SC $1.80 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $43.70 SIGNATURE OF CONTR CTOR OR AUTHORIZED AGENT l0ATEi WHEW PE LY LIDATED THIS IS YOUR PERMIT B - I - a - DATE SIGNATURE O OWNE OF OWNER BUILDERI (DATE) NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: `7,r &� Legal Description: Effective 5/26193 F _ Owner Name & Address: Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length /C/ OTHER: DESCRIPTION OF 11"ROVEMENT Width Height Sq. Ft. Width height Sq. Ft. Width Hgt/Ground' Sq. Ft. Corner Lot [ ] Inside Lot [ Ft. Yd Setback Side Yard Sepacks Type of Construction: Estimated Cost: $ S_ - Approx. Completion Date: % - 3 _ � 3 19221-11 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ _ $ DATE: T APPLICANT: Jy l G�l Tel. # 7&- TOTAL $ 26 STIPULATIONS: CITY USE ONLY Permit Fee $ L� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1110th%) State Surcharge $ 9 () $.50/$1,00 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ l Not Necessary [ ] TOTAL $ 26 STIPULATIONS: 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 $15 (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1;000 or fraction thereof, 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 $11000,000 $1,000,001 and up $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 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 it has been constructed will be required before proceeding with the framing. Dealgw Works (SM), Knox Lumber, #220 Coon Rapids 4/jB%93 19:15 The materials in this deck This Price does not includ ewill cost $932.34 any Special Order Items. Pa This Plan Must Be Maintained And Accessible On The Construction Site CES DAIIY ED MANNER API ROVED SUBJECT TO CONIFORYUNCE TO AFFLICIJ;LL CCDF-S AND ORDINANCES .,cECTOR CITY OF FRIDLEY , Aorks (SM), Knox Lumber, #220 Coon Rapids s 19:15 s » IY 6' .. �� _33f'rYiY;.,_,.,...Y3 .,. . ,.,3fi,y,?.. :i' .... , ...,... .,..,.:,r:YaSuir,hiu.r...n:,r,r:i.r,:;S,;•,> ..... . ............ . . .. , .,,.... , ,,,.,., ,.,, .. ,,,...,.., ,.,.,..,1,;,.., ... .. ,t Works (SM), Knox Lumber, #220 Coon Rapids 93 19:15 l XII Ilk her 4-0 o t'svure re.* V reje.k .4 M bei z-ZK,zInPF /D �t'dv<alp sre d��oc¢tsa- �� 6ae�cA'a 5 \-A F srf j Sre�,` GfSalle/!�i fPQ'cl�r-�S IMo Yc`Se = $ ' ELCW CONST. WASTES DAILY - ��yy rSTOK IN AN APPROVED MANNER � V-, - YLA _ "( hAQVE ALL REFUSE WE=EKLY kavIr"A'C' ._ Zx 1 P&fkvct.ls tvLc t t 't®i-r Grr�`p�a Ile Sup/\ce- m� ��,t�z��la,, APPROVED SUBJECT TO CONFORMANCE da � TO APPLICABLE C ES ORDINANCES.. � e4e� 3 ® BUILDING INSPECTOR CITY OF FRIDLEY. MINNESOW NOTE: Unless otherwise noted, all joists are 16" on center r .. - ,. C. �, ua.a �. J � sea ►ae r� _ `� � ' CZ] -1-•+'d � O C. z •P. L' "e In LAJ co ♦t. C) -a co �Q r co .y -r-0 co r .. - ,. CD -+-J �. J � sea ►ae r� `� � ' CZ] -1-•+'d � O C. In LAJ co ♦t. co O r -r-0 co •� L.1_ C) O O� CZ) UC) C; CO TCO CD •� r0 ;'� i '�! •rte .. _ U teO �-^-4 cc3-•a d . '�� •fir W � y V .• •u .P Oi�F—•r"' (d �" O> o LA— ` r--4 1 C� � • cd � Qr•"1 i CO O ca O C L CD -Z3 L-P•� cu N U U C7 co W . O •� =: O L U cC�4- CEJ CZCom. G!: •r- CO T C> C uci O -u CO co 1"N 1 n .� co co -a o - t ._ `� °� �. J � sea ►ae r� `� � ' CZ] -1-•+'d � O C. r -r-0 co C) CD L O� CZ) v -a U .. •. TCO CD •� r0 ;'� i .. _ U teO �-^-4 . '�� •fir W � y V .• •u .P Oi�F—•r"' (d �" O> o LA— ` r--4 fJ cd � AT THE TOP OF THE TWINS City of FridleyIr SuBjECT - PER.M.IT-N—O COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC CITY HALL FRIDLEY 55432 612-571-3450 BUI L I D BUILDING PERMIT RECEIPT NO. C;zp/D NUMBER 910-F15 REV DATE 5/14/96 PAGE OF APPROVED BY JOB ADDRESS 7541 UNIVERSITY AVENUE NE 1 LEGAL DESCR. LOT NO. 12 BLOCK 2 TRACTOR ADDITION Osborne Manor SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Stachel Same as above 55432 785-9046 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO George Johnson 5410 Girard Ave N. M ls./BC 55430 566-2351, 1016 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 REPAIR 0 NEW O ADDITION la ALTERATION 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof - 2nd layer 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 I GARAGES 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 VALUATION $AXM 1,320 320 SURTAX $.66 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- $45.75 Fire Ski $.84 STRUCTI N OR THE PERFORMAN E OF CONSTRUCTION PLAN CHECK FEE $5.00 License SC TOTAL FEE $52.25 f� l SIGNATUR O CON'ACTORORAUTHORIZED AGENT IDATEI WHEN PROPERLY V IDATED THIS IS YOUR PERMIT IiLl BLO ,INSP fe if/ — 4aTE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: �� /-t� �, °� V y S Legal Description: Owner Name & Address: Contractor: JASun- ' Address: 4-1416 1 Effective 3/1/96 Tel. # 7 — MN LICENSE # Tel. # 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: Comer Lot [ ] Inside Lot [ ] Ft.YdSetback Side Yard Setbacks Type of Construction: 1 0� 1, I ",/Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb,° Cut Width Needed: _ DATE: ��" 1 APPLICANT:A:4t:24 _Ft. + 6 Ft = Ft x $ = $ Tei. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge c} . $ & 50, . .001 of Permit Valuation (1 / 10th %) State Surcharge : x; .50/$1,00G Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ 5 C� Q $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 STIPULATIONS: 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 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,0.01 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 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 it has been constructed will be required before proceeding with the framing. W SUBJECT City of Fridley 24318 AT THE TOP OF THE TWINS BUILDING PERMIT f RE PT NO. L. COMMUNITY DEVELOPMENT DIV ______ . r ' PROTECTIVE INSPECTION SEC C9 9 t)3 1 � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/27/96 ' JOB ADDRESS 7541 University Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 2 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David/Sue Stachel 7541 University Avenue NE 785-9046 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Minco Castle Windows Inc 5231 15 Ave S. Minneapolis MN 55417 824-6252 EXEMPT 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 j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install 14 vinyl replacement windows 9 CHANGE OF USE FROM TO STIPULATIONS Sleeping area replacement windows must meet the State Egress 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 1 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 STATE OR LOCAL LAW REGULATING CON- $124.75 Fire SC $7.00 TRUCTION OR THE PERFORMANCE OF ONSTRUCTION PLAN CHECK F E TOTAL FEE `�'�`""-� Lice e S NON $135.35 SIGNATURE OF CONTRACTOR OR AUTHOR ED AGENT (DATE) N B LDG IN P ERLY V IDATED THIS IS YOUR PERMIT 7 r�ATE SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI W NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 4� 2-1 03 Building Permit Application ConstructionAddress: S U sj I V£ 0-. S f T -Y AV Legal Description: % 42 �Q �, �S til &UJOiL Owner Name & Address: Qfv oa j. ,Sj — I -A -CH C L Tel. # Contractor: M I lvc-lo CP -S i t.f W/ ,Jy z w S , / /Vc - MN LICENSE # Address: - Q / /4' A,} Tel. # 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: U I N Yl® 0-,p LA ck- tM E--fi- LU o ,,,,o - i y w v ,, o e,, r Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 0 0 0, Approx. Completion Date: ,� - - (c, (Cost on Back) Driveway/Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: (v -0�7- �, APPLICANT: (r 0 , Tel. # CITY USE ONLY Permit Fee / $ fes!' Fee Schedule on Reverse Side Fire Surcharge $ 2, 00 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 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 $ 12� STIPULATIONS : 1,90 �-- Building $ BUILDING Plan Review Permit No.:tau -C � i Inspections Fire Surcharge RESIDENTIAL APPLICATION 2-21 .001 times the total job valuation Received By: 763-572-3604 1, t 1 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ Date Rec'd: � "' ' � Cu` — DATE U[ "( ^ ®CD YOUR E-XAIL ADDRESS $ SITE ADDRESS I &)(5 $ THIS APPLICANT IS: ❑ OWNER >9rONAACTOR $ PROPERTY OWNER/ NAME: $ TENANTADDRESS: -7 S Lf `f zs I -iv. � ITY STA IP �S4 3-9 $ PHONE: —7 7 857 9'O L4 Total Due CONTRACTOR NAME: hlln- STATE LICENSE # QCT EXP DATE%) 1� � 3C SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: ^ CITY ( STATE_ZIP� WITH APPLICATION PHONE 'i `7 - S FAX PROPERTY TYPE 13,SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE 17 DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION %rMAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DO ' ,e0.('®Al� -R- SIZE OF IMPROVEMENT I s LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No 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 $ OA,?. 1 , . OCCUPANCY TYPE Permit Fee $ j_ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 2-21 .001 times the total job valuation Surcharge $ 1, t 1 .0005 x Permit Valuation Minimum $.50 License Surcharge $ C _ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 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 $ ,, `� Make checks payable to: City of Fridley Attach Stipulations 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 hich requires review and approval of plans. SIGNATURE OF APPLICANT OAA,,,M Cl - U--Fv / \ PRINT NAME ► rK kA. W Building $ BUILDING Plan Review Permit No.zmq'i� Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received B . 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ Dateu:JUN . 7 2009 763-502-497/7 FA-�XC $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ EFFECTIVE 1-1-09 $ $450 Conservation Plan Review DATE O (J / YOUR -MAIL ADDRESS Fee Determined by Engineering SITE ADDRESS S'� / , l j (/ d1 r tJ -C ✓ 1 til Agreement necessary ( ) Non Necessary ( ) THIS APPLICANT IS: OWNER ❑CONTRACTOR Make checks payable to: City of Fridley Attach Stipulations PROPERTY OWNER/ NAME: � tJ V'} C_k'e_( TENANT ADDRESS:ITY C/��. �( P� STATE ZIP Y3 PHONE70 CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK XLSIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR j REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ 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: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, VinylAqsoffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum StTrim I. Site Plan/Survey showing the existing structures ❑ Other Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 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 TRE 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 $�7j .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ CA , Make checks payable to: City of Fridley Attach Stipulations 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 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 accordance with the approved plan in the case o a=work�re review and approval of P19T. / SIGNATURE OF APPLICANT V PRINT NAME �C/i [� ��t DATE e-17- 7— U�