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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: ..., ' .� .. � --.7 ........ Owner ....................................... Address ...................................... N® 3862 Builder . Address .............................................. LOCATION OF BUILDING No. . Gi°. X4� Street Part of Lot ............................... Lot ............ Block .................. Addition or Sub -Division ............................ Corner Lot ............ Inside Lot ./:......... Setback ............ Sideyard ................... DESCRIPTION OF BUILDING To b2 Used as: � � , ... .... .... .... Front /7P Depth .�g :.� Height �." Sq. Ft.1./../'� b? cu.Ft. 1.�%.°�55J ..................... Front ........ Depth ..... /He//fight ... Sq. Ft. ........ CuL Ft. ........ Type of .Construction ................... Est. Cost.. .'. (091 ........ To be Completed .................... In consideration of the issuance to, me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set rth an51� in compliance with all provisions of ordinances of the city of Fridley. x. .. # ......:........................ In consideration of the payment of a fee of $ .4— ^., 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. :..,4 Building Inspector 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. ,_a —- s. .f---<--. n -— -- s City of Fridley Application for Plumbing and Gas Fitting PermitOwl Dept of Bldgs. PhoneSIV74�7y� DESCRIPTION OF WORK /� �j�// // Number, Kind and Location of Fixtures Location PLUMBING FIXTURE RATES: NO.. RATE TOTAL Number Fixtures ................... �j� QZ Z Z x 1.20 S » u°ff �U' w �U' Z • P N WATER HTR. GAS ELEC. O 3 ..�tt ai12 a3 in 31 n �S » iLo V< x .50 °G` a U�' O $ Base 1st 2nd 3rd 4th • Future Connection OpeningsI Connected with New Fixture, Old Openings Sewer Cesspool El PLUMBING FIXTURE RATES: NO.. RATE TOTAL Number Fixtures ................... x $1.50 $ 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 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description$ ........... TOTAL FEE $ 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 ar true and c rrect. 56 Fridley, off, ✓ 19R. 9AME Kind of Building Used as To be completed about e Estimated Cost, $ /� Old—New. Building Permit Noj�%� Signed s'/2" L rSBJ By Business Phone No 1j POST IM -12-58 19- 19— A-4 city ®f Fridley, Minn. PERMITBUILDING N? '7262 Date: Owner: Builder �T — Address if Lot ---- .-....— Block Addition or Sub -Di Corner Lot — Inside Lot Setback - ideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING T U __ _ Frit Depth Height Sq. Ft. Cu. Ft. Fro Depth Height Sq. Ft. Cu. Ft. Type of Constructio Est. COIF/A-� `'So 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. au"--j— In consideration of the payment of a fee of $r , 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 asci 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, construciaton, 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 Peons of said ordinances. NOTICE: This permit does not cover the construction, tnahMen for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for those iteow APPLICATION FOR BUILDING PE11MIT - CITY OF FRIDLEY, MINNESOTA OWNER'S NAME �� �.S �� /�4BUILDER C ir C U C ADDRESS -5 �] r r /ld de, gg-ji ADDRESS �_ ��� ��t�<®� Ai ve. J rc r4--x0'Dte % Ryp LOCATION OF BUILDING No. Street l Fart of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of. Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: %/tc�iJ, ?4 R 4 6-e Front 2 D :i.th _Height Sq. Ft. ail Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction E.4VA ie ...Estimated Cost f501RJ"d, 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 representations stated in this application are true and correct. r DATE_ /� -® �,LSIGNATURE . (Schedule of Fee Costs can be found on the Reverse Side). } APPLICATION FOR BUILDING PE11MIT - CITY OF FRIDLEY, MINNESOTA OWNER'S NAME �� �.S �� /�4BUILDER C ir C U C ADDRESS -5 �] r r /ld de, gg-ji ADDRESS �_ ��� ��t�<®� Ai ve. J rc r4--x0'Dte % Ryp LOCATION OF BUILDING No. Street l Fart of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of. Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: %/tc�iJ, ?4 R 4 6-e Front 2 D :i.th _Height Sq. Ft. ail Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction E.4VA ie ...Estimated Cost f501RJ"d, 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 representations stated in this application are true and correct. r DATE_ /� -® �,LSIGNATURE . (Schedule of Fee Costs can be found on the Reverse Side). e BUILDING PERMT 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 eetist- ing 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 erectioti of any fire -proof buildin;, other, than a.garages warehouse, factory or grain elevator, or -for the erection of any fire -proof addition, for similar.occupaticy, 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 -fire -proof garage, warehouse,., factory or grain elevator, or for the erection of any fire -proof addition, . for similar. occupancy, -to any'existing'buiiding 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 buildir g ®th r than a garage, warehouse, factory or grain elevator, or any non-fireprcc:, 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 erect'nr non-fire-pr"f garage, warehouse, factory .or grain elevator, n, cf .any non -fireproof addition, -for--similar occupancy, to r- ,• =��.;s�; ;r..M, L-.11.1"ling or for each such building or addition - ninety ce=n-I.s := Q ec,k:' one thcusand cubic feet or fraction thereof, in the cubical there-ol.' with a minimum of $4.00. - For the purpose of computing fees for u:Z :.wing permits, the cubical contents of any.building or addition to a unifcria t.aialat 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 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee,charged,.for..any permit.ap set forth in .Section 2 be less. than $4.00. �Fs & City of Fridley, NUnn. N? 8284 VCHDING MI Date: 10 July 29, 7965 Owner: MR. MERIT LOOKS Builder L. W. SAMMISON CONST. Address 6125 Ven Buren Adm 7800 E. River Road Fridley: Minnesota Fridleyo Minnesota LOCATION OF BUILDING No. 6425 Street VAT BUREN Part of Lot Lot 21 & 22 _ Block 3 Addition or Sub -Division Florence Park Corner Lot Inside Lot — Setback Sideyard Sewer Elevation _ _ _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. cost -A,; 806.50 _ To be completed Repairs — Storm Damage In moderation of the issuance to me of a permit to constructuildl described above, to do the proposed work in accordance with the description above set for in compliance with rovisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to L• W. SAMELSON CONST. 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 add his agents, employees and workmen, in all work done in, around and upon said building, or any paw Thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said ordb�ances. "f f:F G. JENSEN Building Inspector NOTICES 'this permh don not ewer the eemiructtoe, bneaga m tar airing, phimbing, gn heating, =war or water. Be sore to see dw Butlding brspeter for ssparde permhs for then hems. OWNER,'S NAME' UT, M®rle _TabgMjb BtatDER T._ W_ q `mue nave Cnnst r ADDRESS_ 6425 Van Buren ADDRESS i 7800E River ' Rd LOCATION & BUILDING No. 6425 Street, Van Buren. Peart of tot LOT BLOCK ADDITION OR SUBDIVISION Corner Lot -Inside LOT -.Setback Side -Yazd SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed" - building location drawn on these Certificates. DESCRIPTION OF BUILDING To be, used as: Dyiellina Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq, Ft. Cu. Ft. Type of Construction Estimated Cost 64.806.50 To be completed RLS soon aspo s Bible The undersignedhereby 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 decla es..that. all the facts and representations stated'in this application are,t. a as c erect.; DATE 1, 1965 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). -w r- �4 ` 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 build- ing or structure, or for any alterations or repairs io 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; 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 fire -proof 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 fire -proof garage, WareW;�se, factory or grain elevator, or for the erection of any fire -proof additioni�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 562 of the Minneapolis Building Code. ROUSES 22.3. 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 214. 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 ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with the minimum of $4.00. For the purpose of computing fees for building permits; the cubical contents of any building or addition to s 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 per each Five Hundred Dollars ($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 Sectio 2 be less than $4.00. City of Fridley Ar- li w afn for u a `'fid ;Zh, g Fe .. - Dept. of Bldgz. Phone S80 -3+i,90 DESCRIPTION OF WOR1{ Number, Kind and Location of Fixtures •yp C7 ,� y� p Y z W �9 ® © WATER WTR. � � 8 7 7 Z 7 P N GAS ELEC. (3 0VV o vi $ �-• o �. .. 0 3 U U a� U -� Base ls8 2nd 3rd 96 nth ° Future Coa=ectioa Opzniapo � `'� ate°` Now Fixture, Old Opening ffiow®a 0 Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE R.ATIES:NO. x $2.00RATE$ TOTAL Number Fixtures ................. Future Fixture Opening ............ x $1.50 $ New Fixture Old Opening .....:.... x $1.50 $ Catch Basin ...........:........ x $3.25 $ Water Heater :Up to 99.000 BTU).... _L_ x $3.00 $ New Ground Run Old Bldg....... x $3.25 $ Electric Wator H"ter.............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures • ._ I x $2.00 $ . 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 fael and representations stated in this application are true and correct' Fridley, Odin i 19— Owner/- Kind of Building - Used as /` ' e 144 To be completed about L l / '> Estimated Cost, $ / Old—New. Building Permit No. P rmit No. Signed Business Phone No -� ` 0'0 — ROUGH Additional Fixtures ................. x $ .75 $ Gas Range to 199.000 BTU ... ,.......... x $5.00 $ REPAIRS &c ALTERATIONS --Rotor to Code .50 State Surcharge Description ............................................ $ A TOTAL Flims $'`�� - SUBJECT City of Fridley ® 15037 AT THE TOP OF THE TWINS BUILDING PERMIT r � R COMMUNITY DEVELOPMENT DIV. L r , PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �.J 612-560-3450 910-F15 12/1/78 JOB ADDRESS 6425 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21, 22 3 Florence Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Merle Loomis, 6425 Van Buren Street N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Milton Johnson Company 2513 Central Avenue N.E. 781-9548 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 11 ALTERATION ❑ REPAIR ❑ MOVE ❑ 'REMOVE 8 DESCRIBE WORK Aluminum trim and gutters 9 CHANGE OF USE FROM TO STIPULATIONS SEFERATE PERMITS REQUIRED FOR WIRIN((� HEATING, PLUMBING ANO SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND. KNOW THE SAMETO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, $1,wo $.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- $7.50 STRUCTION OR THE PER OR C OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE aw—,-��-� �° -� $8.0.0 SIGNATURE OF CON o OR AUTHORIZED AGENT (DATE) WH/E�NnP/'ROPPERLYY VALIDATED THIS IS YOUR PERMIT +J�-'lXJL BLDG. INSP �J�IJCJCIV DAT SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) • . CITY OF FRIDLEY , • APPLICATION FOR RESIDENTIAL BUILDING PEMI TS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: 5 BUILDER: ® �` d .� . z.•N ��, c, Address: a — 4N &A K e ^j Address:�®� Tel. No.: 7P ' 7 -rY k No.: Street: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE IAT: SETBACK: SIDEYARDS: Applicant attach 'to this form T<vo Certificates of Survey of Lot and proposed building location drawn on these Certificates. i DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction:Al �R' N+ 4- `--% J r r � Estimated Cost: $ �� d C!� . Tb 'Be Completed: Alt. .A Alt. B Proposed 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 Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additions inf rnation. DATE: r" Z SIGNATURE: Stipulations: BUILDING -PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any.building or structure, or for any addition to any -existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: 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 ITIONAL-INFORMATI 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. 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. Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. SUBJECT P City of Fridley 16086 6 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT • ______ COMMUNITY DEVELOPMENT DIV. r 1 L I PROTECTIVE INSPECTION SEC. � I , CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J\ 612-571-3450 910-F15 3/31/81 JOB ADDRESS 6425 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21,22 3 Florence Park Addn. to Fridley SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Merle Loomis 6425 Van Buren Street N.E. 571-2969 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install aluminum siding and trim 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $S,OQ;O $2.50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $32.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) - WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT < .,E .2e- s) 8,431 BLDG INSPv DAIE SIGNATURE OF OWNER t IF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATIO;d FOR REST[)["NTIAL BUILDING PEN41TS (New, Alterations, Additions, or Repairs) • OWNER:c� � �: � c� � BUILD'FR: •� � �����'"° � b ADDRESS: J 6cut�^JS-rAlc ADDRESS: s`-/Jp l� E Aj TEL NO: �� /_— �9 TEL NO: -7 9/ ® q Construction Location s 67 Me -. STRT NO : STREET: LOT: � / ��oZ BLOCK: '-3 ADDITION: �Q�1�'� %��}� /��A1 • �y ��'.QLc�G/ Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed -building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Squane.Feet: Cubic Feet: Front: Depth: Height: Square- feet: Cubic Feet: /;ted ® Estimated Cost: $ Type of Construction l�®� Th $e Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE JrEVERSR SIDE OF SHEET Mie 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 representations stated in this application are true and correct. DATE: - 3 /- '5! SIGNATURE: Stipulations: ALI i,atirr FEE SCHEDULE, S)::CTXOI,l 2. - Ufil ! ln�;pcctor of Mlildillqr; tshall' before pormits for Llic erection of al)y buildii-Irl or .;t.':uctxjre,, or for: any addition to any exioting building or structure, 6): for any al t ex a t i oj i or., repairs to -any A)uildin�.j or structurc, upon appl)-cat.i.on tlic-rcEorc, require the payment by the applicant for such permit of Fees to. Ulb amount her eill iX-1.1-ow Set forth and in the 111anricr herein provided to-wit: C014STRUCTION: Single Yaftlily Homes and Garages: ly"4.00/3.,000 cubic feet. rL7,m UTECK: 25 percept of building permit fee. I)RIVEWAY DEPRESSION..: (Concrete. %I-'Lixb Streets only) Alferiiate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach witb 6 inch depth; Driveway width plus 6 feet x ADDITIONAL INIFORMUON 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 belo7a the floor line of the basement or the cellar to the. aver-age 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 &r each five hundred dollars,- ($500.00) or fraction thereof in the cost of all proposed work. Xn-no case shall the fee charged for any perinit as set forth in Section 2 be less - than $7.50 plus $.50 state surcharge. VERIFICATION OF FOU-INDATION 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 Cer tificate ' 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 0" UPANCY Application for a Certificate of occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a builtUng permit Lias been issued; and said structure !*,hall. not be used or occupied until a Certificate -of Occupancy has been issued. 6 SUBJECT PER City ®f Fridley 2 2 6 0 AT THE TOP OF THE TWINS BUILDING PERMIT r ' , RECEIPT 6 COMMUNITY DEVELOPMENT DIV. _ r o PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/16/94 10B ADDRESS 6425 Van Buren Stmet NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21,22 3 Florence Park Addn to Fridle SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Merle Loomis 6425 Van Buren Street NE 571-2969 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Kaufman S/M and Roofing 2531 Minnehaha Ave S Min e722-0969 9324 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE x❑ 8 DESCRIBE WORK Reroof House & Garage (Tear-off) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Inform owners to provide smoke detectors adjacent to all sleeping areas and in basement. 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 $2 722 $1.36 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISI NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 Fire SC $2.72 STRUCT N OR THE PERFORMANCZOFCONSTRUCTION. J_ /� PLAN CHECK FEE TOTAL FEE License SC $5.00 $63.08 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLA VALIDATED THIS IS YOUR PERMIT B G INSP O T SIGNATURE OF OWNER OF OWNER BUILDER( IDATEI L-4 r— " i I ADDN CITY OF FRIDLEY ALTER Sli4GLU FAMILY AND DU' FLEXES R-1 AND R-2 Building PefniitApplication Construction Address:g4Ce /V.._6 q._5 Legal Description: 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. if. to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height.... Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length r width_ Hgt/Ground Sq. Ft. OTHER: Corner Lot Inside IA)t Ft. Yd Setback_Side Yard Setbacks Type of Construction: 4 V? Ar_. Estimated Cost: $ �)/w 1 rp Approx. Completion Date:/�.... . (Cost on Back) Driveway Curb Cut Width Needed; Ft. + 6 Ft = _Ft x $ DATE: APPLICANT: Tel. # Permit fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL My. --USE ONLY $ Fee Schedule an Reverse Side .001 of Pernfit Valuation (1/10th%) $.50/$I,000 Valuation $800 per SAC Unit 00 $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary STIPULATIONS: TO/TO'd S00'0N T2:VT V6'OT unf I.,9 # Ir.1— 111.114"VI ML L 47____.. . -Ap L k17 I SeSed 10,41 tLqz Oulaw plipsuell X81 puejq At-Ised �87,T-TZS-ZT9 :X31 A3�GI�JJ JO AII3 FA SUBJECT No City ®i Fridley (7 2667 4 AT THE TOP OF THE TWINS P,RECEIPT B U I L ®I N G E R M I T I NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. o NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 .__.11.' �•, 612-571-3450 910-F15 217/98 JOB ADDRESS 6425 Van Buren St NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21, 22 3 Florence Park Addn. to Fridley SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Merle Loomis 571-2969 3 CONTRACTOR Schurstein Roopl±WDRESS ZIP PHONE LICENSE NO. XXXXIOUO3LUMMADIUM 3039 L ndale Ave S M 1s MN 5827-7727 20064320 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 17 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof 1/2 roof 8 S Tear -off-- storm damage 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 500 .50 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- S ION OR Tj P RFO ANCE OF CONSTRUCTION. 21.00 Fire SC .50 �--" PLAN CHECK FEE TOT L FEE icens S 5. 7 .00 SIGNATURE OF NTRACTOR OR AUTHORIZED AGENT IDATEI N R VALID THIS IS BQA INSP �URPERM34^% ryATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI FA NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: e4ja,, - DGA,ani fu ,k,, bmf. Legal Description: Owner Name & Address: uli. Lonev s a V2 5- Uiz.?. %ejpi-,oi StGA),I, Tel. # S71 -29 -Ci Contractor: A 'r� MN LICENSE # ;t 606 Y,3_2 Address: 38id�� e So, Tel. # ��)—%�2� 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: OTHER: � l�O F. 17idth '0C / fC H Grounds—�Sq. SA -1 Ft. Construction Type: Estimated Cost: $ (Fee Schedule on Bac ) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ I`, . � � � - - l ._..� 1 / ate•,:_ Permit Fee $/, U o Fire Surcharge $ :�;D State Surcharge $ SAC Charge $ License Surcharge $. Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $�� STIPULATIONS: 7 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ J V BUILDE 1G 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 $500,001 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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. SUBJEtT P City of Fridley28876 AT THE TOP OF THE TWINS (' BUILDING PERMIT P �� 1 1 1 L w______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 NUMBER REV DATE PAGE OF APPROVED BY ` CITY HALL FRIDLEY 55432 612-571-3450 910-F15 1/29/99 l JOB ADDRESS 6425 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21,22 3 1 Florence Park Addition to Fridley SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Merle Loomis 6425 Van Buren Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Addition & Remodeling Specialists 2618 Coon Rapids Blvd NW, Coon Rapids, MN 55433 4 ARCHITECT OR DESIGNER AIL ADDRESS ZIP PHONE LICENSE NO 427-7330 1109 5 ENGINEER MAIL ADORES$ ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Q ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside House & Garage front 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. TYPt OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $6'000 $3.00 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- STRUCTION OR THE PERFORMA F CONSTRUCTION PLAN CHECK FEE TOTALFEE License SC $5.00 1 $126.25 SIGNATURE OF CONTRACTOR OR AUTHO EOAGENT ,DATE, WHEN ALIDATED THIS IS YOUR PERMIT /PROPERLY C � P9 SIGNATURE OF OWNER.19 OWNER BUILDER, IDATEi BLOO ,NSP ' OATE NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 1A.� &3o,� Legal Description: Owner Name & Address: Vii e\.. t Le, Tel. # Contractor: _Ackc:Q ,lip , - R.e vil w d ..e %A.Q t MN LICENSE # I � DR Address: 9.Co t Cep J?U�n �k�� Coex� V14 �R�� Tel. # �{Zd? ^�3� V. 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 Leight Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: p Ces �tQ k�®US� r� mac, C�,Ckv eQ Construction Type: Estimated Cost: $ p® (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: [—tea APPLICANT: q_ Tel. # '0&1 --9332) CITY USE ONLY Permit Fee $ /�� �?S� Fee Schedule on Reverse Side Fire Surcharge $ _ (fid .001 of Permit Valuation (1/10th%) State Surcharge $ 66 $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 5- c) y $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 $ 1,26 - ?S 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 o-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 $500,001 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. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On May 10, 1999 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Ston es •`•'� nnal Urinal ....�:�: < Shower '�'�i<'�:. s � <• �� _1:<...::::>.. loor rain •>:t� • : Auto. •t:.::: #..:::.::. Gas i' . ;:: Water Heater :::::: IN.. ... .. •. �. �::<.::::.: Ran a ���`�� Gas Elec Basement t $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader ::2::::::::t::::`::::'t`::: Floor 1 Sump/Receiving Tank $ 7.00 /t✓ Water Treating Appliance $10.00 Owner_!'!t� L,co^S Water Heater -Electric Floor 2 Water Heater - Gas** �^ $10.00 Building Used As Gas Range** $10.00 Floor 3 $10.00 Estimated Cost SDO° PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 Floor r 4 Reinspection Fee $47.00/Hr SIGNED BY TEL N0. 1;S-1 -41,5 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS yZ�5- New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 ,1999 Sump/Receiving Tank $ 7.00 /t✓ Water Treating Appliance $10.00 Owner_!'!t� L,co^S Water Heater -Electric $ 7.00 Water Heater - Gas** �^ $10.00 Building Used As Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost SDO° PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 _ PLUMBING COMPANY '- fOn 4m Reinspection Fee $47.00/Hr SIGNED BY TEL N0. 1;S-1 -41,5 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ .50 TOTAL FEE$ --79 �0 MINIMUM FEE F ANY FILUMBINGIGAS PERMIT IS $20.00 PLUS THE $.5Q STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Addre Legal Description: Owner Name & Address: Tel. jog Contractor: oIrv'e onnreNn o SIDING 'NO. - MN LICENSE # if �G Address: 256 CLEVELAND AVE. SW Tel. # )1-633-6 NEW BRIGHTON, MN 55112 6fkh@i3 Q§is 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 OTHER: Width Hgt/Ground Sq. Ft. Construction Type: 5sq Ticcfi-04 Estimated Cost: $ # I , � D l Q0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ®� APPLICA �rjw Tel. # bd Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. r TOTAL $ 'S CITY USE ONLY - ,i Permit Fee $ % C Fee Schedule on Reverse Side Fire Surcharge $ 001 of Permit Valuation (1/10th%) State Surcharge $ J $.50/$1,000 Valuation SAC Charge $ $1275 per SAC Unit License Surcharge $ 02 $5.00 (State Licensed Residential Contractors) Curb Cut 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 [ ] r TOTAL $ 'S Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: DATE La d YOUR E-MAIL ADDRESS SITE ADDRESS v�- Q THIS APPLICANT IS: ❑ OWNER ,CONTRACTOR PROPERTY " NAME: OWNER/ / ) ADDRESS: (dd O l' yS /R�_��} lql � STAW ZIP TENANT PHONE: (V �— ��i '� `4 -L CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACTPERS 410 IOI�ST I AKS CTRFFT MINN ✓ EMN 55408 YOUR STATE STATE LICENSE# 612 -824 -?5 STATE ZIP LICENSE WITH ADDRESS: APPLICATION PHONE FAX PERAM TYPE NSWGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK Ct c2 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) l SIZE/BTU O&C Equipment Installed MFGA MODEL: MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU 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 TFURNACE $35.00 GAS UNIT HTR $10.00 BOILER $35.00 LINER $10.00 DRYER $10.00 POOL HEATER $35.00 _CHIMNEY _GAS _DUCT WORK $1000 _GAS PIPING $1000 77 VENTILATOR $15 .00 Permit Fee $ Number of fixtures @ $10-00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.007 x $35.00 = $l State Surcharge = $ 50 Total = $ THIS IS AN APPLICATION FOR A PERMTr 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 fora e t work is not to start without a permit; that the work will be in accordance with the approved plan in the cas which quires eview and approval of pl s. SIGNATURE OF APPLIC PRINT NAME Jl / C � SS City of k ridiey Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 U REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOME$ 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropanetlFGC 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 IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations NEW [ ] ADDN [�] ALTER Construction Address: Legal Description: Owner Name & Address: Contractor: MKS ROD Address: 9sa CLF% NEW BRIGHTON, MN 55112 651M8W@5 this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION 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: Y `� rG� Construction Type: I�iXf� 06°�� ' Estifmated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICAN . Tel. Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - TOTAL $ Fee Schedule on Reverse Side .001 of Permit Valuation (1 /10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ J Building Inspections 763-572-36 DATE 0 f I l SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CI.TY OF FRIDLEY ❑ OWNER E-MAIL ADDRESS 0 COMPANY NAME;--_ CONTACT PERSC kq-r Lros 410 WEST LAKE STAFFT STATE LICENSE # PRONE `SINGLE FAMILY ❑ TWO FAMILY O NEW PLACEMENT DETAILED DESCRIPTION OF WORK $f�}, MN 55408 2-@24 FAX ❑ TOWNHOUSE ❑ ALTERATION/REMODEL Permit No.: Received By: D'Mj TE ZIP PER MS 1613.665 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 BA, ED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED• FDCTUR)✓S: (INDIC�ApTETOTAL NUMBER OF EACH BELOW) ,d SIZUBTU Equipment Installed MFG: MODEL: MFG: MODEL: .d SIZVBTU $25.00FIREPLACE MFG: MODEL: (GAS) $15.00 SIZEBTU GAS RANGE/OVEN $10.00 _LA/C AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 GAS UNIT HTR $10.00 BOILER $35.00 CHIMNEY LINER $10.00 _FURNACE $35.00 GAS DRYER $10.00 POOL HEATER $35.00 VENTILATOR $15.00 DUCT WORK $10.00 GAS PIPING $10.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00= $ TOTAL DUE $ Number of fixtures @ $25.00 � x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $_-77:� 71US 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 ity of Fridley and with the Minnesota -Construction Codes; that I understand this is not a permit but only an ap lication for an ork is not to start without a permit; that the work will be in accordance with the approved plan in the cas of whicequires view and approval of s. C �� /Yi 0 rbAT'E-- " Q C SIGNATURE OF APPLI City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley,. MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT f Y u RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTIN HOMES 1. Combustion Air (See note below) ' a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. TMC Chapter 5 with MN Amendments 3. Venting a_ Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas TMC 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 IMC 1346..0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for .combustion and make up air calculations