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PRE 2010 DOCSDate • �: Owner 7. Address BUILDING PERMIT Village of Fridley, Minn. . ............... N° 2310 Builder ... i-.I..i.,............ Address . ......... ......................... LOCATION OF BUILDING III No. ....;� '. .. Street .. -.. ......... :.......... Part of Lot ............... ...... . Lot ..........7... Block ... ........ Addition or Sub -Division Corner Lot .. Inside Lot ... ... Setback ..315 ...., Sideyard .... . DESCRIPTION OF BUILDING To•e Used as: II i Front . .. Depth .. :.Height :� Sq. Ft. Cu. Ft, ................... Nront _ .. Depth ........ Height .... .... Sq. Ft......... Cu. Ft. ........ Type of Constructio :: Est. Cost F�. ' d' ►. :. . To be Completed .. r • ... . I} d p SII In consideration 11 of the issuance to me of a permit to construct the building described above, I agree to do the proposed work inaccordance with the description above set forth and in compliance with all provisions of ordinances of the vill'4ge of Fridley. �ftdvr - �4-6 . eIn co sideration f the payment of a fee of $. ]z of) , permit is hereby. granted to ....... p .. to construct the building or addition as described above. This permit is granted upon the express condition I1that 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 village limits and this permit may be revoked at. any time upon violation of any of the provisions of said ordinances. «,.,�uilding Inspector NOTICE: This permit, doles not cover the Construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. BeI sure to see the Building Inspector for separate permits for these items. ,I , City of Fridley, AE PITIIDING PERMIT N° 5873 Date: Owner: Builder - t— Address __ _ _ __ _ Address _ ---- -- `� L, TION OF L ING Street Part of t _ Lot P4"4,— Block _Addition or Sub -Division Comer Lot --- Inside Lot _ _ Setback _ _ — Sideyard Sewer Elevation _ __ Foundation Elevation DESCRIPTION OF BUILDING Tod U as: Front Depth;- Cu. Ft - Height, Sq. Ft. ` Front -- Depth ! Hei ht ._ Sq. Ft. Cu. Ft. �.• Type of construction Est. Co� To be completed _ In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. Y" In consideration of the payment of a fee of $ -�-,12 , permit is hereby granted to— to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon, violation of any of the provisions of said ordinances. , 'S ,—% Building Inspector NOTICE: This permit does not cover the construction, .installation for wiring, plumbing, gas heating, sewer or water. Be sure to ace the Building Inspector for separate permits for these items. 4 APPLICATION FOR. BUILDING PERMIT CITY OF FRIDLE'Y, MINNESOTA owner's NamAIZ�_ Address ..._ �� Address 7 ?,�?i LOCATION OF BUILDING No. Street Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot A' Setback Side -Yard SEWER ELEVATION POMMATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used aso ight Sq. Ft . cu. Ft . ® Front Depth. Height sq. Ft. Cu. Ft. Type of Construction Estimated 'Cost,l.�._.. 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 ruling of the Department of Build- ingsj and hereby declares that all the facts and representations stated in this application are true and correct. DAT 7 SiGNATME moi' a (schedule of Pee Costs can be found on the Reverse Side). BUILDING PERMIT FEE SCHEDULE Section 2. The inspector of Buildings shall, before issu.ing4any permit for the erection of any building or structure, or for any addition to any existing building or structure, or,for any -alterations or repairs to any.existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: 2�. . 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, warehouse, factory or grain elevator,. or for the erection og aray .fire- proof addition, for similar occupancy, to any existing building shall be at the rate of $1425 for each one 11 thousand cubic feet, classified as 1°fireproof" by section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof build- ing 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. GAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing, building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fraction 'thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits the cubical con- tents of any building or addition to a uniform height throughout by multiplying.the ground area covered from a point six (6) inches below the 'floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 22..6in no case shall the fee charged for any permit as set forth in Section, 2 be less tY _,k $4.00. City of FPidloy Application for PI=Wng and Gas Ming Pomlt Dept. of Bldga. Phone Sid.3450 DESCRIPTION OF WORN Low Numbar, Kind and Location of Fixtures �"� ° future Conaecdoa Oponimas Comm led with a Now Fixture. Old Openings Sever esspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $ _. New Fixture Old Opening.......... x $1.50 Catch Basin .................... x $3.25 $ Water Beater '.Up to 99,000 BTU).... x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water floater ..... :......... : $2.00 v SAS FITTING FEES: NO. RATE TOTAL ist 3 Fixtures x $2.00 $ . Additional Fixtures ............... x $ .75 $ Gas Range to 199.000 BTU ........... _ . x $5.00 $ l: REPAIRS & ALTERATIONS—Refor to Code 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 is this application are true and correct' Fridley, Minn �/— •.�� 19?S^ Owner DO ryi% L .Q Kind of Building -riz ry Used as To be completed about ated Cost. $� (O�IdNew. Building Permit No. Permit � G ROU0 C �} .50 State Surcharge Description ........................................ TOTAL FLE $ 31 !E2 Signed * N i ► q WATER MTR. GAS ELEC. 3r 0 Bas. VI 1st 2nd _ 3rd 4th — ° future Conaecdoa Oponimas Comm led with a Now Fixture. Old Openings Sever esspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $ _. New Fixture Old Opening.......... x $1.50 Catch Basin .................... x $3.25 $ Water Beater '.Up to 99,000 BTU).... x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water floater ..... :......... : $2.00 v SAS FITTING FEES: NO. RATE TOTAL ist 3 Fixtures x $2.00 $ . Additional Fixtures ............... x $ .75 $ Gas Range to 199.000 BTU ........... _ . x $5.00 $ l: REPAIRS & ALTERATIONS—Refor to Code 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 is this application are true and correct' Fridley, Minn �/— •.�� 19?S^ Owner DO ryi% L .Q Kind of Building -riz ry Used as To be completed about ated Cost. $� (O�IdNew. Building Permit No. Permit � G ROU0 C �} .50 State Surcharge Description ........................................ TOTAL FLE $ 31 !E2 Signed SUBJECT PE City of Fridley 9 8 3 2 4 AT THE TOP OF THE TWINS BUILDING P E R M I T P RECEIPT NO. L L ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 9��) 1 . � CITY HALL • FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J\ 612-571-3450 910-F15 2/14 86 JOB ADDRESS 7386 Van Buren Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 5 haffer' s Sub. #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Keith French 7386 Van Buren Street N.E. 784-7544 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Add new archway and close up one doorway 9 CHANGE OF USE FROM TO STIPULATIONS „� Ek Y1 q "�US VVIRibG, HEATING, R� ;RED PLUMBING AND SIGNS. SEPARATE PERMITS ARE. REOUIRED FOR PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD _ELECTRICAL, 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 $200 $.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 $15.50 sGyATUREO ONTRA 'ORORAUT RIZECAGENT WHEN PROPERLY (DATED THIS IS YOUR PERMIT S( I Ji . t BU (NSP r ATE SICINATURE OF OWNER dF OWNER BUILDERI f ATEt NEW [ ] City _of Fridley ArM. [ ] I R-1 AND R-2 ALTER. [Vf Building Permit Application Construction Address:�� Legal Description: Effective 4/1/84 Ken W Owner Name &Address: 9 T`�-� c k Tel. # �� Contractor: .tel ( . # Address: 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 OTHER: N� Arcku-321,°-1 Corner Lot [ ] Inside Lot [ ] Type of Construction: _ Approx. Completion Date: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Ft. Yd. Setback Proposed Driveway Width If New Opening Is Desired: Side Yard Setback Estimated Cost: $ 2 C7. Alt. A Alt R See Back Page for Explanation DATE:_APPLICANT.-�-� 6 ��' _r —, Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge fOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of ar_y building or structure, or for for any alteration or repair to any addition to any existing building or structure, or therefore, require the payment any existing building or structure, upon application by the applicant for herein below set forth and in such permit of fees to the amount the manner herein provided to -wit: Total Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 Plus $1.50 for each additional $100 or fraction thereof, to and including $2,0.00. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROW (COncretj Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the.framing. a 01 SUBJECT PE RM18401 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT RE COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 i � CITY HALL F.RIDLEY 55432 NUMBER. REV. DATE PAGE OF AFMVEqy 612-571-3450 910-F15�`�%� JOB ADDRESS I)J� / A p (-D r �!z 1 LEGAL LOT NO. 9 BLOCK TRACT OR ADDITION -'r SEE ATTACHED SHEET DESCR. 6- 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE �Ll �J 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. �� 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGIN, EB MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING `` 7 CLASS OF WORK ❑ NEW 11 ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK D om. Owir"r L 11 1 a 9 CHANGE OF USE FROM TO STIPULATIONS <3 (J ji SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. coo-woF 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 ATa�- ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �y WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ! 9so 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. �J l Oo PLAN CHECK TOTAL FEE `F^Ep,E,� NAT EOFCONTR TOR AUTHO ED AGENT ATE I HEN P P UMHIS IS YOUR PERMIT J IGNATURE OF O NER WN R B DERI (DATE) BLDG INSP DATE 01 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] L R-1 AND R-2 1 ALTER. [ ] Building Permit Application Construction Address: 13 L/aes f.L� Legal Description: Owner Name & Address: Tel. # - /- Contractor: <�,�/ Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. , DECK AREA: Length Width � � � Hgt/Ground! 2� Sq. Ft. 120 ^^t'o OTHER: C1 Q "_ C'�0 6 to doors Corner Lot [ ] Inside Lot ( ] Ft. Yd. Setback Side Yard Setback o ao Type of Construction: Estimated Cost: $ W %A` O W �e�K Approx. Completion Date: 9? O. 0 (� � � �R� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: 1-11,2 g� APPLICANT: Tel. 7 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Total Valuation Fees $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000— $2,001.00 2,000.$2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. SUBJECT PER City of Fridley 210 21 AT THE TOP OF THE TWINS BUILDING PERMIT r NO. i _ COMMUNITY DEVELOPMENT DIV. 16 L �; r ; PROTECTIVE INSPECTION SEC. I "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/22/91 / / JOB ADDRESS 7386 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 5 SHEET Shaffer�'s Sub.. #1 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Keith French 7386 Van Buren Street NE 784^7544 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 ji ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install egress windows in basement 9 CHANGE OF USE FROM TO STIPULATIONS Egressmr-A window must meet State Building Code requirements. Provide smoke alarms. in all levels of house. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 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 $500 $.50 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- $15,00 Fire SC $,50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $16.00 SIGNATURE OF CONTRACTOR OR ORI2ED AGENT tDATEIJ ` HEN PRO R A A D THIS IS YOUR PERMIT --� A f -.. 1 BL G INSP DATE Si NATURE OF OWNER OF OWNER BUILDERI IDA EI RM [ ] Effective 2,/1/91 ADM [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: Legal Driptian: LO—k �t.e�C� �� S�+l �� r� <�ub�111sroN leo. Owner Na®e & " d•ess: V,&j-k-jk V. 4jC-,-j(,j-k Tel. # Contractor: --AMCAs &eve Tel. # Address: SP m c As Attach to this application, a Certificate of Survey of the lot, with the proposed coto xuction drawn an it to scale. UMB AM: Lexi Width Height Sq. Ft. QRRRM AICA: Length Width Height Sq. Ft. SCR Arm: length Width Hgt/Ground Sq. Ft. OTM: T - 4t-(, `[ A -SE M t-� 1 , Corner Lot [ ] Inside Lot V Ft. Yd Setback Side Yard Setbacks Type of bion: Estimated Cost: $ 00 ,0f- Approx. Cmpletion Date: �)L I Proposed Driveway Width If New opening Is Desired: Ft. $ S Width + 6' See Back Page DATE: oo-99-Pf1 APPLICANT: Tel. # Permit Fee ,(D® Fire Surcharge $ 16-0 State Surcharge $ 1-19-0 SAC charge $ Driveway Fscsvw $ Park Fee $ Sewer Main Charge $ Flee Schedule an iaeverse Side .001 x Permit Valuation (1/10th $} $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by RV tori n Nary [ ] Not Necessary [ ] IL 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: $1 to $500 $15 (Mini== Free is $15 plus su_=ha*ge) $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 $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof MaVENRY sffzm B8CWW (Concrete a streets only) Alternate "A": Removal and replacement of ci 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. •1 ;. I11-§': �I 0 11 Permits for bion will be issued a minim= of 24 ins fraw the time of application to allow for proper review of the proposed structure and of the bion site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been catis zucted will be required before I z - -1, eding with the framing. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 APPLICATION FOR PLUMBING AND GAS FITTIN4 PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLO R I.."MIShowei > Wash E.xtt;k:,:;;:Floorfq:<> Auto. Urinal fn{f.::. Tra Drain B: Y _ ..... _._...._ ... Washer PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 •UPJ Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $20S FRENCH KEITH 7355 VAN B IREN STREET N . E . JOB ADDRESS FR I DLEY , 55432 H 784-9544 W The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Building U d Estimated Cost PLUMBINO SIGNED BY Approved By PERMIT NO. C! TEL N0. Rough—In Date Final Date **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. 19 .1,0 a 0 e vujz WWC) Q` ® J E- a " M 2<!a_ 0afaw J0—<Ud Q g C' Z; to v� 3uilding $ BUILDING Permit No.: � 1 [nspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY Da '1 2n 763-502-4977 FAX $ r $5.00 (State Licensed Residential Contractors) SAC Charge $ EFFECTIVE 1-1-08 Curb Cut Escrow )ATE 9I (o os YOUR E-MAIL ADDRESS Erosion Control ..�� ,ITE ADDRESS '7 39 n A A OC�\ `�A N Park Fee $ Fee Determined by Engineering Sewer Main Charge 17HIS APPLICANT IS: OWNER ❑CONTRACTOR Total Due PROPERTY OWNER/ NAME: l ' ADDRESS: 3$` /b,.Il1Y� C CITY 1 STATE/1J_ZIP 99 -13 TENANT PHONE: ip3`RHT5Lfvl NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE CSINGLE FAMILY T U SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH �OOF ❑ DRAIN TILE El DECK ❑ SIDING ❑ OTHER ❑ SWIhGAING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION rd'MAINTENANCE/REPAI ❑ REMODELING `R DESCRIBE WORK BEING DONE:— - � \4) &Ys SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT SQ ROOFINGHOUSE ONLY [I BASEMENT REMODELING SUBMIT; NUMBER OF SQUARES HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit I.Site Plan/Survey showing the existing structures ❑ Aluminum 13Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS TOTAL ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) VALUATION $ OCCUPANCY TYPE Ir Permit Fee $ 0 ,AQJ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ r $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 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 $ q(— 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 Minneso onstructi odes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in acro c w' a proved plan in the case of all work which re uires� d w�ntpp roval plans. SIGNATURE OF APPLICANT PRINT NAME Pin DATE APPROVED BY DATE Page 2 - Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Oficial 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 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1 ' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for l' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1- $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1' $50,000 plus $7 for each additional $1,000 or fraction to and includinZ $100,000 $100,001 to $500,000 $993.75 for l- $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1' $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the I' $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MIN 55432 763-572-3604 Fax: 763-502-4977 /�O7 9 Building BUILDING Permit No.: -OD +` Inspections RESIDENTIAL APPLICATION. 'Received B .4 763-572-3604 CITY OF FRIDLEY F Z ZF-4 nate R 763-502-4977 FAX EFFECTIVE 1-1-08 n 74 DATE % • YOUR & ADDRESS S1MADDRESS n/� -� uvt4L, �x . THIS APPLICANT IS: ❑ OWNER 'CONTRACTOR PROPERTY OWNER/ NAME, TENANT ADDRESS: LLt� Crr STATIq!WA/ ZIP 623lP PHOM& . CONTRACTOR. NAME: p1'DRESS:_ _ CIPY l tJ SxAr�dY! z>P 7�� SUBMIT A COPY OF PHO 1 — YOUR STATE LICENSE FAX # % STATE EXP DATE PROPERTY TYPE INGLE FAMILY N SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHEDWINDOWS 0 BASEMENT FINISH E3 ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: 1XMAINTENANWREPAIR ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ REMODELING DESCRIBE WORK BEING DONE SIZE OF IMPROVEMENT LENGTH WIDTH v HEIGHT � FT ROO 13 HOUSE ONLY —so NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES C3 ATTACHED GARAGE 1. . 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: PROPOSED HEIGHT: ❑ DETACHED GARAGE 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soft ADDITIONS_ & PORCM SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Stu vey showing the existing structures ❑ Other ❑ Fascia andproposedproject. WINDOW -9 - - 2. Two sets of construction plans •- - - - _ -• IN EXISTING OPENINGS ❑Yes ❑No T,q�CATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF. WINDOW TO BE INSTALLED .. NUMBER OF WINDOWS I ALL FEES ARE BASED ON VALUATION ,INCLUDING THE COST OF LABOR AND MATERTALS: aTQTNG THE 1997 UBC FEE SCHEDULE) VALUATION $ �s . ®° OCCbTPANCY TYpE_, Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge c. 9.:L ti- See Back Page for Fee Schedule $ 65% of Building Permit Fee $ 777 .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 $ . a•C $5.00 (state Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Platt Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) - $ Make checks payable. to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMITNOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the info on 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; thk I understand this is not a permit but only an application f r a permit and work is not to start without a permit on site; that the work will be the tho case of all work which requires �`�'ew an of • ZSIGNATURE F APP PRINT NAME �J Ll•� DATE! TR Building MECHANICAL Permit No.00 10 1 M1 Inspections RESIDENTIAL APPLICATION Received By• 763-572-3604CITY OF FRIDLEY Da ' d 763-502-4977 FAX rrr..,.�� , 1- DATE SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT YOUR ❑ OWNER 43CQNTRACTOR TE ZIP CONTRACTOR COMPANY NAME: MANUAL 2006 AS HANDBOOK. SUBMIT A COPY OF CONTACTPERSON: ci ,6 MODEL: MFG: �� YOUR STATE LICENSE WITH STATE LICENSE # EXP DATE ADDRESS:4.;w,� L / APPLICATION CITY_ PHONE e� �_� FAX STA Z PERMIT TYPE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW GRITLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUAL 2006 AS HANDBOOK. Equipment Installed ,6 MODEL: MFG: �� SIZE/BTU MFG: MODEL:Za�ASIZE/BTU 497 MFG: MODEL: SIZE/BTU _A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 RNACE $35.00 UNIT HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 _GAS _POOL HEATER $35.00 _DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00 { 4 1 i " { 1 i - - _ 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 fora I it anork is not to start without a permit; that the work will be in accordance with the approved plan in the case ofallwork w 'c 'r a 'ew and approval of plans. / % -///, SIGNATURE OF APPLICANT \ ! PRINT NAME L� —DATE � �c� APPROVAL INSPECTORS SIGNATURE-` v - DATE va: r,`: i.e.-x ..�e•-.Y. eww-tin r.e... °a;. Y � •n.i'�lsrnw .d.�.r� wn '€tia�i4�s.�:�a-.aa, w.�s�rf ri^r�.^F'. �.r.�3�.r+'n-err a;r .i,�r.n�s'� atiF.irrai �rrla 1hr arsrrarti'r"`.. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977