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PRE 2010 DOCSCity ®f Fridley, Minn. BUILDING N9 5s o Date: Owner: _ _*$' h r a Bwlder Address _ _ _ __. _ _ _ _ Address---- (�y, TION O�ey IG ff No. Street _-.may '. •'�a , - Part Lot_ _ ._ _Block Ad tion or Sub- 'vision Corner Lot _ .. Inside Lot _ _ �Wback Sid Sewer Elevation _..__ _ _ F dation Elevation DESCRIPTION OF BUILDING Front Depth , .. Height Sq. Ft. Cu. Ft. F �Depth ieight Sq. Ft. Cu. Ft. _ f Type of Construction � _ rte_ _ Est. Cost*_ . , "moo 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 grdinanc�s of the city of Fridley. Y In consideration of the payment of a fee of $'- permit is hereby granted to to construct the building or addition as described above. This permit is granted upon l:e 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 Fr+id ' ,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 violatien, of any of the provisions of said orduianoaa Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sure to we the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY. OF FRIDLEY, MINNESOTA n �owner Is Name. ';� ,rte ..7..c •' S LOCATION OF BUILDING No. Street Part of Lot Lo — �� + A Block Addition or Subdivisio Corner Lot Inside Lot ,, ' tback ode -Yard , 7 SEWER ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be' used as: `^ LFront,_, _Depth "�� Height i sq. Ft."-" �J,q ... �Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of construction- Estimated Cost To be 2 - The 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- ings+ and hereby declares that all the facts and representations stated in this application are true and correct. DATE - iZ STGNATURE (Schedule of Fee Costs can be ?found on the Reverse Side). BUILDING PENT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before permit for the erection of any building or structure addition to any existing building or structure, or fi or repairs to any existing building or structure, up, therefor, require the payment by the applicant for s, fees, to the amount herein below set forth and in,the provided to wit: issuing any or for any r any alterations n application ch permit of manner herein 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, 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 $1.25 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 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. GRRAGES 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 see 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 Section- 2 be less f' n $4.00. City of Fridley, Minn.. BURDING PERMIT Date: June 24, 1965 Kramer Address 7420 Van Buren Street N. E. 41�pas3 10 8027 Builder Crown Lumber and Suppiy Co. Address 3248 No. 2nd St. LOCATION OF BUILDING No. 7420 Street Tan Buren Street N. E. Part of Lot Lot 6 Block 5 Addition or Sub -Division Shaffert S Su1Z-Bie. # 1 Corner Lot._ Inside Lot Setback Sideyard Sewer Elevation ____ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Residence Front Depth Height sq. Ft. cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Fast. Cost $11400990 90 To be Completed Storm damage repair In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above forth and in compliance with a'il provid of ordin=ates of the city of Fridley. z.. r In consideration of the payment of a fee of1$ 0.00-, permit is hereby granted to Croun Lumber Supply Co. to canstruct the building or addition as described above. This pert is granted upon the express condition that �Sairso done iound and uponFridley,nnesota wiordir nt. city limits andpermit may be revoked at at�y time upon violation of any of the provisions of said Allen Jensen L Building Inspector NOTICE 'ills permit dos so aewr the coestruedw, been for rrtrlag, pdiAiM& ea has& , sewn or water. se are to see &e &eiidb* b Veer for sopor to permits for these key. S OWNER S N ADDRESS APPLICATION FOR BUILDING PERMT CITY OF FRIDLEY, mnmSOTA LOCATION OF BUILDING :le,) LOTS OCR ,,, ADDITION OR Corner Lot Inside L e� `Part of Lot _� SEWER ELEVATION F.0UNDATION.:.ffi;EVATIOU Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as: DESCRIPTION OF BUILDING Front Depth, Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction -z Estimated Cost` To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance.with the City 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. DA SIGNATURE (Schedule of Fee Costs can be found on th Reverse Side). BUMDIW PERMIT F_U_ SCHEME 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 to any existing building or structure, upon application therefore, require the payment by the applicant for such permit,of tees to the amount herein below set forth.and in the_.manaer here.3x... provided to -wit; 2..1. For any such permit for the erection of any fireproof 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 of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building, other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit $1..00 for each one thousand cubic feet. GARAGES 294* 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 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's hall be at the rate of $3.00 per.eagh 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 Sects n 2 be less than $4.00. it . t. r SUBJECT PE1238 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r � R N COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC. ��f 1 � NUMBER REV. DATE PAGE OF APPROVED BY I '`-'-1 CITY HALL FRIDLEY 55432 L---- ,`J 612-560-3450 910-F15 11/13/73 JOB ADDRESS 7420 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 5 Shaffer's Sub o #1 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Vern Kramer 7420 Van Buren Street N.E. 784-3703 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. H & R Builders 6402 - 42nd Avenue North 533-6902 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Construct a 1$ 14' x 22' Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Frame VENTILATING OR AIR CONDITIONING. Wood 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 R-1 308 3696 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 ANDKNOW T SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDIN CES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITHWHET ER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,500 1.75 DOES NOT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO S OF ANY OT R STATE OR LOCAL LAW REGULATING CON- 14.00 STR OR THE P TRUCTION.PLAN =ANCIE CHECK FEE TOTALFEE If $15.75 H SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT I ID TE)EN PR PERLY VALIDATED. SIS UR PER IT INSP - .DATE - SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CRY ®f Fridley SUffiJEC•Y Permit No. AT TK TOP 0 FINE TWINS BUILDING PERMIT APPLICATION Receipt No.' ='b'-----^', COMMUNITY DEVELOPMENT DIV. r 1 i PROTECTIVE INSPECTION DZP'T. CITY HALL FRIDLEY 50432 4,----j�° -j 012-360-3400 MMER REV. DATE PAGE OF APPROVED By • 910-F14 1 0 1/15/73 1 1 800 Job Address: 74 zo 114'j- ,3L-Rcw Legal Lot No. Block Tract or Addition See Attached Descr. I Sheet Property Owner Address Zip Phone (//&,eL eegn" 7VZ.® Lhw r3-,RC Ar 3 antractor . Address Zip Phone License No. AI,V-R 6 /0'e s 4/, '--4o Z -e-1 2-.`a AX Al 7 -iaa -.6 F® Zo rc itect or Designer Address Zip Phone License No. Engineer Address Zip Phone License No. ,Al. e,,, Use of.Building s Class of Work Remove ® ® 0 New L®! Addition Alteration Re air Move Describe Work Change of Use From To Signature, 'SPECIAL ASSESSMENTS: ' If lateral assessments have not been placed on this property, an agreement•nrist be signed, agreeing to assume such lateral assessments before a permit will be issued Agreement Necessary: Agreement Unnecessary: Finance Director bUTSIDE UTILITIES: z Sewer Elevation: Water Elevation: Stub Location: Stub Location: Ua BUILDING INSPECTION Plumbing H.V.A.C. Electrical Fire Insp. Signature & Date Approved ex u- Registered Engn. Stamp. Legal Description Check Exterior Devel. Check Performance Bond Check. Easements, R/W, Special Agreements Final Approval Date Certificate of Occupancy z Date r "FOR CITY USE ONLY DIMENSIONS: / a_ Length: Height: ��' Cu. Ft..:.`._.. Width: �i�� Sq. Ft. Accessory Buildings: Length: _ Height: Width: Sq. Ft. VALUATION: Sq. Ft. X Basement X PERMIT FEE: Residential Cu. Ft. Cost = Valuation ) Cost = Valuation ) Total Valuation Fee $1.00 to $500.00 $501.00 to $2,000,00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 $50,001.00 to $1005,000.00 PERMIT FEE: Commercial and Industrial Total Cu. Ft._. X $2,15/1,000 sq. E X r', PLAN CHECK: Total Valuation $5.00 $5.00 for the first $500.00 plus $1.00 for each additional $100.00 or fraction thereof, to and including $2,000.00, $20.00'for the first $2,000.00 plus $3.00 for each additional thousand or fradtion thereof, to and including $25,000.00. $89.00 for the first $25,000.00 plus $2.50 for each additional thousand or fraction thereof, to and including $50,000.00. $151.50 for the first $5.0,000.00 plus $1.50 for each additional thousand or fraction thereof, to and including $100,000.00. ft. _ Permit Fee Take one half of permit fee = STATE SURCHARGE: Valuation X $.50/$1,000.00' _ it X $.50/$1,000.00 PERFQPI;RNCE BOND VALUATION Blacktop Curbing i, Sod Fencing Bushes and Trees 1.50/scg, yd.. 2.00 lin, ft. 0.40 yd, 2.00 lin. ft. 5.00 - J50.00 TOTAL FEE „1 TOTAL BOND VALUE It 4 is owner of the property located at have no objection to the City allowing the construction of a 1 —U be located at � �0 Lll- /1k.�. h without the required certificate of survey that the City ordinarily requires for all new construction. Signed Address Date O Witness CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 74ig-0 ufi/v f (;U jzlei 5r /V RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $ O.00 that all the facts and representations stated in this application are 0Z true and correct. Gas Piping (Needed with new furnace) $ 10.00 $ G • GSD M C-5 F— S C- l -f ®F %= M (tdV OWNER —7 19 Gas Range $ 10.00 $ e 0M (5 - BUILDING USED AS Gas Dryer $ 10.00 $150 % > ESTIMATED COST XPERMIT NO. l� e13 *Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ CommerciaVlndustrial 1 % of Value of Appliance or Work $ State Surcharge $ .50_ TOTAL FEE $ • �j�(0 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units 1 Circle One (Steam) (Hot Water) 6 arm Air Trade Name :5,�C w%,rX CAIAE�SSize No. BTU /# Q-500 ® HP EDR Fuel k2kT(A 9 41- 6AS Total Connected Load Burner Trade Name Size No. BTU HP. EDR HEATING COMPANY n ­t -us &)E_ d� Signed By, Approved By -2_ C Rough -In Date Tel No. Final Date 0-34P *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks w. sil List Alterations Being Done: HEATING COMPANY Signed By Date 01 SUBJECT PE City of Fridley,-r11489' AT THE TOP OF THE TWINS BUILDING PERMIT P R �• COMMUNITY DEVELOPMENT DIV. r L ------ � PROTECTIVE INSPECTION SEC. d f4 � CITY HALL FRIDLEY 55432 IL---- NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 8/12/92 JOB ADDRESS 7420 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 5 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Schoffman 7420 Van Buren Street NE 784-7471 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 C1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Basement Remodel 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan, SEPARATE PERMITS REQUIRED FOR WWII, HEATING, PLUhj$1N 'a AND SJGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $31000 $1.50 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- $54. SC $3.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. C PLAN CHECK FEE TOTAL TOTAL FEE $58.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) H P PE LY AVPATED THIS IS YOUR PERMIT f Ste" ",\. ?- f i a ' BLDG WSp DATE Si NATURE OF -OWNER OF OWNER BUILD I IDATEI 01 NEW, [ ] Effective 3/1192 AI)DN [ ] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 136Y le C --A) Si- /U C= Legal Description: Owner Name & Address: �} W1 S S.C-H O E E W I Tel. # - i V' 7/ Contractor: _ C� — `;A AA - MN LICENSE # Address: �j�l�► - Tel. # 7 y7l Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to sole. 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: 8ft5 e m e -Ai T k e^ 0,7 &'L- Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ 3 Q 00 o o APPLICANT: Sewer Main Charge $ -- TOTAL $ °57® Ft. + b Ft = Ig Ft x $ (Cost on Back) = S Tel. # Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ l r 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 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 fust $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 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. Ft Every sleeping room shall ve aY east one - adewiffUh-a 44" above the floor and shall provide not 1 less than 5.7 sq. it. of openable area with ; B minl i r/r--=--- - r SUBJECT PERMIT NO. City of Fridley% AT THE TOP OF THE TWINS BUILDING PERMIT Ir RECEIPT NO. • COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/25/95 JOB ADDRESS 7420 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 5 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Schoffman 7420 Van Buren Street NE 784-7471 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 O NEW Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 22' x 151411 Deck/Gazebo with hot tub; remove existing deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Before digging call for all utility locations RE4UIRED'3 y LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,788 $2.39 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- SC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $99.75 Fire $4.79 PLAN CHECK FEE TOTAL FEE 106.93 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT WHEN PRC69ERLY V ATED THIS IS YOUR P, RMIT �yIDATEI V BLDG IN'SP ��A [SIGKATURE OF OWNER OF OWNER BUI ERI IDATEI .[;C_:C:+•:!.QE4.":R�:[;�:ww'�'a"k`+'ti?`:+?.....•��.ti�i.w.... SPn.S.i.....•a•:`LtiK!:K+:...`:.K.•v!t:..+......... ........ ................ NEW [ ] ADDN (1 ALTER [] Construction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 7//ac) VAS 6ut2e­,-' S 7 �� Effective 8/1/95 AK +i It 5•. oto --03x1 Y3©9 Owner Name & Address: :11 M LE S C L o/ F�'/ �9' `� �' Tel. # 7g Y- 7 4t Contractor: Address MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: , . Length -Width Height: Sq• Ft. GARAGE AREA: Length Width Height Sq. Ft. TDTM-L- DECK AREA: Length a,J, Width 15 `4 " Hgt/Ground `�$�Sq. Ft. '%/ GU f OTHER: � �t o V � �� 5 � �T in) &- C— > 22, Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: clr APPLICANT: yt m c-5 SC rf o t- W'"`'' Tel. # %8 Llf-7q7 / CITY USE ONLY Permit Fee $__ Fee Schedule on Reverse Side Fire Surcharge $% .001 of Permit Valuation (1/10th%) S State Surcharge $'� � $.50/$1;000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Pian 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 $1001001 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 flaming. tondPlovininq Land Suri eying , Soils Tesh;iyENGINEERING9 INC. Civic & "wapal EjineeA�y Enym'l eers Sur veyon5 cewt 141 fit ate - of suieve7 z?, 570hfississ#iSME Minneapo%s 21, Minnesota SlInvi-4.40C6 'XI . k.k. J;Z 74 2. 3 .11.7410 t 4! ih. N'A Op I ;25 t--'° vr-'rldG'jvwl FH GOWFOUrAr '.V i Owl UOVI., MIA? 47117�!,wF�. 7'Plwyip7ff Wffll.jffllu M A AA PA SUBJECT MI City of Fridley 25213' AT THE TOP OF THE TWINS P,REC BUILDING P E R M I T Ir COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r � 0 57:�5_ 1 1 NUMBER REV GATE PAGE OF APPROVED BY /-'-1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/25/97 F/ JOB ADDRESS 7420 Van Buren Street 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 5 I Shaffer's Subdivision #1 I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Schoffman, 7420 Van Buren St., Fridley, MN 55432 784-7471 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Jim Schoffman 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 J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Garage (32' x 24') ; Remove old garage from site. 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on plan. Provide a hard surface driveway. Remove all demolition debris from old garage. 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 SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS 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 $149200.32 $7.10 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- $224.75 Fire SC. $14.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 2 .05 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN ROP ALIDATE THIS IS YOUR PERMIT 1 R16 INSP • �_ DATE .GNATURE OF OW NER UFO RBUILDERI Ir IDA EI NEW gt= VlgC ®t -b &)tt4A&` Effective 1/ 1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2�� BUILDING PERMIT APPLICATION ConstructionAddress: 7q,2t 0 h- fV 15 U e &-W S ! SIJ Legal Description: Owner Name & Address: �J'1 hil SCk c � v► ( Tel. # 1/-'7 71f Contractor: MN LICENSE # Address: Tel. # A to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width R `f Height `16 " tum- Sq. Ft. `Z6 �j{_ X t1% Length WidthHgtiGround Sq. Ft. Driveway Curb Cut Width Needed: DATE: �- `1 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Estimated Cost: $ 8S©c) 1 y 32 (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ APPLICANT: Tel. # CITY USE ONLY Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side () p J� G -001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 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 [ ] M BUILDING ['ERM1T FEE SCHEDULP, 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 fust $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 addittional $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 andreplacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet tithes $15.75. VERIFICATION OF FOUNDATION i'ermits for construction will be issued a minimum of 24 hours from the time of application to allow for proper view of the proposed structure and of the construction site. t Certificate of Survey of the Iot, showing the location of thefoundation mice it has it has been construe'_-:.! : ? h required hcfore proceeding with the framill" SUBJECT PERMIT NO. City of Fridley 27106 AT THE TOP OF THE TWINS BUILDING E M I T ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 63 r � I NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/11/98 JOB ADDRESS 7420 Van Buren St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 5 1 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stock Roofing Inc 289 Liberty - 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 Reroof house and garage 24 Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must complywith 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2001 $1.00 DOES NOTPR VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION N THE PERFORMANCE OF CONSTRUCTION. $74.75 Fire SC $2.00 ® PLAN CHECK FEETO L FEE Lice n 0 $82.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN rROP ALI D: THIS IS V R PMIY r r SIGNATURE OF OWNERUF OWNER BUILDERI IDATEI BLD INSP MATE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �j ConstructionAddress: 126 Legal Description: Owner Name & Address: Tel. # Contractor:S 1eez�� ,c�0 MN LICENSE # elf Address: 2- zz ✓ _4zx Tel. # LIVING AREA: GARAGE AREA: DECK AREA: [1111111 Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Estimated Cost: $ Sq. Ft. Sq. Ft. Sq. Ft. aoo i (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �� / 7� APPLICANT: Tel. # Permit Fee $ `� � Fire Surcharge $ '�_ C% G State Surcharge $ /-00 SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ STIPULATIONS: 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 [ ] 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 $500,001 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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. } CITY OF FRIDLEY INSPECT iON DIV. l 6431 University Ave NE ' Fridley, MN 55432 763-572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NI IMRFR nF FIXTI tRGC Tn RG IMCTAI I Gn nM Ceru r1 nno Effective On Jan 1, 2001 12gg6'� .. �� tit? .•t: fi::.?�.+�. ti :1A; :?Y.:/,!!Y'•?^` :.Rl; •�'i Wash :'�::::::::::: I'"" :.:..:.::: 1.:. v..tt?::.•.::f:::.: Floor I✓a ::; .•:;< < '-�•:•i�$:ij:iT,:�,�:•�� Auto. ::i !.:. ::..; :> .:.?A},:?�•?Ydy, Gas 1>::>: Water Heater • .::'r�i} Stories Ee:,.. Urinal •:ii�d T:,,:: Shower •H!;?}•. T ra liiit''> Drain�t, :r: ?�: Washer: :?•<A:-•: .?.?i::::.�k?'v Range .•..it•;•::: Gas Elec Basement ,. •?r:�.•. �y::?? :oY%i>.i::::?iii• Y:i �' :f•?:'1i1,•:•::•?:F A::: Floor 1 ��`• Floor 2 :: •'R•i FI oor 3 ::YAr: vjiG :idC•' Floor 4 Woo --- Wer /1pv+-er PLUMBING FIXTURE RATES: New F'nctures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** NO. RATE $ 7.00 $ 4.00 $ 5.00 $ 7.00 Gas Range" - Gas Dryer** Back Flow Preventer Required ( )Yes () No $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 TOTAL JOB ADDRESS 7q; ; U 11Ay✓ % uAet-n/ S T pNG TYPe $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance ,rib State Surcharge $ .50 TOTAL FEE se��jr6 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. .2061 Owner -�]-UAA Pq-ta>.A, Building Used As vw .lam Estimated Cost PERMIT NO. PLUMBING COMPANY SIGNED BY .- TEL N0. - 3- ?`S "�1 %ti7/ y Approved By Rough -In Date Final Date' COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) The existing combustion air is sized and installed to meet the current codes BTU Input and manufacturers specifications. Yes ( ) No ( ) When required to Install a new combustion air, it will be sized and installed Fan Assisted or Nat to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When Installing a new ventina system, the undersigned hereby verifies that Total Appliances it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Vent Height Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) Is the common vent and vent connectors sized and installed correctly after ft Diameter in Type an appliance has been removed from the common vent and vented ft Length separately as per current codes. Yes ( ) No ( ) Aabliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height . ft Length ft Diameter in Type ALTERATIONS: (Describe) - HEATING CO: Signed By: Date FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 January 11, 2002 Mr. Jim Schoffinan 7420 Van Buren St NE Fridley, MN 55432 Re: Final Inspection at 7420 Van Buren St NE Contractor: Owner Dear Mr. Schof man: A mechanical permit was issued on August 21, 2001 to move the water meter at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DA Inspector DJ/mh City of Fridley 32093 AT THE TOP OF THE TWINS BUILDING PERMIT i R i trV COMMUNITY DEVELOPMENT DIV./i® 3604 ,�qJp/ r � � PROTECTIVE INSPECTION SEC. (i L lll��/ NUMBER REv DA Tfi PAGE O: APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910 -Ft 5 8 / 21 / 01 JOB ADDRESS 7420 Van Buren Street I LEGAL LOT NO. I BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 6 5 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Schoffman, 7420 Van Buren St, Fridley, MN 55432 763-784-7471 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Jim Schoffman 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK CY- NEW 0 ADDITION O ALTERATION O REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Construct addition 9 CHANGE OF USE FROM TO STIPULATIONS A® NTNG See notations on plans. Before digging call for all utility locations 454-0002 REQUIRE® BY LAW SEPARATE PERMITS REQUIRED FOR: WIRING HEATING. PILUMBIRANDSIEW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $22,120.56 $11.06 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 TOT FEE 14-17 $ .43 SI N'A'T'URAE_OF CONTRACTOR OR AUTHORIZED AGENT iDATE) EN ROP VALI A THIS IS YYOOOURR. PERMIT qh -`� S-GNATURE OF OWNEROF OWN E UIEDER� i TEi BL INSP - OATE NEW [ ] Effective 1/1/2001 ADDN ,( CITY OF FRIDLEY (763) 572-3604 Bldg I Sp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: i 1)4 rt/ 6 uezew �Z' /U F Legal Description: [ o T Co t3Loci< Owner Name & Address: 5a- V" -Q Tel. # 763 — -;7,9IV7,7 Contractor: I+a o v. °-e r L)—/ ryi Sc ho MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT \ Length �" Width % �- Height Sq. Ft f � ` 7/b) � ® X7907. & Length I Width Height Sq. Ft. Width Hgt/Ground Sq. Ft 30Y9,� a Construction Type:_ ,� yoo o i-� Estimated Cost: $ lo�l�, Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: 5a4*,-,, Tel. # '2 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ S w . a,Fee Schedule on Reverse -Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ i / (o $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. T" 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 $23.50 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to _ $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 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 $15.50. 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 $23.25. 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. New Houses Only MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 8-10-2001 DATE OF PLANS: Aug 08. 2001 PROJECT INFORMATION: Schoffmann Residence 7420 Van Buren St. NE Fridley, Mn. COMPANY INFORMATION: Architectural Drafting Services 617 24th Ave NE Mpls. Mn. 55418 Permit # Checked by/Date NOTES: The foundation to be styrofoam block core filled and reinforced. the RR value used to determine the bsmt. was R-22. COMPLIANCE: PASSES Required IIA = 116 Your Home = 111 4.6% Better Than Code Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value --------------------------------------------------------------------------- CEILINGS 350 38.0 0.0 WALLS: Wood Frame, 16" O.C. 664 19.0 2.0 BSMT: Conc. 7.0' ht/5.0' bg/5.0' insul 217 0.0 22.0 GLAZING: Windows or Doors, Above Grade 91 0.350 DOORS 40 0.350 FLOORS: Over Unconditioned Space 144 30.0 0.0 --------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Builder/Designer Date 1p - 10 1 Irk 10 1 CITY OF'FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Pipin(Needed with new furnace, ut not replacement) Gas Range rU2 g2;.��':� �... Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1 of Value of App Ian a orWork LLO-W6 � IL Arial 1.25% 1.25% of Value of Appliance or Work Effective On January 1, 2002 JOB ADDRESS_ i Tho V 41U ul-ov � OWNER Rate TOTAL d� BUILDING USED AS $ 30.00 $ ESTIMATED COST PERMIT NO..� $ 10.00 $ A/;, DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ fb. �� 61 No. of Hefting Units Circle One (Steam) (Hot Water)arm Air) $ 10.00 $ Trade Name CoyTI j1 dW �'0f1_ Size No. BTU �;a HP EDR $ 25.00 $ Fuel /lied'- &A -S Total Connected Load v3��T� Burner Trade Name Size No. $� BTU HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION. REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ 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 an �0 rulings of the Building Division, and hereby declares that all the facts and $ S representations stated in this application are true and correct. DATE HEATING CO )4D W c OL,_) 't)eP< - Signed -r— SP,� TEL # _-763- 76V — 7(rz FAX # V Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT' VFNT CONKIFCTOR AND CQMR1 ISTION AIR VIFRIFI ATION When replacing an existing firance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes( ) No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The axktong comb ,Minn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new combue ion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new venting cy temm, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date: