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PRE 2010 DOCSBuilder Address N° 6459 LOCJ- BUILDING No.Street Part f Lot Lot _ __ __ Block Addition or Sub -Division . Corner Lot _ e-1 Inside Lot ___ Setback i. Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To ; as: 9 -103 Front Depth Height —40— Sq. Ft. Cu. Ft. Fro t Depth Height Sq. Ft. Cu. Ft. Type of Construction 2 Est..�� '�--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. 0- /j / 'i'a In consideration of the payment of a fee of tom---�-- , 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 uponn of any of the provisions of said ordinances. .� Building Inspector NOTICE: This permit dos not corer the Construction, inshlleflon for wiring, plumbing, gas heating, sewer or water. Be Sure to as the Building Inspector for Separate permhs for these Items. J APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA g� OWNER ° S NAME e_ BUILDER ADDRESS & 0 1 y 0d z ADDRESS LOCATION OF BUILDING No. /0 0 Streety,il Part of Lot Lot Block f Addition or Subdivision ,� �� " ` s 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; 0 0- `a (-y Front 2- o p Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cose it se_ � To be Completed a a^ 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. DATE_ SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). z 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 exist- 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 erection of any fire -proof building, other than a garages 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 aby'non-fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the.floor.line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 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„chargad'.for a.ny permlt as set forth in Section 2 be less than. $4.00, Date: JUNE 18, 1965 1� =1I Builder SAME 4601 Fillmore St. N. E. Address N® '7964 LOCATION OF BUILDING No. 100 Street Ventura Avenue N. E. part of Lot Lot 7 Block 4 Addition or Sub -Division Carlson's Summit Manor, North Addn. 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 Fat, Cost $17,000.00 To be Completed REBUILD ON ORIGINAL FOUNDATION a STORM DAMAGE In consideration of the issuance to me of a permit to construct the the proposed work in accordance with the description above set forth orditsancxa of the city of Fridley. I agree to do .mrovisions of In consideration of the payment of a fee of $ 10.00 permit is hereby granted to JOHN STEVE to construct the building or addition as described above. This t is granted upon the express condition that the person to whom it is granted and his agents, employees an 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 wior thi n� city limits and this permit may be revoked at any time upon violation of any of the provisions of said ALLEN G. JENSEN Building Inspector NOTICE: Me permit don not eam the candruudim, katalladon for Wig. plumbing, gn boding, sewer or water. Be are ft an duo Building lamer for aopanft permits for tbae heaut APPLICATION FOR B ING PERM CITY OF FRIDLZYi NNESOTA OWM'S NAM John Ejtdne BUILDER ADDRESS .,46ol Fillmore N. E. ADDRESS_ LOCATION OF BMDING No, 100. Sheet Ventura N. E. part of Lot Lot Block Additibwbr Subdivibien Corner Lot Inside Lot letVatk Side-Yartk--., SEWER ELEVATION FOUNDATION EUVA17ON Applicant attach to thin fom,Two Certificates of. Survey of Lot and proposed build- ing locatiod.,dfAwn on these, Cattificates. DESCRIPTION OF BUILDING To be used as: Pront Depth S4. Ft. Cu. Ft, L_Front Depth Height Sq. Ft. Cu. Ft Type of ConstructionPrqmeEstimated. Cost p17,00000 -Tx-.beCam _ October 30, 196 The undersigned hereby makes application for a permit for the work herein specified*, agreeing to do all work ift strict accordance with the city of Fridley ordinances and - rulings of the Departmentof Buildings, and hereby declares thatallthe facts and representations stated in . this application are true and correct. tSchedu . Is of Fee Costs can be found on the Reverse Side). BVILDIM PERMYT IEEE SC90ME 0 '. t Section 2. The Inspector -of Build:trigs -s�el•i,any permit for the erection of any building . or. s,t vrit„ure, 4ifor a4y ad4itilp to any exist- ing building or structure, or for. any ateratictos'.;repair� to any existing buildiag or structure, upon applicatfbn toeicefor, require the pa"ent by the applicant for such permit of fees •to• tVee amount 'herein"below. set 'forth•.attd in the manner herein provided to -w#- ­.2.1. o -w#-- 2.1. For any such permit for the eregtioz , , of any fire.-pioef buildipg,, other tAan. a . ar a warehouse,. -facto • . � g � s 1'y oz !►�� ��"o'��'"� � _ �®r, the erten of any fire -prof addition, fob s*tlar°°oic,�i�Paacy, a#y exist�iog buticMn shall be at the rate of $1.40 for eac1 : aao, thmsimd,.subic feet, orfraotion ar ...thereof, in such cubical eontonts`�''. n • 2.2. Fot any such" permit..foe.:i e._erection--of'any' fire -proof g raga. -Q om•,--,, ary or grain elevator, or for the exaction. of _anyi +� . for. similar occupancy,. to any eitist mg fidi shad• be at it e foiF 'eaeh one .thousand cubic .feet;'., class ified.,Asy Pfireproof" by the MinneapoL. . BuLidiilg 'Codo.. HOUSES 2.B:. Fdr any such permit for the eredtiorf of any non-firep;vsf building ath than a garage, warehouse, factory or, grain elevator, or any non-fireprof :. addition, for simfl,dr oceupahcy, to any a iatidg"building - permit $1'60 for each one thousaA4 cubid feet,. GARAGES 2149 For any such permit for the erection of any non -fireproof garage., warehouse, factory or grain elevator, opt for the erection of any non -fireproof`. additioii: -for-similar'occupancy, to any existing building dr for each such �. .4' -tiding or addition , ninety -cents ($0.90) for each one thousand cubic feet or fa'ac.tion thereof, in the cubical -contents thereof. with a minimum of $4«00.., For the purpose of computing fees for building permits,.tha.cubical corstent& of, any building or_ addition' to a uniform height throughout .by multiplying tfi,a...., ' ,grund area tovered.from a point six (6) inchas below the floor line.6f.the• basement or cellar to the average height of the upper surface or to the average height of the roof surface Of the maim gable of a pitched roof. 2_ 5_ For repairs or alterations to an exists at the rate of 3.00 structu4rQ.� c fee shall be .. $ per each Five gundred• Doll.,ar..s .($�0b: or )traction 'o£ therebf in the cost +ell proposed work: 2.6._„ In no cases �i' hall the =£E : frrr ;any permit A. set' f6eth its b Section -2. he SUBJECT P City ®f Fridley ® � AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT � • COMMUNITY DEVELOPMENT DIV. ______ r PROTECTIVE INSPECTION SEC. i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 100 Ventura Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. % 4 Carlson's Summit Manor North Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Brudvig 100 Ventura Avenue NE 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 Gk ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK Construct a 9' x 10' Deck and a 6' x V Deck 9 CHANGE OF USE FROM TO STIPULATIONS Step maximum rise 8 inches; Minimum run 9 inches. Handrail must be 34" to 38" above nosing. Guardrail ,- 36 inches >zxk high with maximum spacing of 6 inches. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 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 $800 $.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- $21.00 Fire SC $.80 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $22..30 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI Q WH OP LY A T HIS IS YOUR PERMIT LDG SP 17ATE SIGNATURE OF OWNER i IF OWNER BUILDER) (DATE, MwI 1. ft ADLN [ ] R-1 AMID R-2 ALMM [ ] Building Permit Application Construction Address: I ` 0 J I t 1 legal Description: L) ( '7' , 43�L 1 Effective 1,/1/91 . i1 /h r% 4 %r eJIL Owner Name Address: 1a -c£ ts 11 e /00 (;���� TzCi�i Tel. # oc�tiactor: dot - -- Atli to this application, a certificate if Survey of the lot, with the proposed oonstzuctian drawn on it to scale. 1ffG)jp1.• s � LIME AMM: Length Width Height Sq. Ft. AMM: Length Width Heic t Sq. Ft. ESM AREA: Length Width Hgt/Ground Sq. Ft. . tbzner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yazd Setbackd OJ .: Type of bion: LJ00,0 fT5 Estimated Cost: $ 00 Approx. Cocpletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. Width + 6' DATE: APPLICANT: .Permit Fee $ C� 1, Fire Smmharge $ State Sur )a ye SAC akirge $ Driveway Es=m $ Park Fee $ Sewer Main Oarge $ See Back Page _ Tel. # Fee Schedule an Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Flee Determined by Engineering Agm —1 Necessary [ ] Not Necessary [ ] T0TAL $, X srsRnAMCNS: LA C.- ! �', C)o tpg1V Lot '-' 3t -i 3% 0Q d LX A -)a (x3t _ a (� dU SPS fl L E=_Ipot 1'jI. r a -, IV a, . _qtr _-• Ii Ip the thief Building Official shall, before issuing permits for the erection of any building or struct ave, or for any addition to any existing building or structure, or for any alteration ar repair to any existing building or structure, upon application therefore, require the payma* by the applicant for suds permit of fees to the mmount herein below set forth arra in the mrnier herein provided to -wit: ZO►lALAL VALUE FSS $1 to $500 $15 p iniu= Flee is $15 plus st= hange) $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 cr fracticn 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 arra 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 arra up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof ERIVEIM DBPltESSIAN SRCWff (Concrete 0 Streets Only) Alternate "A"-. mal and of cimb 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 dept2h - Driveway width plus 6 feet tip $15.75. Permits for aocs xuc ion will be issued a minintmm of 24 hairs from the time of application to allow for proper review of the proposed structure and of the camstnnction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been omstructed will be ;required before proosedirg with the framing. r ., SUBJECT-'- PERivVIIT N. City of Fridley 275;0) AT THE TOP OF THE TWINS BUILDING PERMIT REC_E_ IPTWO COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. --` r � � PROTECTIVE C� REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 . L J` 612-571-3450 A�ER 9/3/98 % JOB ADDRESS 100 Ventura Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 4 1 Carlson' SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ralph & Pam Anderson ti7 -7567 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 AR REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (19 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS 9 Underlayment must comply with the 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 LAWSVALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1628 .81 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. $54.00 Fire 1.63 PLAN CHECK FEE TOTAL F 56 4 IGN RE OFC RACTORORAUTHORIZEDAGENT IDATEI ;ST, N P OPER�LIDAIS Y JPEMIT GNATU RE L4.45ae7 R B IL �R•6 IDATEI IN P 1L S NEW' [ ] ADDN [ ] CITY OF F UDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: 4 Effective 1/1/98 Owner Name & Address: Pad ok Thim � AM k.FTel. #5 -11- 75�o7 Contractor:,MN LICENSE # Address:P��/,!�,'�{/ Tel. # e57el- ?5107 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: e / f Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: APPLICANT: Estimated Cost: $ v �� , 0?, S• to Z) (Fee Schedule on Back) Ft x $ = $ Tel. # 1 7 ?S( 7 TOTAL $ '54, STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 1,63 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ '54, STIPULATIONS: A I Y 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 PERMIT NO.: 2005-00029 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 01/06/2005 572-3604 FAX: (763) 571-1287 ADDRESS : 100 VENTURA AVE NE PIN : 233024330037 LEGAL DESC : CARLSONS SUMMIT MAN NO ADD : LOT 7 BLOCK 4 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. # INSPECTIONS I APPLICANT ROYALTON HEATING & COOLING 4120 85 AVE N BROOKLYN PARK, MN 55443 (763) 424-8333 OWNER ANDERSON RALPH M & PAMELA A 100 VENTURA AVE NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date STATE SURCHARGE, ELEC FLAT 0.50 ELEC PERMIT FEE - MIN (RESI) 20.00 TOTAL 20.50 PAID WITH CHECK # 40600 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY PERMIT NO.: 2005-00030 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 01/06/2005 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 100 VENTURA AVE NE PIN : 233024330037 LEGAL DESC : CARLSONS SUMMIT MAN NO ADD : LOT 7 BLOCK 4 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 1300 APPLICANT HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK 0.00 35.00 ROYALTON HEATING & COOLING 4120 85 AVE N GAS RANGE FEE 0.00 BROOKLYN PARK, MN 55443 GAS DRYER FEE 0.00 (763) 424-8333 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 40600 0.50 35.50 OWNER ANDERSON RALPH M & PAMELA A 100 VENTURA AVE NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the pe construction. Zrmance Applicant Date Bldg InsaF16 Da/— SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 763-572-3604 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS /bD VSeL� RATE SCHEDULE Fee Total ' Residential Owner Furnace Shell and Duct Work, Burner & also Replacement Furnace $35.00 $ Building Used As Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST 1,30D. PERMIT NO Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Unitse i 0 e Steam) (Hot Water) a m Air Trade Name ��Size No. *Air Conditioning -All Sizes $25.00 $ BTU HP EDR Fuel r Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Burner Trade Name Size No. Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representaboros stateication are true and correct. � °t State Surcharge $ .5D HEATING CO TOTAL FEE $, ,50 Signed °�r - E5i) ' 1'.'! l l�'�'�'�' Tel # BROOKLYN PAIRS, Mfq 55 r J REINSPECTION FEE $50.00/HOUR fAX # a X63-424-3333 Date *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifiesthat 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 plasticlPVC and meets all current odes 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 -LAMA Category 1 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 and manufacturers specifications. Yes No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When installing a new venting system, 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 Tvve 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:a -5A- SIN QQC4- Signed By: �0 -r613�VF1U PAC -54 Date 0 763-424-6333 Building inspections 763-572-3604 SM ni:9 'DIX ST WTl'H AL 0 BUILDING rATION YOUR E-MAIL ADDRFSS T IS: O OWNPR :C.)N1RAC7'�iR OWNER/ ►NTADDRESS:_ 6 ,�� i_ _�, ,� & N �C:rry PHONE -21_63 - W ndow iol ncep 'of 1VllV, Inc. NAME: 990 Lone Oak Road Suite 114 LCTOR EJ ATTACHED GAR,A01i STATE LICEN Eagan, Minnesota 55121 COPY OF Toll Free 1-888-712-1733 E LICENSE ADDRESS;— License # 20163493 1CATION PHONE www.windowconceptsmn.com INciI:F: rA 17 Trim 17Y TYPE 13.1 -WO FAMILY/NEW UtJN31i1­-,1 - r TYPE d AD )MON ®t,AR.Ac;• vfflD Fc�>zNom+OPI3NAVIG II SCRiBb SIM OF- t] 14AWMENT FINISH 13 ROOF [)PHNINGr CHANGES & 13 DECK 17 SID1Nt) 0 SWIMMING POOL WOE❑ NEW 17 Al)DMON n neanvrFKANCUREPAIR 13 R.EM0I)I.1ING L-,ESCRIBE WORK BEiNO DONE: SIZE or,: 1TWIP1;L0VEMENT =JV1T� N-uMt��rr of sc,1uAR.lrs v t-IouSE & OARAUr: La EJ ATTACHED GAR,A01i pg SIZI;: O I)ETACHFO GARAGE PROPOSE17 HEIGHT:. �illN O'vfny) OSailit C'Alua um 17 Trim 13 Odor 1�1 TIN, �* ()PLTIIN(.M$0s ONO LOCA noN OF W1ND()WS Fc�>zNom+OPI3NAVIG II SCRiBb SIM OF- [)PHNINGr CHANGES & --.. .....,,,,..�.. 1 STATE IPZI CITY-, . ._STATE iL1P o wANME ❑ 0114ER 26 K 90 AI )e �2/ I s rXisting Rio# Flan 2, Propamd Bee P1u 3. List cr smuoui members to ba used FOR NEW CONSTR.U, AUDILII )NS. $C 1. site plawsu and piepOge 2. Two sets of 3. F.nerfyCrJC '1ci'pE OF W INa]UW I U or, 1MIk I - ALL FEES ARE BASED ON VALUATION, INCLUDING fig COST OF LABOR AND (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATIONS a- OCCUPANCY TYPE 1iecmit Pee 0 q-7.. 3 L See Sack Page for Fee Schedule — dS%of Building Permit Fee Plan Review $ p01 tunas the total job valuation Fire Surcharge $. -- Sprc a 0005 x Permit Valuating Minimum amd Liceuse Surcharge _$ _ ���t i S5.00 (State Licensed Residential Catrautors) yAC Charge $16x75 per SAC Unit (Plans to MWCC for dLtermity $ {+6th T_ _ftx$21 =$__ curb Cut &crow Erosion Control $ $450 Conservation Plan Review Park Fee �$ Fee Determined by Engineering Agreement neoi mwy ( ) Noo Necessary ( ) Sewer Main Charge $ Total nue $ lake cheeks able to: Cityf Fri odl `. 7Ii1S LS AN APPLICATION FOK A PFRM1T-NOT VALII'3 UN'T'IL MOCi SSM I hereby, apply for a building permit and 1 acknowledge that the information above is complete and accun Conform=0 with, the ordittartc for a permit and Work Is. .4 codes of the City of to 1estartand witl� u ape t the t th w will be Consmxdon in I permit but only an application I plan in the case of all work w ' requires view and approval of plans. �� /�6"1I � � �/ �� /�7 I � T APPLICANT' FRIId'TNAML_�„ SIt3NAkgj t7' - -^ )N iNCIEDING DECKS, we existing sttuctaros that the work will be in I undmt=d this is not a rdance with the approved 01-1; Td Wd90 : t70 2_OOZ FZ '400 L8ZT TLSE9L : 'Ott Xdd Fia l P tad J0 h; I O : WOdd permit Building BUILDING inspections RESIDENTIAL APPLICATION x@moi`' 763-572-3604 CITY OF FRIDLEY nit Y(:)UR.E-MAIL ADDRFKq — 3I1E AUURE3S THIS APPLICANT IS! ❑ OWN12R NTRAt;!'OR TENANT ADDRESs:..�®®,�' Y.� --5 PHONbAO `illiiMIT A COPY Ul•' YC11,]lt STATE LICENSE WITH APPLICATION PR[fPCRTY TYPE PERMIT TYPE OF WORI{: DESCRIBE WORK SIZE of, iMPFLOVf SQUARES •AG PROPOSED S)Zh;.-. I'RQFOSIii) IIEICiH'1•: ,_ ❑ Vinyl ❑ Alaminwn U Other . NAME: 4&a! 5TXrE, LICENSK #_, U 7•WO FAMII.YMEW CONSTRUCTION ❑ ADDITION ©,GARAU ❑ BASEMENT FINNISH ❑ ROOF 17 UGCK ❑ SIDIN[I 3 [NI> UW IN EXISTING:OPIMNONIPSCRIBb Yes ❑No (At FOR NEW OPENING SIZE OF OPENING CHANGES & & r3m DAPI E ---AAct.!)CITY, FAX INS tSt C{'U INDOWS 0 DRAIN TILE ❑ O'19-IER I if _ ❑ HOUSE ONLY 17 HOUSE & GARAUP [I A I'TACHED GARAOE C3 DEfACHFiU GARAGF: Usef t, 17 Trim 0 Facie L(?(:ATION1AvINDt7 S tn) C=� 13ASEA�NT REMt !. L?xistiopi 1 2, Proposed 3. List of su FOR NEW CONST] Alm tu] �:vs - I. Sitc Pian By: �T13=_ZIP�`I� I 1 0— "t Sia. Ft, iNCI %1ii3KL Plan plan A membors to be need r']O'N WCI.IMING DECKS, • . t]e ev showing the existing Aractut" and proposes project. 2. Two ,rets of opwimcuon plans 3. Pncrgy C VJ latlotxi TYPE OF WINDOW TO BB IPISTAU 4D••� -- - -. - - ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LADOR AND MATH TOTAL Permit Fee Plan Review Fite Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge (LYSIN , - THE 1 ®I��.B.0 P'EE SCBE ? OCGIIPANCY TYPE VALUXfV- $ $ a See Back Page for Fee Schedule $ 65% of Builduig, Permit Fee $ o .001 times the total job valuation S �, ,0005 x Permit Valuation Minimum $.50 �9 $ $5.04 (State, Limmsed Residential Contractors) $1675 pea SAC [.snit (Flans tO MWCC for atenr $ $450 Conservation Plan Review Fee Determined by Engineering $ Agreement necessary ( ) Nan Necessary ( ) 4L 9 —a,. 1,157 Make ehecks RRY010 to: City of Fridle Tonal uue m THIS t9 AN APPI.IC:ATIC)N FOR A PFRwr NOT VALiI� UNTIL PROCESSED I hereby apply for a building permit and [acknowleCitydge that the information above is complete and acour, conformance with the ordinance and andhwork is not itof f ) anut wtwi"the ;that tlto wota ork will will bee in Codes;on i permit but only an application permit it in the case of all w re411 1qu s review and. approv pia plan - A � 1. k m ��®�%i S1(3NXI,k-TM OF that the work will be in I understand this is not a rdance with the approved Td W890:170 )00Z ZZ -100 L8ZTT21:29L: 'ON XUA RFaIPTUA Jo h-;-10: Wow !a V54 DS Building BUILDING SING THE 1997 U.B.0 FEE SCHEDULE) Permit No.: Inspections -- OCCUPANCY TYPE RESIDENTIAL APPLICATION Received 763-572-3604 Plan Review CITY OF FRIDLEY 65% of Building Permit Fee tt��By: DatP.tl:° l 763-502-4977 FAX Le U1(1 .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge EFFECTIVE 1.1-09 $5.00 (State Licensed Residential Contractors) SAC Charge DATE —1 — I '-' 10 YOUR E-MAIL ADDRESS Curb Cut Escrow SITE ADDRESS 100 Ya � 11e� A J t. NE Erosion Control THIS APPLICANT IS: ❑ OWNER CONTRACTOR Park Fee PROPERTY OWNER/ NAME: 'Palyv% At yaA e c' S o m Sewer Main Charge TENANT p9 ADDRESS:_ I o o \)@ n- u r ct P° Q -e N e CTP_ 5r i d l e �r STATEAZIP Total Due PHONE: i a L-5-713 T461 61 I15q. 29 Make checks payable to: City of Fridley _Attach Stipulations CONTRACTOR NAME: W 1 a ®W SUBMIT A COPY YOUR STATE LICENSE STATE LICENSE # ®1 EXP DATE AND CERTIFICATE OF ADDRESS:9-l® 0 Lar%e, ®d.y— 9.aI S-t'e It (4 CITY 6alan STA TF ZIP INSURANCE PHONE C0 1305- 0 1667 FAX Co�J J067 I PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHEDNDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK 90o ❑ SIDING ❑ OTHER+ fo® ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION TENANCF/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: r-2 9\0.v- P- RaA'S ® Ao o r QV w 91\Ao W S *in e_)Cl �P ^ q SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT J SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY 13 HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vnlyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL .JOB VALUATION $ -- OCCUPANCY TYPE Permit Fee$ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ Le U1(1 .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ I15q. 29 Make checks payable to: City of Fridley _Attach Stipulations TIES 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 well be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand thus is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work whic re ires review and approval -of plans. C SIGNATURE OF APPLICANT /% ���jyl PRINT NAME I V a ti G ✓G� %I'l 9 eS7 fE