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PRE 2010 DOCSCity ®f Fridley r AT THE TOP QIP THE TWINS rL"---'-- COMMUNITY DEVELOPMENT DIV. 1 i PROTECTIVE INSO•ECTION DEPT. r--- i CITY HALL CRIOLSY 0002 ob Address 7�v ltih Sri ir,S 7-G1% .G 11/0 5 h2 411? .0 ontracto _o= builai.ng .etion Date tm'� — �Z_ �I,jI a f if 31nlli' aflNva l •1ddV Qrfl � i •�g,w •saa, •MN,va aa. SNISVS IOG �' fNrvaa+ o OSa3MOHSl Z'sIj 'd d '1Nnodl NNlaa A � SAYal HSYMI d SUMSI I Have S1vN,an V31YMIvI — I emo PLUMBING PERMIT APPLICATION s aaaress Use 1 800 Phone Phone r Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 fo04 Future Fixtures .2— x $1.50 3a cr New Fixture -Old Open. x $1.50 Catch Bastn x $3.25 Vater Heater -99,000 BTU / x $3.00 S 't''C' Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures �_ x $2.00 ', C) Additional Fixtures x $ .75 Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Code State Surcharge .50 TOTAL FEE $ The undersigned hereby y makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with, the City Ordinances and ruling of the Department of Buildings, and hereby declare that all°the facts and representations stated in this appli ation are trun`- c����. - C`�) Ael iS gnature ' Date 01 SUBJECT PERM) -- of Fridley CIr 12063 AT THE TOP OF THE TWINS P, Iity BUILDING P E R M IT. , 1. COMMUNITY COMMUNITY DEVELOPMENT DIV. - --� !L % r � PROTECTIVE INSPECTION SEC. - �a 1 (!� I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �•"' J 612-560-3450 910-F15 3/14/73 JOB ADDRESS 5700 Washin ton Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Tract F I Registered Land Survey #14 SHEET ;F -PROPERTY OWNER MAIL ADDRESS ZIP PHONE Iven Dostaler 6358 Willow Lane N. 561-0143 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 Dwelling & Garage 7 CLASS OF WORK N NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE El REMOVE 8 DESCRIBE WORK 24' x 44' House, Garage 20' x 22' 9 CHANGE OF USE FROM TO STIPULATIONS Stipulations: Provide hard surface driveway. Provide a verifying.survey before capping. $275.00 SAC charge paid. SEWER LOCATION: 96' South of Manhole. "Y" Elevation: 860.76 Top of Footing: 863.76 SEQERATE PERMITS REQUIRE® FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Frame 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 1640 28,400 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 $22,644.40 811.32 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- $53.00 $275.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE p �< -3'-1Y--!7 $339.32 SIGNATURE OF CONT CTOR OR AUTHOR ED AGENT JDAT . WHEN PROPERLY V- LIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BLDG. INSP DATE 01 APPLICATION FOR RE$11DENTIAL, ALTERATIONS OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ow= I S NME ADDRESS: ADW=S# 'Rol, 'U0g2 su=1,L2 LOT i AWITIONI.. 4ORM LOT: IDE LOT; SETBACKt— SIDEYARD0. Afftf,v,ant iat"i* to this fo=_Vo Certificates of Surv2X of Lot and proposed �bulldlxt$ location Ar wa m Vbeve Certificates, DESCRIPTION OF BUILDING 'To Be UIWA AR -- 'A square Feet; 4 0 ® Cubic Feetj Frantz Depth Height: Square deet; Cubic Feet; We of Constructions Z' Estimated cost: $ To So "toted; sx Me undo rpigned hereby makes applicatiim for.a permit for the work herein opealfW, agreeing to do all work im stftct accordance with the Ctity of Mdlay ordUumces, 4a4 xuUP4* *f tke Department. of W44nss, mW 'hereby doaj,ag*4 tfmt all the facts and representations stated ta this application age true aa4 correct, (000 Raverve s1de For Addy onal infortwtion.) BUILDING PERMIT FEF SCHEDULE SECTION 2. The inspector of gtaildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing buildft& or structure, or for any alteration or repairs to any existing Wtldtng 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 wanner herein provided to -,wits UI FOP -44 BUILDING CODE r Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 a $1.85 for eAch one thousand cubic feet. ADDITIONAL INFORMATION Yor the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covaWed from a point six (6) inches below the floor line of the basement the +Pjjar to the average heights of the upper surface or to the average t; of the roof sface of the twain gable of a pitched roof, low r i43trs or alterations to an existing strurtutreg the fee shall be at the rate of $3,00 per each five h�mdred dollars ($500,00) or f=ction thereof in the cast of all proposed work, lm ao case shall the fee Wsl for 4W permit as set forth in Section 2 be low than $5.00, VVRIVICATION OF FOUNDATION =s Fermtts for construetion will be issued a mimiCmttm of 24 hours from the tftw sof Application, to allow for proper review of the proposed structure and of the construction site. A Certif W SuzVey of the lot, vbwglug the locatim of the foundation, owe it hag US= 4oWjstMCt04j, will, be required before proceedW with the frames. I CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) 4ays prior to the use or gccupa=, y of my atmetare for which a. building permit has been issued; .and SAW Structure #shall, not he used or occupied until a Certificate of Oocupmcy has been isev". �.�.. my.>.�,_ ...— r...,.,..�.8_�.. �c�ai � '....i..�fl' uBc'�i �. �[:�.,�� q: - � F �.��k � s y,,;�,;'�±'• �...._ ,.,....a,„,�_.._ s_...:ix�,.,x.... s,. .,. _._ ._:;� i i ' GERALO T. Co YNE 1, LOT SURVEYS COMPANY Sp91f!ONA-4o ►RASCN vA :E t MINN LAND SURVEYORS ' BROOKLYIN PARK. AA14N ArOISTERED .MMZZ LAWS or STATE Or KINIFESOTA LICENSED ET ORDINANCE Or CITY OF SKINNEA"LIS 6914 ldahri Ave. N. 533.9922 Minneapuli., Minne4448 SSS NN%5TR,AL - AiVICIAL , :..'?ntSININC, °NACRE TH,k'Y 30 YEARS Of Z^"'fRCIAL - TOPOGR.AF1,+IC4 �urbeporg �ertif�tate SAN.^ aLSVCYING fYP-PENCE IN TrIE CITY LOTS - PLATTING ME40.01it,0 A-1 AREA Surve-y for: ry � t.lV • D'L'N,-Ti IRON ST ►Kh V Ali? [ X-C w O o •, O ,r z7.9 O 5�3 4 � �• � - i �ostr,d7Tlar, 35.( rJ I u 'r:IACT F, RE-71STij' i _) iAND SUFi1—Y i+ic. 14, FILE] Gr' THEhl..slSlc:.�?:: SIF TITL::3, '-AA CC, :JPiiY , V tNRLSGT-A AmendeJ to .311cxour. c We hereby terrify that this is a true and correct represenfis- +ion of a survey of the boundaries of the above described land and the location of all buiidings and visible encroach- ments, if env, frorr said w • Svr.eved by as fit,.' 4'l day ' et ' 1*71 1 ILI C d ! Signed IAT SURVEYS COMPANY r.011P , Power HeahM CoMmS Vemikdone Air Comiitioning Syste .and Devices PARTIAL RATE SCHEDULE ' GRAVITY WARM AIR: RATE TOTAI, Furnace Shell & Duct Work ................ I .......... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 '................. 6.00 ' $ Repairs & Alterations each add. $500.00 ............... 3.00 $ WARM AYR 6.00 O Furnace Shell &Duct Work to 120,000 BTU ............ $10.00 each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam . .. . $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10.00 $ Each add. 200 sq ft. EDR Steam ............... :...... 3.00,$_ Each add. 320 sq. it. EDR Hot Water ..... ............ 3.00 $ OIL BURNER—to 3 gal. per hour ..... ' ....... ... ..... 6.00 $ over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 199,000 BTU) ........................... 800 $_ f over 199,000 BTU SeeFee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ '4.00 Additional Fixtures .................. x .75 $ Gas Range to 199,000 ........... AIR t.ONDYTIONYNG FAN HEATING SYSTEM jSs*'Feo Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ f 7e ® 0 ROUGH Dept. of Skies. Phone 5W-3490 City of Fridley: The undersigned hereby makes application for a permit for the work hereic specified, agreeing to do all work in strict accordance with the City Ordinancek and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. �® �� Fridley, 11Rinn-� ,,- i% — Owner Kind of Building Used as ✓� To be completed about — �— Estimated Cost, $ ®� / Old ew 6 Building Permit No. Permit No. DESCRIPTION OF WORN HEATING or POWER Hot Water, arm Nom_ Trade Name -L., Size No �' " ® e //d Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load g�`� a Kind of Fuel BURNER — Trade Name Size No- AM, 110 15 0 Capacity Sq. Ft. F..D-RBTU HP: (REMARKS -OYER) Compliments of North Central Public Service Co., "Your Natural Gas Company" HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS VLWLA Weatherstrips A.SILV.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int Wall CeilingRoof or FloKind How Applied No I No 19........ I I I /° H 1 I Length Width 1 Height / Fl. I ZERoom I Length /'Width / e) Height Windows and Doors-Crackage and Area _ No. No. Width of pane Height of pane No. of Lineal ft. lights of crack Area sq. ft. Area sq. ft. /./- /e, � ® 91% Coef. Coef. Btu Coef. i Btu Infiltration ®Ir Glass �A Btu Infiltration Exp. wall D Glass Net exp. wall Z Fo 5z X0 3 d 040 f® Net exp. wall ;2 &4 0 Exp. wall c a e e) 6 Floor Ceiling /51A >< Int. wall Net exp. wall Ceiling G' '� X, 61 -,� IF FlQor j Int. wall 17 le 0 f TotBtu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling - Floor Floor i Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Fl. Room I Length /7 Width -27,0 Height Win=s and Doors-Crackage and Area _ No. Width of pane Height ofg Pane No. of lights Lineal ft. Area of crack sq. ft. Lineal ft. of crack Area sq. ft. /e, � Coef. Coef. Btu Infiltration ®Ir Glass �A Btu Infiltration Exp. wall D +Exp. wall Net exp. wall Z Fo 5z X0 3 d 040 Int. wall Net exp. wall ;2 &4 0 Ceiling c a e e) 6 Floor Ceiling /51A >< Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Z Fl. I /4� ;-Room I Length ZA Widths Height Windows and Doors-Crackage and Area No. Width of pane Height of pan_ a No. of lights Lineal ft. of crack Area sq. ft. Area sq. ft. No. of lights Lineal ft. of crack Area sq. ft. /e, � Coef. Btu Infiltration1,314 ®Ir Glass Btu Infiltration j D +Exp. wall Glass �' Net exp. wall Glass Net exp. wall ;2 &4 0 Int. wall c a e e) 6 Int. wall Ceiling /51A >< Int. wall Ceiling G' '� �' �- 61 -,� IF FlQor j Floor 17 le 0 f TotBtu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu. Windows and Doors--Crackage and Area Doors-Crackage and Area No. Width of pane Height No. of ofof p ee lights Lineal ft. of crack Area sq. ft. No. of lights Lineal ft. of crack Area sq. ft. /e, � CoeL Btu Infiltration ®Ir Glass Btu Infiltration j Exp. wall ' Glass �' Net exp. wall Glass Exp. wall &4 0 Int. wall c a e e) 6 Exp. wall Ceiling /51A >< Int. wall Floor -Z�?e Ceiling Total Btu. j Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I ,, F1. 1 sfi Room I Length,/' Width a° Height Windows and Doors-Crackage and Area _ No. No. IWidth of pane I Height of pane No. of lights Lineal ft. of crack Area sq. ft. /e, � Coef. Coef.1 Btu Infiltration ' Glass �' o Glass Exp. wall es- c a e e) 6 Exp. wall Int. wall ; Net exp. wall Ceiling 3� j Floor Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling - Floor i Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / FL I-� oom I Length Width Z Height Windows and Doors- Crackage and Area No. Width of pane Height of pane No. of Lights Lineal ft. of crack Area sq. it. Coef. B Infiltration ' Glass Exp. wall Net exp. wall Int. wall ; Ceiling / �G Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area SUBJECT PER O. ) City ®f Fridley 17 7 4 8 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r � CEIPT � f COMMUNITY DEVELOPMENT DIV. ( PROTECTIVE INSPECTION SEC. z / �/ 0 1 CITY HALL FRIDLEY 55432 ,.' NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 Oct. 1, 4 JOB ADDRESS 5700 Washington Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Tract F I Registered Land Survey #14 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Stilson 5700 Washington Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dailey Homes 8510 Central Avenue N.E. Blaine 784-3510 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE x 8 DESCRIBE WORK Construct a 44' x 24' Second Story Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Submit beam design for new beam that supports new floor trusses. SEPERATE PERMITS REQUIRE[) FOR WIRING, Before digging call local utilli-hes TELEPHONE - ELECTRIC - GAS - fx.,, REQUIRED BY LAS' 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 1056 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 $42, 650 $21.33 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $251.50 None S UOTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE $ 62.88 TOTAL FEE $335.71 SIG' TUR CONT CTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY V �IDATED THIS IS YOUR PERMIT BLDG INSP �A E SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: -5 7 a® C-() a ANLnt ^- ( AA42 Legal Description: Owner Name & Address: Contractor• Address: 1% Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREAJ. Length y GARAGE AREA: Length DECK AREA: Length Tel. ,# Tel. # ?9q-'6116 Width °� Height Sq. Ft. 105(a Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [,A Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: (l%=c V Estimated Cost: $ _,. Approx. Completion Date: y, 1 Proposed Driveway Width If New Opening Is Desired: DATE: c6y Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL Alt. A Alt B $ $ See Back Page for Explanation APPLICANT: Tel. # LE�(-3Q(o CI Y 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 [ ] STIPULATIONS: -.. 1•;. / ,' .._ �' is t ffiAAj 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 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. VS rd CITY OF FRIDLEY APPLICATION FOR PLJJMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ ®. Future Fixtures $ 3.50 $ Old Opening, New Fixture M v $ Water di 4.00 0 Blow off Basin $ 5.00 H .c� $ � m �6pro N a w 5 Hydraulic Valve Heater 34 $ 4 $ 5.00 �eC water Treating Appliance $ 7.00 p O w $ 5.00 $ o�Nya m 10.00 $ Gas Dryer $ O $ O �+ Vq4 .gym{ tq U b 00 RI f�l1 3 O W U, W U lst % 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer (*) a New Fixture, old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ ®. Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS li of Value of Fixture or Appliance $ Reins State Surcharge $ .50 Reinspection Fee S -Cn ($15.00) TOTAL FEE $ Ettective Aug. 1, 19dl Job Address_^-QQ Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. _ --Cb OWNER _ 6✓i z KIND OF BUILDING,��gyj�� USED AS eA �5ec17c TO BE COMPLETED ABOUT ep ESTIMATED COST OLD NEW BUILDING PERMIT NO. PEERMINO. oG Company it c mac! ®o Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Can Dryer Air Conditioning (all sizes) RATE TO'PAL $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ All Others/Repairs and Alterations It of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1• of Value of Appliance or Work $ 10.00 $ G � S S State Surcharge $ .50 TOTAL PLE Reinspection Fee ($15.00) $ Rough Insp. Date Final Date Approval for Permit 061-1-2-L MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification fon with replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Effective Aug. 1, 17H1 Job Address Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432 City of Fridley Tel. 0571-3450 The undersiqned hereby waked application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulinqs of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. �/ Fridley. Minn. n r /➢ /f 4 OWNER RIND OF BUILDINGy moi✓ ��—� USED AS TO BE COMPLETED ABOUT �S oma_ ESTIMATED COST 0OLD , OLD NEN BUILDING PERMIT No. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Mater, Norm Air- No. Trade Name site No. Capacity Sq. Ft. EDR BTU NP Total Connected Load BURNER - Trade Name Kind of Fuel Size No. Capacity Sq. Ft. EDR BTU HH//PP� Company Signed By q Tel. No. SUBJECT City ®f Fridley 27299 AT THE TOP OF THE TWINS BUILDING PER MIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. •Io r PROTECTIVE INSPECTION SEC. `d ZD e NUMBER REV DATE PAGE OF APPROVED BY ` CITY HALL FRIDLEY 55432 �j 612-571-3450 910-F15 18/19/98 JOB ADDRESS im Washin ton Street NE 1 LEGAL LOT NO. F BLOCK TRACT OR ADDITION lRegistered SEE ATTACHED oescR. Tract Land SurveyNo SHEET 14 2 PROPERTY OWNER MAIL ADDRESS JIM SH 1 1son ZIP PHONE 574-9456 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Town & Country Roofing 7910 12th Ave S Bloomington MN 55425 545-4M 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 2a REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 30 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must Empcomply 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 LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2502 $1.25 DOES NOT PRESUME TO GIVE AUT ITY TO LATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STAT O LOCA AW REGULATING CON- ST R ION OR THE PERFORMANCE CONS R CTION. $74.75 Fire SC $2.50 PLAN CHECK FEE FEE License 5.0 .50 ;4L SIGN OF CO R CTO ORAUTHORIZED A ENT DATEiN ROP VALID T THIS IS Y UR PERMIT S4NATUREOFOWNER OFOWNER BUiLDERi iDATEi or Al. AUG -13-1998 ...... t ADDN j ] ALTM [ ] ConsauctionAddre Legal Descripdm 08:42 FROM CITY OF FRIDLEY TO CITY OF FRIDLEY SINGLE FAMMY AND DUPLEXES R-1 AND R-2 BUIMING PERMIT APPLICATION 8589320 P.01/02 r uwuves u V Y6 Owner Name & Address: Contractor.. Address: `' LIVING AREA: GARAGE AREA.- DECK REA:DECK AREA: OTHER: z Tel. j( I () I -?_) 15 -T14 -9e4 S to Iii LICENSE # Z Tel. # (p 12-- S!i S— L1 Z33 Attach to this spplic adqu, a Certificate of Survey of the lot, with the proposed codon drawn on u to scale. DESCRVMN OF WROV EENT Length Width _ Height Sq. Ft.TOW& Width Height Sq. FL Length Width Hgt/Ground Sq. FL 3 ® 5*q Consavacion Type: _ Fstimated Cost; S 5 O (Fee Schedule on Back) Driveway Curb Cut Width Needed: ,Ft. + 4 Ft = _Ft x $ =$ DATE: Permit Fee $ ,-/t' • Fee Schedule on Reverse Side TeL # C; --Ll ' Fire Samharge $ • 5'® .001 of Permit Valuation (1/lOt %) State stm:barge $ ! • 5� $-5W$1,000 Valuation SAC Charge-. $ $1000 per SAC unit License Sumbarge $ T,00 $5.00 (State Licensed Ramal Contractors) Driveway Escrow $ Art. 'A" or Alt. "B' Above Emsion Control $ $450.00 Coamution Plan Review ParkFee$ Fee Deteumined by Engineering Sewer Main Charge $ Agreement Necessary ( ] Not Necessary [ ] roru, s q Z •So .STIPULATIONS. m