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PRE 2010 DOCSCity of Fridley, Mm. PUI1DING PERMIT N9 5'7 5 Date:` Owner: f Builder Address Address — LTIONVUILDING No. Sfreet _ Part f. Lot Lot _. _ .__ Block ' ..8 _ Addition or Sub -Di ' '- Corner Lot _ Block Lot Setback _W Sideyard 6 Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To �' Used Depth `Height ... Sq. F -d&, Cu. Ft. _ Depth Height Sq. Ft. - Cu. F't. _ Type of Constructionet Fast. Cost _ 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. f In consideration of the payment of a fee of $ �.d�•Ry'"` , 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 saidbuilding, or any part thereof, shall conform in all respects to the ordinances of Fridley, 1Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this ti any time upon violation of 'any of the provisions of said ordinances. 101, A" Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the euilding Inspector for separate permits for these Rams. APPLICATION FOR BUILDING PERMIT .CITY OF FRIDLEY, MINNESOTA Owner's Name-- LjL4aQ>Z. Builder L r Address" '-) , "Vr—tT0'Vi(b Q('V�2a. Address ZS 41 LTO r,)( LOCATION OF BUILDING No. 5��`1 .Street ��''��-�o�J S% Part of Lot Lot �%j Block , J. A ddition or subdivision�-y�-11 Corner LotInside Lot setback 35side-Yard aO4 i':OV SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Front Z��7r ,611 D3Qight sq. Ft. d Cu. Ft. 71.1 FrontDepth_ Height Sq. Ft. Cu. Ft. Type of Construction r'`Lw-?F_ 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 ruling of the Department 04 Build- ings, and hereby declares that all the facts and representations stated in thills application are true and correct DATE _ � /) ( ) � SIGNATURE Jule of Fee Costs can be found on the Reverse Side). BUILDING PERMIT FEE SCHEDULE Section 2. The inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing 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 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. 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 for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpose of computing fees for building permits the cubical con- tents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. in no case shall the fee charged for any permit as set forth in Sectign.2 be less th" $4.00. . . City of Fridley Appl7catian for Plumbing and Gas Fitting Perndt Dept. of Bldgs. Phone SU 4.7470 DESCRIPTION OF WORK Location Number, Kind. and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... (/0 x $1.50 $ G Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $ ' O 0 New Ground Run Old Bldg. x 3.25 $ City of Fridley: The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn_ Owner Kind of Building Used as To be completed about Estimated Cost, $ �`� C:;� Old New uilding Permit No v A Permit No. Signe By Business Phone No ROUGH '0/ - FINAL GAS FITTING FEES: NO. RATE TOTAL_ 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........... $ TOTAL FEE $—Z --L' d ° 2 2M i �q__ x adz pZ O 'J C7 UN' Z S +G WATER HTR. �,1-' 3� e� Oo�0 <Z F N G-1ELEC m Base 1st 2nd 3rd 4th Future Connection Openings ected Connwith Sewer New .Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... (/0 x $1.50 $ G Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $ ' O 0 New Ground Run Old Bldg. x 3.25 $ City of Fridley: The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn_ Owner Kind of Building Used as To be completed about Estimated Cost, $ �`� C:;� Old New uilding Permit No v A Permit No. Signe By Business Phone No ROUGH '0/ - FINAL GAS FITTING FEES: NO. RATE TOTAL_ 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ........... $ TOTAL FEE $—Z --L' d ° 2 2M Application for Power Puts and Heating, Cooling, Ventilation, AeMger tion and Air, Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AM Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace . §.00 $ Repairs & Alterations—up to $500.00 .... ............ 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ �- GAS FITTING FEES: NO RATE TOTAL - r 1st 3 Fixtures ' ................ x $1.50 $ ,,... Additional Fixtures . ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM- VENTILATING SYSTEM ALTERATIONS & REPAIRS t ROUGH— OUGH FINAL!— FINAL' See See Fee Schedule TOTAL FEE Dept. of Bldgs. Phone 3U, 4-7470 0 City of Fridley: V The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, A Owner Kind of Building . a B Used as 19 q To be completed about " Estimated Cost, $ Old—New. Building Permit No.__�-� / Permit No._%�� DESCRIPTION OF WORK HEATING or POWER PLANTS team, Hot Water, Warm Air—No Trade Name�_Q. U e No - Capacity Sq.. Ft-. E.D.R s BTU H.P. Total Connected Load J %6 0/ ;9�' �;7 Kind of Fuel— �- BURNER —Trade Name Size No Capacity (REMARKS—OVER) Sq. Ft.. E.D.R BTU H.P. Signe By .4_90.42 2M 7_59 Business Phone No. `� Windows an Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. ofpane of pane lights of crack sq. ft. D46 � s 0 ® 7— �i —M-4 1140 ® 0 2, Z422� FEAT LASS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips Btu A.S.H.V,E, Glass Exp. wall Construction No. `s Insulation Net exp. wall Glass Guide o go Int. wall .5 Ceiling W' ows Ceiling rs Reference Out. Wall Int. Wall Ceiling Roof I Floor Floor Kind How. Applied No I Ye No 19� 4, Ir do Int. wall G'0 / FI.I _ .ter Room I Lenath 1/® Width 14-' Height FI.I *-0'0,1,..ffRoom I Length /a °-4 Width YA Height Windows an Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. ofpane of pane lights of crack sq. ft. WidthHeight No. of Lineal f . Area No. of pane of pane lights of crack eq. ft. 0 ® 7— �i —M-4 1140 ® 0 2, Z422� a �70 112,,e Infiltration Coef. Btu Infiltration Glass Exp. wall e `s 2 C Net exp. wall Glass lly�e o go Int. wall .5 Ceiling Exp. wall Ceiling Floor /440 Floor Net exp, wall 1,91 4, Ir do Int. wall G'0 Floor Ceiling /'0 611 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 Room I Length / % idth /� ® Height ' Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. ofpane of pane lights of crack sq. ft. �i � �O ® �J LLyy 0 n �—` Coef.1 Coef. Btu Infiltration g Glass 9? Glass Exp. wall _g `s 2 C Net exp. wall e, lly�e o go Int. wall .5 Ceiling Ceiling Floor /440 Floor lob' Total Btu. MAI I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area mn I I e....+1, ems ° B/:.Iaf. 1-4 f i-L:..1� Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 22- g 5 �—` Coef.1 Btu Infiltration Btu g Glass S9 Exp. wall Glass Net exp. wall � lly�e Int. wall .5 Ceiling Net exp. wall Floor /440 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. of pane of pan. lights of crack sq. ft. 22- g 5 �—` Glass ® Coef. Btu Infiltration S9 Net exp. wall Glass 19 � lly�e Exp. wall .5 Net exp. wall Floor /440 Int. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling G'0 Floor Total Btu. 1 1/710 5`L3 Required sq. E.D.R. or sq. ins. W.A. Leader area / FU : . �_ oom I Length /// Width,)4 Height Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Infiltration g 5 �—` Glass ® Coef. Btu Infiltration Net exp. wall Glass 19 - —20 lly�e Exp. wall 200 Net exp. wall Floor Int. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling G'0 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 23a,71V Room I Length ° Width 6 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. oan. of.paae lights of crack eq. ft. aff /4. p Height Coef. Btu Infiltration g 5 �—` Glass ® �� Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area H8p NORTHERN STATES POWER COMPANY 4509 68TH AVENUE NORTH BROOKLYN CENTER. MINNESOTA 55429 June 11, 1974 Mr Robert Stixrud 5800 Washington St N E Fridley, Mn 55432 Subject Construction on Easement Dear Mr Stixrud Northern States Power Company has no objection to your building your garage 12 feet onto the utility easement. We just ask that enough room be left to carry equipment on the easement, if necessary. If you have any other questions, please contact me on 561-7200. Sincerely L M ason Customer Service Representative North Division LMB/rp 560-3450 614 -7 �;�� ANOKA COUNTY 6431 UNIVERSITY AVENUE NE July 11, 1974 FRIDLEY, MINNESOTA 55421 Mr. Robert Stixxud 5800 Washington Street N.E. Fridley, Minn. 55432 Re: Garage Permit Dear Mr. Stixrud: Please be advised that the City Council, at their meeting of July 8, 1974, authorized the City staff to issue you a building permit for your detached garage. You should now come in and make your application for the permit and give us a copy of your survey. We will then issue the building permit. If you have any questions on this matter, please feel free to contact me at 560-3450. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh SUBJECT PERMIT _ City of Fridley 2540 AT THE TOP OF THE TWINS BUILDING PERMIT r R COMMUNITY DEVELOPMENT DIV. L r � , PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 �---- �`� NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 7/17/74 f JOB ADDRESS 3=xxxx 5800 Washington Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Lyndale Builder's 7th Addition SHEET, 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Stixrud 5800 Washington Street N..EQ-y�v�� 3 CONTRACTOR MAILADDRESS ZIP PHONE/LIFEJJC�i Northwestern Builders 8053 East Bloomington Freeway Y (1(",�fJIY/®d 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING garage 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 26 x 22 detached garage 9 CHANGE OF USE FROM TO STIPULATIONS 1. Garage to be 5 feet off Westerly line and 25 feet from the property line on South line. 2. Provide a hard surface drive. SEPERATE. PERMITS REQUIRED FGR VIR(Ki HEATINGs PLUMBING AND Sim TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, frame 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 $3, 031.60 1.51 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 TOTALFEE 7 SC i $12.51 SIGNATURE OFC TRAC OR OR AUTHORIZED AGENT (DATE) THIS IS YOURPE WHE PR E V AT MIT a BLDG P DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:, ��oe' BUILDER:��- ADDRESS : -7®o ��>✓ - A C� ADDRESS: 6'6 5"2 C' NO:. STREET • eiV �i� LOT :BLOCK : c ADDITION : o �i CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: i Front: 6 Depth: Height: Square Feet: -5- 72- Cubic Feet Front: Depth: Height: Square /Feet; Cubic Feet: Type of Construction:Estimated Cost: $ 3 CI 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. DATE: / S IGNATURE • c Z%G'®L�4^-' (See Reverse Side For Additional Information.) - BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. I ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the averages height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of, all proposed work._ In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed,'will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. l.i I T Ur- I -MI JLCT IIN,)rCl.I IUN UIV. 5431 University Ave NE Fridley, MN 55432 572-3604 tnective un January 1, 1 Yyjj APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR New Fixtures $ 7.00 al howe r Tr specified agreeing to do all work In strict accordance with the city codes Io0r Drain Auto GWash as aneSt '$7,00 water Heater ries sWasher I c Basement Rain Water Leader $.7.00 3!l 199 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner V, 0 Water Heater —Electric $ 7.00 Floor 1 ater Heater _ Gas 1 $10,00 Building Used As Gas Range i Gas Dryer $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Floor 2 Type -$5.00 PLUMBING COMPANY Reinspection Fee $30.00 SIGNED B TEL N0. 7 >c ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance F loor 3 • Approved By Rough—In Date Final Da4e�*,-�_ State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE Floor 4 PLUS THE $.50 STATE SURCHARGE PLUMBING FIXTURE RATES: NO. RATE. TOTAL JOB ADDRESS New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work In strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin '$7,00 and representations stated in this application are true and correct. Catch Basin .$7.00 Rain Water Leader $.7.00 3!l 199 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner V, 0 Water Heater —Electric $ 7.00 ` ater Heater _ Gas 1 $10,00 Building Used As Gas Range $10.00 Gas Dryer $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Type -$5.00 PLUMBING COMPANY Reinspection Fee $30.00 SIGNED B TEL N0. 7 >c ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance • Approved By Rough—In Date Final Da4e�*,-�_ State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $' PLUS THE $.50 STATE SURCHARGE City of Fridley2 AT THE TOP91%-3604 SUBJECT BUILDING PERMIT PE 7 7 6 5 r COMMUNITY DEVELOPMENT DIV. r - PROTECTIVE INSPECTION SEC. 1 1.1 I CITY HALL FRIDLEY 55432 j 612-5;4-84W o NUMBER 910 -FIS REV DATE 9/14/98 PAGE OF APPROVED BV JOB ADDRESS 5800 Was hin ton St NE 1 LEGAL DESCR. LOT NO. 9 BLOCK 2 TRACT OR ADDITION L dale Builders 7th Addition SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Stixrud Same571-4032 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Kemling Aluminum Products PO Box 205 Ottertail 56571 218-367-2838 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Rpsidpntlal 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ® REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside house & garage 9 CHANGE OF USE FROM TO STIPULATIONS RmS Call for building wrap inspection before covering. 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN R NOT. THE G TING OF A PERMIT VALUATION $7,000.00 SURTAX $3.50 DOES T PRESUME TO GIVE AU ORITY TO V L E OR CANCEL THE PERMIT FEE SAC CHARGE PRO SIO SOF A Y OTHER STOE OR LOCA L REGULATING CON- STR CTIO ORT PERFOR A CE OF CON R TION. $ 124.75 Fire SC $7.00 PLAN CHECK FEE TOTA EE Lic SC $5 0 $140.25 S OF CONTRACTO OR AUTHORIZED ENT IDATEI- EN PROP V LIDAT� Hl$ I S'Arvp Pf MIT GNATURE OF OWNER OF OWNER BUILDER) IDATEI B G IN DATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND, DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Contractor: ' GZ Address:'' / LIVING AREA: GARAGE AREA: DECK AREA: OTHER: i 11 Effective 1/1/98 F t, Tel. # 571 5,d,Z 'z— MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Tel. # ---� 6 i - Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Consction Type:timated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ 17 DATE: APPLICANT:fl t CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ , $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ PS $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 $-� 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 $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. . _, Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: o DATE 77 10G YOUR ADDRESS SITEADDRESSc THIS APPLICANT IS: [3 OWNER 196ONTRACTOR PROPERTY NAME: 1 OWNER/ ADDRESS:CITY ti� c [ P c� STATE IP � TENANT PHONE: ��% I fe 3 CONTRACTOR NAME: SkAZW y STATE LICENSE # CJ EXP DATE SUBMIT A COPY OF YOUR STATE ^^�� ADDRESS: 2- CITY STATE,ZIP��' LICENSE WITH PHONE FAX APPLICATION PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW PLACEMENT DETAILED DESCRIPTION OF WORK ' PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential_fixture,_excludingthe fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS -WHERE LABOR EXCEEDS $500; FEES AREBASEI3ON-$If1•O0-PERFB.M E, EXCEPT WHERE NOTED. FIXT IRES:^ (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS SHOWER _ WATER PIPING _ _FLOOR _ PIPING avEED cirrucEmm) SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB —GAS _ _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) —DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER "R..r. Permit Fee $ O Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ _�. State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work h r q e eview and approval of plans. (7,/ SIGNATURE OF APPLICANT PRINT NAME C ` C, /' ` `� ^ ATE C f C./ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 LIM Building PLUMBING Permit No.:00-7.;,C//,0,7 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D ' . Zug DATE August 31, 2007 YOUR S-MML ADDRESS wnelson a?larsonplumbing.com SITE ADDRESS 5800 Washington Street NF THIS APPLICANT IS: 0 OWNER D ICONTRACTOR PROPERTY NAME: Robert Stixrud ADDRESS: 5800 Washington St NF CITY Fridley STATE MNzip 55432 OWNER/ TENANT PHONE: 763/571-4032 CONTRACTOR NAME: Larson Plumbing, Inc. STATE LICENSE # 3341 PM EXP DATE 12/31/2006 SUBMIT A COPY OF YOUR STATE ADDRESS: 3095 -162nd Lane NW CITY Andover STATIM N zip 55304 LICENSE WITH PxoNE 763/427-7680 FAX 7631427-9448 APPLICATION PER.IYUT TYPE 1g SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW 0 REPLACEMENT ' DETAILED DESCRIPTION OF WORK Water Heater Replacement PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINWLAV DRAINS _ SHOWER _ WATER PIPING _ —FLOOR TNE_ GAS PIPING 0aw rrrrucEmE) _ SWIMMING POOL—WATER SOFR ($35) —BATHTUB CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($I5) _ DISHWASHERx_ LAUNDRY TRAY WATER NEATER ($35) FOR IRRIGATION _ WATER METER —OTHER `!1.,..•i ::a�;:;Y�:•. :ty". rrC,. .��i •. }}L...p rf v>.. t'K.? 3.: . •yp(r��+ y, ,7��+!�-•�a .}.' 7� ,�{ .rt- •�Y'; :.x•:: rror ;.:..w.:f.}. .>^, 'ti. .;, d-.:�«.. •�y� �Cfis>oVEx::, R 9J..:4�1�i7i:C•,R?,°,4D,�'�� ,J1 'f';.�hY?.. ;.., i "rt...:f.>IA�:;;,1' ;:�` y.:.'.sA.' et:rji.eP;l•J1'.. �.. F Permit Fee. $_35...00 Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ .50 State Surcharge = $ .50 Total $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the c !e-j'afafl�work ' requires approval of plans. �evjiewnd SIGNATURE OF APPLICANT PnTrNAME Michael Malinoski DATE 8/31/07 EJ.tPI?i`?IA..lb:�lZ3Ui.i3i,1r1r�R TfCMAT,JOIt{ �I'L.;EQF City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-497.7