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PRE 2010 DOCS�3 r �� (pity ®f Fridley, Minm N° 9 813 BUILDING PERMIT Date: June 28, 1968 owner: . John A. Lee Builder _ Rodney Billman, Inc. Address Address 151 Silver Lake Road LOCATION OF BUILDING No. 1527 Street — Windemere Drive _____ part of Lot Lot 16 _____ Block 2 Addition or Sub -Division — ___ Innsbruck 5th Addn . Corner Lot --- Inside Lot — x Setback 35r _ �_ Sideyard Sewer Elevation — _ 985.40 989 40 Ton of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 60'6" �p{h 51' 24' Iy�ght 20' 1626 Cu. Ft, _ _ 32,520 Garage Front 22' Depth 241 Height 12' Sq >. 6331 CU. Ft. Type of Construction Frame Est. Cost ......__�2 7. 5.00 To be Completed SEWER 1 LOCATION 43' West of Manhole (14.2' From Water location WATER UMPLOCATION - 11' West of the Manhole 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 setfo and in compliance with all provisions of ordinances of the city of Fridley. $100.00 Sewer Connection C arge In consideration of the payment of a fee of $ 5 8. 00 , permit is hereby granted to Rodney Billman, Inc. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of safd ordinances Official Building NMPMW NOTICE: This permit does vot cover the constroelion, installation for wiring, plumbing, gas heating, sewer or water. Be sore to los the Building Inspector for separate pwm% for them hems. '(6lY`f AFPILICATION FOR BUILDING PERMIT CITY ,OF, ,FRIDLEY, MINNESOTA.. OWNER'S NAMEBrI1 DE , . ADDRESS .LOCATION OF BUILDING,:- ,5� N0. '' STREET y= LOT BLOCK. ADDITION OR CORNER L0� IIVSYDE LOT�SETBACK SiDEYARR—.. • SEWER ELEVATION �d� '-v re TOP OF FOOTING 9 .—e A plic 4 attacY� to this form. Two Certificates o Survey of-Lot.and proposed b ilding loc0ioa dr.vn on; these Certificates.. DZSCR nnION OF BUILDING To Be Used Ass G Fr ntDepth I ` flei t Square feet 51 Cubic Feet .32 -Sao ! � Front Depth � 5-: Height I -z- Square feet- &'31(- Cubic Feet 3 U. Type of Constructioa��2� Estimated C t'rip C2 To Be Completed -f' / J; / 2 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 repreaestations stated in this application are true and correct. j DATE • � V /lam IGNATURE "a ( hedule of Fee Costs can be found on a Re a Side). __._ 1� Application for Power Plants and Healing. Cooling, Ventilation.., Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ 1® 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. ft. 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) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...... x$ 2.00 $ 3 � Additional Fixtures ................ x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL $ See Fee Schedule TOTAL FEE $ 4� Dept. of Bldgs. Phone 560-3450 Location City of Fridley: 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, Minn 19 Owner Kind of Building Used as "(b fx-No= To be completed about Estimated Cost, $ a Z)cj Old—New. Building Permit No.. % Permit No. ie® DESCRIPTION OF WORN HEATING or POWER PLANTS --,,Steam, Hot Water, Warm Air—No Trade Name aZ A'W � Size .Nv� No- � Capacity Sq. Ft. E.D.R tib , 027 BTU yH.P Total Connected Load Kind of Fuel 't �� GP,`� BURNER —Trade Name �IZI,\ t Size No Capacity Sq. Ft. E.D.R I BTU H.P. (REMARKS -OVER) C., Signed % 1 -In O AJD CQEDD. <z Business Phone No- XO 3 2 U City of Fridley Application for Plumbing and Cvm fitting Permit � Dept, of Bldgs. Phone 560-3450 DESCRIPTION OF WORK j E" 2 —7 Number, Kind and Location of Fixtures I'ocahon / G! 3 TOTAL yy55��Sa� �F Z w ;� Y o� u� Z a` i U2 < �U'd m �Sa i • • �O F N WATER HTR. GAS EIEC Base Catch Basin ...... ..................... x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $-- 3-0 New Ground Run Old Bldg . ............ x $3M $ Electric Water Heater a $2,00 $ 1st NO. RATE TOTAL 1st 3 Fixtures .......................... �- f 2 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 2nd _ 3rd 4th • Future Coaaoction Openings New Fixture, Old Openings Connected with Sewer El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Z Number Fixtures ...... .............. x $2.00 $— Future Fixture Opening ................ x $1.50 $3a ' cj New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $-- 3-0 New Ground Run Old Bldg . ............ x $3M $ Electric Water Heater a $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ 2 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ -75 e 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, Mnn. 2 — c —19— Owner 9_ Owner Kind of Building r/ Used as To be completed about Estimated Cost, $ Q Old New Building Permit No J� �> �� Permit No. 4 -vol Sign By Business Phone No 6 ROUGH FINAL • ' 53-%-879001 CH•i 04 r; iGlq • �1pik"c"Tan for PlIIifi a i3 --------•.-- Dopt. of Bldp3. Phone S.�•3450 '.527 windemere. Circle East DSSCAIPTIOII O: V101TY':Lo:.A t: XuMbsz. xi&d grid Lccrl+oa of Fixtures City of Fridley' �• w p. t � NIU N•r $ _ �z : � � 7 < � 7 � a e e H waT(i Mte. r.�s ntG ' The undersigned hereby rr:akes application for a Permit for the- oozy he Cit;7 O:d:r.:' t 7 u ° I° specified• at Being to do all Mork in strict accorda^ce with tt:e and ruling of the Dopartment of Buil`•'ng✓, and hereby declares that a:l the 1 ll Es:r i • , and l�p:esc-rtations stated '.a _h-s applcaioa are true and co:re%-V r%idley. Mina 6-28-76 1� ? -d .. S abnabe Owner 3: d frame Kind of Building SNy -• - Co zccud • rut"--e Cc-a--&C.::.a 6�4cl w1122 5..•craz ❑ res Used as a W4v Ft:::ur+. Old 07,sain s Cca67001 ❑ To be completed about • Estimated Cast. S 10.00 PARTIAL RATE SCHEDULE pet,:t xa. Old—New. Building Permit LL•ti18ItiG rlXTURE RATES: NO. RATE TOTAL . Si , Number Fixtures ..... e .......... .`.._.- x 53.230. 3 -..--- - Future Fixture Opening . • • • • • • • • • • ---- x $1.50 S • -••--- B y GASCQ Ph. , . 8usin��s i few Fixture Old Oprring• •.. • • • • • • • ------ x $1.50 S _.--:.. ""-"- • Catch D3sin .................... --- x $3.25 $ Water Ifeater 'Up to 9x3.000 BTU) • . • • .-.-----. x .3.00 S ROUGH • dee+ Ground Run Old Bldg....:... • ----- x :3.25 S ' ' El.ctr:.c Yater Y..atar... ..:........ �-. s ;2.00 S (� FINAL SIS 'MTING FEES: Td O. A�+Tr TOTAL , 1st 3 Fixtures .................. x S2.00 --- , Adcttlonal Fixtures ...............------------- x S .75 G:3 Rs_-Xa to 199.000 BTU ...........-----•----- x $5.00 Z--..----- . • .50 State Surchax5e xL?I:'A?IONS—P.e:er to Code . ' . . y {/ i � FV-Z V��- ' CIYY OF FRIDLEY INSPECTION DIV. -6431 University Ave NE Fridley, MN 55432 572-3604 D APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE TOTAL OB New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Gas Range`* $10.00 Gas Dryer** $10.00 ack Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ �� •� The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. +Owner Building Used As Estimated CoPERMIT NO. n PLUMBING SIGNED BY Approved By COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON �lv r COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit'is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes O 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 Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : 102— CI'T`Y0F FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 October 2, 2000 Roger Schnabel 1527 Windemere Drive NE Fridley, MN 55421 Re: Final Reinspection at 1527 Windemere Drive NE Contractor: Owner Dear Mr. Schnabel: A plumbing permit was issued on April 25, 2000 to install an irrigation backflow preventer at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date no inspection has been called for. If the work has been completed, we would like you to call to set up an inspection to final out the work. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to me at (763) 572-3603. DA Inspector CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (763):)71-1Z37 PERMIT N - 2004-00431',\\ DATE ISSUED: 04105/2004 ADDRESS : 1527 WINDEMERE CIR NE PIN : 253024110063 LEGAL DESC : INNSBRUCK 5TH ADD : LOT 16 BLOCK 2 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A INSTALL GAS WATER HEATER PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) 0.00 0.00 H P PIPEWORKS # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 200 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 1 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 # WATER TRMT APPLIANCES 0 APPLICANT PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) 0.00 0.00 H P PIPEWORKS 3670 DODD RD STE 100 PLBG FIXTURES (EXIST OPENINGS) 0.00 EAGAN, MN 55123- WATER TREATMENT APPLIANCE 0.00 (651) 365-1340 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 35.00 GAS RANGE FEE GAS DRYER FEE . PLBG REPAIRIALTERATIONS 0.00 0.00 2.50 OWNER SCHNABEL ROGER O & VIRGINIA M 1527 WINDEMERE DR NE STATE SURCHARGE, PLBG FLAT 0.50 FRIDLEY, MN 55421 TOTAL 38.00 PAID WITH CHECK # 8495 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 performance of construction. Aonlicant--- Date i � Bldg Insp j � �''q 1d� ,D�� DateISiL( SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. lj. University Ave NE 41ey1 MN 55432 >3) 572-39 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT e I �R LUMBING FIXTURE RATES: ew Fixtures fid opening, New Fixture ear Dispenser ,low off Basin :atch Basin lain Water Leader ;umplReceiving Tank Vater Treating Appliance Vater Heater -Electric Vater Heater - Gas`* Sas Range** NO. ,as Dryer** lack Flow Preventer Required ( )Yes No Type RATE $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 TOTAL $15.00 - {einspection Fee $47.00/Hr kLL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge 1- -50 TOTAL FEE $r The undersigned hereby makes application for a permit for the work herein - specified agreeing to do all worn in strict accordance with the city codes and rulings of the Building D'wision, and hereby declares that all the facts and representations stated in this application are true and correct. Owner /v Building Used aj DQ '�'" C'C Estimated Cost PERMIT NO. PLUMBING COMPANY Y-P--P-LPZ-L�(-2q4L�-)- - SIGNED BY f' TEL NO 1 eiq Final Date Approved By Rough -In Date _ ' MINIMUM FEE FOR ANY PLUMBWGIGAS PERMIT IS $20.00 PLUS THE $.rn STATE %"C A��_m COMBUSTION AIR SHALL BE PROVtI`3E0 PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE APR -04-2003 12:13 FROM CITY OF FRIDLEY TO 6513651332 P.02/02 THE BELOW MUST EE FILLED IN WHEN REPLACING FUEL BURNING APPUlANCES OR THE APPLICATION WILL BE RETURNED When aq"ng an pjdong fijmarg, the undersigned hereby verifies that the venting has been examined and Is tree from rust, deteriora#on, obstructions, and Is securely supported and firestopped where required. Yes( ) No ( ) The venting system is plasticIPVC and meets all current codes and manu€acturer specifications including suing, 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 manufacturers specific tions. This does include AGA-GAMA Category I Coft Furnace Venting Tables for fan ass#sted and natural draft appliances. Yes( ) No( ) ille axiyi,n mrnhm,xfrn0ir is sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When required to Instal aam comiumbsn aFr it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No ( ) When hUftifing a rimm maorma sjo=, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers spec ificaticros. This does include AGA -LAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes { j 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 #9 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 Stu Input Common Vent Type Vent Height Diameter____ inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance 42 Vent Connector Height ft Length ft Diameter In Type Appliance #3 Vent Connector Height ft Length ft Diameter ____in Type HEATING CO: Signed By: Date: TOTAL P.02 M i Building AND MATERIALS: BUILDING Permit No. Inspections TOTAL JOB VALUATION $ RESIDENTIAL APPLICATION Received By: 763-572-3604 See Back Page for Fee Schedule CITY OF FRIDLEY Date Rec'd: t)' DATE Z- Z YOUR E�1M�AIL ADDRESS SITE ADDRESS .001 times the total job valuation THIS APPLICANT IS: ❑ OWNER 'CONTRACTOR PROPERTY OWNER/ NAME: JSz7✓AE/�?T G.�i STATIii SZ� TENANTADDRESS: SAC Charge PHONE: A? CONTRACTOR NAME: s I 's 40PW — STATE LICENSE #//�� 41 YA;7e ® EXP DATE R + 6 ft = ft x $21= $ SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: Z694zo S "" y CITY A064DO,S STATF�14 WITH APPLICATION PHONE 7 `�%�o� FAX 1176-:3 3/ PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE Sewer Main Charge ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS $ ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK O SIDING ,! OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR XREMODELING DESCRIBE WORK BEING DONE: RF-M,9D:EL /YtSno'�9`/� �9 R�!`� � >' Slo SIZE OF IMPROVEMENT A� ® LENGTH �~ WIDTH A � HEIGHT . Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the odsting structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes [3No LOCATION OF WINDOWS 3. Energy Calculations 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: (USIN THE 1W.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ '00 OCCUPANCY TYPE Permit Fee $ (raj . a See Back Page for Fee Schedule Plan Review $ Ljrj. p ( 65% of Building Permit Fee Fire Surcharge $ , 00 .001 times the total job valuation Surcharge $ (, Z-0 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ R + 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 $ Make checks navable to: Citv of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and cp0es of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicatio for a t w is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w cch re+�u. r approval of plans. �y SIGNATURE OF APPLICANT PRINT NAME DATE �/� SELLERS ADVANTAGE Repair & Remodeling Residential & Commercial Properties Adam Schmidt (763) 428-3969 Fax (763) 428-3186 Uc. #20191500 JOB^_ SHEET NO. OF / CALCULATED BY. CHECKED BY SCALE -T DATE DATE �V S 6'DN7Rte 1 k- 2D 15 A0 y . yv. 6� '743 Yom- 3 R /o R io. ` W7= —.. IJ -. 'S//A 2, RSB r V -;:y -0Y4 501,00 s T e F 5h.'4W -6 A - v -X 7-Vio �,) RM&E 17V;rA7-F,7- R s H,-PAV r V pge T7 aao & two D PRODUCT 2D7 Coo Building PLUMBING Permit No. InspectionsRESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY nate Recd: DATE 6 ' ` 0 1 YOUR E-MAIL ADDRESS SITE ADDRESS is D j LL) i &1J ey-Li-r-e- C6, +- lel. E - THIS APPLICANT IS: O OWNER ®CONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: f'�V VU4 UlleiC4 ►-Vl STATE LICENSE # 9. & 3 ' EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: IP . a . 60 X a. (`( CITY a [ e �Cc� STATE &M ZIP._GSa5'_9 LICENSE WITH PHONE Go( a- S9 is - L FAX APPLICATION PERMIT TYPE 6SINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: El NEW (.REPLACEMENT DETAILED DESCRIPTION OF WORK M6 V9 Sko w ev � &ACL: vk ' Eley cy e i �'� lit (a vii 4v -w Stto V9-ev' l a t U t' 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 ) �I . Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor 506 x.05 = —� FOR PROJECTS WHERE LABOR EXCEEDS $500; -FEES ARE BASED ON $10.00 PER FDn UREA EXCEPT WHERENOT=EEL FF -D UkESi_,(INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS SHOWER _ WATER PIPING _ _FLOOR _ PIPING p&m crrrucEnE) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB —GAS CLOTHES WASHER KITCHEN SINK —WATER CLOSET _ BACKFLOW PREV. ($15) _ _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION —DISHWASHER _ _ WATER METER —OTHER AM Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ _9�s Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ QS 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 al or i r q ' es review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DI CLA C1 S\&- ✓ DATE / -3 ^d % k {01 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 wilding Permit Fee BUILDING See Back Page for Fee Schedule Permit No.: ? - , Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY Date Rec'd: - - DATE 3, ZV D YOUR E-MAIL ADDRESS � 9W / v� �� V � 7� � °7' e- Co , 5 )O SITE ADDRESS IS -Z,7 )F-f��%�IN� 4 -TA, s y E /A-W!—J5�0 THIS APPLICANT IS: ❑ OWNER *ONTRACTOR ft + 6 ft = fix $21 =$— $Erosion PROPERTY OWNER/ NAME: M /, f 1C_7,0�k $450 Conservation Plan Review TENANT �/� ADDRESS: %5-Z 7 F � /1 C1"DTfY L-�% STAT£AWJP SsyW Fee Determined by Engineering PHONE: 763 Z-2/ --/493/ $ CONTRACTOR NAME: SF -1— !-JP—P� $ IAJU. Make checks Davable to: Citv of Fridlev Attach Stipulations STATE LICENSE # 0 EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: U S—,'� IU CITY RDS STATAMP_ WITH APPLICATION p 63 Y00- FAX %C9� yZ?— -3I G f Z ] Z PROPERTY TYPESIZE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOFRAIN TILE ❑ DECK El SIDING OTHER ❑ SW NUVE NG POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE&EPAIR 14LEMODELING DESCRIBE WORK BEING DONE: 9�� Ii1}9LL ��° 141�L n �. , �,,� Agj=/1�r/� � t SIZE OF IIVIPROVEMENT LENGTH WIDTH HEIGHT D� Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List ofstructural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes []No LOCATION OF WINDOWS 3. Energy Calculations 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: (USING 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ®® fo OCCUPANCY TYPE Permit Fee $g,22,5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ r9U .001 times the total job valuation Surcharge $ 1.-41— J .0005 x Permit Valuation Minimum $.50 License Surcharge $ 6,0 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = fix $21 =$— $Erosion Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Dae $ IAJU. Make checks Davable to: Citv of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL. PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is of to start without a permit; that the work will be in accordance with the approved plan in the case of all work whip requires val of plans. AA nn O SIGNATURE OF APPLICANT MElI PRINT NA5�J DATE �� W SELLERS ADVANTAGE Repair & Remodeling Residential & Commercial Properties Adam Schmidt (763) 428-3969 Fax (763) 428-3186 Uc. #20191500 SHEET NO. / OF / CALCULATED BY DATE CHECKED BY 1 DATE SCALE yy ` v es ° s z� tee. A -r--),0 k)pAK 7-0 t I%t&4-IvA U)Pj,4 MWPW 4&SK WS7N4- 7-0 MtlPY 1,M D PRODUCT 207