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PRE 2010 DOCS
Building (K . BUILDING b— . 3S Permit N lo — 0 Inspections RESIDENTIAL APPLICATION / c;? ,:K,/ Received B 763-572-3604 $ CITY OF FR.IDLEY (.0005) times the total job valuation - Minimum $.50 Date Rec'd: DATE I=L YOUR E-MAIL ADDRESS 060, Ry SITEADDREss C -T License Surcharge THIS APPLICANT IS: O OWNER CONTRACTOR $5.00 (State Licensed Residential Contractors) PROPERTY OWNER/ NAME: SAME AL R E. i - o W PI E3Q • tO ADDRESS: CITY STATE ZIP TENANT PHONE: Erosion ControlU90 CONTRACTOR NAME: Mf-PD®U�' v I F �� N► Park Fee g f, STATE LICENSE 0 13 C, — �L' Ll S 3 :2 EXP DATE 30/ G 3— SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 1 Y C� 1 A R C D ®F F N S -T NE CITY NJ to S K F- STATE ZtP WITH APPLICATION PHONE -) C 3--7 S 7 FAX Agreement necessary ( ) Non Necessary ( ) PROPERTY TYPESINGLE FAMILY/NEW CONSTRUCTION SIZE -�7 a J y/®, / % Make checks payable to: City of Fridley Attach Stipulations O O FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE 17 ADDITION 0 GARAGE/SHED 0 WINDOWS • BASEMENT FINISH O ROOF O DRAM TILE ❑ DECK O SIDING 0 OTHER O SWIMMING POOL TYPE OF WORK: 1,3kNEW C ADDITION O ANCE/REPAIR O REMODELING DESCRIBE WORK BEING DONE: SIZE OF )]VIPROVEMENT LENGTH WIDTH HEIGHT a7 S Sq. Ft. ROOFING 0 HOUSE ONLY NUMBER OF SQUARES HOUSE & GARAGE BASEM G SUBMIT• GARAGES >tATTACHED GARAGE 2. EnCFloofp�n Proposed n PROPOSED SIZE: O DETACHED GARAGE PROPOSED HE16—HT.--T 3. List of structural members to be used I FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum J.Trim 1. Site Plan/Survey showing the existing structures O Other 'Fascia and proposed project. 2. Two sets of construction plans WINDOW IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS 3. Epergy 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: (USTOTAL JOB VALUATION S��6 8W - rG THE 1997 a•C FEE SCHEDULE) OCCUPANCY TYLE Permit Fee $ b— . 3S See Back Page for Fee Schedule Plan Review S / c;? ,:K,/ 65% of Building Permit Fee Surcharge $ /,3® . -'YQ (.0005) times the total job valuation - Minimum $.50 Fire Surcharge $ 060, Ry .001 x Permit Valuation (1/IOa/o) License Surcharge $ S, 00 $5.00 (State Licensed Residential Contractors) SAC Charge $ PI E3Q • tO $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion ControlU90 $//-/93&. � � $450 Conservation Plan Review Park Fee g f, $ 7,500.00 Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ a J y/®, / % Make checks payable to: City of Fridley 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 not to start without a permit; that the work will be in accordance with the .approved plan in the case of all work which rc uires review and approval of plans. } SIGNATURE OF APPLICANT � __ 1 TINT NAME _ DAU o C) O' L ®U 6 N L I N DATE / 7 C Oro - bo City of Fridley 6431 University Ave NE Fridley MN 55432 (763) 572-3602 or Fax (763) 502-4977 -_ -Water and Sewer Permit Application 'Im New Connection DUtility Line Repair/Relocation ❑ Existing OWater and Sewer Connection Date: Job Address: Name of Applicant (Plumber): 7D b c,.rQ J a rm Name of Property Owner: _� vL6l 0 t.,� Existing Structure Permit # Permit Type: Sewer Feet g' Water Fee: Meter Fee: Repair Fee: Relocation: State Surcharge: X,90 SAC Charge: Special Assessment Fee: r* -I. Q/.GSL ad T Applicant Signature: Inspector approval: Water Meter Repair — Weekend & Holidays $125/hour Water Connections Permit $50 Sewer Connections Permit $50 Inspection Fee for Water/Sewer Line Repair $40 Special Assessments See Engineering Cost of Water Meter See Utility Billie SAC Charge '$1550 State Surcharge $ .50 Water Tap See Engineering 04/04/05 *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 CITY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AN.D HEATING, COOLING, VENTILATION 763-572-3604 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS a20gym l Q eali Pur RATE SCHEDULE Fee Total Residential Owner ifia cba i)I ifu) Fumace Shell and Duct Work, Burner & '� also Replacement Fumace $35.00 $ Building Used AsS(� $10.00 $_ M). ®6 t G� ESTIMATED COSI✓ ® PERMIT NO Gas Piping (New Fumace, Fireplace, Insert) r Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units_ Circle One (Steam) (Hot Waterarm ' ®� Trade NameAM Size No. *Air Conditioning - AIISizes $25.00 $�_ BTU HP EDR Fuel S Total Connected Load All Other Repairs or Alterations (List on Back) 10/6 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..250/o 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 representations stated in this application are true and correct State Surcharge $ .50 HEATING CO @'I"I I I inulin 1 a0:1=p c . TOTAL FEE $ C'C Sign Tel #10 -1q ` 3 34q Z' REINSPECTION FEE $50.00/HOUR FAX #7/,-3 4 flateL�p *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 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 existina combustion air is sized and installed to meet the current codes and manufacturer's 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 installina a new venting system, the undersigned hereby verifies that it is alisted 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 : 04 Ae —7/ "20 v Building PLUMBING Permit NoZ-5 0 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY Date Rec'd: DATE L© GIS YO E-MAILMADD ZSITE ADDRESS ul 601��Q. THIS APPLICANT IS: ❑ OWNER SICONTRACTOR ' PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: umb4oLffi I /A STATE LICEN�S # EXP DATE STATE 1� '� — L ti (l��iv CTTY 1�t`rJtw STATEM� ZIP SUBMIT A COPY OF YOUR STATE ADDRESS: � y� LICENSE WITHPHONE _ PH FAX " UD • '255 ` 8-51 Le PHONE APPLICATION PERAW TYPE u SINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: ©'NEW 0 REPLACEMENT DETAILED DESCRIPTION OF WORK,1 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 FER OF EACH BELOW) BATH SINK/LAV FLOOR DRAINS �r SHOWER WATER PIPING BATHTUB GAS PIPING fNEW =LJCFrV4 SWIMMING POOL WATER SOFTNER ($35) CLOSET BACKFLOW PREV. ($15) I CLOTHES WASHER KITCHEN SINK WATER DISHWASHER j_ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER y Permit Fee $ Number of fixtures @ $10.00; x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x$15.00 = $ TOTAL DUE $ Number of fixtures @ $35.00 _� x $35.00 = $ 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 a % rk which requites review and approval of pl - ` SIGNATURE OF APPLICANT" Ire-- PRINT NAME 6Pd Gd'd V DATEI1Q l yyaa ,:. fY •S'C3rx. i '.�f�£. ^ .. ,.% E City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ATTIC INSULATION Address: Date: z�?, _ `," Signature of Installer Type of Insulation and R -Value in ceiling: Were energy trusses used: Square footage of attic: f � g Number of bags of insulation used: C0 This must be placed next to the building card when completed. A second card must also be placed in the attic, near the scuttle hole. NORDIC INSULATION, INC. 1550-93 rd Lane Blaine, Minnesota 55449 (763) 784-7893 Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRiDLEY Date Rec'd:_ DATE �— I � ® � C YOUR E-MAIL ADDRESS SITE ADDRESS I S- 6-)- W® SO 0 s( 0 f- (-T THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: ml- u'. 4�0 W r W SUBMIT A COPY OF STATE LICENSE # �- 'Zi% 3 4 EXP DATE YOUR STATE LICENSE ADDRESS: p 1 A u � R W - F N 'S -T CITY +kX MIS L Ia K E STATEM'ZIF� WITH APPLICATION PHONE -)Q2 772 :>.-O FAX 7 Q .! o S ` t PROPERTY TYPESINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: C U K -V C— SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: I . Site Plan/Survey showing the existing structures 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: (USING 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 $ 001 times the total job valuation Surcharge $ .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 $ f& _ft + 6 ft = a4 ftx $20 = $ y ft- -n Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary( ) Non Necessary( ) Total Due $ / _Z Make checks payable to: City of Fridley 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 not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor hi h es eview and approval of plans. SIGNATURE OF APPLICANT PRINT NAME U 1 0 �' <_ O U rvN L'LRTE �V-c crnroF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 (763) 571-3450 - FAX (763) 571-1287 - TTD/TTY (763) 572-3534 June 27, 2006, Meadow View Homes Inc. 14621 Aberdeen ST NE Ham lake, MN 55302 Re: Final Inspection 1562 Woodside CT NE Dear Sir: A final inspection was conducted on June 27, 2006 for the completion of the dwelling at the above address. The inspection noted that the construction was completed according to the approved plan but the following items need to be completed before the building permit can be finaled out; 1. Provide sod in the front and side yards by July 15, 2006. 2. Maintain silt fence per City Engineer until the sod is established We will expect the above items to be completed by the scheduled dates and a reinspection called for. The dwelling is approved for occupancy. If you have any questions concerning this matter, please feel free to contact me at 763- 572-3603. 6 DAVE ENSEN Buil ft. Inspector DJ/mh Building $ BUILDING Permit No -:, W7 -o/52/ Plan Review $ 6 3. d/ 91. 1 InspectionsRESIDENTIAL Fire Surcharge APPLICATION Received By: 763-572=3604 .001 times the total job valuation Surcharge Da &5 1 2007 L -75 1,// CITY OF FRIDLEY License Surcharge DATE 1= I �` -7 YOUR E-MAIL ADDRESS C K N B L Chi 1t r & Cel: Pod L Afi T o ISI E,7 3ITEADDRESS Soon rMS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: r_&1\1 + U D I R &, D F - m S K F - TENANT ADDRESS: 15-6 1 WWbZ51 ®F- C®a° ITY F K 1 4) L. F- y STATEb0bl' 5S-431 Curb Cut Escrow PHONE: 161 - 71 - .5- 6 5'-�3 CONTRACTOR NAME.. C P -%w W C3 L V f F F N T it ?0.1 S LS IN C STATE LICENSE # (3 C 4 a I a O EXP DATE 3 .31 I ® 6 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: I -�l 19 8 M ISS ISS I EP I ®at 1 u C, CITY C KA M p L / N STATE IP ��3 I �G WITH APPLICATION PHONE IG1:2— 6 4 %— 31-8 3 FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ O FAMII,Y/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS $ ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE DECK ❑ SIDING ❑ OTHER Total Due ❑ SWIMMING POOL TYPE OF WORK: XNEW ❑ ADDITION Make checks payable to: City of Fridley Attach Stipulations ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: A D ® I )c I y Or -c i (, W KF -A,0 ®F ®v S E - SIZE OF IMPROVEMENT S LENGTH / I WIDTH 6 ° HEIGHT Sq. Ft. A01 NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: ���� s �► 3. List of structural members to be used SIDING / X 13 �� FOR NEW CONSTRUCTION INCLUDING.DECKS, ❑ vinyl ❑Soffit /(l/� 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 WASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: j� �o�. (�(US_ING THE 1997 UBC -FIE CHEDULE) TOTAL JOB VALUATIOl� $ G3=r 0- OCCUPANCY TYPE_ Permit Fee $ q7, j5- AK -off' See Back Page for Fee Schedule Plan Review $ 6 3. d/ 91. 1 65% of Building Permit Fee Fire Surcharge $ 3,j-7) q,. 1 .001 times the total job valuation Surcharge $ L -75 1,// .0005 x. Permit Valuation Minimum $.50 License Surcharge $ ,�, (0 Soon $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 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 $ / 7®. `% .. Make checks payable to: City of Fridley Attach Stipulations TMS 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 whichuires revi wand approval of plans. SIGNATURE OF APPLICANT �g PRINT NAME 1 P9 DATE CROWN BLUFF ENTERPRISES, INC. 12188 Mississippi Drive N. Champlin, MN 55316 David O'Loughlin Mobile 612-840-3283 Home 763-323-9259 Deck For Craig & Jodi Redemske 1562 Woodside Court Fridley, MN 55432 Deck to be 14' x 12" at 6' off ground with Horizontal Decking. Deck Framing Footing 4 a�12,__ Posts _ (c�_6x6 Cuda �6 foot 1 Exterior rim ouble 2 X 10 Green Treated Joistsen area on cen er Decking Procell composite deckin Rail system Cedar 4 x 4 posts with 2x4 top and bottom rail and 2x6 top cap Black Aluminum Balusters @ 4" on center David O'Loughlin Crown Bluff Enterprises Inc License Number BC -20442120 Enclosure — p ■e"`i _Tk Is I I;