Loading...
PRE 2010 DOCSL " City of Fridley sue,lECT PER 12868 AT THE TOP OF THE TWINS BUILDING PERMIT ` RE ��Jq COMMUNITY DEVELOPMENT DIV. I Lu-------- �l r PROTECTIVE INSPECTION SEC. I°?? /`� �i3� % 1 i NUMBER REV. DATE PAGE OF APPROVED B = -"1 CITY HALL FRIDLEY 55432 612-560-3450 910-F15 2/25/75 JOB ADDRESS 1588 Woodside Court N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 2 Rice Creek Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Briar Homes, Inc. 10134 Central Avenue 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS 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 26' x 40' Dwelling d a 24' x 26' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. SEWER LOCATION: (As builts not yet available) 11' North of Water box. Expose sewer service to determine elevation. TOP OF FOOTING: A feet above service elevation at property line. WATER LOCATION: 68.1' from S.W. corner of house across Benjamin Street 68.3' from N.W. n If n it it of SEPERATE PERMITS REQUIRED 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. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.�7a e%/® AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 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 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 VALUATIONog, / ®� SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT i DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEESAC . 4 CHARGE PROV OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- r, d`10 0 $325.00 S CTION OR THE PERFQRMANCE OF CONSTRUCTION. �• PLAN CHECK FEE TOTALFEE fIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) -W HENVALIDATED THIS IS YOUR PERMIT �PR�OP©ERLY BLDG INSP DAT� SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) 1 ME M APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER: tY)%:) ADDRESS: VXI,�A ADDRESS: 1Cj1�u NO • . STREET • LOT: BLOCK: ADDITION: (, L_fz" �. . CORNER LOT: INSIDE LOT: SETBACK: 3 SIDEYARD: \_1of Applicant attach to this form Two Certificates of Survey of Lot -and proposed building location drawn on these Certificates. II DESCRIPTION OF BUILDING To Be Used As: h!c?�►, Front: Depth: �� Height•: Square Feet: ���\ Cubic Feet: Front: Depth: 'o� to Height :_�-- Square Feet; h1Ky Cubic Feet: Type of Construction: ��07,�YA�.i\1 Estimated Cost: $E� To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict 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: �C " �® '� J S IGNA (See Reverse Side For Additional Information.) r. \ 00 Awcafto ftV PWVV anmft U67-4 H '%'z®oreN BMs naMAZZ sl m r Syneum and Devi= GIRAVTTT WARM AM: RATE - 'TOTAL. Furnace Shell & rhXq Worts ... ... 410.00 $ Replacement of Furnace 6,00 $L - Repairs. & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 300 $ =SIL WARM AM P%arnace Shell & Duct Work to 120,000 BTU $10.00 a each add. 60.000 )OM &W ; Replacement of Furnace 6.00 1 - Repairs & Alterations --up to $500.00 0.0.0 $ Repairs & Alterations each add. SM.00 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. 'FZR Steam $10.00 $ Furnace Shell & Line --to 640 sq. ft. EDR Hot Water 10.00 $, Each add. 200 sq. ft. EDR Steam Aofl $ 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 GAZ BURNER (up to 1%,0W BTU) onr 199,000 LTU roe 3choduie GAS FITTING FEES: NG RATE TOTAL Ist 3 Fixtures $$ 7.00 3 Additional Fixtures x .75 Gas Range to 19,000 a$ 5.W S State Surcharge .50 law FCC TOTAL rm D"t. of 13140M. Phow =-no L, =a a d/ -<9 g-' Li/ 4 ® %�> S//% f City o4 lwdley: The undersigned hereby snakes application for a permit for the croak heseit. specified. agreeing to do all work in strict accordance with the City Ordinancee and ruling of the Department of Buildings, and hereby declares that an the fad and representations stated in this application are true and correct. Fridley, ]!Flinn- owner Kind of Building Used as To he completed about, Estimated Cost', $ ?� G bid --New. Building Permit No. _—_ Permit No. � HATING or PO tears, Not Water, Warm Air—No Trade Name /� � 7k ®` Size Capacity//4?e- 0 a Ft. E-D.R BTU— TU / �Sq. Total Connected Lead U � � Total of L1144 7— BURNER BURNER — Tnde No Sire No Capacitsv SQ. Ft ED � BMJ , , - - i�i. F.� / 1 1 L !'may 1_1L HEAT LOSS CALCULATIONS DEPARTMENT OF BUILED11465 Weatherstrips A Guide . Construction No. Insulation Windows Doors Reference Out. Wall I Int. Wall C. 0U., Roof Floor Kind How Applied -Yes- --T- —N-0 I Yes— 0 19® FQ G/G>iit/G an Length /S , k Width /7, 4 height /G Fl.li7C , LanztW., 3 Width%5, C Height � Windows and Doors—Crlackage and Area Windows and ra.-trachace and Area \vldth Helght No. of Llnoal ft. Arem 9rldtR i{olgh6 No. of Lineal ft. Area No. or Dnne of Dan® Ilghls of crack A. R• No. of Danm of Dano lights of crack �. rt. C� 33 3.2, a / 7,?.3 �Z Floor Total Btu. 9- 7 `74 0 Required sq. ft. E.D.R. or sq. ins. W.A. Deader area %%� Y Room d Length7, Width / %> (0 Height / G Windows anDoom--Crackage and Area Width height No. of Lineal ft. Area No. of Dame of pan* lights of crack ea. ft. c /7, I f. Btu Coef. �"G, L Infiltration a ® .-;� Glass �1 G1 G ('class3215 .wall S'G / 4 dZ 51 Eup. wall 33y - Fj Cr 3 /O Net exp. wall 1, / 0 Int. wall Ceiling / 3 G / O Ceiling 0-7 /G Floor Total Btu. 9- 7 `74 0 Required sq. ft. E.D.R. or sq. ins. W.A. Deader area %%� Y Room d Length7, Width / %> (0 Height / G Windows anDoom--Crackage and Area Width height No. of Lineal ft. Area No. of Dame of pan* lights of crack ea. ft. c /7, Required sq. ft. E.D.R. or sq. ins. W.A. Deader area F1.1 0/.C1/,vC— Room I Length/15, � Width A'. Windows andDoors—Crackage and Area Width height No. 08 Liaeal 1t. Area Na. of Dano of Dano Iighle of crock sq. it. I - I I I f. Btu Infiltration �"G, L el G a ® .-;� Glass S-77 so �P- 9? s` .wall C+7, Z Floor Net eup. wall Fj Cr 3 /O Re. Int. wall Ceiling / 3 G / O / 3 0 0 Floor s 9 G Emp. wall Total Btu Net exp. wall Net 7 G 7• -- Required sq. ft. E.D.R. or sq. ins. W.A. Deader area F1.1 0/.C1/,vC— Room I Length/15, � Width A'. Windows andDoors—Crackage and Area Width height No. 08 Liaeal 1t. Area Na. of Dano of Dano Iighle of crock sq. it. I - I I I Coef.1 Btu Infiltration 3 ,Z </ o / ;-, 19- Q GlEss. C Net exp. Wall / p,Pa Fzp. wall C+7, Z Floor Net esp. wall G -7 %G 1 e'-7,:), Int. wall Ceiling /G / /® d2 3 5z G_ Floor Total Btu. s 9 G Emp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Lzader area A owl iirU. Required sq. ft. E D.R. or sq. ins. W.A. Leader area Coef.1 Btu ¢rationEsp�— Infiltration Gim G,Z s 3 I . wall C Net exp. Wall / p,Pa Int. wall Cei6s / /0. Floor Total Btu. Required sq. ft. E.D.R. or eq. ins. W.A. Leader area FI.I ;47/1 Rom Ilse .�-, C W' /-:Z Height � Windows and m—Crachase and Area Width freight No. of Lineal ft. Area No. of Dano of pane lights of crack sq. ft. Lf. Int. wall Ceiling Infiltration /G d2 3 5z G_ Glass s 9 G Emp. wall 5 - Net exp. wall Net IV Int. wall Ceiling 7 /G ei Floor Total Btu./ / f Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 11 1, 15D Rom I Length / S Width /j;, C Height �C' Windows and rackage and Area WidtR height N . of No. of Dano of pan® IAghts Lineal ft. Area of crack oQ. ft. 2LZ L 1 /G 1 Required sq. ft. E D.R. or sq. ins. W.A. Leader area Coef. Btu Infiltration "X -G G/'- 9-, f Glass C S0 / p,Pa Eap. wall Net sap. wall �, Z 1 /a x„2.3 Z Int. wall Ceiling 3 4 /G d2 3 5z G_ Floor Total Btu. Required . ft. E.D.R. or sq. ins. W.A. Leader area s 9 G Required sq. ft. E D.R. or sq. ins. W.A. Leader area City of Fridley + Applicaflan for Plumbing mad Ow Whig Pa Dept. of Bldga. Phone 560-3450 DESCRIPTION OF V'JORX Numbor, Kind and Locrflon of Fixtures • future Connocdou Opmaings I t Bewo New Fixture, Old Op<anings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 3 rrd� Future Fixture Opening ............ x $1.50 New Fixture Old Opening.....:.... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater 'Up to 99,000 BTU) ... • ..Z x $3.00 $ �' 0 O 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 lq7 Owner �y✓s%�' / Kind of Building �y' �✓'/ - Used as s / .-'a`' C � To be completed about Estimated Cost, $ Old New. uilding Permit No. Parmit No. � SignedG By Business Phone No d' 23– AL New Ground Run Old Bldg. ....-..:. x $3.25 $ ROU09 Electric Water Hoater...... ...... .. z $2.00 $ FINALJ`/� ' % f! '- :AS FITTING FEES: No. RATE TOTAL 1st 3 Fixtures Z x $2.00 Additional Fixtures ................ x $ -?5 $ Gas Range to 199,000 BTU ........... x $5•OD 6 REPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge Description ........................................ TOTAL FEE $ G ca N_ tl Y WATER "Tit. GAS ELM O I %�. "� c O G S o < W I _N Base lie Ist / " 2nd _ 3rd 4th • future Connocdou Opmaings I t Bewo New Fixture, Old Op<anings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 3 rrd� Future Fixture Opening ............ x $1.50 New Fixture Old Opening.....:.... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater 'Up to 99,000 BTU) ... • ..Z x $3.00 $ �' 0 O 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 lq7 Owner �y✓s%�' / Kind of Building �y' �✓'/ - Used as s / .-'a`' C � To be completed about Estimated Cost, $ Old New. uilding Permit No. Parmit No. � SignedG By Business Phone No d' 23– AL New Ground Run Old Bldg. ....-..:. x $3.25 $ ROU09 Electric Water Hoater...... ...... .. z $2.00 $ FINALJ`/� ' % f! '- :AS FITTING FEES: No. RATE TOTAL 1st 3 Fixtures Z x $2.00 Additional Fixtures ................ x $ -?5 $ Gas Range to 199,000 BTU ........... x $5•OD 6 REPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge Description ........................................ TOTAL FEE $ G ca SUBJECT73-1 T City of Fridley 3 9 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. w______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. -I .6-1001r CITY HALL FRIDLEY 55432 NUMBER REV DATE DATE PAGE OF APPROVED BY L J \ 763-571-3450 910-F15 2 JOB ADDRESS 1588 Woodside Court NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Rice Creek Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bruce/Sherry Himle 1588 Woodside Court NE 763-571-0147 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Grayhawk Builders 3020 Centerville Rd, Little Canada, MN 55117 651-486-9888 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20174611 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential T CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION? REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. Permit Inspection Cards Will Be Malled TO Homeowner TO Post 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 ZONING SQ. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 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 1 ISTALLS 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 $22,000 $11.00 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 $349.25 Fire SC $22.00 PLAN CHECK FEE $5.091 5.O TOTAL FEE Lic a Surcha ge JZ $387.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI H PR Y VALIDA 0 THIS IS YOUR P RMI _ % Z SIGNATURE OF OWNER iiF OWNER Bu4DERi iDATEi LDG IN r/ TE NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 A6DN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: _ Owner Namp & Addre Contracto . Address:,--', r LMNG AREA: GARAGE AREA: DECK AREA: OTHER: afl�l 1.1 o L—[ 11 AA. o 661117 Attach to this application, a Certificate ofSur-Vey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type:�j'C� I I -,)eEstimated Cost: $42'?,, 0 (D Q:)• C) Q 7 1l l Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ z fl) DATE: APPLICANT- Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ -34 47, d s' Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1200 per SAC Unit $ .4^ C> $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ STIPULATIONS: 7 sue,ECT IT N O. City of Fridley 33257 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. �. ____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J ` 763-571-3450 1 910-F 15 11/15/02 JOB ADDRESS 1588 Woodside Court NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Rice Creek Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sheldrn & Bruce Himle 1588 Woodside Court NE 763-571-0147 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 14' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WANONG BefOle digging cam fob, all Utillty locations 002 �YJAW 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 80 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $2,980 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1.49 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. $83.25 F SC $2.98 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION e PLAN CHECK F71$,87.72 TAL FEE SiG OFC`O%N'R ORAUT RiZEDAGENT DATE� HEN(PRO LY VALIDED THIS IS aCr ✓/� 675 fYOUR i.PERMIT KID- .GqAIORE OF OWNERO-F OWNER MILOER, tDATEi BL iNS �iAtE 7 NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp ALTER (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address:l���aa5lrip C Legal Description: Owner Name & Address: iL Fro Tel. # Contractor. Owa r MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length / Width Hgt/Ground '/ Sq. Ft OTHER: - Construction Type: Le��l 4-re-deEstimated Cost: $ a Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: �- `�' P APPLICANT• r- Tel. # Call (763) 572-3604 for Permit Fees if mailing In application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ $ 9s Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. 'B" Above $450.00 Conservation Plan Review Fee Determined byEngineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 8?° 9,2 STIPULATIONS: CERTIFICATE F SURVEY FOR BRIAR.----_H0ME53 INc. dc 00pSiOCOIR- T� N c, Denoike5 Iran Monument Revised 3-4-15 To Show Fou ndai iori pesmption *. `L.o-t 2, Block Z, RICE CREEK ESTA-TES, Anoka Couni-y, , M inn . I herehy Certify that this is a Uue and correct n presentation cf a su,vey of Jnh I`Jo )oWn & ('ountry the houndaries of the ahove described land and of the location of all huddmgs, �ofQ it any, thereon, and all visible encroachments, if any, tfom of on said land. Boo', L,md Srveying a Sit,, Pl,smii y As survr!yed by me this _ KD ih day of _ %TCLr\ -_ -- , 19 Uvil Engrwt,ring g -ZS c. -tea( 8816 70t � %1v_ N (1 J4 „t Buui1" av N.� - - - Stele Br�.x)hlyf, Pd,k. %IN 55428 Phof .r 533 7340 Mmm.,Reg. Ne! ---A0144-__-- Nov` 22 05 10:28a FROM :City of Fridley Building Inspections 763-572-3604 Robb & Karla Johnson G51-451-1847 p•2 FAX NO. :7635711287 Nov. 21 2M5 02:52PM P2 BUILDING Pamit NO.: 1Q -RESIDENTIAL APPLICATION R=ived s. CITY OF FRIDLEY i Date Recd. YOUR E-MAIL ADDRESS SM ADDRM TM APPLICANT 1S: D OWNER *?NTRACTONt PROPERTY OWNER/ TENA111T ii NAM- � ADDRESS: CITY •- STATE`S Pllcm- 7�rZ r.� M r f--` --7 CONTRACTOR N,M. I1 { i - ft -41 �, ,; 15 0 i �r*TE LIGQJSE d - ADDRESS` ( - 5 7 � .E1•r -F. ., U F,+x DATE � Z• b G CITY _ Llc- — STARS i/ CC` 7 SUBW A COPY OF YOUR STATE WCMSE wnN AFPLICA1ItlN FROPERTY TYPE FAMLYMW C0NSntUCnoN O'lW0 FAMILYAaW CONSTRUCnON sne STORIES P.ERMIT TYPE 0AIMM NO MRASEMII+iTFINISH O DECK 0 GARAGUlSIm WOOF D SIDING O Sw@tA+ No POOL O WINDOWS O DRAIN TILE D OTHER TYPR OF MOM D MAIN ANG6/REPAIR a ADDITION IMMMODEi.MG DESCRIBE WORK BEING DONE: "T SIZE OF B ROVEMENT 2=7 SQUARES ' GARA^60 P OMM PROPOSIM MEJt W: S 3 0 vM)4 D AhmdMa b 006a IN EXlS MO GPMNGS OYes UNo OR FOR NEW 0MING&DESCR MSIMOF OMING CHANGES & 0,41AL X IT! Is do muos ATTACMM GARAGE DETACHED GARAGE O"Sottit O Trim O Fascia UXATION OF WINDOWS BASUMMUMNUMMAIM- 1. EldsWng floor Pica 2. Pwpmd floor plan 3. t.ta dsuma W membaa to be osrd FOR NEW CONSTRuc oN INCLUDWG DECKS, ADDITIONS, A FORCI2ES SM nr. j• � dD g tAe ato�ang stcucaua I TWO xv ot'm9rucom PIM 3. EJnrgyUridatiom OX VALUATION, INCLUDING THE COST OF LABOR AND (USING TIM 1997 U.B.6 FEE MIEDULE) .TIONS_ ��/ � • L� . nr_rrrs.wKry -v-wn renmt Fee % �• , $ See Hack Page for Fte schedule Plan Review 6S% df suildiog Permit Pee Surchaw S (.0005) limes the total job valuation - Minimum $.50 rim slamharge S !. .001 x Permit Valuation (I/109%) i.'rtxitse Surcharge_ S S5.00 (State Liensed Residential Contractors) SAC C huge $ S 1450 per SAC Unit (Plans to MWCC for dctormiaation) Curb Cut Rsa w S R+ 6 R_ R x $20 e S Erosion Coal S $450 Conservation Plan Review Park Fee S Fee Determined by Engineering Sower !Main Cbarge $ eement necess Total Due S Agray( )Non Necessary ( ) Make checks a ble to: City of FrMley Attach Sti 'ulations 7W'S JS AN A"LJCATION Fdtt A PI RMM-NOT VAUD VNnL FROCCS-sw I hereby MAY for a building permit and I acknowledge that the information above is complete and accurate; that lbo work will be in cmtfwmance with the ordiunces and codes of the City of Fridley and with the Minnesota Construction Codes; ihU I understand this is not a Permit but only an application for a permit and work is not to start witlteut a permit; that tho work will be iri accordance with then approved Plan in the caro Oran work*ch rcqu* MVie and appmal otplans. SIGNATURE OF * u . DA J I Nov'22 05 10:28a Robb & Karla Johnson 651-451-1847 p.1 COMPLETE I COMMACMNG., LLC _j ROOFING, SIDING, GUTTERS & MORE The Rbd&mw speciafrs# Ucermm"RondkW[mured 8407 Hefner Ave. S., Cottage Grove, MN 55016 Phone: Karla 651-769-2339, Robb 612-723-8229 Fax: 651451-1847 Fax Cover Sheet i Date:Z�OS- Attention:] Fax M From: Total Pages, including cover: Comments: t Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY 1 2007 DATE - D YOUR E-MAIL ADDRESS SITE ADDRESS I Q ® i THIS APPLICANT IS: 0 OWNER 'PCONTRACTOR PROPERTY NAME: OWNER/ TENANT ADDRESS: CITY— STATE IP � S� u�—��= PHONE: 6 O�� CONTRACTOR NAME: Gftampion g SUBMIT A COPY OF STATE LIC EXP DATE _ 1— YOUR STATE ADDRESS. Ajjj 3-1339 CITY STATE ZIP LICENSE WITH PHONE FAX APPLICATION PER.AHT TYPE PWINGLE F AMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW �+ EPLACEM ENT DETAILED DESCRIPTION OF WORK ���� p , �,1, �,¢� PER MS 1613.665 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 SINK/LAV FLOOR DRAINS SHOWER WATER PIPING _ _ —BATHTUB _ GAS PIPING a)Em cnrvcEN" SWIMMING POOL WATER SOFTNER ($35) _ CLOTHES WASHER KITCHEN SINK WATER CLOSET _BACKFLOW PREY. ($15) DISHWASHER — LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATEgR METER OTHER Permit Fee $. (� Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $I5.00 = $ 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 all work which requires review and approval of plans.( SIGNATURE OF APPLICANT I PRINT NAME gl L l DATE �_O n ti City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977