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PRE 2010 DOCSI sueJEcr PERM N City of Fridle !MIT 19 6IT AT THE TOP OF THE TWINS BUILDING PERMIT _ r R IP • ___ COMMUNITY DEVELOPMENT DIV.�� tr PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV- DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/16/87 JOB ADDRESS 6133 Woody Lane N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Moore Take Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Isabelle H. Jordal 6133 Woody Lane N..E. 571--8064 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Quality Builders 784-18244 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ( ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 241 x 13141° Addition to top of existing garage 9 CHANGE OF USE FROM TO STIPULATIONS Variance approved from 351 to. 251 front yard on 9/1/87. See notations on plans. SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS 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 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 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 $2.23 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,450 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- $50.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. AN CHECK FEE TOTAL FEE $12.63 $65.36 SIGNATOR F TRACT RORAU ORIZED EN (DATEI . , WHEN PROPERLY LI DATED THIS IS YOUR PERMIT >1 Si A R OF OWNER (IF OWNER DER) (DATEI Vo BLDG INSP j np� I NEW [ ] ADDN. [ ] ALTER. [ ] City of Fridley �R-1 AND R-2 Building Permit Application Construction Address:��J���d Effective4/1/86 Legal Description: -�" Owner Name & Address :�L IJO��/ % l ���z �®/� �% Tel. Contractor • f� & rla�91 " I —LA- Tel. # Address:���MT�p%f%�,� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT r Length � Width Q. --�, Height S - Sq. Ft. PE - - Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. (" 40 Corner Lot, Inside Lot [ ] Ft. Yd. Setback Side Yard Setback 100—:1,Type of Construction: IsiJae3 l%01 a Estimated Cost: $ r D Approx. Completion Date: ! Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Tel. CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge G104U 0 STIPULATIONS: Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] } i SUBJECT P City of Fridley 30009 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. l 1 T NUMBER AEv DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/5/99 JOB ADDRESS 6133 Woody Lane NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 2 3 1 Moore Lake Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Gergen 572-2329 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Roofing 18979 Gladstone Blvd. Maple Grove 55311 416-4804 20010277 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 O NEW ❑ ADDITION O ALTERATION ®x REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (23 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2010 $1.01 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- T UCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 Fire SC $2.01 PLAN CHECK FEE E TOTV.2 Lice C$5. $ SIGNATURE OFCONTRACTOR OAAUTHORi2EDAGENr ENP OP LI ATE IS IS YQµ@ PERMIT Nrv7.Nsp OATE S,GNATURE OF OWNER OF OWNER BUILDEAI iDATE, NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION b\` Construction Address: (I3 3 Legal Description: Owner Name & Address: Tel. Tel. # 6 7,1 -23.2c7 Contractor: J'/!- MN LICENSE # obQ 16,2 Address: Tel. # Y/6 5' Attach to this application; -a Certificate of Survey of the S�®� 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: l.d r Construction Type: 4-c A-5-? -7 :-C� z% 7':?) Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE -J -s- 9 � APPLIC C: - Tel. # 3-`' c,7-/ 3,Yk TOTAL STIPULATIONS: S CITY USE ONLY Permit Fee $ 83- Fee Schedule on Reverse Side Fire Surcharge $a U r .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $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: S Building Inspections 763-572-3604 DATE (f/ iI SITE ADDRESS _,, THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATI®N CITY OF FRIDLEY e YOUR E-MAIL ADDRESS L OWNER I�ONTRACTOR NAME: o -e ADDRESS: CITY PHONE: b 3 — ;tiel'— COMPANYNAME: E214ar fjbs shca' s 4A. CONTACT PERSON: 8290 Main St W@ -E, Ss Permit No.: Received By: /L DateRec'd: L, "D STATE LICENSE # Q" ADDRESS: - Cff STATE ZIP, PHONE FAX IiGLE FAMILY O TWO FAMILY 0 TOWNHOUSE 0 NEW PqtgPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK V A—& 0 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)G MODEL ®' ��� X12 SIZE/BTU X�n/ Equipment Installed MFG: SIZEIBTU WG: MODEL: MFG: MODEL: SIZE/BTU GAS RANGE/OVEN $10.00 A/C $25.00 ,_FIREPLACE (GAS) $15.00. _ —_AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GR1LL $10.00 BOILER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 GAS DRYER $10.00 —POOL DATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 1:d4 ..rLu __rFvi.'Ss . WAP"a.... - s....,a ,.,..,, ......... .., Permit Fee $ �90 Number of fixtures @ $10.00 x $10.00 = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ sy Number of fixtures @ $25.00 x $25.00 = $ 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. /! /90b SIGNATURE OF APPLICANT �.C/� PRINT NAME [� DATE L/�.L City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropaneUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with N N Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 S. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations I SU11(1111a � Pe=A No: Ins ertions RESIDEjNT , APPLICATION Received 3v: 763-57 -'604 CITY 'Y OF F LEY ' :'�14� EFFECTIVE 1-148 DATE �LZ 1?q YOURE-MAILADDRESS I `n o SITEADDRESS THIS APPLICANT 1S: ❑ OWNER ONTRACTOR i I PROPERTY NAME: QA � ONVNER/ � t- ADDRESS: ( p (U l: CITY i' STATE ZIP TENANT PHONE:3 CONTRACTOR NAME: PINS 46idd, SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND EXP DATE CERTIFICATE OF ADDRESS: 57 -IV ie�I S1�� #3j CITY ftrille44 STATE�ZIP S� ✓�� INSURANCE PHONE �W�1"�' 'J.I� FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: ❑ NEW $REPLACEMENT DETAILED DESCRIPTION OF WORK r111.6Aj(9jn y�il, LC&&417 WkJ"UJ h:C i 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 = plus SO surcharge OR FOR PROJECTS WHERE LABOREXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FI)CTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE 51550. _BATHSINK2AV _FLOORDRAINS SHOWER _WATERPIPING —BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER. C''��. r.��"�,�?'� „�'��.. _t�`„� �e'��.',�,.:N.:A Permit Fee $ Number of fixtures @ $10.00 x$10.00=$ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ OR Number of fixtures @ $35.00 1 x $35.00 = $ 3"sD' TOTAL DUE $ State Surcharge = $ .50 (MINIMUM $15.50) (MINIMUM S15.50) Total = $ T_ -3P THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 on site; that the work will 'be in accordance j ifwith the approved plan in the case of all woric which requires review and approval of plans. SIGNATURE (JF :1PPLI .1I �`� PRINT NAME. ClG'D�P.i� DATE �Z 1 ,wPRaVED f31' �ATr' N0 :SEP!�%K=PERNUTS._ RE*REOI IRED FOR 3.1-fTEDINC:..Ei. rCTRIC.AL. _kf�D: titEC,—TAf IC:iL. NORK r'-Asr')f a'-. Cdleir ,ecTions r ment I J niversiv,` .-..venue J 711 dlev.