Loading...
PRE 2010 DOCSCity ®f Fridley, �10N111LDING 7/ Steet�"Part of Lot Lot _ _ _ Block Addition or Sub- on Corner Lot , Inside Lot SBtback Sideyard — a Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To , SLI as• Front _ Depth ZAQ Height Z Sq. Ft. Com. Depth Height Sq. Ft. Cu. Ft. Type of Construction _ Est. _ .__.. 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 an in �compHance with all provisions of or'dinanc�s of the city of Fridley. . r� �, / l 1 /l I r-, c� In consideration of the payment of a fee o! $ , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express onndition 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 aay thereof, shall e�nform in all respects to the ordinances of Fridley, Minnesota regardiYg location, construction, alteration, maintenance, repair and moving of buildings oYthe dty limitas and this permit may be revoked at any violatioa_of any of the provls�lons of said NOTICE: Me pennN don not eever the construction, installation for wiring, plumbing, on hewing, sewer or water. Be sure to we the Building Inspector for separate permits for these Nems. Date: ATTGi1ST Z10,1966 Owner: Gerald Roshewina Builder Address 4741 2ad street N, E. Address Gorco Bonstruction 3384 Brownlow Avenue LOCATION OF BUILDING No. 4741 Street 2nd Street part of Lot X. 25' Of L.25 PLYMOUTH. �.��! _Block 6 Addition or Sub -Division of L. Corner Lot Inside Lot Setback _ Sideyard Sewer Elevation Foundation Elevation RE 2AI��3 8955 DESCRIPTION OF BUILDING To be Used as: CAR GAMGE CAR G®RAGE Front 16 Depth 22 Height 10, Sq. Ft. 362 Cu. ,t 3620 Front Depth Freight Sq. Ft Cu. Ft. Type of Construction Est. Cost$900-00 _ To be Completed One Month 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 and in compliance with ail provisions of ordinances of the city of Fridley. �d� 'e, /d In consideration of the payment of a fee of a 54.00 , permit is hereby granted to Gorco Const. 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 buildiags within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. AGE BELISLE Building Inspector NOTIC6t Tab parmk don not wwr the condruatioe, i daWon for airing, phrmbine, ea heaft, ewer or water. Be euro to ase the Butidine logwtor for Operate permits for lase keno. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME e^ �� o s Pu BUILDER 0®1� CON C� /k `/, &. 5 ADDRESS .7 Z � � � �' LZ ADDRESS a 3' S_2 I LOCATION OF BUILDING N0.STREEZ� r PART OF LOT LUT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT, SETBACK SIDE -YARD' ° SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front / & Depth � Z Height Sq. Ft. G Cu. Ft. -- Front Depth Height . Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 90-0 To be completed. G�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 and representations stated in this application are true and correct. d3,, o�w-,Z&4, BATE gkd SIGNATURE be r (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley, Minn. BUILDING PERMIT Ys: -. -ur- • 1 Owner: Mr. Koshering guilder Address 4741 -2nd Street N.E. Address Chucks Construction Co. 3800 Hayes Street N.E. LOCATION OF BUILDING No. 4741 Street 2nd Street N.E. part of Lot Lot R 25.2.6 2781ock 6 Addition or Sub -Division Plymouth Addition Corner Lot Inside Lot Sewer Elevation To be Used as: Reside Type of Construction Setback .—_ Sideyard Foundation Elevation DESCRIPTION OF BUILDING Front _ _ Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft. Cu. Ft. Est. Cost _._$1,1.,.00__ To be Completed 30 days 10813 In consideration of the issuance to me of a permit to construct the building described above Y agree to do the proposed work in accordance with the description above forth and inXK�-- In provisions of ordinances of the city of Fridley. consideration of the payment of a fee of $ _ 9Q _ _.., permit is hereby granted to Chucks Const . Co . 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 said ordinances. - e CLARENCE BELISLE NOTICE: This penmM does not cover the construction, Installation for wiring, phmnbing, gas heating, sewer or water. Be sore to see the MIA* inspector for separate pwn*s for these items. I� APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA I o Cd" t /P OWNER'S NAME.. BUILDER: ADDRESS :— _o2.�Y1.1d 7F ADDRESS : 3ed cl NO:. z17T11 T 1 STREET • LOT: BLOCK: ADDITION: 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. To Be Used As: DESCRIPTION OF BUILDING Front: Depth • Height Square Feet Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost:$ �V� T To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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 Q SIGNATURE (See Reverse Side For Additional Information.) au��arrr City ®f Fridley Permit No. AT THE TOP OR TM9 T%VIN8 I L PPLUMBING PERMIT APPLICATIO14AV __ r tU ---- COMINNITT DEVELOPINIENT DIV, I i PROTECTIVQ Vd CTION 99Pf, CITY HALL. FRIOL19V ®OQ$ N Nf�v. pATE PARE �' JAPPROVED Or Job Address /j - 0 2/15/73 1 1 800 ner / Ad ress Phone/ - 11-4r - _ X b C_ -7----- f!� ��Iumbin ontr tor / Address Pone Kind of lding Use Comp eti n Da stimateCL Cost Plumbing Fixture Rates: NO. RATE TOTAL ��W � E � ;► 1 Ci i0 W -- - Number Fixtures-x $2.00 <I ( If I Future Fixtures x ,$1.50 MVNVa ea svo) New Fixture-Old Open. x $1.50 O ? Catch' Basin x $3.25 avo � I i i Water Heater-99,000 BTU x $3.00 saa, I J I Ground Run Old Bldg. x $3.25 •enNI�Val I I 1 � m Elec . Water Heater x $2.00 SNS # Gas Fitting Fees: im o eNry l� o aoo,1st 3 Fixtures x 2.00 o •t ! sa3 WHS I $ AZ's Additional Fixtures x $ .75 I13 'Lunoil I I I I I i a 0 NNIaa Gas Range-199,000 BTU x $5.00 a U� IQ a HSYMI I I I I ReI2airs &Alterations 'See j I k14 IIDescription: Code c3 aNlevaI I StateSurcharge .50 venjL19 I I I TOTAL FEE $ !The undersigned hereby makes application for a permit sIVNlanl c I I� for the work herein specified, agreeing to do all work olaso,o I in strict accordance with the City Ordinances and ruling aalvall 17 I of the Department of Buildings, and hereby declare that all'the facts and representations stated in this ation are true and correct. % Signature ate ,r 53-81!-S-915.51 City of Fridley kp5ittemn fw PIrmUmg end Cm, Ring . l? _ Dept. of Bldg*. Phone 5W.3450 DESCRIPTION OF WORK b741 N. E. 2nd. Street Number, Kind and Location of Fixtures" O ai x $200 $ Future Fixture Opening ........... x $1.50 $-- _New New Fixture Old Opening .....:.... x $1.50 $ Catch Basin ..................... x $3.25 $ w ► N WATER NTN. GAS ELEC. Base. $ Electric Water Heater .............. s $2.00 $ :.AS FITTING FEES: NO. RATE TOTAL Ist In to 1 as Gr ll 2nd 3rd 4th • Future Conawilon OpeningsI L:onnecz= enxa Sewer + Now Fixture. Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $200 $ Future Fixture Opening ........... x $1.50 $-- _New New Fixture Old Opening .....:.... x $1.50 $ Catch Basin ..................... x $3.25 $ Water Heater !.Up to 99,000 BTU).... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. s $2.00 $ :.AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ................ x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU.. . x $5.00 $ 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 tact and representations stated in this application are true and correct Fridley, b inn 6-21-74 19_ Owner Gerald A. Koshening Kind of Building Frame Used as Res. To be completed about 6-28-713 Estimated Cost, $ 10.00 Old - K Building Permit No. - Permit N A - Signed Qi1i..��'saA�'O By - - Business Phone No ROUGH FINAL - -L- 3 - 21 REPAIRS & ALTERATIONS—Rotor to Code .50 State Surcharge Description ..... Installw Gas .Grill ............. $ 5.00 TOTAL FEE s 5.50 Cja�ss Surcharge 5,01, I I 0 0 11 :Al m C, ta tv cc ltd r fo fo 4a s 8 Ml, I f m M r �M ,T�j Q6 vg3 City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PERMI 93505 Ir � _______ COMMUNITY DEVELOPMENT DIV L 1 - PROTECTIVE INSPECTION SEC CITY HALL FRIDLEY 55432 612-571-3450 RECEIPT NO. NUMBER 910-F15 REV GATE 7/5/95 PAGE OF APPROVED By JOB ADDRESS 4741 2 Street NE 1 LEGAL DESCR. LOT NO. 1 25,26,27 BLOCK 6 TRACTOR ADDITION Plymouth Addition SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vincent R. Anderson 4741 2 Street NE 572-8936 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (13 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 SO. 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 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 $975 @ $.50 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. $23.00 $.98 Fire SC PLAN CHECK FEE TOTAL FEE 24.48 Si TUREOFCONTRACTOR UTHORI DAGE IDATEi �j WHEN PROPER gL INSP VALIDATED THIS IS YOUR PERMIT % DAT SIGNATURE OF OWNERU OWNER BUiLDERi (DATE) NEW [ ] Effective 1/ 1/95 ,••ADDN .-: ,.:_.-f ],-CITY'.OE. FJ IDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R=1 AND R-2 Building Permit Application Construction Address: . •Legal: Description: ___^r. Owner Name. & Address: Contractor: eva Address: 7 7 V % L, Tel. # J % r MN LICENSE # Tel. # W36 Attach to this application, "a Certificate of Survey "of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: as* P 2Qr2 OR Corner Lot (] Inside Lot [ ] Ft. Yd Setback . Side Yard Setbacks Type of Construction: u_z Estimated Cost: ,$ Approx.. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 5 Ft = Ft x $ _ $ DATE: APPLICANT:d! /`� ,('ham . Tel. # -6-7c.-2 CITY USE ONLY Permit Fee " $ . C5 0 Fee Schedule on Reverse Side Fire Surcharge $ c .001 of Permit Valuation (1 / 10th %) State Surcharge $ �� $.50/$1,000 Valuation SAC Charge $ $850 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 $ �� o STIPULATIONS: SUBJECT IFRMIT NO. City of Fridley ' L AT THE TOP OF THE TWINS BUILDING PERMIT( r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r I v PROTECTIVE INSPECTION SEC. 1 3z �� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/26/96 JOB ADDRESS 4741 2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 25-27 6 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Anderson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Western Construction Co 4301 Hwy 7, Mpls., MN 55416 920-8888 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 p X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE Ij REMOVE X B DESCRIBE WORK Remove existing garage; Construct a 26' x 30' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. See notations on plan. WARNING Before digging call for All utility locations SEPARATE PEREQUIRED FOR WIRING, RE 44�oDD2 UIRMITS Q RE® BY LACI HEATING, :PLUMBING AND SI0N 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 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 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 $14,290 $7.14 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- $224.75 Fire SC $14.29 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE License SC $5.0��0//��� $251.18 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY"VIALID TED THIS IS YOUR PERMIT BLD INSP DA E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATEI .' Prepaid Plan Check $ Effective 1/1/90 Estimated Cost $ CITY OF FRIDL Y Receipt, # R-3, CMGMM CIAL & INDUSTRIAL (� Building Permit Application Construction Address 41 -2ND STREET N.E. Zoning legal Description o' U 6 u�• Property Owner/Address 4741 -2ND STREET N.E. Tel. # 572-8936 CONTRACTOR & ADDRmS WESTERN CONSTRUCTION COMPANY 4301-HIGHWPl.# 920-8888 Architect & Address EVER 3 _Reg.# Engineer & Address .# TYPE OF MARK xd New [] Addition [] Alteration -Describe 26X30 -GARAGE OWNER TO MOVE OLD FRAME SINGLE GARAGE & DEMOLSSH OLD CEMENT-- A e Applica,zt Signature(91'-Tel # 920-8888 Date 7/19/96 len 30 Width 26 Height 10 Sq. Ft. 780 # of Stories 1 OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. VALMkTION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) 70TAL VALUE Building Use GARAGE Construction Type FRAME Occupancy Group Air Conditioning []yes []No Fire Protection Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No F ' =t $ Zy7� $ P4 Stat eUrcharge $ J , Park Fee $ Spec. Assessments $ Driveway Escrow $ ' 07AL $ 51, See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side $.50/$1,000 Valuation (See Sched. for > $1 Million) $600 per SAC Unit Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $13.50/foot WESTERN ' •._ sneu coNrno m co. , 4301 Highway 7 Minneapolis, NIN 55416 920-8858 CITY Fy f r I ADDRESS ��-7 1� NAME �1 o =54 PHONE 7 — '527-?4WORK PERMIT OBTAINED BY - SALESMAN CEMENT MAN DATE GARAGE SIZE L X -:?(,)-X APRON DRIVEWAY SIZE WIRE MESH. %"=RODS CONDUIT.PIPE r OVERHEAD DOOR SIZE —OFFSET=`� SERVICE DOOR LOCATION`'` BLOCK SIZE & LOCATION WATERPROOF BACKFILL OLD GARAGE REMOVED BY '''i'` ° EXCAVATION BY OLD CEMENT REMOVED BY GRADE FLAT DROP OFF �y N 4741=2ND*STREET N.E. 4" -CEMENT iLOjR A/2'-APRU)N VINCENT ANDERSON 'WIRE MESPI 6x6x10-2-lr"-R.2RUJ' ".3 -0,11 572-8936 1 -Row 6X8,18-.bL0X THREE 131J]), -'a 26X30 -GARAGE FERBUARD RUOF & WALL SHEATHING 5! -WHITE VYAAL EXTERIOR wd,#24o-ROOF SHINGLE ' #151B FELT ,, IP:-JAYX;w FACTOR`( TRUSS, RAFTER -3 is z YGABLE ROOF 4/12"-OVERHEANG-ALL AROUND x6-lx"EAzxR j/ALuvaNuiv; 3OFFIT FACER UO ONE RANCH WINDOW ONE 16X7 -STEEL OVEMMAD DOOR ONE STEEL SERVICE DOOR ............ . Nt I X 6 HOOF BRACING A� I X 8 RIQGE BOAR �/ 2 X 5 TIE ,moi ,/ �jGABLESTUDS F; 2 X 6 A T E S 1 0 C. — /� {{ ' 2 X 4 DOUBLE TOP PLATE TUDS 16' D.C. — - TRIPLE CORNERS 2 X 4 TSEAM0 SINGLE BOTTOM PLATE DOUBLE 2 X 12 OVER HEAD DOOR HEADER WITH Va LAI: (NATION I— DOUBLE DOOR STUDS FRONT B07 OM PLATE BRADLEY CHAZIN WESTERN ..--CONSTRUCTION Co. -no�-- S., Paul Ridge Site built trusses Hafter space on every third 2x6'•, rafter minimun ' X' r� ' • � �`' 1x61x6". " •:i.... q,1e --: ,Haftei;:,• "tie or Wall Iy2 X 7"A. B. AS PER U. B. C. y +REDWOOD OR TREAT D 2"X4!'PLATE yr. GRD. �� 6„X6„UIO WIRE':°'�• LINE y • �:• v'•. b• • v• ; a) �� A v A N CODE-' SLAB ON GRADE , NO BLOCKS AGREEMENTBETWEEN PROPERTY OWNERS I, we located at 7 5 Iz C the minimum distance of ( ) ft) from , owner(s) of the property ,agree that the property line is at least the proposed construction at j! I, we hereby give permission to construct the without having the required survey of the property. 3uilding $ _ . [®' BUILDING Permit No.:`� nspections RESIDENTIAL APPLICATION Received By: F63-572-3604 .001 times the total job valuation CITY OF FRIDLEY Date Rec'd: )ATE //' ` ; —2 — 0 O % YOUR E-MAIL ADDRESS V Je i S 0 f1 h7 n IM ITE ADDRESS SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ HIS APPLICANT IS: &OWNER ❑CONTRACTOR $ PROPERTY OWNER/ NAME: ), n C e ,n -r iC Ai Ie ire nn Fee Determined by Engineering TENANT ADDRESS: j ,7ree--r O/C— CITY f ` . STATI�I,�IP � 1 $ As . qct PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX ffSINGLE FAMILY/NEW CONSTRUCTION SIZE PROPERTY TYPE ❑ 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 4TREMODELING DESCRIBE WORK BEINGDONE;',;Z,, &,1Xc-.J-f1A; ) nJ a tj \A1 -JA 61 0 2 Fes 'r\ A aw) 4 \A1110 OW SIZE OF IMPROVEMENT LENGTH TH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 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 existing structures ❑ Other ❑ Fascia 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 $ ZL(-1 6 O OCCUPANCY TYPE Permit Fee $ _ . [®' See Back Page for Fee Schedule Plan Review $ 1-7:5 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 $ 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 $ As . qct Make checks payable to: CityofFridley Attach Sti ulations 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 w 'eh requires re d approval of plans. SIGNATURE OF APPLICANT 117fo .rr�lE '`�� PRINT NAME d !1 �e 11 C� 6 4?f1 DATE CPAGUE :3 k'cz rc-y rPREPAPECI III 4 DATE ND 4445. A VI EVI Building BUILDING Permit No.Q Inspections RESIDENTIAL APPLICATION Received By: ,lie 763-572-3604 DO L CITY OF FRIDLEY Dat 763-502-4977 FAX EFFECTIVE 1-1-09 DATE — 0 YOUR E-MAIL ADDRESS SITE ADDRESS 41'? 'q 9 'q AJ IN THIS APPLICANT IS: ❑ OWNER NTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: �'--O S-7— IV -6 CITY—�/PL�j STATE ht IP PHONE: CONTRACTOR NAME: STATE LICENSE # c26 � �'i','� 41 EXP DATE I SUBMIT A COPY OF YOUR STATE LICENSE _ � CF, g � � A � AND CERTIFICATE OF ADDRESS: l CITY �/ STATE ZIP91 INSURANCE PHONE R®" FAX PROPERTY TYPE TINGLE FAMILYINEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE 0 ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION I)R-MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: L -S ;91 - SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY RUSE & BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING-- -- - -- - - --- --- - - - - _ _ ADDITIONS. && PORCHES SUBMIT: ❑ Vinyl ❑Soffit I . Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 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 $ S7St$0, 0 ® OCCUPANCY TYPE Permit Fee $ 13,d5 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 $ (j $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 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 . and work is not to start without a permit on- site; that the work will be in accordance with the approved plan in the case of all ich uires review and approval of plans. ----- SIGNATURE OF APPLICANT PRINT NAMI® DATE Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY D 'SEP 0 4 20( 763-502-4977 FAX EFFECTIVE 2-19-09 DATE 7 - 27 YOUR E-MAIL ADDRESS SITE ADDRESS ;2 Al /V O THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: ADDRESS: �/%�✓/ �/V� /Y CITY ��/bG�� STATE,*W LIP�Ysa OWNER/ TENANT �5� PHONE: ?%3- CONTRACTOR COMPANY NAME: k1E4'T/A/C W e 0.0A /N� �1-�JD �a✓G CONTACT PERSON: .57/zn SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS:ffaS5- �® CITY�9 APPLICATION PHONE Vr--77 FAXy��3652- PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK /epf!/Aee -tl& //hle<--z, �- FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (IINDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: x_tre ✓bY,2dyp SIZE/BTU . /00 .p_ MFG: MODEL: o��ro R/V�ZT SIZEBTU a 7�OOl� E!i XA/C $25.00 _AIR TO AIR EXCHANGEER $15 BOILER $35.00 _ CHIMNEY LINER $10.00 DUCT WORK $10.00 Number of fixtures ,@ $10;00'. Number SIZE(BTU _GAS RANGE/OVEN $10.00 _NEW GAS GRILL $10.00 _GAS UNIT HTR $10.00 _POOL HEATER $35.00 VENTILATOR $15.00 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 / % PRINT NAME /"11/42Z- ,S%i)ir DATE PLEASE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS 1 EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC 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 MN 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 5. 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. Date: 8/21 Revision Date: 8/28/2009 Site Information Address 1: 4741 2nd St NE Address 2: City: Fridely County: Anoka Application Information Business Name: Heating & Cooling Two, Inc. Contact Person: Mark Sims Office Ph: 763-428-3677 Fax: 763-428-3682 Address 1: 18550 County Road 81 Existing Construction: Pre 1994. Project #: Lot: Block: Subdivision: MN Contractor License #: Cell Ph: 763-286-5424 City: Maple Grove State: MN Zip Code: 55369 Combustion Appliance Water Heater: Natural Draft Input BTUs: 40,000 Independently Vented Furnace/Boiler: Direct Vent/Sealed Combustion Input BTUs: 60,000 Independently Vented Make -Up Air No Make -Up Air Required by Code Combustion Air Minimum Combustion Air Requirements Met. Applicant Name (print): Ew7"11V&Co,4 *4 9wz) Signature/Date: Code Official (print): Signature/Date:_ © 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1