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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: .. ... � ............. ......... . Address ...................................... N® 3383 Builder ......... ?l..`.`° . ....... ..... Address ............................................. LOCATION OF BUILDING No. . O !R ®. Street .c?..... ,-1 .. ...... Part of Lot ................ .. .......... . Lot ... �.... Block • .............. Addition or Sub -Division de• Corner Lot ............ Inside Lot ....... Setback ::.. Sideyard ...... DESCRIPTION OF BUILDING To be Used ac. r ... ... Front .� Depth � Y Height O . c� "Sq. Ft f.� !. Cu. Ft �� :� d� 0 • • •• .• 1 �• •. ..'�...srr .. From .� :®'Depth q'®� Height ®- . `sq. Ft 1"9. Cu. Ft.-�G e of Cons ction ................. Completed ................ . Typ .. llrst. Cost. �.� ..... To be comp... ... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. ................................................. In consideration of the payment of a fee of $. !...:..., permit is hereby granted to ................... ......................... 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ..... .. f:..,,. ..... ..... 7111 Inspector NOTICE: This permit does not cover the construotion, Installation or alteration for wiring, plumbing, gas heatin sewer or water. Be sure to see the Building Inspector for separate permits for these Items. 52-84-5915.51 City of Fridley Application for Plumbing and Gas Fitting Perndt Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK 6720 N E 2nd St Number, Kind and Location of Fixtures Location m qC $ Future Fixture Opening ................ N Y C Z Z p[ W Catch Basin ...... ..................... W U0' Z .90 ( R N WATER HTR. GAS ELEC Base Electric Water Heater z $2.00 $ GAS FITTING FEES: . Env a4 G�s 1st 3 Fixtures .......................... D r Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Dryer 1st 5®00 2nd 3rd 4th • Future Connection Openings e New .Fixture, Old Openings I Connected with Sewer El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ 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) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater z $2.00 $ GAS FITTING FEES: . NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Dryer 3. 5®00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 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 fact and representations stated in this application are true and correct. 3-1.-68 Fridley, Minn 19— Owner Warren Rollins Kind of Building frame Used as res To be completed about 3-19-68 Estimated Cost, $ Old—New. Building Permit No Permit No. S' e Af By Business Phone o ROUGH FINAL • d _ > GAS G • Lq • VAI -GC as OrtN4NGS M ,,.1 1• •� •� .•• V 1 0 coo a F � y • '" � � x tij � O �; W • � • rt. � ro x ,� � � o tiQy `i • to • � ;� {A r, • W 7 0° • �Mo o w 1� to ro 23 44 ate` �. x r� C � •� tf . • p to rn $. Cl ro o � Cl. o .. a � ti Q E C ro YN N • N X k X X X k •� tJ � .Cp WNN .��-.t .�•' �1 ' 'ty . �+ �• � Vt O N C, � � .j . � V7 QA to L► V►• 49 •M 9 � P � 97 a. ro CST r s y a, ou N g � • d _ > GAS G • Lq • VAI -GC • _ > GAS G VAI -GC as OrtN4NGS coo F W � �Mo o w 1� to ro 23 44 ate` �. x r� C � •� tf . • p to Cl ro o � Cl. o .. a � ti Q E C ro YN N �+ nr r tt �' r A P � 53-84-s-915-51 City of F"oy PARTIAL RATE SCHEDULF Grurrum mym N& RATE TOT. N[ ................ opeffift .... ®...... . ......... • i I • 8 �.�::� .. ,.'ck�. b.7.. a, z ,.r ,�._'�.ffa:, �..c 1.�.i:i:. S'wi .;-:: New GM=d mm ow B........ZbotoftwaftrEntm v i a AL E_ i Z I= ' __.•- > - - - -- --.. z K z � _�. > t 1- fi _ �. }zr a Vis° State Surdbm" , MWA� & I* C ti* z�. �■,��■y■�k■�■i�,.' 5.00 •.... •m.....®...e. TonL I= & x.50 a Y'.i .e (, 2 7 ,, Wr 7,1. PARTIAL RATE SCHEDULF Grurrum mym N& RATE TOT. N[ ................ opeffift .... ®...... . ......... ram g .............®.®©®.a �® New GM=d mm ow B........ZbotoftwaftrEntm .............. a AL lot1�w a 3 M .................. Z I= . .. .......... a .715 @� ,�/�.......... , 0.@y. an nwo W em wu ..........! ®z i State Surdbm" O SO MWA� & I* C Install Gas gill 5.00 •.... •m.....®...e. TonL I= & x.50 SUBJECT "Y PERMIT NQ•.. -- City of Fridley ®13293 AT THE TOP OF THE TWINS BUILDING PE RMI T RECEIPT N COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r C� 1 . � CITY_ HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 11-4-75 JOB ADDRESS 6720 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TR ACT OR ADDITION SEE ATTACHED DESCR. 5 2 Rice Creek Plaza SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Warren Rollins 6720 2nd Street N.E. 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 7 CLASS OF WORK ❑ NEW ❑ ADDITION EJ( ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK finish amusement room in basement 9 CHANGE OF USE FROM TO STIPULATIONS PERMITS REQUIRED FOR WIR103c TE PLUMBING AND SIONSw 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 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. 500.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .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- $5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $5.50 ®/r7� SI N�yAT�UR�E OF CONT. TOR AU RIZED AGENT (DATE) 10 !sem EN PRO RLY ATED T IS IS YOUR P RMI F427 SIGNATURE OF OIIFW R6UILDERI IDATYEI WNER O BLDG INSP DATE -APPLICATION FOR RESIDENTIAL., ALTERATION, OR ADDITION.BUILDING PEMIT CITY OF FRIDLEY, MINNESOTA OjJNER S NAME : G2C� o l ��' BUILDER ADDRESS: — IVE ADDRESS O • I STREET: �f LOT: BLOCK: ADDITION: 'j , CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this 'fora. Two Certificates.. -)f Survey .of Lot and.proposed building location dr%wn on these Certificates. DESCRIPTION'OF BUILDING s To Be Used As: "456 Pi 25144 Front: Depth: Height: Square Feet: Cubic.Feet: Front:' Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: $fit}•e�, To -Be Completed: The undersigned hereby makes applicativn•for a permit for the Mork 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. • DATE: r1' 7 - ` SIGNATURE: (See reverse Side For Additional Information.)' J suedEcr City of Fridley 1;51i02 AT THE TOP OF THE TINS M I T BUILDING PERRECEIP COMMUNITY DEVELOPMENT DIV. INSPECTION a r PROTECTIVE SEC. q � NUMBER REV. DATE PAGE OF APPROVED BY (1 � CITY HALL FRIDLEY 554k .-_-� �----i j 612-560-3450 910-F15 4/4/79 JOB ADDRESS 6720 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR. 5 2 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rollins 6720 - 2nd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lakeland Brick & Stone 147 Craig Way N.E. 571-8464 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 X 8 DESCRIBE WORK Construct masonry fireplace 9 CHANGE OF USE FROM TO STIPULATIONS NOW 80011 digging call local - tFLEPHONE utilities . ELECTRIC - GAS Etc. REQUIRED By >% TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Masonry 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. $] $.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT X200 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER ST TE OR LOCAL LAW REGULATING CON. - STRUCTIONN OR THE P RM N E OF ONSTRUCTION. $9.00 PLAN CHECK FEE TOTAL FEE $9.60 SIGNATURE OF CONTRACT90,6RAUTHORI DAGENT (DATE)WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ffi \�L�V BLDG INSP DAYE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) J CITY OF FRIDLEY APPLICATtON FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: I'1l� C� I ! � �S BUILDER: Address; 6-2 ZD Z -TG• 81 N/'l ^ Address: � �7 Cea 1' L�) o. Tel. No . / _ b No. --L-7 Z-0 Street : LOT: BLOCY.: ADDITION:�C� �� P ►� ���� CORNER LOT: INSIDE LOT: Xc SETBACK: SIDEYARDS: 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:®a,�J)Estimated Cost: Z® To Be Completed: / -)b 72 2 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional inf rmation. —let� DATE: 7 SIGNATURE: Stipulations: Mi CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RATE TOTAL Job Address \ESIDZNTtAL Furnace Shell and Duct Work, )Also rsptaceaent furnace) S 20.00 $ �� Department of Buildings, &431 University Ave. N.<:., Fridley, NN SSrtl2 Burner city of Fridley Gas Piping $ 10.00 $ Tel. 1571-14SO (piping needed Jith now furnace) S The undersigned hereby wake/ application for a permit for the work herein Gas Range S10.00 specified agresinq to do all Mork in strict accordance with the City Godes Gas Dryer S 10.00 S and rulings of the Department of Buildinga, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) S 10.00 Fridley. Kinn. ° r All Others/Repairs and Alterations OWNER A%` Z It of Value of Appliance or Work $ "/�` fYf RIND OF sUILDII/G COlMERCIAI./INDUSTRIAL USED AS •11 of Value of Appliance or lock Sr ro BE COMPLETED Awry ESTIMATED COST I r' State Surcharge S .50 ND. PERMIT 00. l� TOTAL Z+EL OLD -NEN 1N1IWING PERMIT Reinspection tee ($15.00) $ DESCRIPTION or fuRNACE/suleaa d No. Rough Insp. NEATING or POWER PLAINTS, Steam. Not Mater, Date Trade Nage size No. _ i°-/ Final Insp. Date Capacity sq. Ft. EOR aw NP eiApproval for Permit 0N iota) Connected toad Rind of fuel f� - d= ✓ (��,%% BURNER - Trade Name Size ND. Capacity Sq. Ft. EDR s7U MINIMUM FEE FOR ANY NFATING PERMIT IS $10.00 Company PLUS 5.50 STATE SURCHARGE Signed By Attach stack verification toes with replacnarnt furnace lMesits Tel I. No.— •Air Onndittonern can IMt lw• placed in %ad.• yard without written iN mission from adrolnlnq nrigldior. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS Al. A/- C New Fixtures Ile - Old Opening, New Fixture 3 Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 Flo of Value of Fixture or Appliance State Surcharge $ .50 i 41 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. 1991 Owner Building Used As a' Al� Estimated Cost 71�� PERMIT NO. PLUMBIl' SIGNED Approved C� In Date Final Date2/m?�- PP B Y � Rough -in h- 9 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE I X00 ���\ 1At Urinal I R a Show r Tray .Floo D"ri't'tl > tDrain Auto. ".............Washer;::.:::::::... ........:...GasWashtt AR Range .>I :.. Water Heater r ' Gas ElecStories B m ase en Floor 1 Floor 2 :< i r F o0 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS Al. A/- C New Fixtures Ile - Old Opening, New Fixture 3 Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 Flo of Value of Fixture or Appliance State Surcharge $ .50 i 41 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. 1991 Owner Building Used As a' Al� Estimated Cost 71�� PERMIT NO. PLUMBIl' SIGNED Approved C� In Date Final Date2/m?�- PP B Y � Rough -in h- 9 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE I X00 ���\ 011. SUBJECT PERMIT NO. City ®f Fridley 21511 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT COMMUNITY DEVELOPMENT DIV. j C�C9 /tel[ 7 r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/24/92 i JOB ADDRESS 6720 2nd Street NE LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED 1 LEGAL DESCR. 5 2 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Warren/Agnes Rollins 6720 - 2nd Street NE 574-7511 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rossbach.Construction Inc 2578 7th Ave E, N St Paul MN 779-02 8 1355 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION [I ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace bathtub enclosure sheetrock 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 D YS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS LICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVI S OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK W E COMPLIED $625 $.50 WITH WHETHER SPECIFIED HEREIN OR GRA I OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AURITY TO 10 OR CANCEL THE PROVISIONS OF OT ER TE OR LO L E LATING CON- $19.00 Fire SC $.63, STRUCTION THE P O CE N I PLAN CHECK FEE TOTAL FEE License SC $5.00 $25.13 SIGIIATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEi HEN R ERY A ATED THIS IS YOUR PERMIT �f —! LDG F7ATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEi ' 011. NEW { J ADDN [ J ALTER { r_L; 012 -t -)r'1-1287 Aug 10,92 13:38 NO -003 P.02/C Effective 3/l/92 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application Construction Address: ii ���--1j Y Owner Name & Address: ° `�-1 F "._ Tel.' Contractor: MN LICENSE #_t�, !� Address:.:`'... C,L._�.1 , u�..�j .Tel, , -Z2 �r Attach to this application, a Certific:;ate of Survey of the lot, with the proposed construction drawn on it to sole. LIVING AREZA: GARAGE AREA: DECK AREA: OTHEM: DESCRIPT16N OF IMPROVENIIIENT Length Width Height Length Width Height IN Sq. Ft. Sy. Ft. ,• Ft. Corner Lot [ J Inside Lot_ j_ ] Ft. Yd Setback -,mid Setbacks - Type of Construction: _ _ Estimated Cost: $° .® a Approx. Completion Date: (Fast on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft �Ft X $ = $ DATE: - `a `ice_ APPLICANT:=T� Tel. �`_ _,� Permit lee /4", _�. Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1 / 10th %) State Surcharge R x%S J-0 5.501$1,000 Valuation SAC Charge _--------_-3700 per SAC Unit License Surcharge"`��$ �- � . V$S.t�} (State Licensed residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $_ � Fee Determined by Engineering Sewer Main Charge $_ � � Agreement Necessary { Not Necessary I ] TOTAL $ � STIPULAT16NS: d SUBJECT PER City of Fridley ' ""- J 829 AT THE TOP OF THE TWINS BUILDING PERMIT �`.. f RECEIPT NO. � • _____ COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. Lf r i i ,�V CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ".j 612-571-3450 910-F15 10/19/95 JOB ADDRESS 6720 2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 1 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Warren/Agnes Rollins 6720 2 Street NE 574-7511 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rossbach Construction 2578 7 Ave E North St Paul MN 55109 779-0218 1355 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 X ALTERATION ❑ REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Replace windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows must meet the State Egress 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 1 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 $4,900 $2.45 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- $99.75 Fire SC $4.90 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE License SC $5.00 $112.10 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPE VALIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI BTG INSP DATE N A V y oN9/1 J'y FRIO1,liy -f AM) I)tJPLn-XM R,-,. 6.ul 6ng Permit Appficgjk,rE Cons- ucurwAd LF L OwricLr # NIN LlCliNSLI, # Add,! a #k/ RUS AmOication, a CerLfi"c *tsurc.� of ;he ;7A ok" Pruposcd collstruclion &awaon it LIVONG ' REA A Width GA R A. C' AREA Ft. Width m.Width K A P—f Go T Y -i F -k Jig Sq, Ft. 1-4 Y4; StEback FC 6 Ft F'o Tt T E, Fen- Lv,-easc -Surcharge J -k Fux 'Wwei Main Charge '11PULATIONS- Q—TY-L-LIS-E-DNI�y Fele Schedule on Revor— Si* b Oo L fid` fAZ by Englacer4a AC'Ctmcnt Nect s y Nol \j 1s 4 'q &yl 43W I I SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r REC[Za3 `L ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r I . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/9/96 JOB ADDRESS 6720 2 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 2 I Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Agnes Rollins 6720 2 Street NE 574-7511 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft of MN 3118 Snelling Ave S M 1s. MN 55406 721-6628 2179 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 A 8 DESCRIBE WORK Siding & Trim 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $4,831 $2.42 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $99.75 Fire SC $4.83 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $112.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERL LID TED THIS IS OUR PERMIT B OG INSP D! E SIGNATURE OF OWNER OF OWNER BUILDERI (DATEI I NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2�(� ®2� Building Permit Application ConstructionAddress: (p 749 ®® a rd .Sk% e,4 N - - - Legal Description: Owner Nan Contractor: Address: C Tel. # 5 ZAt - `%-57/ / MN LICENSE #-000d;'/ 7? Tel.#-7-?1`(a&2-ff 0-0b4* ®qd g 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: no, -ir 1 no Estimated Cost: $ 44931-00 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: a CJ APPLICANT: Tel. # 7 , - &-&-29 CITY USE ONLY Permit Fee $_ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ ,� , �% $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ S. ®® $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 [ ] 111611IF:TI STIPULATIONS: City ®f Fridley AT THE TOP OF THE TWINS SUBJECT ("25 BUILDING PERMIT 9 5 r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i CITY HALL FRIDLEY 55432 '•, 612-571-3450 ASCETPT-ffO1� 5. NUMBER 910-F15 REV DATE 4/20/98 PAGE OF APPROVED BY JOB ADDRESS 6720 2nd Street 1 LEGAL DESCR. LOT NO. 5 BLOCK 2 TRACTOR ADDITION Rice Creek Plaza South Add. SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Warren Rollins, 6720 2nd Street, Fridley, MN 55432 574-7511 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dan Netko Exteriors, 7118 Riverdale Rd, Minneapolis 55430 566-3731 20060494 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 j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re -roof (tearoff) 8 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $1,834.80 SURTAX $.98 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE $59.50 SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $1.83 Fire SC In.PLAN CHECK FEE TOTAL FEE License SC $5.00 $67.31 SIW&ATURE&*'dON�F1ACTOR OR AUTHORIZED AGENT (DAT WHEN PROPERL ALIDATED . /ra"" 4./, Ar�.'.2 SLDGf INSP THIS IS YOUR PERMIT y GATE S)GNATURE OF OWNER i IF OWNER BUILDER) (DATE) NEW ADDN ALTER ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 Owner Name & Address: v Tel. #� Contractor: MN LICENSE # Address: Tel. # 1� % 7118 h MpwM Wication, a Certificate of Survey of the itAhe proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. T GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �� Construction Type: Estimated Cost: $ 30 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: b APPLICANT: �` Tel. # Gja b n 3 v CITY USE ONLY Permit Fee $ 50 Fee Schedule on Reverse Side Fire Surcharge $ ) .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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: a. 1 • CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1999 PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 10 -1 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge .50 TOTAL FEE $; U JOB ADDRESS 67.26 c2 3 / A3 E 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. %13 '1999 Owner &j Building Used As�� � J Estimated Cost 'Tod PERMIT NO. PLUMBING COMPAN? 'R' tC • . ry d ;�. o � s- G d J SIGNED B TEL N0. _?S_-'� - C� Approved By Rough—In Date Final Date q ei� MINIMUM FEE F1 ANY PLUMBING/GAS PERMIT IS $20:00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 k'AX: (763) 571-1287 ADDRESS 6720 2 ST NE PIN 143024230019 LEGAL DESC RICE CREEK PLAZA SOUTH ADD LOT 5 BLOCK 2 PERMIT TYPE ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-00988 030 DATE ISSUED: 06/24/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. PANEL CHANGEOUT. # 101+ AMP CIRCUITS 8 APPLICANT GLYNNS NE ELECTRIC INC 4219 CENTRAL AVE NE COLUMBIA HEIGHTS, MN 55421 OWNER ROLLINS WARREN D & AGNES A 6720 2ND ST NE FRIDLEY, MN 55432 ELEC AMP SERVICE FEE 30.00 ELEC CIRCUIT FEE (101+ AMPS) 8.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 38.50 PAID WITH CHECK # 20527 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 wort 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. Applicant Date Bldg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 r63) 572-3604 FAX: (763) 571-1287 ADDRESS : 6720 2 ST NE PIN : 143024230019 LEGAL DESC : RICE CREEK PLAZA SOUTH ADD : LOT 5 BLOCK 2 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT .:200f04 DATE ISSUED: 0 ' VALUATION : $ 1,250.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL AN AIR CONDITIONER. # A/C UNITS 1 VALUE OF APPL OR WORK 0 # FURNACES 0 # GAS DRYERS # GAS RANGES 0 VALUE (FOR MINIMUM CALC) APPLICANT G & H HEATIG & AIR 11012 ST NW NEW BRIGHTON, MN 55112 OWNER ROLLINS WARREN D & AGNES A 6720 2ND ST NE FRIDLEY, MN 55432 HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE HEATING REPAIRSS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 5519 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 worl 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. '110, ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 1250 0.00 0.00 0.00 0.00 25.00 0.00 0.50 25.50 CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Total $35.00 $ $10.00 $ $10.00 $ $10.00 $ $25.00 $ ao Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/IndustriaVInstitutional State Surcharge Ea JOB ADDRESS Owner U `C3 Building Used As ESTIMATED COST; PERMIT NO DESCRIPTION OF FURNACE AND BURNER - # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Burner Trade Name BTU Total Connected Load HP Size No. EDR 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 TOTAL FEE $� ^0 REINSPECTION FEE $50.00/HOUR *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 and representations stated in this application are true and correct. 04 % EATINGCO lam- Signe Tel #(05( - FAX # Date I/ 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 existing 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 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 O 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 : n Building %3 AT BUILDING 154,1 1 Permit Inspections $ RESIDENTIAL APPLICATIO d Received By: 763=572-3604CITY OF FRIDLEY Date Recd: DATE YOUR E-MAIL ADDRESS SITE ADDRESS )-k7' f /L—.C- THIS APPLICANT IS: ❑ OWNER PkCbNTRACTOR PROPERTY OWNER/ NAME: krA. 'WW rL4— en ADDRESS: uel 7,; ®-- CITY �' `"t t G Qi STATW±ZlP�� TENANT PHONE: CONTRACTOR NAME: STATE LICENSE # Y EXP DATE ADDRESS: (� L ® tv CITY i�' STATF IP �✓ SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PHONE FAX / PROPERTY TYPE ❑ SINGLE AMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE BECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: AMw ❑ ADDITION ❑ MAINTENANCEMPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: A:j is SIZE OF IMPROVEMENT LENGTH / y WIDTH HEIGHT 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 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 $ 35 e i . 2.c-;� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ %3 AT $ 154,1 1 $ P -SY $ 1_29 $ 5'-C9 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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 whi �h a Aires view and approval of plans. SIGNATURE OF APPLICANT o PRINT NAME Bq A -t !� �J "a' DATE Z// 2 ............. ....... ....... - . . . ........ - ............. . ..... ........ .. ........ ... ............... . :�i�? ...... ...... .. ......... .... ... . ........... ...... .... ................. ........... .......... .......... .... ... ...... .......... ................ :i�i Fi ....... . ......................... ........... -X- .. ........ . .. .... ....... .................... . ... . . ... ... . ... . ... ... . .......... ........ .. .. .... ......... ...................... ... .............. • .. ... . ....... ........... .......... ........ .. .. . ................................ ......... .. ... ..................... . ............... . 1, Home Improvement Ed Jelinek 15930 Vale St. N.W., Andover, MN 55304 (612) 616-9810 July 12, 2006 REQUEST FOR DECK PERMIT Deck to be built at and for: Warren Rollins 6720 2nd St NE Fridley, MN 55432 Specifications 14' wide x 14' 6" deep Deck is ground level with one step (14" above ground level) Green treated 22 x10 frame construction Ledger board fastened to foundation (cement block) just below siding 3 footings located as shown — all 8" diameter belled to 16" at bottom Decking is 5/4 green treat lumber Railing all around including step Deck value is $2,670.00 If there are any questions please call me at 612-616-9810 Thanks, Ed Jelinek EWER CODE ns NUNDERENGINE ING CO.,INc. ENGINEERS AND SURVEYORS SOILS TESTING LAND SURYEY4N0 C1YiL !r. MUNIGIDAL BNOIN@ERINC3 LANA PLANNING r G418 -SGT" AVENUE N. MINNEAPOL15 7i, MINN. KE 7- 3637 2 now 41? fb � I �4 i 6 WE HEREBY CERTIFY TWAT THIS IS A TRUE AND r_opp-ECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE ►,p,(`iD ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON , A1JD ALL VISIBLE ENCROACHMENTS, IF ANY, FaOM O;kON SAID LMV. MINDER ENGiNEE(Z1NG CO., INC. DATED THIS ONYOr- b y Ire)u-L: 11 3 t WE HEREBY CERTIFY TWAT THIS IS A TRUE AND r_opp-ECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE ►,p,(`iD ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON , A1JD ALL VISIBLE ENCROACHMENTS, IF ANY, FaOM O;kON SAID LMV. MINDER ENGiNEE(Z1NG CO., INC. DATED THIS ONYOr- b y Ire)u-L: Building PLUMBING Permit No.: Inspections RESIDENTUL APPLICATION keccived By: 763-572-3604 CITY OF FRIDLEY Da 9d DATE, '� YOUR &MAIL.ADDRM . SCI'E ADDRESS, --C CHt$ APPLICANT 1s: t] QWNFR 'UN r1tACT01e PROPER'>f'Y Nom; �S.... 0 I owNETi1 TENANT ADDRESS: Z �'i� /vL a CfY„ �� (2�t` STA7'&--A/ZIP PHCM:=(.-3--57. CON'T"CTOli Nn1H8:_,_ �� ✓�S Udh ® � , SURNOT A COPY Or, STATE UCEd" ty L4!i5Z2--EVn FXP W& 12- --3 1 YOUR STATE ADDRE.S3: �'I l U i (tom (..mow �- i✓ ' CITY LICENSE 4JITH Pr3CYNE APPLICATION PERMIT TYPE ANGLE FAMILY C] TWO FAMILY O TOWNHOUSE TYPE OF WORK' kNEW A RFPI,AC:F.MIiNT t D XAMMED DESCRIPTION OF WO Cf n1 ( lcer� ' ,..5 1.✓Ir. T ¢'a. 1 d^ cn01n G � PER MS 1613.665 thea pormnit fce is a minlmum of $15.00 or 5% of the total cost op to SS00.00, whichever is gr4aler, for then 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 5500 - cast of labor FM PROJ.E M WHERE LABOR EXCEEDS $580, FEES ARE BASED ON $10.00 PER E IInl=. EXCErr a HERE NOTED. FIXTURES: (tNniCAT6 TOTAL NUMBER OF t:AC'.H 09LOW) 1-1 BATH SIIK/LAV i LO4R DRAINS $NOWFA WATER PEPING —RAT}rrVB _GAS PKPM.(uzwcirrrrc&=,) --SWIMMING POOL .'� WAT$R SUFCNER (w) CLOTHESWASHER WATER ciOStir XBACKFLOWPR _ruITCHENSINK _ V,(SIS) DCSHWASI ER ^ LAUNDRY TRAY „ _WATM 1 MATER ($35) FOR IRRIGATION _ WATER METER _OTH9R ism Permit Foo Number of fixtures $10.00 x,$ 10.00 = � Sur a .50 Number of fixtures ra $15.00 x $15.00 � $ �T TOTAL DUE $ Number of fixtetres 8 $35.00 x $35.00 State Surcharge = $ ASO Total � $ THIS 19 AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCMED I hereby apply far a building permit and I acktmwlcdgp that the information above is complete and accurate; that the work will be in conformattea with the ordinances and codes of tho 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 witiwut a permit; that the work Will be in accordant a with the approved plan in the ease of all ork whif requires reviow and approval of plans. sIGNATtLRt-:or•APPLIGANT,,. PRINT NAME___] Salmi Art:/ City of Fridley Building Inspeections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX 763-502-4977