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PRE 2010 DOCS
Village ®f medley, Mom 84� BUILDING P 11To Office of INSPECTOR OF BUILDINGS Owners { Architect Fridley, Minn., A^' Builder, i LOCAT CN OF BUILDING No. .F' Street "•_ Part of Lot Lot 'O A} {Block Addition or Sub -Division_" DESCRIPTION OF BUILDING 9 Front,_ --,-,1 De Height- Stories %� = Manner of Cnnatructionr -- ` - V+ To be used as 8oY,��y1-V-1 k Jrt^ �� To be completed ,� � Estimated Cost. • ��. i to�- Permit is hereby. 94ted described in the above statement. This permit is granted the building upon the express con on that the person to whom it is granted, and his agents, employees and workmen, in all the work done and and upon said building, or any part.thereof, shall conform in all respects to the ordi- nances of Fridleq, ., regarding the 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. Inspector of Buildings. AGREEM= AND SWORNSTATEMENT In considerati In of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, III hereby agree to do the proposed work in accordance with the description above set forth an according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby s to and say that the facts stated by me and contained in the above permit are true as therein sta ed. Subscribed and sWj orn to before me at Fridley, Minn-fifn, this day of " d I�=: .D, 19� ,I I 0 (� I it City of Fridley, Minn. BUILDING PERMIT �® Date: ....._. _.._..__.._..... V ........ �..._........ .... Owner: �� . ............_......---.................. Address....._.............-..._.._._._............._.._._.__......._.._.._...__....._._.............. 4047 ....... .......... ...___._. _-� Address......................................... ................ ...... .._._.._.__.._ .._.._.._._.._.—__ LOCATION OF BUILDING No... @..._ 1........ Street ....._.. .- _...._.......... - ............ Part of Lot Lot ....._ ................................ Block ............ .... ................................... Addition or Sub -Division ....._ ....................... Corner Lot .................................... Inside Lot ..... _........................ ........ Setback .................... -.................... ... Sideyard Sewer Elevation ..... ..................................... --..._.....................----..._...------.............. Foundation Elevation .................. DESCRIPTION OF BUILDING To be Used as: ... .....- - •- ---. Front 7�� Depth�...9'...._.. Height 40—T)t. Sq. Ft. �-_�?l Cu. F --.............-....................... ........_...... Front .................... _.. Depth. ............._.. /0-4 Height ........................ Sq. Ft....................... Cu. Ft. .................... Type of Construction ............................................_.............. Est. Cost...../0-4k..:........ 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 and* comp ]I a with all provisions .of ordinances of the city of Fridley. x...............i-....._ _.. ....._....._... _,.�. ._ ..._..._...._.. 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .00 - _ O _/` Building Inspector NOTICE: This permit does not corer the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to -see the Building Inspector for separate permits for these items. 4 suB.ikT PER City of Fridley 30405 AT THE TOP OF THE TWINS BUILDING PERMIT r t v------ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC f PROTECTIVE wUM9EA REV OATEPAGE OF APPROVED SY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/14/99 / JOB ADDRESS 4844. 2 1/2 Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7,8 3 1 Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary Beyer 572-8935 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 ' CI NEW 0 ADDITION O ALTERATION X® REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof house and garage 16 SO 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 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 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 .$1.398 .70 DOES NOT SOME TO GIVE AUT ORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI S O ANY OTHER STA OR LOCAL LAW REGULATING CON- STRUCT ON OR HE PERF ORMA CE CONSTRUCTION L0.95 z Fire SC $1.40 PLAN CHECK FEE TOTAL FEE jo-f 53.05 iURE OF LON'RACTOR OR AUTHORIZED AGENT IOATEi ME PR VALID THIS IS P� r► SIGNATURE OF OWNER,6 OWNER BU4DER1 IDATEi DG iN$ 1:+ gATE NEW[ l ' Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: q g Y q L? /2 -9/ �y Legal Description: Owner Name & Address: P1 A r t7 %� e 7 e Tel. # Contractor: ®1-%' 1 e -- MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF 11WROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgtlGround Sq. Ft. OTHER: 67 a . dk JJ Construction Type: `% a .i` o �" — Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: j0- y- APPLICANT: `J b qr CITY USE ONLY Permit Fee $ @10& Fee Schedule on Reverse Side Fire Surcharge $! ,'YO .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 $2fa 453 � S STIPULATIONS: ;ITY OF FRIDLEY INSPECTION DIViSION "'t��,�� c-,� jJs%utdll � , /_ �� L e tive 0n January 1, 2401 5431 University Ave NE �r� ���a�"y¢d =ridley, MN 55432 APPLICATI 1;W ER FOR ER PLANTS AND HEA NG, COOL ENTILATIl� ; �� '� 763.572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.2�of V lue of App a�� e or Work r. e, ff'�; Afi#W Gxp7,50c pn. '4 1/ �fi Ale OW6 (/P1 Rate TOTAL $ 30.00 $ d OL $ 10.00 $ $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS®�E • N. �- OWNER_% BUILDING USED AS P061 7wid ESTIMATED COST A00 PERMIT.NO. l DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Un' s_Circle One (Steam) (Hot Waterarm $ Trade Name ® Size No BTU HP EDR $ Dd Fuel A Total Connected Load Burner Trade Name Size No. $ BTU HP 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in.this application are true and correct. $ � DATE HEATING *1ignedA'R2 Approved By Rough -in Date -Final Date lo 3 BACK SIDE MUST U FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION -AIR VERIFICATION COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Yes () No ( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer Yes ( ) No ( ) specifications including sizing, length, number of elbows and termination' Appliance #2 Type The undersigned also verifies that the replacement unit is a listed assembly , Fan Assisted or Nat and meets the current codes and manufacturer's specifications. This does BTU Input_ include AGA-GAMA Category I Central Furnace Venting Tables for fan : Yes () No ( ) assisted and natural draft appliances. e The existing combustion air is sized and installed to meet the current codes Yes () No ( ) and manufacturer's specifications. Appliance #1 Vent Connector Height When required to install a new combustion air, it will be sized and installed No Yes () ( ) to meet the current codes and manufacturer's specifications. ft Length When installing a new venting system, the undersigned hereby verifies that Appliance #3 Vent Connector Height it is a listed assembly and meets the current codes and manufacturer's ft specifications. This does include AGA-GAMA Category I Central Furnace Yes () No ( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after . an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance Type and Sizd/Common Vent and Vent Connector Wormation 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 e 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 Diameter in Type Appliance #3 Vent Connector Height ft Length ft ALTERATION: (Describe HEATING CO: Signed By: - Date : CiIYOE FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 March 7, 2003 Mr. Vikran Bedi 4844 21/2 Street NE Fridley, MN 55421 Re: Final Inspection at 4844 2 1/2 Street NE Contractor: Advantage Air Dear Mr. Bedi: A mechanical permit was issued on August 29, 2001 to install a furnace and air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. The final inspection on September 7, 2001 noted the following corrections: 1. Size vent connectors per manufacturers specifications. 2. Firestop where common vent penetrates floor joist. 3. Check manufacturer's specifications for 9 -foot horizontal run. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. Please contact us within 30 days to set up the reinspection. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. I City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 VAN PLUMBING Permit No.: Building Inspections RESIDENTIAL APPLICATION Received By. 763-572-3604 CITY OF FRIDLEY Date Rec'd: d j DATE S-® OYOUR E-MAIL ADDRESS A E SITE ADDRESS q9 j P/ ) /V THIS APPLICANT IS: 0 OWNER WCONTRACTOR PROPERTY NAME: i G.t�n OWNER/ ADDRESS: CITY STATE A40 -IP S S ail TENANT PHONE:7L*'6 ` 999 1--L CONTRACTOR NAME: ilfrn 6 / ®d-�(=S SUBMIT A COPY OF YOUR STATE STATE LICENSE # �� - EXP DATE I `� CTTY �+� „` STAT>�GZIP 5/ D3 ADDRESS: 13 ® =" LICENSE WITH PHONE l) FAX APPLICATION PERMIT TYPE ININGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: ONES'' REPLACEMENT DETAILED DESCRIPTION OF WORK 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 =S15.00. 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 SINKIL.AV DRAINS _ SHOWER _WATER PIPING _ _FLOOR PIPING (NEw cmLrCF.NA _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB —GAS _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) DISHWASHER LAUNDRY TRAY j WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER PET. FEE PRaJEC'ir'� Number of fixtures @ $10.00 x $10.00 = $ Permit Fee $ 0172 . Uri Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ 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 w rk which requires review and approval of plans. `� -01 PRINT NAME IBJ Q � �� DATE �3 SIGNATURE OF APPLICANT i' ..PI<EASE-N©TE,.,;' ,..; .....4s.' �F, .� , ..:=� R City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 VAN IEW [ I tDDN j ] ALTER [ ] Construction Address: Legal Description: Owner Name & A+ Contractor. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION - m,,, ,.5✓ Lf Attach to this application, a Certificate of Survey 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 Vic e Estimated Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ = DATE: 7 / / _O g APPLICANT: Tel. # -7 63 -5 3 7 + 715— Call (763).572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $��°95 Fee Schedule on Reverse Side Plan Review $ 65% of Permit Fee Fire Surcharge $ d .001 of Permit Valuation (1110th%) State Surcharge $ $.501$1,000 Valuation SAC Charge $ -® $1450 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut Escrow $ Alt. "A" or Alt. T" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ j Not Necessary [ RECD JUL 112008 TOTAL $ STIPULATIONS: )L� 104® Building BUILDING Permit No.: _00� InspectionsRESIDENTIAL APPLICATION Received B 763-572-3604 OCCUPANCY TYPE Permit Fee $ CITY OF FRIDLEY Date Re ' V1_ rn n 21 763-502-4977 FAX �_ 65% of Building Permit Fee EFFECTIVE 8-19-09 $ DATE 9 -'fin _0'9 YOUR E-MAIL ADDRESS Surcharge `� SITE ADDRESS !V8 �2 q �R K S+ F_ License Surcharge THIS APPLICANT IS: ❑ OWNER 96ONTRACTOR SAC Charge PROPERTY OWNER/ NAME: I v^ tA--� Curb Cut Escrow TENANT ADDRESS: qAtIq AI S IUC CITY Fr, -14Y STATE M1fl}L[P 575 `FX T $ PHONE: 12. 7 P3 - Park Fee CONTRACTOR NAME: a 0-r g? Sewer Main Charge SUBMIT A COPY OF Total Due $ YOUR STATE LICENSE STATE LICENSE # g E EXP DATE AND CERTIFICATE OF ADDRESS: CITY C0PJ 1 J STATE IP ✓ INSURANCE PHONE 7i 5- 7 - d a es eel f7- `7 ° 1 `(° AX -- 3 - Y70 PROPERTY TYPE EKINGLF FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING 91,0THER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ AADDITION ❑ MAINTENANCEIREPAIR !! vv /�Q'REMODELING DESCRIBE WORK BEING DONE: c i�.> . S 7—o O r SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & 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: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: 11 Aluminum ❑Trim 1. Site Plan/Survey showing the existing structures 11 Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (US NG TI1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ :--3'30 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $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 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 Xork 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 wo w i re t and approval of plans. (- �j g SIGNATURE OF APPLICANT PRINT NAME ✓� DATE / - Co, - o /