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PRE 2010 DOCSCity of Fridley, YHnn. BUILDING PERMIT No (:5:4:0j Date: Owner: Builder Address __ _ _ *� Address LO VA BUILDING No. _ Street _: _Part of Lot -J-f-Ili Block ddition or Sub- ivis{► _ Corner Lot _ w Inside Lot Setback _�� __ Sid d _ Sewer Elevation __ _ Foundation Elevation DESCRIPTION OF BUILDING T0 Front Depth_ Height Sq. Ft..�ad+ Cu. Ft. Depth _ ht q. Ft. _ _ Cu. Ft. Type of Construction?; Est. Cost _ o 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 in compliance with all provisions of grdinances 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 grantedupon 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 viola t any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT' CITY OF FRIDLEY, Ka*IESOTA Address LOWIM 01P BUILDING No. �5 Y ,Street 114 ,� L Part of tot ..._ Lot /yt Block Addition or Subdivision Corner Lot Inside Lot Setback,,, k5' --Side-Yard �. SEbdEB. ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Sq. Ft. / 7— Cu. Ft. �Jd�� _- Q FrontDDepth Height Sq. Ft. Cu.F . Type of Construction, Estimated Cos To be Completed The undersigned hereby makes application for a permit for the mark herein specified, agreeing to do all work in strict accordance with the City ordinances and ruling of the Department of Buildings.. and hereby declares that all the fasts and representations stated in this application are true and correct. ; I'll _ , (A Schedule of Fee Costs can be food on the Reverse Side.) w a � City of Fridley Application for Plumbing and Cas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK �� Number, Kind and Location of Fixtures I'Ro PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ ;-7 ' Future Fixture Opening ................ x New Fixture Old Opening .............. x Catch Basin ............................ / x Water Heater CUP to 200,000 BTU) ...... x New Ground Run Old Bldg . ............ x GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code 1.20 $ 1.00 $ 3.25 $ 2.00 $ v d 3.25 $ 6 7- a W �O • F • N WATER HTR. GAS ELEC Base est 2nd �- 2- Z — 3rd 4th * Future Connection Openings Connected withI Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ ;-7 ' Future Fixture Opening ................ x New Fixture Old Opening .............. x Catch Basin ............................ / x Water Heater CUP to 200,000 BTU) ...... x New Ground Run Old Bldg . ............ x GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code 1.20 $ 1.00 $ 3.25 $ 2.00 $ v d 3.25 $ City of Fridley: The undersigned hereby .makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn AUG 15 1961 19_ Owner Kind of Building Used as To be completed about A.2 Estimated Cost, $ _ Old—New. Building Permit No Permit No. LONOON {'LUMBI Signed _ f ByiL� Business Phone No ROUGH FINAL NO. RATE TOTAL x $1.50 $ .SCJ x .50 $ — x 2.00 $ JO Description ................................................$ '9 1-11 TOTAL FEE ` d z 2M 7-59 Application for Power Plants and. Heating, Cooling, Ventilation, .Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace .............................. 5.00 $ Repairs & Alterations—up to $500.00 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ 0 OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule (} GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ � o GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ -5 Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE Dept. of Bldgs. Phone SU. 4-7470 Location "16 , City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling. of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true an(d� co t. Fridley, i\ 'nn 7 lg �s Owner - J__ C Kind of Building f l&Ot-� Used asroh To be completed about Estimated Cost, $ d d D Old—New. Building Permit No. Permit No. Z6&/ DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade Name " Size No :7-f-2- 42, Capacity //-2, 6 Q_tL Sq. Ft. E.D.R- BTU Q 0 0 v H.P. Total Connected Load � j� a 0 Kind of Fuel - BURNER — Trade Name Size No Capacity. (REMARKS—OVER) Sq. Ft. E.D.R BTU H.P. Signed 0 By 61 42 2M 7.59 Business Phone No CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3600 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDR New Fixtures Old Opening, New Fixture 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- $7.00 $ 7.00 $10.00 $ 7.00 b $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIO o 1 % of Value of Fixture or Appliance 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. '1991 Owner Building Used As Estimated Cost f PERMIT NO. PLUMBING COMPANY =i SIGNED BY_' L N0. d Approved By Rough -In Date Final Date�� State Surcharge .50 5() MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $30e PLUS THE $.50 STATE SURCHARGE SUBJECT P T NO. City of Fridley 2729 7 AT THE TOP OF THE TWINS P,IPT BUILDING E R M I T I NO. COMMUNITY DEVELOPMENT DIV. i e e PROTECTIVE INSPECTION SEC. e 0 � � NUMBER REV DATE PAGE OF BY CITY HALL FRIDLEY 55432 612-571-3450 910415 910-F15 8/19/98 JOB ADDRESS 5810 2 1/2 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DEscR. 12 13 23 1 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lee Gilbertson 865-5637 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Town & Country Roofing 7910 12th Ave. S. Bloomington MN 55425 545-4233 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 ❑ ALTERATION jk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and' arae 29 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2418.60 $1.21 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 PERFORMANC . F ON UCTION. 74, 75 Fire SC 2.42 J PLAN CHECK FEE TOTAL FEE # J /IALi censeC5.83.38 Ie SIGNA O CO .R CTORORAUTHO OAGENT DATE N ROP VALID ED THIS IS YOUR PERMIT B G 'NSP BATE SIGNATURE OF OWNER OF OWNER BUILDERS IDATEI AUG -13-1998 08:42 FROM CITY OF FRIDLEY TO ...... l J ADDN j ] CITY OF FRMLEY ALTS [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERbUT APPLICATION Coe =CdonAd&cw: _ Legal Description: Owner Name & Address: Contractor. LIVMG AREA.- GARAGE REA:GARAGE AREA: DECK AREA: OTHER: 8589320 P. 01/@2 GIMUVO t/ 1118 Tel. # T (C)+ ; —3� MN LICENSE p Zn D %z as 1 Tcl. g (fl 1?_-- SCIS— 8133 Attach to this appl ca lou,; a Certificate of Survey of the lot, with the PMPWW coon drawn on it to scale. DZSCR=0N OF EMPROVEMMNT LAngth-- Width Height Sq. Ft. LAngth Width _ Height Sq. Ft. Length Width Hgt/Grownd Sq. Ft. s j q• Co»sttvction Type:. l �t� atimaw Cosc $ (Fee Schedule an Back) Driveway Out Cut width Needed: ,FL + 6 Ft = _Ft r. $�_ _ = S Permit Fee Fire Surcharge State Surcharge SAC Cbarga License SvuKharge Driveway Escrow Erosion Control ParkFee Sewer Main Charge TOTAL STIPULATIONS: TeL # $ . %5110, Fee Schedule on Reverse Sick $ .001 of Permit Valuation (1110th %) $ • 2 1_ $.501$1,004 Valuation $ $1000 per SAC Unit $ SS -00 (Stela Lacensod Raidential Contractors) $ Alt. ON, or Alt "B" Above $ $450.00 Coacervation Plan Review $ Fee lid by Engineering $ Agroem m Necessary ( ] Not Necessary I ] f 43.'t4' From: 7636941019 Page: 1/1 Date: 6/15/20071:49:43 PM From: City of Fridley To: 7538941019 Mage: 112 Date: 6/16/200710:00-07 AM Building ]BUILDING Pei7m�xt1�i0.: - Inspections +COMM�rRCIA L�INDU�' TIl,TAL' Rwev� W I 763-572-36049CITY OF FRIDLEY 2 DATE %r 91 YO fi-MAU .ADPn$$---,-.., -� SITE ADDRESS ,dr' /lr /V Sikhs No. PROPERTY OWNER NAM; 5610_ ADDRESS: �_ i (D CITY A'IT 1� PHONE: fel ARCHITECT NAW: ADDRESS: CITY STATE ZIP Park Fee CONTRACTOR NA1v: D azaDItEss: �%:?5' % o -A&M Y $ Agreement ngcessary () Non Necessary ( ) PHONE: 1 FAX $ *NOTE: CITY LICENSE RE tMD FOR MULTI FA1yfMY/COM2r1ERCLkLMMUS7.VX. JOBS PROPERTY TYPE © TOWNHOUSE 13 COMM3RCIALANDUSTRIAL 13 INSTITUTIONAL Make cheeks payable to: C' of Fridley Attach: Stipolatioans TI -FAMILY P1,RVUT TYPE 0 ADDITION 0 WBW CONSTRUCTIONd�'RTsR 0 REMODEL 0 RC)Ok 0 9'WAyWX0 POOL PLEASE SUBMIT: 1.4 SETS OF DRAWINGS 5. CONTRACTORS LICENSE OR 6. SPECIAL INSPECTION 2. SURVEY/SITE PLAN LICENSE APPLICATION SCHEDULE 3. LANDSCAPE PLANS 7. PERFORMANCE BOND 4. E.NBRGY CALCS AMOUNT $ BUILDING TO BE USED AS: _ OFFICE _ sF "AM se OT R sF , TOTAL SIZE: _ STORIES FUZE PROTECTION (Y/N) ' AC(YIN) DETAUXI) DESCRIPTION OF WORK THIS LS AN APPIACA.TION FOR APERMIZ NOT VALID UNTIL PROCEJSED I bmreby apply for a budding permit and I ra,cbowledge that the information above is complete and accurate; that the work will be in conformance witli the ordinances and codes of the City of Fridley sad with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is pvot to start without a permit; that the work will be in accordance with the approved plan in the case of all wor1C� uir�ai`'+f plan. /�firf'SJQNATM OF APPLICANT t 9 L''L 1... L-ZAT2 4+ t7CRINT-NAMJA& AL,L FEES ARE BASED ON VALUATION Sq. ft -.. x $ CoWS% ft. = Valuation $ 4 -ft. x $ Cost/sq. R = Valuation $__ . Sq. ik x $ Cost/sq.:S, - Valuation $ TOTAL JOB VALUATION: $ USB_ .. OCCUPANCY_ _ TYPE Permit Fee $ Sec Back Page for Fee Schedule Platt Rovicw $ 65% of Building Permit Fee T irc Surcharge _S. , 2 -[)7� .001 times the total job valuation Sucbergc $ ._ .0005 x Permit Valuation Mmimurn $.50 SAC Chane 3 $1675 per SAC Unit (Plans to MWCC for determination) Erosion Control $ S450 Conservation Plan Review Park Fee S Pea Determined by Engineering Special Assessrneto $ Agreement ngcessary () Non Necessary ( ) Curb Cut Escrow $ _ ft * 6 ft = A x $2I = $ Total Dare $ qPAs, Make cheeks payable to: C' of Fridley Attach: Stipolatioans 1 Building PLUMBING Permit No.• "` .Z,E ;6 Inspections COMMERCIAL APPLICATION Received Byr al 763-572-3604 Dat ' 0 T 6 CITY OF FRIDLEY :0 . 763-502-4977 FAX EFFECTIVE 1-I-2010 DATE /® YOUR E-MAIL ADDRESS t_Q h SITE ADDRESS TENANT SUITE NO. PROPERTY NAME: OWNER/ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR i NAME: SUBMIT A COPY OF YOUR STATE STATE LICENSE # �\ EXP DATE LICENSE, BOND AND PLUMBING BOND # EXP DATE CERTIFICATE OF ` ADDRESS: 1�0'S-6z7 �O� �� CITY+\` \+ kz�STATA4�ZIP ` C� INSURANCE PHONE ^,�� W!-)�� FAX PERMIT TYPE O INSTITUTIONAL O MULTI-FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE O COMMERCIAUINDUSTRIAL ❑ OTHER TYPE OF WORK: 0 NEW tYREPLACEMENT OA ODEL DETAILED DESCRIPTION OF WORK y _ CLOTHES WASHER _ FLOOR DRAINS _ RPZ VALVE URINAL _ _ DISHWASHER —GAS PIPING BACKFLOW PREY. WATER HEATER DRINKING FOUNTAIN GREASE TRAP ROOF DRAINS WATER METER FAUCET KITCHEN SINK SHOWER WATER PIPING _ FLAMMABLE WASTE TANK _ LAUNDRY TRAY _ SLOP SINK _ WATER SOFTENER —LAVATORY _ SWIMMING POOL _ WATER CLOSET Total Job $ m All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X .0005 or Minimum .50 Total Due $� Make Checks Payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. �—�— SIGNATURE OF APPLICANT: PRINT NAME:DATE: V b - 9 - iZ) APPROVAL INSPECTOR SIGNA DATE: City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977