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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. N° 2087 it Date ...... �,! 1 .................... Owner' y c. .. ,. ;,ea..p j_ .......... Builder ........................................... Address ,�;`� .........AA.; Address ......................................... LSJCATION OF BUILDING No.... Street eQr -..;. ...... .......... Part of Lot ....................... I{fir. Lot ... f......iBlock ..;r, .......... Addition or Sub-Division/;If......... . . . . . . . . . tii I Corner Lot ......'...... Inside Lot ... ip" ..... Setback ............ Sideyard "'' ............ DESCRIPTION OF BUILDING To be Used as: Front ..Ak... Depth... Height ......... Sq. Ft......... Cu. Ft. ........ .................'j... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ........ Type of ,may Est. Cost .... .., ....... To be Completed ./ ...... . In considerson of the issuance to me of a permit to construct the building described above, I agree to do the proposed wor in accordance with the description above set forth and in compliance with all provisions of ordinances of the (village of Fridley. .. ........... . In considerat�bn of the payment of a fee of $... . , permit is hereby gr ted to �+ ...... . ,�'� .. to construct the building addition as described above. upon ,tFi e • • s condi ion that the person to whom it is granted and his agents, employees and workmen, in all work �.... done in, aroundd upon said building, or any part thereof, shall conform in all respects to the ordinances of Vridley, Minneso regarding location, construction, alteration, maintenance, repair and moving of buildings with - i% the village limas and this permit may be revoked at any time upon violation of any of the provisions of said Ordinances. Building Inspector NOTICE: This perml�t does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or wate . Be sure to see the Building Inspector for separate permits for these items. CJ City of Fridley, Minn. BUILDING PERMIT N° 3056 Date: ........................................ Owner / .. ®.. Builder ... /. ........ . . A4&7 ddress .. F�. ................/ ...... Address ..�. ®.............. .. . LOCATION OF BUILDING No. .®� Street., ,t�........ Part of Lot .... ... .... ....... Lot,�d./?V ��. Block ,�............... Addition or Sub -Division ... ... . .�. oz Corner Lot ............ Inside Lot .....� SetbackB?�/=id • and DESCRIPTION OF BUILDING To be Used as: ........ ont ` .. S;e. Depth �. a �... Height A2� .% Sq. Ft�. Cu. Ft. ........ .................... Fr nt ........ Depth . Height ........ Sq. Ft. ........ Cu. Ft. ... Type of Construction ..... Est. Co ...! ®- To be Completed .'r .............. . 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 $. tT......... permit is hereby granted to ...... ......................... to construct the building or addition as described above. This permit is gratrd 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. NOTICE: s Or This permit does not cover the construction, Installation or alteration for wiring, plumbing heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items 4 A Application for Power Plants and Healing. Cooling, Ventilation, Refrigeration and VZ-"" Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECiL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU 3.09 $ Replacement o4 Furnace ............................. 6.00 $—� Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ..... .................. 6.00 $ over 3 gal, per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ....... 02 • ® Ci ............... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE $ Dept. of Bldgs. Phone SM -3450 Location Q e7l— A 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. Owner Kind of Building Used as To be completed about Estimated Cost, $ Building Permit No. Permit No. 217 6 7 DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No r Trade Name �%2��n Size No_ �4©o D Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER —Trade NameSize No Capacity �FtLE.MDJR BTU H.P. (REMARKS—OVER) Signea 4 ),a 27 - By 42 Business Phone No I 001 SUBJECT PE - City of Fridley � 12532 AT THE TOP OF THE TWINS BUILDING PERM ECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. 1 �------ �,- / r � PROTECTIVE INSPECTION SEC. 1 . � "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 5/9/74 JOB ADDRESS 6004 - 2331 Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12,13 7 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. DeWayne H. Woehler 6004 - 21i 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 Residential 7 CLASS OF WORK ❑ NEW X❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 29'4" Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR )MIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 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. $2,000 1•00 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE -I� ��+- a( �✓ G 13.00 SIGNATUREL6F.PONTRACTORORAUTHORIZEDAGENT (DATE) WHEN ROPE LY V DA D THIS IS YOUR PERMIT BLDG. )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 001 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAMEpip �, /NeBUILDER: is /Yl -e- ADDRESS:- /.OLS �7 �i 'er o E ADDRESS: NO:. STREET: Z h 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: Z�✓Aal- Square Feet: Cubic Feet: Front: Depth: Square Feet; Cubic Feet: Height: Type of Construction: _ MD Estimated Cost:_ To Be Completed: The undersigned hereby makes applicati-on,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. DATE: f SIGNATURE: De �-✓ vim_ � �✓�� (See Reverse Side For Additional Information.) aj ro'00 -_ ( 2,00 ac) -LV. ,� 21C " Sv f , v S (i 2 '-✓-0 t SUBJECT City of Fridley o 18349 AT THE TOP OF THE TWINS BUILDING PERMIT ECEIPT NO IRK • ______ COMMUNITY DEVELOPMENT DIV. V INSPECTION (6�/ r PROTECTIVE SEC. � l1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY -_•.� j L 612-571-3450 910-F15 3/26/86 JOB ADDRESS 6004 - A Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12,13 7 I Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE DuWayne Williamette 6004 - 2h Street N.E. 571-9229 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 Construct a 311 x 22' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. SEPARATE PERMITS RE0, (JJRF® FOR. WIRING, HEATING, PLUMBING AND SIGN S. 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 313.58 $4.16 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT +�g 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- $74.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. AN CHECK FEE TOTAL FEE $78.66 SIGNATUREO ONTRACTOR OR AUTHORIZED AGENT MATE) I &GNA5E WH€N PROPERLY V IDATED THIS IS YOUR PERMIT I � el/W!J .fE) O WTJER�U BUILDER) IDATEI BLDG INSP i'lAT NEW [X] City of Fridley Effective 4/1/84 R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 600422 St. N.E. Legal Description: T nt.g 12 And 13, R1 ne-k 760fd --H3rP Pnrk �— PuWayne Williamette 04 22 St. N.E. Tel. 571-9229 Owner Name & Address: -- Contractor: _Contractor• Self- • D. F. Wi l liamette Roof Co. T61. # 571-9229 Address:An04-Pi st_ nr F._ Fridipy!, Mn- 5545P --- LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, With the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Length 31 ft. Length Corner Lot [ ] Inside Lot [X] Width Width 22 ft. Width Ft. Yd._.Setback Type of Construction: �rA„flan Approx. Completion Date: ,I ep Igg? Height Sq. Ft. Height 10 ft. Sq. Ft. 682 Hgt/Ground _ Sq. Ft. Side Yard Setback Estimated Cost: $ Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT. Q),r�A =A� -- Tel. lig Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge f0TAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25$ of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 1 SUBJECT PE City of Fridley 20487 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 , R PT NO. �• ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 3 O 1 � 1 NUMBER REV DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/24/90. JOB ADDRESS 6004 - 211 Street N,E, 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12,13 7 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE D.F. Williamette 6004 - 212 Street N.E. 571-9229 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 Dwelling/Install Brick.Ledge 9 CHANGE OF USE FROM TO STIPULATIONS On all new roofs or tear -offs and replacement roofs, State Code requires that 2 layers of 15 Ib. felt, mopped together, be installed to a point 24 inches up from exterior wall line, or the use of other approved underlayment membrane. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $� $� 50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ���� PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $25.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $25.50 _X�$�GNATU RE OF ONT CTOR OR AUTHORIZED AGENT IDATEI _ W E PROP R LI AT D THIS IS YOUR PERMIT _ BLDG INSP r DATE' SIGNATURE OF OWNER OF OWNER BUILDERI IDA NEW [ ] Effective 1/1/90 ADDN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: ✓2 p p � 1/271 < lli� fir- f 2/f y ,, YX t ) Legal Description: Owner Name &Address: JD F'_I_;rgw«l�e 1�m2�1�-5,, J # s Contractor: Som Q_ t t l Tel. Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTIDTT OF norlOVEMENT LIVMG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: LengthWidth Hgt/Ground Sq. Ft. OTMM: !10 t-�- I Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: �Ll 3 ted Cost: $ Approx. Completion Date: A Proposed Driveway Width If New Opening Is Desired: Ft. $ $ ��� Width + 6' See Back Page , DATE• - 1 _ D APPISCANT:,�,/�-� Tel. Permit Fee $ of s- , C) O State Surcharge $ 6-0 SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Job Address 0 —\ D�\1Z Furnace Shell and Duct Work, © Department Burner (Also replacement furnace) $ 20.00 $ of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ /G, �� Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) $ 10.00 $ , 19 Fridley, Minn. 'l/d V- — � � E All Others/Repairs and Alterations ' -1 OWNER . W c C—LL li of Value of Appliance or Work $ KIND OF BUILDING � /��-. U"a...� •P— _ COMMERCIAL/INDUSTRIAL USED AS t-� 2G-� 6 ( fr( G e- 1% li of Value of Appliance or Work S TO BE COMPLETED ABOUT ESTIMATED COST State Surcharge S .50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. TOTAL PEE $ �� Reinspection Fee ($15.00) $ Rough Insp. /J I DESCRIPTION OF FURNACE/BURNE IJP ` TING or POWER PLANTS, Steam, Hot Wate Wa - Date ► X UUU___ l/ Trade Name Size No. ;;;'5000 B 7'�/ Final Insp. � Date Capacity Sq. Ft. EDR BTU HP Approval for Permit Total Connected Load Kind of Fuel Pro pe�� - Size No. -�—r BURNER Trade Name Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00• Company PLUS $.50 STATE SURCHARGE Signed By 1' *Air Conditioners can not be placed in side yard without Tel. No. 7 y written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; ( e t(,) 1. Has been carefully examined Yes QX' No ( ) 2. Is free from rust or deterioration Yes P9 No ( ) 3. Has no foreign objects lodged within Yes 00 No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes (�) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s ¢4 n s 'be -p --Pi Company Signed By Date A/o-qc-S 01 SUBJECT City of Fridley 31449 AT THE TOP OF THE TWINS BUILDING PERMIT r -___ COMMUNITY DEVELOPMENT DIV. fr ------ REC IPT NO. q� r PROTECTIVE INSPECTION SEC ��J( E _ E"'1 CITY HALL fRIOLEY 55132 NUM REV DATE PAGE OF APPROVED BY " "'' 612-571-3450 910-F15 10/5/00 JOB ADDRESS 6004 2 1/2 Street NE 1 LEGAL LOT NO. I BLOCKTRACTOR ADDITION SEE ATTACHED DESCR. 12,13 7 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan/Kelly Zych 6004 2 1/2 Street NE 502-9379 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sierra Homes Inc 2735 196 Avenue NE, Cedar, MN 55011 434-5888 5126 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House (18 Sq) Tear -off: Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. 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 @ $6,341 $3.17 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• $139.25 Fire SC $6.34 TI TRUCON HE PERFO MA F CONSTRUCTION Q PLAN CHECK FEE I ATAL FEE --- Licen C $5 $153.76 SIGNATURE OF CONTRACTOR OR AUTM ED AGENT MATEI WHrpi PR Y VALID THIS IS YOUR PERMIT 10 _ ;6 -S--450 OG ON PATE SIGNATURE OF OWNERIIF OWNER BUILDER. IDATEI 01 NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: � O ®y a 5+ k< -- Legal Description: t -6;-T5 /--2 -J; 9 L-,-, 7 Pp- IZ. < Owner Name & Address: OA -1i -r- ea Tel. # j Contractor: -cpic— MN LICENSE # ✓ 7;? Address: 3 i (P �'� _ �--� Tel. # A713 — Ll y —S? -R- 8 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: 'JCS )cam S / ��� 0 � '' 0 i���i : Ae- Construction Type — F--flb� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: /D '&/M2 APPLICANT: Tel. # 9( 3 (-(?`f —57v8 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing In application Permit Fee $ �-� „25a Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ / $.50/$1,000 Valuation SAC Charge $ _ $1100 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 [ ] $ STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE PERMIT NO.: 2004-00193 KlvlS FRIDLEY, MN 55432 DATE ISSUED: 02/11/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 6004 2 1/2 ST NE PIN : 233024220041- LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A INSTALL A WATER SOFTENER # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 0 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 1 # WATER TRMT APPLIANCES 1 APPLICANT PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) 20.00 0.00 SHILOAH WATER CO 7319 166 AVE NW PLBG FIXTURES (EXIST OPENINGS) 0.00 RAMSEY, MN 55303- WATER TREATMENT APPLIANCE 0.00 (763) 753-9244 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 0.00 GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS 0.00 0.00 0.00 OWNER ZYCH DANIEL C & KELLIE E 6004 2 1/2 ST NE STATE SURCHARGE, PLBG FLAT 0.50 FRIDLEY, MN 55432 TOTAL 20.50 PAID WITH CHECK # 9685 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 work 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 nArformof construction. Applicant Date Bldg SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. v� "r ur- rkiULcY livor'ct.l►UN DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 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 V L� 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 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE COMBUSTION AIR SHALL BE PROVIDED PER UMC 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 corrz111ec 20d Owner Building Used As Estimated Cos PERMIT NO. v .m SL�'�d PLUMBING COMPANY SIGNED BY 6CIC . / d�/��,/� TEL N0. . Approved By Zcl .2 Rough -In Date Final Date PLUS THE $.50 STATE SURCHARGE TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW DUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT r NT CONNECTOR AND COMMISTION AIR VERIFICATION When reIn acing an_xis inn} furamp, 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 cnmenstinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to ins all a n _w rnmh ,stinn airs it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When in_ctalling a new yenting cyst m, 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( ) No ( ) 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 HEATING CO: Signed By: Date : PLUMBING RESIDENTIAL APPLICATION City of Fridley �OOS7'0_ Permit Number Received By Date Received NOTE: IF PROPERTY IS NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE _% G �/ G YORE -MAIL ADDRESS SITE AD RD ESS 4(e:0 G Z/ — aZ t .e& THE APPLICANT IS: (CIRCLE ONE) OWNERNTRACTOR NAME D .! h �/ G PROPERTY OWNER/ ADDRESS G —' t- /V r TENANT CITY ill' ! /,P STATE k zip�t � 3 PHONE# !!i ✓� �5�� �a(.3'7? NAME / I t° J 12( ti INKS Ise LICENSE # '7 1'G ADDRESS 3Zi�D 'dpe CONTRACTOR CITY Ola".44f d t STATE "t. ZIPS]!;" 4�/ PHONE # QV J =,!F21 Gy % FAX# PERMIT TYPE y SINGLE FAMILY TWO FAMILY TOWNHOUSE TYPE OF WORK ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK � CDA 1 r' / ��r l` t h. Nt'/' Gi -t -C 1 .2, e /j / `7 7 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED FIXTURES: (INDICATE TOTAL NUMBER OF EACH) BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (Need City License) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15) DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION WATER METER „OTHER Permit Fee $ MINIMUM: $15.00 or 5% of cost of the improvement -whichever is Plan Review $ greater on work less than $300 Surcharge $ 50 TOTAL DUE $ j 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans../ 11 V �^ NAME OF APPLICANT � Ob dx-f i /4f l ! G S DATE l 0 Please type or print SIGNATURE OF APPLICANT 1R31*'r� 11G.yI-,CACt VE�C".,}� ,k CALYe ORyj5K ELE ."E-NOTE: y i C TY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT 643 NESITY AVENUE NE, FRIDLEY, MN 55432 �) `p (763) 572-3604