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PRE 2010 DOCS• Village of Fridley, Minn. BUILBING PEBMIT N? 801 Office of INSPECTOR OF BUILDINGS owne+- Architect Fridley, Minn. „' 19 Builder LOCATION OF BUILDING NO, street_ �^" 0 D Part of Lot Lot "2q Y " Block a Addition or sub -Division DESCRIPTION OF BUILDING n J � � Front A Depth Height Stories–L "� Manner of Construction To be used ee ' To be completed, -� "`"✓ "�� Estimated Coat ° Permit is hereby greeted to'—,-cr_l:r.:,.-.>z- to. the building described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limns, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. z _ - Inspector of Buildings. AGREEMIENT AND SWORN STATEMENT In consideration of the issue and delivery to rue by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. Subsebed and sworn to before me at Fridley, t X101 - day of 0 Minnesota-,- this • Date......••••• Owner Address . BUILDING PERMIT Village of Fridley, Minn. ....../f' -x 7.... ry ....... YW M! �. N° 2307 BuildeWizjex i o44.. ,�!'��?� ... Address 40-4117. LOCATION OF BUILDING No.. ,,,, Street ..lM'............. Part of Lot ....................... Lot ...............�j Block ................ Addition or Sub -Division ....................................... Corner Lot ........f... Inside Lot ............ Setback ............ Sideyard .lief 4. 11f r .......... II DESCRIPTION OF BUILDING To be Used as: ...... Front .. Depth A.041. Height /45 5 !! ... Sq. Ft......... Cu. Ft........ . �I ....................ii Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ........ Type of Construction II .............. Est Cost ...VTo 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 wi provisions of ordinances of the village of Fridley. 1 ,A A In consideration of lithe payment of a fee of Veis hereby granted'to ...................... to construct the building or ad described above. This permit is granted upon express condition th at the person to whom it is granhis agents, employees and workmen, in all work done in, around and up'bn said building, or any part therconform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked -at -any time u on violation of any of the provisions of said ordinances. ` / _ /117 % . Building Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be cure to see the Building Inspector for separate permits for these items. -2,1 City, of Fridley, Minn.T° 9581 BUILDING PERMIT • Date: — Dec. 19, 1967 Owner: — games E. Haugen Builder .... ------- Me=II.Qmm Address — ��-.751 3rd St. N. E. — Address .3663 X -E ree St. LOCATION OF BUILDING No. ` 4751 Street 3rd S t . N. E . _ Part of Lot Lot 24 & 25Block 8 Addition or Sub -Division .___ Plymouth Adda, Corner Lot Inside Lot . _ .— Setback --_ Sideyard Sewer Elevation_ — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Family Room Front 13' Depth 20' Height — Sq. Ft. Cu. Ft. Garage Front 16 Depth _ 20Height _ Sq. Ft. Cu. Ft. Type of Construction Frame Est, Cost r 5500 _._ To be Completed <--- 'ij4tr �A 1-�'� 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 setrt� complian with all provisions of ordinances of the city of Fridley. ,� Y In consideration of the payment of a fee of $__9, 00 , permit is hereby granted to Moderrx Homes 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, alteratio maintenance, repair and moving of buildings ordinathences. city limits and this permit may be revoked at I upon vie tion �pf an3► of tj provisions of said Official Building IMPWk Gasterla)ld NOTICE: This permit dons not cover the construction, IestaMon for wiring, plumbing, gas beetieg, sewer or water. Be wrs to sae • the Building Inspector for separate pwmhs for thea Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY,- MINNESOTA OWNER'S NAME 1 NI !_ L- r , ./�.�� / BTn I DER R' ADDRESS.; ,fin S % ✓i�//_'! - ADDRESS '� G ' ✓,,: ice %'C L- S � LOCATION OF BUILDING NO. �`% �^ STREET A o LOT. -2 Y'+ Z �- BLOCK ADDITION .OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this..form Two Certificates of Survey of Lot and proposed building location drawn on these Certificate .a. . DESCRIPTION 0i BUILDING To Be Used As: / e V A��:, /F' T-FrontL Depth Heig#Q--.� Square feet Cubic Feet r ' " Front Depth Height Square feet " �-� Cubic Feet Type of Construction Yl14 s �� r Estimated Cost -1S,50 o To Be Completed JVdA4,4 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. fir" " DATE2�+ `7 _SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas F'itlting Permit D! f Bld Ph SII 4 7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures y 0l NO. RATE TOTAL Number Fixtures ...................... i �i Tari i~z a� �8a a�a W O J w c7 a a O F N WATER HTR. GAS EIEC. Base $ Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ 1st X 2new 2nd d sh l le and d 8 sa 3rd 4th _ • Future Connection Openings e New Fixture, Old Openings Connected with I Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... 2 x aw $�— Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. 1 x 40 $-8 • $—I-.50-- Catch Basin ..... ..................... CatchWater x 3.25 $ Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code ep , o gs, one Location 4751 3rd S t . N- E • 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 an the fact and representations stated in this application are��j V# co 966i Fridley, Minn.— 1 1 19_ reMlll• •4V/ 0 (f ♦ 1. Kind of Building Fre me Used as To be completed about may 17, 1968 Estimated Cost, $ 50.40 - Old—New. Building Permit No Permit No. Signed GENERAL PLUMBING C By 5;t wills park 6, Minn. B in Phone No ROUGH FINAL Description .....................$ TOTAL FEE $---5,5cL '2 y; Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 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 $ MECIL 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 ................. 6,00 $ 1 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 $ 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 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ............... x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM® $ ALTERATIONS PMSG �h Se � TOTAL FEE $ ROUGH FINAL Location k/ k 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 Ownery ✓ o`'"" `�- Kind of Building '� ✓ Used as J� To be completed about Estimated Cost, $ (ad Old—New. Building Permit No. Permit -No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. FL E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. FL E.D.R BTU H.P. (REMARKS -OVER) signed /'l /1 '6 By 42 Business Phone No-"�� Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and 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 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of 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) ...................... 1 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR �TiAN tG 'Z- $ ? FAN HEATING SYSTEM See Fee SScchedule VENTILATING SYSTEM A_U�TOTALALTERATIONS & REPAIRS FEE ROUGH Dept. of Bldgs. Phone 560-3490 Localfon �7 / �� -j� 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 nnryare true and correct. Fridley, Minn _ 19 46fl Owner o o C Kind of Building Used as To be completed about Estimated Cost, $ ld _ uilding Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Signed By. az Business Phone No FINAL (REMARKS -OVER) City of Fridley Applica*n for Mumbbg end Dept. of Bldgs. Phone 950-3450 DESCRIPTION OF WORK� /�� l— Number. Kind and Location of Fixtures =ffi� / (( 10 TE Number Fixtures ..........• • • .. ' . x $10D A $ AU G`ti x $1.50 $-- _New New Fixture Old Opening .......... . x $1.50 0<j x $3.25 $ Water Heater ;Up to 99,000 BTU) .... • • N WATEN NTR. GAS ELEG Base / $ 3AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .................. x $2.00 $ . Additional Fixtures ................. x $ .7b $ Gas Range to 199,000 BTU .............. x $5.00 $ 1st 2nd 3rd 4th 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' Owner Kind • Future Connection Openings I `'W"U + Now Fixture. Old Openings CeOi Q Used as lmo PARTIAL RATE SCHEDULE PLUMBING FIXTURE AATE3:�NO. TE Number Fixtures ..........• • • .. ' . x $10D A $ AU G`ti Future Fixture Opening ........... x $1.50 $-- _New New Fixture Old Opening .......... . x $1.50 $ _ Catch Basin ...........:........ x $3.25 $ Water Heater ;Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater.............. s $2.00 $ 3AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .................. x $2.00 $ . Additional Fixtures ................. x $ .7b $ Gas Range to 199,000 BTU .............. x $5.00 $ Fridley, To be completed about Estimated Cost, $ J CJ o Old—New. Building Permit No. Signed By Business Phone ROUGH FINAL REPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge Description ............................................ TOTAL FEE �e) 19,2cl SUBJECT City of Fridley - 16511 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIP ' COMMUNITY DEVELOPMENT DIV. _ 7� PROTECTIVE INSPECTION SEC. 10 CITY HALL FRIDLEY 55432 [L 1.' NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/5/82 JOB ADDRESS 4751 - 3rd Street N.E. 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 24,25 8 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joan Hauges 4751 - 3rd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Salitros Roofing & Siding 165 - 50th Avenue N.E. Mpls. 571-9-569 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 Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Install ridged galvanized valleys XXX where needed. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $1•00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,000 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- ST CTION OR THE PERFORMANCE OF CONSTRUCTION. $32.50 PLAN CHECK FEE TOTALFEE -� $- $33.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLYVALIDATEDTHIS IS YOUR PERMIT BLDG INSP OAT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PE•R14ITS (New, Alterations, Additions, or Repairs) 01'!(IER:�e- BUILDER: �cz�A-Vus Q 5,- ADDRESS: y'15 t- a -k • N, F-._ ADDRESS: jjp!�� So4—k-Ayp, b(, C TEL N0: TEL NO: .S 7/ 9 5(2 Construction Location STRMT NO: '7 7�_ STREET: T V J 34, IAT: 4 q ) . BLACK: ADDITION: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION LO Va o� . Front: Square. Feet: Depth: Cubic Feet: Height: Front: Depth: Height: Square- Feet: Cubic Feet: Type of Construction: Estimated Cost: To Be Cbmpleted: 3 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: SEE MVERSE SIDE OF SHEET Tile undersigned hereby makes application for a permit for the %,.,ork- 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. ►- c� DATE: ! �j'� SIGNATURE: Stipulations: C�� SUBJECT City of Fridley 2 5 0 1 5 AT THE TOP OF THE TWINS BUILDING PERMIT Ir? RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. \: �------ � PROTECTIVE INSPECTION SEC. / rI 1 � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/30/97 JOB ADDRESS 4751 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 24,25 8 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joan Haugan 4751 3 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & B Home Improvements 4901 105 Ln NE, Circle Pines MN 784-0922 7773 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 Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (28 Sq) 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 1 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 $2,310 $1.15 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 LWL Low REGULATING CON- $74.75 Fire SC $2.31 STRUCTIIOON�OR T PERFORMA F T CTION PLAN CHECK FEE Li e $ TOT FEE $83.21 °,�,•V /_ C a.•J4� SIGNATURE OF CONT FrACbA &R AUTHORIZED AGENT IDATEI ENVALID T THIS IS YO PE I BLqf INSP GATE SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI NEW [ ) ADDN [ ) CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: j D Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # Effective 1/1/97 o Re Z ✓ eMN LICENSE #_ 277 90 A /,/' �i C ell(� Tel.#%Cf Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: ��� t�� �l` ��©Di` Estimated Cost: $a (Fee Schedule on Back) �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ®' APPLICANT: Tel. # CITY USE ONLY Permit Fee $ N, 7,5" Fee Schedule on Reverse Side Fire Surcharge $ 12-:61 .001 of Permit Valuation (1/10th%) State Surcharge $ /� S $.501$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ 6r- "DO $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 $ g�• Z STIPULATIONS: Builaing BUILDING See Back Page for Fee Schedule Permit No:.Z604 IU4 I InspectionsRESIDENTIAL APPLICATION Received By: � 763-572-3604 .001 times the total job valuation 9 $ O' CITY OF FRIDLEY License Surcharge Da d 763-502-4977 FAX $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) EFFECTIVE 8-19-09 $ DATE .:2✓' ._ Y�c9 YOUR E-MAIL ADDRESS �S' T YP U IM -� l -tel o Z_�C SITE ADDRESS 40— s &_ THIS APPLICANT IS: ❑ OWNER CONTRACTOR $ PROPERTY OWNER/ NAME: J R Sewer Main Charge TENANT ADDRESS: 3 CITY ^ `` %(qSTA'I'P��IP Total Due PHONE: l CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # •�- —T�-T� EXP DATE AND CERTIFICATE OF ADDRESS: c 0 o CITY !/oi TATEL� INSURANCE PHONE ��' FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHEDWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION MAINTENANCEIREPAIR SeREMODELING DESCRIBE WORK BEING DON • Z-4_1sS�W T 6 SIZE OF IMPROVEMENT LENGTH WIDTH T HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 13 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: ❑ 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 WINDOW5 WINDOW FOR WINDOWS – PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF '�OGC50111�7 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: ,A (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 60 OCCUPANCY Permit Fee 5 See Back Page for Fee Schedule Plan Review 177ft 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ O' .0005 x Permit Valuation Minimum $.50 License Surcharge $ SAF $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 $ l Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application fora 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_wo k ch requires review and approval of plan SIGNATURE OF APPLICANT 1- %3 & y Yy .4,yovf/ 9 — � tM i, b47 -13a Ute' - I p �3 ry�SlorI Building BUILDING Permit No.:' abs Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D°SEC 0 Q 763-502-4977 FAX Surcharge $ EFFECTIVE 8-19-09 License Surcharge DATE_12 - H- U Cf YOUR E-MAIL ADDRESS C m helmfre, ®l -k^ SITE ADDRESS y 7S- r d 0 N C Curb Cut Escrow THIS APPLICANT IS: IK OWNER ❑CONTRACTOR Erosion Control PROPERTY OWNER/ NAME: :3—e Girl u h Park Fee TENANT ADDRESS: 0:7,0 1 P 'K4 N C CITY rr, 41r -1 41r-1 STATE�� ZIP 6 / $ PHONE: -761- �-Y /- ;Z T 30 Total Due CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE p ONE FAX PROPERTY TYPE P§VNGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS P1 BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR 111 REMODELING DESCRIBE WORK BEING DONE: FMMt ct ' n 1/5, dr A ctr f 6 // Q fC -'« Iq h'�- Y n av C P,'h'-, SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 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�YG THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $� 0f✓� OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ -1r-1 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 i3avable to: Citv of Fridlev Attach Stiuulations 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 on site; that the work will be in accordance with the approved plan in the case of 1 o k which req's review and approval of plans.)'/SIGNATURE OF APPLICA /� �� PRINT NAME aC kfCe'7� I Hat/70 0 DATE W-0 Jeff Haugan 4751 3`d ST NE Fridley MN 55421 763-291-2530 Basement Remodel Scope: Frame up exterior walls and move non-bearing wall as shown by bold line. Framing to be 2x4wood studs on 16" centers with treated floor plate screwed to floor with Tapcons. 4 mil plastic from joists to floor between existing block foundation wall and framing, 3 1/2" fiberglass insulation in framed exterior walls and walls to have %2" drywall. Existing tile ceiling to be removed, existing strapping to stay and %2" drywall installed on ceiling. Water meter and gas meter will be boxed. . — Electric per code with recessed can lights in ceiling. v .10 NO 777 1 5, Qr% NO 777 Qr% NO IT - - - - - - -- - - - .41 VI Ab IT - sp f, i k .41 VI sp f, i k Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 2-19-09 DATE F,Z -Ar G/ YOUR E-MAIL ADDRESS SrrE ADDRESS �Zzs­l 3 r cl TT—IV'F THIS APPLICANT IS: VOWNER ❑CONTRACTOR PROPERTY NAME: e G OWNER/ ADDRESS: 1-17-S-1 25 I^ a /V i cITY c/ STATE��'hZIP SSG/� TENANT ? - R(7/ - aS3 e) PHONE:, CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: CITY STATE ZIP APPLICATION PHONE FAX PERMIT TYPE IF SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OFWORK: [3NEW ❑ REPLACEMENT WALTERATION/REMODEL DETAILED DESCRIPTION OF WORK c✓� e4 -/-r vi o , s �/ FEES ARE BASED ON $10.00 PERFIXTIJRE, EXCEPT WHERE,NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELX) PROVIDE HEAT LOSS CAL.C'S PER MANUAL J 2006 ASHRAEMANIOBOOK.. , Equipment Installed MFG: MODEL: SIZEBTUSIZE/BTUMFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10:00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00" BOILER $35.00 $35.00 _GAS UNIT HTR $10.00: _FURNACE CHIMNEY LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _GAS TDUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 ^•.: � M1,� 11 �II �S� �� w51 t': \3'�'`�'£ �� �, ��' � �Z �� -�:. ),Sa +."J S' F���' p � � Y. � IS�As� R' l4 � �� ��� "s � �� �s l � �2�.i �� E .ii 'd'^ ;?sk a'•� B +.,3" Fk'4R. 55r a� � ,�" zs.. "4. '''' .""�1� T X f �s '��� �sY � r �-. � ��' tea+*r ;= 3. yCti", °' a� sc� f � . u v �;� � � ��� �s✓a �z v' �� _, � s �.. -. iiYy 's �- .3,�, �7 _�x,,Y. Y � x '0 4^ ` � �'N tut ` "dP'i 4"�. A�t 5 •�+ Lz k 2 Y �y `R �`��. ki 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 w4ichrequires review roval of -planes./ SIGNATURE OF APPLICANT ,,+ RINT NAME_. -1 C 4F r &-4-6/ ATE�� , /A APPROVAL INSPECTORS SI A DATE ` (_ -f*y of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments MN Rule 1346 Sec. 501 3. Venting a. Gw5appliances IFGC_ Chapter 5_with MN Amendments _ b. Fuel d- er than gas IMC Chapter 8 with MN Amendments 4. Heat loss & cooling load per room a. MN Rule 1322, Sec. N1104.4.13 5. Ventilation a. Per MN Rule Chapter 1322. Sec. 1104 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.