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PRE 2010 DOCS0 City of Fridley, Minn. BUR DING PERMIT N® 3287 »ate:..S.:,� ............................. 4 Owner ....................................... Builder��... �.'............ Q�� Address ...................................... Address ............................................. LOCATION OF BUILDING No4... iq .. Street .....: ............................Part o ......... ........... Lot . , . Block . �! ...... Addition or Sub -Division ......... . ......... . ........... Corner Lot ............ Inside Lot .... � . � ..... Setback .:��.. r . Side yarrl .. �.... � .... �....... . DESCRIPTION OF BUILDING To Used as: Q C ........ ....... Front .. Depth Height ..... Sq. Ft. . J.. ¢ Cu. Ft. .. ...... ..... ont ..��... Depth ........ Height . Sq. Ft. ... Cu Ft. of Construction .'F�r44!+�' r...... ]lam Cost. ............. To be Completed . L.l. !f...!0 ....... b Y 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. 12 In consideration of the payment of a fee of $AY S4 -p:., permit is hereby granted to ......... . I -/� ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it Is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. %. �B i -0( *�% uilding Inspector NOTICE: This permit does not cover the construction, Installation or alteratgon for wiring, plumbing, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. 0 City of Fridley, inn• BUILDING PERMIT N° 4171 Date:_............._........- ... ._._..._ .._.._..............----- Owner: i ...._ ....-, i � ,----- .... --- .... Builder ....._............ ........ lle-........__........................... .................................. _-- - - Address...-...._...._................_._._._...__. _. . _ _....... Address ............ -............. -............. _ ...................... _------_. ------- -. _.......... No. ....._.L.-..- . Street Lot ........... ....... �............. Block LOCATION OF BUILDING ........... .....��........'...............---............ Part oLot ..... _......... ......__...._..__....._......._.......... _ ..........�/.................................... Addition or Sub -Division . �'11................. _............................ _...... _..... ...... CornerLot ...,X ......................... Inside Lot ....................................... Setback Zde,ard ........--------...........------......----.. ------- Sewer Elevation ....._ .... ......... -............. .............. ........... ............... ........................ . Foundation Elevation DESCRIPTION OF BUILDING To be Used as: . Front ..'. �_ Depth s�.::_0 Height ...... Sq. Fal .. Cu. Ft. S3..... [ ...................... _.............. Front ........................ -Depth ................... Height ....................... Sq. Ft......................... Cu. Ft......................... ,,�� -1 � Type of Construction ............................................... Est. Cost......... /,.�.............�..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 in compliance with all provisions of ordinances of the city of Fridley. /f �117 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. Ii 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. City of Fridley Application for Plumbing and Cas Ming Permit 53-84-s915.51 Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Location 5840 NE. 7 St. Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ ? �p R N WATER HTR. GAS ELEG Base : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... 1 x $2.00 $ 2.00 Additional Fixtures .................... —x$-75 $- Gas Range to 199,000 BTU .............. x $5.00 $ install (1) gas lite 3.00 1st 2nd 3rd 4th • Future Connection Openings * New Fixture, old Openings I Connected with Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... 1 x $2.00 $ 2.00 Additional Fixtures .................... —x$-75 $- Gas Range to 199,000 BTU .............. x $5.00 $ install (1) gas lite 3.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 5.00 City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn_ Sept. 10 1 1970 , 19_ Owner Thomas Sinner Kind of Building f rare Used as residence To be completed about Sept Estimated Cost, $ 10.00 Older New. Building Permi)0116 ermit o 6';2 • e By POI I Business Phone No ROUGH FINAL a® ,� % 42 City of Fridley, Minn. 6431 University Ave. N. E:, Minneapolis, Minn. 55432 BUILDING PERMIT Late: _ July 2. 1971 pWzW: Thomas W. Sinner Builder Same Address 5840 -7th Street N.E. Address Same LOCATION OF BUILDING Na _ 5840 Street _ 7th Street N E Part of Lot %t 4 Block 6 Addition or Sub -Division Bonny Addition Corner Lot Inside Lot x Setback — Sideyard Bower Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Patio Front Depth Height Sq. Ft. _j.6$_ Cu. Ft. Type of Construction Front Depth Height Sq. Ft. Cu. Ft Est. Cost x,$370.00 To be Completed July 31- 1971 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 desaelption above set forth and in compliance with all provisions of ordinances of the city of Fridley. OO In consideration of the payment of a fee of $_ ,permit is hereby granted to Thomas Sinner to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings Within anthe . city Emits and this permit may be revoked at any time upon violation of any of the provisions of Acid NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : _ / 140,C ADDRESS: ADDRESS: NO: STREET:_ 2 �� AfC- LOT : BLOCK: ADDITION : /F0,- A( CORNER LOT: INSIDE LOT:�SETBACK: SIDEYARD: Applicant attach to this form,Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: //-4 -1� y Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; �� Cubic Feet: t? Type of Construction: Estimated Cost: _$ ��i_ To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: C SIGNATURE' (See Reverse Side For Additional Information.) /— --f y' nog --P w al SUBJECT PER O. City of Fridley 17657 AT THE TOP OF THE TWINS BUILDING PERMIT r R EIPT NO. � • __ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I / CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j J\ 612-571-3450 910-F15 8/13/84 / JOB ADDRESS 5840 7th. Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 G Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathleen Sinner 5840 - 7th Street N.E. 571-1024 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Fiberglass VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 $672 $•50 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- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERL A IDATE THIS IS YOUR PERMIT Y/ -v ` ��/7-�`/b.hh 1 44 C9 SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) BLDG IN P f1AT al NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Addri Legal Description Owner Name a Address: Contractor Address:`' Attach to to this application, a Certificate of Survey of the lot, With the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT rel. r --, _zz - or ya-/ Tel. # LIVING AREA: Length Width height Sq. Ft. GARAGE AREA: Length Width _ Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot Ft. Yd. Setback Side Yard Setback Type of Construction: � �� -® stimated Cost: $ �7 � 3 Q° Approx. Completion Date: S- f 7 - Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: - APPLICANT: � l�,,oa� � �' ��''f�'�� Tel. 0-2_71-f O -2- Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL 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 [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1997 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT T MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS SB*D 7+h S' N' 4 New Fixtures $ 7.00 The undersigned hereby makes application for a perm it for the work herein Old Opening, New Fixture 3_ $ 4.00 /.?, 0 a specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 1997 Sump/Receiving Tank $ 7.00 _ Water Treating Appliance $10.00 Ownery ; iV Ne �j % /0 2 IL/ Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Building Used As 4S i c�Q iv C__Q_ Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost 'i C) d� PERMIT NO. �C Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY gA r 1<2 Reinspection Fee $42.00/Hr leu �°Q 4-1-d SIGNED BY TEL N0._577z 0 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -in Date Final Date State Surcharge $ .50 MINIMUM FEE FIR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $'�70'SV PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. I� I I G� SUBJECT IT NO.� City of Fridley 27 45 AT THE TOP OF THE TWINS BUILDING P E R M I T ` RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. 6/® NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 "'j 612-571-3450 910-F15 8/31/98 JOB ADDRESS 5840 th Street E 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 6 Bonn Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathy Sinner571-1024 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Steven R Lee424-11911 979A 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 O ADDITION O ALTERATION REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof hTear-off 9 CHANGEOFUSEFROM 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 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 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 1417 $.71 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. $48.50 Fire SC 1.42 9z'PLAN CHECK FEE n L FEE ;75.63 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT IDATEI N ROP VALIDkTP THISIS SOUR PERM) r � SIGNATURE OF OWNER pF OWNER BUILDER) (DATE) BL INSP GATE NkW _ [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ry C/a , / -'r - Legal Description: Owner Name & Address: /< ��/ k ,,, eti Tel. # r %/— /---0 � f Contractor: �%-� v �, MN LICENSE # Address: --r— k- Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF LWPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: r 'Q — �1/2 Construction Type: L o� Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: ?- J J' V APPLICANT: -'(.- L -,-� Tel. # �� y— I, 9dcll Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 01 SUBJECT PE City of Fridley 29001 AT THE TOP OF THE TWINS BUILDING PERMIT i / � rr COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f PROTECTIVE 1166 1 . � , CITY HALL FRIDLEY 55432 NUMBERDATE PAGE Of APPROVED Br L J` 612-571-3450 910-F15 TpEv 3/12/99 / / JOB ADDRESS 5840 7 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 6 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sinner 5840 7 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Quarve Contracting Inc 8427 Center Dr NE, Spring Lake Park, MN 55432 6016 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 785-1472 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION Ek REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Repair fascia and window wraps on west side of house only 9 CHANGE OF USE FROM TO STIPULATIONS Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 80 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 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT $500 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. $21.00 F e SC $.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE T AL FEE oZ IINAT�UREONra ®RAUT.O�R.11.AIE�NT Lice e C t5,/O $27.00 R I iO4 E. HE PR VAL1009TJP.THIS I$r-yOUR PERM S-GNATURE Of OWNERnt OWNER BUILDER, -,DATE,. LOG -NSP gArt 01 NEW [ ] Effective 1/1/98 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATIONO� ConstructionAddress: Legal Description: Owner Name & Address: Contractor: (IJ -CZA,6Y Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: A -i E- /Z Tel. # a G f7' `? bi (f MN LICENSE # _j>� - Xf U Tel. # -7LF5 /Ll-7�-- 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. _ Construction Type: M �IIL stimated Cost: $ a v eoi rl e4j (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: -�/4 C l APPLICANT: aC �CX -� Gc Tel. CITY USE ONLY Permit Fee $ c2%.06 Fee Schedule on Reverse Side Fire Surcharge $ -5-D .001 of Permit Valuation (1/10th%) State Surcharge $ -52) $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 15,06 $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 $o STIPULATIONS: 01 SUBJEG/ P City of Fridley 32606 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 NUMBER AEv DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/17/02 JOB ADDRESS 5840 7 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DescR. 4 6 Bonny Addition SHEET I 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathy Sinner 5840 7 Street NE 763-571-1024 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO E K Builders Inc 134A Marigold St NW, Andover, MN 55304 763-323-3987 1819 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 1p ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 17'6" x 16' Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING 89f0re digging call for S R PERMITS all Wity locations ATE R' �I-0002 EA71 REOUIRED RY LAW J.11NG HE BiNd AND Sift SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 ORDINANCESAND I TYPE OF WORK WILL BE D $89980 $4'49 WI H WHETHER SPECIFIED EO EREINOR NOT. THE GRANTING OF AS 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- S T UCTION OR THE PERFORMANCE OF CONSTRUCTION d� �� PLAN CHECK F Lice e $5 TOTAL FEE 185.72 S�GNATUREOFCON 'RACTORORAiOATE, EN RO�PVALIIDJ� THIS IS Y UJR PERMIT I -D� Bl -NSP BATE S,GNATURE OF OWNEROF OWNER BUILDERS 15ATE) 01 5t 7N' NEW (] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION rN p Construction Address: S L1'10 9 5+; AJ E Legal Description: Owner Name & Address: KOANhy YI ems' LAJJ%cxg, a.b.,aue) Tel. # 743--511-1®fie/ Contractor. c - i� ate.; l �r e �. -T va e. MN LICENSE # / lot Address: nolj Tel.# 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: 5e,' -A- SWC, 0. Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ -=$ DATE: 5 °7 ®a APPLICANT: i� �®+.�.�. Tel. # 'A63 -3a3-3181 Call (763) 572-3604 for Permit Fees if mailing In application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge aim CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by•Engineering Agreement Necessary [ ] Not Necessary [ TOTAL $ STIPULATIONS: FROM :E—K BUILDERS,INC. FAX NO. :763-323-3987 May. 08 2002 04:56PM P1 A ++ t -Rph --S tt"-.0sk,: MECcheck Compliance Report 2000 Minnesota Energy Code N ECcheck Software Version 3.2 Release lb TITLE: Sinner's Poach Addition COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 05/08/02 DATE OF PLANS: May 7, 2002 PROJECT INFORMATION: 4 -Season Porch Addition COMPANY INFORMATION: E -K Builders, Inc COMPLIANCE: Passes Maximum UA - 59 Your Home = 35 40.r/o Better Than Code Ceiling 1: Flat Ceiling or Scissor Truss Wall 1: Wood Frame, 16" o.c. Window 1: Above Grade, Vmyl Frame, Double Pane with Low -E Floor 1: AI! -Wood JoiWTFuss, Over Outside Air Proposed and Maximum U -Factor Averages Above -Grade Windows and Glass Doors Includes Foundation Windows > 5.6 W Permit Number Checked By/Date Gross Ghazing Area or Cavity Cort. or Door ftdM= MAW2 UA 280 44.0 0.0 8 408 21.0 0.0 17 103 280 38.0 Proposed Average U Factor 0.034 0.034 4 10.0 6 Mmrimum Allowed U Factor 0.370 COMPLIANCE STATEMENT: The proposed building design desa&W here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Mimsesota Energy Code requirements inMECcheck Version 3.2 Release lb. Builder/Demgner 64A .s 7 % . &8M, Date 51 3/4 %2 M bt3 -tw� �Def>.c�n., w \� S:aes ,d cl-Y\ L off- S. zo- 'l 5'6� 3 5 Y.o() j• : a L 8-f 5 h&e.1 De r"I'� r. he. pkase- no+e- � E J 1 I hne 5s4o st, ,�.Z'''v o r 'PLAN APPROVED SUBJECT IO FIELD KAs : VI "C"e, S g Lja h *`' S r. Al ll /T Tj+ �- $ � ; h J� � '% m ole- �► � X � 61 � h � m r. � � w�.c- w � � �-� 4 v 2r.� 1 ` l (+JfJ.+2af S Ki t IQ P�}P ioil "V%� wk �irs� �'wa -,Cows 4&f ha. vim\\c�C E h 4 c ne-1-4A -1 u Ll r t vr% n lam, ✓'it Ta 6 c i fes. f S o"1F4-: N`5 �o Mo.�f� 2XitS�ihq c7v� ►'ld►MC ,'" 1513 , 0S6 wc,-�\h-) if �( * X,b wC,kk co YlstrMc,',o.1 Set' )Co u o. C- ki �� go Odd�il�j S %-Vole-t par�'6 Q: ►r1 nc.c�. -- C l n c .�Oc�re. !� S a. $ 1 z -,c R- yy blowy i hs�►l�.i-�ol� �- C 5�8a. S lit tr-ock on C4 `. V% FOO, Astifutr R -2\ r 1 1 R-2\ Tv-'O.,oh- 3— 1hSuUa.�.aK INV TiG 6D 1-07GW00404100� 2`7AOroo ov oe.,rw ¢yam 0�.� 1wooe CE/ oo 4 ' I - %A 01 i FQ]I �, � �in-�S -- — -- -- —I — -- — -j T aol,�;Pe-, e�s��'� o,�u� ��►�ua .��.. s�,�o� y1 -,c+ �: I -S % �;S''ca.rdAy •s}! u -n CAD _ � SS�t� \ \ \�5�..� "'v��°w.Jea�tr�-t,t`+�H S �p� y �.[1 �ti..^+1�/►�S^a+� �S �'3Q U o _s IV v ..—,,,,mow :.. � • RE MORTGAGE ItIYEST .cN - - 129 WEST LAKE STREET ,•'. :9•_y.J •�.;..�• __... .c _ rl.'•.U�'C i .�r".�7:.yLUn:� .SJvR'v.Hy ' For THoAPZ S.^.o3. LOA` N3. 37770 F DESC R I PT i orv; LOT 4, &LOCK 6, BG\:11Y ti3G t T' Ow, A-NoKA Co., Mc-<<:Z_I0TA I 1 1 I I I 1 1 I We hereby certify that this is a true and correct representation c. a s;:rva; of the -boundaries of the land above described and of the locai'•s:::: o-. ;i- buildings, ;.buiidings, if any, thereon, and all visib;e encroac~.i.-nts, i'f any, ra,; cr c.- said land. This survey is made only in connect !-on vii th a rrcr ; o3ge being placed on the property and. no , lab! i i y i s assn, -ad excep . to of such mortgage or any other in,•eres'r acq,,irc:d by the reason of sic mortgage. I t is understood a.,d r:, purpose of establishing loft lir,_5 or bo;�c�ry ccr:ors. Dated this 2No day of Ju r _9,' Fes,:;, _J .` u rv, yU: F i 1 e `:o. Boo's No. K?'- =? zz.ti� •9 LOA` N3. 37770 F DESC R I PT i orv; LOT 4, &LOCK 6, BG\:11Y ti3G t T' Ow, A-NoKA Co., Mc-<<:Z_I0TA I 1 1 I I I 1 1 I We hereby certify that this is a true and correct representation c. a s;:rva; of the -boundaries of the land above described and of the locai'•s:::: o-. ;i- buildings, ;.buiidings, if any, thereon, and all visib;e encroac~.i.-nts, i'f any, ra,; cr c.- said land. This survey is made only in connect !-on vii th a rrcr ; o3ge being placed on the property and. no , lab! i i y i s assn, -ad excep . to of such mortgage or any other in,•eres'r acq,,irc:d by the reason of sic mortgage. I t is understood a.,d r:, purpose of establishing loft lir,_5 or bo;�c�ry ccr:ors. Dated this 2No day of Ju r _9,' Fes,:;, _J .` u rv, yU: F i 1 e `:o. Boo's No. K?'- =? zz.ti� LOA` N3. 37770 F DESC R I PT i orv; LOT 4, &LOCK 6, BG\:11Y ti3G t T' Ow, A-NoKA Co., Mc-<<:Z_I0TA I 1 1 I I I 1 1 I We hereby certify that this is a true and correct representation c. a s;:rva; of the -boundaries of the land above described and of the locai'•s:::: o-. ;i- buildings, ;.buiidings, if any, thereon, and all visib;e encroac~.i.-nts, i'f any, ra,; cr c.- said land. This survey is made only in connect !-on vii th a rrcr ; o3ge being placed on the property and. no , lab! i i y i s assn, -ad excep . to of such mortgage or any other in,•eres'r acq,,irc:d by the reason of sic mortgage. I t is understood a.,d r:, purpose of establishing loft lir,_5 or bo;�c�ry ccr:ors. Dated this 2No day of Ju r _9,' Fes,:;, _J .` u rv, yU: F i 1 e `:o. Boo's No. K?'- =? CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES A JOB ADDRESS S&7fo — 7 RATE SCHEDULE OWNER 5—'4 'ofx .r Effective On January 1, 2002 Residential Rate TOTAL J Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace Side Vent - Fill Out Back) 4x $ 30.00 $ ®,7 ESTIMATED COST �OcS as Pi in ' (Needed with new furnace, ,.c e $ 10.00 $ PERMIT N0. but not replacement) eflcj o, DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON CK) 1% of Val of Appli a or Work � �_ /&- ac $ /-0® Commercial/Industrial 1.25% of Value of Appliance or Work $ State Surcharge $ 50 TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION �� `s� 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. 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING C Signed FAX #� Approved By FILL FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFNT, V NT CC)NNFCTOR AND .OMR ISTION AIR V RIFI CATION When reIn acing an existing furance, 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 r-nmhi ictinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( } When required to install a new cnmhustinn air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance #1 Type_ Appliance #2 Type _ Appliance #3 Type _ Total Appliances _ BTU Input _ BTU Input _ BTU Input Total Btu Input Common Vent Type Vent Height Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat 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 : CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 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 1.25% of Value of Appliance or Work Rate $ 30.00 $ 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 S.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. Effective On January 1, 2000 JOB ADDRESS— OWNER. TOTAL BUILDING USED AS RESIDENTIAL ESTIMATED COST PERMIT NO. � DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load FIREPLACE --- Burner Trade Name eJ 6U Size No. � DTD-M- $f5,oC) BTU ='13 go, 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 Llb _ _ HEATINGCALLIED FI�2ESIDE dba FIRESIDE CORNER Signdd �f1Da,�- 1-4'ixTEL # Approved Byz Rough -In Date Final Datel as 0.)_ 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, 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specfications. Yes (} No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers 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 Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : Ll i i Jr + (`.1uLLY li' ZA—LL HON DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2002 PLUMBING FIXTURE RATES: 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*` I`[e»:7_�ifill Gas Dryer** Back Flow Preventer Required ( )Yes () No Type. Reinspection Fee $47.00/Hr $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE �06 50 $ 0 ®0'0 JOB ADDRESS 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. Owner c Q' .20 Building UsedAs Estimated Cost PERMIT NO. 1-3 PLUMBING COMPANY S0L<n8 CkEay(YA PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT, VENT CONNECTOR ANn COMMISTION AIR VFRIFICATION When renla .ing an PAstong f trance, 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 (1 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 Fumace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The pY�g cnmhustinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to inetall a new rnmhustinn air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When fav a new venting 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_ Appliance #2 Type _ Appliance #3 Type _ Total Appliances _ BTU Input _ BTU Input _ BTU Input Total Btu Input Common Vent Type Vent Height Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat 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 : SUBJECT City of Fridley 3 3 2 0 6 AT THE TOP OF THE TWINS BUILDING PERMIT r? • -------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY IA �,'� CITY HALL FRIDLEY 55432 1 ---- J` 763-571-3450 910 -FIS 10/24/02 JOB ADDRESS 5840 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 6 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathleen Sinner 5840 7 Street NE 763-571-1024 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 1920 Co Rd C W, Roseville, MN 55113 651-264-4777 e ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20130983 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Replace 4 windows within existing openings 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION .0 REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Residential 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2.of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Permit Inspection Cards Will Be Mailed To Homeowner To Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $4,790 @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `P2.40 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. $111.25 Fire SC $4.79 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Lice.pge C 15 0 $123.44 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI H P P RLY VALID TED THIS IS YOUR P RMIT _ /6 LOG I o QAf S-GNATURE OF OWNER,IF OWNER BUILDERI IDATEI NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ l SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: l c Owner Name & Address: 4 1`x. -eta `� I �� ' Tel. Contractor:; -ink %"r a xst o MN LICENSE # aO 1-5098 Address: 19 a6 Ou rti dao d C. W e, � .oS�cy� tlrt. rnp,.) Tel. # (c`al • 16 - 4ff+ Attach to- this application, a Certificate of Survey &-the lot, with the proposed construction drawn on it to scale. DESCREPn— ON 61P IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: . kff--A^ . •�G c ;.�.. ` _ _ n[ : h Construction Type: Driveway Curb Cut Width Needed: Estimated Cost: $ `t�� a . Ft. + 6 Ft = Ft x $ DATE:o��.0&0APPLICANT: Tel. #_95a•34S•Lcdq- TOTAL $ I y/ STIPULATIONS: ��, CITY USE ONLY Permit Fee $ , a S Fee Schedule on Reverse Side Fire Surcharge $ {. , .001 of Permit Valuation (1/10th%) State Surcharge $ a-40 $.501$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 $ I y/ STIPULATIONS: ��, From: 763 785 4705 Pace: 1/1 Date: 8/21/2008 4:00:30 PM Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DATE _z; �_- 1/ i YOUR &MAIL ADDRESS T t7 77 SITE ADDRESS 5- 8"-/0 l `C S-4' )U ' THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY NAME; r! r) e r ADDRESS: - � h _ CITY r 1, STATEI� n!ZIP, TENANT PHONE: %% ✓-50S-fYo_k3k O CONTRACTOR NAME: N b h Lo ('n u. M h STATE LICENSE it 04"L/ Q. ? CO - PKV 16M DATE _ SUBMIT A COPY OF YOUR STATE _ • px o L � 1 10 CITY �i �n ) P V rLI lP 7 STATE P)ZIP .y 5 U q ADDRESS:.I� f--)R� +!1 LICENSE WITH PHONE 76,�-.� Z)a ` 8, 6 FAx I -u– y 05 APPLICATION PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 13 NEW LACEMENT DETAILED DESCRIPTION OF WORK (' e. V1Q C P d V CC 11/ G' �) P'Pc r E m e'l-- e f (ZYIG{l PER MS 168.665 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 = $15.00. 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. FDO URES: (INDICATE TOTAL NUMBER OF EACH BELOW) WATER PIPING _ BATH S1NK/r.AV _FLOOR DRAINS _SHOWER GAS PIPING MEwcrrrl ) SWIMMING POOL —WATER SOFTNER ($35) BATHTUB _ _ ^_ CLOTHES WASHER _ KITCHEN SINK —WATER CLOSET _ BACKFLOW PREV. ($15) TRAY WATER HEATER ($35) FOR IRRIGATION DISHWASHER —LAUNDRY WATER METER —OTHER PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @ $10.00 _ x $10.00 = $ Surchar a .50 Number of fixtures @ $15.00 _x $15.00 = $ TOTAL DUE $ Number of fixtures @ $35.00 _ x $35.00 = $� State Surcharge = f Total = $ THIS IS AN APPLICATION FOR A PERMTr-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 which requires review and approval of plans. + 1 SIGNATURE OF APPLICANT I PRINT NAMELVl al ! P sIc'c S DATE PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977