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PRE 2010 DOCSCITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Job Address :-es,� Furnace Shell & Duct Work $12.00 $ Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ t` Gas Range to 199,000 BTU x $10.00 $ AIR T N $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $ ROUGH INSP. FINAL INSP. REINSPECTION FEE Date ($10.00) UaLe APPROVAL FOR PERMIT,4,a_Z MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Cordes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true eaand r�correct. Fridley, Minn. % �i�� . 19�� KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. DESCRIPTION OF FURNACE/BURNER i HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. e��Trade Name ��, Size No. Capacity _ Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name' Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. SUBJECT PER O. City of Fridley o. 17 433 AT THE TOP OF THE TWINS BUILDING PERMIT r REC � COMMUNITY DEVELOPMENT DIV. ) a r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE OF APPROVED BY 612-571-3450 910-F15 3/30/84 F;GE JOB ADDRESS 5916 - 7th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 5 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Douglas Haugland 5916 - 7th Street N.E. 571-1374 3 CONTRACTOR MAILADDRESS 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 [I MOVE ❑ REMOVE S 8 DESCRIBE WORK Construct a 16' x 24' Above Ground Swimming Pool 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on letter dated March 28, 1984 from. Environmental Officer. FOR WRMG- PERMITS REQUIRED SEPERATE TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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$3,000 $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $38.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE Ik $40.00 ORIZED ENT (DATE) GNATURED CONTRACT�y�:21/1 WHEN PROPE I VALIDATED THIS IS YOUR PERMIT Y 3 ,3 0 Y b BLDG INSPt)A SIGNATUR FOWNER (IF OWNER&bILDERT CITY or FRIDLEY . Effective Aug. 1, 1981 APPLICATION FOR RESIDENTIAL BUILDING PLEMITS (New, Alterations, Additions, or Repairs) ,ADDRESS: 5J �/ TEL 110 7 J -37L BUILDER: 0 ADDRESS: TEL 110: ' p� a Construction Location STREET NO: 3 STREET: LOT: q BLOCK: ADDITION: J Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form tu-o Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOR OF CONISTRUCTION Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: _ Type of Construction: ��" /''� V �n �`° " ` Estimated Cost: S �� 7b Be Cbr.pleted: 03 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE PEVF.R;L' SIDE. OF SHEET Mie undersigned hereby makes application for a permit fcr the +:ork herein specified, agreeing to ao,all work in strict accordance with the City of Tridley Ordinances and rulings of the Departmcnt. of Buildings, anti hereby declares that all the facts and represcntzitiens stated in this applicatio are true and correct. o L DMZ: j�YJI�+ �� ® SIGNATUIE: j Stipulations: 7� _ s �� l U ✓ Jv � � CC R, I J It � �� W �7z 4 CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 March 28, 1984 Mr. Douglas Haugland 5916 - 7th Street N.E. Fridley. MN 55432 Re: Swimming Pool Construction at 5916 - 7th Street N.E. Dear Mr. Haugland: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated. one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated. one (1) inlet of approved design for fresh and/or repurified water will be provided. 3. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6 - 8 hours. 4. A deck of at least three (3) feet wide. measured from the pool waters edge. shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 5. Fencing ora other effective means including but not limited to walls or buildings. acceptable to the City. shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (e) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. Hr. Douglas Haugland March 28, 1984 Be: 5916 - 7th Street N.E. 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 8. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface. and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 9. The pool fill spout must be protected by a vacuum breaker or air -gapped. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1-1/2 times the pool diameter and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore. these and any other requirements must meet the provisions of the Fridley City Code. Section 115• Swimming Pools. The building permit is approved contingent on final inspections and approval of the City. If any questions or problems arise from this letter. please feel free to contact me at 571-3450. Sincerely. ST EN J. OLS . R. S. Environmental Officer SJO/mh Page 2 _F�-..,.,.,m.w�_.. err4•,+.►*'�<'.a �ce. ..+4..+.��s-:++w..a.�w.=..*r!.w.ti?+^Y+'�+,a�s'..'ea_'�yr' w'"+3'�wTM�r+w�T'�'�" --�, ..e..�.:. �.-.. ORDER NO. BtPT4 ` OUTER i E MAN, MEN SII/P TERMS Now SNIP DATE eW r 7Z) S1� ski �JICE - '.:. I•Yli APPROX ROWfD MODEL, ANA aft Y:"M- M ODEL AMe. aa "a air. ► 1wrt 16' x 48" A646-63 201 GAA 46930 D bet` 18'x48" 4618.63 248 7,40D X680 rl bL 21'x48" 4621.63 340 9 4'' bs ..— 24• x 48" 4624-63 448 x 16• x 4 " 28'x48" 4628-63 609 i�6Q Ibs. 4611-9 756 29,270 . ab27D - 4100 bL �} in STEEL COMPONENTS 4 5� 10 Yew Umlted Waranly on aff P" Eompormls { . ftvadt 1 pcftj or%i#ft�wOSB - mas" Ir tap s8�0/��•�6� dyfiiBC�yV61f�Od j�My11N�1 i.B_ CJ�ll98 B • �jl d^ a �7 ` " ��PyIINi xA ,tcpsI3`�'i h * AS tw-,�cy�1gmQ9 Y tdit YYIO�wcm;; I• y� ftpwdwd ag e*ai=bcftd qm" for kmkftk n ewe and Etm probcb 1 WON fof l Of1d o—n n 1 • { f msec i*d O:b JM v a0tY1eai0r = . Uy 3 " 15 Year UmNed Wavranty on 20 MA ftaidab/e Llher L 1 Tear • Gmd terde for amboe oordtencyand slag pion • Ad�on51 - ` diertai and utfra-violet tarx�e • 2a N61 eod�le Ener for opibna> deep dm ed DaphboPomar/aelue1 ' 19 sM�fber44e�apamo j*PMFAo�dDay�EW�DMp)bW /0�r p�tf Clod Bonn' ab9pGon� ndoafediaEpesmPioeMo4P�edadf�muMbokredCOU�orlbaedwEaLY+m. o 6,�t rd 2 X '', SS 1 Y t� ry " `% _ v V ' -'fr ,y^a G4 �. a • - f ,'"ar ," �i 2'J y v �JICE :. am �Y.`. ,. OX . OVAL M ODEL AMe. • u ;'; tllR ea "i W C1�► :'' :' WE � �dY1f ' x48" 7� 4646-63 325 `' ` 1 40;�p _ o.� 32' x 16•x48" 4626-63 450 ,92 95,E 845 bs . ' x 16• x 4 " 4606-63 .: 574 16240 ' .' ` 9x870 -. 9;075 bL 41' x 21' x48" 4611-9 756 29,270 . ab27D - 4100 bL �} in STEEL COMPONENTS 4 5� 10 Yew Umlted Waranly on aff P" Eompormls { . ftvadt 1 pcftj or%i#ft�wOSB - mas" Ir tap s8�0/��•�6� dyfiiBC�yV61f�Od j�My11N�1 i.B_ CJ�ll98 B • �jl d^ a �7 ` " ��PyIINi xA ,tcpsI3`�'i h * AS tw-,�cy�1gmQ9 Y tdit YYIO�wcm;; I• y� ftpwdwd ag e*ai=bcftd qm" for kmkftk n ewe and Etm probcb 1 WON fof l Of1d o—n n 1 • { f msec i*d O:b JM v a0tY1eai0r = . Uy 3 " 15 Year UmNed Wavranty on 20 MA ftaidab/e Llher L 1 Tear • Gmd terde for amboe oordtencyand slag pion • Ad�on51 - ` diertai and utfra-violet tarx�e • 2a N61 eod�le Ener for opibna> deep dm ed DaphboPomar/aelue1 ' 19 sM�fber44e�apamo j*PMFAo�dDay�EW�DMp)bW /0�r p�tf Clod Bonn' ab9pGon� ndoafediaEpesmPioeMo4P�edadf�muMbokredCOU�orlbaedwEaLY+m. o 6,�t rd 2 X '', SS 1 Y t� ry " `% _ v V ' -'fr ,y^a G4 �. a • - f ,'"ar ," �i 2'J y v SUBJECT PER City of Fridley 900 AT THE TOP OF THE TWINS BUILDING PERMIT _ ECEIPT N � COMMUNITY DEVELOPMENT DIV. Y INSPECTION SEC. r 1 PROTECTIVE 1 ; i IL CITY HALL FRIDLEY 55432 ,'' NUMBER REV. DATE PAGE OF APPROVED BY --"A 612-571-3450 910-F15 5/16/8 JOB ADDRESS 59.16 - 7th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 5 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Douglas Haugla.nd 5916 - 7th Street N.E. 571-3509 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 33' x 24' Pool Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan 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 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 $1.45 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,900 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. $54.00 PL N CHECK FEE TOTAL FEE $55.45 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY V ID ATED THIS IS YOUR PER/_MIT BLDG INSP. 6 pp7 SIGNATURE OF OWNER IIF OWNER BUILDERI (DATEI '&w [>q ADDN [ ] ` ALTER [ ] Construction Address: S'7//� Legal Description: LY R71 AND R-2 D ldiig Permit Application VA st� rv. 5 I'd/. Effective 5/1/88 J Wier Name & Address:,l0 l 0z,%s i14 GLg lin W • Efrc/�,h�l h1 Tel. # s 7 Contractor: �y n Y - n S�[�eT� # ' 7 S5WS Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVIM AREA: length Width AREA: Length Width DECK AREA: Length Width I 'CYPHER: Height Height Hgt/Grazwl ^-- Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [A Ft. Yd Setback Side Yard Setbacks = Oaf of Construction: _%fn51 &Pok, Estimated Cost: $ Y2G 4t►�j Approx. ;mpletion Date: J tee, / CjF Proposed Driveway Width If New Opening Is Desired: Ft. $ $ ,/ / 11 'dth + 6' See Back Page DATE: 7 /-� ! APPISC�NT: JJ Tel. # s l l - 3S61)01 i Permit Fee $ State Surcharge I . q'S SAC Omrge $ Driveway Fsarow Park Fee $ Sewer Main Charge $ s SSAS sTIPULATIC NS : QTY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Detasmired4W Engineering AAr&mentjKeoessarX [ l Not Necessary [ ] 2560 ao a 1 X 9 J. H A L U M kc Y_ G, go v SCLF CLoS�N� gate 2X6 81 2}((0 :To i S -r an SF Att '4 X 4 PO5-r pia L... �O�S� S k, floor S �.Z-.C, / Q S7 .i f Y , i � J a// aroAnk jj�e6 lm , 5 r- v U,n 2pt- ((, IL -✓i.64 G��Cy 011 SUBJECT PE City of Fridley 2 AT THE TOP OF THE TWINS BUILDING PERMIT r NO. L------ COMMUNITY DEVELOPMENT DIV -% r PROTECTIVE INSPECTION SEC. ,;/ NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/30/97 JOB ADDRESS 5916 7 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 5 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shirleen Plantage 5916 7 Street NE 572-9704 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Steven R Lee Contr. 9465 Irving Ave N, Brooklyn Park MN 55444 424-1198 5758 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 House & Garage (27 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 $2,227 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- $74.75 Fire SC $2.23 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $83.09 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY A IDATED THIS IS UR PERMIT 1 BLO INSP PATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI 011 NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION�3 ConstructionAddress: Legal Description: Owner Name &Address: ��Q fi� Tel. # Contractor: �%—e ,, ems, /Z_ MN LICENSE # Address: Z ,Vf,_f— � ,f , v 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: /— QL 7 Construction Type: Estimated Cost: $ vZ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: — 9IPPLICANT: CITY USE ONLY Permit Fee $ °�� , S Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ f / % $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ y() $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 [ J Not Necessary j ] TOTAL $ 83_ Q STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE 0 Fridley, MN 55432 ° APPLICATION FOR PLUM 572-3604 MARK NUMBER OF FIXTURES TO BE I Wash Drink PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ 4 JOB The spec and and - Owner Bu PLY M SIGNI Ap Effective On January 1, 1997 1S FITTING PERMIT EACH FLOOR tct Auto. Ga: Gas sri>s Washer 'Aaat << Ran Water Heater Gas Elec eby makes application for a permit for the work herein ado all work in strict accordance with the city codes iilding Division, and hereby declares that all the facts t., stated in this application are true and correct. % .1998 PERMIT NO. /43o2 7 MR. ROOTER OF ANOKA COUNTY u Y 6 -25A -Indust . Ave N #144 Ramsey, MNTEL 303 _12 _1 644g421 -6198 -FAX � �, �� a) RoN_ /P 6e, a ugh -4n Date Final Date "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A)6=A. MINIMUM SIZE 9 SO INCHES. r ' SUBJECT ER City of Fridley 27185 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8 14 98 / / JOB ADDRESS 5916 7 St I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 5 Bonny SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shirle Plantae 572-9704 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Steven R Lee 9465 Irving Ave Brooklyn Park 424-1198 5758 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 ❑ ADDITION ❑ ALTERATION $R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 27 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2251 $1.12 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. $74.75 Fire SC $2.25 PLAN CHECK FEE TOTAL E =nzw::5� ;41 icense 5.00 8 12 SIGNATURE OF CON TRACTOR OR AUTHORIZED AGENT IDATEI P OPE ALIDA ED $ I$Y UR PERMIT BL NSP SATE S,GNATURE OF OWNER of OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION (� a (� ConstructionAddress: )0 ;�;' %- J Legal Description: Owner Name & Address: S/7 Tel. Contractor: ,�'�-e_��, < MN LICENSE # Address:�� , Y- v 2. �v� ,�l ��o %C/�,, 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: Construction Type: 7--e-&-` 2,2�,- -4- Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ ME DATE: / % � J APPLICANT: - Tel. # CITY USE ONLY Permit Fee $ S Fee Schedule on Reverse Side Fire Surcharge $ �.�� .001 of Permit Valuation (1/10th%) State Surcharge $ /,(.2- $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ - 0D $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 $ S STIPULATIONS: PLUMBING Permit No. Building Received BY: Inspections RESIDENTIAL APPLICATION Da ' 763-572-3604 CI'T'Y OF FRIDLEY DATE Ll „ , (� YOUR E-MAIL ADDRESS w) SITE ADDRESS J50 1 THIS APPLICANT IS: 0 OWNER `CONTRACTOR PROPERTY NAME: STA' ADDRESS: OWNER/ CITY TENANT ..,.�,.,. -ill„ 2 ' �%7 ('A— CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # Champion (p (1 % ®XPDATE 2� STATE ZIP ADDRESS: 651-365-1340 CITY YOUR STATE 0 FAX LICENSE WITH PHONE APPLICATION ° PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY D TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK 0, whichever's greater, for the PER MS 16B.665 the permit fee is a minim amesidentialof 0 or 5% of the total fixture� excluding theost uP fixtures (SThisshould reflect only the cost of labor ) improvement, installation or replacement of Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05= KATE TOTAL FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: RM NUMBER OF EACH BELOW) SHOWER —WATER PIPING _ BATH SINKILAV —FLOOR DRAINS — SSG POOL — WATER SOFTNER ($35) BATHTUB —GAS PIPING (mm cn7uCE 0 — WATER CLOSET —BACKFLOW PREY. ($15) _ _ CLOTHES WASHER — KITCHEN SINK WATER HEATER ($35) FOR IRRIGATION DISHWASHER — LAUNDRY TRAY WATER METER —OTHER .__ . s Number $ � of fixtures @ $10.00 x $10.00 = $ � ....' Permit Fee SU Number of fixtures @ $15.00 x $15.00 = $ Surchar a Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ �— O State Surcharge = $ 50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL- PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in t I s is conformance with the ordinances and codes of the City andoof Fs not to ridley d witrt withoh the ut Minnesota perm; that the wonstructiork `v 11 be in accordance withlthe not a permit but only an application rape rt approved pian in the case of all wo uview and approval of plans. SIGNATURE OF APPLICANT ' PRINT NAME A City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ��`��