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PRE 2010 DOCS0 ! City of Fridley, -Minn. BUILDING PERMIT N® 3621 Date: ........ Owner ....................................... Builder ...� ...............^. /��!�r:':.�. Address ...................................... Address .......... ............................... �,� LOCATIOfN OF BUILDING . No..Yr'.1. �.. Street ... � ,.�. � (. ........... Part of Lot � .. .. .fix. Lot ... �.�.... Block .....1........... Addition or Sub -Division .. P .�.., .. Corner Lot ............ Inside Lot . %C ......... Setback .�....... Sideyard............. . DESCRIPTION OF BUILDING To be Used as: v rr . ..... Front .� Depth : m. Height /' VSq. Ft. W" Cu. F't.41 .v?F'*7 .................... Front ........ Depth ..........�/ Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction ................... Bat. Cost. To be Completed .................... 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. Y.............. :................................... alp 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _-I .....4 Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspeahor for separate permits for these Items. City of Fridley, Minn. BUILDING PERMIT N° 7144 Date:7-6 6' V C ZOwner: 4,1- ` � � Builder L Address Address LO TION OF BUILDING No. -��'/-"Street "� z _Part of Lot Lot _ _ _ Block Addition or Sub -Division _ Corner Lot — Inside Lot —. `®a Fotback 19 -,Sideyard Sewer Elevation Fo dation Elevation DESCRIPTION OF BUILDING T v �- Front DL�L Depth Height Sq. Ft. Jit Cu. F't`e� .� rFro, Depth Height _..._ Sq. Ft. Cu. F't. Type of ConstructiFast. _ __ To be Completed In consideration of the issuance to me of a permit to construct buildffi des cr bov I agree to do the proposed work in accordance with the description above setfo and in pli a th ,,dll provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of It ,permit is hereby granted to— to oto 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 pari thereof, shall conform in all respects to the ordinances of 7Fridley, Minnesota reg location, construction, alteration, maintenance, repair and moving of buildings whin the dty limits and permit may be revoked at any time upon violation of any of the provisions of said inaao�. /V sr Building Inspector NOTICE This perndt does not sever the eenstructTen, hatallaMon for whtng, Plumbing, gas hwitng, sewer or water. Be sms to we the Building Tespecter for separate permhs for thea items, APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ° S NAME L4am� BUILDER ADDRESS - -�fa ADDRESS S° LOCATION OF BUILDING No. 0 "� �� _Street Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION. FOUNDATION ELEVATION Part of Lot Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING t Height < e�) ' Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed 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 declare t all the facts and representations stated in this application are true and c rect. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). R!a City of Fridley Application for Plumbing and Gas Fitting Penna -- Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Lowiio 6120 — 7th Street N.E. Number. Kind and Location of Fixtures " PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg . ............ GAS FITTING FEES: NO. RATE TOTAL ; x $1.50 $ 1e50 x 1.20 $ x 1.00 $ 3.00 x 3.25 $ x 2.00 $ x 3.25 $ 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 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. Au Fridley, Minn gust ' 1964 Owner American Uilders Kind of Building Frame Used as Ioellim To be completed about Sept. 13y1964 Estimated Cost, $ 260, 00. rOld Ngv. Building Permit No �4 Permit No. Signe ;By Busirl., Phone No We c 35" ROUGH 1 `' FINAL Description .............................$ 4*50 TOTAL FEE $ 42 2M 7-49 y. Z w Z • • WATER HTR. 2 03�0� acO ii c S< 3 C�9 •d t�'1 a� �U' O F N GAS ELEG 3d Base 11 Il 11 1st 2nd R1 _ 3rd _ 4th • Future Connection Openings Connected with Sewer � New .Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg . ............ GAS FITTING FEES: NO. RATE TOTAL ; x $1.50 $ 1e50 x 1.20 $ x 1.00 $ 3.00 x 3.25 $ x 2.00 $ x 3.25 $ 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 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. Au Fridley, Minn gust ' 1964 Owner American Uilders Kind of Building Frame Used as Ioellim To be completed about Sept. 13y1964 Estimated Cost, $ 260, 00. rOld Ngv. Building Permit No �4 Permit No. Signe ;By Busirl., Phone No We c 35" ROUGH 1 `' FINAL Description .............................$ 4*50 TOTAL FEE $ 42 2M 7-49 0 City of Fridley, Minn. BUILDING PERMIT Date: - June 1,x0 1265 �7 N° '7705 Owner: Arnold, Rune Builder American Builders: Inc. Address 6128 7th. Street N. E. Address 515 W. o dya LOCATION OF BUILDING No. 6120 Street 7th Street N. E. part of Lot Lot 17 _ Block 1 Addition or Sub -Division UR Ands lat. Addition Corner Lot Inside Lot Setback Sideyard Sewer Elevation To be Used as: Type of Construction Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. n Front Depth Height Sq. Ft. Cu. Ft. Est. Cost 000.00 __ To be Completed • Storm Damage Repair Pi In consideration of the issuance to me of a permit to construct the b des above I agree to do =Poi work in accordance with the description above set fo and in, a'll provisions of ordinances of the city of Fridley. In camaideration of the payment of a fee of $-I=-, permit is hereby granted to AMMC N 131AD-IM e s W to construct the building or addition as described above. This permit is granted -upon the express condition that the person to whom it is granted and his agents, employees and workmen, in aII work done in, around asci upon said building, or any part thereof, shall conform in aII respects to the ordinances of Fridley, Minnesota regarding location, cwnstru on, alteral3on, maintenaace, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the Provisions of safd ordinances LUM Jensen Building Inspector NOTICE: Yids permit does net carer the censtruethm, hotalhMien for whdna, phmnhim an heathi& sewer es water. so suns to sea the Boihiins lespwar for separate permBs for than Nems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S' NAM BUILDER ADDRESS.-- 1 1,o -..71 )N e— ADDRESS LOCATION OF BUILDING No. b 1 `L 0 _ Z 'ra Street Part of Lots_ LOT BLOCKADDITMON OR SUBDIVISION Corner Lot Inside. LOT Setback Side, -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this -form Two Certificates of Survey of Lo and proposed building location drawn on these Certificates. To be. used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq, Ft. Cu. Ft. Type of Construction Estimated Cost To be completed The. undersigned. hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of. the Department of Buildings, and.hereby declares that all the facts and representatibns-stated in this a$pliCation are true and correct. DATE SIGNATURE (Schedule of Fee Costs can be found on"the Reverse.Side). /J_ Zt1ZSL CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 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 Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 20.00 $ Gas Piping (Nbeded with new furnace) $10.00 $ Gas Range $10.00 $ Gas Dryer $ 10.00 $ Air Conditioning - All Sizes $10.00 $--LP • -'10 All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ 4 Commercial/industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ - . sP MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS 4 / 1 L) %ak /%L The undersigned hereby makes app kation for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. /'I- / x ,1991 BUILDING USED AS ESTIMATED COST 40111 " PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Urfts l Circle One (Steam) (Hot Water (Warm Air Trade Name 4e Size No. - BTU_ HP EDR Fuel Total Connected Load Berner Trade Nameo/Ce , Size No. BTU HP EDR V 10% � HEATING COMPANY r, r'^ ^�w:^cr:,rao co. M44WEAP11S, r.9"rd 5542D Signed B ei�lo. �°� / -5;g®o Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 41/6 e -L- CHIMNEY AND STACK VERIFICATION TOTAL BTU's 70" 606 Remarks List Alterations Being Done: HEATING COMPANY Signed By Date � v Fls,ii;,;w E P"1 CMIDMIONING CO. �e�F S0. MN 55420 8,, kooa The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes No ( ) 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes (/.Y No ( j 4. Is securely supported Yes (LY' No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (%� No ( ) t. Has total heating BTU's of G CC, a All other BTU's d r 01D(-) TOTAL BTU's 70" 606 Remarks List Alterations Being Done: HEATING COMPANY Signed By Date � v Fls,ii;,;w E P"1 CMIDMIONING CO. �e�F S0. MN 55420 8,, kooa SUBJECT P NO,_ ' -- City of Fridley 2.77.9 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ ~ PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/8/94 JOB ADDRESS 6120 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 1 Upland 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Waldhauser 6120 7 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lamere Construction 714 18.1/2 Ave NE, M ls., MN 55418 788-72ZI 3588 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 C� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 19' x 24' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS I GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,688 83-94 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $99.00 Fire SC $7.69. STRUCT ON OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE f License SC $5.00 $115.53 SIG14iTUIAL61fCONTRACTOR OR AUTHORIZED AGENT IDA%) W PRMRLY, LIDATED THIS IS YOUR PERMIT t-t 81DG )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Addre, Legal Description: P Effective l/i/94 Owner Name & Address: Contractor: Z -n Address: l I `k-- / �t� l Tel. # Gp�S s �P MN LICENSE #_ :3 S__b5 �U� - _�A' E, ) Attach to this applicatidn, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # -796 —7Z 7,!-!> LIVING AREA: Length Width_ Height Sq. Ft. GARAGE AREA: Length' Width Height Sq. Ft. J-:� DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: /9 Comer Lot [ ] Inside Lot 14 Ft. Yd Setback jD 't• Side Yard Setbacks �o Type of Construction:Xt,�!'f�l ('��, Estimated Cost: $ SOD — Approx. Completion Date: Ib— ) —% 7 W,16 (Cost on Back) Driveway Cqrb Cut Width Needed: Ft. + 6 Ft = Ft x $ - $ DATE: % APPLICANT: Tel. # CITY USE ONLY Permit Fee $ , �i � ;'o Fee Schedule on Reverse Side Fire Surcharge $ %, % .001 of Permit Valuation (1/10th%) State Surcharge $3.A� $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ CO $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 STIPULATIONS: q �i 4 t I. n /, o4 46 — 3S —� c ro LL! pLn 7 r r, ,�Y a4 F4t�t L K.,Twa y4k� SUBJECT IM MIT NO. City of Fraley 26270 )1 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV.�� _ v PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/17/98 JOB ADDRESS 6120 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 1 Upland 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Waldhauser 6120 7 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. All American Roofing 4112 97 Ln NE Circle Pines MN 55014 786-6676 5160 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 ❑_ REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (29 S) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 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 $2,418 $1.21 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 $2.42 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $83.38 SIGNATURE OF CONTRACTOR OR AUTHORIZEDAGENT IDATEI WHEN PROPER ALIDATED THIS IS YOUR PERMIT Bkoc �. rjATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI '' NEW [ ] Effective 1/1/98 ADIJN [ ] CITY OF FRIDLEY ' ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION a� ConstructionAddress: 6 (.")o ` Legal Description: Owner Name & Address: Tel. # Contractor: 4L l,�, knee OU e ' MN LICENSE# 6-160 Address: 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: Left9tt Width Hgt/Ground Sq. Ft. OTHER: n- la S,,'-77 ��R ����� 0 c l Construction Type: Estimated Cost: $ e C 4/00 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: W/.3 APPLICANT: J i��S f �l f S Tel. # CITY USE ONLY Permit Fee $ C `7- Fee Schedule on Reverse Side Fire Surcharge $ ��� .001 of Permit Valuation (1/10th%) State Surcharge $ , ��, / $.50/$1,000 Valuation SAC Charge $ $1000 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 $ STIPULATIONS: SUBJEtT I FI -' City of Fridley 30772 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � • _____ COMMUNITY DEVELOPMENT DIV. LV INSPECTION SEC. 0001-77&t f PROTECTIVE 1 =� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY fir--'% L 612-571-3450 910-FlS 3/29/00 JOB ADDRESS 6120 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 17 1 Upland 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry/Marie Waldhauser 6120 7 Street NE 571-3069 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Landa Construction 2108 S Ham Lake Dr, Ham Lake, MN 55304 434-4169 8013 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 O ALTERATION &I REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 S0. 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $6 996 I $3.50 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- $139.25 Fi SC $6.99 RUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK F TOT L FEE Lice e C $5.0 $154.74 SIGNATURE ONTRACTOR OR AUTHORIZED AGENT IDATEI HERO ID HIS IS UR PERMIT���r///) 84G INSP %LV -- vV GATE SIGNATURE OF OVYNERIIF OWNER BUILDERI IDATEI NEW I l Effective 1/1/2000 ADDN I l CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name &Address:�ri�/,��^�� Tel. # Contractor: 2-t & 7`s MN LICENSE # �al� Address:_ 2r S'� fi m .�-7r Z30 �/ Tel. # ( `por bl-d E 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: p -r s., �� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: ��C APPLICANT: a Tel. CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ %io?S r Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ d3. $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1100 per SAC Unit $ �S- 00 $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 [ ] $ /��' 2 Building PLUMBING Permit No. - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Imp' 763-502-4977 FAX EFFECTIVE 1-1-08 DATE / V YOUR E-MAIL ADDRESS SITE ADDRESS �' ` a t4 $ ;UF- JETHIS THISAPPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY NAME: L A .2 2 (<G` �► L A Hy c c S ADDRESS: , a p `7 9'-!-- Sr /Uf CITY F4 •5 L .S y STATE ` ZIP S s38 OWNER/ TENANT PHONE: 3 - V NAME: CONTRACTOR SUBMIT A COPY OF YOUR STATE STATE LICENSE # Terry Overacker Plumbing, Inc. _ EXP DATE LICENSE, BOND AND STATE BOND # 502 E Main Street -EXP DATE CERTIFICATE, OF ADDRESS: Anoka, MN 55303 STATE ZIP INSURANCE PHONE PERMIT TYPE &SINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW )a REPLACEMENT DETAILED DESCRIPTION OF WORK AKA_ ^- PER MS 1613.665 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 = plus .50 surcharge .0 FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10000 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. BATH SINKILAV DRAINS SHOWER _WATER PIPING _ _FLOOR _ _ BATHTUB —GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) BACKFLOW PREY. ($15) _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _, DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER Permit Fee $ _ is 00 Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 _ (MINIMUM $15.50) 5.g� (MINIMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. r �" /e" /c ¢� `' °J DATE SIGNATURE OF APPLICANT uw PRINT NAME DATE APPROVED BY iluo ;,i 4 L + City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977