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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 3304 - . -24<14 Date: ........................ Owner ....................................... Builder ..... ... ... ..... ..... ........ Address...................................... Address ............. ............................... 1"'o Q�LOCATION OF BUILDING No. ............ Street.!.:.e........................... Part of Lot � r Lot ... s3'..... Block ................ Addition or Sub -Division " Corner Lot Inside Lot ...... t!�... Setback .. S .... Sideyard . �o . ...'S.. �..`5.�. ! ....... DESCRIPTION 'p be Used as: fit/ � Depth .'� ................... ..... Front ...� y D ?� ... ............. Front ... Depth .MAV . . of Co c13 n ................... dist. Cost. J... GAN, i s OF BUILDING Height ..... Sq. Ft. ... G t o y Cu. FL/7/3 Height ..... arc• Sq. Ft. ........ Cu. Ft. -f!r®' ... v To be Completed ..............:.... v 11W �7 0 I FU "aw", V/A � a 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. � / p/VA � � e0 In consideration of the payment of a fee of $.a 5......, permit. is hereby granted to CA124'h ......................... to construct the building or addition as described above. This permfiis vArted 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. w ... Bid 4Hng Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, p mbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. " . - 9 a , Application for Power Plants and Healing, Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices AVO Aj PARTIAL RATE SCHEDULE Dept, of Bldgs. Phone SII 4-7470 11 GRAVITY WARM AIRS RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $�4� each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ • Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $ Each add. 200 sq. ft. IDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $�� r� -S GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ Z (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM ySee Fee Schedule VENTILATING SYSTEM ) $ ALTERATIONS & REPAIRS TOTAL FEEREMARKS t v' \V Location 46-18 4rl — % sr A/1 Z City of Fridley:. The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. �+ Fridley, Minn- /j - , .1954 Owner Al, d' &a, AGnos to n s %- - - - 195k Kind of Building Used as To be completed about Estimated Cost, $ Old -G Building Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, J-=.= ' No / ,Q Trade Name— Size No- G% S 1®® A✓ Capacity Sq. Ft. E.D.R /O%D, oD® BTU H.P. Total Connected Loa "� �'�nd of Fuel 46a.4) BURNER — Trade Name Size No Capacity Sq. Ft. EM.R BTU H.P. 11 POST 1M-8-58 v lA City of Fridley Application for Plumbing and Gas Fitting Permit DepL of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind. and Location of Fixtures Location i f Z Z `� _} ZFz `a� pp�Z UZ OS Z WATER HTR. �Z �a coo F N GAS El EC Base I 1st t 2nd 3rd 4th • Future Conaec3ton Openings Connected with New Fixture, Old Openings Sewer E] Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 f Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn- Owner --.� _�� • e �� _ -.a.: lg " Kind of Building��C. . Used as To be completed about��— Estimated Cost, $ AJ.. Old—New. Building Permit Business Phone Connection Permit No . ....................................................... '4159>11 1M-8-58 Water Sewer Meter Deposit z SUBJECT of Fridley ;PE?MICity 5 AT THE TOP OF THE TWINS BUILDING PERM I T RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r ( PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 8/15/80 JOB ADDRESS 6351 - 7th S t . N.E. 1 LEGAL LOT N0. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 15 3 Christie Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Walter Peterson, 6351 - 7th St. N.E., 55432 571-3677 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ktmlinger Construction, 17670 Blackfoot St., Anoka, 753-1964 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 ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 121x14' Porch, replace 2 existing windows, sheetrock and spray 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Frame 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 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 $6,000.00 3.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 36.00 STRUC ON OR THE P RFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 7 -- /6--g-0 9.00 $48.00 SIGNATURE OF CONTRACTOR OR AU76111DRIZED AGENT (DATE) _ WHEN PROPERLY VALID TED THIS IS YOUR P RMIT r BLDG )NSP DATE SIGNATURE OF OWNER OF OWNER BUILDERI (DATE) z CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) _ OWNER: e &UR _S1W ADDRESS: S'C ? �� �� A)TEL NO: � BUILDER:` fNl �V1 �,�y1SCTlB� ADDRESS: TEL NO: % 5-3 —116 Construction Location STREET NO: .,'3 57 I STREET: '� 'f'Vl �•1' r- LOT: S BLOCK: ADDITION:������ Cpc�P Corner Lot: Inside Lot: ✓' Setback: 3,51 Sideyards: �. Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. Q®.2 DESCRIPTIO14 OF CONSTRUCTION r i SGZ �t Front: 12- Depth: Height: l Square. Feet: %(® S/ Cubic Feet.: �kt2+2ec(c 4 SFront: Depth: Height: Square -Peet: Cubic Feet: Type of Construction: R A -m c Estimated Cost: $ moo To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Tae undersigned hereby makes application for a pez-mit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE: Stipulations: p�awil r. G X C = U-00 OC C1. oo . . 3,n`' E' 7 u s e CA i 'SCA r - a r FVI vFj 0 4 • M � P 070 W; N Op. I Q o fro % JQ W; SUBJECT PERMIT City of Fridley 18616 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. �y-------I INSPECTION SEC. 6 r � � PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY .j 612-571-3450 910-F15 8/22/86 JOB ADDRESS 6351 - 7th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walter Peterson 6351 - 7th.S.treet N.E. 571-3677 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Ave. N.E., Mpls. 55418 781-9548 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 7{ 8 DESCRIBE WORK Install aluminum siding & trim 9 CHANGE OF USE FROM TO STIPULATIONS 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 $4/000 $2.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $44.50 STRUCTION OR THE PERF MANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE V_t' $46.50 SI NATURE OF CONTRA OR OR AUTHORIZED AGENT IDA EI WHEN PROPERLY YALIDATED THIS IS YOUR PERMIT BLDG INSP 1 ) bATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW ADDN. [ ] [ ] City of Fridley Effective 4/1/86 �R-1 AND R-2 ALTER. I ] Building Permit Application Construction Address: 12 - Legal Description: Owner Name &Address: [, TAX f T &'.,zS d -J Tel. # 31. %7 Contractor: .�! fJt c-1`-,� .s ✓ o moi-' Tel. # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: S/-� e C."i 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 - Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback W Type of Construction: ��e��?a1^'2 it TLr\t2a Estimated Cost: $ Approx. Completion Date: � 6 �--"4 � Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ - $ See Back Page for Explanation DATE: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: Tel. J -7 —/ CITY USE ONLY $ /N SZ Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ cZ bo $.50/$1,000 Valuation $ $475 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary I ] Not Necessary [ ] Effective Date May 1, 1988 CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures S-5.00 $ a Future Fixtures Water $ 9 m A � $ 1.50 $ ro N a, r C A o 4 in $ 41a Blow off Basin W tr � $ Heater Catch Basin N ,A 0 $ �.�1 �� or 3p9 8 U �•�i O X $ 5.00 U W S 5.00 $ pM Water Treating' Appliance 0 N C q M O $ 5.00 8 Gas Range y $ 10.00 $ N it W -04 u $ 10.00 10 W W v► 3 w A of .4 w W itl u mm 3 o $ li o as lec It of Value of Fixture or Appliance $ y l 5'Lu State Surcharge $ .50 Reinspection Fee $ f�1 / 6. 5-0 ($15.00) 1st FEE $ 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (*) a New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures S-5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow off Basin $ 5.00 $ Catch Basin $ ,5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank S 5.00 $ Water Treating' Appliance $ 7.00 $ Hot Water Neater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) 3YPe $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ y l 5'Lu State Surcharge $ .50 Reinspection Fee $ f�1 / 6. 5-0 ($15.00) TOTAL FEE $ Job Address L 35/ 7 ,N'( Department of Buildings City of Fridley Tel. 1571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. I-.> 3/ ( Jq 3 , lg OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT / G./ -5 1 1-i-5 ESTIMATED COST VQQ " ov OLD - NEW BUILDING PERMIT NO. PERMIT NO. / / Company Signed ey 1,,�./Cl`�°-� Zc� Tel. No. 73z�- - !atl62g ROUGH INSP. to FINAL INSP. b�/'?r 1% tie APPROVAL FOR PERMIT !iINIMUN FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT P I City of Fridley 1 30227 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. i LV ��� ___ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f � � PROTECTIVE i A ��"" .. CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED BY -•-- L J` 612-571-3450 910-F15 9/16/99 10B ADDRESS 6351 7th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 15 3 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Anne Lilleskov 571-1898 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of MN 3118 Snelling Ave S M is MN 55406 721-6628 2179 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 O NEW ❑ ADDITION ❑ ALTERATION OK REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house and garage; Fascia and Trim; Reroof house and garage (24 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 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 $6,724 @ $3.36 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 $139.25 Fin SC $6.72 PLAN CHECK FE TO FEE Lice S 5,0 54.33 - SIGNATURE OF CON•AACTOR OR AUTHORIZED AGENT (DATE, Ize ENR VALI D THIS 1 `R PE MIT S-GNATURE OF OWNER,JF OWNER BUILDER. iDATE, .NSP rjArt x NEW + [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION0�,3 ConstructionAddress: Legal Description: Owner Name & Address: A1-� e- Lig/��e�/�o Tel. # 5-71-1f92 Contractor: /" &ne,-Lrt-e �� de- 1-21 MN LICENSE Address:.59 e Tel. # 7,� 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: onstruction Type: Sl�%n Estimated Cost: $ �& d? ip �f'l �.{ 0 q WC� vaf 5�� aG� (Fee Schedule on Back) 61 q.;74( Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Y -- P5 -7f APPLICANT: Tel. # *TOTAL $ STIPULATIONS: CITY USE ONLY Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ 7-a .001 of Permit Valuation (1/10th%) State Surcharge $ :. $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 5-, o o $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 [ ] *TOTAL $ STIPULATIONS: 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 f'so Stirs Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 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 $.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. JOB ADDR Effective On January 1, 2000 r+► 5mw NE OWNER A063 ULLESV.00 BUILDING USED AS ESTIMATED COST PERMIT N0. 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 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 1106 O HEATING CO P' Signed bb" ` TEL-°�''Z. Rough -In Date Final Date 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 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 combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion ail:,:d 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 1 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 Appliance #2 Type Appliance #3 Type Total Appliances _ BTU Input _ BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat 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: SUBJECT City of Fridley T�L"5�' AT THE TOP OF THE TWINS BUILDING PERMI T _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC, r I � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 12/7/01 / / JOB ADDRESS 6351 7th Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 3 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Anne Lilleskov, 6351 7th St, Fridley, MN 55432 763-571-1898 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Bisciglia Construction Co, 127 E County Rd C, Suite 3 Little Canada MN 55117 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 651-766-2511 1848 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Dwelling 7 CLASS OF WORK ❑ NEW Ck ADDITION j ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Kitchen remodeling and addition (18'6" X 6T); REMOVE EXISTING PORCH 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plans. 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. WARNING Before digging call for all utility locations 4540002 REOUIRCU BY LAW SEPARATE PERMITS ARE REOUIRED 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. r NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED MER R N TING OF A PERMIT $41,500.00 $20.75 DOES NOT PRESUME TO AU RI TO L E OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY MER E LOCA L REGULATING CON- '0OR T RF NCE F CO O $562.95 Fire SC $41.50 j PLAN CHECK FEE TOTA .FEE ��'� / $5-_DL ens 630.20 SI ATURE OFC NT ALTO R THORIZED AG T IDATEI HEN OP ALIDA THIS MIT ��_JJJRPMITlev _ INSP �IATt S-GNATURE OF OWNER of OWNER BUILDER1 IDATEI NEW [ ] ADDN [] ALTER [ ] Legal Description: /-) # to CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION -7't k Effective 1/1/2001 (763) 572-3604 Bldg Insp Tel. # 763-57/-/08 MN LICENSE # 1S `l8 Tel.# lvSl-7���54 R ' tm .ti. .�S/!,7 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT i a r LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: LeP#th Vkjrlth Hgt/Ground Sq. Ft OTHER: o , (. -tl,? ' ` _ _ - _ ✓/C%�V Construction Type: 1 4.,oOC-Zi-4,oO"7-"E,.s—timated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ to S/ DATE: 11--26-001 APPLICANT: Tel. # -255-42 96 ut% CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge 11fol n>A STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ .95 -Fee Schedule on Reverse Side $ 9/ , SO .001 of Permit Valuation (1/10th%) $ 90. 75- $.50/$1,000 Valuation $ $1150 per SAC Unit $ -'5, 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 [ ] $ 630 -aa aI 60'-0" - _ - - _ _ _ _ - - - - I \ I \ -mac t G r- 7 -Io 7 -Io G- ��av�a\� PPE 'tM4jExisting House r.v X Af sc E r {0Vm�e. jo oe,A.,. \, ------------3'-0" 12'-0" / Office/Den Remodeled Kitchen /o / FIII in floor to j make all same I D / level Imo' ------- Floor Plan Plan Date: 11-27-01 Drumm by and pmpefy of BW1111a Construction Co. No copies or reproduction writ1wW express permission from BWcW11a Construction Co. ---------------- ----------------------------------- U I� -- a-;' New Addition I _ (No Scale) -I B El I �- --- 1 W-6" Cut in new opening to Kitchen / / / 12'-0" Existing \ Garage \ / S*,so-•4G G Olo A` s io< < S l IV &Z•� 4ft at c�t junnl existing framing E L PLAN APPROVED / I SUBJECT Sp� ECT10N N --► ��r I BLDG INSPECTOR Kitchen Remodel & New Addition Anne LilleskovC32 ' 6351 7th St. N Fridley, Mn. 55 a q 60'-0" ---------------------- Existing --------------------- Existing House / I / I / I / / I / i I Existing I -------------3'_0' \ 9'-0�� \� Garage Dining I Kitchen,MM ` \ ` \ \ Step Down I \ \ \ Existing Floor Plan Plan Date: 11-27-01 (No Scale) Drawn by and property of BscigHa Construction Co. O No copies or reproduction without egress permission from BhrcigHa Construction Co. \ 3'-0" \ J. (Demo) Porch `\ ---------14�--------\� N --1 Anne Lilleskov 6351 7th St. NE Fridley, M n . 55432 I ` --------------- \I N --1 Anne Lilleskov 6351 7th St. NE Fridley, M n . 55432 7 X 4" CEILING JOISTS 24" O.C. R-38 CEILING INSULATION VAPOR BARRIER 5/8" DRYWALL CEILING a,rAP keg a �SaS.3 DOUBLE 2" X 6" TOP PLATE 512' WALL STUDS 16" O.C. 512' WALL INSULATION VAPOR BARRIER 12' DRYWALL 20 X 6" BOTTOM PLATE 3/4" T & G PLYWOOD FLOORING 1.5" Thermax w/R19 fiberglass batt Rim Insulation 12' ANCHOR BOLTS G O.C. 2"X6" TREATED SILL PLATE 6 MIL POLY MOISTURE BARRIER 1.5" Thermax RIGID INSULATION 4,vAp eOoa ASPHALT SHINGELS FELT PAPER ICE & WATER SHIELD 12' EXTERIOR SHEATHING 2° X 4" TRUSSES 24" O.C. 12 1" CONT. AIR SPACE 1" X 8" FASCIA ALUMINUM SOFFIT"� METAL LAP SIDING HOUSE WRAP (BUILDING PAPER) 12' EXTERIOR SHEATHING 2'X 8" FLOOR JOIST 16" O.C. 2"X8" RIM JOIST 12' EXTERIOR SHEATHING GRADE 8" CONCRETE BLOCK ' I 42" 8" X 20" CONT - CONCRETE FOOTING WITH 2-#4 RE BAR PLAN APPRO SUBJECT TO FIELD Cross Section Detail BLDG INSPECTOR I I of ---7S-O Lt)T /S rk a KAr 13Lo.(#P, 3 /0401 60-0 -Z i; - A -0 > # " 7t/ sr- v BALFANY CONSTRUCTION CO, I - 531d PjcLcG Na --2;-MNN k. I I of ---7S-O Lt)T /S rk a KAr 13Lo.(#P, 3 /0401 60-0 -Z i; - A -0 > # " 7t/ sr- v BALFANY CONSTRUCTION CO, I - 531d PjcLcG Na --2;-MNN CITY OF FRIDLEY INSPECTION 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 tin Jan 1, 1002 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** NO. RATE TOTAL 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 50 JOB ADDRESS (o .3.S_ 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. / - /V _,200-2-- Owner 2002_ Owner An L / le S �C o Building Used As Estimated Cost PERMIT NO. 3_3 PLUMBING COMPANY /"-/j SIGNED T TEL N0. Cz P - % 7_? S o FAX # 65T 1 — '73- 7Z /-6 Approved By Rough -In Date Final Date d �S 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 CnNNF .TnR AND nMRIURTInN AIR VFRIFI CATKIN When rp In arming an _misting Mran _ , 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 emiktang cnmb ,_conn air is sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When required to install a new cnmhustonn Mr. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new v _nting 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 BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date : Effective January 1, 2003 CITY aOF=,FRIDLEY INSPECTION DIVISION 6431 tlniversityAve NE t,$ s - b :;; �. � 43a..,, d . Etrt . a..•- �S } `- - :' Fridley;.�MN 55432 - � �` A FOR POWER PLANTSAND HEATING, COOLING, VENTILATION;1 � w �� °4, APPLICATION; F r a- (763�572-3604= r::: :;� , �� ,; REFRIGERATION AND AIR,CONDITIONINGzSYSTEMS'AND DEVICES :. FAX 53) 571-187 ,.; 7,�: s .:. ��-�ti;.� ";� J OB ADDRESS RATE C L y. Tz Residential r - `Rate` TOTAL :Furnace She and Df7cWork^ B me �- - ;' LDINJSEDAS Y _ a r„cam a � ;.d� . +� =� Also^Re lacemen Furnace:, 3 00 - �' (Sale), rite !IUOutBack[.. STINIATEO.COST ;PERMIT 0: . , ,a 9s'�- ... ' • -::. j FIM- -"k> -.-Yo _" G[l _ _ _ . . N GasdPi 'Ing Needed witi: ne�rafurnace�” t: _ lti 00'$ '' i r ...�' cam-_ E3 ,: t �, .Y, t no re � ce en - "` = r DESCRIPTION O FURNACEaAND ORB RN R Ga anQe ., ,.. r. .,: 10.00 w€ , jG d: F_ a* . , y .� of H'n Circled n tea ot'W ter a y a ,6 )�:(W m Air) r Gad er _ 10 00 `" ode Na a -aT .•- : Size, ,- ,.BTU HP ED y f. +" + vim- F -w .m . t _ ._ � �v ". :: c, Aic ondifio 'in tiS�zes = 25 00 uel Total Cone ed _ $ � as -:. y.t t .PS * - * a_ ; AIGEhers/R sidcA ratr ns LIS ON QAC -� �rner Tri Size No. r l of Value ofaheg'o W rk . = r-- _� a BTU �E Hfz' p! 1h k $ EDR E a ` Com' ercialndustr�als.': �? e 1 c of V e:,o plianc or�IVork. $ undersagnedhereby.mak ap�icetiiin for a pe it for the wor�('_herein r �. ecified; reels gw oodo al[ work A- or an with the C Codes,an _ p ag - ty Surcharges $ `' § .5`� julings of he:B ildirt Divisio 'and he eG�r decjares hat all the fac`s and r a` re rese p ntaEions i to in this 1 cati n• are true an t correct. . TOTAL FEE . _ ATE >� - _ - M NIMUM FE FOR A Y HEATI COO IN NE ILATION HEA' REFR GERATION/AIR CONDITIONING PERMIT IS $25.00 PLUSITHE $ 50 STATE,SURCHARGE A', - - -� FAX" 6 REI( SPECTION FEE $4-..00/Hr, !Air Conditioners cannot be placed in a side yard without Approved By Rough -In Date- y Final Date d written permission from adjoining property owner.. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE � •i ry" '9 �Q..it s'yc .1� t'k � �qr, c.L,. `3"..yl trl�: �j� ;$.� `kl ;nt THE ,BELOW MUSTE.FILLE4 IN WHEIY� RERLACIN6 FUEL PPRNiNG APPLIANCES OR THE ;P APPLICATION WILL` lBE RET_IJRNED, iia sdJ w eJ3 A i., 4B s`�MMON NT_ CA VENT CnNNECT(�R_ `ANn-cnMRI IS f)N AILl R V RIFT .ATIDN "� r - a • - , � �; .k,. � : � ; x t;:; ,err � � ; . . ,', A �{ � S� j" When �placinp an AYistinQ ,the undersigned hereby„verifies that the venting has beefi exam ned and.Is,free from rusipdete joi ton .o' structions ;and is securely a apported a�ld;firestopped where” quiree: `� Ye W.R N01 �; r pc, +a 6, .fir r�ra 1� •a�Sf }"�1 g r 7 The venting system is plasticlPVC and meets all current codes and manufacturer �v ,� ;specifications including sing; leng{h, number of elbows and termination, Yes'No O The undersigned also verifies that the replacement unifIs a listed assembly, and meets the current codes and manufacturer's specifications. This dyes include AGA-GAMA Category I Central Furnace Venti+,ti g Tables for fano t � assisted and natural draft appliances,- a° Yesi4,4"N o O F The exreiina rnmhtjsfinn Sir is�sized�and installed to,meeithe current codes - and Tanudacturees specifications: t Yes:( No ( ) ca c 6 0 r ew _em6 sties air. will be sized and installed When. required to Incid 9 n to meet the current codes and manufacturer's specifications. y�. r Yes O No( When Inntallinganow venNng3uet`m, the unde�'ssigned hereby verifies that it Is alisted assembly and meets the current 4odesf and manufacturer's specifications. This does Include AGA-GAMA Category I Central Fumaoe Venting Tables for fan assisted and natural draft appliances. Yes (-j"No ( ) Is the common vent and vent.connectors_sized,and installed correctly after -, z an appliance has been removgd from the Com onventand vented separately as per currentcYes Nodes. _ .F• �I .,Y (o () � �' "� ' pp i 9 ° =BTU Input �rFa Assisted or Nat Appliance #2 Type r rr x *BTU IPput I aFan Assisted or Nati Appliance, #3 Type i ► t <i $TUInputs ;,Fan Assisted or Nat t Total Appliances ° ! � ,Total Btu In Common Vent Type f l a " Vent HeightC;piameter inches i �? k Appliance #1 Vent Connector Height ft Lepngth i I ft Diameter 1 in Type Appliance #2 Vent Connector Height ,il- igth i I ft Dlalneter� : In Typie I V s Appliance #3 Vent Connector Height. ft Le gth Diameterin Type N , +.+ 'i'a •�� ,fir, r`� a r a', F•. a _ ALTFRATI �q N I HEATING CO: � " ' Signed By: ! f Pate: ra ?, r Z t IF Building OCCUPANCY TYPE BUILDING $ A? 37, a Permit No.—� Plan Review $ 65% of Building Permit Fee Surcharge $ 7-00 Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By: 7�5- 763-572-3604 $ 5.06 CITY OF FRIDLEY Date Rec'd: DATE 0 lS! YOUR E-MAIL ADDRESS , O FA -e- -% • CQVYI SITE ADDRESS U -3-571-7J4, 3S1— 'r' $ THIS APPLICANT IS: ❑ OWNER ACONTRACTOR $ PROPERTY OWNER/ NAME: Y1f1-e. L; +-estoo $ TENANT ADDRESS: -11 CITY — Agreement necessary ( ) Non Necessary ( ) STATE -ZIP -PHONE: $ &10 3 . a S CONTRACTOR NAME:_ RENEWAL BY ANDERSEN SUBMIT A COPY OF STATE LICE 1920 COUNTY RD. "C" WEST YOUR STATE LICENSE ADDRESS:_ ROSEVILLE, AIN 55113 CITY STATE ZIP WITH APPLICATION PHOS 651-264-4777 El �Z0 LICENSE #20130983 PROPERTY TYPE F� PERMIT TYPE I?ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWMvIWG POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE SIZE OF RAPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMTT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ I `I OCCUPANCY TYPE Permit Fee $ A? 37, a See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ 7-00 (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ t -j, 0 p .001 x Permit Valuation (1/10%) License Surcharge $ 5.06 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ &10 3 . a S Make checks Davable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicatio r a permit d 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 w ' h r quire ew and approval of plans. �� � ��rn ^, .n.1�� SIGNATURE OF APPLICANT N (/1 S ATE i u Building BUILDING Permit No.V:W2009 Inspections RESIDENTIAL APPLICATION Received B763-572-3604 CITY OF FRIDLEY Datt ' 763-502-49//77 FAX EFFECTIVE EFFECTIVE 1-1-09 DATE © !Ol L YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER *ONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: (Ti-Q/t/,S 0 c ,,y -S SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE# EXP DATE AND CERTIFICATE OF ADDRESS: ,l p�'yJc� C�� r�/t/J `� CITY t /%tti4 STA ZIP INSURANCE PHONE J{ �� `% a D �/C FAX PROPERTY TYPE JdSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK 1OSIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ,DIMAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: A -2 cS d - - ( S/ J7 eV1 0 -P SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES RIHOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES frATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: jd(Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ppg1SI! THE 1997 U.B.0 FEE SCHEDULE) AL JOB VALUATION $ b !D OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of �9lpwrlk w 'c a ire 1 iew a approval of pl s. ,%�/ t� SIGNATURE OF APPLICANT.��F " — � � / PRINT NAME ��5 �� ic- LtN� DATE FEB -03-2010 01:33 RM STANDARD WATER CONTROL 763 537 1882 -ftz P i Building B UlLD1NCT r .111B . INV.. uu �>sv Inspections RESIDENTIAL APPLICATION Received 763-572-3604 CITY OF I+ RIDLEY Date s: FEB 20 DATE YOUR WMAIL ADDRESS .0005 x Permit Valuation Minimum $.50 SITE ADDWS r' - THIS APPLICANT IS: ❑ OWNER fltOTRAdr I OR S PROMP.TY 0WNER1 ppm; _ TENANT ADM SS: -52 W f; CITY STATI~— M $450 ConwYation flan Review PHONE: $ CONTRACTOR NAME: -4*M1d rd $ SusmrT A COPY OF STATE UCENSE # I.5' �, EoXP DATE w ,j4:$ $ i YOUR STATE LICENSE ADDRESS, ei � ,�(� CiTY STATB�A' �� Wl'I'II APPLICATION PHONE - F PROPERTY TYPE ❑ SINGLE FAMMYMEW CO SMU ON 512 ❑ TWO FAMI.YI NEW CONSTRIIC,' 10I STORM PEIYIVIIT TYPE C3 ADDI'ITOIN to GAiiAORMIED 13VnNWWS a pASM&NT FINISH l7 ROOF C] DRAIN TILT ❑ DECK ® 91DING OOT R C1 SWI)CAdNG POOL TYPE OF WORK: TNEW C4ADDTTION O Q MODELING DESCRIBE WORK BEING DONE: S1EE Of IIVIPROVEIv> NT L NGTH W11TH HmCrur Sq. Ft, HOUSE CKY NIAMER Ott SQUARES ❑ HOUSE & OARAGE HASIF1utM_Rt1tCtbE20 SUBMIT.- I. MCWT Plan Qxhm O AT TAC3ISD GARAGE 2. p ra�8 floor Phn PROPOSED SIZE: ❑ DETACHED GARAGE 3. Listfa amw0ual membm to be used PROP090 HEIGHT: � FOR NEW CONSTRUCTION INCLUDING DECKS. ROW D9om a= =. & PORCHES SUBMIT: EI Aluminum O Thro l . Site Plant9mvey showing the adsting strum es ❑ Other Cl Fascia and pursed prgem 2. Two sets of OMVUt uoo Plans WQNDOWg 3. $aNgy Celcolodona IN waSTIING OFMIONGS ❑Yrs 13No LAXATION OF Vii NZOWS OR FOX NEW OPENINGS-DESCRME SIZE OF OPENNG CHANGES & TYPE OF Vn NDOW TO M INSTAU.ED NUUM OF WINDOWS ALL FEES ARE BASED ON YALUA MIN, awti. LUJUtr U I rM UU31 ur AL imMar ,C19LAM ua: (USING THE i9P7'' 11JLC FEE SCHEDULE) Permit Fee $ See Sack page for Fee Schedule Plan Rt view $ 65% of Building Permit Fee Fire Surcharge $ 001 times the total job valuation Surabarge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ L-) $5.00 (State Licensed Residential -Contractors) SAC Charge S $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ tt + 6 ft = ft x $21= $ Erosion Control $ $450 ConwYation flan Review Parr Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) . Non Nacessary ( ) Total Ane $ i Make checks payable to: City sof Fridley AAttm THIS IS AN APPLICAT" FOR A PONIT--NOT VALID UNTIL PROCESSED 1 hereby apply for a building permit and 1 acknowledge chat the mforrn&on above is complete and accurate; that the work will be in confomaance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that l understand this :is not a permit but only an application for a permit and work is wt to start without a permit; that the work will be in accordance with the approved plan in the case of all work which t>ire m ia7?nd approW of plans. SIGNATURE OF APPLICANT PRINT NAME " nA