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PRE 2010 DOCS0 City of Fridley, Minn. • BUILDING PERMIT N° 3.411 Date: ... 47— ... 3. 0...r ..`..r ...... Owner....................................... Builder ............... Address ...................................... Address ............................................. //�� /� �% LOCATION OF BUILDING No. dA e . % Q. Street ..... !. .................. Part of Lot .//.��.__..66.__....L.... .......... Lot ..... Block .....3 ........... Addition or Sub-DivisioniGCP..1�"�. .. !� . 19 Corner Lot ............ Inside Lot .X ........ Setback,3,1.7. ®r I Sideyard .. /0. e . Q................. DESCRIPTION OF BUILDING To be U .... Dont V7.9' Depth ,S:: fa Height .197:0 Sq. Ft. e6Y Cu. Ft.4 .. 0.. .................... Front ........ Depth ........ Height ........ Sq. Ft......... Cu. Ft. Type of Construction ................... Not. Cost..................... To be Completed ..............:.... In consideration of the issuance to me of a permit to construct the building desribgd above, I agree to do the proposed work in accordance with the description above set for"t7ompl� i ice with all provisions of ordinances of the city of Fridley. / �/ // .. .i....../F ............................. In consideration of the payment of a fee of $.f..�=. 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 y� 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. �- t4 r f. ,/. ! 1 W. ...... 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 Inspector for separate permits for these Item& • City of Fridley, Minn. BUR DING PERMIT Date: July 19, 1965 Ne 8222 Owner: L&W ETLICHER Bider KEEMIT A. HILL CONST Address 6870 - 7th Street N_ E. Address 3027 -Morgan Avenue North Fridley, Minnesota Minneapolis, Minnesota LOCATION OF BUILDING No. 6870 Street 7th STREET N. E. Part of Lot Lot 22 _ Block _ 3 Addition or Sub -Division RC. Terrace Plat 7 Corner Lot _ Inside Lot Sewer Elevation Setback Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: New A,tt. Garage Front 201 Depth 231 Height 101 Sq. Ft. 460 cu.. Ft. 4,9600 Front Depth freight sq. Ft. Cu. Ft. Type of Construction Frmae Est. Cost $1,800.00 To be Completed Qct. 1, 1965 ATTACHED GARAGE In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and In compliance with a'li provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of 5.00 , permit is hereby granted to LARRY ETUCHER to construct the building or addition as described above. This permit is grahted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. RL ro�md aad upon said building, or any part thereof, shall conform in all respects to the ordinances of innesota location, construction, alteration, maintenaace, repair and moving of buildings dty limita�� permit may be revoked at any time upon violation of any of the provisions of said ALLEN G. JENSEN Building inspectm NOTICE: Yids pm* don no carer the sundrueftn, hatdlstim for vArI , plumbing, gn batho ower or wda. Be sura to as the Bufldh* r for apM to permBs for thea Nems. 'APPLICATION FOR B'gING.PERMIT CITY OF FRIDLPYy-NNESOTA OWNRRI S NAME C -h Q qWILDER . 6 ADDRESS 4 AwitsS .3a 7 1' ` G LOCATION OF B DING Street %� ,aS Part of Lot . Lot Block Additiow or Subdivision ��, . ' .� � . �—i 1 Corner Lot Inside Lot ;etlsk Side -Yard SEWER EUMATION FOUNDATION ELEVATION Applicant attach to thin form, Two Certificates of_Survey of Lot and proposed build- ing 1oeation d:eewn of these,(;ottificates. DESCRIPTION OF BUILDING To be used ds: ! a V- -Q d''ronC ' Depth ,Z ,� Height Sq. Ft, 6 Cu. Ft 7'_ O Front Depth Height Sze. Ft. Cu. Ftp Type of Construction-�1ry✓7-P— Estimated Cost. 4J�? e7o be -CompletedS The undersigned hereby makes application for a permit for,the work herein specified, agreeing to do all work ift strict accordance with the City of Fridley Ordinances and rulings Of the Department -'of Buildings, and hereby declares that all the fasts and representations stated in this application are true and correct: c jSchedule of Fee Costs can be found on the Reverse Side). 0 v , . . 1 9 10 1 . , City of Fridley, Minn. BUILDING PERMIT • Date: July 19, 1965 U 0 Owner: LARRY ETLICHER Address 6870 - 7th ST. N.E. Fridley, Minnesota Builder MMT A. HILL CONST. N° 8223 Address 3027 Morgan Avenue North Minneapoliss Minnesota LOCATION OF BUILDING No. 6870 Street 7th STREET N.E. Part of Lot Lot 22 _ Block 3 Addition or Sub -Division . RC. Terrace Plat Corner Lot Inside Lot Sewer Elevation To be Used as: Front Front Type of Construction Setback Sideyard Foundation Elevation DESCRIPTION OF BUILDING Depth Height Sq. Ft. Depth Height Sq. Ft. — Est. Cost '12 OOOs00 _ To be Completed REBIIIL➢ DOE TO STO N DAMAGE 7 Cu. Ft. Cu. Ft. In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with aft provisions of ordinances of the city of Fridley. = G 4r, In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to I&MY ETLICHER to construct the building or addition as described above. This Permit is granted upon the express oondition4Mtnaybe thegbulling' on to whom it is granted and his agents, employees an workmen, ffi all work done in, around and saidor any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota tion,cnstru on, altion,i nc�e city limitsmirevoked at anytime upon violation of any of the Provisions of said ALLEN G. JENSENBuilding Inspector NOTICE: M permb don not aeror the eomtit udlon, huhlla:lon for wiring, phmrbing, gas hadhM aw er m water. B• amro to we do Building lm>pseter for sspvab pwmBs for than home. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME k Ai `F—I'l l C --Il e, Y BUILDER 7l eV mJ 4 4, §Ij (VC -4 cJ c ADDRESS (b 7. W f , ADDRESS 30-7 Aon � old A3'53,2.r��Qs� , ;...e. lYa LOCATION OF BUILDING 1 NO. O STREET % _PART .OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTIOON� OFBUILDING To be used �-"— l� Front Depth 673 r Height y o v Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction y- w,),w -eEstimated Cost ® 0, 0" 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 representations stated in this application are true and correct. DATE �� I G SIGNATURE i (Schedule of, Fee Costs can be found on the Reverse Side). City of Fridley Application for Plwddag and Gas FMk q Pomit Dept. of Bldgs. Phone M0.3450 DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ �Gy$n �t Future Fixture Opening ............ x $1.50 S aft ,¢r#} Catch Basin ................... y Q5 Water Heater (Up to 99,000 BTU) . • .. x $3.00 (�7S/ • • N WATER MTA. GAS ELEC. Base GAS FITTING FEES: NO. RATE TOTAL tat 3 Fixtures . • • ........... • 2 x $2.00 $ 2.00 Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU ................ x $5.00 $ install (1) gas grill & (1) lite 6.00 1st 2nd 3rd 44th • Future Connection Openings • Fixture, Old Openingscesspow Connected w!!h BowelNew PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 New Fixture Old Opening .......... x $1.50 ; Catch Basin ................... x $3.26 $ Water Heater (Up to 99,000 BTU) . • .. x $3.00 ;- New Ground Run Old Bldg......... x $3,26 $ Electric Water Heater .............. : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL tat 3 Fixtures . • • ........... • 2 x $2.00 $ 2.00 Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU ................ x $5.00 $ install (1) gas grill & (1) lite 6.00 PAIRS A ALTERATIONd—Refer to Code City of Fridley: 53-84-5915.51 The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated In this application are true and correct Ffidley, Minn ,T.-@•ly 25, 1972 , 19.,. Owner Larry RU J cher Kind of Building frame Used as residence To be completed about .h, X 28, l 979 Estimated Cost, $ Olc�—New. Building Permit No. Pe NO. Signed. / LIK By MilaNEGASCO _ Business Phune No ROUGH FINAL Description ... ....................................... Class v- z'er Surcharge ,50¢ TOTAL FEE $ 8.00 SUBJECT PERM) � City of Fridley 17 0 2 0 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T i • COMMUNITY DEVELOPMENT DIV. (7,f r PROTECTIVE INSPECTION SEC. -5-5 NUMBER REV. DATE PAGE OF APPROVED BY l A CITY HALL FRIDLEY 55432 ��'�-�,•� ---_ 612-571-3450 910-F15 6/27/83 JOB ADDRESS 6870 - 7th Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 3 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Herb Hymes 6870 - 7th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Netko Home Improvement 3446 Russell North 529-7397 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 Structure 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be the 2nd layer but not the 3rd. Install ridged gwbLxxim galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 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 350 �.. 67 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $23.50 S RUCTIO OR THE PERFO ANC �F CONSTRUCTION. PLAN CHECK FEE TOTA$24. 17 SIGNATURE OF CONTRACThR OR AUTHORIZED AGENT ID TEI WHEN PROPERA VALID AT D THIS IS YOUR PERMIT BLDG INSP D E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) TEL N0: CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PER;f ITS (Wert, Alterations, Additions, or Repairs) j ,, t� i r l Effective Aug. 1, 1981 BUILDER: 1,'-z'0 Z__! ADDRESS: 344 TEL 110: ��� 7'-',5? 7 Construction Location • STREET NO: Gip 7 © STREET: LOT: �Z' BLOCK: r ADDITION: /"��L Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTWI CTION Front: Depth: Height: B Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: _ Type of Construction: &00f-1PG Tb Be Cbropleted: Estimated Cost: $ %3J Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE FEVF;R E SIDE. OF SHEET . Mie undersigned hereby makes application for a permit for the work herein specified, agreeing to ao.all work in strict accordance with the City of Fridley Ordinances and rulings of the Delkzrtment of Buildings, and hereby declares that all the facts and representltiens stated in this application_,Axe true an '9�:rec SIGNATUIE: Izi2 Z&� Stipulations: CO .0/ October 5, 1993 City of Fridley 6431 University Avenue NE Fridley, Minnesota 55432 Lorraine M. Gosselin and Emmett A. Gosselin, 6872 7th Street NE, Fridley, Minnesota 55432, have agreed to grant a variance to Larry J. Etlicher and Marcia J. Etlicher, 6870 7th Street NE, Fridley, Minnesota 55432, for installing a driveway beyond the three foot code requirement to our lot line. This variance is effective October 5, 1993. SUBJECT _ ,.PEFIFAIT NO. -� City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 24332 _ RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. r ®� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/8/96 JOB ADDRESS 6870 - 7th Street 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 3 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Etlicher, 6870 - 7th Street, Fridley, MN 55432 571-3494 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. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORWOof-repair - second layer 9 CHANGEOFUSEFROM 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 1 HAVE READ AND EXAMINED THIS APPLICATION I STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,364.00 $.68 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- $45.75 Fire SC $1.36 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 0 _ PLAN CHECKFEE License S $5.0 T FEE $52.79 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PR Y VA ID LDG IN THIS IS YOU PER T 7* r BATE S,GNATURE OF OWNERIIF OWNER BUILDERI IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Owner Name & Address: Tel. # 1-7,J-2 Y,9,Y Contractor: MN LICENSE # Address: I` lam .� �v , 1�� �J� % / � & ll� 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: C.E, " � t, , , o_y-e_ "�,�Estimated Cost: $ cr Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ` % APPLICANT: S�—e-� e. Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. �, �U Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND -HEATING, COOLING, VENTILATION, �� 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES I JOB ADDRESS 6F 7o 7 T i V-, � RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) '-fie c-- (% ,1996 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER �� 5/71— 3 q y � �l 1 Gas Range $ 10.00 $4.,e BUILDING USED ASS Gas- yer $ 10.00 $ ESTIMATED COST cPqC PERMIT NO. *Aironditioni —All Sizes $ 25.00 $ S ,�, 1FSCRIPTIQN OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BAOK) I% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) arm�i Trade Name 6&/750 Size No. Commercial/Industrial BTU 'L'Zr-v HP EDR 1.25% of Value of Appliance or Work $ Fuel_ 1414— Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ �� HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGLV_ENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By �_J e Tel No. j� PLUS THE $.50 STATE SURCHARGE t REINSPECTION FEE $42.00/Hr Approved ByRough—In Date Final Date wAir Conditioners can not be placed in a side yard without FILL OUT BACK SIfNACE TACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT F Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHMMY AND STACK VERIFICATION 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 ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6 Has total heating BTU's of All other BTU's TOT BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: SUBJECT City of Fridley '26382 AT THE TOP OF THE TWINS BUILDING PERMIT r T , RECE COMMUNITY DEVELOPMENT DIV. �v PROTECTIVE INSPECTION SEC. r ; NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 16/29/98 JOB ADDRESS 6870 7th St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 3 1 Rice Creek Terrace Plat SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Etlicher 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stock Roofing, Inc 289 LikpjZty S7AO-IS61 'Al 12 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 Tear off and reroof house and garacie (20 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 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 @@ $.83 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,668 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISJQNS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 Fire SC $1.66 ST TI N OR THE PERFO ANCE OF CONSTRUCTION. c PLAN CHECK FEE TOTAL FEE V -,1 -qd License SC $5.00 $61.49 SIGNATURE OF CONT R CTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY V (DATED THIS IS Y UR PERMIT - Bit big IN'�P w a /l �� ` (,(QA( FATE SIGNATURE OF OWNER i iF OWNER BUILDER( IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ` ConstructionAddress: i wic, - -S-� --nE- Legal Description: Owner Name & Address: Tel. # Contractor: � CAG' c, MN LICENSE # a Address: a'Rq L I bR,-A S4 �_ �1 R,Ste'\�JTel. # 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: Qc,�Y - e, � c,c,� %av�� `'} ac -y cit Q, e. 0,0 Construction Type: Estimated Cost: $ ! to o (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: - a� - ®I� APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE - ONLY $ Fee Schedule on Reverse Side $ f . (p .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1000 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT City of Fridley 61 2 6 4 5 AT THE TOP OF THE TWINS BUILDING PERMIT _RECVT NO. COMMUNITY DEVELOPMENT DIV. 1 v PROTECTIVE INSPECTION SEC. �® r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7-10-98 JOB ADDRESS 6870 7th Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 3 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 571-3494 Mr. Etlicker 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Renewal by Anderson, 35073rd Ave NE Fridley 55432 502-4777 20040630 4 ARCHITECT 08 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 S DESCRIBE WORK Replace 2 windows in home with new windows within exisitng openings. 9 CHANGEOFUSEFROM TO STIPULATIONS Install smoke detectors to meet the State Building Code -Each sleeping room and each level of home. 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 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,580 $.79 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- $51.25 Fire SC $1.58 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTA FEE Licens $ 58.62 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI NP OP -R-,. -,X, A DAT THIS IS YOUR E r � DAT SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI NEW L ] Effective 1/1/98 ADDN L ] CITY -OF FRIDLEY / ALTER [ ,� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:L6 ,1 U? �- Legal Description: Owner Name & Address: JAV Tel. # — 3L( Cj �i Contractor: er� c_n MN LICENSE # c;?( -t -JA N o: g —. I��p Tel. # oL��Address: ( l P s � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Ce tificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Driveway Curb Cut Width Needed: Sq. Ft. Sq. Ft. Sq. Ft. - JJ co Estimated Cost: $ (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: l Tel. # goo CITY USE ONLY Permit Fee $ 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 $ S✓, C $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 $ � r STIPULATIONS: r SuB.iEGT City of Fridley 2868 4 THE TWINS BUILDING PERMIT 571= RECEIPT NO. RECEIPT ` • _ COMMUNITY DEVELOPMENT DIV.© INSPECTION SEC. e PROTECTIVE NUMBER REV DATE PAGE OF APPROVED BY 1 = 1 CITY HALL FRIDLEY 55432 910415 98612-571-3450 11211 JOB ADDRESS 6870 7th Street NE t LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 3 1 Rice Creek SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Stock Roofiniz Inc. 28 -7RO-1561 3119 d 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 O NEW O ADDITION O ALTERATION REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof house and garage 21 SO 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 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 1799 .90 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY 02 R STATE OR LOCAL LAW REGULATING CON. STRUCTION O RFORMANCE OF CONSTRUCTION $56.75 Fire S 1.80 PLAN CHECK FEE TOTAL F E Lice Sr,4 5 SIGNATURE O� CON'RACTOR OR AUTHORIZED AGENT ,DATEt E PF)OPU I DTV, IS IS YO R PERM T _�- _ S-GNATURE OF OWNEA,IF OWNER SUILDER1 tDATEi 8L NSP ,.� pAtt NEW [ J Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ; 77"' Legal Description: Owner Name & Address: y Tel. # Contractor: S�ocle�wC MN LICENSE #_ Address: 2 Z" 6 e"c�z Sq" Z!2-�' 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: lee, 40z)r Estimated Cost: $ Driveway Curb Cut Width Needed: DATE: �/ APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ _ $ CITY USE ONLY 9f -0 Tel. # fid/ _ `?S6I Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 01, SUBJECT PE City of Fridley 3 312,Y5' AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. `j r c!sj ' / V NUMBER REV DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 L 763-571-3450 910-F15 9/27/02 JOB ADDRESS 6870 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 22 3 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Etlicher 6870 7 Street NE 763-571-3494 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 1920 Co Rd C W Roseville MN 55113 651-264-4777 20130983 A 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 WORN ❑ O NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Replace 6 windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. permit Inspection Cards Will Be Mailed To Homeowner T® Post 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 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 $3.74 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,480 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- $153.25 Fire SC $7.48 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE JAPTALFEE Lice SC 5.00 $169.47 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE. HE V I ATED THIS IS YOUR PERMIT aPRLY SIGNATURE OF OWNEROF OWNER BUILDER, ,DATE. ,N0AiE 01, NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FANMY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: - %L Owner Name & Address: La -A 4 t -k ��- ; C�.g o �`• Tel. # 4t03.5T) - Contractor:; Wa& MN LICENSE # aO I- Address: l9 a o C.o�n , ao d C, w�,s�; u� llrc� mn� SS [1�Tel. # (psl • 2(04. Attach, to- this application, a. Cerdhcate of Survey of -the lot, with the proposed construction drawn` on it to scale. DES.CRUMON OF 1 ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 'R,\o n b Pti r o (., 1 ► ;% v., A r,, . -,R- i n Y'. C- 4 h Construction Type: Driveway Curb Cut Width Needed: DATE: • Oa OU (J Estimated Cost: $—I T I Lls ' Ft. + 6 Ft = Ft x $ APPLICANT. Tel. # 95a •-6q'b. 0 94 - Permit Fee $ 1153.9 5 Fire Surcharge $ �•i g State Surcharge $ , SAC Charge $ License Surcharge $ , Q Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ YL9 • y± STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Cru Building BUILDING Permit No.: • 7-e0 [nspections TOTAL JOB VALUATION $ 30,J5?, RESIDENTIAL APPLICATION Received By: - 763-572=3604 416/�j� CITY OF FRIDLEY Plan Review 2 YOUR 65% of Building Permit Fee SATE 31TEADDRESS E-MAILADDRESS ') -7 THIS APPLICANT IS: ❑ OWNER NTRACTOR $ PROPERTY OWNER/ NAME: License Surcharge TENANT ADDRESS: CITY �f7L STAT89-7 ZIP�� SAC Charge PHONE: S��% -� 3 X19 21 CONTRACTOR NAME:_Z7Av $ STATE LICENSE # 7 3 EXP DATE ft + 6 ft = ft x $21 = $ SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS:. Z 3 % Od 7W R% 14) CITY STAT> I ZIPLSIIPZ/ WITH APPLICATION PHONE FAX PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE $ ❑ O FAmiLY/NEW CONSTRUCTION STORIES Total Due PERMIT TYPE ADDITION ❑ GARAGE/SHED ❑ WINDOWS Make checks payable to: City of Fridley Attach Stipulations ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEw PIADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: A�''6r/ t7Z SIZE OF IMPROVEMENT f % ! LENGTH % WIDTH 5-A' HEIGHT 3a-5 S . Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE/ / ❑ ATTACHED GARAG `L ?6- 'er BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAG PROPOSED SIZE: ❑ DETACHED G GE ® !/ 6� + 7&6 � 7 2. Proposed floor plan 3. List of structural members to be used PROPOSED HEIGHT: r 72o. 3: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ vinyl ❑ Aluminum❑ ❑Soffit Trim (`� �j 7s9� / ADDITIONS. & PORCHES SUBMIT: u 1. Site Plan/Survey showing the existing strucAes 13 Other ❑ Fascia / and proposed project WINDOWS -- - ��_ 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3• Enemy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OFWINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THF 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 30,J5?, GLL OCCUPANCY TYPE Permit Fee $ 416/�j� See Back Page for Fee Schedule Plan Review $ a-�0 65% of Building Permit Fee Fire Surcharge $ ') -7 .001 times the total job valuation Surcharge $ _ .0005 x Permit Valuation Minimum $.50 License Surcharge $ — —6,-,60 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ `7q� i Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application fo ermit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all workch r e view and approval of plans. SIGNATURE OF APPLICANT PRINT NAME<�3w�� DATE V� LA MNeheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 10-4-2007 DATE OF PLANS: 10-4-07 TITLE: 07106 PROJECT INFORMATION: LARRY & MARCIA ETLICHER COMPANY INFORMATION: BOLAND CONSTRUCTION INC. CCMPLIANCE: PASSES Required UA = 111 Your Home = 106 4.0 Better Than Code I I I I I Permit # I I I I I Checked by/Date I Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value UA ------------------------------------------------------------------------------- CEILINGS 323 38.0 0.0 10 WALLS: Wood Frame, 1611 O.C. 570 19.0 2.0 32 BSMT: Cone. 7.6' ht/7.0' bg/7.41 insul 398 11.0 0.0 23 GLAZING: Windows or Doors, Above Grade 116 0.350 41 HVAC EQUIPMENT: Furnace, 80.0 AFUZ ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the re the Minnesota Energy Code. Builder/Designer ldiDg MECHANICAL nenilitrlo.: �3 y inspectionsRESIDENTIAL APPLICATION Received $y: 763-5723604 CITY OF FRIDLEY Datf-AM NOV DAT5 /` Z2 ' O % YOUR E-MAIL ADI)It1;SSe �✓ /�Y d 0✓�'r a��ac , c9 M SITE ADDRESS TMS APPLICANT IS, 0 OWNER )gCONTRACTOR PROPERTY NAME: Zv OWNER/ TENANT ADDRESS, ADDRESS: CITY SATE i 1P 1C/1;t -5 a 0 0 CONTRACTOR COMPANY NAME• �(y I, /.Cc -- SUBMIT ACOPY OF CONTACT PMWN• /1% _ -- YOUR STATE STA'L'E LICENSE Y EXP DATE L1MSE WIM ADDRESS: Kana j5i /E CITY STA7E&/VLI?!V5 APPLICATION PHONE 6? --7z6- a_ X41 PAX iao -7 -- PERMIT TYPE )$INCILE FAMILY 0 TWO FAMILY O TOWNHOUSE a ME OF WORK: n NEW D REPLACEM04T �ALTEBATIONBEMODEL DETAILED DESCRmpnoN or 'WORK y.. -A PER MS 16B.665 the permit fee is it mialmum 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. (ibis should reflect only the cost of labor) Labor cost under $300 - $15.00. Labor cost between $300 to $500 - cost of laboaa2 - x.05-,". POR PR=CTS WTMRL LABOR EXCEEDS $500, FEES ARE BASED ON $L 0,0D PER FIXTURE. EXCEPT WHERE NOTED. M(TURM: (INDICATE TOTAL NUMBER OF EACH 1BMXM F,gcripmahtInstalled MFG: Q MODEL.: -7.5'n-T SIZEBTU c MFG: MODEL: 91ZMTU �— ,. _ MFG: MODEL:SIZEIRTU NC $25.00 XFIWILACE (GAS) 515.00 GAS RANGEJOVF.N $10.00 AIR TO AIR EXCHANGEER S15 FIREPLACE (WOOD) $35.00 I+BW GAS GRILL $10.00 BOILER 535.00 FURNACE $35.00 ^ _GAS UNIT HTR $10.00 CHIMNEY LWHR 510.00 `GAS DRYER $10.00 FOOL HEATER $35.00 DUCT WORK MQ00 GA5 PIPING $10.00 VEN1T1 ATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 _ x $10.00 = $ Surcharge $ .50 Number offlxwm a0 $15.00 1 x$15.00;--$ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures Q $35.00 x $35.00 = $� State Surcharge $W _- -- .50 THIS IS AN APPLICATION POR A PERM1Y 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; Ilia I Understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which roquires review and approval of plans. 11 SIGNATURE OF APPLICANT PRINT NAME �iri�ils/d4/f�/ DATE ��/oZ- O % City of Fridley - - - Building Inspections Department. 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 _ FAX: 763-502-4977 Td WdL�:ZO 9002 ZZ 'daS 4BZiZ4Sz94: 'ON XUA Ralmaj 3o 6110: Wow 007 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC NEW HOMES/ DITIONS 0 EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Pmpan&70C Chapter 3 with MN Amendrocots 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting L Gas appliances IFGC Chapter S with MN Amendments b. Fuel other than gas TMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on now Construction IMC 1346.0312 S. Ventilation L Per MN Energy Cocke 7670 or 7672 6. Duct Design Per IMC 1346:0603.2 a. ACCA Manual D NOT.F: Centerproint Enerq Mechanical Code Guidelines software may be a4ed for combustion and make up matt calculations Zd Wt:L€:Z0 90OZ zZ .daS z8Zti ZS29Z: 'ON XUA FaiPFUA jo 6113: WOu Building MECHANICAL Permit Ivo.: Inspections RESIDENTIAL ENTL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY eRi� ® YOUR E-MAIL ADDRESS 1_ t ria e\ e G PCL� 11 A k • �n e�- DATEW-) SITE ADDRESS I�®-0 '— - n ` -W e -f --f I� C9O THIS APPLICANT IS: 0 OWNER CONTRACTOR PROPERTY NAME: 11 xrw OWNER/ ADDRESS: Y\� IL CITY STATE ZIP TENANT PHONE: CONTRACTOR COMPANY NAME: I�A CI ` CONTACT PERSON: C SUBMIT A COPY OF YOUR STATE LICENSE WITH STATE LICENSE # EXP DATE 14,9 SS ADDRESS: CITY STATEMkiIP APPLICATIONPHONE FAX PERMIT TYPE )61NGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW 0 REPLACEMENT YALTERATION/REMODEL D AILED DESCRIPTION OF W RK ,,� ) �F a PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU _A/C $25.00 _ IREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 _FURNACE $35.00 _GAs UNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge S .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ 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 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 f9F a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case wo h r uires review and approval of plans. J� �/j� (� j (Q APPLICANT G n A T S+. "' O' DATE 1 1— 1 I SIGNATURE OF PRINT NAME PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977