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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N°6240 Owner: &CIt;j Builder Address Address -+ Street DING No. .Street �� Part f Lo Lot _ Block Addition or Sub -Di on Corner Lot , Inside Loth aback Sideyard {� Sewer Elevation w Fo dation Elevation DESCRIPTION OF BUILDING To A&IL NOW Front ... Depth Height Sq. Ft. Cu. Ft. jl& nt Depthi-leight Sq. Ft. Cu. Ft. Type of Construction_ . EstrC To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above • Set forth and in compliance with all provisions of ordinances of the city of Fridley. 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 ]d:17 esshin thnances. NOTICE: Ub permit dens not cover tom candruc8on, hufalbfion for vrhhtg, plumbing, gn bating, nrrar or w aftr. Be stn to nm fie Building hapomr for nparafm pwmhs for time hems. 10 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA /'., r �' 6 ' Z r owner's Name ¢✓ Builder --�% Address .14 `7- 15-1,1Z X0,,4 7 Address LOCATION OF BUILDING No. % 2 street �p �-Cir.-�— Part of Lot Lot ��� Blocker Addition or Subcliviaion_�,��,e� Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as DESCRIPTION OF BUILDING ont-----Depth Height Sq. Ft. . Cu . Ft. Front epth Height Sq. Ft. Cu. Ft. Type of Construction L -t4 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. � e DATE �� / ��, SIGNATUREa (Schedule of Fee Costs can be found on the Reverse Side). w e r1 • � .r • p s-rK,EET rK��L , IL d �, ,. lir 14 FT � s-rK,EET • F--I LJ City of Fridley, Minn. BUILDING PERMIT Date: July 21, 1965 o? M9111 NO 8249 Owner: KELVIN CAIN Builder AMERICAN BUILDERS2 INC. Address 147 - 53rd AVE. N.E. Address 515 W. Broadway Fridley, Minnesota LOCATION OF BUILDING No. 147 Street 53RD AVENUE N. E. Part of Lot Lot _ Block Addition or Sub -Division Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft Cu. Ft Front Depth Freight Sq. Ft. Cu. Ft Type of Constriction Fast. Cost $1#758.00 To be Completed _REPAIRS DUE TO STORM DAMAGE 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 t forth and in compliance with aft provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $109 , permit is hereby granted to MVIN CAIN to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of d ordinances. ALLEN G. JENSEN Building Inspector NOTICE 'ice pun* doss no cewr the comfwedw, hwalMon for whdng, plumbing, gas ha&& sswu w wdw. Be sots to sm fbe BuMne Mweftr for separate pwmhs for than Hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY., ` MrMSOTA OWNER'S NAME 1C e�rc..�� l.Cu►__4� 'BUILDER ADDRESS I '4 1- S ADDRESS �'• w ,�� LOCATION. OF' WILDING No. < <-1 "1, �''� ��% Street Part of Lot LOT BLOCK ADDITION OR SUBDIVISION Corner Lot `inside tOT Setback Side�,Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building. ipcation diawn 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 Oonetruction Estimated Cost To be completed The undersigned hereby makes. application,for a permit for the work herein specified, agreeing to do all work'ith 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 (Schedule of Fee Costs can be SIGNATURE found on the Reverse ide) . '� 7 S g , I . V a • 4 v SUBJECT P City of Fridley o 15726 AT THE TOP OF THE TWINS BUILDING P E R r RECEIPT NO. `L ______ COMMUNITY DEVELOPMENT DIV. INSPECTION 9� r PROTECTIVE SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE OF APPROVED BY 612-571-3450 910-F15 5/15/80 FPAGE / JOB ADDRESS 147 - 53rd Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 lCarlson's Summit Manor North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Cain 147 - 53rd Avenue N. E. 560-5467 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pilgrim Remodeling 10091 Pilgrim Way, Osseo 425-6523 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install aluminum 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 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,600' .80 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIODM OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI N OR THE PERO OF CONSTRUCTION. $12.00 PLAN CHECK FEE TOTAL FEE C 12.80 GNATUR C NiRACTORORAUTHORIZEDAGENT AT WHEN PROPERLY V (DATED THIS IS YOUR PERMIT .. s G C) BLDG INSP DA E SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) CITY OF FRIDLEY ' APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: See ^ �- ADDRESS: TEL NO: C7-- ,- BUILDER : ADDRESS: Zez� TEL NO: Construction Location STR.10T NO: _ STREET: LOT: BLOCK:C�R ADDITION: d4x,&? Corner Lot: Inside Lot: Setback: Sideyar . Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO14 OF CONSTRUCTION Front: Depth: Height: Square.Feet: Cubic Feet: Front: Square - Feet: Type of Construction: Depth: Height: Cubic Feet: Estimated Cost: $ 11b Be Completed: Ldti� t7 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET.. 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 applicatio are true d correct. DATE: �� SIGNATURE: Stipulations: %0Q©v . �a.Sc) CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE QESIDENTIAL RATE TOTAL Job Address �LA � ' �35'e+ V0- 1\3 , F . Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn. 1 a. - Q) , lq%% All Others/Repairs and Alterations OWNER CLZ�t(\ 1% of Value of Appliance or Work $ KIND OF BUILDING COMMERCIAL/INDUSTRIAL \\ USED AS �QS\ O(2 (1 --a 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT l ESTIMATED COST State Surcharge $ .50 �a OLD - NEW BUILDING PERMIT NO. PERMAct IT NO. © TOTAL FEE . Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. Date HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Final Insp. -aZ 3 `'9 5( Trade Name C �C C - \QC Size No. J` SS ()C)lt'O _aL Date Capacity Sq. Ft. EDR BTU �� HP Approval for Permiti_tk2. Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00- Company Nc PLUS $.50 STATE SURCHARGE Signed v Tel. No. *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces CHIMNEY 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 connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Remarks Company Signed By Date Z z� C00 SUBJEeT PERMIT NO. City of Fridley 9 AT THE TOP OF THE TWINS BUILDING P E R M I T r DIV. NITY DEVELOPMENT % PROTECTIVE INSPECTION SEC,�� 1 i CITY HALL FRIDLEY 55432 4L"'"'� NUMBER NEv DATE 5 PAGE OF APPROVED By 612-571-3450 910415 11/41/98 JOB ADDRESS 147 53rd Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 1 Carlson's Summit Manor North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Cain574-9660 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Integra Builders 4259 Arthur St NE C7,91-473.9 20019R19 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 Wx REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (27 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2313 $1.16 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 Fire 9C 2.31 PLAN CHECK FEE TOTAL Licen $5.00// 183.22 E CONRACTORORAUTHORIZEDAGENT IDATEI EN OP AL1 ATE T SIS Y 7U�,PERMITGNATU SIGNATURE OF OWNERoF OWNER BWLOERI IDATEI l0 INSP —It NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �1 ConstructionAddress: / y ? -5-3"f Legal Description: Owner Name & Address: 4�0 -�� �,�j,,-� Tel. # -5-741- --Izd o Contractor: T 13v1 MN LICENSE # F,3 3 Address: 5 %r--�_Tel. # '7F/ -c/ -23? - Attach Fiy-23 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. c,, OTHER: {'��ae oG F `�D c�5� d— �i d��� '.17OLOFF -j' � �9� Construction Type 9a-� Estimated Cost: $� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: S' APPLICANT: �,� Cam �� �z C.��S Tel. # 7T/ - y2 3,F Permit Fee $ /y, ' S Fire Surcharge $ 3 / State Surcharge $ SAC Charge $ License Surcharge $ DCS Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ �� STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] • SUBJEtT � City of Fridley 1713=1 7 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 6/30/00 / / 10B ADDRESS 147 - 53rd Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 1 Carlson's Summit Manor, North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard and Nancy Gacek 147 - 53rd Ave. NE Fridley, PMi 55432 763-571-4250 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Gacek 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 WORN ❑ NEW ❑ ADDITION ❑ ALTERATION? REPAIR O MOVE O REMOVE 8 DESCRIBE WORK 20 X 10 Deck and patio door 9 CHANGE OF USE FROM TO STIPULATIONS For stipulations, see attached plans. WARNIN" SE PARATE pERM�S Before digging call for REQUIRED FDR, all utility locations HEATING, 45"002® P�IMBING(; Sift REQUIRED RY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,880.00 d 94 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT`P OOES 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 PLAN CHECK FEE TOTA EE .02 SiGNq,IUpE OF CON'aACTOR OR AUTHORIZE AG NT ,DATE, EN ROPERL�LIDAT HIS IS YOUR PERMIT Z�r SIGNATURE OF OWNER„F OWNER BUILDER, ,DATE, BL G ,NSP DATE l NEW Effective 1/1/2000 ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp 'ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: _I L4) S Legal Description: Owner Name & Address: Tel. # I Q1- Sri Contractor:MN LICENSE # 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: Length 2 ® Width ( O Hgt/Ground 3) i,,, -Sq. Ft OTHER: F,P,r' �D ny o If Construction Type: Estimated Cost: $ � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: C� -`�' �" APPLICANT: Tel. # W�yZ.,�, CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ % .001 of Permit Valuation (1/10th%) State Surcharge $ 0 9C/ $.50/$1,000 Valuation SAC Charge $_$1 100 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: :ALL FOR FINAL INSPECTION WITHIN 10 DAYS OF WON COMPLETION PQPY TO HOMEOWNER swoe i rw 4t1 Z" x 8" Joists Z" x 8" Beams 40 PSF deck los IThn bnete ehnarn i WMME "NAPR �V- S IIUSTraTIOP m :.:::. sieturn are not ner.��.tir.���t May S COST Tor Warms BSTIMMQ IQ MIS aBSIgn WITH opTIOR3 'The base price may include: 40 PSF deck load, horizontal decking, 2x6 green fretted dock boards, green treated iramint 3r 2x4 railing, green treated railing posts, and galvanized box nails. * I BASF bail 1 DIR 14 Post anbimension Sheet / E 4e N/Ou- d,819 t8811941.70004 1917 8912 ' 3'6" 1'6" Please hying �18s0 plans b 1 2' 1 1'6" 3'6" the mhier ro �rchase. — 6urWcF �.2 /��ti �d� .(jo�z�S �Y — l/0 OC h -- Aeouk4;AVE O/S/ alp Oro i-4 0 &W/. M � occ /AOAk l T, Illu tration may depict options not included. , gpgy 2 ? �C HM MUM 3 z 3g�3g 1. �� gMME. &8 m{8 333 1'A s ►� 3 "I i i � m iii ES36E3EE3 Nil" M � occ /AOAk l T, Illu tration may depict options not included. , A4 4X I' -o avF� Beam Lo out for Your Deck The Sale is 1/4": 11' Mark length Description A 4' 2-2x8 Green Treated B 10' 2-2x8 Green Treated Illustration may depict options not included. Building OCCUPANCY TYPE BUILDING $ 14, Permit No.:199ppif Inspections $ RESIDENTIAL APPLICATION Fire Surcharge Received By: W 763-572-3604 Surcharge CITY OF FRIDLEY .0005 x Permit Valuation Minimum $.50 Da*rdoECZ DATE 11/18/08 YOURE-MAILADDRESS estherd@probui1tam. Com SITE ADDRESS 147 53rd ave NE SAC Charge THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR Curb Cut Escrow PROPERTY OWNER/ NAME: Rich Gacek Erosion Control TENANT ADDRESS: same as site CITY - $ STATE -ZIP -PHONE: 763-571-4250 Sewer Main Charge CONTRACTOR NAME:ProBuilt America Total Due STATE LICENSE # BC -20356847 EXP DATE U -i / U y Make checks payable to: City of Fridley Attac SUBMIT A COPY OF STATE LICENSE 2 L 11 11 t n Ave I,' S 5 11hYOUR ADDRESS: CITY North Sin STATE ZIP WITH APPLICATION PHONE 651-770-5570 FAX 651-770-0495 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Relolacinq 9 window, SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. 2• Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ 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 & 9 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 $ 3 4 9 U OCCUPANCY TYPE Permit Fee $ 14, See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 3 .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ So $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 $ (' 1, Make checks payable to: City of Fridley Attac 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; that the work will be in accordance with the approved plan in the case of all work which regyitt rrevv'ieew d approval of plan DATE 11 / 18 / 0 8 F t p SIGNATURE OF APPLICANT ((� �/t /�,/ v PRINTi(� r Dahl rl VII1. 1 VJ JVJ JJ 1 1 rave. J/V UdlO. I/4014VV.7 'i.JG.JL rivi Building MECHANICAL Permit No.: lD Inspections RESIDENTIAL APPLICATION Received By: 763 -572 - CITY OF FRIDLEY Date .: I O . 763-502-49774977 FAX F EFFECTIVE 1-1-08 DATE 1�`� t'�" I YOUR E-MAIL ADDRESS 4`. �Z•A+:> h t2�a-►��s S [TE ADDRESS f �-�• 7 �'_,,,-. THIS APPLICAN''T IS: 13 OWNER XCONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: t � / t'-1 7 S" e : /1 ' r CITY l �-����zti STATE �ZIP- `a2• ' �• TENANT ._ _ PHONE: COIN'TRACTOR Lr •� COMPANYNAME: CONTACT PERSON: ' 1 j t i 1 SEPARATE CITY STATE LICENSE # % XP DATE LICENSES ARE REQUIRED FOR GAS ANDHVAC. _ ADDRESS- ! CITY M St� � STATE ZIPS3—ry'j SUBMIT COPY OF BOND�� � -•" 't '/� '� PHONE / �, •^ J �iU� ;,f % I FAX JOU=� AND INSURANCE PERMIT TYPE ANGLE FAIRLY O TWO FAMILY O TOI&WHOUSE TYPE OF WORK: ONEW XRLPLACEMENT O ALTERATION!RENIODEL DETAILED DESCRIPTION OFv�ORK C C..( i� all t� 44o*- tr�_ PER MS 168.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacemeiit of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost under $300 = $15.00- Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS S500. FEES ARE BASED ON 510.00 PER FDiTURE, F%CEPTWHERE NOTED. FLXTI'RES: (INDICATE TOTAL NLWBER OF EACH BELOW) EgWpmenthwtalled MFG: �r'f,� — MODEL: -'Q060 �a�, SiZEiBTU 000 - MFG: MODEL: ` 2 (�Iai x)4- SIZElBTU — MFG: MODEL: S IZ&FBT U j/A1C $25.00 _FIREPL&CE (GAS) $15.00 GAS RANGE/OVEN $10.00 NEW AIR TO AIR EXCHANGEER S 15 ( WOOD) $35.00 NEVI GAS GRIL. $10.00 _FIREPLACE $35.00 y�F'URNACE $35.00 UNIT HTR 510.00 _BOA.ER _CIiSMNEY LINER $10.00 —POOL HEA 7 $$5.000 DUCT WORK $10.00 GAS PIPING SI 'PERMIT FSE -PROJECTS POR UNDER 500 PERMIT FEE FOR PROJECTS OVER $500. Permit Fee S Number of fixtures fa: $10.00 x S10.00 = S Surcharge S .50 Number of fixtures @ $15.00 x $15.00 = S TOTAL DUE S OR Number of fixtures (d! 525.00 x $25.00 = $ Number of fixtures @ S35.00 x $35.00 = S State Surcharge — S 50 MINLMUM $IS..% MINIMUM $1550 Total = S THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a mechanical permit and I aclatoa'ledge that the information abo-vv is complete and accurate; that the murk will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes: that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be • ce with the appy v pl " The case ofall w*tk which requires review and approval of plans. '✓ NAME Z/"DATE SIGNATURE OF APPLICANT ---��---� PRINT APPROVED BY DATE --RK PLEASE NOTE: .,sEpAkATE PERMITS ARE RE UiRED FOR BUILDING, ELECTRICAL AND MECRANICAL WO City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit No.:�d� Inspections RESIDENTIAL APPLICATION Received By: i ce- 763-572-3604 CITY OF FRIDLEY D MAON 17 2010 763-502-4977 FAX EFFECTIVE 1-I-2010 DATE YOUR E-MAIL ADDRESS /�•/�G ��i7f:- ®�'+�1� _ d " SITE ADDRESS / N7 51"6t &z- ®VE THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME:K TENANT ADDRESS: I Y % 51'w- /IOf- CITY �Y STATE�1VZIP ;FFS°a PHONE: % 6 `3 -"t-y7--TV CONTRACTOR NAME: a�-� SUBMIT A COPY OF .YOUR STATE LICENSE STATE LICENSE # 19k ® EXP DATE AND CERTIFICATE OF ``moi1 � �r _ / ADDRESS: �s/a� [�Drr ds.� �( f�i~ Ae CITY '5m STATE LIP INSURANCE PHONE Z12 - R-2 FAX ®/ PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE` XX 4/'V ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ADDITION ❑ GARAGE/SHED ❑ WINDOWS BASEMENT FINISH AROOF ❑ DRAIN TILE ❑ DECK � SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION - ] ❑ MAINTENANCE/REPAIR XREMODELING DESCRIBE WORK BEING DONE• N ( 444440y,- evL .- /lrls✓ C/ SIZE OF IMPROVEMENT o7� )C / LENGTH WIDTH HEIGHT ti r SQ FT ROOFING pp _ i�� ❑ HOUSE ONLY - BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES rPOU� ®.Sj USE & GARAGE 4 ,� 7 0�3 I. Floor Plan °'°a Age- /®s ` �„� 7 2G7ACHED GARAGES 9 � GARAGE ��t� _ �1J�®�i g 2. Proposed floor plan Proposed PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: &-I �t SIDING �(� � / 2L � 0 �y� FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. &PORCHES SUBMIT: Vin 1 �Soffit� b�t�� j Y \� ��ry ❑Trim Aluminum 1. Site Plan/Survey showing the existing structures ❑ Other �y j,• �\ and proposed project and �A WINDOWS 2. Two sets of construction plans `a IN EXISTING OPENINGS ❑Yes Pfqo LOCATION O�� F WINDOWS 3. Energy Calculations FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS-DESC E SIZE OF in a AP46-6 ice+ &fi! L --e- MANUFACTURE STICKER ON WINDOW. 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 TIJE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ -193,000.' ' I , i59 — OCCUPANCY TYPE Permit Fee $ Llf , h See Back Page for Fee Schedule Plan Review $ 1 65% of Building Permit Fee Fire Surcharge $ 1-61-44 910 S�7.001 times the total job valuation Surcharge $ 10 -1-? .0005 x Permit Valuation Minimum $.50 License Surcharge $ .5jo 0 $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks savable to: Citv of Fridlev 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 o the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application f d W is not to start without a permit on site; that the work will be in accordance with the approved plan in the case o w e view and approval of plans. /� SIGNATURE OF APPLICANT PRINT NAME 1�•L DATE 0 w J.Jsm 3SILL 0 Sh 3311. .Lat9tt v —jai - 3SnoH <-,4fr --+ 9 N i O 4- «Y tt N1 -- 1 lyi •�zq r11-�—` „�1 vd -grdi-XV01-4/ gtl'1S 3s3�+17ryo7 <1�Z1 yew *f •ef r4 row ),anamj �'� • and C'M t S- Lhl 3�d�V-9 0 0 0 ..l S M � z- � O tA Z ,b Y