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PRE 2010 DOCSDate • re'•"i' owner Aodress F fi� sc Corner Lot ........ To be Used as: ... Type of In considerath the, proposed work ordinances of the i In considerat[or the express conditio done in, around and Fridley, Minnesota In the village limits ordinances. i I . i' i SII BUILDING ! PERMIT Village of Frldley, Minn. N° 2037 �....� ; 3 s Builder . .................... . . .'::. .�...IrP:`:". t�.'''Lr.. •' Address ..... .................... LOCATIOCq.OF BUILDING Street te. ... • Part of Lot ..................... ... �. Block Addition or Sub -Division .'++a . "": ": f "!! .............. Inside Lot :...'. Setba-ik ............ Sideyard .......................... DESCRIPTION OF BUILDING 14 JC' Front Depth . tom" ,eig .. ../ Sq. Ft... . . Front ........ Depth . .Leight ......... Sq. Ft.. ... ..... ,� ,„ Est. Cost .. To be Completed ;i of the issuance to me of a permit to construct the building described above, I agree to do I accordance with the description above set forth and in compliance with all provisions of [age of Fridley. .... ... .. +.. .. ...:.. of'the payment of a flee of $...' .., t is hereby granted to ........................ ... to construct the building or addition as described above. This permit is granted upon that the person to whom, it is granted and his agents, employees and workmen,'inall work upon said building, or any part thereof, shall conform in all respects to the ordinances of egarding location, construction, alteration,. maintenance, repair and moving of buildings with- md This permit may be revoked at any time upon violation of any of the provisions of said — .� � . ,_�'"8uilding Inspector NOTICE: This permit oes not, cover the construction, [nsta 114tion "or-alteratlop for wiring, plumbing, gas. -heating, sewer or water. to sure to see the Building Inspector for separate permits for these Items:. Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: 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 $ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 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 NO RATE TOTAL 1st 3 Fixtures ........... Furnace Shell & Lines --to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR 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 $ \ 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 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $� REMARKS: Dept. of Bldgs. Phone SII 4-7470 -. -3" 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. Owner Kind of Used w Tobec 195-2- 195- 195— Estimated Cost, $ / -`T � Old v. Building Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size No. Capacity. Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuer BURNER — Trade Name Size No Capacity Sq. Ft. EM.R BTU H.P. Signed By 11 POST 1M-12-58 Business phone' 4,f i , - d o City of Fridley Application for Plumbing and Gas Fitting Perndt DESCRIPTION OF WORK /"' Dept of Bldgs. Phone $Q 4-7470 ,� Number. Kind and Location of Fixtures Location �39 – LS `3 (d PARTIAL RATE SCHEDULE 12 Q = .P J� a~<Zy O� �°q' �aZ Z �d • P • N WATER HTR. GAS ELEG $ 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 .................... Base .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 1st 2nd _ 3rd _ 4th • FutureConnection Openings Connected with I Sewer � New Fixture. Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures .............. ....... x $1.50 $ 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. $� 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 :Dak Kind of Building N% C Used as 6�a Af d; To be completed about 47 ° 17 Is Estimated Cost, $ D Old—New. Building Permit No Permit No. Signe Business Phone No S u• �� a'`� 7� ROUGH FINAL- r7 INu7 X42 2M 7-59 SUBJECT City of Fridley 12638 AT THE TOP OF THE TWINS BUILDING PERMIT • 1. NO. ' COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 03 33 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 JOB ADDRESS 643 53rd Avenue N.E. 1 LEGAL LOT NO. 2 BLOCK 2 TRACT OR ADDITION SEE ATTACHED Oak Hill Addition SHEET DESCR. 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Dale Sorensen 643 53rd Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING garage 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 516" x 22 ft. 9 CHANGEQFUSEFROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING; HEATING, PLUMBING AND S110t4, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 60 DAYS, OR IF CONSTRUCTION 121 1936 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 $1,000 • 5O 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- 6.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE S31M $6.50 SIGNA REO FC T CTORORAUTHORIZED AGENT (DATE) EN ROPERLY VALIDAT YOUR PERMIT A DG )NSP DATE .� SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR F1i)DITTON BUILDING PERMIT CITY OF I- R I DL1. Y , SI I NNI SOTA OWNER'S NAME :1�� _� - S.E/+� BUILDER • E ADDRESS: - < ADDRESS: NO ; . T STREET • LOT: -BLOCK: ADDITION : CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:,��y� Applicant attach to this form Two Certificates of Survey of Lot and proposed buildiaig location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: LuleR�/ rr atr Front: S (ll Depth: L Z r Height: / l Square Feet: / -2-1 Cubic Feet: I 2__FG —Front: —Depth: Height: Square Feet; Cubic Feet: Type of Construction: 14 %�Vwif e Estimated Cost: $ To Be Completed: � :7,5 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stticL accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that ,i11 the facts and representations stated in this application are true and c orr,_•c t . DATE: �! �=�"�/ 17 7Y s I(;NAIVRE: (See Reverse Side For Additional Information.) APPLICATION FOR RESIDENTIAL, ALTERATION, OWNERS NAME: OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ADDRESS: / <3 - -3/ �etl ADDRESS NO: . STREET: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: s Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: a o? Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: v -v Type of Construction: Estimated Cost: To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict 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: (See Reverse Side For Additional Information.) j ,-intiY. !,A 'japadsml Oujppnj� r ; �sr� 104 z ` - 5 �•.+:sq. 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LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Corner Lot [ J Inside Lot [ Type of Construction: Approx. Completion Date: Ft. Yd Setback Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost: $ (Cost on Back) CIO Driveway, Curb Cut Width Needed: _22:fFt. + 6 Ft Ft x $ / 3.5- _ $ DATE: APPLICANT: Permit Fee $ Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ 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 $700 per SAC Unit $5.00. (State Licensed Residential Contractors) Aft. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Building PLUMBING Permit No.: D - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY WMD Co T 11F2 0 07 DATE 0 - YOUR E-MAIL ADDRESS SITE ADDRESS 5 - G THIS APPLICANT IS: 0 OWNER PCONTRACTOR PROPERTY NAME:Sore"n-se DE ADDRESS: L�GZ/YY1 Q CITY STATZIPS kS + PH ON CONTRACTOR NAME: Champion SUBMIT A COPY OF STATE LICENSE§J1-365-1340 ��-f� `A YOUR STATE �7-���19P�IDATE ADDRESS:0 Dodd CITY STATE ZIP 289 10339 LICENSE WITH PHONE FAX APPLICATION -- PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY 13 TOWNHOUSE TYPE OF WORK: 11 NEW g(REPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINKILAV _FLOOR DRAINS WATER PIPING —SHOWER _ BATHTUB_ GAS PIPING � crrruc�sE) _ SWIMMING POOL WATER SOFTNER ($35) _ _ CLOTHES WASHER _ KITCHEN SINKWATER CLOSET BACKFLOW PREV. ($15) _ _ DISHWASHER _ LAUNDRY TRAY !:WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER Permit Fee $ . Q Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ LT5 .5-0 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 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 requires review and approval of plans. f,�,, / ,�1 �q s� SIGNATURE OF APPLICANT I� PRINT NAME Q4 1 �% l 1� DATE j O" 9` y 1 T City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit No.: `® 7 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: l' 3 0 763-502-4977 FAX EFFECTIVE 1-1-08 DATE YOUR E-MAIL ADDRESS SITE ADDRESS 6 `� 3 53W �7✓� G✓L THIS APPLICANT IS: ❑ OWNER ; CONTRACTOR PROPERTY OWNER/ NAME: al, fa✓ So . r ADDRESS: iocI � S3 Aut iNt CITY f11 1Ct/ STATE*I&J ZIP Sf TENANT PHONE: NAME: K on C,'ti, L ADDRESS: 113q 1-41- >` CITY r✓O.V v a. -AA STATEII ^1 ZIP CONTRACTOR SUBMIT A COPY OF PHONE ! - 3 (, ` iv 14 '7 FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH XROOF ❑ DRAM TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR P REMODELING DESCRIBE WORK BEING DONE: 8 -11 -of 6wuSe 4 Qlc,Ac d hh /ti dye SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES 2,0 ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. 13 Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations M 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: (USG THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 1� 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) $1825 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 informati 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; tha 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 a approved p in the case of all work which requires review and approval of plans. SIGNATURE OF APPLIC PRINT NAME IS16 „1 io' rS /•' c r DATE o ... • • : LLQ/%//l • . License lookup Construction Codes I Building Codes I Electricity I Plumbing I Bollers/HPP I Residential Contractors License Detail Here are the details for the license you are currently looking for: License name: J D ROOFING CONSTRUCTION INC License doing business as: License address: 11345 UPLANDER ST City state zip: COON RAPIDS, MN 55433 License number: 20219241 License type: RESIDENTIAL BUILDING CONTR Company structure: CORPORATION License status: ISSUED License original Issue 4/7/2000 date: License expiration date: 3/31/2009 Qualifying person: JOHN R. BUSZTA Continuing education hours required to renew 7 license: Contractor's phone 763-8621660 number: Page 1 of 1 search for 0 Yes. A final enforcement action has been taken against this licensee. For more information, check the Enforcement action: enforcement action page of our Web site, send an e-mail inquiry to DLI.contractor@state.mn.us or call (651) 284-5069 to speak to an investigator. Ano https://secure.doli.state.mn.us/licensing/licensing.aspx 6/23/2008