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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N?(:CO71) Date: 2-0 Oa►aer:. der � Addres V Address L C TION ILDING No. Street[* ____ Part of Lot __ Slock: ddition or Sub -DI an ---_ /�I Corner Lot _ Inside Lot _ _ Setback -� _ _ _ Side Sewer Elevation .r Foundation Elevation DESCRIPTION OF BUILDING T Used , ,/� �r Y. e. Front -7 Depth Height Sq. Ft. /lip Cu. Ft. QOf '!'..f Fro Depth ,/ Freight :;-.WSq. Ft. cu. Ft. Type of Construction Est. Cost 1a"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. r In consideration of the payment of a fee of $_ �.. , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any paw 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 3dv�ton of any of the provisions of said ordinances. /""1_, , 1 NOTICE: fhb ptnth don tot sever the eoastruafon, InthMen for Wbbg, phtnhieB, on hafts, ower or grater. Be ams to aw the Buihiing hopeetor for separate permiti for thea hens. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's NameBuilder S Address Address /� IF LOCATION OF BUILDING No. 3 Z Street � y to L � Part of Lot Lot BlocklAddition or Subdivision s�t:► 9 A. 1. y „s -a-07hd/ 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. DESCRIPTION OF BUILDING To be used as: 51a Front Depth Height Type of Construction To be Completed Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Estimated Cost 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. _00�% _ DATE Ar/��` Z-- SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). ..,m ty A • 1.,. _ : • City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures 3 K 3gq .. Z Q 6 z O W 5 u<�f � z � II,�. i N WATER HTR. GAS ELEC. F1 ? 3� c� �2r u'f c S� 63 �'d ��a (�90 •_ uJ Base 1st 2nd 3rd 4th \ • Future Connection Openings Connected with I Sewer � New Fixture, Old Openings Cesspool E] 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 $ Dept. of Bldgs. Phone SII 4-7470 Location ':!�-3 .*- - -Iry City of Fridley: 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. Mi Fridley, nn S E P 2 5 196 19— Owner A A/ x.34 oAj. Kind of Building �2 Used as To be completed about Estimated Cost, $ Old—New. Building Permit No d Permit No.a Signe4 0 N D 0✓�1 4PL U f" 1 X10 C�O�.�%� IV ROUGH L 0 FINAL GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 $ O / U Gas Range to 200,000 BTU .............. x 2.00 $ / REPAIRS & ALTERATIONS—Refer to Code Description ................................................ TOTAL FEE �� a z 2M Business Phone F --I L ---A • i 0 City of Fridley, Muin.. BUILDING PERMIT • � :� � :��/ � .tea ' a .?' N° .6772 Builder Address N DFYBILDING No. Street -«c _ _ Part of Lot Block Addition or Su on Corner Lot Inside Lot Se%bac; Sideyard Sewer Elevation F dation Elevation DESCRIPTION OF BUILDING T Y% Front Depth Height -,OeP-- Sq. F't. \� � = - Cu. FO;IPY Depth Height® Sq. Ft. _ __ Cu. Ft. Type of Construction ___ Fast. �yTo be Completed Jtl,� V _ 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 firth and in compliance with �ovisio s ordinances of the city of Fridley. /` , In consideration of the payment of a fee of $n--�a—, permit is hereby granted to to construct .the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said f11M�;TSTf.Cd NOTICE: 1bb perta t doss not cover the construction, hwaWen for wmh& plumbing, gas heating, ewer or water. Be sura to see the Building hupedar for separate permits for thea B'ems. ', 9--3 Application for Power Plants and Hearing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 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 $ MECH. WARM AIR CC a c Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ Q � 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. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. IDR 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 G.� GAS BURNER (up to 400,000 BTU) ....................... 5.00 S $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ `v 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 � o $_�� REMARKS: Loc5 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 a and correct. Fridley, S 2 1950 Owner Az OJ //7/y�� 195— Kind of Building 195— Used as �. To be completed about � 1 Estimated ost, $G e Old— ew. Building Permit No. DESCRIPTION OF WORK r HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No___L_ Trade Name --C " YE 6 --4— Size No ?2�1 Capacity—,Vg--Z/ �y Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Sign . By 11 POST 1M-12-58 Bu?ess hone No- 53-84—u16051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLU.\3ING FIXTURE RATES: N0. RATE ti.:-..5er Fixtures FF3tu a Fixture Opening New Fixture, Old Opening Catch Basin :later Heater - to 99,000 BTU 100,000 B:J to 199,000 BTU Water Softener New Ground Fan Old Building Electric Later Heater GAS FITTING FEES: lst 3 fixtures Additional Fixtures Gas Aa zge to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction x $3.00 x M x $2.00 x m X q X o x k 0 $5.00 Water em m 34 c M m Ca m +�+ m H w w Heater o 54 •+ H y ru a c c`� Wo° h w cbiwaa c` o as lee � is t r ng Zad 4th ILT-11- E(R)-= FLture Connection Opening Connected with Sewer = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLU.\3ING FIXTURE RATES: N0. RATE ti.:-..5er Fixtures FF3tu a Fixture Opening New Fixture, Old Opening Catch Basin :later Heater - to 99,000 BTU 100,000 B:J to 199,000 BTU Water Softener New Ground Fan Old Building Electric Later Heater GAS FITTING FEES: lst 3 fixtures Additional Fixtures Gas Aa zge to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction x $3.00 x $2.00 x $2.00 x $5.00 X $5.00 X $10.00 x $7.00 x $5.00 x $5.00 x $3.00 X $1.00 X $1:0.00 State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) $5.00 $2.00 TOTAL $ S Job Address 532 5G Ave. NE Department of Buildings City of Fridley Tel. #S71-3450 The undersigned hereby makes application for a pe wit 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 ecrreet Fridley, Mn. 3-13-81 , 19 OWNER KJORNES KIND OF BUILDING fname USED AS res. TO BE COMPLETED ABOUT 3-20-81 ESTIMATED COST 70_00 OLD - NEW BUILDING PERMIT NO. PERXIT NO. Company a&".y Signed By MIMNEGASC® Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLVS $.50 STATE SUR^MRGE SUBJECT AwrRM IT City of Fridley 27 0 0 ` AT THE TOP OF THE TWINS BUILDING PERMIT ` R NO. COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. �� b r 1 � 1 I NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910415 8/4/98 JOB ADDRESS 532 54 Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 Temple Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roland Kjornes 572-9094 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Right Way Roofing 16475 45 Ave N Plymouth. 55446 557-8678 3999 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 on house and garage (23 Sq) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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. 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 HEREIN OR NOT. THE GRANTING OF A PERMIT 1918 .96 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. $62.25 Fire SC $1.92 PLAN CHECK FEE TOTAL FEE License SC 5.00 70.13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY IDATED THIS IS YOUR PERMIT AZW,4ZZ'_, BLDG INSP - I ?r / A DATE SIGNATURE OF OWNER OF 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: 5 3 2 54th Ave NE Legal Description: Owner Name & Address: Roland Kj ornes 532 54th Ave NE Tel. # 572-9094 Contractor: _ Right Way Roofing MN LICENSE # 3 9 9 9 Address: 16475 45th Ave N Plymouth MN 55446 Tel. # 557-8678 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: Tear off and reroof on house and garage apply ice and water shield (-23 S5.) Construction Type: Single Family Estimated Cost: $a�' a 0 O --- (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 8/4/98 APPLICANT: Karen Oberg (. Tele #557-8678 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ) , °1 '�_ $ °l 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 [ ] crN OF 11 T Ifri ►11v ' Y ATfom. _ ,A1Vb . > "y V�dffes Aai ft'exis tag Bey -or::staEk. His ea +e ly ei"*— *n Yes a ,fr rM3{. '% forzobjects lodged bio h Yes `ATo f . Ts s 7y s ppamed Yes M++� aTtlDrr� t C�oci� r q�litemem for'�size ' Y�s y�� 6 IaS t� heg Alloh.or TO a liner bei waft for wat.r HaS 1 J II1bgSCib1 �lr been prod :far tater heater Ycs t �,it�iai.lf7li�� < ��• e A1YNG jL; gned. Bye Date r ' f CITY OF FRIDLEY PERMIT NO.: 2004-01513 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 572-36U4 YAX: (763) 571-1287 ADDRESS 532 54 AVE NE PIN 233024430073 LEGAL DESC TEMPLE TERRACE 2ND ADD LOT 8 BLOCK 1 PERMIT TYPE ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER JAMES PETRY 532 54TH AVE NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Building MECHANICAL Permit No.• )09-0 DWI Inspections RESIDENTIAL APPLICATION Received By: Nqk D NA. U 13 2008 7.63-572-3604 CITY OF FRIDLEY DATE ADDRESS SITE ADDRESS L �YOU��-E��nl, THIS APPLICANT IS: ❑ OWNER BN7ACTO PROPERTY NAME; OWNER/ ADDRESS,, CITY STATE ZIP TENANT PHONE: CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LIC SE # TE s o STATE IP LICENSE WITH ADDS; CITY APPLICATION PHONE < FAX PERNIIT TYPE YSINGLEFAMILY ❑TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK a T LL 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) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU $25.00 (GAS) $15.00 _GAS RANGEIOVEN $10.00 _A/C _FIREPLACE TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR _FIREPLACE $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _GAS DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Permit Fee $ 111�1 .L)U Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .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 with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is conformance not a permit but only an applic tion for a permit nd work is not to start without a permit; that the work will be in accordance with the approved plan in the case o work hich r q s review and approval of pl s. SIGNATURE OF APPLIC4efM PRINT NAMEin'DATE C _ t. xL SE . C E E .: ° 5 ... ..:... SIRED;FA?'�B 3 DIl-qu"E1_:E;G�T1�C; City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropaneUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation . a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. RCCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604iOd� CITY OF FRIDLEY Datr VP 0 4 2008 i m i o nesv+a-- r U. S 0- v C v ►'Y� DATE YOUR E-MAIL RESS SITE ADDRESS 520- NE Jt THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: t' CITY STATE ZIP — PHONE: ' ? ? �0 3q CONTRACTOR NAMEG, SUBMIT A COPY OF STATE LICENSE # A I MP3 EXP DATE �1/ O MW YOUR STATE LICENSE ADDRESS: 55.58 &i4lj CITY .-M-T-4-a - STATE ZIP 55,31.3 WITH APPLICATION PHONE 9SZ • 93,5- -7(p/p 9 FAX -?6Z' T3 ' 9$`141 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE A ADDITION ❑ GARAGE/SHEDDOWS E! BASEMENT FINISH 13ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWRAMTNG POOL TYPE OF WORK: ❑ w ❑ ADDITION CE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: kdQ1/"X)Jj4tI 'SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used TROPOSED HEIGHT: SMING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Ahnninum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans VAMOWS 3. Energy Calculations IN EXISTING OPENINGSYes ❑NoLOC �1QN O OR FOR NEW OPENINGS -DESCRIBE SIZE OF �j' OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING19 7 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 7�q ° `'o 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 $ `fu .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ i u. QC7 Make checks oavable to: Citv of Fridlev 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 � 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 whiclIpequiir s re ieW d pproval of plans. SIGNATURE OF APPLICANT l PRINT NAME /I O DATE v r From: 6516331549 Page: 2/4 Date: 10/23/2009 3:18:35 PM $ui� g BUILDING Permit Nta.. `� i� Inspe tions RESIDENTIAL APPLIC ION Received Bye 763-57 -3604 CITY OF k�DLE gat 2 Z 763-50 -4977 FAX EFFECTIVE 1-1-0 DAT5 23 q YOUItB-MAILADD1R.58 rideene ut cA 5511E ADD £SS 53 a 5�' Ava A!E TMS CAVI'I3: 13 OWNER. 16AMOMRACTOk PROPSTX IDWN B/ NAME' P -a. �' @ ..) oarr+�t tai '% *, T NAMT ADAMS: - 5 .--- S.�4'=�. _A3%F- PITY -1 STATE i'1 ZIP'ISHAI PHONE ie1 1► -a18 - ►f5 �� co cTOR NAME: �r; de +r►ef ,x, l::. r-.4. Su13 A CL�x a1= YOUR 9 AT'E LICENSE sTATE LIC>rNSE a d 3 3 to M ))ATE 3 t ti o _ _.. _.. AND .CATS OF ADDRESS: $9 R 'r d 5?!: s� S - '� c�CY Yt k STATEMV zrP 5 Sl l : . 1N$ PHONE - PROP TY TYPE O'$INOI.E FA1vJII Y41MW CONSTRUMONr sizE 0 TWO FAMILYMEW CONSTRUCTION ST�nmm 0 ADDMON 0 GARAGEISHED 41 NDOWS PIMUTTYPE 0 BASM45NT FIMHO�tOOF D1tAIN TILE 0 DECD 62MU40 13 OTMR O 8wBA aNO KM TYPE F WORK: 0 NEW HOME coNsTwzmoN 0 ADDITION A Olt MODMING DPSCRm W01MBEINOWN& 3t.�t` Eiv.a-s 1 6a C7 , tiC� SM OF ROVFIvI4w LENGTH wlpTkl WORT S t C ❑ HOUSIs ONLY NUi�ffiER SQUAR>r$ _ 0 HOUSE & GARAGE I DARTiM�NT R13MODELNG SU1�MM- 1. Existing Floor Plan DAR &= PROPOSED SIZE: 0 ATTACHE)) GARAQ4 0 iDRACx1.ED GARAGE I 2. 3. Proposed Boor P1aa List of struahual members to be used PROPOSED itEiGHT: t1> �'VinY1 �Soi#it FOR NEW CONSTRUCTION DMUGING DECO A DI1iTiONS. dt PORCI S gf 13 Muminun ,ff Trim - 1. Sita P1aN+urvey showb*dw existing smmtures 13 Other OFascia Proposed T o f, 2. rioa pJsns IN I'Jii.STlN o»s C7Yw OM LOCATION OF wn+mbws I 3. Enew Calculations OR FOR M V OMMNOB-DESORM SIZE Ok OPENING qIANGES & _ I TYPE OF WWWW M HE INSTALLED NLJMBF t OF WINDOWS A101 VVU0 ♦ora 1MA01Mr.d%s,.....,.....,., .. es,ava ireas�avy vlv vt�1,u#s,ll�uly� uvc:l.uuAlVC:'['H.L (.'UruT OF --- (USING TRE 11997 U.B.0 FEE SClf1 MME) ruLam r $ - r See Back Page for Fee Sd Plain Aevi $ 65% of BuiidIpg Permit F, Fire Sure $ 19. .001 tames the tout job val Surcharge $ o01 0005 x Permit Valuation License St vbzgc $ $5.00 (State Lice»sed Resi SAC Cbq p $ $2001 per SAC Unit (Plan Curb Cut I scrow $ R + 6 ft= F ton Q Mal $ $450 Conservation Plan Ro Park Fee $ Foe DstemWDed by Engine Sewer Mai I Charge $ AWWOMM, MUMM3, ( ) Fatal Due $ Make ebeelo V pble los TMS 1S AN APPLICATION FOR A P11:NOT VALID U I hereby 8 V1Y .for a building ponnit and I acknowledge that the informatlon abme eonfom=with the ordinances and codes of tine City of Fridley mW with the MiTmcp permit but my an application for a permit and work is not to siert without a pardt 4 aPpmved p an in the case of all work whI = review and approval of plans. SIGNA OFAPFLIC -_ usrtirreiasen MMU'VS 030-40kyyA"I7: M ifinum $.50 tial Contsl otors) MWCC for determkodm) ax $21= $ PROCESSED complete and acw*B; that die work will to in Construction Codes; that I understand this is not a site; that the work will be in accordance wM tate btrx rA. T 101x3 W1 From: City of Fridley To. 6516467388 Page: 215 Date: 3/261200910:43:19 AM Building MECHANICAL Permit NO Inspections RESIDENTIAL APPLICATION Received BY: 763-572-3604 D 1 2 CITY 4F FRIDLLY =N® 763-502-4977 FAX EFF'ECIIVE249-09 . DATE 3� YOUR E-MAIL ADDRESS SITE ADDRESS ^' 'V� THIS APPLICANT IS: ❑OWNER ®CONTRACTOR PROPERTY NAM rLcL Jbiznoa) Al-taq [• OWNER/ ADDRESS: CITY STATE -LIP TENANT PHONE: •� r CONTRACTOR COMPANY NAME: THE SNF1 I ING COMPANY INC, SUBMITA COPY OF CONTACT PERSON: 'i(, CONCARDI/�► YOUR STATE STATE LICENSE ST PAI II MND 04 LICENSE WITH ADDRESS: 651- 46-%3ia1 CITY STATE: 'LIP APPLICATION PHONE FAX PERMIT TYPE SINGE E FAMILY D TWO FAMILY M TOWNHOUSE TYPE OF WORK.• Q NEW PLAcEi hNT Q ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK Q FEES ARE BASED OY $10.00 PER. FIX-UURELWXPT WHEKK NOTLQ. FIXTURES:LYDIC/i-NUMBEROF EACH 8L� l��L � Equipment Installed MFG: MODEL SMESTU MFG: MODEL: SIZUBTU MKI: MODEL: SIGl-jBTU _A/C $25.00 FIREPLACE (GAS)$15_00 RANGE/OVEN $10.00 _GAS ,•AIR TO AIR EXCHA NGEER $15 1`KEPLACE ( WOOD) $35.00 _NEW GAS GRILL $10.00 BOILER $35.00 RNACE $35.00 _GAS UNIT HTR $I0a0 _CHIMNEY LINER $10.� _GAS DRYER $10.00 HEATER 3-35.00 _POOL DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 :3. ✓«, . ..............:.::•--"---::::x:.........:;.-.......:•.::.............:{:....::::::::,.... ......,..._✓z-:-::.?...:.::{,ail?ii??....:.}«..-•-----x:•:::::•--- _ jKj::ii$`:.^"'':1QSsi:.'..•1:iy?3. .u. :^:?:s '''>�=:`y ?-`r ` i='ac'_':r+rs'>`'`:``:>''=:'..�::✓✓::✓::..»:✓�:✓:✓::: -'---. _................ ---'-- .i-..-:::••:_ :..._..... «..::: _...........: .. ........_...__..._....s✓r:: a:_:-:J:.-.....t-x{i:-� ii:xiii: �: �:f}•ti •-:...: --= - x�r:.. �: i:« :.. ._... .................✓:..:::..::.a:.«::???:-3r.?3?3>??:•::J:.,•:J::::::.._:::::::_:_:::::_J::::r:::_3�:.»:_x:•::.�:J::.�J::: _ :..... .. ✓.. _._._ x:x::c::::::::::xc:::: __ ::x::xv:vc :ctx:x .—:: i•: x{x::vv.•c{xx::::•:.✓.c::{.r:v{••::J.x{ii^ :?:xx «x_..K:J:{:r _•: _ At? ^ 3... ....:........................ .x... :J -:.....✓_:._._r:. {•"rte: a:;�:i{?•xe✓;;{.:::S;x:,:J".. aa+i.a..v�x.,?a:vx _.a.nv •..aaav:^z• _{: vxin?i�;i iii¢ii;:v:}: �xvi: :•v•:•::x.•::::xx••-••,••••_...nv.a•.::,.v?an4..a.;..:_ar_n..._a...v :..a. :.v x••,v.av,..s_•.,_ i-3?^}}?g3}}i?i-qx^?:_?ue}uv3.a}}?v}Sp?x2:•?};x•}>:.v_}}s}:J?:.x;:a�_a}cay-a}}.«..__..__«...............•.._.....v_. n'S:. ...._.... _..... ...\.. tt�r,//��}}� 1 {g� va»}:x•::::.-r..::.«;..,»_:::it>:}33::i:v«::.J..::::_::-_::x;._::•::: }}.}si:�•y;{??.}'.a.:.}::: �::;jxx.:.:•__.....Jv{i:::a.:�}✓::::J:J:: ::.: vrJ:--:::.::: ::�?.:•_ __ _ ::•lil� :::fl2-: ` 0. 13 __ - _ _ _- _ _ _ i-i;:r:ti ?}i;ii 'iiii:.':Ei}sCi1}:?i - -{•.:i': ':-:s'-: ::'•:=:i-�— .:?}.^:-:. �::.;;:-.-::::::..:.::-_:: - _::tir:i--Xa•.•.i{:do..._r_.oav'rni¢.:4:�.:o?�':.tix v --[u... ..ti"' •. ._...... .;;-:-........ ._-...:.:?... .. .»...-3:z?C•i..._.__.............._........ _.... -... •h}}x`r<iai i:its'}• a1'Kiru'h:. - -iivJ:-:�?:::-?::-:} 'P 'ixca. _f•4'i ,'`. 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Jr ............. J... ��.i: ii•:"i�:-i�>_?i'{ii?:-::j' _ _ _ x•tiso'iii:'?:.':i�iJ'Sii:�G>:''::•:-�-•-:-•« ititi::'-:_+� i _:_c{?{ii?i:.x:_,.�?:{::?i»5««'_j;tiitj:_9: iii{;:::':i i -i ` '«"�': '«--_'�!�t._—ii:ii:� �":'.««� .- .«.`x .. '.. «.::.. J.«::•:'::•:-� =_.. :..______':-�-::^:-t•:--_ '.? _.-_.___�::::ii�::':??iii::_ ._. _:'?:-:':-:•: �::>:� �-:?: ii•:v:-:::::i:-::vsi:-:':-: 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 ordinanc of the City of Fridley and with the Minnesota Construction Codas; that [understand this is not a permit but only an app tion for a it and w to�start Without a permit; that talc work will be in accordance with the approved plan in the case of 11 ira5 I approval o plans. 9 SIGNATURE OF APPLICANT E DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977