PRE 2010 DOCS<31 qty of Fridley
awJECT Permit No.
r AT TK TOP OP THE TWINS
�rti-_----
PLUMBING PERMIT APPLICATIONvv
; 606�d�UHITY @EVELQ E�4T@IV,
PROTQCTIVC t"C2ftCTK)M MPII.
ey �], CITY HALL PRIOL%V 00,09
i. -._J/ l j 613-600-3400Nt4a:'a•.`�
.ZDV. p6TH
PAYE WAP`i
6tOV 0 ®Y
9l0-12
0 2 .5 73
1 1
800
Job Address
ner _ Ad res Phone
�lia
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Contractor Address Phone
sl TSI ��-rd� //2/ 4� �•�'�-� ass_
Kina of Building
F
Use
Com/p� etion Date
s-timated Cost
Plumbing Fixture Rates; NO. RATE TOTAL
J
!
Number Fixtures x$2.00
Future Fixtures Z x $1.50cc 3 rho
•�
New Fixture -Old Open. x $1.50
Bnol
1
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Catch Basan x $3:25
Water Heater -99,000 BTU �� x $3.00
•�slw
Ground Run Old Bldg. x $3.25
•saa,
MNIva�
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III
Elec. Water Heater x $2.00
—
sNlsva�
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H71Y7
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Gas Fitting Fees:
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Boo-Ld
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1st 3 Fixtures �` x $2.00 �?. 0C)
;w�laoo,�
P,
0aAdditional
Fixtures x $ .75
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HNIaa
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Gas Range -199,000 BTU x $5.00
-
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$
Re airs & Alterations
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Description: Code
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6NISV9F\\I
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State Surcharge .50
TOTAL FEE $
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The undersigned hereby makes application for a.permit
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for the work herein specified, agreeing to do all work
o
in strict accordance with the City Ordinances and ruling
staso,o
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of the Department of Buildings, and hereby declare that
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all t facts and representations stated in this
app c tion are true and correct.
.21q->3
Date
W,5
SUBJECT
PER
.City of Fridley
®12352
AT THE TOP OF THE TWINS
BUILDING PERM
r?
L
RECEIPT NO.
�L -_____ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
/��
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
10/11/73
JOB ADDRESS 440 - 57th Place N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
Pt. 7, 8
5
City View Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Iven Dostaler 6358 Willow Lane
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 Residential
7 CLASS OF WORK
$I NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBEWORK Construct a 42' x 25' Dwelling and a 22' x 20' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before
capping.
SEWER LOCATION: 63' West of Manhole
IT' Elev.: 838.23
Top of Footing: 841.23 Minimum
Inv. of Manhole Elev: 838.48
WATER LOCATION: 68',West of Manhole
SEPERYATE PEITMITS REQUIRED FOR WIRIKG,
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame—
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
R-1
1050+440,
25,400 Total
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
1 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.
$19,895
8.94
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-
$47.00
$275.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
30.94
4SIGNATUREOF CONTRACTOR ORAUTHORIZED AGENT (DATE)
W N PROPERLY VALIDAT T S T YOUR PERMIT `
S
SIGNATURE OF WNER IIF OWNER BUILDER) (DATE)
BLDG INSP DATE
741 EF. 0
!.BZ5 HARRIET AVE
it
F.-IIIELD.1
MINNEAPOLIS. MINNESOTA
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For Carl P'n1l5ev-4 r { 4
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7-rH P�_i\c.E
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The E-*-,Tt'141.f L'S'r -1
via
heri?by certify
th-ai this s a
true a n C or. r e C t r e;�e e se n t
T i c n ^f a
survey of
the
boundaries of
the anc;ve
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ti:-Scrlbed and Of the !0Ca+iC1F) Of di I
b U i I d i i !� — '
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any, t Fer e--
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en;; •:3� n t f rc!,1p or �)n
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APPLICATION FOR RL•SIDENTIAL, ALTERATI(1N,
OR ADDITION BUILDING PERMIT
CITY OF HZ I DLL`s' , 11I NNI:SOTA
OWNER'S NAME • Tz//e!5-7 /V L Q..S- %2L,C'AUILDER • 'fCt'l TLC—
ADDRESS: (o 3 -r' T' etl e ar/ �� ADDRESS:- a-,)
Noe. YL.
NO :.1VV0 STREET: 41
LOT: LOCK
AITION :
CORNER LOT INSIDE LOT:
SETBACK: ,3S SIDEYARD:. cl
Applicant attach to this form Two Certificates of Survey of Lot and proposed
buildixig location drawn on these Certificates.
DESCRIPTION OF BUILDING
To BJH Used As:
ale Front: -Depth: -' eight:
Square Feet: /oma o Cubic Feet:
7/0 Front: Depth• ., ` Height:
Square Feet; Cubic Feet:
Type of Construction:Estimated Cost: $ as o0o
r,
To Be Completed: �� ��� � �"�t ) / .NJ
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 reprejentations stated in this application
are true and c orrcc t .
DATE: lQ SIGNATURE:
(Seep Reverse Side For Additional Information.)
s
Warr�ntr Deed�,T 7► Miller -Mavis Co., Minnoapolls
Individual to Joint Tenants Form lal o. 5-M Minnesota Uniform Conveyancing Blanks (1931)
t; 31nbe tore .Made this...........�0...'- ............day o ... ...... 19..%3....
Carl A.Paulson and Edith E. Paul o
bete ueen.................................................................. .........
.........................5... n�......h,tsb?nd... and..wife.......................................................................
of the County of ......
...Anoka d State o . Minnesota es
....... .............an;:............................................................I part............
of the first part, ancl......Iven T�ostaler and Alice Posta er,...his„wife ............................
............ ...... ....... ............. ..............................................
.................................................................................................................................................................................................................., of the County of
Hennepin and State of Minnesota parties of the second part,
..................................................................................................................................................
WftntOgt j, That the said part...;1e9 of the first part, in consideration of the sum of..
......................
One.. r...and..Q hpr...Good...ae.
and ..CQnsiderations....-...-...-...r...- ...................................DOLLA.R..S...,
to....................................ein hand paid by the said parties of the second part, the receipt whereof is hereby acknowl-
edged, do........... hereby Grant, Bargain, Sell, and Convey unto the Said paHled of the second part as joint
tenants and not as tenants in common, their assigns, the survivor of said parties, and the heirs and
assigns of the survivor, Forever, all the tract...... or parcel...... of land lying and being in the County of
Hennepin and State of .Minnesota., described as follows, to -wit:
The East 14..64 feet of Lot 7 and all of Lot 8, Block 5, City View,
according to the recorded plat thereof.
Reserving unto the grantors herein a permanent easement for the purpose of maintaining
and -repairing the sewer and water line of grantors as extended from the adjoining Lot 7
over and under that portion of the above premises described as follows: Commencing at the
northeast corner of Lot 7, Block 5, City View addition; thence west along the north line
of said Lot 7, 14.64. feet, which said point is the point of beginning of the tract to be
described; thence'south parallel to the east line of Lot 7,11 feet; thence northeasterly
to a point on the north line of said Lot 7 g feet east of the point of beginning; thence
west along the north line of Lot 7 to the point of beginning.'
It is understood and agreed that the aforesaid reservation of easement shall include
the right of grantors herein to make such excavation as shall be necessary to repair said
sewer and water line, including the right to bring upon the premises such equipment as
shall be necessary to affect such repairs provided, however, that grantors shall, at their
own expense, restore the premises to the same condition as existed prior to making such
repairs.
Grantees herein agree that no improvements, including driveways, shall be erected on
that portion of the premises as embraced within the easement above described and that
grantors shall have no obligation whatsoever to restore any improvements that shall be
erected thereon contrary to the within reservation of easement.
Zia Jbabt allb to Jjoib tbt &amt, Together with all the hereditaments and appurtenances there-
unto belonging or in anywise appertaining, to the said parties of the second part, their assigns, the sur-
vivor of said parties, and the heirs and assigns of the survivor, Forever, the said parties of the second part
taking as joint tenants qnd not as tenants in common.
end the said .................arl A. ` Paulson...a.nd Edith E. P4A. $..n......k��, ..w� �.........................................................
.......... .... ...... .... ............
....................................................... ............... .................................... ............................ ................................................... .............
.....................................................
part es.. of the first part, for.. themselves,....the r .....................heirs, executors and, adnUnistrators do............
covenant with the said parties of the second part, their assigns, the survivor of sada parties, and the heirs
and assigns of the survivor, that ..... trhey..... axe ........ well seized in fee of the lands and premises aforesaid and
ha -Ye.... good right to sell and convey the same in manner and form aforesaid, and that the same arc
free from all incumbrances,
Xnd the above bargained and granted lands and premises, in the quiet and peacJ.able possession of the
said parties of the second part, their assigns, the survivor of said parties, and the heirs and assicsns of the
survivor, against all persons lawfully claiming or to claim the whole or any part thereof, subject to
incumbrances, if any, hereinbefore mentioned, the said part.. es. of the first part will Warrant and
Defend.
3T[ Tt24irnonp Wbertd, The said part..1e ...of the forst part Iaa.....Ve. Tiereunto set.......... their
han,d..s. the day and year first above, written.
i
InPresence of.�...�........................:..................................................
Pa�i'L�.
u � I_K-1�
� .... 1 .:....................................
...................................
'Edith"' PaiilsY�ii i
��/�, F✓�% r :. J: �..:..� .~.\...................................................................................................................r.
...................................................................
...........................................................
IJ
1$25 HARRIET WE. 7 �s" MINNEAPOLIS, MINNE507A
For Carl Paul 5hri
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The E? -s¢' 1«.. `�.�; (if U�t 7 iOr°d
al I of Lot 0, Pl'ock
PA,r/ L r�
We hereby certify that this i 5 a tr11t.' and correct r'?,, esGntat i CI1 ,-$ .' survey of k
the boundaries of the tangy? abcye deSCribled Ord 0f +he :OCdtiOn of a l bili ICiiel^ y�
i f dr,y, t1 ereC'!, ani: a I vi J;l:C en::' :.:jet n?f, n!� f(z)an o.r v d Iand,
rated
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The E? -s¢' 1«.. `�.�; (if U�t 7 iOr°d
al I of Lot 0, Pl'ock
PA,r/ L r�
We hereby certify that this i 5 a tr11t.' and correct r'?,, esGntat i CI1 ,-$ .' survey of k
the boundaries of the tangy? abcye deSCribled Ord 0f +he :OCdtiOn of a l bili ICiiel^ y�
i f dr,y, t1 ereC'!, ani: a I vi J;l:C en::' :.:jet n?f, n!� f(z)an o.r v d Iand,
rated
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D 5 ,,0 7, �%, o , ,UL 7Z� t1 tJ
A
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Appfor Power Pknts and HR Cooling@ Ventilation, Refrigeration and
• Air Conditioning Systems -and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE TOTAL
Furnace Shell & Duct Work ...........................
$10.00 0' b
Replacement of Furnace .............................
6.00 $
Repairs & Alterations—up to $500.00 ..................
6.00 $
Repairs & Alterations each add. $500.00 ...............
3.00 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines --to 400 sq. ft. EDR Steam .... .$10.00 $
Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10.00 $
Each add. 200 sq ft. EDR Steam ...................... 3.00 ' $-L
Each add. 320 sq. ft. EDR Hot Water ... . ........ ... 3.00 $
OIL BURNER—to 3 gal. per hour . . ... ... .. 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) .......:................ 8.04 $
over 199,000 BTU See. Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x$ 200 $
Additional Fixtures x .78 $
Gas Range to 199,000 ........... s$ &W $
AM CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS is REPAIRS
ROUGH
FINAL 3-21— ZZ
$
See Fee schedule
TOTAL FEE 91
Dept. of Bldgs. Phone 860.3490
City of Fridley:
The undersigned hereby makes application for a permit for the work hereit
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 facts
and representations stated in this application are true and correct.
Fridle Minn ii_ 11'_' - Ii
Kind of Building
Used as _
To be completed about
Estimated Cost, $ Q
Old— Building Permit No. Permit No. �S
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, IVarm No
Trade Name Size Noj/
CapacitY. ZZU� Sq. Ft. E.DA BTU H.P.
Total Connected Loader E Hind of Fuel!Fe�
BURNER — Trade NameSize No
Capacity Sq. Ft. ED R- BTU HP:
(REMARK! --OYER)
10
By
Business Phone Na
Compliments of North Central Public rvice Co., "Your Natural Gas Company"
CITY
HEAT LOSS CALCinLATYONS Town
DEPARTMENT OF BUILDINGS V I L
Weatherstrips A:G� VV..E. Construction No. Insulation
Window I Doors Reference Out. Wall (1nt. WallCeiling I Roof I Floor Kind I How Applied
No 19........
FL I Room I Length Width %/ Height II / Fl. I Length idth Height
Windows and Doors—Crackage and Area
Doors--Crackage and Area
No.
Width
of pane
Height
of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
No. of Lineal ft.
lights of crack
Area
sq. ft.
Lineal ft.
of crack
Area
sq. ft.
/
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
ff
Infiltration
Glass
6—
Coef.1
Btu
Infiltration
Coef. Btu
a
_A
/,I
Glass
Glass
Btu
//00
Exp. wall
46 O
Exp. wall
Net exp. wall
Glass
Net exp. wall
0
O
Int. wall
B
Int. wall
Ceiling
/90
X, /®
Ceiling
e
)(/
/0
x / ®
Floor
D d
62
ze
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I FL I i / Room I Leneth ® D Width ®d Height
Windows and
Doors—Crackage and Area
_
No.
Width
of pane
Height
of pane
No. of Lineal ft.
lights of crack
Area
sq. ft.
Lineal ft.
of crack
Area
sq. ft.
/
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
ff
Infiltration
Glass
6—
Coef.1
Btu
Infiltration
Coef. Btu
Infiltration
Q
moo,
Glass
Glass
Btu
Infiltration
Floor
46 O
Exp. wall
% / p
Glass
Net exp. wall
0
Exp, wall
d
B
Int. wall
Ceiling
/90
X, /®
14040®
e
Floor
/0
x / ®
Or ®D
D d
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
® Fl. I �O Room I Length /` Width / Height
Windows and
Doors—Crackage and Area
_
No.
No.
IWidth
of pane
Height
of pane
No. of
I lights
Lineal ft.
of crack
Area
sq. ft.
/
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
ff
Infiltration
Glass
6—
Coef.1
Btu
Infiltration
Net exp. wall
Q
moo,
Glass
Coef.
Btu
Infiltration
Floor
Exp. wall
Infiltration
% / p
Glass
Net exp. wall
0
Exp, wall
�®
�,
Exp. wall
Int, wall
Ceiling /
Ceiling
Net exp. wall
V/
62
11
Floor
Int. wall
_
/
Cefl4ig
Moor",
Total Btu!
sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windo sand
_
No. Width Height No. of
Of pane of pane lights
No.
Width
of pane
Height No. of
of p lights
Lineal ft. Area
of crack sq. ft.
®
No.
Width
of pane
, 411®
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
ff
Infiltration
Glass
6—
Coef.1
Btu
Infiltration
Net exp. wall
Q
moo,
Glass
Ceiling
Floor
Exp. wall
Infiltration
% / p
Glass
Net exp. wall
0
Exp, wall
�,
Int. wall
Int, wall
Ceiling /
Ceiling
)e/e
Floor a x,
.z
Floor
_-A/�
_
/
Total Btu. �
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
o Fl. r doom I Length Width % Height
Windows and Doors--Crackage and Area
_
No. Width Height No. of
Of pane of pane lights
Lineal ft.
of crack
Area
sq. ft.
and Area
_
No.
Width
of pane
Height
of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
Coef. Btu
Infiltration
Glass
7
Exp. wall
Net exp. wall
Q
Int. wall
Ceiling
Floor
Coef. Btu
Infiltration
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
® FL ( , Aoom I Length /a Width // Height f
Windows
and
Doors—Crackage
and Area
_
No.
Width
of pane
Height
of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
Coef. Btu
Infiltration
% / p
Glass
ler6
0
Exp, wall
Net exp. wall
Int, wall
Ceiling /
f
Floor a x,
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area T
f
SUBJECT
City of Fridley
2 6 5 5 4
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
`
RECEIPT NO.
I `L ______ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
F � �
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
L 612-571-3450
910-F15
7-13-98
JOB ADDRESS
440 57th Place
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7,8
5
1 City View Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
574-1444
Carol Olsen
3 CONTRACTOR MAIL ADDRESSIP PHONE LICENSE NO
Moon Roofing, 3709 Welcome Ave N, Crystal, 55422, 533-636 ' 20098632
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
Re -roof house & garage (18 sq) - tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Codes.
I
TYPE OF CONST.
OCCUPANCY GRO
P
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
O
FSTREET 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
S
RTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1,501
$,755
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
S
C CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON -$51
.25
Fire SC$ 1.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION,
PLAN CHECK FEE
T
TA EE
11�u>z ��
Licen SC $ .00
58.50
SIGNATURE OF CONTRACTOR OR HORIZED AGENT IDATEI
N P OPE ALIDA
THIS 1 .YOUR PER59
BLD INSD
DATE
SIGNATURE OF OWNER IIF OWNER BUILDER, IDATEI
f
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Effective 1/1/98
Legal Description:
Owner Name & Address: 614e� qy0^ S2""' A/rFee A Tel. # -52V-
Contractor:
52yContractor: 961V MN LICENSE # 2009?6632
Address:. %9 W el. # 3a
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/G and Sq. F,�.�
OTHER: I r/.. r� P = 1 S T
Construction Type: a10® Estimated Cost: $
(Fee Schedule, on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x' $ = $
DATE: - APPLICANT: �� Tel. # .'33"Coo
Permit Fee
$ 51,S7
Fire Surcharge
$ /. E-0
State Surcharge
$
SAC Charge
License Surcharge
$
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
e
TOTAL $ - S�
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 [ ]
STIPULATIONS: 4
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
'- Q�PEifDABLE 11VDOOR AIR QUALITY, I#C.
HEATING COMPAN`w l u C
Signed By, COON RAPfDS, MN 3 ` 1 5 '1- 56(4
Approved By Rough—In Date Final Date
*Air Conditioners can not be placed in a side yard without FILL OUT BACK
written permission from adjoining property owner.
FURNACE
1
On January 1, 1999
CITY OF FRIDLEY INSPECTION DIVISION
1 Effective
6431 University Ave NE
Fridley, MN 55432 APPUCA71ON FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS
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)
1 -�� ,199
Gas Piping (Needed with new fumace, $10.00
$
but not replacement)
OWNER Cl `
Gas Range $10.00
$
BUILDING USED AS�.4) - 51 ��' (n Ji•) -c 0 I'd {
Gas Dryer $10.00
$
_
ESTI TED COST PERMIT NO. !+
*Air Conditioning — All Sizes $ 25.00
$� �.�
7DESCRIPTION
Wei. %k
OF FURNACE AND OR BURNER
All OtherkA4 (LIST ON BACK)
1 % of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
Commercial/Industrial
BTU HP EDR
1.25% of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge
$ .50
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE
$
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
'- Q�PEifDABLE 11VDOOR AIR QUALITY, I#C.
HEATING COMPAN`w l u C
Signed By, COON RAPfDS, MN 3 ` 1 5 '1- 56(4
Approved By Rough—In Date Final Date
*Air Conditioners can not be placed in a side yard without FILL OUT BACK
written permission from adjoining property owner.
FURNACE
6 Has total heating BTU's of
All other BTU's
TOTAL 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:
CEDAMY 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
TOTAL 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:
CITY OF FRIDLEY INSPECTION
6431 University Ave NE
Fridley, MN 55432
572.3604
RATE SCHEDULE
DIViSION
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential
Furnace Shell and Duca; Work, Burner
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Effective On May 10, 1999
JOB ADDRESS 14 q6 — S,1 T l P LA Ce NO
OWNER ANrVt ttE- AAGER,
TOTAL
BUILDING USED AS e_�e S } �e h cC__
$ 30-00
ESTIMATED COST 1300- d PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
$ NTc �-0158Fq
No. of Heating Units Circle One (Steam) (Hot Watery arm Ai
$ Trade Name 1 F. /» S r.A RZ Size No. 96 o
BTU 7<,ne n HP EDR
$ Fuel_ A f f. CA s Total Connected Load
Burner Trade Name Size No.
$ BTU HP EDR
$ The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are'true and correct.
$ o. 5d
River City Sheet (Metal, Inc.
9928 Bluebird St. N.W.
HEATING CO Rapids, MN 55433
Si ned (612) 754-2199 Fax (612D7 54-2906 Q'0
g
Approved By Rough -In Date Final Date 1
RAI
SUBJECT
672.3604
PE
'
City of Fridley
31906
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECT&TV06
� • _ COMMUNITY DEVELOPMENT DIV.
III.
r PROTECTIVE INSPECTION SEC.
3-JIII
-I57
�/1C�
CITY HALL FRIDLEY 55132
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
6/18/01
JOB ADDRESS 440 57 Place NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7,8
5
City View Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Annette Hagen 440 57 Place NE
763-572-2335
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Master Remodeling Inc 32 Tenth Ave S, Hopkins, MN 55343 952-932-9311 20012918
/ ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
S ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
NEW ❑ ADDITION 0 ALTERATION ja REPAIR 0 MOVE 0 REMOVE
8 DESCRIBE WORK
Replace bow window within existing opening
9 CHANGEOFUSEFROM
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
P®rmit lnspoctlon Cards
WIII ®o lulled
To WOMeOWn®r To Post
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 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. '
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$2,800
$1.40
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEETOTAL
FEE
Lice SC $/00/7
$92.45
SIGN ATUREOf CONTRACTOR ORAUTHORIZED AGENT iDATE,
H N P LY VA DATED THIS IS YOUR PERMIT
�I •
SIGNATURE Of OWNERoF OWNER BUiLOERI IDATEI
LOG INSP BATE
RAI
NEW [ ] Effective 1/11/2001
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: _ T�® 7 '�' //rt e -e /V f
Legal Description:
Owner Name & Address: AV IV -e7`Y 441?:j-Cr✓ Tell#?_
MASTER RENODEJAAU, INN.
Contractor: 82 Tenth Avenue-2®�th MN LICENSE #
Address: Hopkins, Minnesota 55343 Tel. #
/Aowl
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
AttaiMA64 ISIDP16ation, a Certificate of Survey of the MASTER REA1GDEI.Y1jjG, INC.
lot, with the proposed construction drawn on it to scale. 32 Tenth Avenue South
Hopkins, Minnesota 55343
DESCRIPTION OF IMPROVEMENT (952) 932.9311
MN. LIC. 20012916
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Construction Type:,&Ml CyhEstimated Cost: $
���3 f rwc/ ®O rvel
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
lifel"i I
APPLICANT:
Call (763) 572-3604 for Permit Fees if mailing in application
Tel. #
$ T 7, �-5— Fee Schedule on Reverse Side
$ -,?• 90 .001 of Permit Valuation (1/10th%)
$ 6 �O $.50/$1,000 Valuation
$ $1150 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 [ ]
ME,
STIPULATIONS: Y/42N717 '-�Jle d ' 711.
l
SUBJECT
P
City of Fridley
3220
AT THE TOP OF THE TWINS
?
BUILDING
PERMIT
f
: COMMUNITY DEVELOPMENT DIV.
i LV
572-3604
i ff
�jIPT NO.
r � PROTECTIVE INSPECTION SEC.
�
1 �
NUMBERREV
DATE
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
612-571-3450
910-F15
10/11/O1
JOB ADDRESS 440 57 Place NE
1 LEGAL
LOT N0.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7,8
5
1 City View Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Master Remodeling Inc 32 10 Ave S, Hopkins, MN 55343 952-932-9311
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Annette Hagen 440 57 Place NE
763-572-2335 20012918
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 JO REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace 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 To Post
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 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
$3,000
$1.50
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-
Fire SC $3.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$83.25
PLAN CHECK FEE
OTAL FEE
Licens SC $5t4
$92.75
SIGNATURE OF CONTRACTOR OR AUTHORtZEO AGENT iOATEi
HE PR LY V 1 TED THIS IS YOUR PERMIT
S.GNATURE OF OWNER,IF OWNER BWLDERI iDATE,
BL GZA OA TE
l
.UF+-lb-lyya 11:311 FROM CITY OF FRIDLEY TO
NEW
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R -Z
BUILDING PERMIT APPLICATION
ConsuuctionAddress: 1- d S 7 r� i'_1/ -act
Legal Description:
5,_A41,0 9211.:
9329316 P.01/02
Effective I/1/98
Owner Name & Address: kynt �k qaq W Tel. -763 - 57 z'2.331 -
Contractor: DUSTER MMODELING. INC. MN LICENSE #
92 Tenth Avenue South Address: 8onk1nn_vAni!n rr;-QAa Tel. Il
AtIM40, tatioti, a Certificate of Survey of the
lot,�tt�i Xed construction drawn on ^it to scale.
DESCRIPTION OF PAPROVEMENT
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: ��Qlat e -�' W o f Estimated Cost: $ 306 0 0-0
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: 10 8 Dl APPLICANT: 0L Tel. # 9d`1 -732,- j3 !/
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY
$ 2 3 2�_
Fee Schedule on Reverse Side
$ , 6D
.001 of Permit Valuation (1/10th%)
$ / S
$.50/$1,000 Valuation
$
$1000 per SAC Unit
$ S7
$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 [ ]
STIPULATIONS:3�0.9�;'
SUBJECT
City of Fridley
33761
AT THE TOP OF THE TWINS
BUILDING PERMIT
gECEI
16
t • COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
q�
r
1 = t
CITY HALL FRIOLEY 35132
NUMBER
REV
GATE
PAGE OF
APPROVED BY
763-571-3450
910-F15
8/l/03
JOB ADDRESS 440 57th Place NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
Pt. 7, 8
5
City View Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Annette Hagen, 440 57th Place NE, Fridley, MN 55432 763-572-2335
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Twin City Home Remodeling, 6527 Central Ave NE, Fridley, MN 55432 763-572-2577
/ ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
20385210
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
NEW O ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reside; soffit; fascia
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code requires that a weather-
resistive barrier be placed over exterior sheathing to protect the interior
wall covering. Exceptions to this provision would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding is not a weatherproof covering unless the
manufacturer states this in the application guidelines.
Call for inspection of wrap before covering.
Ventilation must meet 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
S0. 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 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
$13,000.00
$6.50
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-
W
SC
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$5.00 License
$247.7
SIGNATURE OF CONTRACTOR ON AUTHORIZED AGENT iDATEi
HEN PROPERLY VALIDATED THIS IS P�R IT
S-GNATURE OF OVVNER,IF OWNER BUILDERI DATE.
B DG -NSP DAtE
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
/W,;,L X BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address: 1AAW -e "*Aip.,L) Tel7*0-? .3 -'72- - Z. us --
Contractor: MN LICENSE #
Address: 800M -ter...: w._ __ _ Tel. #
Acation, a Certificate of Survey of the InC"N=
lot, ed construction drawn on it to scale. ov0d COM Aw
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:
Fdit, MN 65432
FI %8M-2677
MN Llc. 20;165210
ConstructionType: A z4eeLe**A�Esttirmy�ated Cost: $ l ���a O
.2 ^;r..Le. 196vo- E Cj'sL.L-I m PWHf ffl Is 56F�i'A Fn -se-; * , 9 t'ff-e'zg
Driveway Curb Cut Width Needed: Ft. + Ft = A.Ft x $ _ $
DATE: 3®` 7G303 APPLICANT: Tel. # E%2 — .29 %%
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
$ 21-
$ er-0
$ �-5-0
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]