The URL can be used to link to this page

PRE 2010 DOCSIlation or alteration for wiring, plumbing, gas heating, for separate permits -forme Items. SUBJECT PERMIT City of Fridley N 7740 AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT NO. L '_ COMMUNITY DEVELOPMENT DIV. V----- r 1 PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/26/84 JOB ADDRESS 695 -- 59th. Avenue N.E. 1 LEGAL LOT NO. T BLOCK RACT OR ADDITION SEE ATTACHED DESCR. 2 2 Donna "s Lakeview Manor SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE S. J. Cody 695 - 59th Avenue N.E. 571-3861 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. D & DHome Improvement, Inc. 7401 Central Avenue N.E. 784-7543 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 X 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd laxer but not 3rd. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 $11F200 $a60 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 PROVISI SOF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $20.50 STRUC 10 OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE Ajw 4/T k$21.10 40 SIGNATURE OF CONTRA TOR OR AUTHORIZED AGENT 1 TEI WHEt(N PRO�PJERLY V IDATED THIS IS YOUR PERMIT r ;_. �. @ G INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW ADDN. [ [ ] City of Fridley Effective 4/1/84 J �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: / Legal Description: i-� �1 / r ° 1J.�°�` ` �� 0' - Owner Name & Address S. T®� y Tel. # Contractor: �� ®I �' sG Tel. # Address: ��®/ �� %'✓'�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot M Ft. Yd. Setback Side Yard Setback Type of Construction: A+P'kvn� Estimated Cost: $ Approx. Completion Date: /`'T(9 -g7 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation •DATE:, A APPLICANT: Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge M STIPULATIONS: CITY USE ONLY $ O Fee Schedule on Reverse Side $ 25$ of Building Permit Fee $ �® $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ J CIVIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 - PHONE (612) 571-3450 December 15, 1986 Mr. Jack McCarthy Sundial Realty, Inc. 961 Hillwind Road Fridley, MN 55432 Dear Jack: At your request, we have ditions of the home loca PW86-220 we'd the 's� ^face water drainage con- t 695 - � Ave. jA Fridley, M. On Thursday, December 11, 98 a ce the site and by using a hand level were able to estimate the drainage patterns on this lot. It appeared that most of the water from the school property to the north drained east toward Moore Lake by the way of the school driveway and that the majority of the backyard drained toward the northeast corner of the lot. On Monday, December 15, 1986, our survey crew shot several cross-sections from the school property across the driveway into the backyard to determine the drainage patterns. An aerial photo is attached to show the location of the cross-sections. The cross- sections are attached and indicate that water from the school property to the north is intercepted by the road and also by the berm along the north side of the lot. The cross-sections also show the slight falling grade from the house to the north toward the fence. I hope this information is of use to you. If you need further assistance with this matter, please feel free to call on us. Sincerely, ��z� Mark L. Burch Assistant Director of Public Works MLB/ts Enclosures SUBJECT P City of Fridley 2 5567 AT THE TOP OF THE TWINS BUILDING PERMIT r NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 . i NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/6/97 / / JOB ADDRESS 695 59 Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Donnay's Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Barry Walhof 695 59 Avenue NE 571-2452 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sussel Corp 1852 Como Ave, St Paul, MN 55108 645-0331 1934 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 [j NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE 7 REMOVE B DESCRIBE WORK Move existing 16' x 22' Garage from site; Construct a 24' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. SEPARATE PERMITS ARE REOUIRED 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 50 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 $10,650 $5.33 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- $174.75 Fire $10.65 ST UCTION OR THE PERFORMANCE OF CONSTRUCTION. aSC. PLAN CHECK FEE TOTAL FEE C') License SC $5.00 $195.73 SIGNATURE OF CONTRACTOR OR UTHORI DAGENT IDATEI WHEN PROPERLY IDATED THIS IS YOUR PERMIT BLD INSP DATE / SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW Effective 1 / 1 /97 ADDN [ CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� 3 ConstructionAddress: Legal Description: Owner Name & Address: �i , a h Tel. # S' 71 7 Lj {� Contractor: _S' ' e� p , MN LICENSE # J °fes 7 Address:.. S^� �a 4 A Tel. # 6 cf � 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 -2 `t Height Sq. Ft. �9 DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: s -'� � ,✓� � �� (��:. License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow Construction Type: Alt. "A" or Alt. "B" Above Erosion Control Estimated Cost: -r .$450.00 Conservation Plan Review Park Fee $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =.$ DATE: %�� 3 APPLICANT: Tel. # L TOTAL "CIPULATIONS: $ 11-5-.175 CITY USE ONLY Permit Fee $ 7�/. �%� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 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 "CIPULATIONS: $ 11-5-.175 SUGARAGn 1852 COMO AVENUE ST. PAUL, MN 55108 Permit by -6412444 X Legal Description_ Lot Blk Add'n C. Value- Type alue Type Const. SLAB: X8y SUSSEL _ ❑ By Owner Approx. ❑ In 2 -STARTING POINTS ONLY S. P. L. S.S.P.L. R.P.L. Alley House 7 F. Street Other _q=, u—e ❑ Square With ❑ Sod Rem. - By ❑ A.B.U. - '40 l 110 Grade Point LJ Blocks: LJBy OwnerdDSy Sussel ❑Wtr.proof: ❑By Own. ❑By Sus. ❑ Backfill: ❑By Own. ❑By Sussel 017hMntain 8' Total Wall Height Including Blocks OR ❑ Maintain 8' Wall Height on Top of Blocks Block Size (Top course) Wall Height other than 8'N-'— " ❑ - 1-1 ❑. Existing garage: No ❑ ❑ Detached ❑ Attached Yes ❑ Size of existing:—x Existing garage will be: ❑ Left as is ❑ Converted to L.S. - By owner ❑ Removed By: Owner ❑ Sussel ❑ Junk Must Be Removed By Owner Stakes visible - ❑ Yes ❑ No Survey available - ❑ Yes ❑ No ❑ Special instructions from Cement Man sm Mr. Barry Walhof #7686 695 59th Ave. NE Fridley, MN 55432 H 571-2452 W 513-8408 24x24 Det. Allbilt W/Cone. 9/15/97 Dennis Jarnot ZE I A! Q /Zw�it}cc� ACCESS ❑ Good ❑ Fair ❑ Poor PURCHASER'S INITIALS:_ r-. DIRECTION ROOF: GABLE REVERSE GABLE EAVE OVERHANG: - /7-1( RAKE OVERHANG: SEAL DOWN SHINGLES WITH PLYWOOD OR WAFERBOARD ROOF SHEATHING AND 15 LB. FELT 5 lei, Roof Sheathing � � �eG j�", �b L. � I fL4 \ Seal Down Shingles Manufactured Trusses--/ 2" x 4" Double Top Plate ENGINEERED TRUSS DESIGNS AND LAYOUTS SHALL BE MADE AVAILABLE ON THE JOB SITE NOTE: FOR TIDE FRAMING INSPECTION 4—R6df approv?dty Mi . ate Builmeeting VI 2) Hip r ofs consist of 2"CkI rafters, 2" x 6" cros 48" O.C., 2" x 8" hi 'rafters and no plywood gussets are used. RAFTERS: 5�x ses STUDS: 4" 24" O.C. _ WALL SHEATHING: SIDING: I u OVERHEAD DOOR HEADR*-cro " x W'oL�- ams x Slab on grade construction approved per Minnesota State Code. Refer to State Building Code Letter Number 11. _ SLAB: 4" WITH MESH 6" x 6" #10 Gauge 45 4" Trim 1"x4" Sub Fascia Fascia Soffit 3/4" Cove 2" x 4" Studs Siding 1/2" x 7" Anchor Bolt 2" x 4" Treated Bottom Plate r �0'j Grade 883 SUBJECT City of Fridley 7 AT THE TOP OF THE TWINS BUILDING PERMIT f i LL------COMMUNITY DEVELOPMENT DIV. R EIPT NO. I r � PROTECTIVE INSPECTION SEC. I NUMBER 7�- DATE —TCITY PAGE OF APPROVED BY HALL FRIDLEY 55432 612-571-3460 910-F15 8/17/98 JOB ADDRESS 695 59th Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 1 Donnay' s Lakeview Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Barb Walhof 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Knight Construction & Design 4808 Lamplighters Ln Minnetonka MN 55345 470-1649 2002 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 and garage Reroof house (14 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1168 $.58 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P OVISIONS OF ANY OTHIFR STATE OR LOCAL LAW REGULATING CON. STI OR THE P FO ANCE OF CONSTRUCTION $40.25 Fire SC $1.17 VUCT,,N PLAN CHECK FEE TOTAL FEE License 5.0 7.00 GNATURE OF CONTRACTOR OR AUTHORIZED A NT IDATEI EN OP eIT BLO INSP VALIDATE THIS IS UR PERM;e7 ryATE SIG TUBE OF OWNER OF OWNER BUILDERI IDATEI 883 14EW - [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: L'q' Legal Description: Owner Name & Address:- Tel. # Contractor: C\yV_(a,lk� MN LICENSE # Address: 4 -v �S Tel. # '9 co -(Ugot 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: Q -, I W S6. Construction Type: Driveway Curb Cut Width Needed: DATE: 'j ( cam I' �C APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: 00 Ft. + 6 Ft = Estimated Cost: $ / � 61 09- (Fee Schedule on Back) Ft x $ = $ Fee Schedule on Reverse Side 001 of Permit Valuation (1/10th%) Tel. # $.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 [ ] Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE "' • � 4 ' OLP YOUR E-MAIL ADDRESS ww ' 1� Fr I c SITE ADDRESS THIS APPLICANT IS: OWNER OCONTRACTOR PROPERTY Nom: rPV OWNER/ ADDRESS: CITY STATE{ TENANT PHONE: CONTRACTOR NAI M: STATE LICENSE # EXP DATE STATE ZIP SUBNIIT A COPY OF YOUR STATE ADDRESS: P% CITY LICENSE WITH PHONE FAX APPLICATION PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE o NEW XREPLACE U NT TYPE OF WORK: DETAILED DESCRIPTION OF WORK e)C kf, f VVW-e-F} r�-E-Ea- PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV FLOOR DRAINS _ SHOWER _WATER PIPING —_ BATHTUB PIPING aEED a7yLimao _ SWIMMING POOL —WATER SOFTNER ($35) —GAS KITCHEN SINK _ WATER CLOSET BACKFLOW PREV. ($15) CLOTHES WASHER ^ _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ _ WATER METER —OTHER h IM R MA e Permit Fee $ 00 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 $ �� State Surcharge = $____t50 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 rre^ uoiress review and approval of plans. �which j T d0J U PRINT NAME �l/V L- DATE 42Y SIGNATURE OFAPPLICANT _ .(�/ �.., x' F i F. aOR .. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building $ ' BUILDING Plan Review Permit No. ' 'o1 (� Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604CITY $ .0005 x Permit Valuation Minimum $.50 License Surcharge 2009 $5.00 (State Licensed Residential Contractors) SAC Charge OF FRIDLEY $2000 per SAC Unit (Plans to MWCC for determination) Dat�Ddp►_0 763-502-4977 FAX ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee EFFECTIVE 1-1-09 Fee Determined by Engineering Sewer Main Charge DATE YOUR E-MAIL ADDRESS Total Due 'c� SITE ADDRESS �fdlG Make checks Davable to: Citv of Fridlev Attach Stipulations THIS APPLICANT IS: hKQWNER CONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # Q / EXP DATEO AND CERTIFICATE OF , / ADDRESS: //CoY �r?l �� G/ .V CITY e�T�s.l-�`� -STAT E,&�ZIP % INSURANCE PHONE _2 1 — Z 0<r=,, FAX �✓� — PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED Jit WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK 4'SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION IXMAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: __'�e-X J LC]• r/1�0+�� . SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES El HOUSE & GARAGE 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: 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 }mss- ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & ZD TYPE ORWINDOW TO BE INSTALLED NUMBER OF WINDOWS I ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ S?nO � OCCUPANCY TYPE Permit Fee $ ' See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks Davable 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 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 on site; that the work will be in accordance with the approved plan in the case gLall work whi r quires review and approval oMlans. -tt(�SIGNATURE OF APPLICANT � PRINT NAMG., �4bI� DATE Z'� I oS Building Permit Fee BUILDING See Back Page for Fee Schedule Permit Nod1p Inspections 65% of Building Permit Fee Cr .00 .001 times the total job valuation 4-p RESIDENTIAL APPLICATION Received B 763-572-3604 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) CITY OF FRIDLEY $ Date lM 763-502-4977 FAX $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering EFFECTIVE 8-19-09 $Agreement necessary ( ) Non Necessary ( ) DATE YOUR E-MAIL ADDRESS ,�' . 1 Make checks Davable to: Citv of Fridlev Attach Stiuulations SITE ADDRESS lS S� THIS APPLICANT IS: Alq�WNER ❑` CONTRACTOR PROPERTY OWNER/ NAME:?!�tbt.di h4 TENANT '� ,,,.,,�,,�l. ADDRESS: lip lAcl2� CITY- np I1^ STATE-4WZIP 5-5316 _ PHONE: CONTRACTOR NAME:Ulf -Nov SUBMIT A COPY YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING .kOTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR .KREMODELING DESCRIBE WORK BEING DONE: `k SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY 11 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: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Feria and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF 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 THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ � 6C. OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review Fire Surcharge $ $ 65% of Building Permit Fee Cr .00 .001 times the total job valuation 4-p Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $Agreement necessary ( ) Non Necessary ( ) Total Due $ ,�' . 1 Make checks Davable to: Citv of Fridlev Attach Stiuulations 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 on site; that the work will be in accordance with the approved plan in the case of all work whisk requires review and approval of plans. SIGNATURE OF APPLICANT �C `-� PRINT NAME�� DATE !�i5 5`tfPn a� — P7.""�s �a 4& -Cd - piuowb , MCC. k , mks 'S K4Z & P- C St (Oj IS rewwVfEcli � tiui( v� 'iiaf codum 89sc4,;:oj cd*xv��4 S�£ S . Building PLUMBING Permit No. Inspections RESIDENTIAL APPLICATION Received sy: 763-572-3604 CITY OF FRIDLEY DatAMS E 4 20 9. 763-502-4c9�77 FAX EFFECTIVE 2-19-09 DATE q' l/ — O YOUR E-MAIL ADDRESS �°`''/ S /A j�-I� ► �.q i1��-/rc�.,� _ f n r.-. SITE ADDRESS _[ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE TYPE OF WORK: ❑ OWNER ❑CONTRACTOR ADDRESS: 625 S t"/ - rA)PE CITY Le PHONE: NAME: O' / a L, , i a ✓ Y �` ` '' ' STATE LICENSE # Dh 1A Oli"l EXP DATE DATE STATE BOND # �' EXP DATE ADDRESS: /35.;?-/ �r��. .atJv�TV A7 PHONE `7 5 0`- - D Y h - SINGLE FAMILY ❑ NEW DETAILED DESCRIPTION OF WORK ❑ TWO FAMILY ❑ REPLACEMENT FAX ❑ TOWNHOUSE X37 STATE ZIP FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. 4 BATH SINK/LAV _FLOOR DRAINS � SHOWER WATER PIPING —BATHTUB _ GAS PIPING (NEED CITY LIC)_ SWIMMING POOL _ SOFTNER ($ 3 _ CLOTHES WASHER _ KITCHEN SINK - WATER CLOSET —WATER _ BACKFLOW PREV. DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER _jdOTHER THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 on site; that the work will be in accordance with the approved plan in the all or h requires review and approval of plansT I p� c� SIGNATURE OF APPLICANT 7 PRINT NAME �/4'i'f V �- ( : • -- DATE / ^ /,Y- 01 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-1502-4977 FAX I EFFECTIVE 2-19-09 DATE m6 e- ZZ �j O l _" YOUR E-MAIL DD SITE ADDRESS 6 [6 69 �r 9 THIS APPLICANT IS: 0OWNER .Be'MTRACTOR PROPERTY NAME: Jpd`fa]l La czar E OWNER/ ADDRESS: b -(S 5'R ?Lk Avg IAIIF— CITY Ftra ) Permit No.: Received By; DatR:A 40 TENANT PHONE: w - CONTRACTOR COMPANY NAME: f: o✓� SUBMIT A COPY OF CONTACT PERSON: GaIrEcr Fr14-C I - Zvi 612, --343 - X371 YOUR STATE STATE LICENSE # N L 66965.3 %4' EXP DATE /-"d L LICENSE WITH ADDRESS: �J Q -F(,• CI � STATEN&IP APPLICATION PHONE FAX 7 PERMIT TYPE .®-SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW .PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK 4 r- n cf -f- t �./ . C/ FEES ARE BASED ON $10.00 PER FIXTUREFXCEfF WHERE NOTED. FIXTURES: TOTAL NUMBER OF EACH BLOW) Equipment Installed MFGrj-b l�aAl MODEM: "6 A,V SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU _ A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $IS _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _BOILER $35.00 XFURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 FDUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 Number ofhaut Number of f.lxtut State Surcharge MINIMUM FEE $35.50) Total = $ THIS IS AN APPLICATIO FOR PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permi an I acknowledg that a information above is complete and accurate; that the work will be in conformance with the ordinances d des of the City f F ley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicatio fo permit and w rk j ;'not to start without a permit; that the or will be in accordance with the approved plan in the case of all wor ich r iris re ew nd a - val of plans. SIGNATURE OF APPLICANT i PRINT NAM 4P vi- r DATE PLEASE NOTE: SEPARATE';PERMI ,ARE REQUIRED FOR BUILD ECTRICAL AND MECHANICAL WORK Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 7