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PRE 2010 DOCS• C� City of Fridley, Minn. BUILDING PERMIT N® 7071 Date: _ Owner: /Builder �spv Address Address LOCA ON OLDING No Z Street — _ SV�-___ Part o Z Lot __ Block o Addition or Sub -Division may- i Corner Lot _ Inside Lot Setback-.�•—_...._ Sideyard .,g— Sewer Elevation --2J--.Z -2Z — Foundation Elevation 2 51Ps �! DESCRIPTION OF BUILDING To Used Front/ De ®%f Height Sq. Ft. ,e® y� Cu. Ft a ® nt Depth / Height _ ZP Sq. Ft. �� Cu. F -4. 4® ®U Type of/construction Fst. l _ To be Completed In consideration of the issuance to me of a permit to constructuilding described above I agree to do the proposed work in accordance with the description above set fo and compliance with afl provisions of ordinancxs oY the city of Fridley. s 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 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 ordinances. 1--% Building Inspector NOTICE: This perm* does not ewer the conamcdon, haft on for wMh& plumbing, gas heating, sewer or waer. Be sun to see the Building inspector for sopsrde permih for these Rena. -APPLICATION FOR BUILDING PERMIT ..f CITY OF-FRIDLEY, MINNESOTA, OWNER'S NAME BUILDER&5�0 ADDRESS ADDRESS LOCATION OF BUILDING, No. 79.l Street aur, /1<5-0. :. Pant : of Lot r Lot*•. Block ;Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard /rte SEWER ELEVATION FOUNDATION ELEVATION Applicant attach.to this ,form Two.Certificates.of Survey of -Lot and :proposod build-- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: f Front' Depth Height. Sq. Ft. T %�l�. Cu. Fti. Front Depth 2.4, Height Sq. Ft. Cu..: Ft.� Type of Construction Estimated Cost: To .be Completed- /10-2 4/_�_ 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 reprei6 itatious stated in this application are true and correct. Schedule of Fee Costs can be found on the Reverse Side). 6 BUILDING PEP.MIT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any exist- ing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit; 2.1. For any such permit for the erection of any fire -proof building, other than a garages warehouse, factory or grain elevator, or for theerectionof any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire -proof garage, warehouse,_ factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate'of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. . ROUSIES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory.or_grain elevator, or for the erection of any non -fireproof addition, for -similar occupancy,,to any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of 0,00. - For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of .the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee,_.charged..for.any permit -a# set forth in Section 2 be less.than $4.00. City of Fridley Application for Plumbing and Gas Rtting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK��/ �C) Number. Kind and Location of Fixtures Location UN WATER HTR. City of Fridley: 1+ °� Number Fixtures ...................... x _i —TaTAL $ � �^ Z rz �aZ 88 Z lT<) O ,T1�� 1 $ ' • • Water Heater (Up to 200,000 BTU) ...... x 2.00 J $ e New Ground Run Old Bldg. ....... . _ .. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL yz Uai <3 g°d �Sa go F N GAS ELEC. U3uG U3 Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st 2nd 3rd 4th • Future Connection Openings Connected with New Fixture. Old Openings I Sewer Cesspool El PARTIAL RATE SCHEDULE PLIIMBING FIXTURE RATES: N RATE Number Fixtures ...................... x $1.50 —TaTAL $ � Future Fixture Opening ................ L 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 J $ e New Ground Run Old Bldg. ....... . _ .. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $—/Zr--� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE X --3 a 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 t�e and correct. Fridley, Minnnf v A,"e q0L-"1 196H Owner Kind of Building Used as To be completed about j Estimated Cost, $ Old—New. Building Permit No 0 Permit N ROUGH FINAL Business Phone 42 �� O S Vz�& 'WOL(o.Ad aq4 jol puawwooaa upo nog SUOL4nLOs 424M a@S PUP MOLAOOSPaLd -dn spLjnq a3L 'Ja4ULM aq 4 UL PUP !R;jadod JLB44 .40 4UO.Aj UL BULpuod RLLenUL4UO3 SL AajPM 4444 a4ROLPU� Ra41 *.AaUMO 94jadoid peoualaa 44 LM 4op4uoo aIpw aspaLd ;OR PLnoo UVORL •3•N OnU9A' ' 009 -' 1891 ;!l UPW.AOJ. - SJW wa LqOJd 86RULPJ0 :iMco.ns 6L- Z LqO I ina AEldN 01 ��6L61 'V U - MV jjj — a Z!T-7rl *nKI nlllArT— El— w n 0 N V H 0 W 3 W WiMIG SMOM PHIOnd HAMS *N GE HJIH 7 o -1 Jo ISGO aqj �Ojj ZED f 01 SUBJECT PERMIT NO. City of Fridley9 AT THE TOP OF THE TWINS BUILDING PERMIT 837 7RECOPrI46�� `v COMMUNITY DEVELOPMENT DIV. ______ r - PROTECTIVE INSPECTION SEC. E � NUMBER REV DATE PAGE OF APPROVED BY _ CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/8J99 ,oe ADDRESS 1581 60th Ave 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sheldon Tarmen808-1149 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Timberoof 1001 F. Cliff Rd- Burnsville 55337 208-3149 4 73 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP N914 LI ENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION XQ9 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house andTpar--nff 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code- -ii(alit Inspection Cams Will Be Mailed 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 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 $2098 $1.05 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 83.25 Fire SC $2-10 PLAN CHECK FEE TOTAL FEE Licens SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT S-GNATURE OF OWNER „F OWNER BUILDER, IDATEI BLDG INSP gA1E 01 l-3�J-1:99i_ 12:15 FROH !=IT't OF FRIULE'i' TO BCS7901 P.01%'02 NfiW'0 ( I Effective 111/98 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION a ComtructionAddress: h �� 0 Legal Description: Q Owner Name & Address��ic\G� , fmn? t_�'81 (00 '' ALL +' S �d tt)( Tel. Contractor: MN LICENSE #_ —,tC l i--F��D Address: �. �U� �� C� ( _ V�� 1_6 U�! 1 I�� Tel. # Attach to this application, a Certificate of Survey of the Jot, with the proposed constiuction drawn on it to scale. DESCRIPTION OF IMPROVENfENT LIVING AREA: Length Width height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length � f IV4th Hgt/Ground Sq. Ft. OTHER: —I - -- - Construction Type:]Qj�� Estimated Cost: $ fT {Yee schedule on Back) � O A► Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ $ DAY 1 : c L APPLICANT: r (� d� Tel. #_ O – d CITY USE ONLY o�y° Permit Fee $ S3.36 Fee Schedule on Reverse Side Fire Surcharge $- ►O_ .001 of Permit Valuation (1110th%) State Surcharge $ + ( $.501$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 5 • C-50 $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 [ J TOTAL $� ® W i'V " STIPULATIONS: Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 AUM $15.50 "Ju (MINIMUM $15.50) Total = $ 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 case of all work which roupire�s/ review and approval of plans. SIGNATURE OF APPLICANT -,,7A M4gA PRINT NAME ✓�� DATE �d Cf CT APPROVED BY DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 � Building PLUlYI13MG Permit No.: Inspections RESIDENTIAL'APPLICATION Received By: 763-572-3604CITY OF FRIDLEY �e�� 222W8 763-502-4977 FAX EFFECTIVE 1-1-08 DATE 0C.7 YOUR E-MAIL ADDRESS SITE ADDRESS /57 6 0 h' Vr` A/t THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY NAME: ADDRESS: / J`�i/ L 0 z� IVY= n/t' CITY STATE ZrP OWNER/ TENANT PHONE: CONTRACTOR NAME: `� T� �°�N/ �� d OVS 7. �d STATE LICENSE # EXP DATE SUBNIIT A COPY OF YOUR STATE LICENSE, BOND AND OF STATE BOND # ? p _ EXP DATE Vt �C CITY C E%!%t •c STATE�_NLIP S Cf CERTIFICATE ADDRESS: J / INSURANCE . PHONE lh 3 tZ3 1 0-519 FAX :2 e 5 may' 0 rl ie P LE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE PERNIIT TYPE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK /e`"PIJ//Q Lre/c' / A/ wAI ?t= oT 56A V/ r c" 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 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. WATER PIPING BATH SINKILAV —FLOOR DRAINS — SHOWER -- _WATER SOFTNER GAS PIPING (NEED CITY LIC) _ SWIMMING POOL —BATHTUB _ . ($15) _CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET —BACKFLOW PREV$IS LAUNDRY TRAY HEATER ($35) FOR IRRIGATION DISHWASHER— _WATER — WATER METER —OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 AUM $15.50 "Ju (MINIMUM $15.50) Total = $ 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 case of all work which roupire�s/ review and approval of plans. SIGNATURE OF APPLICANT -,,7A M4gA PRINT NAME ✓�� DATE �d Cf CT APPROVED BY DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977