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PRE 2010 DOCSU �z Date: Owner: Addres City of Fridley, Minn. BUILDING PERMIT Builder Address L 1 N OF BUI ING No. Street Part of Block Addi n or Sub -Di n Corner Lot — Inside Lot _ _ �.��Se#back �_ Sideyard Sewer Elevation F dation Elevation DESCRIPTION OF BUILDING N® .'7060 T U /� .� Front i Depth Height L Sq. Ft Cts. Ft. Depth Height Sq. Ft. Cu. Ft. Type of Comstructio Fast. iy®To 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. 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 tum u �riolatloaof ordinances. any of the provisions of said / � � 6 / 1 NOTICE: This permit does not cover the constrod don, installation for wWng, plumbing, gas hating, WW/r or wafer. Be sura to as the Building Impeder for separate permfla for thea Rema. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate TOTAL Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 $ • v� (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $ 10.00 Gas Range $10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning — All Sizes $ 25.00 $ ZS.cz All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Commercial/industrial 1.25% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE (%Z— MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On August 1, 1995 %t'6 F dA S JOB ADDRESS 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 and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. j % �ri _ /,*, '1995 df OWNER .CJ�ty BUILDING USED AS /CeSCW"I ESTIMATED COST §ZPERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Wat (Warm Air) Trade Name c Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY d W( Signed By Tel No. Approved By,/� ,"I' �' �. Rough—In Date Final Date L FILL OUT BACK SIDE FOR STACK VERIFICATION ON I ®/ /(/v� REPLACEMENT FURNACE 4VA" Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: A- ,— l 6� -7 3 CHIMNEY 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 j 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 (,�d No ( ) 6 Has total heating BTU's of d-ju All other BTU's z �, C--Uo TOTAL BTU's v 00 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: A- ,— l 6� -7 3 Building '�S rl0 BUILDING $ Permit No. I Inspections ' 3 i00 RESIDENTIAL APPLICATION Received B7-�'! !( 763-572-3604 $ CITY OF FRIDLEY .0005 x Permit Valuation Minimum $.50 Date Recdy z , DATE "" / o b YOUR E-MAIL ADDRESS SITE ADDRESS �1l $1550 per SAC Unit (Plans to MWCC for determination) THIS APPLICANT IS: ❑ OWNER IICONTRACTOR -ft +6ft= ftx$21=$ PROPERTY OWNER/ NAME: $450 Conservation Plan Review TENANT ADDRESS: // at i✓�- CITY STATEI49IP ss .3'Z Fee Determined by Engineering PHONE: -7,0- CONTRACTOR CONTRACTOR NAME: ( SUBMIT A COPY OF STATE LICENSE # 20 Ll 7 62 EXP DATE 3 6 1 /© -7 YOUR STATE LICENSE ADDRESS: 4{ b e)�� l C L?-'` CITY 6 ✓_,1 %A1Gz STATEAA*f J�9f3 WITH APPLICATION PHONEY 7 -- FY 56' FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION 4F.GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ROOF ❑ DRAIN TILE ❑ DECK IDING ❑ OTHER ❑ 8WIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: l e yvb w SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. Existing Floor Plan PROPOSED SIZE: 10 DETACHED GARAGE 2• Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used 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. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 8t, 0 , 6U 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 $ '�S rl0 See Back Page for Fee Schedule $ 65% of Building Permit Fee $ , $(o .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 $ • G3 $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 ( ) $ Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the 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 workZwhirequires review a d_approval of plans.;�/ /SIGNATURE OF APPLICANT///�G/'y. > _G?i�RINT NAME/P/", %(fllrC='Dp & 5 /D CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 PERMIT NO.: 2006-00853 DATE ISSUED: 05/18/2006 ADDRESS : 120 62 WAY NE PIN : 153024430091 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING VALUATION : $ 860.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. - - CONSTRUCTION IN THE CITY IS UNLAWFUL EXCEPT BETWEEN THE HOURS OF 7:00 AM AND 9:00 PM, FRIDAY AND BETWEEN THE HOURS OF 9:00 AM AND 9:00 PM ON SATURDAYS. NO WORK IS ALLOWED ON LEGAL HOLIDAY UNLESS AN ALTERNATE WORK HOUR PERMIT HAS FIRST BEEN ISSUED. CONT: DAMIAN REITEN 612-247-8856 REPLACE ROTTED WOOD AND REROOF STATF I.TCF.NSRn CONTRACTOR9 1 APPLICANT DAMIAN REITEN CONSTRUCTION INC 11400 QUINCY ST NE BLAINE, MN 55434 (612)247-8856 20549068 OWNER SCHULTZ JAMES E 120 62ND WAY NE FRIDLEY, MN 55432 LDING PERMIT FEE F SURCHARGE STATE SU C ,BLDG VALUE LICENSE S RCHARGE TOTAL PAID WITH CHECK # 3189 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 worl 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 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Y THROUGH VDAYS OR ANY 35.70 0.86 0.50 5.00 42.06 CITY OF FRIDLEY PERMIT NO.: 2006-00853 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/18/2006 (763) 572-3604 FAX: (763) 571-1287 ADDRESS 120 62 WAY NE PERMIT APPLICANT: PIN 153024430091 DAMIAN REITEN CONSTRUCTION INC LEGAL DESC UNAVAILABLE 11400 QUINCY ST NE BLAINE, MN 55434 PERMIT TYPE BUILDING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM INSPECTION TYPE DATE INSPECTOR INSPECTION TYPE DATE INSPECTOR ICE & WATER BARRIER FINAL INSPECTION COMMENTS: IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.