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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3797 Date: ... ................. Owner ....................................... Builder. .......... Address ...................................... Address ............................................. % LOCATION OF BUILDING No. . /.. � 4 Street ... �� ....... Part of L9t .............................. . Lot ..... .... Block .... ............. Addition or Sub -Division ........................ Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To Us as: e - e - `�° - 10 ... ..... Front ��. Deptha i-'. ®. Height / 7�® Sq. Ft. f6.0 . cu. Ft.117A00 Front ........Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction .......... .....• •Fust. Cost. f�R .®.... To be Completed .................... In consideration of the issuance to me of a permit to construct the buildipg Idesribed above, I agree to do the proposed work in accordance with the description above set forth anqA compliance with all provisions of ordinances of the city of Fridley. C � . 4��2 ..���� .:� .. •ate � • t��• .. ���—� 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector e •/���/ '41, . NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these'ltems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name " _ Builder ----.-- Address .Address :LOCA ON OF BUILDING No e71t—y Street Part of Lot s Lot Block Addition . or Sub. Div. &La 2=. Corner Lot :Inside Lot r Set Back Applicant.attach to this form Certificate of Survey of Let and proposed building:location. 7'DESCRIPTION OF BUILDING To be used as Front Depth Height S Sq, Ft: Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft.. Type of Construction Estimated .Cast �--. To be . completed . c`• ,E� A 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.ef Buildings, and hereby declares that all the facts and representations stated in this application are true and orrectc�� Date Si ature� � (A Scnediid of'Fee Costs can be found on the Reverse Side) • • 0 City of Fridley, Minn. BUILDING PERMIT Date: September 10, 1965 N? 8439 Owner: Harry Paasch Builder Superior Concrete Construction Address 788 - 63rd Avenue N.E. Address 6321 Jackson Street N.E. LOCATION OF BUILDING No. 788 Street 63rd Avenue N.E. Part of Lot Lot 1 _ Block 9 Addition or Sub_Division Christie Addition Corner Lot X Inside Lot — Setback — Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: (Att. Garagel Front 20' Depth 28' Height 10' Sq. FL 560 Cu, Ft 5,600 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Fst Coat 3,125.00 __ To be Completed 90 days 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 ail provisions of ordinances of the city of Fridley. // //7 In consideration of the payment of a fee of 6.00 , permit is hereby granted to Superior Concrete Const. Co. 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 withian� city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordin NOTICE: ihh pmuk don not ewer the coestwstion, hutaQa m for *fib& phnmhtee, on heating, sew" or water. Be sura to we the Butldiag bq- for for separab permhs for these hurm R. '��t .�� _ .,w� � -. .:}yam i f { r r - ... �� i - :j � 7 .�"._ � _': _ 'h F'�.� '�.' . .. i �. ... 1 t< ire � ,�'if�Y: `. a �. ~ . h:: Y 1 Y � - _. _ tri - " a /` /jj/�� (/�./�] OWNER'S It Apkld�OK "Odi - BUILDING PERMIT I.. CITY OF PRIDUY MiMMOTA . . '&Mww: i%v§_ - -411. ADDRESS ADDRESS >/ 'C tOC I ATI ON; OF Wnlbbw YzNo. §ir,eet- f. "IV i I ' 'Pa, Part I of"Lot" LOTS BLOCK ADDITION OR SUBDWSION�4 ba r'5' 71-1 _(P Lot.4� , InsideLOT. ,�'§etbi6k� Corner. Side-tard SEWER ELEVATION, FObW&ION IUVATiON Applicant attach to this foft Two,6ertificates of survey of Lot and proposed building location drawn on these bettificated. To be-used:`asg DESCRIPTION OF, tUM'DING . . I . I - . '!, .. ." ­-`._'" .: 1 " d�.0_ Front -A p Depth a Reight Sq. Vt. '5-6d Cu. Ft. 'c; - 'o g #iont_Depth th Heig . , 77 S40 Ft' qu. Ft. Type of Construction Q Estimated Cost SO To be 4cmpleted The undersigned hereby,makes'aipplidatioh fora permit for the *ork'hereitn'specified, agreeing to do all work in strict accordance with the City of.Fridley ordinances and rulings.6f the�Departnmmtvf Buildings,and tst6by declares that�ali the facts , -on a and repres'entation's itai6d: -in, this application are, =true -and "coftect DATE .. - _Z4/® - . ; ' - - SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). �� 01 SUBJECT PERM) City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT .13893 r ` R IPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 112-7-76 JOB ADDRESS 788 63rd Avenue n.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 9 1 Christie Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Sandra Chartrand 788 63rd Avenue n.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Master Masonry, Inc. 14914 93rd Avenue North Osseo 425-620 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK NEW ❑ ADDITION ALTERATION REPAIR MOVE ❑ REMOVE It ❑ ❑ ❑ 8 DESCRIBE WORK construct new fireplace 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. masonry 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 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 $1,600 .80 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 12.00 P PLAN CHECK FEE TOTALFEE ? 12.80 ' SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) HERLY V L ATED THIS PS YOUR PERMIT BLDG )NSP AT SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) �� 01 CITY OF FRIDLEY APPLICATION FOR. RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER'S ME: BUILDER:__ ADDRESS: 1'5?g rr CLUi J%� ADDRESS: pe) TEL. NO. : NO:. 288 STREET: LOT: % BLOCK: R ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIMARD: Applicant attach to this form 'Aio Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTIO\ OF BUILDING To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: 1l�.�: Estimated Cost: $ /10C)o To Be Completed: 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. DATE: a - 1-1(0 • SIGNATURE : (See Reverse Side For Additional Information.) HARVEY A. CARTWRIGHT%%mrimmIGHT a OLSON ANOKA COUNTY SURVEYS y� //�� g� HENNEPIN COUNTY SURVEYS LAND SUR VG Y[d �1 S MINNEAPOLIS SURVEYS .8410 PALM STREET REGISTERED UNDER LAWS OF STATE OF MINNESOTA SUNSET 8-0079 LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS OWNER 343 PLYMOUTH BUILDING FEDERAL 8-8721 INDUSTRIAL - JUDICIAL BUSINESS - TOPOGRAPHICAL CITY LOTS - PLATTING Thomas S. Silvis r -2704 6urbepor'g Certificate 3 ail x/JI _. 1 ( 1 7 U COMBINING THE RECORDS OF J. E- HILL, CIVIL ENGINEER ESTABLISHED 1896 C. F. SANDHOFF CIVIL ENGINEER ESTABLISHED 1008 JAMES NELSON SURVEYOR ESTABLISHED III= METROPOLITAN LAND SURVEYORS. ESTABLISHED 1991 Invoice 19395 660/70 I hereby certify that this is a true and correct pl-:t of a survey of Lot 1, Block 9, Christie Addition, Anoka County, Minnesota, as surveyed by me this 8th day of January, 1958. i tx: r SUBJECT PE City of Fridley O - 6 9.6 0 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T i R O. � I •w -------- COMMUNTY DEVELOPMENT DIV. � r PROTECTVE INSPECTION SEC. ----1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY %'J 612-571-3450 910-F15 3/30/83 JOB ADDRESS 788 - 63rd Avenue N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ] 9 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Chartrand & Hinners 788 - 63rd Avenue N.E. 571-3475 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue 781-9548 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 O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Aluminum siding & trim and New Anderson Bow Window 9 CHANGE OF USE FROM TO STIPULATIONS 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 SQ. 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 $8,000 $4.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $68.50 PLAN CHECK FEE TOTAL FEE $72.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP 0ATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY Effective Aug. 1, 1961 APPLICATION FOR RESIDCNTM BUILDIIIG PCRMITS (New. Alterations. Additions, or Repairs) OWNER: -CII�i /�`!" le i p!1 /Z S BUI LDER : i L •.� s J� y iy s a ^1 ADDRESS: % 3 �'� A U � � 1 ADDRESS. TEL NO: _- S-9 I — -3 �L % A TEL NO: Construction Location • STPJ= Nos STrd=: �- 3 4 L/ ff LOT: BLooc: ADDITION: N 61;' Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: �j) r � %Vpe of Construction: �Jlv P�'J r` o' 't � (C � � Estimated Cost: $ 8•,, ®®o . '!b Be Clompleted: (o ff Alt. A Alt. 8 Proposed Driveway Width If New Opening Is Desired: $ S . SEE FZVERSE SIDE OF SHEET • Mie undersigned here makes application for • 9 by pp permit for the work herein specified, agreeing to do ,all work is, 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 torr t. MUS d1,C-3 l SIGNATUIE: ?ti Stipulations: O SUBJECT PERMIT NO. City of Fridley 18916 AT THE TOP OF THE TWINS BUILDING PERMIT i � • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �S`- 7 r a 1 I i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/1/87 JOB ADDRESS 788 - 63rd Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 9 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sandy Chartrand 788 - 63rd Avenue N. E. 571-3475 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Quality Builders 457 Independence, Champlin 421-1688 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 221 x 141 Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING before diggip �`�'>�'EPH9 call local utilitie, 'NE -ELECTRIC GAS Ek kLtOU1RED BY LAW 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 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 $3,050 $1.53 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 STAT OR LOCAL LAW REGULATING CON- '"OF $44.50 STRUCTION O PERFORMANC CONSTRUCTION. LAN CHECKFEE TOTALFEE _ _ . $11.13 $57.16 GN TU EOFCOI RACTORORAUTHORIZED AGENT (DATEI WHEN PROPERLY A IDATED THIS IS YOUR PERMIT BLDG )NSP f) TE SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address Legal Description: 40 Owner Name &Address: Contractor: jC—) Address: 4 5/ 7 5 � City of Fridley R-1 AND R-2 p- Building Permit Application A Effective 4/1/86 r is t fr Tel. #%�- 7-5 Tel. # P^✓cic!" 1, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length -2- OTHER: OTHER: &*?-K60 Sig X 4501-sc 4. 0 Corner Lot [Inside Lot [ ] Ft. Yd. Setback Type of Construction: Approx. Completion Date: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground L%`5 Sq. Ft. Afi 03 � ,Tr t2Isr.4Y cver lo' Side Yard Setback 6+0 Estimated Cost: $ 305 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation � DATE: ql??l APPLICANT: ' ' /S�'� Tel. # -/ Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: jjCITY USE ONLY $ q.9D Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ $•50/$1,000 Valuation $ $ 525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ •r Q 3o SO Zcl c.'� IL q �Q.�� pv -.r- 17 i, :i .. + 1 1 :.j �� ' .i 1j 1 .I •r� !1 1 I•ii T � l.li' I1� I :7>u t'. I 1• .I ' 1 1 I 1.�.; r 1•' �' 1 ' !A' -f :!T" 'tea' .I1� 1 1if 1 ••�•�+ _I ' �1 •1' �14 ' t t .i '• ��-� ;:�''I: 1 i, i�l,t i ,I, :l. ,1', ���� il;� �1 �;'' I(�` A;. �,► ` � I 1 '' 1 � j ,I!' 1 ,t Ij!i 'r I, ' 'j. '�' '�: 't 1i� t ' ' 1�� �•..:� � � I t.! ...�. r.. ,1) 11: : � 1� I' 1' � .!i � i is �'� I n 1' I: �7 n bi;i ' ;blvd NYaI i� • r Iry ;ten Zr— r� a CERTIFICATE OF OCCUPANCY pior Application for a Certificate °sof tructure cfor shallbe buildingmade ten (permitYgasrbbeen to ttie use or occupancy Y shall not be used or occupied until a Certificate issued; and said structure of Occupancy Las been issued. 1 1 -t�( :.O^ .:SCC' 'i,: 13 ;T:.�N :' :T; �. ?:�Oi'� �T ^_O'T 03..00 ' ..no a.::.TC :O ` : I Iae1 Clw SVIUVA53 •9110A3AwnSON111.%1.1 73t]i}1j17� �,10113(11ri@f 510.1 ALIS ONVI NVII'10dON13W "volmdvueod01 -' SS3NISne 1v171anf - 1v1a1snaN1 :ssl aawsl�evls3 UOA3AUn$ IZL9-9 IVU303-4 9N1a11n8 H1nOWA1d SVC NOS'13N s3Wvr w3MA•0 Sllod"NNIW d0 A110 -40 30NVNICUO As 03SNBrWI 6GOp•9 1ssvns noel 03wallevls3 "33N"-'N3N3 IIAI:) v1CS3NNIW d0 31r1S d0 SMVI U3aNn C3v31sio311 1331115 wlbd 0Ih9 3jOHaNVS 'd '0 QAT V 7 SA3AUns SII0.1W3NNIA sA3Aans Al%,noo N1.+3VN3w 9e PI d7wsllBvaS! RA3Aans A1Nnoo vycwv N33N1'SN3 IIAI3 "111H '3 'r ��jj��`` rp E ' � � �.�w I+ t.~Fri '� 1H012!/N121V7 'V J13/1?!VH 10 s0U0ZId 3N1 VNINIewO� �6 .... .... . ov r.lb 41 . Onto fib ZA op"*� 1, ;. I , r7 .� _::ii:4 ,x.1,.1 ILL., SUBJECT City of Fridley r27226 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r OY 1 NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEv 55432 612-571-3450 910415 8/17/98 JOB ADDRESS 788 63rd Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 9 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sandra Chartriand 571-3478 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Four Seasons Roofing & Remodeling LLC 7930 U—niv.Ave.NE- 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 3a REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (23 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 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 S.96 DOES NOT PRE ME TO GIV ORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ANY OT STAT OR LOCAL LAW REGULATING CON- STRUCTION THE PERF A OF CONSTRUCTION $62.25 Fire SC $1.92 �J 4,, PLAN CHECK FEE TOTAL FEE License 5.00 13 GNATURE OF CONTRACTCfR OR AUTHORIZED AGENT IDATEI N OPE LIDAT T IS IS YOUR P MIT _ BL INSP /e q E SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI Effective 1/1/98 ; CITY OF FRIDLEY SINGLE FtMILY -AND DUPLEXES R-1 AND R-2 w�"%Dy ING PERMIT APPLICATION ,�{; i ro u�. LArryJ}li ciF ` AP a'Ca f r„�`ky Z uctionAddress z1 -- ': Description: ,m Name & Address:Tel. /%,j %f '347 " tor: �u sa y.�. 1;,,� CLC: MN LICENSE#_ ... �T. Tel. # w Attach`to Athis"application, a Certificate of Survey of the � lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT f L; C A.1 t EA: Length Width Height Sq. Ft. Length , '. Width Height Sq. Ft. C�� A1ZEA: Length Width Hgt/Ground Sq. Ft. A-3-012 IJ ,R oa Type: Estimated Cost: $ (Fee Schedule on Back) t r:{y Curb Cut Width Needed: ": Ft: + 6 Ft — Ft x $ _ $ APPLICANT: ��� y' , ���� Tel. # CITY USE ONLY ` �. ::Fee Schedule on Reverse Side's " _ ....::: Fee � rcharge $ j iy4y�.00I: of Permit Valuation (1/10th%) � %$1;000 ValuationSurcharge " g ;x$1per SAC Unit E SAC Charge 000 F;, � �- . P ' License Surcharge $ r < ' °$S 00 (State Licensed Residential Contractors) rivcway Escrow $ s 'k� � Alt. "A" or"Alt. "B" Above I ' '"` #; ;OI � h � �rosiun Control" g,50 00 Conservation Plan Review &` $ Fee Determined by Engineering tc main, Charge ` $ r- .rid Agreement Necessary [ ]. Nov Necessary a 4 r TOTALA �� �Mi 4 q. y,. 11 r ;( xCt; n 4 -,.•IPULATIONSINSs.H5 !'. : y S �'V E Building Inspections 7.63-572-3604 DATE Z'Z3'O SITE ADDRESS � i� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: MECHANICAL Permit No.: 2420 RESIDENTIAL APPLICATION Received By: CITY OF FRIDLEY nate Recd: YOUR E-MAIL ADDRESS 0 OWNER CgCONTRACTOR ADDRESS: -LSS L 3 PHONE: COMPANY NAME Home E n CONTACT PERSON: EXP DATE STATE LICENSE # CITY Plymouth STATE MN ZIP_�Z ADDRESS: 15200 25th Ave N # PHONE 763-476-1990 FAx 763-476-11 ATE N ZIP 2 IN SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE 0 NEW )I REPLACEMENT 0 ALTERATION/REMODEL V DETAILED DESCRIPTION OF WORK 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 ial fixture, excluding the fixtures. (This should reflect only the cost of labor improvement, installation or replacement of a resident ) x.05= Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor __ KATE TOTAL FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (ND NUMBER OF EACH BELOW) MODEL. c"Y1PV `� S SIZEBTU '1SDOo Equipment Installed MFG: — y SIZEBTU�' MFG: �`_ C� MODEL: �� SIZEIBTU MFG: MODEL: GAS RANGE/OVEN $10.00 j A/C $25.00 _FIREPLACE (GAS) $15.00 NEW GAS GRILL $10.00 AIR TO AIR EXCHANGEER $IS FIREPLACE (WOOD) $35.00 GAS UNIT HTR $10.00 _BOILER $35.00 _TFURNACE $35.00 POOL, HEATER $35.00 GAS DRYER $10-00 CHIMNEY LINER $10.00 — VENTILATOR $15 00 GAS PIPING $1000 —DUCT WORK $10.00 — r a :� u l t� � KEW ufi'odii.'3"iw'e ^.,k u5'" :? Number of fixtures @ $10.00 x $10.00 = Permit Fee $ Number of fixtures @ $15.00 x $15.00 = $ Surcharge $ 50 Number of fixtures @ $25.00 x $25.00 = $ TOTAL DUE $ SO Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Total = $ THIS IS Aid 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 dley and th the Construction Codes; t I s is conformance with the ordinances and codes of the City Fs'not o start lwithouMinnesota perm; that the work w ll be in a accordance enwith the not a permit but only an ap tion for a permit and royal of plans. approved plan in the case o all w rk which, reauirrrr p ` I cZ of cj O io 1 ) I jnln. DATE SIGNATURE OF 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 HOMESIADDITIONS ❑ 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 Propane/IFGC 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 1MC 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. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations 77,2 -sr - Building BUILDING Permit No. - ) Inspections RESIDENTIAL APPLICATION ReceivedBy: 763-572-3604 Dat 'JE CITY OF FRIDLEY DATE �Y' �B I YOUR E-MAIL ADDRESS SITE ADDRESS ? THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: R1J '0#0 / ADDRESS: %S%Y l0 3 /AfI ^✓'CCITY STATF/h&_M000"?Z' TENANT PHONE: CONTRACTOR NAME: =1orpntralMenue N ' SUBMIT A COPY OF STATE LICENSE # S'n P Park, MN DATE YOUR STATE LICENSE ADDRESS: (762) 572-257 CITY STATE ZIP WITH APPLICATION1p• PHONE V�1�) LY PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE• ' i✓' OW -P S12E OF IMPROVEMENT LENGTH WIDTH HEIG4 Sq. 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 PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DWKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS ❑No LOCATIO OF �✓�WS 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 $ ZO © O " OCCUPANCY TYPE Permit Fee $ !�� !�� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 0-06 .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ —7,7.7, v® Make checks payable to: City of Fridley 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 applicaxw f r a pe t 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 w 'c qu' s evi and approval of plans. p J SIGNATURE OF APPLICANT PRINT NAME/G �i✓���✓/J/'ac�/AJ _ DATE Building PLUMBING Permit No.: �' Inspections RESIDENTIAL APPLICATION Received By: + 763-572-3604 CITY OF FRIDLEY Da APR OR 20 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE !S� - 5f ^ PC� YOUR E-MAIL ADDRESS SITE ADDRESS 7" 6 :� THIS APPLICANT IS: O OWNER PONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE—ZIP- TATEZIPTENANT OWNER/ TENANT PHONE: CONTRACTOR NAME: t fJ CL11�/A� �U t f:-- 2 STATE LICENSER l?J �� EXP DATE SUBNHT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # %l Z %/Z Z EXP DATE /� 9'5; ���y ��%� -ZIPS 3 CERTIFICATE OF ADDRESS: 3�l .df'� °L/ CITY STATE M'& INSURANCE PHONE �lo �'" G/ZC�� JZ ala FAX PERMTT TYPE 4,SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE E3 NEW J�BEPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK &2� c ce 52yu n OXX aAl4,d FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER _ WATER PIPING _ _ BATHTUB GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) _ _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION —DISHWASHER _ WATER METER -OTHER yb i" A �r1S 4#h"q"F�'• � � � � ?$ i• 'Fjy Nl 4 Y.? i r � � .t� 'v``� ,, ,� ��$ ��fk '�' i�• �'��.. k k �k � r�gsl S v�'� y `3 � ��� � �,. r �.K k'sS "y g$•�T ,��, (S'� .� +b;",{Jlr S�ai 1G' �`�,e .i � `i„i ,,�.-2 �' 3f - x ��� �,s, ffU1 F�Ze� -0„�Eiy�.3,.y9T'„ L 32 3 +.' �ry eb3L -1 >•��' £� ��ZiY��k R �� 4N� k ,•Fe” Xi3%" ..i YI•'t >N� S�FM'i>-"^� +kh, t 3 `T k. �� }3 i d fS XPi.s�5 � fir" ob ��'. �� � ���" F c'� '4a• +� � 2 -i y � k'a,',� ',{ '. t �'P '�^'�'�', �7 �c E � E E# t �. ,^, '±ty .y��+ £. vT�� 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 applicationAr 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 Som 1 k which requires review and approval of plans. ����% �/E�SGDATE �� d SIGNATURE OF APPLICANT ���� PRINT NAME City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977