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PRE 2010 DOCS#CitY oFridley, F , Minn. BUILDING PERMIT S® 4404 Date: .......... .._.. r° .._.-..........._............._....... ....... _............._........._............................... ' Owner: ,{� �� %^^-......_.-.`................................_........_.................... Builder ........... .......... _... ....._............._......... - ......... _.... �_.... Address- - ----•--...-.......... . _ _. _ _....._................. Address ....................._............._. n v� / / LOWTI�N OF BUILDING No.....:.../...1....... Street ........... (�!._W - -` ..j.._.. Vii..... < Part of Lot Lot ...................................... Block .............. .................... .................. Addition or Sub -Division ............................ CornerLot .................................... Inside Lot ...................................... Setback ............................................. Sideyard Sewer Elevation .................................._....--------------------------------- ._--------.-....---------- Foundation Elevation .................. DESCRIPTION OF BUILDING To be Used as: _.._.......... ront ..1.... -.. Depth Height .L..-- . ' Sq. Ft.. . .................. __...................................... Front ..... _................. Depth..._........_. ... Height ....... ... Sq. Ft..__...... ........ _.. Type of Construction ... ........................ ............._................. Est. Cos'i�'-.............. To be Completed 0 Cu. Ft....�/.....0 Cu. Ft........ ................. 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. ie sAnn�ill � o .ar9?s2�' _-In consideration of the payment of a fee of $...-/.._:..-........._... P ym 1 �— ,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. i Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 City of Fridley AppRcarkm for PhunMng and Gas Ruing Pero* DESCRIPTION OF WORK Number. Kind and Location of Fixtures Ti � �_ � � Z Z °-t ,°QC Z Z_ O , O � 00 • F • N WATER HTR. GAS ELEG Base 1st 2nd 3rd 4th • nftre Connection Openings I * New Fiiztum. Old Openings Connected With sealer COMP001 El PARTIAL RATE SCHEDULE PLUMBING FISTORE RATES: NO. RATE TOTAL Number Fixtures ......................S x $1.50 $ Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ GAS FITTING FEES: 1st 3 Fixtures ......................... Additional Fixtures ................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code x 1.20 $ x 1.00 $ x 3.25 $ x 2.00 $ x 3.25 $ NO. RATE TOTAL x $1.50 $ x .50 $ x 2.00 $ Dept. of Bldgs . Phone SU 4-7470 jX� �/ //��+ Location �7 7 7 SCS/ 6 �" / oy a / Y .)E s City of Fridley: The undersigned hereby .makes application for a permit for the work hereil 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 true and correct. Fridley, Minn- �/ ado Owner ;nm -ss A, 7-T/ Ay e. /R Kind of Building WOOD D EA&M E Used as 5% N G L e ^FA/Way pyv m i-i-w� D To be completed about - -- E- r., d Estimated Cost, $ -To D Old —YoO.' Building Permit No ` ® Permit No. d Gi v Sign By lkwe4aess Phone No �A ROUGH �� �-3'y �(• - FINAL Description .... ............................................ $� TOTAL FEE $ %• 5-0 42 2M. Apprication for Power Pkmts and Healing, Cooting, Ventilation, .Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL, Location 377-64 -A Ave M g � Furnace Shen & Duct Work .......................... am $ Replacement of Furnace$ City of Fridley. ............................. 5.00 The undersigned hereby makes application for a permit for the work herein Repairs & Alterations—up tG $500.00 .................. 5.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts Repairs & Alterations each add. $500.00 ............... 2.50 $ and representations stated in this application are true and correct. MECH. WARM AIIl Fridley, A inn � , 19 OL Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 . B 0 each add. 60,000 BT....................... 2.00 8 _ owner �iq /V WOO ,Et �.S �i . / f//�i - �� O' Replacement of Furnace ............................. 5.00 $ Kind of Building O O Z IrRAM 9 Repairs & Alterations—up to $500.00 ................. 5.00 $ Used as SINGLE PAM / L V DWELL / Al G Repairs & Alterations each add. $500.00 .............. 2.50 $ MA 19C H 19102- 91O 2 To be completed about STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Estimated Cost, $ 14 5"0 . Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $ Old—fir. Permit No. Building Permit No. , Each add. 200 sq. ft. IDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR Hot Water .................. 2.50 $ DESCRIPTION OF WORK OIL BURNER—to 3 gaL per hour .................... . ... 5.00 $ HEATING or POWER PLANTS—Steam, Hot Water, arm No over 3 gal. per hour—See Fee Schedule f�` 0®C Trade Name 4M/4'�r �®0 Size No GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ Capacity Sq. Ft. E.D.R BTU H.P. GAS FITTING FEES: NO RATE TOTAL )/4*Kind /� 1st 3 Fixtures ...................... 1 x $1.50 Total Connected Loa !t �V of Fuel �� T. (�+,-+5 Additional Fixtures ................. x .50 $ f BURNER —Trade Name Size No Gas Range to 200,000 BTU ........... x 2.00 $ ®O0b�s� Capacity q. Ft. E.D.R BTU H.P. AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $�� Signe /�I Sri y ROUGH �,r+ w 4 z 2M 7-59 Busiaess Phone No- FINAL (REMARKS—OVER) I p HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRILiEY, MINN. f Weatherstrips A.S.H.V.E. Construction No. Insulatione- 0 Guide I. WindowsDoors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes No IYes No 19_4z� / S Fl.j 134el Room Length /W Width /O - Height �` F1.1 Room Length Width Height Windows and Doors—Crackage and Area Width Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width No. of Dane Haight No. of of pane lights Lineal ft. Area of cr, ck sq. ft. of crack sq. ft. Coef. Btu Infiltration (� 7 Glass w I .. ./ Exp. wall a a ' � 6„ Int. wall ' 2— Ceiling Floor ,61 ®76 / 01' „ •'� / ("/" $, Coef. Btu Infiltration , 9Y1 66 .437- 3124 { Glass FI. $A,Se'oM . ®. Width 3® Exp. wall Windows and Doors—Crackage and Area Width No. of pane Height No. of Lineal ft. of pane Ilghte of crack Net exp. wall.23,-T- J D 9 ,;,-0 0 .0 Int. wall 11* /2 20 , R v tI Id /� Ceiling Floor 7 Windows and Doors--Crackage and Area Width Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Lineal ft. Area No. o[ pane of pane lights of crack sq. ft. Coef. Btu Infiltration (� 7 Glass w I .. ./ Exp. wall 2-0 2- Net exp. wall 5 Int. wall ' 2— Ceiling Floor ,61 Total Btu. 1 91 W 7 5 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. h. E.D.R. or aq. ins. WA. Leader area I Fl.I 15P Room j Length / a Width /p Height Fl.1 Room I Length Width Height . Windows and Doors--Crackage and Area Width Height No. o[ Lineal ft. Area No. o[ pane of pane lights of crack sq. ft. I a r N I.2 it (� 7 — . —1f w I .. ./ 1,4.1 ,om ." Btu Infiltration ®` ` .43 .a ' Glass Coef. Btu Exp. wall Glass Net exp. wall 2-0 2- 0N 5 Int. wall A'(, ' 2— 15'2- 52Ceiling Ceiling ,61 ®76 / / Floor 66 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1,5661, .< �l FI. $A,Se'oM Room I L_e_n_vZ_3_3_7 Width 3® Height 7 Windows and Doors—Crackage and Area Width No. of pane Height No. of Lineal ft. of pane Ilghte of crack Area eq. it. 3d' /lo °' 3,,33 R 16 20 , R v tI Id /� Coef.1 Btu Infiltration /S Ir 431 Glass f Z (o Exp. wall 6}o o ve Gra 11 2- W clef exp. wall be o w 't �1 2 Int. wall Ce.4ing Floor 1 tf 1 Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sQ. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenath Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area suB�Ecr PER City of Fridley 6996 1 AT THE TOP OF THE TWINS BUILDING PERMIT RE O. `L ------ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � � 1--'1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/4/83 JOB ADDRESS 377 - 66th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 3 � 4 2 Rice Creek Terrace Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James A. Thayer 377 - 66th Avenue N.E 571-8583 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 32' x 14' Three Season Porch 9 CHANGE OF USE FROM TO STI ULATIONS SEPERATE PERMITS REQUIRED FOR WIRING HEATING. PLUMBING; AND SIGNG VVAR'N" NG Before digging call local utiliW ELEPHONE - ELECTRIC - W Ete. SQUIRED 4Y LAW 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 $7,400 $3.70 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO ISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- \S249CTION OR THE PERFORMANCE OF CONSTRUCTION. $68.50 NONE PLAN CHECK FEE TOTAL FEE 17.13 $89.33 NATURE OF CONTRACTOR40RrH.RI!1:ED AGENT (DATE) ,\A/ WHEN PRO PERIXVALIDATED THIS IS YOUR PERMIT _t4)-'huad ( lzjc- BLDG INSP ,A TE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI — CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR RESIDENTIAL BUILDING PERMITS (News Alterations. Additions. or Repairs) OWNER: -m as A. %—HA ADDRESS: a 7% BUI LDER .'B ADDRESS: TEL NO:6' "5 7 f �' 6-9 3 TEL NO: c -5A --M E . Construction Location STR= NO: a 77 STREET: / �. ,., 'Al am, !VTo 'P 147. 3 LOT: _6 �a'o®F—aT q n=: ADDITION: P/CX C -R&9 -a -7-0A9A4':- .E-4S.sr Corner Lot: Insiae Lot: �_ Setback:50"f r Sideyards: Og Applicant attach to this fora two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF MNSTRUCTION f'3 SEASON RDACH Front: Depth: j� Height:� Square Feet: W49 $ Ouble Feats ?SSLI Front: Depth: Height: Square Fest: Cubic Feet: Type of Construction: _ Woo b E P 14M � _ Estimated Cost: S 'lb Be Wrapleted: o,,5 Alt. A Alt. 8 Proposed Driveway Width If New Opening Is Desired: W OV E- S S SEE MEMSE SIDE OF SHEET Tire undersigned hereby masses application for a permit for the viork herein specified, agreeing to do,all work iza 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. Stipulations: � , �/ t �`8.�� o Land Play pnmy &875-fOMY #C5 WE La Ad Swiryny 4finnru/nlS31, Solsusluy ENGINEERING, INC. A'," olO Casal & SUmd 44066 £n�meer'�ny Engineers E Surveyors — certificate of survey for - iso- A�C p ( r — 1 1 r. 1 PO Re m 41�� v ?fry^ !s'c�sl` T� {���1 " o.= � � f - .:" a.7:? f%'.� �"a's•f -�G ;c� � :f o f Xi I- -, .7 r -P a , -,- - 1 beneby ctrfiiry llhof flus K P free and wrad rePresenfofian'00 surrey q�'lhit lwndlp ies q�' a ubo� I"q&n oJ'ol/ duilDrn9s , flrrew , &-doll nsib/e axrnorhmenfs , !fawn, f rn or a7 sold lard. As wrreyed by me J*5 9[' A>oy A.D 11 G'� SUB URBAN ENGINEERING, INC. Lnp�neers Fr 5q-rtyors mr CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL kRATE Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 Gas Piping $ 10.00 (piping needed with new furnace) Gas Range $ 10.00 Gas Dryer $ 10.00 * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit k - MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00- PLUS 15.00PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. TOTAL Job Address ZJ I — Ute -AA Ve- Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. ��� 'j'�f� , 19VD OWNER RIND OF USED AS TO BE CC ESTIMATE OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, ,e Steam, Hot Water, Warm Air- No. / Trade Name f ,fir(od, 'I 1 / Size No. / J (rV/T ®d � _ Capacity Sq. Ft. EDR BTU HP C /a Total Connected Load f� C Kind of Fuel nnzk)f-a' BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company P ' Signed By Tel. No. Fill out back side for stack verification on replacement furnaces J Company Signed By Date --Tv►tic 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 No ( ) 3. Has no foreign objects lodged within Yes (✓f No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Remarks Company Signed By Date --Tv►tic To whom it may concern: James A. Thayer, who lives at 377 - 66th Avenue Northeast, has my permission to install a central air conditioner compressor unit on the west side of his house. This is on the garage side of my house, located at 3755 - 66th Avenue Northeast. (Signed)PNLL Octave L. Sayther 375 - 66th Avenue Northeast Fridley, Minnesota 55432 June 21, 1988 CITY OF FRIDLEY INSPECTION DIVISION 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 Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $10.00 Gas Range Gas Dryer o *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 Effective On January 1, 1998 JOB ADDRESS 37 7— LL k� The undersigned hereby makes application for a permit for the work herein TOTAL 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. ,l LuAe 15' ,1998 $ OWNER J ALS Th=L $10.00 $ $10.00 $ $ 25.00 $ H State Surcharge $ .50 TOTAL FEE 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. BUILDING USED AS P9 / ESTIMATED COST Jac" U PERMIT N0. /_3 l DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (HotAi ater) (W rm kL Trade Name B u— Size No. p� BTU _HP EDR Fuel Total Connected Load Burner Trade Name BTU M Size No. EDR HEATING COMPANY Signed By Tel No. Approved ByRough—In Date Final Date FILL OUT BACK SIDE FO4STCK ERIFICATION ON REPLACEMENT FURNACE 1 CHD INEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (/�'No ( ) 2. 3. 4. 5. i 7. 1.1 Is free from rust or deterioration Yes () No ( ) Has no foreign objects lodged within Yes (/�'No ( ) Is securely supported Yes( ' ' No ( ) Meets all current Code requirements for size and. total BTU's connected Yes (,J'No ( ) Has total heating BTU's of All other BTU's TOTAL BTU's Has a liner been provided for water heater Yes (,I' -No ( ) Has combustion air been provided for water heater Yes (,-)'�No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: 14 SUBJECTT NO. City of Fridley 1p 27513 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. 7/ I✓ NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/1/98 JOB ADDRESS 377 66th Avenue NE 1 LEGAL BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. VOTN?. 48 T o 2 Rice Creek Terrace Plot 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James A. Thayer 571-8583 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Town & Country Roofing 4 Minnesota - 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 O NEW 0 ADDITION 0 ALTERATION xg REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage 37 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 DOES NOT PRESUME TO GIVE AUT ORITY T VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STAT OR LO L LAW REGULATING CON. STRUCTIO OR THE PERFORMANC OF CO TRUCTION.P $87.25 Fire SC 3.18 PLAN CHECK FEE TOTAL F E agA Ql' e ­. - I' R Licen 5 .990 97 1 SIGNAT R FCO T CTOROR AUTHORIZEDAGENT IDA FI EN R G INSP V L ATE T IS IS PE M9-->zD DATE SIGNATURE OF OWNER IIF OWNERBUILDERI IDATEI AUG -13-1998 ...,.. L J 08:42 FROM CITY OF FR I DLEY TO 8589320 P.01i02 ADDN j ] ,CALMUvet ti liya CITY OF FRIDLEY ALTER [ 1 SINGLE FAMILY AND DUPLEXES R.1 AND R-2 BUILDING PERMIT APPLICATION CoasavctionAddress:�f--A- Legal Description: Owner Name & Addresses Contract Address: �.M7 Tel. # C;�� \ .. "2 MN LICENSE # CD 569 12a - Tel. # S ci F:Z----Z.1 2 ZZ, Attach to this application, a Certificate of Survey of the lot, with the Proposed construction drawn on it to scale. DESCRIPTION DESCRIPTION OF ndpROVEMENT LIVING AREA: Length _ Width Height Sq. Ft. GARAGE AREA: Length _ Width _ Height Sq. Ft. DECK AREA: Length Width HgVGround Sq. Ft. OTHER: 37& Construction TM:. 1 -ate, '2£i Estimated Cost: $ — 3 70. o _. (Fee Schedule on Back) Driveway Curb Cut Width Needed: _ Ft. + 6 Ft = Ft x $ — $ DATE-._qz / APPLICANT: YA, Tel. # Permit Fee $ 7. ZS CITY USE ONLY Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1110th%) State Surcharge $ • `lam $.501$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $S : Qd $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 $ . v . STIPULATIONS: NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 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 Pp aiw BUILDING PERMIT APPLICATION Construction Address: 37 ���n l„ 1&ke— /6 Legal Description: Owner Name & Address: Tel. Contractor: � MN LICENSE # Address: - Tel. #6 S Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT 1 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Co struction Type: Estimated Cost: ir Drive ay Curb Cut Width Needed: Ft. + 6 F - Ft x $ _ $ DATE: X17'0 5 APPLICANT: Tel. #4 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 Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge �0.�1 055 $ 00 $ ,00 $ TOTAL $ D . a 1011Cal >;�Eel ZIwe Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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: From: 2 Page: 2/6 Date: 5/6/2010 8:27:52 AM Building MECHANICAL Permit No. _ InspectionsRESIDENTUL APPLICATION Received By: 763-572-3604 763-502-4977 FAX CITY OF FRIDLEY Da dN 1-1-2010 DATE YOURE-MAILADDRES9J�uCe��Pa�1n� O iFYiA? SM ADDRESS THIS APPLICANT IS: ` W nwNMI M ru...., .....e _ — OWNW 'TENANT Moms CITY PHONE.:ZA?__-+4A3���13l.P �••�•••••••• ave COMPANYNAME:H��fJrcd-%PJ'�.s.ffl�a SUBm1T A COPY OF CONTACT PERSON .31 \ YOUR STATE STATE LICENSE # EXP BATE APPLICATI� ADDRESS.�3 j BA�Si9.r,n A A CITY PHONB'T(p3-Lir31-�S7-� FAX �STAT�Z 1 PERMTT TYPE XSINGLE FAMILY D TWO FAMILY O TOWNHOUSE TYPE OF WORK: E3 NEW LACEMENT Q ALTERA770NMEMODEL DETAILED DESCRIPTION OF WORK &a �e_x t - O �- FEES ARE BASED ON SIa00!'ER FIXTURE, I7XCEPT WHERR NOTEDL PROVIDE HEAT LOSS CALCIS @ER MANUAL : (dVDICATE TOTAL NUMBER OF EACH BELOW) opAE J 2WB ASn HANDAROFO L Eghdpn�t Installed MFQ MODE p_ 4q M -6j lZ ATU (i MFG: MODEL: SIZEMTU GC $45,00 hate. MODEL: —AIRTO AIREXCHANGEER $IS FIREPLACE (GAS) $15.00 FIREPLACE (WOOD) $35.00 S1ZFJgrU GAS RANGElOVEN $10.0- 00 —�, . BOILER $35.00 00 —NEW GAS GRILL $10.00 CHIMNEY LINER $10.00 -GAS DRYER $ DUCT WORK $10.W ._._GAS DRYER $10.00 ,GAS UNIT HTR $10.00 POOL HEATER $35.00 GAS PIPING $10.00 Niuriber of tlxttl 810.00 x $10.00 = $ VENTIIATOR $15.00 Number of &tures @ $15:00 x $,5.00 = $ Number of fhtares r@ $25.00 x $25.00 - $ Number ofd @ $35.00 1 x $35.00 =$Ll- 00 State 3'WrGhup a $fig 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 s requires review and approval of plans. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 a