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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N?5 7 o s Date: Owner: Builder Address Address ��+ TI IILDING No. —_ Street = fir r- M1 . � 0'0 Partof I.e rp Lot Block Ad on or Sub -Division . Corner Lot —_ Inside Lot .T.. Setback ..���,. ._._.._ Sideyard.- � — Sewer Elevation ___ Foundation Elevation DESCRIPTION OF BUILDING . T be U Front Depth Height �f_�_ Sq. Ft.. Cu. Ft,/r � Znl Depth ' Ieighrt►Sq. Ft. Cu. F't.Type Construction ' " Est. Cot 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 ig 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 v tion of any of the provisions of said ordinances. . A + ,4:-`' Building Inspector NOTICE: This permit doer not cover the construction, Installation for wl&e, plumbing, gas heating, sewer or water. Be sure to as the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name .,2 Builder Address LOCATION OF BUILDING No. street Part of Lot Lot Block Addition or Subdivision=�� Corner Lot Inside Lot_ XC_Setbackaside-Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING Tobe used as Front CE Depths- � Height Sq. Ft. 2! Cu. Ft. .4o Q 4 Frontes on Depth -:,�( _ Height Sq. Ft CL ': C> Cu. Ft. cn- Type of Construction Estimated Estimated Cost/c'5'®0 6' 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURE (schedule of Fee Costs can be found on the Reverse side). City of Fridley Application for Plumbing and Gas Fitting Porn* Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number. Kind and Location of Fixtures Locatiom—L2- 47 C ;�..�p NO. RATE TOTAL. Number Fixtures ...................... x $1.50 $-9 0 6 Future Fixture Opening ................ x 1.20 $ l 2-0 ac x 1.00 $ Catch Basin ............................ x 3.25 0 F N WATER HTR. GAS ELEC Basel 107) $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ SU Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 1st 2nd 3rd 4th • Future Connection OpeningsI New .Fixture, Old Openings Coaaected with Sewer Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL. Number Fixtures ...................... x $1.50 $-9 0 6 Future Fixture Opening ................ x 1.20 $ l 2-0 New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ O Ci New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ SU Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE $—Jj�� City of Fridley: 1� The undersigned hereby makes application for a permit for the work heren 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.—a,', Owner Kind of Building Used as To be completed about Estimated Cost, $ ®T 3 Ol New. uilding Permit No NT'7 d - Permit No.� Signer] X/20.1- Y462=1�__ 3 ROUGH FINAL 4z WA Business Phone 194- Owner 94 Application for Power Plants and Heating, Coding, Ventilation, Re dgeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations --up to $500.00 .... r ............ 5.00 1 Repairs & Alterations each add. $500.00 .............. 2.50 $ FAN HEATING SYSTEM See Fee Schedule STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 Each add. 320 sq. ft. EDR HoCWater .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule r GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ -11" GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL Dept. of Bldgs. Phone SU. 4-7470 City of Fridley: 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 of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn_ —,/p lg Owner Kind of Building Used as To be completed about Estimated Cost, RN Permit No. v f Permit DESCRIPTION OF WORK BEATING or POWER PLANTS—Steam, Hot Water, Warm. Air—No Trade Name k Size No. 7C -06'_P0 Capacity Sq. Ft. E.D.R 4f_yy BTU H.P. Total Connected Load_�� �� Kind a Fue BURNER — Trade Name Size No Capacity. (REMARKS—OVER) 2M 7-59 Sq. Ft. EM.R BTU H.P. Signed AM FLUMEN A HEATING By ANWCA. M&NN. TEL NX 1-0392 Business Phone No Compliments of North Central Public Service Co., HEAT LOSS CALCULATIONS OWN DEPARTMENT OF gylLDINGS VILLAGE Weatherstrips A.SILV.E. Construction No. j ,.,� Insulation GuiWindows Doors Reference Out. WallInt. Wall Ceiling Roof Floor Kind How Applied Yeo 119.. I / FL I - - Room I Length 7 n- Width /'2— Height . FL Room I Length Cl Width /Height V Windows and Doors—Crackage a'nJ Area. _ Width Height No. of pane of pane o. of lights No. Width Height of pane of pane No. Of lights Lineal ft. Area of crack sq. ft. b G 0 13 02.E No. of Lineal ft. lights oP crack Area sq. ft. o Coef.1 Btu Infiltrationf% w q t- 7 ® ® D Glass 0 c3 �� Exp. wall Net exp. wall Int. wall Net exp. wall Ceiling (y V U Int. wall (o Ceiling Floor Windows and Doors—Crackage and Area _ Width Height No. of pane of pane o. of lights Lineal ft. of crack Area sq. ft. W ows and Doors--Crackage and Area b No. id oP pane Height of pane No. of Lineal ft. lights oP crack Area sq. ft. o Coef. Btu Infiltration w q t- 7 Glass Exp. Wall °"Jv' Coef.I Btu Net exp. wall Int. wall Ceiling door (o Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. I oom I Length 'a Width Height J FL Room -I Length Width Win ows and Doors—Crackage and Area I Windows and Doors--Crackage and Area 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 I Fl. I &a Room I Length !y Width I indows and Doors.-Crackage and Area I Inffitration 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 KM Infiltration Glass Exp. wally, 3 4' 0 II Net exp. wall Floor I, �Iyl Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length Width fight W ows and Doors--Crackage and Area - f&,jr0/ 34 No. id oP pane Height of pane No. of Lineal ft. lights oP crack Area sq. ft. o Pd-, 0 i w q t- 7 Coef.I Btu 7, 11 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Inffitration Exp. wall Net exp. wan Int wall CF1eiling LGlass 3 0 3,30 7, 11 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area SUBJECT FIE. City of Fridley2 9 78r AT THE TOP OF THE TWINS BUILDING PERMIT ' , R NO. • _ ___ COMMUNITY DEVELOPMENT DIV. ` r 1 PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY I 1 CITY HALL FRIDLEY 55432 j 612-571-3450 910.F15 9/25/98 JOB ADDRESS 17 66th Wav NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 22 4 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Winnifred Terwisscha 786 -*0409 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Right Way Roofing 16475 45th Ave N PjyMoutb MN 59446 597-967R 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO, S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ix REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (24 S Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE'. OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 2056 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 $74.75 Fire SC 2.06 PLAN CHECK FEE TOTAL FEE License SC $5.00, 1$82.84 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHENPROPER V�A�L/LII�AATED THIS IS YOUR PERMIT e G INSP f qA�E SIGNATURE OF OWNER, IF OWNER BUILOERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY Q ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 D BUILDING PERMIT APPLICATION ConstructionAddress: 17 66th Way NE Legal Description: Owner Name & Address: Winnifred Terwisscha 17 66th Way NE Tel. # 786-0409 Contractor: Right Wa v Roofing MN LICENSE # 3 9 9 9 Address: 16475 45th Ave N Plymouth MN 55446 Tel. # 557-8678 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF L%IPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Lengm Width Hgt/Ground Sq. Ft. OTHER: F �.nn � <rL � _ ,��� . %�� -UJC7 J Construction Type: Single Family Dwelling Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ 2)'© J`� �o-a DATE: 9/23/98 APPLICANT: Tel. # 557-8678 STIPULATIONS: CITY USE ONLY Permit Fee $\, 1 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ p $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 $ STIPULATIONS: Building $ C2W BUILDING Permit No.: 3 Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Fire Surcharge CITY OF FRIDLEY Date Rec'd: DATE la ^ 3— YOUR E-MAIL ADDRESS $ SITE ADDRESS 7 " (A, V_ SAC Charge THIS APPLICANT IS: ❑ OWNIR MC01M.ACTOR Curb Cut Escrow PROPERTY OWNER/ NAME: GA,, T -,L S S L k Erosion Control ADDRESS: 9) - &C, %A 'c' '4 CITY STATE—ZIP TENANT $ PHONE: '7G) ^ Cb — �) �/ 13 Sewer Main Charge CONTRACTOR NAME: Total Due STATE LICENSE `(39k EXP DATE 0 J, Make checks payable to: City of Fridley Attach Stipulations SUBMIT A COPY OF YOUR STATE LICENSE ADDRE S: ?2. C Te 14- v C CITY t,,.. It%_ l_ STATE�iIP 9,rf//d WITH APPLICATION pg FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTI-ON STORIES PERMIT TYPE ❑ ADDITION GARAGE/SHED ErWINDOWS ❑ BASEMENT FINISH❑ F 11 DRAIN TILE ❑ DECK �7SIDING ❑ OTHER ❑ SWIM IING POOL TYPE OF WORK: ❑ MEW❑ AITION ❑ MAINTENANCE/REPAIRMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT 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 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/esNo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED L 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 $ JQ_ LoDQ OCCUPANCY_ TYPE Permit Fee $ C2W See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ 6e) .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary( ) Non Necessary ( ) Total Due $ 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 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 which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME 5/ C DATE Building $ BUILDING Plan Review Permit No.: 3 Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY License Surcharge DatRO 763-5002-4977 FAX SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ EFFECTIVE I-1-08 $ $450 Conservation Plan Review DATE 8 "-&' 09 YOUR E-MAIL ADDRESS Fee Determined by Engineering SITE ADDRESS / 7 C vR �t21 O L C Y , M N Agreement necessary ( ) Non Necessary ( ) , THIS APPLICANT IS: ❑ OWNER CONTRACTOR $ .° PROPERTY OWNER/ NAME: YH V -30 ',J 0C k_)CO TENANT 1Co1 nt<YA ADDRESS: I A! G � ,y= CITY FP- ► 6 Li_'/ STATE MV11 ZIP S 3 02 PHONE: % 3 - SU a- - 5-'T ,;'- NAME: en>gzer CA&pe''. rlfLZ oaf, -JC,. ADDRESS: y q 3 0 4) % %_ A izL e-1; DL J13 C CITY X­�Yo Y""A" b STATER AJ ZIP5_ CONTRACTOR SUBMIT A COPY OF PHONE '763 - �l% -LSO r7 / FAX `*/ 6 3 " 4113 - 5-0 -/"' YOUR STATE LICENSE STATE LICENSE #_O c> -!? a O©o2 7 EXP DATE 3-71-05? PROPERTY TYPE ACM4NGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES 6-- PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH A54MF ❑ DRAIN TILE ❑ DECK VZIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION OWA2dAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: 2 D Cd — _5%,Oea& 0ePctie f- - F -,,.i SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING 2 ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES VZHOUSE & GARAGE 1. Existing Floor Plan GARAGES 1150 ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: (/j qq FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: Vinyl ❑0 Vinyl num klum❑Other ❑Soffit ❑ Trim 1. Site Plan/Survey showing the existing structures and proposed project. ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 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: / SING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ �V 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 $ 00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 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 $ .° Make checks payable to: City of Fridley Attach S ulati ns 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 which requires review and approval of plans. SIGNATURE OF APPLICANT � v PRINT NAME 1-24w £, DATE /.9-07 APPROVED BY DATE