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PRE 2010 DOCS...�-.�.ar 0 BUMI)ING PERMIT Village of Fridley, Minn. N° 2980 Date... ...... ...... .... Builder f Owner �!!1!@r!®?'S✓......... .. ... ..... .... .. ..................... . Address ®� ... !.. �I.Q� Address %LOCATION OF BUILDING No. . ® ..... Street . �./...`�{?:�!%-f .............. Part of Lot .................. . . Lot .... .... Block ........ Addition or Sub -Division Corner Lot ............ Inside Lot... Setback ... Sideyard .�� .../ DESCRIPTION OF BUILDING To be Used as: ,Q .7,,-7/ .. Front !!. Depth . �S°.*. Height Sq. Ft. IVP Cu. Ft. ........ .................... Front ........ Depth ........ Height ......... Sq. Ft......... C/u. Ft........ . Type of Construction/P.??A.--.-_.. Est. Cost ../�'Iroo ®0.07"a 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 village 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 with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. � .w. .rrrc rvrfr�rr aauuwa u c�: NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbin;, as heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. INDUSTRIAL BUSINESS CITY LOTS TOPOGRAPHIC MAPPING qw C. E. COULTER LAND SURVEYOR REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 3300 LYNDALE AVE. SO. MINNEAPOLIS 8, MINN. 41 4-0370 �fti�F�fi1Y S fQPrY�#�fY�1P TH. �JY�. 67 l PLATTING FARM LA:LAKESHORE JUDICIAL wI I hereby certify that the above i9 a true and correct 1.lat of a urvf--y of: Lot Two (2), block 1"ive (5), MOO Clq- _ 'TA -,A : O'JTH AT)DITTOIJ, Anoka vounty, Y;nne ota. As surveye,l by i e this, 1st day of I,`Ap 1958 A.D. ,� r ned x ' Ir -1A, I-inneruta Registration 140. 2584 �J • City of Fridley, Minn. BUILDING PERMIT N? 6765 Date, Owner: aBuil Address Address _ TI of Lot OF-BI�G No. Street � art Lot — _ _ __ Block Addition or Sub- on Corner Lot _ Inside Lot _ _P-- .Mback -- ideyard _ Sewer Elevation _ _ -- FolEtion Elevation DESCRIPTION OF BUILDING T as: IfeA—e"I Front _� Depth eight Sq. rt.44 4' cu. Ft. al , pt!:.__......._. Depth Height _ Sq. Ft. Cu. Ft. Type of Constru n _ Est. �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 fo 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 reg ng location, construction, alteration, maintenance, repair and moving of buildings within thhee city limits and this permit may be revoked at time upon vie on of any of the provisions of said ordinan Building Inspector NOTICE: This pennh don not eewr the eonst.netioe, Installation for wiring, phnnhing, gas heating, sewer or water. Be ams to as the Building laspeeter for separate permits for thus Mena. oil SUBJECT City of Fridley 2 0 6 0 7 AT THE TOP OF THE TWINS BUILDING PERMIT r _ COMMUNITY DEVELOPMENT DIV. �; PROTECTIVE INSPECTION SEC. � � ®0 r ; CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 1 910-F15 19/27/90 JOB ADDRESS 290 - 67th. Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 5 Rice Creek Plaza. South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Evans 290 - 67th Avenue N.E. 571-1859 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. American Remodeling 3700 Annapolis. Lane, Plymouth, MN 55447 553-0020 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 8 DESCRIBE WORK Reside Dwelling; soffit & fascia 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. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $8 1500 $4.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $1Q8 . 00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE Fire SC $8.5 SIX%X $120.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN ROPERL VWED IS YOUR BLDG ;7 NSP 'P�E�1Rr�MIITjp� C7C9s / lJ DATE SIGNATURE OF OWNER IIF OWNER BUILDER, IDATEI oil NEW t ] ADDN I ] R-1 AND R-2 ALM ;] Building Permit Application Construction Address: D /�%d kYL Legal Description: Owner Name Contractor: Effective Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVIM AREA: length Width Height Sq. Ft. GARAGE AREA: length Width Height Sq. Ft. DECK AREA: length Width Hgt/Ground Sq. Ft. 07HER: Corner lot[ ] Inside Lot[ ] Ft. Yd .Setback Side Yardrcks Type of Construction• Estimated Cost: $ Approx. Completion Date: �dea— Proposed Driveway Width If New Opening Is Desired: Ft. $. $. Width + 6' See Ba Page DATE: �'�/ ` �� APE LI ZG? ' Tel. ' CITY USE CNLY Permit Fee $ Fee Schedule on Reverse Side State Surcharge$ 07 $.50/$1,000 Valuation Me e F D= -ST$ $575 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ J Not Necessary [ ] TOM S0 STIPULATIONS: _ (4j, L�➢ '7571/ 12 Y SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r 2 5 3 8 , RECEIPT NO COMMUNITY DEVELOPMENT DIV. r I ~ PROTECTIVE INSPECTION SEC. I � I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY "'j 612-571-3450 910-F15 5/18/94 JOB ADDRESS 290 67 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 5 1 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Evans 290 67 Avenue NE - 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Partial reroof of garage (Tear -off) 3 Sq 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. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 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 1 ISTALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $225.00 .50 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $15.00 Fire SC .23 PLAN CHECK FEE TOTALFEE 15.73 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT IDATEI E RLY IDATED THIS IS YOUR PERMIT G/1/��--d-- q F. BLDG INS Z naTE SIGNATURE OF OWNER I IF OWNER BUILDERI IDATEI NEW ADDN (] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 9D - 61--��------.-----_.-.-- Legal Description: Effective 1/ 1/94 Owner Name & Address: 1 7sAa ;Z Tel. # .J'7/ ? Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length g Width Z o Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot j ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT:moi a� Tel. # CITY USE ONLY Permit Fee $ �� G� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ 5 $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ $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: _ _ - SUBJECT P City of Fridley 26928 AT THE TOP OF THE TWINS BUILDING PERMIT Ul ` _ COMMUNITY DEVELOPMENT DIV. ' • ~ PROTECTIVE INSPECTION SEC. J I , NUMBER REVr7/31/98 ATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 67 JOB ADDRESS 290 5-7- Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 5 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Evans 571-1859 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Nutzmann Bros Const 736 1 Ave NW New Brighton 55112 628-0128 20043453 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 CI REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 23 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. 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 .96 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY THER STATE OR LOCAL LAW REGULA ING C STRUCTION OR THE RFORMANCE OF CONSTRUCTION $62.25 Fire SIC 1.92 -"- PLAN CHECK FEE TOTAL FEE Licens 5.00 70.13 SIGNA E OF CONTRACTOR OR AUTHORIZED AGENT ID TEI EN ROP BL INSP VALIDAT THIS IS YOu PSR AT SIGNATURE OF OWNERoF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION -? ConstructionAddress:9C� Legal Description: Effective 1/1/98 Owner Name & Address: /U'-7 Tel. # 7� - Contractor: ��Tz�e� rrG MN LICENSE # ;2c Address: 7Ys 7�w -- ✓`� Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE'AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $$i(} '(Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: % APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: r $ 2 Fee Schedule on Reverse Side $ l 9 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1000 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 [ ] F CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. a CR �Wf� R• s ..•F iWi[-ice Old Opening, New Fixture $ 4.00 '� R ? �® and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 .and rep' ' ' " ' ve and correct Catch Basin $ 7.00 EVANS, DONALD Rain Water Leader $7.00 290 67TH AVENUE NORTFIEAST FRIDLEY, MN 55432 `s • 20400 Sump/Receiving Tank $ 7.00 (612) 571-1859 Water Treating Appliance $10.00 Owner _ Water Heater -Electric $ 7.00 Water Heater - Gas*" $10.00 Building Used As FPS -6I Q W estr Gas Range' * Gas Dryer** $10.00 $10.00 _ p Estimated Cost PERMIT NO. Back Flow Preventer Required( )Yes ( )NO Type $15.00 PLUMBING COMPANY P1_bRz&1J(, Reinspection Fee $47.00/Hr SIGNED BY TEL N0.612 -60Z7 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 541YC Ae- dL4& 1Ee_ New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 .and rep' ' ' " ' ve and correct Catch Basin $ 7.00 EVANS, DONALD Rain Water Leader $7.00 290 67TH AVENUE NORTFIEAST FRIDLEY, MN 55432 `s • 20400 Sump/Receiving Tank $ 7.00 (612) 571-1859 Water Treating Appliance $10.00 Owner _ Water Heater -Electric $ 7.00 Water Heater - Gas*" $10.00 Building Used As FPS -6I Q W estr Gas Range' * Gas Dryer** $10.00 $10.00 _ p Estimated Cost PERMIT NO. Back Flow Preventer Required( )Yes ( )NO Type $15.00 PLUMBING COMPANY P1_bRz&1J(, Reinspection Fee $47.00/Hr SIGNED BY TEL N0.612 -60Z7 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date O D State Surcharge$ .50 TOTAL FEE $ PLUS THE .S.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE . t SUBJECTP City of Fridley 347 2 AT THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT NO. 16• COMMUNITY DEVELOPMENT DIV. 1fr ------ r PROTECTIVE INSPECTION SEC. / . NUMBER REV DATE PAGE Of APPROVED By CITY HALL FRIDLEY 55132 763-571-3450 910-F15 4/25/03 JOB ADDRESS 290 67 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 2 5 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Evans 290 67 Avenue NE 763-571-1859 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lifetime Siding & Remodeling Inc 355 21 St, Newport, MN 55055 651-458-0844 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 1780 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace window within existing opening 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. 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 OWLG. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,900 $.95 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 $66.20 Fire SC $1.90 PLAN CHECK FEE TOTALFEE Li ense SC $5.00 1 $74.05 SIGN A TUAE OF CONTRACTOR OR AUTHORIZED AGENT DATE,WHEN PROPERLY VALIDATED THIS IS Y UR PE M^IT 94INSPriAiE aV S,GNATURE OF OWNERoF OWNER BUILDERS iDATE, t 04/25/2003 10:44 6514581865 LSR INC PAGE 01/01 APR -24-2= 13.26 FROM CITY OF FRIDLEY m 6514581865 r.enie»i o6/or 73 571— J I L -j, r 2 ��. Mach to k4t oft' a � of 84my of o mon dread, an it to �ca1e. OF mPROVMUNr WkM L1t�NG: OARAG'ARI.Aa ------ --- SQ► Ft. DECKAIWA.----�..,.�.. .-.-�_.� 54 pt, - C"ftmff" cot lw./goo Curb Vlt P JZAM Tel. it Wl�,�_ carr ,a �1�-f�LC /� c tC ��Q (7 19r-4eaa tat Faft IF mmlim la ata umwm PeM* Fee Fee Schedub on Revem S de eta* a swch" e SAC ChmVe$. .0 ! ofP'e Vit ollmw) 1,ow %.)wuwon Lkensesurdumus Y ESMM 1150 Per SAC Unit $ $5.00 (618* LicOnsW Resideift � Co m) *A" ftom _f cat* Ps* Fee i1�� � Alt Np�y X60 l�S Cmaenaaan Pim R WPI 1111a�t C11ar $ D+ lino tp'Y MV TOTAL NeMMMY 1 Not rimy r 1 7V, o 3- - WWULAMONM M,,TQ* -f cao..,.r.._— MTAL P.01 From: 9528814491 Page: 213 Date: 9/17/2007 3:47:17 PM Building MECHANICAL AL Permit No.: 763-572 -3604 RESIDEN , APPLICA ION DATE 6'? CITY OF FRMLEY ate Recd: �? SI7 E ADb S q! i) YO1JR F..MA L ADDRESS ~� TWS APPLICANT is; © OWNER CONTRACTOR pItOPERTy OWNER/ NAME: Q TENANT ADDRESS; 2 9 0 PHONE:11 � CITY STATIM�V CONTRACTOR COMP ANYNAMs� SUBhGT A COPY or CONTACT PERSON; ROM=Q] Qyk ►� YOUR STATE STATE LICEsLICENSE APPLIC WITH ADDRESS: APpLiCAT1OlV PHONE FAX PERMIT TVpX SINGLE FAMILY Q TWO FAMILY 0 TOWNHOUSE TYPE OF WORK a NEW K12bT d __ ..._._ . ----��.:..•cw i E3ALTERATIONiREMODEL DETAILED DIrSCRIPTION OF WORK ImpMIS r ve 16B*M5 the permit fee is a minimum of sI.00 or 5% of the tate$ cost np to $SD0.00 Whichever �i — improventent, htstallation or replacsmem of a residential~ fie, a tCluding the f`onttres, mfled is greater, for the Labor Cost upder 5300 - $15.00. Labor oost between(Z alis should reflect only the cost of labor) FOR PROJE $300 to $580 = CaSt Of labor W7jE3 E LABOR EXCMDS $500, FEES ARE EASED ON $10,40 PER ~� X.05 — NUIui13ER OF EAC'�I.aF,LpwJ �Pmcnc In5ENled MFG: ," F7XnAL-, EYCi:PT WHM NOTED, FIXTURES: UNDICATE TOTAL MFG: MODEL: l} zygpd I7 v SJZE/872r 7C t7 cr c] —A/C$25.00 MFG:* _ MODEL AIR TO AIR EXCNANGEER S I5 FIREPLACE (GAS) S 1 S. W SIZEBTU FILER $33.00 FIREPLACE (Wool)) $35.00 (;AS RANGEf0VFN CHIMNEY LAVER $10.00 ' kiNACR $35.00 NEW GAS GRNTr ILL $10.00 DUCT WORK $10.00 OAS DRYER $10.00 GAS UH Sl0,00 p� ''a��SGAS PIPING $Io,no POOL. HEATER $3.1.00 vENATOR $15.00 perm>rt Fee r � ' • �fa�n.rT.n t,.,.V. ___ � � _. SuralI ~- �- TOTAL DUE, 50 Number of fixtures Number of fixtures Number of fixtures aau.uu X$10.00 -s $15.00 —`x $15.00 =$~— $25.00 x $25.00 = $35.00 �_ - x $35.00 = $ 5 � c,0 State Surcharge - $—,50 Total = $� THIS IS AN APPLICATION FOR A PERMrI-NOT YALiD UTA 171 PROCFSSID 1 hereby apply for b building permit and I aofthe edge that the information above Is Complete and aoaurate: that the work will be in conformance with the ft application ati and codes of the City of Fridley and with the Mlnnmota Construction Codes; that I understand this is not a permit but only an application fora permit and work is not to gad without it perm.% that the work will be in accordance with the approved plan In the case of �Orkwhich r r re a an a) anpro�of plans. SIGNATUR130FAPPLTCAIv INT NAME,�V T)T L . A- 4tA _ �� . �.. _� --__ _ _ _ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building $ `� . S BUILDING Plan Review Permit No.: ,'gX0- Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By � 763-572-3604 $ 1, 30 CITY OF FRIDLEY 'd' DATEYOUR E-MAIL ADDRESS SAC Charge 90 $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow SITE ADDRES ` Erosion Control THIS APPLICANT IS: ❑ OWNER []CONTRACTOR Park Fee PROPERTY OWNER/ N ® nne n-5 ADDRESS: CITY e\1 STATE_ZIP TENANT $ PHONE: CONTRACTOR NAME: WINdo OePO Q f M4 STATE LICENSE # 5 EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CJ S CITY STAT)�3 WITH APPLICATION PHONE AX S �J PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORMS, PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHEDWINDOWS ❑ BASEMENT FINISH ElROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER '^ 5 13SWIMIVIING POOL / J TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMOD LING DESCRIBE WORK BEING DONE:-hDRACC WINdOWS s� 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 Yes ❑No A ON OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & C TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: Permit Fee $ `� . S See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ ,.Leo .001 times the total job valuation Surcharge $ 1, 30 .0005 x Permit Valuation Minimum $.50 License Surcharge $ 115-. oy $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 $ e Agreement necessary( ) Non Necessary ( ) Total Due $ Make checks savable to: City of Fridlev 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 F ley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application fo permit and wo no o start without a permit; that the work will be in accordance with the approved plan in the case of all work hic es anef� 1 of pla1116ns. SIGNATURE OF APPLIC NAME " C — ATE