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PRE 2010 DOCSAppRcatlofor Power Plants and Heating, Cooling, Ventilation, ReMpnation and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIB: MTN TOTAL Furnace Shell & Duct Work .. $10.00 $ Replacement of Furnace 600 ; Repairs & Alterations—up to $500.00 600 Repairs & Alterations each add. $500.00 3.00 MECH. WARM AIA Furnace Shell & Duct Work to 120,000 BTU ...... . ..$10.00 $_ each add. 60,000 BTU ............•........ .. 3.W ; Replacement of Furnace .. . . .... 6.00 Repairs & Alterations—up to $500.00 .. 6.00 $ Repairs & Alterations each add. $500.00 .... 3,00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines to 400 sq. ft. EDR Steam $10.00 $.--- Furnace . __Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $- Each add. 200 sq. ft. EDR Steam 3.00_ -_.-- Each add. 320 sq. ft. EDR Hot Water 3,00 $— OIL BURNER—to 3 gal. per hour 6,00 $ over 3 gal, per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) 800 S over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 7.00 $ Additional Fixtures x .78 $ Gas Range to 199.000 s$ 800 $ AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE f O ROUGH (SURCHARGE FINAL Dept. of Bldgs. Phone 860-3490 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_ - ;? ^ 2- / 19 LL Owner Kind of Building .__ `�- P Used asar¢- To be completed about Estimated Cost, Old—New. Building Permit No. Hermit No. DESCRIPTION OF WORK HEATING or POWER PL ANTS—Steam, Not Water, Warm Air—No Trade Name Sire No Capacity— Sq. Ft. E.D.R BTU H.P Total Connected Load_ Kind Of Fuel BURNER — Trade Name Size No Capacity Sq, Ft. EDR BTU (REMARKS—OYER) SUBJECT PERMIT N city of Fridley 2 0 8 0 9 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ` 4O' r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/8/91 JOB ADDRESS 370 - 67th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rodney/Betty Fure 370 - 67th.Avenue NE 527-9718 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Breda Bros Construction 491 E Sessimine, St Paul 55101 224-1486 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW j7 ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 1916" x 15" Deck 9 CHANGE OF USE FROM TO STIPULATIONS KKKKM€ See notations on plan, WARNINO Before digging call for all utility locations 454-0002 REQUIRED BY LAW 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 80 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 ISTALLS I 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 $1,950 $.98 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- $ 45.00 Fire SC $1.95 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHE PROPERLY AL WHIYOUR PERMIT i BLDG ) SP nAIt SIGNATURE OF OWNER OF OWNER BUILDER) )DATE) NEW [ ] Effective 1/1/91 ADEN [ ] R-1 AND R-2 AMER [ ] Building Permit Application Qzwtrwction Address: 3 O G `i � a 14 � f ze F Ae so -e r N Legal Descri Owner Name & Address: A 6 49 P; E y /S cTt `J F y 4 C Tel. # fa') - 9') I P Oollt2'dCtOr: /3'e Z -)O M `S .? O S epv,S7' Address: '5( c1 / S t SS / �» �� I • S T r° d9ef c, Tel . # caQ q - ) i1 P b Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn cn it to scale. /)ce gyp:(*'.0,01 L NIM AM: length Width Height Sq. Ft. GUMM AREA: Length Width Height Sq. Ft. DDCR AMMU Length Width 9 5" Hgt/Gr=-d Sq. Ft. *C%A^ /•Qt3 —.� 1`'l(o(OfJ Corner lot [ ] Inside Int [ Ft. Yd Setback Side Yard0,--Setback�s Type of tion: Estimated Cost: $ �, oma° Approx. Cm pletion Date: - - a 1- 9/ 1 q�d - Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: 5--- --) —c'- / APPLICANT: jo -'= -;Z'..i 'Ilei. # '>)6- 3-A40 TOIAL $ L11WA 79 0& ►qll CITY DBB D�TLY Fee Scbed>> a on Reverse Side .001 x Permit Valuation (1/10Th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by F Tri neeri g Agreement wry [ ] Not Necessary [ ] �� S -a n J 00 Permit Fee $ Fire urge $ State Surcharge $ SAC Qlarge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOIAL $ L11WA 79 0& ►qll CITY DBB D�TLY Fee Scbed>> a on Reverse Side .001 x Permit Valuation (1/10Th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by F Tri neeri g Agreement wry [ ] Not Necessary [ ] �� S -a I°"' IS" SliTrn - DO.1BU_- 3 ` FR r_ VC 14 Ll 2'x s'x I/" SHCET- METAL LIVED PLA.OTINr; &LEG /voTE-S - A 48" D1A. T,96LC e GRIC'C ARE' DkF1W,v IN To 61vC AN ZOEA c/ZE yr BECK -Oecl�rh To teQA/ 45' To HOUSE 4, A'. 47-4� /oil r LA �CXT NO t, 0 Di CK ,-\ b \A 0 Sk�, SOUlm %L14L Eu4LftN 6r1*U- S Foe+ e -, Ae' \-I,, NOTES: 0, i r I LO. C, x6 e. T�IiL 7- f4 I- e ' fl -'J E rz m c 'r a / 2X(5 I -Lit fQ, *1 S F'o P I,' c- A) PJ C S i.—ti C 7C.- / %iLt C.- fiLff rp I Plr oz x c FOOTIIVG�l LAYO;.17- i X P L M2: e 1 -1 k s rcR f.c-.qLc by j CITY.,OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Ngeded with new furnace) Gas Range Gas Dryer "Air Conditioning - All Sizes Rc,de TOTAL $ 20.00 $ a•® $ 10.00 $ $ 10.00 $ $ 10.00 $ $10.00 $®'� All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commerc iallindustrial 11% of Value of Appliance or Work State Surcharge TOTAL FEE JOB ADDRESS,V -�.T `�v�. J!✓-� 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. A -,XZ _Alt t,t t - OWNER /Y®v X7A ._— BUILDING USED AS ESTIMATED COST� A0, o� PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units—Z—Circle One (Steam) (Hot Water) (Warm Air) Trade NamedS'.Vro" Size No.0WAAA0,0'm -,'' BTU Go A HP_ EDR $ Fuel Total Connected Load *, 2p 0 .¢ Al Of 4E* $ .50 MINIMUM FEE FOR ANY HEATING/ OOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 'Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. BTU HP EDR f - .2 yv a� .�iv✓,os d �q�,d�� Ati nA�®.2h�C� �i e 'V'-.0/ 7- --rAmc HEATING COMPANY -.Z/£ �v� il/,y�ror✓Tifj �fr�j✓! S/fL� Signed ByyTel No.zez�:4y Qa o Approved By Rough -in Date Final Date 6e p N°4eL FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 7 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (✓f 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 (kJ No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (f No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's /,? ®, e a d Remarks List Alterations Being Done: HEATING COMPANY Signed By �c Date �ppHOUSE HEATING TEST RECORD AOI?4�ESS APT. FLOOR CITY SUBURB QCGUPASVT L' OWN ER NEAT LOSS DATE MTG. INST.. -v 2 _ SOLD BYleer"INSTALLED BY E lset►1ed Mak By — Gas laws By i vts?t% S e'- ri- i ' C �. TYPE OF MEAT GA FA Hill STEAM SPACE MTR. UNIT NTR OTHER GAS OESiGI�, CONVERSION MAKE ^Lv-,e- _MKE OF BUR R AAedel U Mehl Ssrw I `� f Mss. BTU Roti w! INPUT G -aW.2 MAKE Of FURNACE Medd CONTROLS THERMOSTAT tzA Meet PIM rent Sias . Velw 11111w x [IND OF L Limit axoz Oteit hood Limit Sett aN l Fibres NONE Fon SsttiwK _ C►iswey Lseetisw Iwsib �,� Ortsije Pilot Tr'e ��'-' Money Cowsttvetia+ Pilot Wks �°' spillaga�--j c, r Pilo Meal '^ &MAW Bomb Wiring �— Pilot Ti.iwK Det Test 7 L.W. CoA ON DOW Ptsawn Lighting bat. Prsssere Peraewt CDi o am Tests/ A - 6 boat CRH C�a �' � d Perm O= Cwwwy Tss " o i� nn of in . peer s! Tester Certificate of Colmpantaney_ 1i SUBJECT IT NO. _.-� City of Fridley 2 � 64 5 AT THE TOP OF THE TWINS BUILDING PERMIT r IRT NO. ' • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �� r � 1 • NUMBER REV DATE PAGE OF APPROVED BY ; ""'1 I CITY HALL FRIDLEY 55432 � ".� 612-571-3450 910-F15 6198 JOB ADDRESS 370 67th Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rod Fure 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Premium Roofing 6680 Lucia Lane NE Fridley, MN 55432 571-3973 6094 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 X3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof (18 Sq) House and Garage- Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 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 1501 $.75 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. $51.25 Fire SC $1.50 PLAN CHECK FEE TOd'EE ... z"L / �'® License 5.0 .50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEINim ALIDAT HIS IS YOUR PERMIT BLTWINSP GATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY. OF FRIDLEY ALTER [ ] SINGLE FAMELY- AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 7 �`� AJ Legal Description: Owner Name & Address: �1®p i1R� 3 %® 6 7/-3 14,- It F� Tel. # Contractor: pji'�/� 1leM �G�i�l2� MN LICENSE # Address• . &/_�o Our /!k �� Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Fgt/Ground Sq. Ft. OTHER: J Construction Type: llPMP141C Estimated Cost: $ :. (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .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 [ ] r . I'0^ e SUBJECT City of Fridley d72L579 AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT 16• COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/9/02 10B ADDRESS 370 67 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 1 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rob/Betty Fure 370 67 Avenue NE 763-572-9718 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improvements 460 STE, 840C 89 Ave N, Brooklyn Park, MN 55445 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20039258 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace 7 windows within existing openings 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. 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 1 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 $5,126 32M $1'13 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 STATE OR LOCAL LAW REGULATING CON- STRUCTION THE PERFORMA CONSTRUCTION PLAN CHECK FEE TOTAL FE 'eelF License $5.00 $13 .94 Si NATURE OF CONTRACTOR OR AUTHORIZED AGENT i ATE- PR PERL (DATED T S IS YOUR PERMIT G S-tea- .Aa- GATE S.GNAIUREOFOWNERgFOWNER BUILDER, iDATEIBIOG e NEW '`��-,,/ I - / Effective 1/1/99 ADDN ` 1 CITX OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 CZ T / ® 4 BUILDING PERMIT APPLICATION ConstructionAddress: �'�� (a%`� OAM 1 Legal Description: Owner Name & Address: _ e Tel. #�� %�- ?2/a Contractor: WINDOW LITE Home Impro ements MN LICENSE # C3rfvcllf Address: Saiitp. 460 -8400 -89th Ave. North Tel. # 6rook1yWFtA,t&4i ; cation, a Certificate of Survey of the C�arx-t ®lir lec-�) lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgtlGround Sq. Ft. OTHER: Construction Type: "A- Estimated Cost: $ W,emQ - (Fee Schedule onBack) - Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ $ DATE: APPLIC P� Gam' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ M6. �'5 Sewer Main Charge TOTAL STIPULATIONS: $ 133,9 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential C Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Tel. # �% ✓ �q,De Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Building Inspections 763-572-3604 RATE C SITE ADDVVSS THIS APPLICAM IS: PROI?MTY OWNER/ TENANT CONTRACTOR SUBKGT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK; MECHANICAL Permit NO.: 1' RESIDENTIAL APPLICATION Re"i°ed By: CITY OF TRI DLEY Date Reed: � - q Ap --yq- A YOUR EMAIL ADDRESS A,& Qc O OVIER CONTRACTOR S`7 2L. COMPANY NAIvIE,— CONTACTPERSON: ATE"?jq STATE LICENSE!! EXP DATE ADDRESS C1TY�-� STATEZ Pr ►�. PHONE r ��-�' ' �� 0D I FAX TOLE FAMJLY 13 TWO FAMILY ❑ TOWNHOUSE' O NEW EPLACEMENT D AlaERATION/RBMODEL DETAILED DESCRIPTION OF WORD ° PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.00, whichever is greater, for the improvement, installation or replacement of a residential fDa re, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 - Cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS SS00, FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT YAWS NOTED. FA"PURES: (1NDICATE TOTAL NUMBER OF EACH BELOW) IZPJBTiJ Equ"cut howled MFC; MODEL: SS1ZVBTU �,: MODEL: _� MODEL: SIZEIBTU _LA/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGrE/OVEN $10.00 _AIR TO AIR EXCHANC EER $15 FIREPLACE (WOOD) S3S,00 NEW GAS GRILL $10.00 B0jL5R 535.00 ^FURNACE $35.00 ,_GAS UNIT HTR $10.00 �1EY INR $10.00 GAS DRYER $10.00 FOOT HEATER $35.00 DUCT' WORK $10.00 = GAS PIPING $10.00 VI;NTIi.ATOR 515.00 Permit Fee $ — Number of fixtures @ $10.00 x $I v.vv =3i Surcharge $ ,50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures c@ $35.00 x $35.00 - S State Surcharge ;= S .50 Total - $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit a0d I acluiowledge 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 a work which requires re and approval of . SIGNATURE OF APPLI PRINT N ATE ' t s� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 Building dolj7o2 BUILDING Permit No.: L Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY WMKdp DATE ° / 7 YOUR E-MAIL ADDRESS SITE ADDRESS J — 1� 7 At ` ,u 4 /r F THIS APPLICANT IS: ❑ OWNER CAONTRACTOR PROPERTY OWNER/ NAME: TENANT-------ADDRESS: 3 71'— 1 AVZi %i% Z ME CITY :T STA PHONE: '7&0 7,7 �� CONTRACTOR NAME: 41111ZL24t%O^� Lt`1-2 /ff J 341%Z"' SUBMIT A COPY OF YOUR STATE STATE LICENSE # 4 i-Vl B' p r EXP DATE ADDRESS: y� /� %/r `�, LICENSE _i m?'&'5ek _CITY_ WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STO S_ PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW 4,ADDITION [3MAINTENANCE/REPAIR MODELING 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 PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING ❑ Vinyl FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Aluminum ❑Soffit ❑ Trim ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WI1DOWS2. Two sets of construction plans IN EXISTING OPENINGS I�es ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES &'J.C`j f,'j % //LtZ TYPE OF WINDOW TO BE INSTALLED NUMBER OF *INDOWS ajui. r r r o ann iiAzr,L uir vALUATI N, UNCLUDING THE LOW OF LABOR AND MATERIALS: (USING TIIE1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ z ,Ar, CC, OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Due Q See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT,yI PRIIVT NAME & /1 Z" i S�' Vi%� �? L r I DATE FED -26-2009 10:31 AM STANDARD WATER CONTROL 763 537 1882 P.01 Building Permit Fee IIUMDING Pelm�it e.. Inspections S RESIDENTIAL APPLICATION Received By: - 763-572-3604 .001 times'the total job valuation CITY OF FRIDLE . Y gate F E 8 _ Q DATE aL2&A YO1M Y MAIL ADDRESS $ Sm Anx)USS SAC Charge $ Wn A"UCANf IS: DOWNER, iz $ _ - -- -.- --._.. .. PROPERTY OWNER/ NAME: $ TENANT ADDRSSS Ct" STATO 2IP Fee Determined by Engineering PHONE "'ZAF S CONTRACTOR NAS SUBMIT A COPY OF STATE LICENSE M 1 rL l" DATE YOUR STATE LICENSE AbbRESs:6 ? 42keAzaihm.A-I C3TX STA'17 f x'19 WITH APPLICATION PHONE FAX PROPERTY T "E ❑ SINGLE FAMELYINEW CONSTR 0? SIZE ❑ TWO FAMILY/iIEw CONSTiz ON STORM pg `r T'ypEi ❑ ADDITION 13 GARAGZJSlMD 0 WINDOWS ❑ BASEMENT FINISH ® ROOF G DRAIN TILE d DEAL ❑ SIDING ❑ OTAHR. 0 SWDAMING POOL TYPE OF WORX- ❑ NEW EIADDITION ❑ MAINTENANCE/REPAIR 17 92MODF, MG DESCRIBE WORK HffiNG DONE: 0.1sustw S= OF UOROVEMM LMOTH WWTH HEIGHT Sq. FL $OOFM Q HOUSE MLY NUMBER OF SQUAM G HOUSE A GARAGE REMOMUM SUBM T.- SraBAM G ATTAC W GARAGE 1. 2. Existing Floer Plea Pctrp� floor plan PROPOSED SIZE: Q DETACHM GARAGE Lint of etKehnai members to be usod PROPOSED HEIGHT:3. FOR NEW CONSTRUCTION INCLUDING DECKS, 0 r'l ❑ad& A_ MN11 INS. & PORCUS SUBMIT: ❑ Almamnm ❑ Ttim 1. Site PWSmey Ahovft the rodding structures O Oats ❑ Fascias and sad pn#Kt. W$ 2. Taro sore OFcCU9Vuedoa plass IN MKISTING OFM41NGS OYee 0No LOCATION OF WINDOWS 3. Energy Calcufetiaas OR FOR NEW OPENINGS -DESCRIBE Sim OF OPENINO CHANGES & TYPE OF WINDOW TO H$ IMIALLED NUb=R OF W1NWW& ALL FEES ARE BASED ON VALUATION, Y>r11 LUDING TIE COST OF LABOR AND MATERI,A,LS: (USING THE1 .0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule plan Review S 656/6 of Building Permit Fee Fire Surcharge a 10 .001 times'the total job valuation Surel,arge $ d .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determinatiou) Club Cut Escrow $ _ - -- -.- --._.. .. ft + 6 ft = ft x S21 - S_ Erosion Ca*ol $ $450 Conservation Plan Review Park Ftist $ Fee Determined by Engineering Sewer Main Charge S Agreement necessary ( ) . Non Necessary ( ) TICS is AN APPLICATI0I FOR A I NGT vAL D UNTIL PROCESSED I hereby apply for a building permit and I aeknowledp that the info "hbovc is complete and accurate: that the wank will be in eonibrmance with the ordinances and codas of ri the Minnesota Construction Codes: that I understand this is not a permit but only an appli ort for a permit out a parmit; that the work will be in accordance with the approved plan in the utas of all w�ltic0 of plans. SIGNATURE OF Building Equipment Installed MECHANICAL Permit No.: �q Inspections SIZE/BTU RESIDENTIAL APPLICATION Received By rTW 763-572-3604 $25.00 CITY OF FRIDLEY erJ N 0 4 201 763-502-4977 FAX FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 EFFECTIVE 2-19-09 LINER $10.00 DATE cam' c7L i e o YOUR E-MAIL ADDRESS _CHIMNEY DUCT WORK $10.00 SITE ADDRESS '7U t, -7 fJC _VENTILATOR $15.00 THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: LZ rL, !'— OWNER/ ADDRESS: 9-70 L:7 44 ZA " u d l; CITYSTATE HO ZIP SS AL3 Z TENANT PHONE: --7 6 3- % a" t -711 CONTRACTOR /Ss COMPANY NAME: /C«, . L'cy t t' � CiL b- 0 CONTACT PERSON: �` l� ►� .y SUBMIT A COPY OF YOUR STATE LICENSE WITH STATE LICENSE # EXP DATE ADDRESS:/I _ a Ii b I W -C— 't- 1J (; CITY {R- t 0 `% STATE ZIP APPLICATION PHONE I V1 i .') 4 )('1 1 FAX PERMIT TYPE -5�16INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: C6 -4-e+- (L a- MODEL: 91 l; V A D 70 - I- I1. SIZEBTU%- MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU $25.00 _FIREPLACE (GAS) $15.00 _ GAS RANGEIOVEN $10.00 _A/C AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 LINER $10.00 DRYER $10.00 POOL HEATER $35.00 _CHIMNEY DUCT WORK $10.00 _GAS GAS PIPING $10.00 _VENTILATOR $15.00 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 planes. SIGNATURE OF APPLICANT ly �' � L -4a C PRINT NAME CIA Ir - O _DATE d City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977