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PRE 2010 DOCS'=nya'5 7 City of Fridley, Minn. N° 8012 BUILDING PERMIT • Date: dune 23, 1965 Owaer: Mr. Ray Person Builder William Kranz, Inc. Address 375 67th Avenue N. E. Address 10A Dake Road LOCATION OF BUILDING No. 375 Street Part of Lot Lot _ Block Addition or Sub -Division Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front .. Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Fst. Cost $1, 200 e00 To be Completed Storm damage repair In moderation of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with afl provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of10.0031$,permit is hereby granted to - am D Kranz, Inc. 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 location, construction, alteration, maintenance, repair and moving of buildings within the city limits a� permit may be revoked at any time upon violation of any of the Provisions of said Allen Jensen Building Inspector NOTICE Uh pamh don no emw rho ans mcftn, h aftHa ion for whho phmrbin8, on h ffm sewer w wdw. Be sun to as the Betiding bnp� ton apwab pamha ten them hens. APPLICATION -FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME MV_ Ra' Parc�n`4 BUILDER Gilliam Kranz Inc. ADDRESS_ �� K 67ty, . ��TP ADDRESS 4038 Lake Road LOCATION OF BUILDING .No. Street Part of Lot LOT BLOCK ADDITION OR SUBDIVISION Corner Lot Inside LOT Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth _Height Sq. Ft. Cu. Ft. Type of Coustruction Storm. Repair Estimated Cost 1200.00 To be completed July is t The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. 6/23/65 STMA"MR Wr, er/,e w (Schedule of Fee Costs can be found on the Reverse Side). SuBJECT P _ City of Fridley 2529 AT THE TOP OF THE TWINS BUILDING PERMIT t ` RECEIPT NO. ______ 1 b COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. a �j 8 -27 r 1 � 1 NUMBER REV DATE 7/18/97 PAGE OF APPROVED BY 1 1 CITY HALL FRIDLEY 55432 I.J 612-571-3450 910-F15 JOB ADDRESS 375 67 Avenue NE I LEGAL LOT No. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary King 375 67 Avenue NE 574-9101 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 0 ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 3 windows in 3 season porch; Repair top of Chimney 9 CHANGE OF USE FROM TO ,,STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD II li I) I Ili V N ISA IN n All SUBJECT P , City of Fridley " � 5 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir? COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 87-27r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 7/18/97 JOB ADDRESS 375 67 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary King 375 67 Avenue NE 574-9101 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 Replace 3 windows in 3 season porch; Repair top of Chimney 9 CHANGE OF USE FROM TO ,STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,700 $.85 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 OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 14 $56.55 _ RIZED AGENT IDATEi WHEN PROPERLY V L DATED THIS IS YOUR PERMIT ANT-RORAUTHO `7/A r ��DNATUREOF A EONER UAL DE RI IDATEI BLDWIN BATE NEW Effective 1/l/97 ADDN [�(] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,g ief, Q5 -,R-9 0 BUILDING PERMIT APPLICATION ConstructionAddress: 3-75 ( AvrjE 2 `, V� tj E" 5 4 Legal Description: j.�j+ 2 \Dpi �3 (= cc C e e Te ✓rd l e (� �-�- Owner Name & Address:{ u L, K - 37 � Ave rut yam_ Tel. Contractor: �,n �,,� MN LICENSE # Address: 3%S (off }��p 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 Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER:9 ,`.�,.,1,,. ,c � , � i- , - - /2e r,, -tu Construction Type: 44 Driveway Curb Cut Width Needed: Ft. + 6 Ft = 1,p r fc,PCI . J Estimated Cost: (Fee Schedule on Back) _Ft x $ _ $ DATE:- j APPLICANT: Tel. # Permit Fee 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 $ $950 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 [ ] SUBJECT PERMIT NO. City of Fridley 25726 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 RECEIPT NO. _ _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. y/� r � � PROTECTIVE 1 I ` 1 1 CITY HALL FRIDLEY 55432 ,`j NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 12/9/97 10B ADDRESS 375 67 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. rj 1 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Mary King 375 67 Avenue NE 574-9101 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 j] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Rebuild basement bathroom 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Call for all inspections. Install smoke detectors to meet the State Building Code. SEPARATE PEpMITS RRFD 'NVJ,NQO HEATING, FOR PLUMBING AND SfGN& SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $7,000 $3.50 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 S TE OR LOCAL LAW REGULATING CON - CON- $124.75 Fire SC $7.00 STRUCTION OR THE PERF F�CONSTRUCTION RM PLAN CHECK FEE TOTAL FEE — $135.25 RIZAGENT SIGNATURE ?FCO CTOR U HO TEI WHEN PROPERL ALIDATED THIS IS YOUR PERMIT lei _Bj&G INSPs v'J rjA TE SIGNATURE OF OW NER iif OWNER BUILDERIIDATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 5 %,;Z ConstructionAddress: Jf -7 -S- Legal Description: Owner Name & Address: rc Tel. # S79-`2 10 l Contractor: Address: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: C P P, Q1Pl 0 rY71 �4 // ll LtiLeLo e?/�. e�10 Construction Type: �Estimated Cost: $ '41,7 r� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:— APPLICANT: Tel. # TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ 1;14, 75' Fee Schedule on Reverse Side Fire Surcharge $ '2, zD6 .001 of Permit Valuation (1/10th%) State Surcharge $ 3-.5-6 $.50/$1,000 Valuation SAC Charge $ $950 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: CITY OF FRIDLEY INSPECTION DIV 6431 University Ave NE Fridley, MN 55432 572-3604 0 Effective On January 1, 1997 i e APPLICATION FOR PLUMBING AND GAS FITTING PERMIT f MARK NUMBER OF FIXTURES TO BE INSTALLED nN FAr.N Fi nna PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $-z' so JOB ADDRESS _::�Z:�_ �' oO�07 A/L 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. '1997 Owner Building Used As - 9/o Estimated Cost PERMIT NO. PLUMBING COMPANY_ SIGNED BY TEL N0. Approved By Rough—In Date Final e MINIMUM FEE F R ANY PLUMBING/GAS PERMIT IS $20.00 S THE $.50 $TATE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. V sue�Ecr ERMIT NO. City of Fraley 29436 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. � i >r _ _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. f � 1 ia I "..I CITY HALL FRIDLEY 55432 NUMBER REVDATE PAGE Of APPROVED By j 612-571-3450 910415 5/25/99 JOB ADDRESS 375 67 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary King 375 67 Avenue NE 574-9101 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Four Seasons Roofing & Remodeling LLC 7930 University Ave NE, Fridley, MN 55432 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 795-9410 20138780 S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION 1j REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House (22 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 S0. 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 $19885 $.94 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- $66.20 Fire SC $1.88 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FE TOTA EE �� 1911�p Licens S $5.0 $7/.02 S T CON• ACTOR OR UrHOpI AGENT I ATEI HEN R FFA VALIDAT HI$ ISYR PERMIT �r Bl INSP T�ATt SIGNATURE OF OWNER OWNER BUIIOE RI IDATEI V C --r-1 t4p NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: —S75 5 (a %A 4v e k e Legal Description: 3 i S (o 7 A A, � /�, �'" Owner Name & Address: M'Q a/ K ; v► Tel. # Contractor: �ou v Saes6, I��; es It Roma;U; e►a L 4 Ce MN LICENSE # d�®/3876Z� Address: R 30 Uh,yeS# 2�y djzy At /Ev Tel. # -M-75(%® 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 Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 0?J V Construction Type: Y1 '1��1�P�' �� 4 -f -e 4/9Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ®r APPLICANT: rmry Tel. # CITY USE ONLY Permit Fee $ -� d Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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: NEW[ ] Effective 5/10/99 ADDN [ ' ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: GL tL 1. Contractor: r2 WR 5'E-:4� o ,y Address: t i b °--? % (,4J, 8 i RA, 1 -sy L L E: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a C lot, with the proposed constru DESCRIPTO, I Length., W Lengthy R Construction Type: Driveway Curb Cut Width Needed: DATE: I�T APPLIQ +6Ft= 1Fk\DL-Z" 1. �T,A S Wift(ly 7l. tQ 1C1 5 /24�7 i0f= L( ma MKINSE S u� r° l T 1- 0,14 of urve of e a rale,.,, aVIP NT ; Hght Sq. Ft. eight Sq. Ft. Hgt/ , utid Sq. Ft. ' ted Cost: $' Ft xf': _ $ Tel. # '?70— !$Q(� CITY USE Permit Fee $ l / O Fee Schedul orverseSi e l Fire Surcharge $ l� D Pe y,;'Valuation (1/10th%) li State Surcharge / $. �/$1;000 a Dation SAC Charge $ $1050'er SAl�Tnit License Surcharg $ -� `y $5.00 (Stater�.icensed Residential Contractors) Driveway Esc $ Alt. "A',/or Alt. "B" Above Erosion Control $ $454 Conservation Plan Review Park Fee $ ,Ree Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ `1 STIPULATIONS: SUBJECT City of Fridley 31588 AT THE TOP OF THE TWINS BUILDING PERMIT r? RECEIP O. _ COMMUNITY DEVELOPMENT DIV. j PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIOLEY 55132 It""A NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 12/5/00 JOB ADDRESS 375 67 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 1 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary King 375 67 Avenue NE 574-9101 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improvement 8400 89 Ave N, Brooklyn Park, MN 55445 20039258 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-425-2227 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION REPAIR D MOVE ❑ REMOVE B DESCRIBE WORK Replace windows 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. Orris al Be Mailed A � 'F-0 c SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $12,916 $6.46 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- Firp SC $12.92 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $223.25 if PLAN CHECK FEE TOT FEE Licens C $5 0 47.63 SIGNATUREOF CON'RACTOROR AUTHORIZEO AGENT IDATEI HE P OP VALIDATE THIS IS YOUR PERMIT / B G INSO TE SIGNATURE OF OW NER IIF OWNER BUIL OERI IDATEI NEW [ ] 4 ' v) -oa 4 - Effective 1/1/99 ADDN [ ] J? 1,35 CITY OF FRIDLEY ALTER [ ] SINGLE FA d1ILY AND ni rv* -2 BUILDING PEI ConstructionAddress: Legal Description: 47 Owner Name & Address: Tel. # Contractor:'' //,,,,/d� kn MN LICENSE Address: Siko ' OV9 M- e' AG , 2 Tel. # Attach to this application, a Certificate of Survey bf t -Fie lot, with the proposed construction drawn on it to scale. DESCRIPTION OF ENIPROVEMENT 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: $ A 9��p. (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee APPLIC Tel. Sewer Main Charge $ TOTAL $ 2k 61 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $1050 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 [ 1 Not Necessary [ ] S ULATIONS:IfO�/�".4 CITY OF FRIDLEY INSPECTION DIV. �. ��%'� Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 775RATE SCHEDULE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner – rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in th;s application are true and co rec . (Side Vent – Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ OWNER/,ll2l� Gas Range $ 10.00 $ G� BUILDING USED AS Gas Dryer $ 10.00 $A—! ESTIMATED COST PERMIT NO.��-- *Air Conditioning – All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs &Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel _ Total Connected Load State Surcharge .50 Burner Trade Name Size No. �j BTU HP EDR TOTAL FEE` HEATING COMPAA e//S az/t , �_/I��v MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed B Tel No.161,-7- y3 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Appeoved ByRough–In Date Final Dat Lt � *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE F R STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURN E Remarks- 5 /l � Ch -y EO dui' List ALTERATIONS Being Done: HEATING CO: Signed By: Date: 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 O No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for -size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks- 5 /l � Ch -y EO dui' List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CCIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 October 17, 2001 Ms. Mary King 375 67 Avenue NE Fridley, MN 55432 Re: Final Inspection at 375 67 Avenue NE Contractor: Reliant Energy/Minnegasco Dear Ms. King: A mechanical permit was issued on December 19, 2000 to install a gas dryer at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Mechanical Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE I C �' YOUR E-MAIL ADDRESS I ^ ril SITE ADDRESS 3 35- 74 k es jvj`'_' THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: t'_O'r� E :5 ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: STATE LICENSE # �O 2-2- EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: 16-71<2 M i 51 s� ,nm ;laq�� CrrY�ir� , %1 <.n • oL j STATE,/4A ZIP .�� 33 LICENSE WITH PHONES VZ - ?s S��i- <5 3 FAX 1 f:7 APPLICATION PERmrr TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK -� .4 ��` I dt� d r� ^ r,-een �- wed PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, 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 EXCE $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV F R DRAINS _ SHOWER _ WATER PIPING _ _BATHTUB _GAS PIPING (IJF�n Cl7YLICErvsE) _ SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER Permit Fee Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Z= Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ 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 &Ffidley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application r a pe rk is not to start without a permit; that the work will be in accordance with the approved plan in the case of all review and approval of plans. SIGNATURE OF APPLIC PRINT NAMEy'J e`` (Qf DATE �I �✓ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.: y Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: y STATi OWNER/ADDRESS: CITY rY —� TENANT �% PHONE: CONTRACTOR COMPANY NAME: AKE CONTACT PERS V1E rymulak 410 WEST Ln STREET SUBMIT A COPY OF 55408 MINNIYOUR STATE STATE LICENSE# 14,MN 24 LICENSE WITH STATE ZIP ADDRESS: APPLICATION PHONE FAX ,SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL EETAHLEEDDESCMIPTIONOFWORK WORK: G2 !.� /ILt Ctrs PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the only the cost of labor ) improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WH1�RE NOTED. FIXTURES: (INDICATE TOTAL ` NUMBER OF EACH BELOW) g l�/� f) SIZEIBTU 601 M0 � Equipment Installed MFG: MODEL MFG: MODEL: : SME/BTU MFG: � MODEL: -,� SIZE/BTU� XA/C $25.00 (GAS) $15.00 GAS RANGEIOVEN $10. _FIREPLACE AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 GAS UNIT HTR $10.00 _BOILER $35.00 FURNACE $35.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 TOR 15 WORK $10.00 GAS PIPING $1000 'A _DUCT C Permit Fee $ 90 Number of fixtures @ $10.00 x $10.00 = $ Surcharge50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ 8 . O Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Total = $ 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 Ci of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an ap tion for a pe rt rk is not to start without a permit; that the work will be in accordance with the approved plan in the case all hich r es re ew and approval of ans. aA02 A d ATE L SIGNATURE OF APPLIC .M NNIJ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley,. MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note belov�) a_ Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a_ IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building PLUMBING Permit No.:,3Cvl -OIq Inspections RESIDENTIAL APPLICATION Received �If9 763-572-3604 CITY OF FRIDLEY Date 1M AA 5 r� C) DATE YOUR E-MAIL ADDRESS �7 SITE ADDRESS �7S�_�� / THIS APPLICANT IS: ❑ OWNER CTOR PROPERTY OWNER/ADDRESS: NAME: �- STATE&Iz>P CMZ TENANT CITY l� PHONE: ^ C CONTRACTOR NAME: STATE LICENSE # ! f r) 2 �u> C --C0 __ EXP DATE I Q ADDRESS: 7,73l �'/ - �CG� i�l'L�' CITY SQte STATEPqk ZIP•G6�W SUBMIT A COPY OF YOUR STATE LICENSE WITH PHONE 2 S3 i Z y FAX APPLICATION PERMIT TYPE GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW 0-�PLACEMENT DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, 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 $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINK/LAV FLOOR DRAINS _ SHOWER WATER PIPING SWIMMING POOL WATER SOFTNER ($35) —BATHTUB _ GAS PIPING (vm cnrrucEwsE) _ WASHER SINK CLOSET _BACKFLOW PREV. ($15) _CLOTHES _KITCHEN —WATER DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER ONA Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surchar a .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $. `� State Surcharge = $ .50 Total = $ 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 wok which r es review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME C. X 1 C� DATE(V—(?S4(,(52 ;. „, , City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 D%