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PRE 2010 DOCSCity of Fridley Appgcgfon for Pkmbift and Sm R"iwg Penult 10)epl. of Bldg. Ph.. 590-3490 DESCRIPTION OF WORE r� e& Number, Tied and Locafi®a 02 Fixtuses I I i Ii l I°! ! ! Inn Il Base 1st 2nd 3rd (Isles' PARTIAL RATE SCHEDULE wArEa ..n. City of Fridley: v M GAS ILM The undersigned hereby makes application for a permit for the work herei, specified, agreeing to do an 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 �� -F - 19 3 Owner ���� zJ so ,7 _ Kind of Building /®�o Bever C]Used as Z� � ' `e To be completed about 2 3' Estimated Cost. PLVMBING FIXTVRE BATES: NO. RATE TOTAL Number Fixtures ................ x $Z.00 ; Future Fixture Opening .... :...... x $1.50 ; New Fixture Old Opening .......... x $1..50 ; Catch Basin . .. .. .. . . .. . . . e . . • .. x $3.25 ; Water Heater (Up to 99,000 BTU) a ... x $3.00 S New Ground Run Old Bldg. ... a .... x $3.25 $ Electric Water Heater .............. a $zoo $ GAS FITTING FEES: NO. RATE TOTAL lot 3 Fixtures ............ • • • . • . x $2o0 ; Additional Fixtures ............... x $ .76 ; Gas Range to 199.000 BTU ............ x $6.00 f State Surcharge $ .50 REPAIRS it ALTERATIONS—Refer to Code Description .... ... . .. .... • . ........ . . a.... . e... .. a .... TOTAL FEE $ Old—New. Building Permit DOUGH FINAL City of Fridley SUBJECT j��l 6 54 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIP O. ....... COMMUNITY DEVELOPMENT DIV. i r PROTECTIVE INSPECTION SEC. L J \ ,.� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 9 4/28/j92 JOB ADDRESS 460 - 67th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 5 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESSZIP PHONE Joseph Christensen 460 - 67th Avenue N.E. 571-3041 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 16' Three Season Porch 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WtW4G* HEATrNG, PLUMBING AND SIGNS. Lot SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. wood Frame 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 $2250 $�' 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- NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $38.50 PLAN CHECK FEE TOTALFEE $9.63 $49.26 IG ATUREOFCONiRA R A T RIZED GENT (DATEI WHEN PROPER Y VALIDATED THIS IS YOUR PERMIT Z 02� Y BLDG INSPI i TE SIGNATU EOF OWNERI BUILDER) DATE) CITY OF FRIDLEY Effective Aug. 1, 1961 APPLICATIM FOR RESIDENTIAL BUILDING PERirITS (Nevi, Alterations, Additions, or Repairs) ADDRESS: TEL NO: - Constructi - STJtITT NO:�L— STREET: 42_ BUILDER:- ADDRESS: UILDER:ADDRESS: TEL NO: I /-?/ � IAT: . BLOCK: ADDITION: tion Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTP.UCTION Front: Depth: Height: 5 `c / Square Feet: 2 Cubic Feet: Front: Depth: Height: Square -Peet: Cubic feet: _ ,X,40 Type of Construction: fis< I C'd-1611 Estimated Cost: b To Be Cbmpleted:==---,161,./-/11 Alt. A Alt. B Proposed Drivmti;ay Width If New Opening Is Desired: $ $ SEE ];EVER: E SIDE OF SHEET . Tine undersigned hereby makes application for a permit for the cork- herein specified, agreeing to coo -all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that 11 the facts and representations stated in this application are true and cor cc DATE:A ;'/Z- -2��,�— SIGNATURE:1IV Stipulations: �J r 3g.S-o PC, 1.4#3 SUBJEct PERMIT NO. City of Fridley 32601 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. • _____ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE 1 � NUMBER REV DATE PAGE Or APPROVED BY = 1"'1 CITY HALL FRIDLEY 55432 IL'---A �'' 612-571-3450 910415 5/15/02 10B ADDRESS 460 67 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 I 5 1 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joseph & LaVonne Christensen 460 67 Avenue NE 763-571-3041 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improvements 8400 89 Ave N STE 460, Br Park 55445 20039258 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 O ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Install one bay window within existing opening 9 CHANGEOFUSEFROM 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. Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 i 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 $2,992 $1.45 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 COW$83.25 Fire SC $2.89 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE License SC $5.00 1 $92.59 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE, WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT S-GNATURE Of OWNEROF OWNER BUILDER, -DATE. BLDG -NSP - MATE (D4 e-059 NEW [ ] s��� CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 67 Bldg Insp ALTER [ ] Ct� `o� _ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION (: 1j9,� 5rj Construction Address: 4 (PQ `i P/, a uLc iU F 55 q3 a Legal Description: Owner Name & Address: �T h 4- LAVonne,, 0h Ir e Sfeu_s � Tel. *-763 57/ -30 q Contractor. WINDOW LITE Home Improve eats MN LICENSE # CZCQ 39ASr Address: rosstown North Business Ctr. # 4Suite 460:8400-tsuth Ave. North ��1��• ���� Brooklyn RAAAN t5644lication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction ype: 2l Estimated Cost: $ � ��� - ,eiC�il'f°LQ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: - Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1200 per SAC Unit $ DC $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 [ ] $ 9a • 5 9 STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 5431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURFS TO RF INSTAL LFD ON FAM4 FI nnR Effective On Jan 1, 2000 ® � 2' y~ ® a +i fi ® f � �Q1 f , • • A .•fQ> ® . �R iii�lit-ice F � �® PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas*' NO. RATE Gas Range" Gas Dryer** Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL JOB ADDRESS_ �&o ,- (o ( 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 codes and rulings of the R.uilding Division, and hereby declares that all the facts .and repres _ --- -a ._ .�:. ___.:_.,a:,,., .,.,, 4.. and correct. CHRISTIANSEN, JOE 460 67TH AVENUE NORTHEAST $ /S 2003 FRIDLEY, MN 55432 (763)571-3041 Owner— Building wner_Building Used As 'AS-61Dc�Ap Gam, Estimated Cost PERMIT NO. ' `y PLUMBING COMPANY PW AJ(4 SIGNED B TEL N0. z Approved By Rough -In Date Final Date % is C�j $ .50 ��//'�}} MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 $�►1/.5-jo PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting: system is plastic/PVC and meets all current codes and manufacturer specifications .including sizing, length, number of elbows and termination. Yes( No(.,) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance -:has been -removed from the common vent and vented. separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance#2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date: ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND (USING THE 1997 U.B.0 FEE SCHEDULE). TOTAL JOB VALUATION $ O% ©O OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Maier Charge Total Due $ r-1'l.�S $ 1. $ 5• Cly &6-f,(v M . ' ,L 7 E _ZIP �I TATF�LIP� � Sa. Ft. iSUB : r[ :.n A i [embers to be used ,,,I INCLUDING DECKS, 3UB�T: hewing the existing shuctures i xt. action plans s is RIA i S: 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 determinati } ) ft+6 ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payableto: City of Fridley At t ch 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; aat the work will be m conformance with the ordinances and codes of the City of Fridley and with the Mirmesota Construction Codes; the t : understand this is not a permit but only an application for a permit and work is not to start without a perm •t; that a work will be in acc( „ lance with the approved plan in the case of all work w ' h requir rev%i7aAtz&d and approval of plans. _ SIGNATURE OF APPLICANT -� /v PRINT NAME �'�1 / f/ DATE 91 BUILDING �0I1TIli Building Inspections RESIDENTIAL APPLICATION Rece'v 763-572-3604 CITY OF FR.IDLEY Date R DATE S YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER ONIRACTOR PROPERTY OWNERI NAME: D J 4 n acf� ADDRESS: QTY ST TENANT PHONE: �%� �%�• �i U 7� CONTRACTOR NAME: 5W, uimA STATE LICENSE # `2 0'q- FC ' d F EXP DATE SUBMIT A COPY OF CITY ADDRESS:51PI/7 /s' YOUR STATE LICENSE WITH APPLICATION PHONE (p S-/. 9. yFAx 6157'LI -,a PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SSE STORIES ❑ TWO FAMILY/NEW CONSTRUCTION PERMIT TYPE ❑ ADDITION GARAGEISHED ❑ VrNDOWS ❑ DRAIN TILE ❑ BASEMENT FINISH ROOF ❑ DECK ❑ SIDING 11 OTHER ❑ SWIMIIHIQG POOL TYPE OF WORK: W ❑ ADDITION MAINTENANCE/REPAIR RE�Mr ODELING- DESCRIBE WORK BEING DONE: -L �` t a -1 a/ h-1 `GQ SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT ROOFING _ ❑ HOUSE ONLY NUMBER OF SQUARES c¢J� ❑ HOUSE & GARAGE BASEMENT REMODEI I. Existing Floor1 GARAGES ❑ ATTACHED GARAGE 2. Proposed floor PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structun PROPOSED HEIGHT: FOR NEW CONSTRUCT SIDING ❑ Vi 1Al D11P2NS_ & PORCI� I. Site Plan/Serve ❑ Ahtmi[wm Tnm ❑Fascia and proposed p [IO 2. Two sets of co[ WIIV7)OWS 3. Energy Calcula 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 MA'''C' ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND (USING THE 1997 U.B.0 FEE SCHEDULE). TOTAL JOB VALUATION $ O% ©O OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Maier Charge Total Due $ r-1'l.�S $ 1. $ 5• Cly &6-f,(v M . ' ,L 7 E _ZIP �I TATF�LIP� � Sa. Ft. iSUB : r[ :.n A i [embers to be used ,,,I INCLUDING DECKS, 3UB�T: hewing the existing shuctures i xt. action plans s is RIA i S: 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 determinati } ) ft+6 ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payableto: City of Fridley At t ch 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; aat the work will be m conformance with the ordinances and codes of the City of Fridley and with the Mirmesota Construction Codes; the t : understand this is not a permit but only an application for a permit and work is not to start without a perm •t; that a work will be in acc( „ lance with the approved plan in the case of all work w ' h requir rev%i7aAtz&d and approval of plans. _ SIGNATURE OF APPLICANT -� /v PRINT NAME �'�1 / f/ DATE 91