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PRE 2010 DOCS01 SUBJECT City of Fridley 8 5 AT THE TOP OF THE TWINS BUILDING PERMIT (t::6 O. _ COMMUNITY DEVELOPMENT DIV. L 9,7— PROTECTIVE INSPECTION SEC. 3,P6 � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED BY IL ---- A 612-571-3450 910-F15 12/'5/90 JOB ADDRESS 1000 - 67th. Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Michael Servetus 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brickner Builders Inc. 6240 Hwy #65 N.E. #208, Fridley 574-9871 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 381 x 381 Dwelling and a 261 x 20.331 Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide City, with copy of verifying survey before capping. Provide a hard surface driveway. Provide sod in the front and side yards Paid $1,500.00 Park Fee. SEWER SERVICE: 60'1' East of Manhole @ 67th & Oakley St. INV: 863.13 @ Main WATER SERVICE: 10' East of Sewer Service Lowest Walkout Elevation 868.9 per Drainage Plan by R. Nelson Engineering. Before digging call for SCE -PA F -A T E i ; -TS Few; -1,l all util4y locations 1rVONG, HEATING, PLUMBING ANU�11,214S. 454-0002 R -WIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 $84,450 $42.23 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. $572.00 $600.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. AN CHECK FEE F' e SC $84.45 TOTAL FEE $1,298.68 + PF :el -2 - ZC�SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI HEN PROPERLY VACATED THIS IS YOUR PERMIT ■ BLD4 INSP 04E SIGNATURE OF OWNER IF OWNER BUILDER) IDATEI 01 01 j vu c.t - 2. 0 � 'f 7Iu �/ ✓. = 96 3 �3 3c t. ovi TOP 62.-73 Lot 3, Block 1, MICHAFI. SERVEMS 2ND ADDTTIW ,S'JT I �J J wty,, My M ADEN [ 7 AMER [ ] R-1 AND R-2 Building Permit Application Effective 8/16/90 Construction Address: ] C L d 6? 711N G4. U e . y 1✓ Legal Description: C p l- 3. 8& U C k. 1 /41/c, h cA- e. C 5e- r u c..16t 5 al � CA dd' 11) O H Owner Name & Address: Contractor: r c.kne v v.� c C v S S c Tel. # 5-/7 18,7 l Address: Attach to this application, a Certificate of Survey of the lot, with the proposed vonstruction drawn on it to scale. LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. 07MM: Corner Lot [Vj Inside Lot [nn ] Ft. Yd Setback Side Yard Setbacks 4- Type of Construction: Ujop& c,,,m < Estimated Cost: $ T� Approx. CaVleti.on Date: '� - 90 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: 11- 19 - 5 J APP11CANI': /T��� I �i�c � Tel. # 5-72-9912.) Permit Fee $ 1) Fire Surcharge State Surcharge $ SAC Charge $►�; Driveway Escrow $ Park Fee Sewer Main Charge $ TOM P"KIMtox STIPUTATIONS: kow(raT UAW cxr ELA'0 . CS CITY USE ONLY Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th o) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 4 °Cox.0 t A. qv ,-SbtSb t r) t9 CS ����-MMRZ*d l )ohn Brad ley ' architectural consultants hr 9008 30 ST. S.E. OSSW MN. 96389 PH: (610-474-977;.. Plan "jL 3 'a' o Date I 1-7 —) Owner, Contractor) Site Address: I)TOTAL EXPOSED WALL AREA �e7 sq. ft x'U"- 2) TOTAL EXPOSED ROOF/'CEILING AREA P;13 sq. ft. x'U" -3-4 ' WALL AREA CALCULATIONS: TOTAL WINDOW AREA GLAZED TOTAL DOOR AREA TOTAL GLASS DOOR AREA GLAZED TOTAL FIREPLACE WALL AREA TOTAL WALL FRAMING AREA NET INSULATED WALL AREA TOTAL RIM JOIST AREA TOTAL FOUNDATION AREA (EXPOSED) sq.ft.x'U 39. sq.ft.x'U" ,41 = Z, I e -g:4 ez, sq.ft. x'U" .47- = .�---- '� sq.ft. x'U" b�Z sq.ft x"U"�a9 = 3 sq.ft.x'U" zZ9 sq.ft.xU" 'Uy = TOTAL FOUNDATION WINDOW AREA sq.ft.x`U" — 3) TOTAL If item 3 is the some as, of less than Item 1, you have met the Intent of 2 MCAR 1.16008 A and O. ROOF/CEILING CALCULATIONS TOTAL SKYLIGHT AREA - TOTAL ROOF/PEILING FRAMING AREA NET INSULATED ROOF CEILING AREA �– sq.ft x'U" sq.ft.x U C _ sq.ft.x'U"LCE "4) TOTAL _ If Item 4 Is the some as,or less than Item 2, you have met the Intent of 2 MCAR 1.16008 A and 0. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the sum of Items I and 2 shall R be greater than the sum of Items 3 and 4. 1) +2) _ 31 +4) _ 1 hereby certify that the building here described meets or excel tate of ' nes Energy Conservation Act. (signed) �.c 6=, w I F!,,,,., ge1.4..je, CONSTRUCTION FRAMING SECTION Interior air film 0.68 S s4inches of soft wood L,S1 g exterior alr film 0.17 TOTAL R 1 o U = 1/R = SECTION (INSULATED) I Interior air film 0.6 0, .4b Sj-+ wm6. an 4 'e -6I 34 E", 64-0 WE 5 sl,o"em of 6 exterior air film _ 0.17 DIST SECTION 4 5 5 TOTAL R Z3 . I U = I/R - —4_ interior air film 0.68 an 'sires � Jey . 8 L exterior oir film 0.17 TOTAL R 1 & I U = ATION SECTION interior air film 0.68 4 exterior air film 5 - 017 TOTAL R 15 U = 1/R I It 0 • m VENTED CONSTRUCTION .CEILING SECTION (INSULATED) (I linterior air film 0.61 (2 (4 exterior air film (still) 0.61 TOTAL R .4;;.7?E>- U = I/R-02:Z CEILING FRAMING SECTION ( I interior air film 0.61 (2 -645 Sim,I slip (4 interior air film 0.61 (5 Bunches of soft wood 4,Ss TOTAL R32- 1 —" U = I/R tQZLO CEILING SECTION ( INSULATED) ( I interior air film 0.61 _ (2 (3 (4 exterior air flim (still) 0.61 TOTAL R U = I/R CEILING FRAMING SECTION ( (.interior air film 0.61 (Q 3 -13 (4 interior air film 0.61 (5 inches of soft wood .TOTAL R , .0 = I/R EXPOSED BEAM CEILING SECTION (,I interior air film 0.61 (2 (3 (4 (5 exterior air film 0.17 TOTAL R L = I/R CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PEF41T RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Effective Date January 1, 1991 ( ( Job Address / � GL � � r)-`� LlC ,� Building Inspection Div. 6431 University Ave NE Tel. No. 572-3604 Fridley MN 55432 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 Depdrtment of Buildings. and hereby declares that all the facts and representations stated in this application are true and correct. a-2 (62 19 C_, / OWNER J) t L if &L �l> L` L D KIND OF BUILDING V` p i �e i�� ✓�- T USED AS H LK TO BE COMPLETED ABOUT ESTI14ATDNL-W ED COST OLD IUILDING PERMIT NO. PERMIT NO. New Fixtures $ 7.00 - $ oo �1 Old Opening, New Fixture $ 10 Company LP C� 5 �-C h / A_ Beer Dispenser$ 5.00 - $ Water W m H $ 7.00 - $ w e •. a q 7.00 - $ a .. ^, a a h. a $ Heater m u .4. $ 7.00 a $ E m .4 .4 m w e e u w Wates Heater - Electric $ 7.00 - O w O vu $ H C -4 p O w V m u u 0 of 40 M .00 10.00 - $ Back Flow Preventer Required ( ) Yes ( ) NO APPkOVAL FOR PEP -MIT Type S 5.00 - $ 1st ' 2nd 3rd acn (a) Future Connection opening Connected with Sewer (•) Now Fixture, old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Effective Date January 1, 1991 ( ( Job Address / � GL � � r)-`� LlC ,� Building Inspection Div. 6431 University Ave NE Tel. No. 572-3604 Fridley MN 55432 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 Depdrtment of Buildings. and hereby declares that all the facts and representations stated in this application are true and correct. a-2 (62 19 C_, / OWNER J) t L if &L �l> L` L D KIND OF BUILDING V` p i �e i�� ✓�- T USED AS H LK TO BE COMPLETED ABOUT ESTI14ATDNL-W ED COST OLD IUILDING PERMIT NO. PERMIT NO. New Fixtures $ 7.00 - $ oo �1 Old Opening, New Fixture $ 4,00 - $ Company LP C� 5 �-C h / A_ Beer Dispenser$ 5.00 - $ Signed By Blow Off Basin $ 7.00 - $ Catch Basin $ 7.00 - $ Tel. No. Rain Water Leader $ 7.00 - $ Sump/Receiving Tank $ 7.00 a $ Water Treating Appliance $ 10.00 - $ ROUGH IgSP. Date Wates Heater - Electric $ 7.00 - Mater Heater - Gas $ 10.00 - FINAL INSP. l 7 Gas Range $ 10.00 - $ Date Gas Dryer S 10.00 - $ Back Flow Preventer Required ( ) Yes ( ) NO APPkOVAL FOR PEP -MIT Type S 5.00 - $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1• of Value of Fixture or Appliance $ MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE $ REINSPECTION FEE $30.00 State Surcharge .50 TOTAL FEE $ CITY OF FRIDLEY Effective Date January 1, 1991 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct work, Burner (Also replacement furnace) Gas Piping (Piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations li of Value of Appliance or Work COMMERCIAL/INDUSTRIAL It of Value of Appliance or Work REINSPECTION FEE 630.00. - Rough Insp. Date Final Insp. Date Approval for Permit RATE TOTAL Job Address I $ 20.00 $ o O Building Inspection Div. 6431 University Ave NE Fridley MN 55432 Tel. No. 572-3604 $ 10.00 $ 000 $ 10.00 $ 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 $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. $ 10.00 OWNER S ' KIND OF USED AS State Surcharge yG'�+f•�s E $ .50 MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. TO BE COMPLETED ABOUT ESTIMATED COST , OLD,�NEW UILDING PERMIT NO. PERMIT NO. 10 rl�S DESCRIPTION OF FURNACE/BURNER HEATING or POWERA"wPLANTS, Steam, Hot Water, Warm Air- No. Trade Name LGA -D Size No. X40 - D �� Capacity 010 Sq. Ft. EDR BTU �y BP Total Connected Load �/ �5� Kind of Fuel 1�—�— BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. Fill out back side for stack verification on replacement furnaces 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 ( ) No 4. Is securely supported Yes ( ) No 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company _ Signed By Date CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 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 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance $TLOTALFEE rrge JOB ADDRESS 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. " 3 ,1991 Owner b r I-%' r r r � " / L- 10"; C's Building Used As L L> jk 142— Estimated Cost / 5 PERMIT NO. PLUMBING COMPANY___L ev_5 SIGNED BY'�_� ,,i,a�la— TEL N0. Approved By Rough -In Date Final Date .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 $_a PLUS THE $.50 STATE SURCHARGE UlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-12217 May 15, 1991 Brickner Builders Inc. 6240 Highway 65 N.E., #208 Fridley, MN 55432 RE: Final Inspection at 1000 - 67th Avenue N.E. Dear Sirs: A final inspection was conducted on April 23, 1991 of the above address and the following items were noted which must be completed before the structure can be finaled: 1. Provide sod in the front and side yards by June 15, 1991.Ok 2. Provide corrected verifying survey by June 15, 1991. We will expect these items to be completed by the scheduled date and a reinspection called for. Occupancy of the structure is approved. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, a404-1 a4i DARRE G. CLAAK Chief Building Official DGC/dn CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 17, 1991 Brickner Builders 6240 Highway #65 N.E., #208 Fridley, MN 55432 Re: Final Reinspection at 1000 - 67th Avenue N.E., Fridley Dear Sirs: A final reinspection was conducted on June 17, 1991 of the above address and the following item must be completed before the structure can be finaled: Provide the City with a corrected verifying Survey. We will expect this item to be completed on or before July 1, 1991. If you have any questions on this matter, please feel free to Contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh SUBJECT MI City of Fridley 6 315 AT THE TOP OF THE TWINS BUILDING PERMIT r RE COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 3 �� r NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/22/98 JOB ADDRESS 1000 67 Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 1 Michael Servetus 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dick/Judy Niznik 1000 67 Avenue NE 574-1159 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Heiderscheid Bros 716 198 Ave NE East Bethel MN 55011 434-4578 20060354 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 0.REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (30 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 $1.25 WITH WHETHER SPECIFIED HE R NOT. THE GRANTING OF A P $2,502 DOES NOT PRESUME O G AUT ORITY TO VIO TE OR CAN L THE PERMIT FEE SAC CHARGE PROVISION OF AN OT R R L CAL L REGULAT CON- $74.75 Fire SC $2.50 STRU O OR TH PE OR C NS`RU ION. PLAN CHECK FEE TOTAL F Li nse S $5.00 5 $ .50 SI NATURE OFCONTRACTO A RIZEDAGENT IDATEI PR p q LIDATED T SIS R PERMIT BLDG SP MATE S-GNATURE OF OWNER IIF OWNER BUILDERI (DAT NEW ADDN ALTER ConstructionAddress: Legal Description: _ Owner Name & Addr Contractor: f lyd Address:, 71 (0 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Driveway Curb DATE: Effective 1/1/98 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION l e'er �, 7 � ti.F /-�, Ji i /off Tel. #_ MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Width Needed: APPLICANT: 30cl Estimated Cost: $ . STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ c2- -'�D .001 of Permit Valuation (1/10th%) State Surcharge $ 1 s ��� $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ GYM $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 [ ] L 3, S� TOTAL $ . STIPULATIONS: SUBJECT ' City of Fridley 2 714 4 AT THE TOP OF THE TWINS BUILDING PERMIT r ` NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY /�"1 CITY HALL FRIDLEY 55432 IL.... 612-571-3450 910415 8/12/98 JOB ADDRESS 1000 67 Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 3 1 1 Michael Servetus 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard NIznik 574-1159 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of MN 3118 Snelling Ave S Hplq 95406 617-2A7R 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 deck railin utters•sof it & fascia; o o 9 CHANGE OF USE FROM TO STIPULATIONS 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 $14,077 $6.98 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- STRUFT79N OR THE PERFORMANCE OF CONSTRUCTION. $212.25 Fire SC $13.95 PLAN CHECK FEETOT FEE ✓f Licen $5. 8.18 SIGMATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N OP L LIDA IS IS U= IT r SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI BLO INSP MATE Vr.. r. ...rr ter. .�- �� � ..�•. .. ..__ NEW [ 1 Effective 8/I/( ADDN (J CITY OF FRIDLEY ��: ALTEM (� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application .. _ . Construction Address: Legal Description: _ Owner Name &Address: , C- n 1 Tel. Contractor: �:)Cc. n e l YY� �� �2_� MN LICENSE # Address:—_... ... c��L �_., S . _ ._ Tel. !i r Attach to this appli . n, a Certificate of Survey of the lot, with the proposed construction drawn oil it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length . _ .. Width _ Height Sq. Ft. GARAGIC AREA: Length _ Width M Height _ _ Sq. Ft. _ DECK AREA: Length _ Width Hgt/Ground Sq. Ft. OTJI I -.R: Corner Lot() Inside11 [ ] Ft. Yd Setback _ Side Yard Setbacks Type of Construction: Cost: $,, / Approx. Completion Date: -:S �'�' (Cost; on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: 21. Tel. N SAX USE QW -A )-%x Jl' Permit Fee $ Fire Surcharge $: State Surcharge— SAC Charge $ _ License Surcharge Driveway Escrow $ Erosion Control $ _ Park Fee $ Sewer Main Charge $ A TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th9 $.50/$1,000 Valuation $850 per SAC Unit $5.00 (State Licensed Residential Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ti a 4 r .I i Q w w it -1 iu Y N Q U w N iu O D v z p z C� E U x U LU U N z w X Q N w Q x N x 0 U w cv w U N Z z N N X x w w —1 w W8 ,C) p lY F Q Z J U Z O � w F' N W LLI puQ�� w w �LL,wwF— d)CD N Q� 0 zm� U S)z N N Ul U: �zmLL(L N w ~ LL < N IL LU o® � �O p N Q Q O U W N CN c(l Z w = ►+_ J p �Zw O 0 - N U rwr �V- 1NZINaGL=�l#- „®-,[ : „17/1 :37dog �b NOTVAAJI 1HID1�!J 3snoH IE)NIls1X3 0Nl "ViOSEINNIW dO ldb'�!107�]NVcd ,l9 ®g10I°z�uGN00 lelv NOIJVAEl I l Z�IV�J�!j Z N011b'AIII i Zr/-Z �IV134 33s i �NI'lld2� 3od�d i / 3snoH gNIlsIX3 (ol CITY OF FRIDLEY WM 3uil.ding BUILDING punt t No.: c ®(," ) ;nspecrions RESIDENTYAL APPLICATION Received sy: 763-572-3604 CI'T'Y OF FRIDLEY Date Rec°d: YOUR E-MAIL ADDRESS 'ITE ADDRESS "FDS APPLICANT IS: D OAR >(CONTRACTOR TENANT SUBMYf A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT or ADDRESS: ciry SFAiE,_ZtP PHONE: STATE LICENSE D TWO FAMILYINEW CONSTRULMUN O ADDI nON O GARAG ❑ BA3EbW Tf FAMISHROOF O DECK f3 SIDING DESCRIBE WORK BEING N*1104 4 OF SQUARES _30-15(� GARAGES PROPOSED SIZE PROPOSED HEIGHT: �trlrNG o vinyl ❑ Aluminum 0 Other VyINDOW& w mass we OPENINGS ❑Yes ❑No OR FOR NEW OF24AJGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF wNDOW TO BE INSTALLED NUMBER OF VALUATION, INCLUDWG TSE COST OF LABOR AND MA' (USING THE 1997 U.S.0 FEE SCHEDULE) EXP DATE ❑ WINDOWS G DRAIN TILE 0 OTIM LENGTH WIDTU MIGHT P Sq. Ft. * HOUSE ONLY ❑ HOUSE & GARAGE NSWENT REMQUELMO SUBMIT, ❑ ATTACHED GARAGE I. &fig Rood Plan ARAGE D DE fAC'HED G 3. Pmesed $� 3. Lia of struaeual mmbers to be wd FOR NEW CONSTRUCTION INCLUDING DECKS, 039M ADDITIONS & MR= MMMM struceuces ❑ Trim 1. Site VWWS�y 13 Fascia and proposed Proja4. 2. Two sots of Wasauction Platte 3. Energy Caiculwons LOCATION OF WINDOWS V. permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Glob Cut Escrow Erosion Control Park Fee Sewer Main Charge $ Gj -1. JLy _ See Back Page for Fee Schedule $ 65% of Building Permit Fee Mjnj $(.0005) times the total job valuation —uum $.50 $ 1.2 .001 x Permit Valuation (1/10%) $ c, CO3 $5.00 (State Licensed Residential Contractors) $ $1450 per SAC Unit (Pians to MWCC for determination) $ �ii+6il= ftx$20=$ $ $450 Conservation Playa Review $ Fee Determined by En&eering $ Agreement necessary ( ) N'on Necessary ( ) S In of .q®1 Make checks payable to: City of Fridley Attar 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 aad codes of the City of Fridley and with the NgWesota Consft mfion 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 whieview and approval of plans- SIGNATURE OF APPLICANT PRINT NAME DATE- / Building PLUMBING Permit No.: t� Inspections RESIDENTIAL. APPLICATION Received By: Date Rec'd: 763-572-3604 CITY OF FRLDLEy j DATE Lf d YOUR E-MAIL ADDRESS SITE ADDRESSI Q-00—C-7 U THIS APPLICANT IS: O OWNER *ONTRACTOR PROPERTY NAME: R I C.td A& b �e Z All /< F CITY R r 7( E N STATEZIP ADDRESS: 14900 (P Vt4 40,6 N /�� OVVNETENANT PHONE:_% CONTRACTOR NAME: X 2 2 d U E B A C K r fa P k U m 9, .d &, "JC. STATE LICENSE # 414,0 sn EXP DATE '?-13 f l ea G �f SPS , p) G 2 A it & , %jTp�L SUBMIT A COPY OF YOUR STATE ADDRESS: /to 2 Cry N W . ® crrY ZIP LICENSE WITH PHONE 74 1 X k1'it, 90 FAX 7 to 3 5 7 2- APPLICATION PERAW TYPE SINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE 0 NEW REPLACEMENT TYPE OF WORK: 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 futures. (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 —BATHTUB _ GAS PIPING deo cm'uc� _ SWIMMI TG POOL _ WATER SOFTNER ($35) KITCHEN SINK WATER CLOSET PREV. ($15) CLOTHES WASHER _BACKFLOW --DISHWASHER — LAUNDRY TRAY 1WATER HEATER ($35) FOR IRRIGATION WATER METER+ —OTHER +/y ry Permit Fee $ 54 6 Number of fixtures @ $10.00 x $10.00 = $ _� Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ 3 5C 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 work which requires review and approval of plans. '1/' /o NAMEJ'� C d E � DATE SIGNATURE OF APPLICANT PRINT 3 .n�r:ac:aty win 3si.�� ,7I12�'.�ER City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 CIN OF FRIDLEY ii1ding ]BUILDING .sgecnons RESIDENTIAL APPLICATION ;3-577-3644 C TY OF FREDLEY Is APPLiCANi' ts: D owNr� ���oN�CTOR W,t I u••t a+m► DANE: M I F„ - Si'An �V TENANT ADDRESS: GPfX PHONE: • ..�, is �., r� ■ ry 17 i by ! � • f[M, >ESCMF, wow, BEING M SQvnIMS tv'r;.. it -..a �r ixti WJNG 3 Vimyl 7 0f,. w NFaQS7CI 0OPENINGS Byes ONO .)R FOR NEW OP&NRM-D E SIZE OF WENINO ajAWGES 8c- - - - - - _ E V Plan Review Surcharge Pare Surcharge License Sge SAG Charge Cmb Cit Escrow grosion Control Park Fee Sewer Main Charge ODRAIN TRE i] O1[lM tf c-, LENGTH WWTH KWGHT . Ft O HOUSE ONLY M]BAMNP Rz 0-sc a -Na 1$M, i] HOUSE & GARAGR I. Egg ROW El ATTACHW WAGE ROM PIM wMbes to be 5ad ODETACHGARAG5 3. FOR NEW CONSTk =10N IKCLUDU40 DEM. AriDTRONS. &�OBS��= O Trim I. Sac rwosw ti shawr>s�g tits c sln E3 Fascia sad P proJu- 2. Two sds of 0WftWM Ph= 3. Eaar+Calaui OM LOCATION OF WINDOWS VALUATION, INC) UA�Nc'.f'HE COST OT LABOR AND (USING TIRE 1997 U.S.0 FEE SCMDULE) rrvV $ . a See Back Page for Fee SdWMe $ 65%ofBuildingPermit Fee $ ®� (•0005) tbM the total job valuation _ Bunn S.50 $ .001 x permit Valuation (1/10%) $ � $5.00 paw Licensed Residential Comte) $ $1450 per SAC Unit (Plans to MWCC for determ'nadon) S _R+6ft=-ftx$20=$ $ $450 Cvmservation Plam Review $ Fee Determined by EnOneering $ Agreement necessary ( ) Non Necessary ( ) e 0 Lf A-.) Make checks ble to: Ci � of F' ' Mai TM IS AN APPLICATION FOR A PERMIT NOT VALID UN M MOCE585D a buildjug permit and I acknowledge that the information above is cmnplete and accmate> that the work will be in I hereby apply for on Codes; that I unde�staad this is not a conformance with ft o�cdi and cedes of the City of Fridley and with the Mhmesom Cousaucti 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 whi vie and approval of plans. /& -.. , f r - . — C /, -7A/ SiGNATUREOFAPPLICANr FWM: Cay of Fedit To: M25-MWX= rmt"16 MECHANICAL Permit Ni Building Rawi„a Inspections RESIDENTIAL "PLICATION DEC ?63-5?Z-36414 �`Y OF FRIDLEY VOM !i-MAII AWA= « on JW DR= TMANT prWNS SUMMIT A COPY OF YOUR STATE LIC.MSE W TH APPLICA710M PERhUT TYpx COWANY IMAME — CONTACT Pi A09 _, STATE UCSF15611— DAVE'S HEATING, AIR & ELECTRIC 1601 37TH AVE NE COLUMBIA HEIGHTS, MN 55421 PHONE B'M" W FAMY UW0 FAY DTOMMOVU TYPE (W WORK: 1 D Nsw of —Woij R M.ACCtMts W D /1L7'ERATIDN/RBblt1D[iL UL sr�►Ts z�P a-ucioT PSR M8 l 6B,b65 thapermit fee is a mhdmuss of Sj&0g or 5% oY the toW can dp to SS AWA wh'to� iv graact►1" tits improvenuM fimdhtm or repiwemwU of a residd]MW (W010, excls>die18 � his ehoutd reflect o�y the oft of labor } Labor coat uaft SM - S15.00. Labor cost bstwcas:30t1 to 5500 m cM of labor FOAPaoMlsWW"L"0jLjWC=SW& =SAM gAMONS1008 pjRfVrna1L=WTWKWN0M. PUMMM WMIrATSTOTAL Nuiit08 OFEACflttEW" Mom a` duh 8Tt�tca I► rlv- _ _ woDOL Sr�ls1'u 0.amL S VA -MOM4' - Sa Affm i . a a✓AIC SU.00 FIiMACE (OAS) 5)5.00_W=IsRoIIdv*PS4I0A suRTOAAMOCRAWWW =nvjce (WOOD) sm.c aAS tMT TR=1M conms�s.00 ;IWAc113.00 TL HaQy LINU stns GAS DRYER 110.00 Fmmit i:ec a Nwnhar of &UM C@4 slow r, x SIQOD S S 30 Naatbei or (ixivn� ii S.tli? ___ x it S.OD - i ' c TOTAL MM _$zs.00xss no NumberWAD::- So" of l @ $35.00 x33 AD = 3 film merge v S--- =o Total - s T M U AN APPLIC*MM FOR A PEMMff-Wr VALM UWnL PROCR3 W I hereby apply for a b nUb g part4it mW I achsto A*4p am the information ubma is complete and stews* flit the wwk WHI be in coniormancs with lice cotlmmms said cods orthe City of Fridley and with lite Vmno to Canst IWiOn CNIM' dW T um&mft td do is post a pwatit but cdtix tca Wn fes a it au d work is sect to rtmi wW= t a permit; tient *a work wM be in aacotdaaoa with the apps+oved plea mW and "zoval ofplop. NOMTM OF City of -Fridley Boum Lnspecions Depart 6431 University Avid w NE. Fridley, MN 55432 763.572-3604 FAX: 763-502.4977