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PRE 2010 DOCS2 City of Fridley, Minn. BUILDING PERMIT N® 3884 Date: " ..!.. �!.... ,��.... . Owner....................................... Builder ......... .. Address ...................................... Address ........... 61............................ A 7)LOCATION O/%%F BUILDING No. .<�.. .�jl... Street .... � �� 9.Y..!.!��.. ' .... Part of Lot ........................... e...... Lot ... 4 ...... Block... � ........ Addition or Sub -Division .. .... y. 1"� Corner Lot . A ....... Inside Lot –X ..... Setback � �'�.... Sideyard .............. DESCRIPTION OF BUILDING *ToUsed ` t!�..... Front fP.. Depth i4.. 6 Height /� .pSq. Ft. / o . I Cu. Ft.� / .ffFront V.. Depth 3Q�'P HeightjeLk$ Sq. Ft -316.0. Cu. Ft .6ns coon ................... Est Cost..................... To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above sVforth d .e . in compliance with all provisions of ordinances of the city of Fridley. . .. ................ ..... In consideration of the payment of a fee of $.Qjd , permit is hereby granted to .............. ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. r — I ffl." P�i iA�/ i. • � NOTICE: This permit does not cover the construction, Installatl9n or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspi^,ctor fdr separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDL MINNESOTA •Owners Nam ilder Address®op" M= � Address No. Street Part of Lot. Lot 6? Block. -S Addition or Sub. Div. Corner Lot Inside Lot Set Back '! Applicant- attach to this form -Certificate of Survey of Lot arid. proposed, building location. DESCRIPTION OF BUILDING To be used as ont f Depth Height 'Yo to Sq Ft.. ®� Cu. Ft,. Front Depth Height Sq. Ft, Cu. Ft. Type of Construction To'' be completed Estimated Cost. i C' 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 Buildingsy and hereby_ declares that'all the facts and representations stated in this application are true and correct.. Date y� �'� Signature (A Schedule of Fee Costs can be found on the Reverse Side Application for Power Plants and Heating. Cooling, Ventilation. Ref igeration and Air Conditioning Systents and Devices PARTIAL RATE SCHEDULE DepL of Bldgs. Phone SII 4-7470 yJ GRAVITY WARM AIR: RATE TOTAL Location s Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECRL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or RIOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line -to 640 sq. ft. IDR Hot Water ... 8.00 $ Each add. 200 sq. ft. IDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR Hot Water .................. 2.50 $ OIL BURNER to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ ✓ GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ `� (Add 50c each over 3) AIR CONDITIONING $ FAN DATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE " REMARKs: 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 ereby declares that all the facts and representations stated in this application true and correct. k J r/ Fridley, - P/ 195 Owner 195— Kind of Building Used as To be completed about 195— Estimated Cost, S—v C3 e �j Old=New. uiiding Permit No. 6' b � DESCRIPTION OF WORK HEATING or POWER PLANTS -8 Hot Wate, Warm Air— `o Trade Name ° �� Fid= Size No— Capacity— o Capacity Sq. Ft. E.D.R7 0.1 � BTU H.P. Total Connected Load J7 Kind of Fue '�� BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H P. RAY N. WELTER HEATING C signer 4699 zl lieArna AVE. By MINNEAPOLIS 7. MINNESOTA 1l POsr 1M-8-58 Business Phone No- I/ � Or Richa 01, SUBJECT P. City of Fridley o 16 9.4 0 AT THE TOP OF THE TWINS BUILDING PERMIT r REC ' _____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 3/14/83 JOB ADDRESS 937 68th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 5 1 Brookview SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard John Dahlheimer 937 68th Avenue N.E. 572-0620 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. s ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK res i de 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 ZONIN 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 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 6 798 3.09 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 TOTAL FEE 65.59 SIGNA URE ONT OR OR AU HORI2EDAGENT (DATE) i WHE PR PE V 1 T THIS IS YOUR PEJRMIT ,� l BLDG INSP DATE SIGNATURE OF NER IIF OWNER BUILDERI (DATE) 01, CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATICi FOR RESIDENTIAL BUILDIIIG PERPUTS (News Alterations. Additions, or Repairs) OWNER: BUILDER: ADDRESS: ��7 js' �� < ADDRESS: TEL M0: 6' S 7 2- o 2 TEL NO: Construction Location . STRICT NO s / STREET: _-- �} f� W LOT: b BLOCKS �S^ ADDITION: 1 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 CONSTRUCTION Front: 2 Depth: 3 0 height: % S Square Feet: Cubic Feet: 1 -RC7--bt %� , Front: Depth: height: Square Feet: Cubic Peet: Zype of Construction: Estimated Cost: S 1b Be Cbrapleted: Alt. A Alt. 8 Proposed Driveway Width If New Opening Is Desired: • SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for • '' pp permit far the work herein specified, agreeing to do.all work in strict accordance With the City of Fridley Ordinances and rulings of the Delxlrtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATES ,?—/Y— 8� SIGNATURE: Stipulations: t t I � 9 ._.-.._�._• __•-_.._ ._ ._. ..-.._-. _._ .... __ -. _ _..�---r - I � 11 i � o � I i Ct _ - ----- - - --4L Ir - � a J W, W i I ' I�I t i ' I , I � I i •nJ � � { 1 i I {` n� i ' � ' I ! . --.—�—r..__ I � } � i _ ' ' I I I �_��.. _... __ V I ' I I -- ' � ' I ! . --.—�—r..__ � r__ .� _ - ... _. �.�� _ —_ .__.�_._ .. ... �.�_�� i � � � i _ ' ' I I I �_��.. _... __ V ��.�w ♦. ._._-�-- ��_..._.-_ � ; I 1 '. I I � � � , _+_ ._r_.. _ ____�._._-��_ _..�_ �_.. _ __�_—r.. __�____. _.��_.�.__ _ � _ ..__ _.. - 1 1 � � +_ _ _ _�. _.�_..�_._�__Jr_.,.__.� I i I i I i i '. �. 'i � � 1 1 � I � i i � i ._ I ,. "_—.__—._ .___`___'-__.. r. _.�.._.____� I i I I i 1 - -- � .T. � ��— __—. � I i � � � +._..� _._ i I I i i 1 ✓ � � �- --- -- ._ � 1 I f ' I —�— i � � � j i � L , f � r � I i _.- - _..------. _._. _- � _. __ ' .-� _ _ ___ _._._ _— _.. _..___�__. .___- __�_ ____ _.�_ _ I f I � 1 r I • � i � I _ i i I j __- ___�_-------•-__.___ � 1 i � F __ I � i � � I I ----- - - �_�.-_�-.�.---- i I I i t I � i � I i �t I I I - --'- --- -'--' �--- . � � .I � i I � � i I �-`----�-�- i i � � � I i� --_- --- f I ---- - .._ � ! ( � - � � . -___. . I I 1 � � i � I I � � --- T �- i I City of Fridley SUBJECT 3 AT THE TOP OF THE TWINS BUILDING PERM ITC Ir? COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC e r I CITY HALL FRIDLEY 55432N UMBER REV DATE PAGE OF BY 1"' 612-571-3450 910-F15 7/28/95 JAPPROVED JOB ADDRESS 937 68 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 5 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Phyllis Dahlheimer 937 68 Avenue NE 572-0620 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 Ij REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (16 1/2 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 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 907 .50 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 $25.00 Fire Sr. .91 PLAN CHECK FEE TOTAL FEE 26.41 S ATURE OF CONTRALTO ORA TFIORIZ IDATEI 1 WHEN PROPE Y/VALIDATED THIS IS YOUR PERMIT �EN\ BL G INSP DOTE SIGNATOF OWNS F OWNER BUILDER) IDATEI NEW I) ADDN (I ALTER ( I Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 8/1/95 Legal Description: Owner Name & Address: V „ Tel. #-S^ 7 o � Contractor: 0.w-�__ MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length width- Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Z2A/ -- Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $� Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: -02 7- 2S APPLICAN � Tel. CITY USE ONLY Permit Fee $ C D Fee Schedule on Reverse Side Fire Surcharge $ 6) / .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 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. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR V Wash I. Floor r ater Auto. Gas Wat4 Stories 09.6t:. Urinal Shower Tray y Range fijd**:: Drain Washer L; Gas' lec Basement: ...... .. ... ....... ...... . ... .... .............. .... ... . . ........ .... :F ....... ..... ... ................. Floor 1 .......... X X . . . . . . . . . . . . . . . . . . 77777M 7 Floor 2 ...... v v !11.7 7777il**.'77i:i!; ... . ..... .. ....... ... ... Floor 3 .... Z W WEST I N L I ILL I AN I ca 937 68TH AVENUE NORTHEAST R.2 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS FRIDLEY MH 55432 H 572-0520 6:39-7365 I W _j cr)WC6 (L C13 -I 0 -6 New Fixtures $7.00 The undersigned hereby makes application for a perm it for the work herein Old Opening, New Fixture $4.00 specified agreeing to do all work in strict accordance with the city codes C\I Beer Dispenser $5.00 and rulings of the Building Division, and hereby declares that all the facts 00 0 ca Blow Off Basin $7.00 and representations stated in this application are true and correct. a: L%j z 0 Catch Basin $7.00 Rain Water Leader $7.00,1996 Sump/Receiving Tank $7.00ca 5— 7;2 0 Water Treating Appliance $110.00 Owner 20 X. Water Heater -Electric $7.00 '61 ofs. na og Water Heater - Gas $10.00 Building Used As g *. Ga Range** Gas Gas Dryer** $10.00 $10.00 Estimated Cost PERMIT NO. /��22h Euj Ujz Wit) >2 0 B��qS2 Back Flow Preventer Required )Yes No i _j moo, 5 Type $15.00 PLUMBING 0 PANY 0 R -M ILCM-a. 0�.qow _18-4u, 11111 07 - Reinspection Fee $42.00/Hr YPANY SIGNED BY TEL No. 7- qQ33 cc 01 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS Z> 1.5% of Value of Fixture or Appliance O 3y Approved By Rough -In Date Final Date State Surcharge $ .50 TOTAL FEE �_o $ 4?_ " MINIMUM FEE OR ANY PLUMBING GAS PERMIT IS 'fto.00 PLUS THE $.51 STATE SURCHARGE A 'A ... "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. SUBJECT MIT NO. City of Fridley 2 8407 AT THE TOP OF THE TWINS BUILDING PERMIT � 72�36A RE T NO. • NITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. i ..."'1;.� CITY HALL FRIDLEY 55432 NUMBER REV DATE vAGE OF APPROVED BY --_-� l 612-571-3450 9t0-F15 10/26/98 JOB ADDRESS 937 68th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 5 1 Brookview Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Phyllis Dahlheimer 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Quality Contracting 11380 W River Rd Champlin 55316 427-7733 053 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 lRk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (27 S) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS with Underlayment must comply mihk the State Building Code. SEPARATE PERMITS ARE REOUIREO 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 014 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 2313 $1.16 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI R THE DERFORMANfj OF CONSTRUCTION $74.75 Fire 2.31 PLAN CHECK FEE TOTAL F ® g� 9� Licen SC 5.0 83. 2 SIGNATU E OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ENP P V IDATED IS YOPR PERMIT ig 1 S-GNATURE OF OWNER OF OWNER BUILDER, IDATEI BLDG Sv - gA1E 0 NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: Effective 1/1/98 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 37 g - Owner Name & Address: T` Inc/ t r S 12 CAV11-(K e t Contractor: OLA -ti �� Co Address: < < Qj g 6 e °� V a S �It" e--1 Tel. # MN LICENSE # 7 O -'? S' Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%1PROVEMENT Tel. # ^ 7' LIVING AREA: Length Width Height Sq. Ft. . GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Q' '� Construction Type: tedx V'a6� Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: m4 I - q/ APPLICANT: X��W4AI�- Tel. # 7,2 7 Z% 3 . STIPULATIONS: CITY USE ONLY Permit Fee $ S Fee Schedule on Reverse Side Fire Surcharge $ / .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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 $ �oZ . STIPULATIONS: sue,iEtr P City of Fridley 2 8 845 ?_ AT THE TOP OF THE TWINS BUILDING PERMIT ECEI T NQ. IITY DEVELOPMENT DIV. � sss r PROTECTIVE INSPECTION SEC. NUMBED REV DATE/19/99PAGE OF APPROVED BY CITY MALL FRIDLEV 55132 612-571-3450 910-F15 1 JOB ADDRESS 937 68 Avenue NE T LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 5 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dahlheimer 937 68 Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Quarve Contracting Inc 8427 Center Dr NE, Spring Lake Park MN 55432 6016 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 785-1472 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION JJ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. t 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 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 $8,400 $4.20 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- Fire STRUCTION OR THE PERFORMANCE OF CONSTRUCTION ,,9C Q PLAN CHECK FEE TOTAL AE License $5.00/$10.35 SiGNATUREOFCONTRACTOR ORAUTHORiZEDAGENT iDATEi ENP OPER IDAT T I IS Y UR PERMIT .00 v S-GNATURE OF OWNER OF OWNER 13U4DER- iDATE. BL OG �NS� - FATE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY / ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2' BUILDING PERMIT APPLICATION D� p ConstructionAddress: �37 417 Legal Description: Owner Name & Address: /Ja ke /V— / ri uj Tel. # Contractor: ( R0,) OY e6 -n. �-ra �C fi Yl rl MN LICENSE # Address: Fq `% (�, b) . Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%1PROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: '5/ ctl /-v-1 Estimated Cost: $ 0 ``) O®• 0 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: I ! q - of APPLICANT: (/`C ��Y'ra ,77� Tel. # �Oj� 10 �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ i5 Fee Schedule on Reverse Side $ q0 .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 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 kAX: (763) 571-1287 ADDRESS 937 68 AVE NE PIN 143024110042 LEGAL DESC BROOKVIEW TERRACE 2ND ADD LOT 6 BLOCK 5 PERMIT TYPE ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-01772 'p l DATE ISSUED: 10/06/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER DAHLHEIMER PHYLLIS J 937 68TH AVE NE FRIDLEY, MN 55432 ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 118132 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp. Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. /Z- 10U '00 ` 3uxlding :nspections 763-572-3604 )ATE �rrE ADVMS 'FDS APPLICANT IS: PROPERTY OWNE1ii/ TENANT CONTRACTOR SUBMrr A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: CITY OF FRIDLEY BMI)I G RESIDENTIAL APPLICATION CITY OF FRIALEY YOUR E-MAIL ADDRESS Permit No.: Received By: Date R.ec'd: �� l 1/1 -/? -q ADDRESS: CITY-STA-M--7-JP- PHONE' ITYSTATEZIPPHONE: �A6WyA= ■ s • � is � Y M. - . DESCRIBE WORK BEING DONE; EiRq SQUARES :2 5 GARAGES PROPOSED SIM - PROPOSED HEIGHT - SIDING D Vinyl O Aluminum 0 Other,, wnvnowa W fi7QS G OPENINGS DYes ONo OR FOR NEW OPSMOSS-DESCME SIZE OF OPENING MANGES & TYPE OF WITTD W TO $E WS17AL%ED ALL FEES ARE BASED ON VALU,A,' (USING ter.--. ■ nr a -F O HOUSE & GARAGE O ATTACHED GARAGE O DETACHED GARAGE Dsaft O Trim ❑ Fascia LOCATION OF WINDOWS VA Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Pee Sewer Main Charge $ $ _ 3 ®'1 $ I -Z34 $ .O(j $ S $ G DRAW TILE O OTHER HEIGHT FL Mrr: 1. Existing Hoar Pian 2 Propos floor PkM 3. List of strndtnal members to be used FOR NEW CoPtmuCPION INCLUDING DECKS. ADDITIONS. I. Sits rbv/snney showing ttte misting struebm and prWwd PrWut 2. Two sots of <sp nue ion Plans 3. Energy Caimdadons LUDMG THE COST OF LABOR AND U.N.0 FEE SCHCDULE) �1....-► 1 — Mt'RTD A 710C`v See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation - Minimum $.50 .001 x Permit Valuation (1/100/0) $5.00 (Stats Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for defemination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks navable to: Citi of Fridley Attai 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 acctnate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the M wesom 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 re l res review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DATE Alding .specrions ;3-572-3604 '1E ii 10 E ADDRESS IS APPLICANT W. TENANT SUBMIT A COPY OF ,OUR STATE L'ICWSE WM-I APPLICATION OF L/V79 CITY OF FRIDLEY •� IBV e �-■ J�DING permitNo.' RESIDENTIAL APPLICATION Received By: CM OF FIIIDEEY �Rer, � �L YOUR E MALI. AMRM x2� 2-0 PHONE:7(03. / Cr • . STATE LICENSE ►ESCRME WORK BEING DONE: DING 3 vMyl 3 Alumiman 3 Orher _ w Ai F.XIST�IG CPEMII W Dyes ONO )R FOR MW OPE4INGS-DESMI$8 SIZE OF DPENiNO CRANGE51&- FM V, Plan Review Surcharge Fire Surcharge License Surebarge SAC Charge Curb Cut Escrow Erosion Control Park Pee Sewer Main Charge ell 11576 �dl� i1% LENGTH WIDTH HEIGHT Sq. Pt. ffHOUSE ONLY Strt3JjArr. O HOUSE & GARA sW a 1 bxi B F kl�l ❑ ATTAaiu) GARAGE O DRTACHM GARAGE 2 3. �Po $oor p members Lo be vs�d last of stmaouat FOR NEW CONS'Eit='!QN INCLUDING DEMS- I. FL Sic I WW3W'ey showing O Trffi► O Trimand pwpowd FOJML_ 2. Two sds of 00MUcbm PIM 3. Energy Calmhuoas LOCATION OF a►DMWS ALUATION, INGLUA71t ki lrMJ&"JG +' [IMgQ TM 1997 UAC FET SCMDULE) $ See Sack Page for Fee Schedvte $ 6:50/0 of BnildiagFermit Fee $ (.0005) times the total job valuation - MiMiMM $.50 $ .001 x Permit Valuation (1/10%) $ $5.00 (State Licaused Residential Co�ctOO) $ $1450 per SAC Unit (Plans to MWCC for determination) $ _ft+6ft��_ftx$20=$ $ $450 Cveseivation Plan Review $ Fee Determined by En&eermg $ Agreement necessary ( ) bion Necessary ( ) It 't 2 ., -7 Make checks payable to: Citi of Fridley Atta+ - - THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL. PROCZ 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 ordioances and odes of the City of Fridley and with the Mimesota Con on Codes; that I understand this is not R permit bus only an applicatkM for as permit and work is not to start without a permit; that the work will be in accordanoe with the approved plan in the case of all work �^ . ` pd approval of pjanS-.. R./// a G �o , 1-1-1 /ij,"i l B �t%/�✓ UA1E d � SIGNATURE OF Building op(o l MECHANICAL Permit No.: 00'7 - 3 Inspections C RESIDENTIAL APPLICATION Received By: 763-572-3604 AAV 2 6 200 CITY OF FRIDLEY DATE , ` a 3 G 1 YOUR E-MAIL ADDRESS SITE ADDRESS _931 X00_ NE- THIS APPLICANT IS: ❑ OWNER ]CONTRACTOR PROPERTY NAME: s,. o rn c ? OWNER/ n ADDRESS: -1 2n Nv e E CITY Pr_ :UCA k STATE MOZIPS TENANT PHONE: `1 l0"3• a of l - g 3L CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY SUBMIT A COPY OF CONTACT PERSON: JOANN 7 INKEN YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE BITY `-COON" 'RAP.IDS sTATEMN zIP55433 APPLICATION PHONE 763 — 757 — 6202 FAX 763--757--6701 PERMIT TYPE ®'SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW R4PLACEMENT ❑ ALTERATION/REMODEL 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) ^ Equipment Installed MFG: �k� d MODEL:` Ka 12 L SIZE/BTU le 0OOD MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU _A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 �URNACE $35.00 UNIT HTR $10.00 _GAS CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _DUCTWORK $10.00 GAS PIPING $10.00 VENT TOR $15.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 1 x $35.00 = $ 35, CID State Surcharge = $ .50 Total = $ 3 S 1,56 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. @A. � �\4:9NAME SIGNATURE OF APPLICANT . ROGER HOFFHEIN DATE k O� City of Fridley Building Inspections'Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC 0 NEW HOMES/ADDITIONS E-MSTING HOME 0 MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) 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.