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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N?� �o Date: a — �ji 1 '_ Owner: .� Builder— Address _ _ _. Address — --- — Ce4TION OF BUILDING No. Street Part------� Lot _ _ _ Block _ Addition or Sub-Diviaiga . ;. Ir Corner Lot —_ Inside Lot __a�'� Setback____ Sideyard __----� Sewer Elevation -- Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft z;—I/y C.. .2d6'0 Front Depth ;l`Ieight Sq. Ft. Cu. Ft. Type of nstru .tion Fast. w -- To be Completed In consideration 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 all provisions of ordtnanoas of the city of Fridley. In consideration of the payment of a fee of 4 L-- ,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, , pair and moving of buildings withini nthe city limits and this permit may be revoked at any ti= uppon violatio of any of the provisions of said ordin Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. s- APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA odder Is Name Builder 4V W', Address Address _2 la - LOCATION OF BUILDING No. ®% Street. �/�-�— �G'� Part of Lot Lot Block Addition or Sulxlivisioap",.'e� , Corner Lot Inside Lot Setback S Side-Yard.,11! 1� SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be u d as: � � � Ab Front ``�'� D@Dth d' Heiaht_ Sq. Ft. % �% / Cu. Ft. FrontDepth -2—� Height % Sq. Ft. ' Cu. Ft. Type of Construction Estimated Cost To be Completed e 0/ 1." f The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURE (A Schedule of Fee Costs can be found on City of ��aley " 52-84-915-51 Application for NuadAng and Gan R"Ing ftmk Dept. of Bld9L Phos NO -3450 DESCRIPTION OF WORK 201 NF 69 Ave. Number, Kind and Location of Fixtures TAM OR p S a .S � WATER NT4. _T FLEC. Base is< Install g ii 2nd ME1 3rd 4th I I I I • Future Connection Openings * New Fixture. Old Openings f Connected with Sewer l PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $ _ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Wifferr4eater (Up to 99,000 BTU) .... 1 x $3.o0 $ 3.00 New Ground Run Old Bldg......... x $3.25 $ Eleatrlc Water Heater .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .................. 1 x $2,00 :2.00 Additional Fbrtures .................. x $ .75 $ Gas Range to 199,000 BTU.. . x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ............................................. TOTAL FEE .00 City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do all 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 June 16, 1971 ]9, Owner Jo n Falldin Kind of Building fr. Used as res . To be completed about June 21 Estimated Cost, $ 10.00 Old—New. Building Permit No. Permit No. ROUGH 'N 7" 7% City of Fridley AppRadi a for P6mbbS and Gat R"big Pam DaVL of allose Phone 50-345D D> REMON Or WORt Unsbm. Kind and coc.tha of F[xur a - t•••�•d•� d/' /, `/ `� `+-P /l PARTIAL RATE SCHEDULE ILVAMMC* METOBC RAt,TM DOe RATE TOT" Number P=tures .... a ..... e a .... 3 no !.- FIVIUM int@! ....:..... e Z SIM !_. New Picture ON Opening.......... -3 r no Cvk% Basfa .............:...... s am !- Water neater :up to WAM BTV►.... : t3. ! New Gronad Rua- Old BW ........ : xi2Er f Ehwtdv WMwKev%w ............. S— G" Err=6• MEM im SATC TOTAL 4.�rMtMM !' ...............wee =an AddW nd a twn .... coe. w.eeeese s S. 5 `� lbd an Range to 1M.608 VM V ..........s—Run 6 State Surcharge $ .50 EWA= f iLTI>yTt b foga _ DMUIPUM ........... .....wa..............a.� TWAL B! 19U City of hidiq- The undersigned hereby manes application for a permit for the work herai- spedM4. agreeing to do aII work in strict accordance with the (qty OrdiGante- and ruling of the Department of Building, and hereby declares that all the fadz.: and repreaentetl� stated in this appiteadm are true and correct Frid1ler.� Owner . Kind of Building •1 �OiL1 _ Used as To be completed about Estimated Cost. :O °• a ° - Old-- Building Penni No PW -0 b.1Jc� Business Pbuse RMIMMM MMMMMMii� NNE MEMENNEEMEMM ■ PARTIAL RATE SCHEDULE ILVAMMC* METOBC RAt,TM DOe RATE TOT" Number P=tures .... a ..... e a .... 3 no !.- FIVIUM int@! ....:..... e Z SIM !_. New Picture ON Opening.......... -3 r no Cvk% Basfa .............:...... s am !- Water neater :up to WAM BTV►.... : t3. ! New Gronad Rua- Old BW ........ : xi2Er f Ehwtdv WMwKev%w ............. S— G" Err=6• MEM im SATC TOTAL 4.�rMtMM !' ...............wee =an AddW nd a twn .... coe. w.eeeese s S. 5 `� lbd an Range to 1M.608 VM V ..........s—Run 6 State Surcharge $ .50 EWA= f iLTI>yTt b foga _ DMUIPUM ........... .....wa..............a.� TWAL B! 19U City of hidiq- The undersigned hereby manes application for a permit for the work herai- spedM4. agreeing to do aII work in strict accordance with the (qty OrdiGante- and ruling of the Department of Building, and hereby declares that all the fadz.: and repreaentetl� stated in this appiteadm are true and correct Frid1ler.� Owner . Kind of Building •1 �OiL1 _ Used as To be completed about Estimated Cost. :O °• a ° - Old-- Building Penni No PW -0 b.1Jc� Business Pbuse Of Cii-i Olam+ IdlOy ' 53-8h-9915051• • .. Amlic:lyion uRc� PluFr�:l=1 � Gins� ��;ilu VerMill Dop't. of Bldgs. phone &M-3450 DE5CEIPTION 0: V/011= 20] 69 Ave /. Ne L.o:a tl NumSsT. Ki d and Lccr:lQ:: of Fixtures • City of rridley. _ R 2 O O WATfa "To. ' .7 < 7 = r w cas rue. The undersigned hereby snakes application for a rermit for the• vorY specified, a� eeing to do all work in st lct accordance with the Cit? �= A hereby declares t.*►at a:I L`► Es:r 1 I •. st, 11 r ` 11 2n. 3:d Cc:r.ts:;d alts s Naw 11r:un. Old 00rsalncs PARTIAL RATE SCHEDULE ucaaz Cc�•pcol D .: LLMMIG 11=2E RATES: N0. ' RATE TOTAL x Number ilxtur0:.......... • • • • • • --.--- y,uture fixture Opening • • • • • • • • • • •----'-' x $1.50 $ ,-••---- New Fixture old Opening ••• • • •'• • • • x 31.50 i�-:---- S Catch Dasin .................... Neater Heater 'L•p to 99,000 BTU) • • • • -- x 53.00 S • %ew Ground Run Old B!dr.:..:.. •• • - x 1:1.25 S voctew water H•at.ar. .....:......: • ._._..-•-- s S2.00 3 TOTAL 17.S MT1NG FEES: NO. RATS 3,. - . 1st3Fixtures •••••••••••••••••: -•�---x32.00 x S .75 S Addltlonsl Fixtures ............... ---- • G:s R:: ae to 192.000 BTU ........... --r----- x SIM b • and ruling of the Depa:tMO."t of Buil...agr, s- • , and represertations stated 1a this appl caL'on are true and eo:Tect' , Fridley, Llan 9-3-76 Owner 31OHN FALLOW Kind of Building FRAME Used as To be completed about 9-1 -76 -- •10.00 ' Estimated Cast, S P•roit 'a 191- l9 Old --New. Building Perms{ SIZn d By - Businvu are No Ph FOUGH - FINAL ✓ " � i - ? � - . _so State Surch&r5e Rz?j :R3 k ALTERATIONS--P-s!" 10 Code • TOTAL FT= 5�---�+�•— • . . City of Fridley AT THE TOP OF THE TWINS SUBJECTP BUILDING PERMIT MIT NO. 6 6 8 9 rp • ____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL' FRIDLEY 55432 612-571-3450 RE NUMBER 910-F15 REV. DATE 7/21/82 PAGE OF APPROVED BY JOB ADDRESS 201 - 69th Avenue N.E. 1 LEGAL DESCR. LOT NO. 9 BLOCK 1 TRACTOR ADDITION SEE ATTACHED Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. John Falldin 201 - 69th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Worwa Construction 13621 - 129th Avenue North 427-2197 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 B DESCRIBE WORK Install "Temtex" Model TEC 36-2 FB-� Standing Fireplace and replace windows 9 CHANGE OF USE FROM TO STIPULATIONS SEPER A PERMITS REQUIR�O FOR VI�KM HEAjING► PLUMBING. AND SIGNS. 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 1 HAVE READ AND EXAMINED THIS APPLICATION l STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $4,800 SURTAX $2.40 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 - R CTION OR THE ER FORMA NCE OF CONSTRUCTION. $50.50 PLAN CHECK FEE TOTAL FEE $52.90 SIGNATURE OF CONTRACTORORAUTHORIZE AGENT (DATE) • WHEN PROP LY VALIDATED THIS IS YOU5 PER ITrrZ � v BLDG )NSP TE SIGNATURE OF OWNER I IF OWNER BUILDER) (DATE) 7 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATI94 FOR RESIDENTIAL BUILDING PER14ITS (NEw, Alterations, Additions, or Repairs) OW14ER: ADDRESS: --c? .0 TEL NO: QUILDER. ADDRESS: TEL NO: Construction Location • STRITT NO: STREET: �/ Al' J LOT: T BLOCK: •—�--- ADDITION: �j(4 0&fe 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. filo biE L. 7&C 3 to &Q, & , Md /0,16S U®L_.3 DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square. Feet_: Cubic Feet: Front: Depth: Height: lir EoF �� Square -Feet: Cubic Feet: _ Type of Construction: /rXQ(�C-t - 1W4.0?.e Estimated Cost: lb Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Mie undersigned hereby maker application for a permit for the �.,ork'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. DATE: % -,0- S SIGNATURE: a&'z Stipulations: - �Arsll - SUBJECT. .0 R 0. City of Fridley 18046 AT THE TOP OF THE TWINS BUILDING PERMIT rp RE • COMMUNITY DEVELOPMENT DIV. �>t: ------ / q r � � PROTECTIVE INSPECTION SEC. /'--1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/6/85 JOB ADDRESS 201 - 69th. Avenue N.E. 1 LEGAL LOT NO. 9 BLOCK 1 TRACT OR ADDITION SEE ATTACHED Rice Creek Plaza North Addition DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Falldin 201 - 69th Avenue N.E. 571-8776 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 Reroof Porch 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 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 SQ. 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 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 $1F600 $,80 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- $26.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $27.30 liG AT CONT RACTORO AUTHORIZED AGENT (DATE) WHEN PROPERL VALIDAT D THIS IS YOUR P RMIT -`�REOF 4 - G - �� V BLDG INSP DARI SIGNATURE F OWNER OF OWNER BUILDERI IDATEI NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: �O/- y llq✓eye Legal Description: A& -r '9 Owner Name & Address: I I, �� ��- �' � Tel. # Contractor: Tel. Address: 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 IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: G-r1L Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: 6- - e_S_ APPLICANT: ° Tel. CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ 60 $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �7- i b STIPULATIONS: NO SUBJECT . City of Fridley 2=8 7 AT THE TOP OF THE TWINS BUILDING PERMIT O. � COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE ���� I , , NUMBER REv GATE PAGE OE APPROVED BY ---I CITY HAIL FRIDLEY SS�32 L 612-571-3450 910415 9/28/98 JOB ADDRESS 201 69th Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 9 1 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Falldin 571-8776 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tabor & Sons Inc. 1805 Polk St NE M is MN 55418 789-1902 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 O NEW O ADDITION O ALTERATION ia REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (22 Sq) Tear-off 9 CHANGEOFUSEFROM 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 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 1885 $.94 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 PERFO NCE OF CONSTRUCTION ,2Y�511� 59.50 Fir SC 1.88 PLAN CHECK FEE L FEE ;77.32 � 7-.27 7 . Lic S 5V SIGNATURE OF CONTRACTOR OA AUT..ORIZED AGENT IDATEI EN ROP VA IDA1.1. THIS IS R P IT S�GN4IURE OF OW NER,IF OWNER BUILDER RI IDATEI BL -NSP MATE NEW [ ] Effective 1/1/98 ADDN J ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Q BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Agl Owner Name & Address-��Hr 4 I `'l� Tel. # 57 Contractor: Sq,v MN LICENSE # Address: Tel. # —775 7"%dZ— 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: Construction Type: �eOr el -l' ��%� Estimated Cost: $ 10 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 1 "- '6 APPLICANT: Tel. # -�2g 5' /F'Z Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ �9so $ -S.66 Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] l 7 SuBjECT MIT NO. City of Fridley 31558 AT THE TOP OF THE TWINS BUILDING PERMiT r T NO. • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. '713------- k1 r � � PROTECTIVE CITY HALL FRIDLEY 55432NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/14/00 JOB ADDRESS 201 69 avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John/Marge Falldin 201 69 Avenue NE 571-8776 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Custom Remodelers Inc 474 Apollo Dr. Lino Lakes MN 55014 651-784-2646 1748 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 O ALTERATION Q_ REPAIR ❑ MOVE O REMOVE R 8 DESCRIBE WORK Reside House 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. 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 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 $2,358 $1.18 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 T TAL FEE Licee SC $ 0 $91.79 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI H PR Y VALIDA D THIS IS LIR PERMA B INSO IA fE S-GNATURE OF OWNEROF OWNER BUILDERI IDATEI l 7 NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [) SINGLE FAINMY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 90 I — 6 q Legal Description: Owner Name & Address. o q Gam', � . Tel. # 61 A 1j — g 7 7 L Contractor: MN LICENSE #_ % I Address: '0�i►/yl, pj U ILI Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP'T'ION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA:P Width Hgt/Ground Sq. Ft. OTHER: 4 C A � 1 P_ S ,r- Construction Type: Estimated Cost: $ , 35 g • - Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 11-1-00 APPLICANT:� Tel. # 6 � � y - U \1a646 STIPULATIONS: CITY USE ONLY Permit Fee $ IF 3 , a 5 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ �o l $' $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 5�� ( $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 [ J TOTAL $ STIPULATIONS: SUBJECT PE City of Fridley 32217; AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. �V COMMUNITY DEVELOPMENT DIV.` ----- 6&&03 PROTECTIVE INSPECTION SEC. r NUMBED REv DATE PAGE O: APPROVED BY 1 = ---I CITY HALL FRIDLEY U432 �---- �'' 612-571-3450 910416 10/4/01 JOB ADDRESS 201 69 Avenue NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 8 1 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Falldin 201 69 Avenue NE 763-571-8776 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 350 73 Avenue NE Fridley, MN 55432 763-502-4777 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20130983 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X B DESCRIBE WORK Replace 9 Windows Within Existing Openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Permit Inspection Cards Will Be M8 To# 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $12,400 $6.20 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $246".,,&5 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PROPERLY YKLIOATED THI S YOUR PERMIT / BL Olf INSo T/A if S,GNATURE OF OWNER,IF OWNER SUILDERi IDATEI NEW[ ] Effective 5/10/99 ADDN [ ] CI'T'Y OF FREDLEY ALTER [ ] SINGLE FAMILY AND DUPLEUS R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: a0 Au -g. TUA Legal Description: Owner Name & Address: Tel. # X103• s -+i •$��-Cv Contractor:; Renewal By Andersen MN LICENSE # Address: 350 -73rd Ave. NE Fridley, MN 55432 Tel. # 763-5024777 #MN20130983 Surveyof the on it to scale. DESCRUYX1,0N OF .UVI PRGVEM NT .. LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. ®TSR: �ac:e g -Ly.sAir\a© n',v�a . - Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. a r + 6 Ft = - Ft x $ — _ $ DATE:3•pC� • Q� APPLICANT: r Tel. # ()Sa 34s• Wy ' Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ a a1)•as $ )3.40 $ 6AS $ 5, y0 $ 'Na CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 51IPULATIONS:���//�� lire -.fir .r..�- CITY OF FRIDLEY PERMIT o.: 2004-01521 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 20169 AVE NE PIN : 143024220009 LEGAL DESC : RICE CREEK PLAZA NORTH ADD : LOT 9 BLOCK 1 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 400.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 1 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALC) 400 # WATER TRMT APPLIANCES 0 APPLICANT PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) 0.00 0.00 NORBLOM PLUMBING CO 2905 GARFIELD AVE S PLBG FIXTURES (EXIST OPENINGS) 0.00 MINNEAPOLIS, MN 55408-2173 WATER TREATMENT APPLIANCE 0.00 (612) 827-4033 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 35.00 GAS RANGE FEE GAS DRYER FEE PLBG REPAIWALTERATIONS 0.00 0.00 0.00 OWNER FALLDIN JOHN E & MARGARET M 201 69TH AVE NE STATE SURCHARGE, PLBG FLAT 0.50 FRIDLEY, MN 55432 TOTAL 35.50 PAID WITH CHECK # 28974 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 work will be complied with whether specified herein or not. The granting of a permit does not pres ato give authority to violate or cancel the provisions of y other state or local law regulating construction or the pe rmance; bf constructio . Applicant Date Bldg Ins Daft" SEPARATE PERMITSWQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 'PITY OF FRIDLEY INSPECTION DIV. A31 University Ave NE =ridley, MN 55432 763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 4-70 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 6*10 14 :1 exal )Id Opening, New Fixture $10.00 3eer Dispenser $10.00 3low Off Basin $10.00 .,atch Basin $10.00 Rain Water Leader $10.00 3ump/Receiving Tank $10.00 Nater Treating Appliance $35.00 Nater Heater -Electric $35.00 Nater Heater - Gas** $35.00 Sas Range'" $10.00 Sas Dryer** $10.00 3ack Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS • dt s 0-w tl J,4 - Jew Fixtures $10.00 )Id Opening, New Fixture $10.00 3eer Dispenser $10.00 3low Off Basin $10.00 .,atch Basin $10.00 Rain Water Leader $10.00 3ump/Receiving Tank $10.00 Nater Treating Appliance $35.00 Nater Heater -Electric $35.00 Nater Heater - Gas** $35.00 Sas Range'" $10.00 Sas Dryer** $10.00 3ack Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $50.00/Hr kLL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTAL FEE 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 fads and representations stated in this application are true and correct. FALLDIN, JOHN L/0 201 69TH AVENUE NORTHEAST 209�q_ FRIDLEY, MN 55432 OWNER (763) 571-8776 BUILDING USED AS 9.e,51 Side4-AC-C_ ESTIMATED COST q60 PERMIT NO. ✓i' old d PLUMBING COMPANY NO C \k avA wvv, bz SIGNED BY V � �_ . - TEL NO.A-IP) 827-c1033 Approved $ • t� Rough -In Date Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 specifi; ons. 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 verges 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 :