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City of Fridley, Minn.. BUILDING PERMIT So 4 C93 Date: Builder Owner q _..._......_._. _..._._._._....._. ___._ _ _._._._. ___ ....- -:� - �:e.- ` .., ��'"- Address .AddressC�-..! LOCA I N F ,,�tJILDING ' -_ NO. _��---.r=�..... Street ._. .._.._.._a�.,�._..�:`.�s..�._�--..:'-7.r_.._ Part Lo _.---... _-_-__.._........._...........__...._._.._. Lot ..-..- ..?.......... Block ....._.._.............................. Addition or Sub-Divisio ✓f Corner Lot .................................... Inside Lot ..... _..... �'"".•............... Setback ....... _.............. Sewer Elevation .......... ........ .............. _.....__-.._.._..._..................._............_........ Foundation Elevation DESCRIPTION OF BUILDING To be Used as- _ r . °�'ry::. Fronts,r°__.. Depth -G... -: Height �r..._.. Sq. Ft. .. Cu. Ft.:_�� ; . ! . Front 1 ..._.. Depth ._ Height /_ .. _' ._ .. - ' Sq. Ft. . Cu. Ft. . / Type of onstruction..._.......�7.................:.. 't.:...m'� �' �. Est. Cos 1�' . ;..0......1.' ��' _........ 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 ordinances of the city of Fridley. y In consideration of the payment of a fee of 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MINNESOTA Owner's Name job Al / t , /Ar G Builder �� i 7 �✓��� �®� r� ®� Address Jo i1 (-x,.4' l Mz*,-- Address LOCATION OF BUILDING No. .,�R 2 !L Street__(e j -4 joPart of Lot Lot /0 Block -3 Addition or Subdivision, elr. �j= P/,9z,V Ain-'rA Corner Lot Inside Lot ,� Setback , 3 -5- Side -Yard I D 9 01 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To ba sed as::� k1445 DESCRIPTION OF BUILDING .3s M& d.e-1 #,W-- 2 r - j Denth y Heieht Sq. Ft. 1 / 7S- Cu. Ft. 6o- .4- 19-9.-e Front -1'-?—Depth 2: Height Ft. `i fi Cu. Ft. Type of Construction P P�� Estimated Cost 1 To be Completed ��� 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 tZ 11 the facts and representations stated in this application are true and correct. DATE �® /��� SIGNATURE ° (A Schedule of Fee Costs can be found on the I City of Fridley ' Application few Plumbing and Gas Fitting Perndt Dept. of Bldgs. Phone SQ 4-7470 DESCRIPTION OF Location 4"---11– z Number, Kind and Locationn oof f Fixtures ixtures �j Mz_ 1 x�' z� s OZ tT3z C'i O�j J w t� Z z • • N WATER HTR. GAS ELEC. 0 Base 1st 2nd _ 3rd 4th • Future Connection Openings Connected withI Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $_� Future Fixture Opening ............... x 1.20 $ ?� New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ......—� x 2.00 $ c ` U New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL_ 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE $ 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 hereby declares that all the facts and representations stated in this application NA true jand correct. Owner T Kind of Building Used To be completed about Estimated Cost, $ Old—New. Building Permit No Permit No Sign y By - _ Business Phone No ROUGH FINAL .QWA2 2M 7-59 19d.0 Application for Powe* Plants and Heating, Cooling, Ventilation, .Refrigeration and ) Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, 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 $ MECH. WARM AIR / Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ .each add. 60,000 BTU ... — .................. 2.00 $ _ Replacement of Furnace ............................. §.00 $ Repairs & Alterations—up to $500.00 .... ............ 5.00 $ Repairs & Alterations each add. $500.00 .......:...... 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR 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 FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $� ROUGH FINAL Dept. of Bldgs. Phone SU, 4-7470 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 hereby declares that all the facts and representations stated in this application are true and correct. 17 Fridjvw, NGnn- ( C°�IA , �d , 19 Owner Kind of Used as To be completed about d—" - Estimated Cost, $ OlC—NeBuilding Permit No. T —�' Permit No. DESCRIPTION OF WORK HEATING or PLANTS—Steam, Hot WaWC Warm' No Trade Name Vi=a Size No Capacity Sq. Ft. E.D.R_ �� BTU H.P. Total Connected Load�� , /I j 0 Kind of Fue] BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. RAY N. WELTER HEATING GE Signe 4637 CHICAGO AVE. MINNEAPOLIS 7. M N By az 2M 7-59 Business Phone No 7 (REMARKS—OVER) ' 97-811-.hi6051 APPLICATION FOR PUJMB114G AN,D GAs FITTING PC. Ir ill � I..t„le C.unncct-ton G{..:rir d `� . :.ecttl ,.ith Stviec t I4tulo, Old O{:tr,ir•J Water 1 Fi,ItT f r:: kATES tiu. RATE TOTAL. IR.J :.cl t 1atl.cco ___ x Ilut,,te E:„cute G{.crtn� x I,e. i I.tute Old Or GO Gtt,t, ea�ln --- x $5.00 $ Ha L•1 'Ieatce - to 5y,000 blU $5.00 S 1��,000 blv to 15 0:.0 BTU x $10.00 $ orator a.,ttener "'---- _� x 47.00 $ Nem t.te.und Run Old buildir.7 x $5.00 Ll e.t►a,; Hattr Ileater i $5.00 $ ,5 1 11 TING PEES: lilt 1 ISALU9e1 . x $].00 $ A 1.I I l l .I l l a l F i. L O C O• ��T—'�` x $1.00 S 199,00u bIu 6 A1. TEH.4TIuN5 �IJu.OU $5.00 $ su.t, •�.1, y1�,u:u0 or lcacuon $2.00 $ SLALO Surcharge %r4l. 11.L $ 8.00 Job Addrtss 221 69 Place NE DL*parLmr:nt c1; b.IL:liq�x City oc rridl,.y Tel. N571-3.350 Tha unlir,rsl.�n,d h.:rety r.akca a{pllcet:cr r e ;.arrttt [:.e th3 .rotk Lerclu, epaCified ag rcclny LJ d; a!! work ir, stria crlar, :e Witt, tt.1 City CU(:Ue and rulings cf tho Del'arurenL' of Bai:dir.35, a^3 -erctu .1 c.larel tl.at all tho facltl n,ld r.I,ru:;„ctaLtone 9tlUld in [bile 1. ..icatica aro thio and J-,1ly,;, Z-22-80 1 y OIiNER COOKE KIND OF DUILZ4.,:�, frame USED AS res. TO BE COriPLL:LO t%"ur Ll -29-80 ESTIMATLO COST 50.00 OLD - N£FI BL'ILGI:13 FL1,11I1' tIJ. F£;� I: / SiJnc.1 By INNECASCO ,:al. Iia. ROUGIt Itlse. Da to FlllhL, IItSP, A/- O Data Ahl•RUVAL i•Git I-Liu•11-rd MIIIIMU11 I'LL' Il.q 111Y FLUt:uiNZ FCL,:;IP IS 67.150 FLUS ;.:0 —P -TE 6UR01I,I,LC SUBJECT PER09 City of Fridley 9 6 7 7 8 AT THE TOP OF THE TWINS BUILDING PERMIT —15 COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 1 i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/23/82 224 JOB ADDRESS 2U - 69th Place N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 3 1 Rice Creek Plaza North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Cooke 224 - 69th Place N.E. 574-9568 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gilbertson Construction 7704 Riverdale Drive 560-6943 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 El REMOVE % 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STI PLILATION S Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt 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 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 $� $'9Q WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT X800 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE x'Z' 1 $30.40 GNA UREOF CONTRACTOR ORAUTHORIZED AGENT (DATE) WHEN PROPS VALIDATED THIS IS YOUR PERMIT .—� BLDG )NSP f1AT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PEW41TS (Neil, Alterations, Additions, or Repairs) OWNER: /Dp",gld C-90, /,--e TEL NO: ' 5'2 V - Y-56 a BUILDER: ADDRESS: 7� , TEL NO: _ 5-&n - (�' 9-1/3 Construction Location • STRMT NO: STREET: �' ? d�f' LOT: % BLOCK: -3 ADDITION: o 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: Square Feet: Depth: Height: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Costa $ ,/e',i?eO. do Tb 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 a permit for the %aork herein specified, agreeing to do,all work Ln 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. UNTE: ?/Z3 F 2— SIGNATOR: Stipulations: CITY OF FROLEY INSPECTION DIV, Effective On January 1;1993 „ 13431 Unlversky'Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3804 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE 65 JOB ADDRESS i " The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 20.00 $ rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and • ,1993 Gas Piping (Needed with new furnace) $10.00 $ OWNER v o Gas Range $10.00 $ BUILDING USED As Gas Dryer $10.00 $ ESTIMATED COST 3 oo V PERMIT NO. *Air Conditioning — An Sizes $10,00 $ • DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) arm Afr) TradeName Size No. Commercial/Industrial BTU ?_Jr00 HP Z EDR 1% of Value of Appliance or Work $ Fuel Total Connected Load P60- State Surcharge $ 50 Burner Trade Name Size No. TOTAL FEE u 3c_ BTU HP EDR Hmlliq 3 ROYALTON 4120 � 85TH AVEN HEATING COMPAN N 55443 NY MINIMUM FEE FOR AHEATING/COOLINGNENTIL.ATION REFRIGERATION/AIR CONDITIONING PERMIT IS 115.00 B 42-84A AA !!�� �nn Signed By 42-4-8"IA PLUS THE 5.50 STATE SURCHARGE Oolel) REINSPECTION FEE$30.00 Approved By Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE The undersigned hereby verifies that the existing chimney or s ck: 1. Has been carefully examined Yes ( N ( ) 2. Is free from rust or deterioration . Yes (;I'- No ( ) 3. Has no foreign objects lodged within Yes (' ( ) 4. Is securely supported Yes ( No ( ) S. Meets all current Code requirements for size -and total BTU's connected Yes No ( ) 6. Has total heating BTU's of "lick) All other BTU Is �L� TOTAL BTU's Remarks 413� List Alterations Being Done: •'�� t' �J 1 �•'x/'T l(.• �+ (d{1'1;1) +w�, HEATING COMPANY_ `9 Signed • Date D* HEAT LOSS cALc�tATioNs DEPALt''bLEN'. Weatherarips Cuide Caumr►`'I Windows boon Retfteaw Oab WaU Int. ►a11 Ca1ie �4et--44o 0 19..., /101 a.,.,.. it :s & 1�er H�ir1.r QImdows and Doo astd Awut Width Ns at pane ofepawe nak&@ et a ti N� JIAMM IL of peahi of vans li=eu It AN" _ IO. Coat. &a 1o61tratioa am �.SS' d FV6 wall r%9Y Net exp. waU In6ltndoa II&I Ar I Int. wall CtJaa Canine Exp6 waH / Y Y . Floor / /. J Net up. WAD Int wad Ceiling — Floor Teta) I tn. Required sq. k. E.D.R. or sq. ins. WA. wren J FIJ Room I La mh VI" Heatht Maiden" and Doon--Craeltags aJ Atmel Width Ns at pane ofepawe nak&@ et a ti Coat. &a 1o61tratioa am �.SS' d FV6 wall r%9Y Net exp. waU II&I Ar I Int. wall _.. Canine /y / Y Y . Floor / /. J 76. A1. MIMEAP01.13. MM is datin How Applied Width Height f 17 SUBJECT City of Fridley 2 618 6 AT THE TOP OF THE TWINS BUILDING PERMIT r ' , RECEIPT • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. J45 1 NUMBER REV DATE PAGE OF APPROVED BY iI CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/10/98 JOB ADDRESS 224 69 Place NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 3 Rice Creek Plaza North Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Don Cooke 224 69 Place NE 449-9699 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Peak Roofing 11506 S Oakvale Rd, Minnetonka, MN 55305 938-8150 20045301 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 Lj REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House & Garage (24 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 1 HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,001 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- $74.75 Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. /� �* j PLAN CHECK FEE TOTAL FEE License SC $5.00 $82.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY VALIDATED LDG INSP THIS IS YOUR PERMIT GATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Z2 � - fit � I "( v c - Legal Description: Effective 1/1/98 Owner Name & Address: DOYA ZZy 6 lt' O lsa, AL - Tel. # l+ `� �►- 101 Contractor: KCA eoo-(� MN LICENSE # T4s30 Address: U S 6� S 0- Oe k vo d e rc - Tel. # 3 �, l S6 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: e2le DESCRIPTION OF IMPROVEMENT Width Height Width Height Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: i��,r �o ) tRi er f e Sh�n�� p Estimated Cost: $ SCJ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 6 ---� q APPLICANT: / / i cJc J w�A Tel. # q O L( - ZS S 2 STIPULATIONS: CITY USE ONLY Permit Fee $ 24, Fee Schedule on Reverse Side Fire Surcharge $ -«U .001 of Permit Valuation (1/10th%) State Surcharge $ / , LO 0 $.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 $� STIPULATIONS: P 1.#I I r ur rMIULCT 11v�r1=�.+ I lvex a i►v. 6431 University Ave NE Fridley, MN 55432 572-3604 OPFLICATIION FOR PLUMBING AND GAS FFMNG PERPAT PLUMBING FIXTURE RATES: NO. RATE TOTAL New Futures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater-Electrib Water Heater - Gas's Gas Range` Gas Dryer" Back Flow Preventer Required ( )Yes t) No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 a -U 4 $10.00 $10.00 $15.00 Reinspection Fee $47.001Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ �� JOB ADDRESS -1 1y 6 9 t4 R/- ,L) :!E 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. :P� G000 Owner L).0 Al Coo 44 - Building G Building Used As /" -"'"p"'= Estimated Cost 5-0O<PERMIT NO. PLUMBING COMPANY SIGNED BY Rough -in Date Final **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(h) AND TABLE 6'A_ MINIMUM SIZE 9 SO INCHES. --7 2 - �' G IVIAMN Nufflor-R yr rI^IL0.G.j 1 v ui u—n.- ::: '� ? ' Water Heater <: }�•; :::; :; : Wash .}.,.::. Floor Auto. :.. :::.,>J:: G as :.;. :.:• ;.:.:.:. CC11 ?•� 3ra�n Washer Range Gas Eiec storks Urinal Shower Tray Q:: .� <�-,5;}i �;':>:<:'yY.:: {}•5iy C:::>::: �;{:j ..' ;.:::A��ti;`�'"�i >,itiJ,G 4.;Y$.,'•$..JJ:,�. Basement 5<;::�5't:_.: :•:::::.,:; >.:}.h< - :: a.:a}.o-•.a;;5c :.: :............. : a-..... ;.>:.:: ,....: •: :•::;,;..: :.,-: •. <.•::...5:5x- - Floor 9 _.a }:::,;.>::: -'z Floor 2 „Mai::;:.,, ?nJ:•:::;::;:,{:• •:ti�<::v,a2;y ren` is , Floor 3 - r� r Floor 4 a PLUMBING FIXTURE RATES: NO. RATE TOTAL New Futures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater-Electrib Water Heater - Gas's Gas Range` Gas Dryer" Back Flow Preventer Required ( )Yes t) No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 a -U 4 $10.00 $10.00 $15.00 Reinspection Fee $47.001Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ �� JOB ADDRESS -1 1y 6 9 t4 R/- ,L) :!E 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. :P� G000 Owner L).0 Al Coo 44 - Building G Building Used As /" -"'"p"'= Estimated Cost 5-0O<PERMIT NO. PLUMBING COMPANY SIGNED BY Rough -in Date Final **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(h) AND TABLE 6'A_ MINIMUM SIZE 9 SO INCHES. --7 2 - �' G G7YOE FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 October 17, 2001 Mr. Don Cooke 224 69 Place NE Fridley, MN 55432 Re: Final Inspection at 224 69 Place NE Contractor: TerryOveracker Plumbing Dear Mr. Cooke: A plumbing permit was issued on February 2, 2000 to install a water heater at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Plumbing Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection, or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh Building PLUMBING Permit No.• _ Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DateU: J -►N 6 DATE YOUR E-MAIL ADDRESS SITE ADDRESS aO LD L THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME:' OWNER/ ADDRESS: L CITY Q L I STA ZIP��� TENANT PHONE-1 (0 _?DJ '=Y f�UO p CONTRACTOR NAME: , )C L STATE LICENSE k U_)0__ �nEXP DATE VLI 'Itr SUBMIT A COPY OF YOUR STATE ADDRESS. V L lv CITY STAT ZIP � LICENSE WITH PHONE FAX APPLICATION PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 13 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK ; ri PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR 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 (NEED cirrucFrvsE) _ SWIMMING POOL T WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) _ _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ _ _ WATER METER —OTHER 3 r t PE `1` F1 OltltA+f'SpI�iR'SOOf 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 @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City 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 al rkthnquire review and approval of pl ns. SO4�VLATE SIGNATURE OF APPLICANT PRINT NAM llw-1, 9141M 9E: T.. ': .,"B1�:C1R:11 i1tY1INC Ir1rTR TCA ' ¢1�idD.<JV,T)r ° fIANII'. WORK, . -` A. , City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building $ !//• Z S BUILDING Permit No.: �� Inspections. $ W--77- •7ZSurcharge RESIDENTIAL APPLICATION Received By: pfn 70-572-3604 $ 6,06 CITY OF FRIDLEY mate Recd: "I, - DATE - ZZ '!D YOUR L Rj;SS 1 n 11 ivy U s e v C o m SITE ADDRESS $ THIS APPLICANT IS: ❑ OWNE CONTRACTOR PROPERTY OWNER/ Nom: TENANT ADDRESS: " crrV STATE—ZIP PHONE: -I(03 ' ZJ7 • 38 91 CONTRACTORN,e,ME. G� . SUBMIT A COPY OF STATE LICENSE # A173 EXP DATE 379/./07 m� &un� -JL 553` 3 YOUR STATE LICENSE ADDRESS: $553 CITY --.,M 14 -a— STATE ZIP WITH APPLICATION PHONE 9S2 • 935 . 9 (ole 9 FAX a6 z • 93,5 • qs yy PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE Q ADDITION ❑ GARAGE/SHED >@0WINDOWS ❑ BASEMENT FINISH ❑ ROOF 0 DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: 0 NEW ❑ ADDITION ANCE/REPAIR ❑ RE 0DELING DESCRIBE WORK BEING DONE:—Q415 D ! SIZE OF IMPROVEMENT LENGTH WIDTH HEIG ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures • Other❑M�,a/� 0 �� r ��& � and proposed projectWIIVDOW 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes Peo LOCATI IJ( F WINDOWS (' �n,l M 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF � I — AIA O7' ' /�N'0C.' OPENING CHANGES & TYPE OP -WINDOW TO BE INSTALLED — NUMBER OF WINDOWS ALL'FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S #72/' ao OCCUPANCY TYPE Permit Fee $ !//• Z S Plan Review $ Fire Surcharge $ W--77- •7ZSurcharge Surcharge $ _ License Surcharge $ 6,06 SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge Total Due $ $ 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 determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks oavable to: City of Fridley Attach 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 it 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 es review pp v I plans. SIGNATURE OF APPLICANT [li/,/,_ +AW NAME hVL_I_ _J!AL `r DATE ' ,` ` ";, i . tis I � F 1 �p 1 Q f x4 V 2 � 1• 4 5i. 4 laoift- 3 yl RR f� u ....�...� ::�_ -.__ n RY��U D-�`©ujv6 VsT,gt'L%fYGS �i9T%a DcoR W ooh 5 DiN dr s o ycl-I-s cojs cam, lV� S� 2 mac, F=. %S6 vu- Mit s of �Ewv4dp— 6-ru C6 N. TGC, 460z. -Deo-t -/SAOM5(IoCc