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PRE 2010 DOCSCity of Fridley, Mian.. BUILDING PERMIT N°(E6 4 Date: Owner: Builder Address ....._._..___.. __. __ Address:_.._.._ .5 TSO F BUILDING No. _..._.i.._. Street Lot .................................... 131ock ... ._................ .................. Additi or Sub-Divisloij.... _.. Corner Lot ...._.......................... Inside Lot ....._....f '"............... Setback ... .......... Sideyard`..sem_......._------_...... Sewer Elevation .... _............................ _.................................................... Foundation Elevation DESCRIPTION OF BUILDING To he Used aSA >. M . _:- _ ... Sq. Ft: f�' Cu. Ft .. ._ _.: _..._....... top Front Depth .. Height..-- o FConstructi Fron Depth plpdj�t-.. Sq: Ft...." � ..� cu.Type OnEst. Cost.,, ... ......... To be Completed ....._............_.._........ -----.._..------ THIS PERMIT DOES NOT AUTHORIZE VIOLAT- ION OF ANY PRIVATE LAND COVENANTS AND BUILDING RESTRICTIONS. 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. ..,............. _ 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 kf any of the provisions of said ordinances. ,r-' A /7 Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Bo sure to age the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Address LO AT ON OF BUILDING No.' Street C� Part of Lot Lot BlockAddition or Sub.Divt�� Corner Lot Inside LotSet Back_ -L 3 6- Side -Yard SEWER ELEVATION 61.9. a FOUNDATION ELEVATION _.,9;!!5-r7.6__ :6 Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: 44 - Front ,-�� � Depth___2 b Height c� /oma Sq. Ft. 0� Cu. Ft. ' —Front Depth Height AD Sq. Ft. �c14 Cu. Ft. I Type of Construction Estimated Cost // V. To be completed (---') co / 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 representa- tions stated in this application are true and correct."_)1U4 _.' �J DATEi c./ I�� SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) 0 • .o City of Fridley Application for Plumbing and Gas Fitting Permit DepL of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK 0 ®s Number, Kind and Location of Fixtures Location q NO. y TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ KK ul Z �j y�i New Fixture Old Opening .............. w aa' Z • F • N WATER HTR. GAS ELEG Water Heater (Up to 200,000 BTU) ...... a 2.00 $ —2° New Ground Run Old Bldg. ............ x 3.25 $ O Base 1st 2nd _ 3rd 4th • Future Connection Openings Connected with Sewer New Fixture, Old Openings Ce80001 El 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 $ —2° New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL x $1.50 $ X .50 $ x 2.00 $ City of Fridley: 11 2 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. Fridley, ellinn / ® 19 6 Owner f4&✓K�o L. Kind of Building Used as '46 To be completed about Estimated Cost, Old—New. Build ROUGH FINAL Descriptton........ .. .......... .................. TOTAL FEE $ 42 2M 7-59 AMPE (AMERICAN REMODELIM INC) 3700 ANNAPOLIS LANE PLYMOUTH, MN 55447 612-553-0020 WD114WIllwap) C)� vt.� WE HAVE PULLED A PERMlIT AND WRITTEN A CHECK ON THE EUL10AING JOB(S), BUT THEajsTcmm CANCFUM THE ORDER BEEM WE COULD RUN IT. COULD YOU PMM CHlKX AND SEE IF A REMND IS DUE AMPE, IF SO SEND IT TO THE ABOVE ADDRESS? SORRY FIOR ANY INOCNVMXE AND TBNK YOU F`OR YOUR TIM. S SUE M. lUVLATZ PRODUCTION COCORDINATOR JOB NAM: JOB ADDllESS'-,, �� /`� G� �� �� G� DATE OF CH13CK suBJEcr — City of Fridley 720389 AT THE TOP OF THE TWINS BUILDING PERMIT i RE _ COMMUNITY DEVELOPMENT DIV. a. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 5/24'/90 JOB ADDRESS 60 — 70th_ WayN, E, k .. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 9, Bl. 4, Ostman Is Third Addn. & Pt, -`Lots 1-4, Bl. 14, Camp SHEET 2 PROPERTY OWNER MAIL ADDRESS Howard and Hush.�'s 1st Addiiion to ftTft -ey Park Gary Hedman 60. - 70th.Wsy N.E, 571-7912 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Amre 3700 Annapolis Lane Plymouth, MN 55447 553-002 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ .:ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Cover Soffit/Facia 9 CHANGE OF USE FROM TO STIPULATIONS x-,,, 1 II TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 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 $4300 $2.15 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT If 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- $72.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $74.15 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPE Llf..7VALIDATED THIS IS YOUR PERMIT - / BLDG INSP OA SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI Prepaid Plan Check $ Effective 5/1/88 Estimated Cost $ CITY OF FRIDLEY Receipt # R-3, CMGMRCIAL & MMUSTRIAL Building Permit Application Construction Address �Q ✓�'� �Q d Atl,)Q Zoning Engineer & Address TYPE OF WORK �] New [] Addition Reg. # pteg• # [ ] Alteration -Describe �DC� A Applicant SignaZtLTel # CC -e: ateQJ Length Width in m Tmn1G DIIMEMIONS Height Sq. Ft. # of Stories OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. MI -M AREA: Length Width Height Sq. Ft. VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ - Sq. Ft.-- - x $ Cost/Sq. Ft. = Valuation-- _ -. •)_-- -- _ -TOTAL VALUE_ Building Use bion Type Occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule Received []Yes Permit Fee Plan Check State Surcharge SAC Charge Park Fee Spec. Assessments Driveway Escrow TOTAL [ ] NO See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side $.50/$1,000 Valuation (See Sched. for > $1 Million) $575 per SAC Unit Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $13.50/foot ADDITIONAL STIPULATIONS ON REVERSE(40 OG SIDE x(306 SUBJECT City of Fridley 2 0 414 AT THE TOP OF THE TWINS BUILDING PERMIT i -�O N , i `y COMMUNITY DEVELOPMENT DIV. � ______ r PROTECTIVE INSPECTION SEC. I . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 / I� �' J 612-571-3450 910-F15 6/8/90 JOB ADDRESS 60 - 70th Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1-4 14 Camp Howard & Hush's lst Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary/Tony Hedman 60 - 70th.Way N.E. 571-7912 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. M. Fitzgerald Construction Inc. 2650 - 137th Lane N.E., Ham Lake, MN 55304 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 755-9748 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW jJ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 201 x 20 WI Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS provide Frost footings. Provide treated bottom plates. Existing door to house must be a fire door. See notations on plan. Provide a hrd surface driveway WARNING Before digging call for SEPARATE E'ER all utility45locations 800 I WIl�ING HEATIN ITS REQUIRED F UIIED BY q DR EQ t Aw' G, pLUMB1NG A AND SIGNS. 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 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 $6,100 $3.05 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $93.05 SIGNATURE OF CONTRACTOR OR AUTHORIZED' AGENT MATE) IrWHL44 PROPERL V IS IS YOUR PERMIT MIED n- d BLDG INSP OATS SIGNATURE OF OWNER OF OWNER BUILDER$ IDATEI NEW [ ] Effective 1/1/90 ADEN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address A. Legal Description: LO Ts - �/, (1f� / `�("l?� CEJ ?-g - . 1s Owner Name & Address: Gx4 r�j 4 TO /nPi y � b M i�-4� Tel. Contractor: _ FiTZZ r-2A4Lb t'"M-"M - �r-N C Tel # Address : Py5bb 137 '06- 9- , k - ,�- , WA -,ti C A s'� 3d 4 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIvnJG AREA: Length Width Height Sq. Ft. GARAGE AREA: length o2 0 ` Width ao.' (c Height Sq. Ft. tj DEM AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot Ft. Yd Setback Side Yard Setbacks Type of Construction: E11411'J>6LL -N N C -w Estimated Cost: $ Approx. Cmnpletion Date: --?- l- g b 4,100 Proposed Driveway Width If New Opening Is Des' Ft. $ $ dth + 6' See Back Page DATE: � l� V APPLSCANT: Tel.`7�� CITY taONLy Permit Fee $�, State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Marge $ $ G'3,O;!� k4% S O O STIPULATIONS: I , Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] l ®0 a-0 ucf' qoo oo �.vJ PLATTING INDUSTRIAL C. E. COULTER FARM GURYETS SUSINK" LAND SURVEYOR - LARSSHORR am LOTS JUDICIAL TOPOGRAPHIC MAPPING REGISTERED UNDER LAWS OF STATE OF MINNESOTA LIC[N8ED BY ORDINANCE OF CITY OF MINNEAPOLIS 3300 LYNDALE AVE. SO. MINNEAPOLIS S. MINN. TAYLOR �1-0370 N SVRVEY OTTO OSTmpm �urnegut a glrrY{firsfr SCALE ►" �0 TN Waw �._• •_{20_8'Z' _- ' - • • ' .. - -140 •— — .g -- — — — OT 0000 J I J I ta. 10 S O •� cr I q Q Zp w�----------- .� i a I � D j', LOT 3 I T LOT 4 �I •' _-_ 140 .,. I hereby certify that the above is a true and correct plat of a survey of: The Easterly 20 feet of Lot 9 as measured at right angles to the Easterly line thereof, Block 4, OSTMAN'S THIRD ADDITION, Anoka County, Minnesota, together with the Westerly 60 feet of Lots 1, 2, 3 and 4 as measured along the North and South lines thereof, Block 14, Camp Howard and Hush's 1st. Addition to Fridley Park, Anoka County, Minnesota. As surveyed by me this 3rd day of June 1960 A. D. Signed Ninnesota Registration No. 2584 77 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 a Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT C v MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range NO. RATE --i- Gas i Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 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 TOTAL JOB ADDRESS 60 V tA) 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. Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance )6,0D State Surcharge $ .50 TOTAL FEE $ �6, 6D 09 Owner U Building Used As Estimated Cost (� _ PERMIT NO. PLUMBING COMPANY L-,', 4b SIGNED BYI '(�'y —c, TEL No.� Approved By Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE d CITYOF j FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 September 19, 1995 Sue Defore First Security Title 4525 White Bear Parkway White Bear Lake, MN 55110 RE: Gary Hedmand 60 - 70th Way Dear Miss Defore: It is my understanding that a closing is to occur regarding the above referenced property on Tuesday, September 19, 1995. I believe that it is come to the attention of your company that the single family dwelling unit located on the above referenced property is located on a 10 foot drainage and utility easement. In reviewing our records, the City has not vacated the easement nor does the City have any utilities located within the easement area. The property owner should vacate the easement in order to provide a clear title to the buyer. I have provided Mr. Hedmand the appropriate paperwork to complete the vacation request. It will take approximately ninety days to complete the vacation process. I believe it is Mr. Hedmand's intent to process the vacation to provide clear title to the buyer of the property. If you have further questions or concerns regarding this matter, please contact me at 572-3593. Sincerely, Nfic ele McPherson Planning Assistant MMre C-95-238 CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS, AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS _�° � RATE SCHEDULE 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 — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30,00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) ,1996 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER �' �,%'� 3 ��/.CX0 �,� ����' S 7.2 -12 `I 1 Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ ESTIMATED COST PERMIT N0. *Air Conditioning — All Sizes $ 25.00 $ %11 DESCRIPTION OF FURNACE AND OR BURNER All Others/R pairs & Iter�'tlons ( ST ON BACK) 1% of Valu of Appliance or Wo k $ _ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No, Commercial/Industrial BTU_ HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE 22L. -S 6 HEATING COMPANY�I;� MINIMUM FEE FOR ANY HEATING/CQOLIPL VENTILATION a ° FIEF RIGERATI�AIR CO�IDITIONIIVG PERMIT IS X25.00 Signed 8y.:!Tel No, PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved Byg4 Rough—In Date Final Date "Air Conditioners can not be placed in a side yard without FILL OUT BACK SID OR STACK VERIFICATION ON written permission from adjoining property owner, REPLACEMENT FURNACE CHESINEY 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's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner' been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: 1 su6iEer ERMI City of Fridley 31 AT THE TOP OF THE TWINS I� G PERMIT BUIII D C R M I -al-7 r 'v L L RECEIPT NO. � 16.COMMUNITY DEVELOPMENT DIV. � -?2-360 SEC. r � � PROTECTIVE INSPECTION 1 NUMBER— aEv DATE PAGE OF APPROVED BY i CITY MALL FRIOLEV 55132 ' 612-571-3450 910415 4/6/01 JOB ADDRESS 60 70 Way NE 1 LEGAL LOT NO.BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt 1-3 & 9 4 Ostman's 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Philip/Nancy Ayu 60 70 Way NE 763-571-4612 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 O NEW ❑ ADDITION O ALTERATION CR REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof House (23 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 I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,352 $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 FE TO L FEE A - $86.78 Si U EOFCO �aACTOaOaAUT OpIZEDAGENT iDATEo cI��D EN P VALI T D THI$ I UR ERMIT MGNATUAE Of OW ER.w OW NEa BWLDERDATES BL NSP �mtE 1 NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: eo -7o - N W,4 Y WE Legal Description: Owner Name & Address: PL �Ia h c v xyc- Tel. # (7G 3) Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. I DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. rf-Z2 1/0 GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Re- ra houses — -rear -,:A& 9L re Sh%��/P 6o X3.,;7- 0 n I y, 3sonly, p' Construction Type: Estimated Cost: $�— Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ X763-/ DATE: APPLICANT: ` - Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ a.,3S .001 of Permit Valuation (1/10th%) State Surcharge $ /. /° $.50/$1,000 Valuation SAC Charge $ $1150 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 [ ] 6- 9J TOTAL $ STIPULATIONS: s Building Inspections 763-572-3604 DATE MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY SITE ADDRESS ��� ' ��_n THIS APPLICANT IS: ❑ OWNER PROPERTY OWNER/ TENANT CONTRACTOR ,kDDRESS: _1 PHONE: ldMe YOUR E-MAIL ADDRESS CONTRACTOR Permit No.; Received BY: DatBjPd:A P R 2 CITY— COMP ITY_ STATEPY1_I�1 P� COMPANY NAME: Anderson Heating and Air -Conditioning ERSON• P�-LC�� CONTACT P SI 3MIT A COPY of ,"/p 4341 Central Ave N.E. — i'OUR STATE STATE LICENSE STATE ZIP LICENSE WITH ADDRESS APPLICATION PHONE _&3 -2T/- 4s�r Col, Hts, Mn 55421 - PERNIIT TYPE // '1,SrNGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW I� REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK the total cost the PER MS 1613.665 the permit fee is a minimum eof $15.00 15 0 fixture, excluding the fixtures. so (To,O.Oshould treflect onchever is ly the cost rof labor ) improvement, installation or replacement 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 ,'N,HERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOIA� MODEL: NyA SIZE/BTU Equipment Installed MFG: MODEL: SIZEJBTU MFG: SIZEBTU MFG: MODEL: _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 I{ AIC $25.00 FIREPLACE (WOOD) 5.00 —NEW GAS GRILL $10.00 AJR TO AIR EXCHANGEER $15 FURNACE (WOOD) _GAS UNIT HTR $10.00 —BOILER 535.00 GAS DRYER $10.00 —POOL HEATER $35.00 —CHIMNEY LINER $10.00 — VENTILATOR $15.00 DUCT WORK $10.00 _GAS PIPING $]000 — n.. AFF' Ft)R`= .kOjECTS OVER $500 ffT-FEEPROi. CT Number of fixtures @ $10.00 x $10.00 = $ Permit Fee $ `2_ ' -� Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ 2s��— Number of fixtures @ $25.00 x $-25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS 1S 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 o/f►all woorrlk which requires review and approval of plans. SIGNATURE OF .APPLICANT C /�/t/�/�-"I�A SW� PRINT NAME G�1 T re�rq DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ 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 Propan&UGC 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 Building g4OZ- MECHANICAL Permit No.: - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DATE 7 a-tp I O� YOUR E-MAIL ADDRESS SITE ADDRESS �Gb �O'w` WW, M E 1�21�_1r p THIS APPLICANT IS: ❑ OWNER J]CONTRACTOR PROPERTY NAME: % U OWNER/ ADDRESS: (on 70+"I W lAyl. M6 CITY �• STA ZIPS aZ TENANT PHONE: 7k, 3- 5 7 1— 416l 2 CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN T INKEN SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE BTTY "COON,-RAPIDS sTATEMN ziP55433 APPLICATION PHONE 763 — 757 — 6202 FAX 763-757--6701 PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK. ❑ NEW WIEPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK:J�j154A 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) Equipment Installed MFG: PIU"l MODEL: ILI+Pi 3 - Oq SIZE/BTU :16, 000 MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU _A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 _AIR TO AIR EXCHANGEER $15 FJLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 1�URNACE $35.00 UNIT HTR $10.00 _GAS _CHIMNEY LINER $10.00 _GAS DRYER $10.00 HEATER $35.00 _POOL DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 . .: t m Fri' — l �` .��` nY v ftS s' = 3' � x ' , .. r,:.. �xr. a� '5 , T11" 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 = $ 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. /J 1_ SIGNATURE OF APPLICANT �� v ' NAME ROGER HOFFHEIN DATE [ i 4 l�J �%� 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 ❑ NEW HOMES/ADDITIONS L/ EXISTING HOME ❑ 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.