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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT NA 7403 Date: JV *401V Owner:Jl ..s..w. / ,i�,.a .�.lr�arY/Bulkier 49 Address Address O ON O BU DING No. Street" Part out: Lot _ Block Addition or Sub-Divisiop Corner Lot _ Inside Lot _ _ Setback Sideyard it Sewer ElevatElevation DESCRIPTION OF BUILDING T Used Front - Depth - Height Sq. Ft..YAu. Fran r�cr Depth eight Sq. Ft.' Type of etion Est. Co' , _ 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 (pmpliance with of 1 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of 44 -~-00' , permit is hereby granted to to constrict 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 worl�en, in all work I e in,around and uponley,Minnescity limits and this permit may be revoked at anytime viojon of ani► of the provisions of saidord NOTICE Sk permit does not cover the coashudloe, hatallation for wbing, plumbing, gn henthm sewor or water. Be son to we the Boibling Inspector for soparate permits for these hems. 0 51 I APPLICATION FOR BUILDING.PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ADDRESS ADDRESS ' fes^42 LOCATION OF BUILDINO No. Street Part of Lot e • r Lot Block. Addition or, Subdiviaion Comer Lot–X—Inside Lot Setback Side :Yard o� SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location dirawa on these Certificates. To be used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft.. Cu. Ft. Type of Construction Estimated Cost 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 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 S ,(Schedule of Fee Costs can be found on the Reverse Side). CONTRACTOR CALITD49 7) / - A -f J -,-/5 «,L/ ,t/ MONTH DATE DAY INSPECTION & ADDRESS TDS CC// Ale Pa Ile 4. e fA el' N rfl ,L/', A fil A tit 4�7 CC// N SUBJECT PE City of Fridley 1266.6 AT THE TOP OF THE TWINS BUILDING PERMIT r RtQEIPT COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r a CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 8/8%`74 JOB ADDRESS 1381 - 75th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 1 Don's 5th. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walter Muyres 1381 - 75t1i Avenue N.E. 3 CONTRACTOR MAILADDRESS 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 ❑X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install patio doors 9 • CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIREA FOR WIRING, HEATING, PLUMBING AND SIGNS. 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. $450.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 5 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- $5.00 NCE CONSTRUCTION. STRUC N 0 THE PER�4'0 PLAN CHECK FEE TOT � $5.50 IGNAT4RE OF CONTRACTOR CFRAU RIZED AGENT (DATE) WHEN PROPERLY V L ED THIS 18 YOUR PERMIT SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) BLDG INSP DATE N APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: O// of 4�—BUILDER:. ADDRESS : � ,�v� y'� ADDRESS : NO:. /3O / STREET LOT: 41 BLOCK: 3 ADDITION:. X/ 2'i S CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: awl/4o��Front:_ Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height; Square Feet; Cubic Feet: Type of Construction: Estimated Cost: To Be Completed: 3 '0�0� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: C% /' SIGNATURE: �i`!/ a (See Rever Side For Additional Information.) J. SUBJECT P City of Fridley 6 4 9 8 AT THE TOP OF THE TWINS BUILDING P E R M I T i � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.®® r 1 NUMBER REV DATE PAGE OF APPROVED By = CITY HALL FRIDLEV 55432 612-571-3450 910-F15 7-8-98 JOB ADDRESS 1381 75th Avenue 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 1 Don's 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walter Muyres 1381 75th Avenue 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stifter Bros. Construction Inc. 3445 219th IN NW Anoka MN 55303 753-5413 200644 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re -roof house and garage (27 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 SQ. 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 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 $1.12 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,251 DOES NOT PRES E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS 0 N OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire Sc $2.25 STRUCTNSTRUCTION. PLAN CHECK FEE TOT FEE License $5.0 3.12 5 NATLFREOF CONTRACT6wbRAUTHORIZED AGENT IOATEI EN ROP VALID THIS is VOS,R P MIT .4GATE S,GNATURE OF OWNER OF OWNER BUILDERI (DATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Q� ADDb ConstructionAddress: 75 v -e Legal Description: Owner Name & Address: 6J21�-e-- V r e 5 Tel. # Contractor: . TnC MN LICENSE # aDa /4jOZ Address: 3 yy S 1 `` iL� n e LI)e Uj 14ro & S's 3o_:� Tel. # 7S3 -_-3_'q/3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length _ p Il e f -o® e VMO _ _ Width ocsse,: f (�orgG� Sq. Ft. Estimated Cost: $�/ (Fee Schedule. on Back) - Driveway Curb Cut Width Needed: Ft. + Ft = Ft x $ = $ DATE:. — 2r —`i <,/ APPLICANT: %� Tel. # 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 [ ] Permit Fee $ �+ Fire Surcharge $ - aZ State Surcharge $ SAC Charge $ License Surcharge $- Driveway Escrow $ Erosion Control $ Park Fee $ 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 [ ] Gi i Y OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NHMRFR nF FIXTURES TO BE INSTALLED ON EACH FLOOR t_IIC: Lia; ji 11. PLUMBING FIXTURE RATES NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range`* Gas Dryer** Back Flow Preventer Required ( )Yes () No 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 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 JOB ADDRESS The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Buildin Estimated Cost PLUMBING CC SIGNED BY C /ay ,20®3 PERMIT NO. TEL N0. V Approved By�� Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 $ . S) PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFNT- VENT CONN .TOR AND r.QMR1ISTION AIR VERIFICATION When reply i an existing f ,ran _ _, 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The Pxon inn rnmhi istinn air is sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When required to Inst -ll a new cemhuctinn airy it will be sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When instauinn anewntingqystem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers 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 #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 HEATING CO: Signed By: Date : SUBJECT P . City of Fridley 33393 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I 1 . � NUMBER REv DATE PAGE OF APP OvED BY CITY HALL FRIDLEY 55432 763-571-3450 9104'1. 3 / 24 / 03 JOB ADDRESS 1381 75 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Don's 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walter Muyres 1381 75 Avenue NE 763-784-5106 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same d 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 O NEW O ADDITION ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Remove and replace sheetrock, flooring & window in 1st floor bathroom 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 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 $2,000 $1.00 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- `1'69.25 Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $72.25 T REO C N'RAf R TMORIZED AGENT SGNA13 I N PROPERLY J_,W VALIDATED THIS IS R PERMI h �04AT S.GNA O[ WNER,I OW RB ERi l -NSP TATE NEW I ] ADDN [ ] ALTER Construction Address: Legal Description: Owner Name & Address: CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Tel. # Contractor. - MN LICENSE # Address: Zj& Ale Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT /414'&'01% LIVING AREA: Length ( Width Height Sq. Ft. �® GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: OTHER: round Sq. Ft. � (,c), a��W lA) �� e . A -D ConstructioA Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ '- DATE: '3 0 APPLICANT:& -y Tel. # 7 J /9 KS Call (763) 572-3604 for Permit Fees if mailing in application. F to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ lr7c� , CZ� CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] z k �PLP cL w, NDoc,J / 3 8 / - /;?�- �� � /J, �- BuildingMECHANICAL Permit No. Ob Inspections RESIDENTIAL APPLICATION Received By: Y 763-572-3604 CITY OF FRIDLEYc' ® 13 2010 763-502-4977 FAX EMCTIVE 7-1-2010 DATE I—loY�QUR E-MAIL ADDRESS SITE ADDRESS I E. N.E. THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: nJVRa OWNER/ ADDRESS: CITY STATEZIP �j TENANT .i / — PHONE:7 CONTRACTOR COMPANY NAME: SHARP HEATING & A.C. SUBMIT A COPY OF CONTACT PERSON: FLOYD JOSWICR STATE LICENSE # EXP DATE YOUR STATE LICENSE WITH ADDREss:7221 -University Ave. N.E. CITY Fridley sTATEMN zip 55432 APPLICATION PHONE - 763-572-0459 FAx763-572-0164 PERMIT TYPE 16INGLE FAMILY - ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAELED DESCRIPTION OF WORK , FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). PROVIDE HEAT LOSS CALC'S PER MANUALI 2096jASHRAE HANDBOOK Equipment Installed MFG: a U 13 MODEL: U SIZEBTU I � MFG: MODEL: Vt'fiP SIZE/BTU " MFG: MODEL: SIZEBTU ' A/C $25.00 FIREPLACE (GAS) $15.00 RANGE/OVEN $10.00 _GAS AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 UNIT HTR $10.00 _GAS CHIMNEY LINER $10.00 GAS DRYER $10.00 HEATER $35.00 _DUCT WORK $10.00 _POOL _GAS PIPING $10.00 VENTILATOR $15.00 h ""u; "�'" �':sem;' ,..5 tiA '� -,..� iC - .�" �E - �'� •. �e ,� ��' � � — — � ,� tl?. r*'l .s A,.... _ x2`. N".. Oil .. :� _ _ _ ✓'�"i yu`x. � THIS IS AN APPLICATION FOR A PERMITNOT 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 ap lication for a ermit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case o 1 work w is re es review and approval of plan SIGNATURE OF APPLICANTMq r PRINT NAME V DATE 1 1 APPROVAL INSPECTORS SIGNXL DATE MEN 09M City of Fridley wilding Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977.