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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 4 011 Date: .----.._.._-----�.............--••----... ... _...... _................... Owner------------------------------------------------------------- ....._------------- --- ----------------------- Builder ......... - _...._......._...._..1.4:.�.. ...... _..._........_.._•--••-•-__ Address Address / ��// LOCATION OF -BUILDING No. ...sLl...l._........ Street _.-!...._.. ....................._ .............. Part of Lot ........................., ........................................... _ U 1t........��................. Block ...........®....._............._................. Addition or Sub -Division .. ^- ..! ..:1._........... _..... 9 CornerLot .................................... Inside Lot ..... _................................ Setback ..... _............. _............. ......... Sideyard .............-........... Sewer Elevation-----............................_............._......................----.._...---................. Foundation Elevation .....A?. ""� DESCRIPTION OF BUILDING To be Used as: Q �% n .. ............_------r••- ....... Front ... Depth .�_� Height /........ Sq. Ft��. l.. Cu. ................... ........................ .............. Front ........................ Depth ................ Height .......... ....... Sq. Ft. ........................ Cu. Ft. .................... _.. �DType of Construction........................................................... Est. Co ......... �. ..........._........ 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. •r. - - . In consideration of thea ent of a fee of permit is hereby Pym $ ................................ pe y 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 anyof the ovisions 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 see the Building Inspector for separate permits for these items. 4 d �^ b Application for Power 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 _Replacement of Furnace ............................. 5.00 $ 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. EDR 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 $— —C/ 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 VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS: See Fee Schedule TOTAL FEE Dept. of Bldgs. Phone SII 4-7470 I.ecai?en O 5- 6r /1/6 5 - 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. Owner _ Kind of Used as To be co 1951- 195- 195— Estimated Cost, $ �A Old . Building Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, W;Z Air No Trade Name .� - � a ®fa 5 �,�L Size No_ Capacity Sq. Ft. E.D.R BTUP. o Total Connected Loa � Kind of Fuel- BURNER — Trade ame Size No- 5.1 c= Capacity Sq. Ft. E.D.R BTU 11 POST IM -12-58 Business Phone - n 4 2 s y ` Z P Width Height No. of Lineal ft. Area No. or pane of pane Ilghts of crack eq. 1t. -ss 5 Width �" ` Height 1('i Is HEAT LOSS CALCULATIONS DEPARMENS' OF BUILDINGS �„r FRIDLEY, MINN. Weatherstrips A.S.H.V.E. y� • Construction No. 465- Insulation � ? � Guide Coef. Btu Exp. wall ' Windows ( Doors Reference I Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19_ s �/ ., Int. wall / FV . Room I Len>tth 'i�. Width ' Height : all D FI_I . Room I Length 1/ Width �� Height s ;h 14 Windows and Doors—Crackage and Area Coef.1 Width Height No. of Lineal ft. Area No. or pane of pane Ilghts of crack eq. 1t. F1.1 5 Width �" ` Height 1('i Is Glass Width Height I No. of Lineal ft. No. of yane of pane lights of crack �„r Coef. Btu Infiltration y� • ® 465- c % � ? � Glass, Coef. Btu Exp. wall Ceiling Exp. wall �r A d Floor / Net exp. wall Tbtal Btu. '� �.,. s �/ ., Int. wall / (� /� 100 Floor Ceiling E C Floor Z-Ok, 1 otal Utu. Coef.1 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 _Room ( Length ? Width �" ` Height 1('i Windows and Doors—Crackage and Area Glass Width Height I No. of Lineal ft. No. of yane of pane lights of crack Area sq, ft. Coef. Exp. wall Infiltration„ y� • ® tv /Infiltration Glass Glass Coef. Btu Infiltration w0 ? 0 Glass 71 Exp. wall A , Net exp. wall a7 t `a Int. wall Ceiling Floor' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. 9� rpt., "Room ( Length �Width " Windows and Doors—Crackage and Area Width I Helght No. of Lineal ft. Area No. of Dane of pane lights of crack I so. ft. n _Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Coef.1 Btu Infiltration g yp ?"Q Glass - Coef. Exp. wall Infiltration„ y� • ® Net exp. wall /Infiltration Glass Glass Int. wall Exp. wall Ceiling Exp. wall �r A d Floor / Net exp. wall- Tbtal Btu. '� �.,. s �/ _Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Coef. Btu Infiltration„ y� • ® (� /Infiltration Glass Glass Exp. wall Exp. wall Net exp. wall aWe a / s / Net exp. wall- Int. wall '� �.,. ., Int. wall / (� /� 100 Floor Ceiling / % (� Floor / Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ® FI.I C X //Room I Lenlfth /`�-'-" Width /x Heiitht 9.3 Windows and rs—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration y� • ® (� /Infiltration Glass Exp. wall Net exp. wall aWe a / s / 1-5-67 Int. wall Ceiling / (� /� 100 Floor / % (� Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 911,"_ . a R....... I i �n mth Welth 14,.;aht - < Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration .c� g J Glass Exp. wall9 Net exp. wall Int. wall Ceiling Floor` Total Btu. Required sq. ft. E.D.R. or so. ins. W.A. Leader area ejan FI City of Fridley' Application for Piumbing ane' Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION Oti WORE Location ----5 �— 1� Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... 9 x Ig -'O $ Z2- Fixture Opening ................z x 1.20 $ /'-Z New Fixture Old Opening .............. x 1.00 $ WATER HTR. x 3.25 $ Water Heater (Up to 200,000 BTL) ...... f x 2.00 $o New Ground Run Old Bldg . ............ x 3.25 0 F N GAS ELEC. 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st 2nd 3rd 4th • Future Coaaectiaa Openings Connected with � New Fixture, Old Openings I Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... 9 x $1.50 -'O $ Z2- Fixture Opening ................z x 1.20 $ /'-Z New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTL) ...... f x 2.00 $o 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 $� Ca SEP 3 1959 cinal �°.Z® 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. Fridley, blinnn i 19S Owner �'ta`� Kind of Building'"? 19� Used as To be completed about Estimated Cost, $ Old ew. uilding Permit No Sign By Business Phone No SEP 5 1959®Uh 11 POST 1M-12-58 City of Fridley, Minn. • BUILDING PERMIT Date: MAY 11, 1966 n • Owner: MARLIN A. MONTER Builder Address 1564 - 75th Avenue N. E. Address Fridley, Minnesota 55432 SAME - -*33.� rGI X? sszo LOCATION OF BUILDING No. 1564 get 75th Avenue N. E. part of Lot Wes 96' of Lot .__ 2 --Block Addition or Sub -Division .____ AUD. SUB. #129 Corner Lot _ Inside Lot % Setback —_ Sideyard Sewer Elevation — _... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Att . Garage Front 22 Depth 26 Height 10 Sq. Ft. 572 Cu, Ft. 5.720 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost __Ilk 200 __ To be Completed — In 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 aft provisions of Inanc@B Of the city of Fridley. 2%e �" In consideration of the payment of a fee of $ 6.00 ,permit is hereby granted to MARLIN A- R to construct the building or addition as described above. This permit is granted upon the express condition�and workdame iround andFridleyinnesotawitdtyIEta permit may be revoked at any time upon violation of any of the provisions of said ordinanoea ALLEN G. JENSEN Budding Inspector NOTICE: M permit don not corer the construdtion, Ndallaten for Whb & plumbing, gn hearing, sewer or water. Be sore to as the Building hnmeter for apmft psrmhs for thea hum APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS /,57a V- 7 S`' 0/ ` ADDRESS LOCATION OF BUILDING NO. / S& STREET 7 S . %7- `z PART OF LOT � LOT BLOCKADDITION OR SUBDIVISION / �-- CORNER LOT INSIDE LOT G� SETBACK SIDE YARD SEWER ELEVATION FOUNDATION ELEVATION 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; Front DepthHeight Sq. Ft. - Z Cu. Ft. ' -,1!5'- 7cA---d Front Depth Height Sq. Ft. r�Cu. Ft. Type of Construct 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 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 0 d City of Fridley Application for Plumbing and Gas Fating Penna Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Jr Number, Kind and Location of Fixtures Location C`� - � e y NO. RATE u Z x w ? • • WATER HTR. GAS ELEC. 1.20 $ New Fixture Old Opening .............. x 1.00 $ CSO x 3.25 $ Water Heater (Up to 200,000 BTL) ...... x 2.00 $ Base x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x Ist%' $ Additional Fixtures .................... -7 a $ Gas Range to 200,000 BTU .............. x 2.00 2nd 3rd 4th • Future Connection Openings Connected With Sewer I e 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 BTL) ...... x 2.00 $ 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 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. 196 Kind of Building Used as To be completed about Estimated Cost, $ Old N uilding Permit ROUGH FINAL 42 No Permit No. Signe By Business Phone City of Fridley, Minn. 1115 6431 University Ave. N.E., Minneapolis, Minn. 55 �./ BUILDING Date: _ August 27, 1971 Owner; Martin Munter Builder . Same Address 1564 -75th Avenue N.E. Address Same LOCATION OF BUILDING 1% - 1564 Street 75th Avenue N.E. _ _ part of Lot Lot 2 Block Addition or Sub -Division Aud. Sub. #129 Corner Lot Inside Lot X Setback — Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Fireplace (Base) Depth Height _ Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Brick Foot. Cost — $350 ill? _ To be Completed A_S _A_p _ Stipulation: Footing to be 31-6" below grade and 12" thick. Call for inspection prior to pouring for soil check. In consideration of the issuance to me of a. permit to construct the building described above, I agree to do ft proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. -/I /_ In consideration of the payment of a fee of $ 5.01) , permit is hereby granted tom$ . Munter 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 �ncee city limits and this permit may be revoked at any time upon violation of any of the provisions of said r CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sun to -no 0 thw. Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : 7)1 1Q'71X4_ ��,axt BUILDER: ADDRESS: /.5-6 5� %�7� /�[.cu'. I�' Lam. ADDRESS: NO:. STREET • LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: v' 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: Front: Depth: Height: Square Feet: Cubic Feet: Fronts Depth: Height: Squarg,Feet; Cubic Feet: Type of Construction: ��� Estimated Cost:$�sv.c� To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all Mork 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: GCS/ fo /?7/ SIGNAT[JRE : Gx=�2u�ti czJ (See Reverse Side For Additional Information.) T� I1 two irryw ✓DJt �';��iJDJ �c!!�1 SIY� .�-c s �yyM 1 yea a cy suras £� � I L i -1• Jul '7 FuO - 1 I A8 03h0Z; A8 0311M31.— -- --- - -- A8 031ndwo3 111x0 j0 33an04 1�3t'6nS 30Vd 3170 NO I ITIN t03 - 331 dl0 !0 300 f. 838NnN 3'11! l COMPUTATION SHEET DATE PACE.. OF FILE NUMBER NAME OF OFFICE COMPUTATION SUBJECT SOURCE DATA COMPUTED BY CHECKED BY APPROVED BY I .t i1 �•; y I • F/Y V . 1 JZX Vic, c, ed 13 a 17*ro �"cs I �s �-ec eu-, r 3,4p e u jC l� oa yr )ry c� ''� ` ' 13 o c3 r d COOffAITION $MET FILE NURSER —74F NAME OF OFFICE COMPUTATIONQATE PAGE PAGES SUBJECT SOURCE OF DATA COMPUTED BY CMECItiD BY F ROVED BY • F/Y V . 1 JZX Vic, c, ed 13 a 17*ro �"cs I �s �-ec eu-, r 3,4p e u jC l� oa yr )ry c� ''� ` ' 13 o c3 r d ,°•b"t 3v 1A -°"ton+ min. 3�i.4'x �9' 09O)D 1rP7A.*`� i c,*—Jl S Ec-rxctl A -A' FILE NUMBER commATl1 $MET NAME OF OFFICE COMPUTATION DATE PAGE OF PAGES SUBJECT SOURCE OF DATA COMPUTED BY CHECKED BY &MOVED BY i ,°•b"t 3v 1A -°"ton+ min. 3�i.4'x �9' 09O)D 1rP7A.*`� i c,*—Jl S Ec-rxctl A -A' City of Fridley SUBJECT PE 1619 3 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. L-______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � � L J` ,,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/19/81 JOB ADDRESS 1564 - 75th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 Aud. Sub. #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marlin Munter 1564 - 75th Avenue N.E. 784-6123 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 ❑ NEW7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 16" Addition to rear of the House 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WRING. IVV HEATING. PLUMilt AND SIGNS call local otililW Befoie digging Et4' TELEPHONE a ELECTRIC _ GAS BY LANN" REQUIRED 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 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 VALVALIQQN SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED M1400 $7.70 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- $93.00 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $23.25 $123.95 SIG NATURE OF//CONTRACTOR AGENT IDATEI WHEN PROPERLY VALIDATED IS YOUR PERMIT /ORR�AUTHORIZED /%/ �aw_�i\A /THIS V BLDG IN SP OAJE SIGNATURE OF OWNER (IF OWN ER BUILDERI ---- --- - IPATE)f CITY OF FRIDLEY APPLICATION FOR Rf:SI()j7NTIAi_ BUILDING PEW111TS (tdem, Al L rations, Additions, or Repairs) O1111ER: GUILDf:P,:� ADDRESS: tff6 „Q y,� ADDRESS: TEL NO: 7 y— G IZ , TEL 140: 7 ?_5' - -7b R-31 Construction Location ' STRICT NO: � _ STREET: LOT: BLOCK: ADDITION: 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: Depth: & Height: Square. Feet_ Cubic Feet: Front: rt Depth: Height: Square -Feet: Cubic Feet: Type of Construction: Estimated Cost: $ m) To Oe Cbrtpleted: 8 .,,,,a Sx ";Z'o Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET the undersigned hereby makes application for a permit for the work herein specified, agreeing to c°o ,all work in strict accordance with the City of Fridley Ordinances and rulings of the Deportment of Buildi.n7s, and hereby declares that all the facts and rcpresen Cations stated in this application are true and correct. DINE: - -��C a,," . p SIGNATURE: -—�rdsr� �- �. a • �L� �aJ Itipulations : City of Fridley SUBJECT PERMIT NO. AT THE TOP OF THE TWINS BUILDING P E R M I T rp COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 RECEIPT NO. NUMBER 910-F15 REV. DATE PAGE OF F/ APPROVED BY JOB ADDRESS 1 LEGAL LOT NO. BLOCK ADDITION SEE ATTACHED DESCR. I r7SHEET 2 PROPERTYOWNER MAILAD5RESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER . I MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE El REMOVE 8 DESCRIBE WORK C'' 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 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 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 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 0, SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEi WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 S Old Opening, New Fixture $ 1.50 $ Beer Dispenser S 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic valve $ 5.00 $ Sump or Receiving Tank S 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50SV//`` ($15.00) TOTAL FEE $ , Effective Date May 1, 1988 Job Address Department of Buildings �— City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this ap lication aretrue and correct Fridley, Mn. 19 OWNER / [ i %� / vl KIND OF USED AS TO BE COMPLETED ABOUT ESTIMATED COST 9 © V OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By ` Tel. No. 57— j k ROUGH INSP. Date FINAL INSP. Date [ Q1 APPROVAL FOR PERMIT!"'SJ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE Water M m E,e Ci m o -04 roMp, wu'y G9 Heateri C q C M C �M a'm0 1/ .4 U) N .4 O 3 O B m tou � En '1.4 U ap 4 3 cb7 •U.'Xi � s c7 o as nec 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 S Old Opening, New Fixture $ 1.50 $ Beer Dispenser S 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic valve $ 5.00 $ Sump or Receiving Tank S 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50SV//`` ($15.00) TOTAL FEE $ , Effective Date May 1, 1988 Job Address Department of Buildings �— City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this ap lication aretrue and correct Fridley, Mn. 19 OWNER / [ i %� / vl KIND OF USED AS TO BE COMPLETED ABOUT ESTIMATED COST 9 © V OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By ` Tel. No. 57— j k ROUGH INSP. Date FINAL INSP. Date [ Q1 APPROVAL FOR PERMIT!"'SJ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AIR AND CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Job Address 1564 75th Ave. NE. Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ 20.00 Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 Gas Piping $ '10.00 $ City of Fridley Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ The undersigned hereby make3 application for a permit for the work herein Gas Dryer $ 10.00 $ specified agreeing to do all work in strict accordance with the City Codes ana rulings of the Department of Buildings, and hereby declares that all the ' facts and representations staged in this application are true and correct.. * Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn. NOVem er 22 , 1988 All Others/Repairs and Alterations OWNER Marlin Munter 1% of Value of Appliance or Work $ KIND OF BUILDING Frame COMMERCIAL/INDUSTRIAL USED AS Residential 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT ESTIMATED COST $3000.00 • State Surcharge $ .50 .TOTAL FEE $ 20.50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. z Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. Date FURNACE-CHANGEOUT HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. one Final Insp. R -// � Trade Name ('H rri Pr size No. 58SXB80CC Date Capacity Sq. Ft. EDR BTU �— HP Approval for Permit Total Connected Load Kind of Fuel nat. gas BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE Company .Dependable Heating and A/C Signed By e Qho) 1'4 Attach stack verification form with. replacement furnace permits 40 *Air Conditioners can not be placed in side yard :.'ithout Tel. No. 757-5040 written permission from adjoining neighbor. V -y-, CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; I. 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 (—�j� No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of �� 9✓� All other BTU's TOTAL Remarks n — n 01 SuBJECT PN City of Fridley 30890 AT THE TOP OF THE TWINS BUILDING PERMIT `y COMMUNITY DEVELOPMENT DIV. /� r PROTECTIVE INSPECTION SEC. Z �� i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE Of APPROVED BY 612-571-3450 910-F15 5/2/00 10B ADDRESS 1564 75 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 2 Auditor's Subdivision #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marlin Munter 1564 75 Avenue NE 784-6123 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lambert Construction 12741 Jefferson St NE, Blaine, MN 55434 754-5648 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20061962 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14'6" x 30' Addition to Dwelling SEPARATE PERMITS 9 CHANGE OF USE FROM TO RUL11REDFOR: STIPULATIONS %A1 RING wrAmea PLUMBINO AIS® §ift See notations on plan. 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. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. CALL FOR FINAL INSPECTION WARNINGWITHIN 10 DAYS OF WORK Before digging call for COMPLETION all utility locations COPY TO HOMEOWNER 4540002 SEPARATE PER C LUMBING, 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 $20.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $40,000 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- $542.75 Fi a SC $40.00 ST CTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK F E TO A FEE S— z -�av Licen $5.00 $607.75 S-GNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATE- E PROP L ALID THIS IS IOLLRL PERMIT�� • Bl -NSP f r)AIJ S,GNATURE OF OWNER OF OWNER BUILDERi IOATEI 01 iUBJE& PERMIT NO. City of Fridley 30890 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. SEC. PROTECTIVE INSPECTION CITY HALL FRIDLEY 55432 NU4PEA REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5 v� ,-, /00 / F JOB ADDRESS 1564 75 Avenue NE zsq I LEGAL LOT NO. BLOCK TRACT ORA DITION SEE ATTACHED DESCR. rt L? Auditoros Subdivision 4129 SHEET 2 PROPERTY OWNER MAIL ADDRESS zip PHONE , 7 .Nnriln 1-564 75 Averw� NE 784 _612a 3 CONTRACTOR MAIL ADDRESS zip, PHONE LICENSE NO CL�dtruevl.cr& 12741 3�,'&,vaon 9t 2, i E _�,Aal7v2, NN 55434 754-5648 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 2.0001') l 6 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING 7 CLASS OF WORK 0 NEW ADDITION P ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Ccnbtruct a 14'6" 30' Additioii to DweILL-,ag 9 CHANGE OF USE FROM TO STIPULATIONS See i.otatioas OU FICITI. Provide amoke detectors in all sleopipF; rooms and on ell ieveis ol. the dwT,Jline per Section 310.9.1,2 of the 1997 Uniiorm Buildirg Code. WNSTRUCTION WORK ROOM 7.M am to 9.1U0 pm;® Nooday thinu Friday; 9:00 am vo 9-UO pm c4i Saturday" No work wn Sur-day.' /6A LJ�A -66 SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OFC NST. OCCUPANCY GROUP, OCCUPANC�LOAD VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION , ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED VVITH IN 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 IHEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION t —VA—L-U-A7j—,pN ISTALLS IGARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL' PROVISIONS OF LAWS SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 20.6.0 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $40,O00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 04, PLAN CHECK FEE Ucen�o,,,p -A s5jjov TOTAt F E E 1­ 7 4W .75 'SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDAtt, 'WHEN PROPERLY.7 BLDG. ,NSp V ALIOAT9 THIS I$ YQUB PRMIT� PATE S,GNATURE 01: OVIONEROF OWNER BUILDER, MATE) NEW [] ADDN [] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY A j E ectiv /2000 (763) 572 4 Bldg Insp ND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION pop �o �D Construction Address: ! 611 75-N 4,y Legal Description: Owner Name & Address: A/lriy 011,ylele /5611 7st',4e ivy Tel. # ? f y 61Z3 Contractor: _"10/ e eel MN LICENSE # a 60 6 i 96Z Address: 12-7-111 0 _ S -'R Tel. # 7511- Shy 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 1,V'6 Width 3 0 Height /o JA Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: iPI-211/�vH (w -,pp i tAMe) - Estimated Cost: $ !Zd�b­;� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE: ' zo - y O APPLICANT: Agge z gliye,e-�r Tel. # 7511-SdyS CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $vT �✓� Fee Schedule on Reverse Side Fire Surcharge $ , 60 .001 of Permit Valuation (1/10th%) State Surcharge $ o40. 49 $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ 113 $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: Nr- HARVEY A. CARTWRIGHT J. E. H UL THE RECORDS OR J. E. HILL,« CIVIL ENGINEER ANOKA COUNTY SURVEYS E47WaLtaNED 1896 H�CNN COUNTY SURVEYS LAND SURVEYORS C. F. SANDHOFF MINNEAPOLIS SURVEYS CIML ENGINEER 9410 PALM STREET N. W. REGISTERED UNDER LAWS OF STATE OF MINNESOTA ESTABLISHED 1908 SUNSET 4.7655 LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS OWNER JAMES NELSON 326 PLYMOUTH BUILDING FEDERAL 8-8721 5URVEYOR ESTABLISNEQ 1922 INDUSTRIAL — JUDICIAL HEPINEPIN AT SIXTHt • MINNEAPOLIS 3. MINNESOTA. _ BUSINESS — TOPOGRAPHICAL �k{rajeyOY'� �fTtlfk[dt[ METROPOLITAN LAND CITY LOTS — PLATTING C SURVEYORS, LSTABLISMED 19711 ;lde S. th Invoice 2053 or`h� /ii7e of Lot 2. 691/ 96,0 - , 5CALE i =5010 i-����� �-*,-^'DENOTES IRONS (m rated purwoses, cr) I '� - 1 I ; M ' off, 1 vo RO as PROPOSED 1 .l . U) U) Ui C\1 N �m N 1 I I , .� I 1 4 � I N jp �1 I � v I V i I I heraby certify th-at this is a true and correct repr:)sent! _tion of a survey or the bounJaries of: 1 � '` i o �e9s�rlrLntrf fGr o The ''Test 96 Feet of Lot .2,=_uditorls I In rcjpa� pueposes. � ' � Subdivision 14o. 129, r.nok = County, ' Minnesota, reservin the iIorth 30 feet and also the _ 96.0' _ South 30 feet for road puroosss. Svufh /irne of Lot 2. t.nd of the locr-tion of all buildings, if any from or on said l -nu. It also shows the location of a proposed building; but no stakes have been set for such, location. As surveyed by re this 13th day of �aay, 1.959.,E ,,€'fes ( .SI,GN*V, ' C ^ ",RIGHT ANb OLSON I CITY,OF FRIDLEY INSPECTION DIV. 6431 University Ave NE ;Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 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 TOTAL Gas Dryer*" _ Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance /71 ov State Surcharge $ .50 TOTAL FEE $ '�'O"S-6 JOB ADDRESS 5b� S 1'�V �NUF. 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. �! �^ 1 2 , 20 00 Owner z / ) Building Used As h Estimated Cost PERMIT_ NO.- PLUMBING COMPANY ®P 4 SIGNED BY -V 402"4® TEL NO? Approved By Rough -In Date Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 564(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 specifications. 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 verifies 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 : CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2000 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 OWNER Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) ESTIMATED COS S�'oa PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR A00 901111110z QUIJS %L ^0CKT rt Q Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE $ � •5ell DATE �i�l 'Z l, ZED MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATIN CO��� REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 n ---r PLUS THE $.50 STATE SURCHARGE Signed QLUZ TEL REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date 6,1106 written permission from adjoining property owner. COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 specifications. 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 verifies 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: FA SUBJE& PER City of Fridley i 95 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. 1 __-_' COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 5■ 2-36®4 f I , CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY l 612-571-3450 910415 7/9/01 JOB ADDRESS 1564 75 Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. iPt 2 1 1 Auditor's Sub. 4129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marlin Munter 1564 75 Avenue NE 763-784-6123 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lambert Construction 12741 Jefferson St NE Blaine MN 55434 763-754-5648 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 Q O NEW X ADDITION O ALTERATION O REPAIR O MOVE `0 REMOVE 8 DESCRIBE WORK Construct a 21' x 16' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WAnIVING SEPARATE TEPERMrrS l3 f rl digging ®�®R' call f®ir utility location WIRI � 4002 PLu�� PIVD SNs Ips REQUIRE® BY LAW SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORD OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION � OR WORK IS SUSPENDED OR A13ANOONEO 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 $3,696 $1.85 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- $97.25 Fir SC $3.70 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT FEE $102.80 SIGNATURE 00 CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN R P ALIDA THIS IS YOUR PERMIT / 7-%,®/ 7i9t-e E IF OWNER BUILDER. IDATEI .NSD OAiE FA NEW [J ADDN [] ALTER [ ] Construction Address: Legal Description: /S6 ----Effective 1/1/2001 CITY OF FRIDLEY - (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Jr Owner Name & Address: ^101- ew Tel. # 760y- x/2,3 Contractor: '4!"4 e'f 4 co'V '-< MN LICENSE # 2 ov 61 fd & Address: l 2 -74/ / 50,fl 5- e z A IWWr Tel. # 7C3' 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 I Width Height Sq. Ft. Hgt/Ground 2- ` '"`�`` Sq. Ft 3 36• Construction Type: G/o-op ;i�MEstimated Cost: $ �vp2- ° o 0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 7- 3 " ° / APPLICANT: A-1/1 cLn.k- ' Tel. # 763 - 7Sy- S� 4 S CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ 99,1 Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ / $.50/$1,000 Valuation $ $1150 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 [ ] LR.Ti ilwi CMB CORDS OF HARVEY A. CARTWRIGHT C4111�� 0"IT & 401 J.E. (HILA_ CIVILEENd NEER ANOKA COUNTY SURVEYS 99TWILISHED 1899 MENNE COUNTYSURVEYSLAND SURVEYORS C. F. SANDHOFF MINNEAPOLIS SURRVEYSEYSCIVL ENGINEER 6410• PALM STREET N. W. REGISTERED UNDER LAWS OF STATE OF MINNESOTA [9T"L13H[D 100 SUHsI[T 4.7696 LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS Own[a JAMES NELSON 326 PLYMOUTH BUILDING FEDERAL 8-8721 SURVEYOR INDUSTRIAL — JUDICIAL HENNEPIN AT SIXTH MINNEAPOLIS 3. MINNESOTA. [STASLISHED 1922 BUSINESS - TOPOGRAPHICAL ,EI('b� Or�S+ �fTilftCdlC METROPOLITAN LAND p SURVEYORS. LSTASLISH[D 1971 CITY LOTS - PLATTING :1�3 ;l S tto Invoice 20531 ri1/or H /ii7 e 0;01, L v r` 2. 6,91158 SCALE . I"=50' foro—DENOTES IRONS � • � fi ra.�d purposes, c,) � 1 • 1 M IL) 1 I ilk vo RO OS as�0 1 C� ELx) N N m � 1 1 IV v I 1 j I her•3by certi-P,, that this is a true and 1 I I correct roprL-ssnt _tion of a survey of the t bounJaries of: I I l o E�s�rnert for o � � Me •,esJb � l n Lot 2 - AuRl or 1 s 9 feel, of ., ,... ` I c� rc�� purposes. I I 1 1.^ ., Subdivision :�1o. 129, !.no a Count.,,, 3nnesot�, ,' �. reserving the ::orth 30 Ie an': also the - - 96.0' South 30 feet for road purposes. -TO lJfh /iae o f L of 2. .nd of the loc tion of all buildings, if any frost or on said 1-m4.. It also sho,.rs the location of a proposed building but no stakes have been set "or such location. As surveyed by r. e this 13th day of 1" _y, 1959. C ' R..T W RIGHT AND OL90N ,% — 04W (Vphee &�a)eF rz (aTl) 5lsy 0002 A x—ze Nose LEoG£e� 116 Ff 'INI j4d? PAW MI�V YjZoyeg 141**V C�t X0,549 IL. c. xto do pWWI ow'lv tys-New AT 4 X,o�ADiC C14 ---- PSI i wwx I ( -.:�)Z.yI00 LC', fy\ uj I � AS y�}vSh - 4 NfAAtIt PLAN APPROVED UBJECT TO FIELD INSP TION P°5 'S \To- 64c p5 PowN aX10-10\S•1S f°f, Lowce peC4 40 (3t ;T 0 \ $-} Xf,q N L, ( R f !� f A-, ,Dr-oppc U HPC ID F9)"A ufeeR Dcck I� -oC- S4i �a }�c p�vbltD qfi otu Orr ?J A CCv trcx��}L 'rQ4�t 46/ i IZ 3 u SOS vs0 = I 1)s/J.i - i( ��do�d a�6�b7 rvb r d3H 5bl.4 `"k?) 75(\00 4utts%x3 1 �3av;N tsn13 (YQ S,J).6uwt} a(xr jo /Yo pivnol� o�NJ CI 1iJnt-7b}rVc-) 4rvnoJC) fflo c�,�t��/ d3�n slv�vr - skto!, Qe3yL ll AlQf 'N►LA✓8 sd�LS �f x buI VJN� r 30e)19 -4Y° s�y��i� Ndyy SSa� Si ��a� �S�ui1�bC� oN fSod �zodd,� 5 9Xh y�cl arX %s1 Qr11C 217g x 17/-7 �U�rr/ 1J 77f� susigbi r PERMIT NO. City of Fridloy 3 � : - AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. •__ _ COMMUNITY DEVELOPMENT DIV. v ��� INSPECTION SEC.! ,y r PROTECTIVE I.� CITY HALL FRIDLEY 5532 NUMBER REV DATE PAGE OF APPROVED BY 612-571-34,5p 910415 17/9 JOB ADDRESS1564 a / 75 A-veaue N51 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. i4-a it`or 1 E Sub. #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nuati:r k564 75 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO e d 4 i 55434 7n' 3-154'a 5646 0 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING 1 I CLASS OF WORK ' O NEW O„ ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE B DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS See notations on pl4n.I V G 17. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE F CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORD Op, CON$TRIJCTfgN ZONING SO. FT CU. FT AUTHORIZED IS NOT COMMENCED WITHIN ED DAYS, OR IF CONSTRUCTi`ON OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 12Q 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 VAL ATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 64CE, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y7� � .65 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. 414. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION M', �� r' PLAN CHECK FEE TOTAL iFE�(]]E yy,�U SrGNATUREOiCONTRACTOR OaAUTHORIZED AGENT roAiEr f /1' HEN ROP R, -Y VALIDAiEp THIS IS YOUR PERMIT ` Y 11VSP /I�— frAlE $GNATURE OF OWNEMIF OWNER BUILDER, MATEr:pU SUBJECT PERMIT NO. City of Fridley 0102AT 29 THE TOP OF THE TWINS BUILDING PERMIT L RE NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. _ /S r E PROTECTIVE E . F i --I " � CITY HALL FRIDLEY 55432 L NUMBER REV DATE PAGE OF APPROVED BY •-_.� 612-571-3450 910-F15 7/21/00 JOB ADDRESS 1564 75 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. Pt 2 Auditor's Subdivision #129 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marlin Munter 1564 75 Avenue NE 763-784-6123 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Minnesota Exteriors Inc 8600 Jefferson HwV, PO Box 266 Osseo MN 55369 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-391-5514 2877 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 Reside House; Soffit/Fascia 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. Install soffit ventilation to meet the State Building Code. I 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 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 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 5.35 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $10,700 $ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. Fire SC $10.70 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $195.25 PLAN CHECK FE TOTA EE Lice S $5.00 $216.30 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI ENROPER ALIDAT D MIS IS UR PERMI S-GNATURE OF OWNER,IF OWNER BUILDERI IDATEI BLD INSP rI E NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: Effective 1/1/99 Tel. #r/ — , d iN �.Sd &�LC�2S � vIN LICENSE # Tel. # 7J� Attach to 's application, a Certificate of Survey of the 176-3 s lot, with the proposed construction drawn on it to scale. J,DESCRIPTION OF EIAPROVEMENT 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: Gam- Estimated Cost: $ / 6 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: � APPLICANT: Tel. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: g 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 [ ] Building AND MATERIALS: BUILDING (USING THE 010 Permit No.:o�(�U`6- /00 Inspections 0 RESIDENTIAL APPLICATION Permit Fee Received By: 763-572-3604 Plan Review CITY OF FRIDLEY of Building Permit Fee DIERAAN 25 2000 763-502-4977 FAX .001 times tyle total job valuation Surcharge $ 6'S0 .0005 x Permit Valuation Minimum $.50 License Surcharge EFFECTIVE 1-1-08 $5.00 (State Licensed Residential Contractors) SAC Charge DATE ` YOUR E-MAIL ADDRESS C.�aerl2,nP u9e��P 11 61.CI . CCFA SITE ADDRES 115 (a Lk -15 1-1,3 :eEi�%�M Erosion Control THIS APPLICANT IS: 19 OWNER ❑CONTRACTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: 11 0r\ CSL' Fee Determined by Engineering ADDRESS: IS` '�S NX �"`r \ _� �i' CITY � STATE N►H) ZIP TENANT Total Due PHONE: �5I si k '15CICt Make checks savable to: Citv of Fridlev Attach Stipulations NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE &SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE f ❑ DECK 13 SIDING & OTHER We�LiP_i '0 ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: a, keoactezd SIZE OF IMPROVEMENT LENGTH AV q-- Qi WIDTH HEIG T SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 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: El Aluminum ❑ Trim l . Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 010 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 0 OCCUPANCY TYPE Permit Fee $ 35,-70 See Back Page for Fee Schedule Plan Review $ oZ 365% of Building Permit Fee Fire Surcharge $ 0A = .001 times tyle total job valuation Surcharge $ 6'S0 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ — ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary (>C) Total Due $ r) Make checks savable to: Citv of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and 1 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 yvith 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 on site; that the work ,11 be in accor withth approve ' , the case of all work which requires review and a proval of plans. SIGNATURE OF APP AN PRINT NAME 42A/CI�i i� y' L i'1in E' DATE Cl 1 APPROVED BY. SEPARATE DA 1) F -T 2t o4 Building- AND MATERIALS: BUILDING Permit No.: GO 11A TOTAL JOB VALUATION $ cl OCCUPANCY TYPE Permit Fee $ Inspections Plan Review RESIDENTIAL APPLICATION 65% of Building Permit Fee Received By: 763-572-3604 Surcharge CITY OF FRIDLEY �m .0005 x Permit Valuation Minimum $.50 Date 763-502-4977 FAX 00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow EFFECTIVE 8-19-09 ft + 6 ft = ft x $22 = $ Erosion Control DATE`� - \S- O � \ YOUR E-MAIL ADDRESS � IOC C P �S kid ; 4l G C-1, SITE ADDRESS ,!3Ul Sewer Main Charge THIS APPLICANT IS: ❑ OWNER`CONTRACTOR Total Due PROPERTY OWNER/ 0\I u(\Q— NAME: \ TENANT ADDRESS: \ S U y --IS {1 Ave CITY �� � V,1� STATE/A 4/ZIP PHONE: 1 lob - --7 17 - 1 LO (p CONTRACTOR NAME: 3: zC C o hLe p kS SUBMIT A COPY OF STATE LICENSE #L�� y LI EXPDATE (— YOUR STATE LICENSE c�1 C�C'lU AND CERTIFICATE OF ADDRESS: CII St- CITY CSA irQ STATFr4'1 ZIP SW y 9 INSURANCE PHONE I FAX PROPERTY TYPE A SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STOVAS— PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHEDWINDOWS ❑ BASEMENT FINISH 13 ROOF DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ DDITION ❑ MAINTENANCEIREPAIR ICRREMODELING DESCRIBE WORK BEING DONE: F,$V155 UM V`O OWJ r 1J-66— U - '.n SIZE OF IMPROVEMENT LENGTH WIDTH HEAT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 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 ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS4Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENING9-B'ESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF 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 $ cl OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ �m .0005 x Permit Valuation Minimum $.50 License Surcharge $ 00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ -in1.1 0 Make checks savable to: Citv of Fridlev Attach Stipulations 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 wor is n o start without a permit on site; that the work will be in accordance with the approved plan in the case o whi �!�PRINTNAIVIE approval of planes". SIGNATURE OF APPLICANT �DATE�/ ( ��J C k t- t, VN CON40=VTQ ROOFING S REMODELING • PRESSURE WASHING 5629 157th ave. Ramsey, Mn 55303 • phone 612-501-5126 • fax 763-208-9621 • Licl 20448421 5"L - aos� 44 Ill h2i�14 Wax I 14pptnox I —I �- 0 1 Top \J� Building Permit Fee BUILDING Permit No.: Inspections $ RESIDENTIAL APPLICATION Received By: 763-572-3604 1UJ .001 times the total job valuation CITY OF FRIDLEY n 763-502-4977 FAX License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge EFFECTIVE 1-1-2010 $2100 per SAC Unit (Plans to MWCC for determination) DATE 6,O 201V YOUR E-MAIL ADDRESS ft + 6 ft = ft x $22 = $ SITE ADDR16SS J (J ? 9�� $450 Conservation Plan Review THIS APPLICANT IS: I TOWNER ❑C�OeNTRACTOR Fee Determined by Engineering PROPERTY OWNER/ NAME:/" Pi, Agreement necessary ( ) Non Necessary ( ) TENANT ADDREss. CITY ~�o iCO/r', �' `l?� STATE ZIP7 , PHONE: CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE# EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEtSHED fiPWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER- ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE:�� SIZE OF IMPROVEMENT / LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: MB NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 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 I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS 194 -es ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED0' J,i& ?/NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ /0 J OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 1UJ .001 times the total job valuation Surcharge $ �, .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ U Make checks Davable to: Citv of Fridlev Attach Stipulations 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 ypeit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of 41!JJ�fh re view and approval of pla�fs. SIGNATURE OF APPLICANT ` F� PRINT NAME�f i�v�i�(� `�i�P DATE—a �Z -� : Building Permit Fee BUILDING See Back Page for Fee Schedule Permit No.: %(0-01110 Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By:OA 763-572-3604 Surcharge CITY OF FRIDLEY .0005 x Permit Valuation Minimum $.50 D Ct4ny 763-502-4977 FAX $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow EFFECTIVE 1-1-2010 ft + 6 ft = ft x $24 = $ Erosion Control DATE 1 i - /d -/O YOUR E-MAIL ADDRESS Park Fee SITE ADDRESS / -t/- V ? S ti 4v¢ ILC Sewer Main Charge THIS APPLICANT IS: ❑ OWNER -❑CV�t)NTRACTOR Total Due PROPERTY OWNER/ NAME: L.'iar/cr+e t.^%/e TENANT-7 I S-6 �/ 7S /�vc ✓�� CITY �P.'p/e7 STATE/'/- ZIPSS cJ ?X PHONE: -767- ?/'7- /%-CONTRACTOR CONTRACTOR NAMEA6,4664 ¢•'+��✓s/,�,� -09A On,ve .fct Lr.adcjL-) STATE LICENSE # aQL JS'0 / p EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: 76 /U L;z �cic 44/®u CITY 4 -`i 4=el./ STATE/hPZIP-1S W 7 INSURANCE PHONE & poi -& 4 ' t 9 of f( FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED AAMNDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAINTILE ❑ DECK -O'SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION 14ffl4AINTENANCEIREPAIR le] REMODELING DESCRIBE WORK BEING DONE: Ac-e- r.y 14a� % SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING 17 HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: 1DIN $1Vinyl FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: ❑Soffit ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U-VALUE AND OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: .r rer HE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ U See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge _ $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ _ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due _ $ w Make checks a able to: Ci of Fridle Attach Sti ulations THIS IS AN APPLICATION FOR APERMIT-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 on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT -z cc& -`Z� PRINT NAME 1-�fi— DATE I 1 /D - /'0 !! I a�- ys he -1