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PRE 2010 DOCS52-84-s915.51 City of Fridley Application for Plumbing and Gas %thing Pence Dept. of Bldgs. Phone M-3490 DESCRIPTION OF WORK 55 N E 75th Way Number, Kind and Location of Fixtures Location- WATER ~Zg n Z • Location WATER HTR. 12 zoZ0F- KZ w �z y 9 d • N GAS ELEC. c8e o� PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... ..........:... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ Water Beater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater 0 GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... Base Gas Range to 199,000 BTU .............. x $5.00 $ Gas Dryer 1 5.00 REPAIRS & ALTERATIONS—Refer to Code Iruit qasl Description ............................................$ Dryerl TOTAL FEE $ 5.00 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer � Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... ..........:... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ Water Beater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Dryer 1 5.00 REPAIRS & ALTERATIONS—Refer to Code Description ............................................$ TOTAL FEE $ 5.00 City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Annn 9-17-68 19_ Owner noger Welch Kind of Building frame res Used as To be completed about 9-22'-68 Estimated Cost, $ 10.00 Old—New. Building Permit No Permit No. Signe • u By Business Phone No ROUGH FINAL 3- - � -7 42 SUBJECT . City of Fridley i77965 AT THE TOP OF THE TWINS ?1 BUILDING PERMIT /.1 R I COMMUNITY DEVELOPMENT DIV. INSPECTION r � � PROTECTIVE SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY '� LL 612-571-3450 910-F15 8/29/88 JOB ADDRESS 55 - 75th Way N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 Niemann Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Craemer 55 - 75th Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Twin City Storm Sash 10825 Green Briar Road, M.Innctonlm 546-8150 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION j7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Owellin.4 9 CHANGEOFUSEFROM 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 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,000 $1.50 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. $54.00 PLAN CHECK FEE TOTALFEE l OdC' �r (-:�g-" $55.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) r WHEN PROPERLY (DATED THIS IS YOUR PERMIT BLDG (NSP flpT SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW I ] City of Fridley Effective 5/1/88 ADDN I ] R-1 AND R-2 ALTER I ] Building Permit Application Construction Address. S ��' /(! Legal Description: Owner Name & Address: Tel. ODntractor: --7,02/v C�,'�i�1 ���/ �/9�� / Tel. # SY01-W10 Address: �Oa ' �/�i�/ ,(F��ir' �CDi9c✓,/1/7�K� Attach to this application, a Certif icate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT_ LIVING AREA: Length width Height Sq. Ft. GARAGE AREA: Length Width Height Stl. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. 12MEEL. ODrner Lot I ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: OeF -Si�Qi Estimated Cost: Approx. Completion Date: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ Width + 6' See Back Page PATE: ' g� APPLICANT: c ��dC ��4� Tel. CITY USE OILY Permit Pee $ Fee Schedule on Reverse Side State Surcharge $ j $.50/$1,000 Valuation SAC Charge $ $550 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. 'B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary I ] Not Necessary I ] TOTAL $6} •=21 STIPUIMIONS: f 01 SUBJECT City of Fridley P,5n." 7 4 9 AT THE TOP OF THE TWINS BUILDING PERMIT r ' , �• COMMUNITY DEVELOPMENT DIV. 572-3604 RECEIP . _ _ ___ v ------ PROTECTIVE INSPECTION SEC. � NUMQER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/18/01 JOB ADDRESS 55 75 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 Niemann Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nancy Wadel 55 75 Way NE 571-6477 3 CONTRACTOR MAIL ADDRESS ZIP ,PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House (13 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 BO 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 @ @ .66 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `Y19329 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- $50.95 Fire SC $1.33 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK EE TOTAL FEE 52.94 S. TURjj0FCOPf-RKj0AOfiAUTHO ZED AGENT 40ATE��IWH PRO Y VALI A D THIS IS YO R P MIT ®l261 SSG AYURE O NEA;IFOWN RBU4DERi tOATE, afoG iNSP f 01 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: SS %�yy,4-61 Legal Description: Owner Name & Address: Tel. # 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. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: IJG/S1' / a Construction Type:��� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ / r DATE: /�' APPLICANT. Tel. # 7��r CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL &VIall �filEel 1,6-3 Call (763) 572-3604 for Permit Fees if mailing in application $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ (,p 6-3 $.50/$1,000 Valuation $ $1150 per SAC Unit $ $5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 319 9 7 r RECEIPT NO. i -------- • _ COMMUNITY DEVELOPMENT DIV. ; PROTECTIVE INSPECTION SEC. 672-3604 A/� r E � 1 ; � CITY HALL FRIDLEY 55432 NUMBER REV DATE 7/17/01 PAGE OF APPROVED By 612-571-3450 910-F15 JOB ADDRESS 55 75 Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 2 Niemann Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Nancy Wadel 55 75 Way NE 763-571-6477 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION j7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace front step; convert window to sliding glass door; construct 9' x 12.6` Deck; ResideHouse; sortit & tascia "'W""ING WAoing 9 CHANGE OF USE FROM TO Before digging call for All 'owns. 11 STIPULATIONS 454-0002 See notations on plan. ����� Provide smoke detectors in all sleeping rooms and on AYa ��� dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. 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. Cali for inspection of wrap before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. " NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $4 $532 2.27 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- $111.25 Fire SC $4.53 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE OTAL FEE zi $118.05 SIGN ATUREOFCON "RACTOAORAUTHORIZED AGENT tDATEi H P LY V ATED THIS IS UR PERMIT B DG -NSOnATE GGGGGG////// S,GNATURE OF OWNER.-F OWNER BUILOERi iDATEI NEW I l Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R BUILDING PERMIT APPLICATION Construction Address: 5 7, Ite Legal Description: Owner Name & dress: 4j,4 Tel. # &3 Contractor: MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height OTHER: Dhl`S�yxo SO v Construction Type: Estimated C Sq. Ft. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft -c $ _ $ DATE: 7 "D APPLICANT: Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge 1le11r\R STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ /// *IS Fee Schedule on Reverse Side $ 7YSea .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 [ ] $ f/ I. -11 :SL A" r.9b.. cz. 9 C -i "Ir �,�oNT S�'/�S Ava) I 104 jkf7A64 00, Ile LA