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PRE 2010 DOCSCity of Fridley SUBJECT P AT�55 AT THE TOP OF THE TWINS BUILDING PERMIT r � R i • ______ COMMUNITY DEVELOPMENT DIV. L r PROTECTIVE INSPECTION SEC. 7y�5� ` I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/7/79 % JOB ADDRESS 1430 - 76th. Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Meadowmoor Terrace --It& aA/D SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Garjac Construction Inc. 625 North Highway #10, Blaine 784-6850 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESSZIP PHONE LICENSE NO. TNF CITY OF FRIDLEY DOES NOT 5 ENGINEER MAIL ADDRESS y Or U11LITY LOCATIMS AND PLVATIONENSE NO. Th1IS DATA IS FOR INFOrMATION PU" 8 USE OF BUILDING ON THE SITE OUI,D VERIFY THE INFORkWTC)N Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 44' x 26' Dwelling and a 33' x 22' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide City with copy of verifying survey before capping. Provide sod in the front and side yards. SEWER LOCATION: 97.5 feet west of manhole (W. Inv. 888.27) WYE ELEV: 887.89 TOP OF FOOTING: 890.89 Minimum WATER LOCATION: 12' West of Sewer Service DRIVEWAY DEPRESSION COST: Not required but it would be recommended. (Paid 16' + 6' = 22' x $15.75 = $346.50 Curb cut to be made in March of 1980. WARNING BEPERATE PERMITS REQUIRE® FOR WIR11V Before digging call local utilities � TELEPHONE -ELECTRIC -GAS Etc. HEATING, PLUMBING AND SIGR& REQUIRED BYLAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $51,750 $25.88 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 PROVISIO OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $425.00 STRUCT) R THE PERFORMAN E OF CONSTRUCTION. $121..39 CHECK FEE TOTAL FEE XCAD-XIPLAN $30.35 1 $602.62 SIGNATURE O TRACTORO AUTHORIZED AGENT )DATE) WHEN PROPER VALIDATED THIS IS YOUR PERMIT - BLDG WSP OA SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI 11 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: C��,� BUILDER: ADDRESS: 5 /-4 ADDRESS: TEL NO: --) � `/ 5-0 TEL NO: Construction Location STREET NO: l�/J o STREET: �''� /V LOT: BLOCK: ADDITION: �� ' %`�®G L j��'/c �' << /P�V�C� 2`0 Corner Lot: Inside Lot: ��^ Setback:T Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION ,fes Front: �7 Depth: Zeg Height: Squane. Feet^ Cubic Feet: Front: 3.3 / Depth: ZZ Height: Square - Feet: Cubic Feet: Type of Construction: - Estimated Cost: $ L To Be Completed: 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 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 a ym true and coect. DATE:i (j`�/ �' / SIGNATURE: Stipulations: • T1� ' 3pL on. cvor7 121►3�► � 3p.3s c� 44 01.5. oej I-- Uc.Scj d. ggey. i7.'V _ Z W�101 h �S - , • CS Lest )(70 Nos X1 oJJ ' A 1 x '��, I �I 901L� � � S a C',�''t X 7 Z r ZI ` ''!."3 vy - -- —--------------------------- -------------- Not --00 1 fl 9 tr 611�,b 's10Yl MAN ' aH s 64 MO/NitlElpO h+ ar . a w 5'432 WK) 6510 ��® .t h S1,rn:.,�r f q9.� "r F • .. r. 7. . ^F • f j.:n .. v np � .rid /':vu!±nA r i( �, r P...1 Certificate of Survey for ft.a.Bk 01" '1(0-'-" AvLa w C 15.30 -AV(------------ r��ti �, OVIV SNF° B 0 A/, 1 97r'�D _Befue digging call local util'oii0t TELEPHONE - ELECTRIC - CAS Etc. . _�A�G / 3v � f�ii�s ��n rno►�u��j LOT 840cg IVERDON/r�OOR 746MR4CE 2v-- *01r-� 1 hereby tortify that this is a true and correct representation of a survey of the . boundaries of the tlsttribd toad, and of the location N all builds ►, then, and all visible encroachments, if any, froth or on said toad. As surveyed by me this day of A.O. 1V'r'— SUDURBAN iNG1NNIAIN0, INC. Entine �s •arreyeRs wished: A111tightl Reseraad cw, 9Y7. OF �l y D/zk,) pf f��ss,d� �. = .mor ly- cc�d vim, � 7-/-;,,-r pe,57i5 3/c5,-1 eyr CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE to - N=ber Fixtures x $3.00 m Future Fixture Opening x $2.00 o New Fixture, Old Opening x d $ Water c i .0°i Water Heater - to 99,000 BTU a $5.00 ci f w M q b w w w $ New Ground Run Old Building Heater -4 o a x C m GAS FITTING FEES: p 3 w 4 d x � u Additional Fixtures x $1.00 $ �^ Gas Range to 199,000 BTU x $70.00 $ REPAIRS & ALTERATIONS o _$5.00 .ci each add. $100.00 or fraction $2.00 $ 0 u a ani w 3 w° vii rA4g tai w a 3 c� lec 1st 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer V) a New Fixture, Old Opening water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL - N=ber Fixtures x $3.00 $ fig.00 Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: lot 3 fixtures x $3.00 $ . Additional Fixtures x $1.00 $ �^ Gas Range to 199,000 BTU x $70.00 $ REPAIRS & ALTERATIONS First $100.00 _$5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ • �� =INSPECTION FEE ($10.00) Job Address J ted'® 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 application are ctrue and correct Fridley. Mn. .� / / . 19 OWNER r2 - KIND 2KIND OF BUILDING USED AS TO BE COLLETED ABOUT ESTIMATET OLDNEW ING PERMIT NO. PERMIT NO.. Company v✓ S ' R AC Signed Lj Sy �_ r" Tel. Nc °d9 �7 L, / /2 y ROUGH INSP. ' Date - FINAL INSP. 3 " !a A 8 C Date APPROVAL FOR PERMIT MINIMUM FEE FOR ARTY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCSARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTU-1S AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARIM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $' * Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 4 MIEC.IANICAL I';ARNI AIR: ni rnace Shell &• Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $_ *Replacec!ent of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ S _aV.f OR FDT SYSTEM: Boiler & Lyres up to 100,000 BTU $12.00 $ each adds. 50,000 BTU 4.00 $ Eo:ler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 5.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ !� (over 199,999 BTL` see Fee Schedule) $ GAS FITTING PEES: lst .3 Fixtures x $ 3.00 $_ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU X. $10.00 $ AIR CONDITIONING � $ FAN HEATING SYSTEMS $ See Fee Schedule VENTILATING SYSTEMS $ ALTMRITIONS $ IMPAIRS $ State Surcharge $��.So TOTAL FEE=� ROUGH INSP. REINSPECTION FEE Date ($10.00) FrIAL INSP. 4e / ,e® Date APPROVAL FOR PERMIT MINIA:UM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form Job Address /I/ I—)_ (�' — 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 application are,true and correct. j Fra°da.ey, Minn. — �, 19 r OWNER CZ_ / /,// KIND OF BUILDIN-GG USED AS L ' TO BE COMPLETED ABOUT ESTIMATED COST / OLD NEWBUI DIN�BERMIT NO. PERMIT NO. �) DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTT.'/�dG HP Total Connected Load I)Z�) Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP ®R(® rs'AN A9t� Company X489 �7 �sy �C1 INC. Signed By C May ®5s492 Tel. No. J : March 24, 1980 Reg" 110OR 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 56432 Mr. Gary D'Aigle Garjac Construction Inc. 625 North Highway #10 Blaine, MN 55434 Re: Final Inspection at 1430 - 76th Avenue N.E. Dear Mr. D'Aigle: 1 TELEPHONE ( 012)571-3450 A -final inspection was made on March 20, 1980 at the above address and the following items were noted which. must be completed before the structure can be finaled out; 1. Provide City with copy of verifying survey by April 10, 1980. 2. Construct a retaining wall to maintain proper cover for the frost footing along the west side of the garage by June 30, 1980. 3. Provide sod in the front and side yards by June 30, 1980. 4. Provide a hard surface driveway by June 30, 1980. We will expect the above items to be completed by the scheduled dates when a reinspection will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, r. DARREL G . ' CLA Chief Building Official DGC/mh CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 PLUMBING FIXTURE RATES: Effective On January 1, 1997 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Wash bink Floor Catch Auto. Gas Gas Mise Water Heater Shower >Sit�k Tray FaUnt Drain Basin Washer Appl. Range Fixt Gas Elec NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7,00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** _� $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance A6,0 o State Surcharge $ .50 TOTAL FEE $4.3® JOB ADDRESS _/'q3O 76x1 ';5 A(,% The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 7— 14 1997 Owner ,5A- ra E Building Used As Estimated Cost %O °� PERMIT NO. PLUMBING COMPANY__ SIGNED BY TEL N0. ^n Approved By �( Rough—In Date Final Date MINIMUM FEE OR ANY PLUMBING/GAS PERMIT IS 12o_ao PC "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. 9 SUBJECT MIT NO. City of Fridley 28956 AT THE TOP OF THE TWINS BUILDING PERMIT �REC NO. v ______ COMMUNITY DEVELOPMENT DIV. SEC. r 1 PROTECTIVE INSPECTION 1 � = 1 "'1 CITY HALL FRIDLEY 53432 NUMBER REV DATEPAGE OF APPROVED BY 612-571-3450 910415 1/99 3 /1/99 JOB ADDRESS 1430 76 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Meadowmoor Terrace 2nd SHEET 2 PROPERTY OWNER MAIL AODRES$ ZIP PHONE David/Karen Sathre 1430 76 Avenue NE 786-9625 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Home Products 3770 West Broadway, Robbinsdale, MN 55422 521-7211 2332 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 Reroof House & Garage (24 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code.., 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 1 HAVE READ AND EXAMINED THIS APPLICATION ] 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,056 $1.03 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. STR CTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 FirA SC $2.06 PLAN CHECK FEE Lice $5 0V TOT FEE $82.84 ` � f q 1 Si NATURE FCON TRACTOR ORAUTHORIZED AGENT iDATE- HENOP OPfAvr I&JOURPER i 8 G SNS 0A1E S-GNATURE OF OWNEROF OWNER BU4DERi MATE, 9 NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: / �/3®— 7� p: /�L� Legal Description: 5 o ,v, e -- Owner Name & Address: br ,-d vt- Contractor: Address: 3!1?0 — Effective 1/ 1/95 Tel. #776 — F6, S MN LICENSE # ;233,->_- Tel. 2.�� Tel. # 521— % L� 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: &--P T10• Estimated Cost: $ ;Z, & 5'6. o o Approx. Completion Date: — !S— a q - (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. I d a CITY USE ONLY ^ �7 ,/ Permit Fee $ `� /S Fee Schedule on Reverse Side Fire Surcharge $ c�- 06 .001 of Permit Valuation (1 / 10th %) State Surcharge $ 1,03 $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ 60 $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: :,ITY OF FRIDLEY INSPECTION D.IViSION Effective On May 10, 1999 5431 University Ave NE =ridley, 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 c�, Furnace Shell and Duct Work, Burner - r�.,� BUILDING USED ASS Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) ESTIMATED COST �• � PERMIT N0.��5 C Gas Piping (Needed with new furnace, $ 10.00 $ 'oc but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ - No. of Heatin nits Circle Cne (Steam) ( Water#-� arm Air) Gas Dryer $ 10.00 $ Trade Name ��' Size No. U �� J ,1 BTU-�� j �--� HP EDR "Air Conditioning - All Sizes $ 25.00 $ M Fuel,�k��V!?2 -; Total Connected Load � J All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR 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 ar 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 $ - ARQt WY, �NC• , JByRough-In 61OON RAf� c COON RAPIDS. MN La r ran c\ MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 57-5040• REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr'Air Conditioners can not be placed in a side yard without ugh -In DateCFinalwritten permission from adjoining property owner. FILL OK VERIFICATI T FURNACE rt ' CHIMNEY AND STACK VERMCATION 5. The undersigned hereby verifies that the existing chimney or stack: - 1. Has been carefully examined Yes (x) No ( ) 2. Is free from rust or deterioration Yes No O /= 3. Has no foreign objects lodged within Yes (x) No 4. Is securely supported Yes (o. -No ( ) - 5. Meets all current Code requirements for.size and total BTU's connected Yes No ( ) 6 Has total heating BTU's of /®d, 00 All other BTU's 341 6-00 a TOTAL BTU's / 3% Tv 7. Has a liner been provided for water heater Yes ()o No ( ) 8. Has combustion air been provided for water heater Yes ()j No ( ) Remarks:. List ALTERATI n 3eing_Done: n 4. ; In = r3 Y i3 y a z ro fU DEPENDABLE INDOOR AIR QUALITY, INC. 2619 COON RAPIDS SOULWARD COON RAPIDS, MN 55433: HEATING CO: (612) 757-5040 Signed By: Date: SUBJECT PER City of Fridley f AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. w PROTECTIVE INSPECTION SEC. jL/ `/`/7 NUMBER REV GATE PAGE OF APPROVED BY l CITY HALL FRIDLEY 55432 -.--�--n L 763-571-3450 910-F15 6/20/03 JOB ADDRESS 1430 76 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Meadowmoor Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave & Karen Sathre 1430 76 Avenue NE 763-786-9625 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window Lite Home Improvements 8400 89 Ave N, STE 460, Brooklyn Park, MN 55445 6 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-425-2227 20039258 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 Replace six windows within the existing openings 9 CHANGEOFUSEFROM TO STIPULATIONS 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. Caulk and flash all exterior openings. Person Cards X11 � ai6ed T® H®tee®�€ aar To Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $6583 $3.29 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 cerise SC $5.00 $154.12 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY VALIDATED THIS IS YCIUR PER IT _ 6 � L G IN$D �IAiE S-GNATURE OF OWNERIIF OWNER BUILDERI IDATE. )5q /z NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTERLIQ 1 I U� 1 6 ENTa�ING BUILDING PERMIT E FAMILY AND APPL CATION D R-2 Construction Address: N� -'7& �b 0-L) e /3 . F - Legal Description: Owner Name & Address: (fit J e_g- Tel. # `/lam/�,�!®- Contractor 4 is d w)- epi)e 1�bv» e� � MN LICENSE # x/0&69 �5f Address: Nob- f9f OWE Tel. # `AlA - 1475 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: Construction Typell )r` Du.) 11la e-® rr3zra-� Estimated Cost: $�� , Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: APPLICANT:d Tel. 41 5- �RdP7 Call (763) 572-3604 for Permit Fees if mailing in application or Fax 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 Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ l39 as $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] STIPULATIONS: Building BUILDING Permit Ivo. Inspections RESIDENTIAL APPLICATION Received B aA 763-572-3604 CITY OF FRIDLEY D 9 763-502-4/+977 FAX EFFECTIVE 1-1-09 DATE ,O YOUR E-MAIL ADDRESS I/ J 4A ® �� l • C 0 SITEADDRESS ILI 3U %z9 Ue- AA THIS APPLICANT IS: DOWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: 0,4yio ,S''+P4'1z ADDRESS: / 3� 7� f-- 4L c N CITY IOLEY STATE/r4--uZIP .53-`13 Z TENANT PHONE: CONTRACTOR NAME: lit) A L_ JZ . STATE LICENSE # y 2 - I EXP DATE.3 d" `o SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: 2Z % Gwoo Ao CITY sr A""'- STAT�/yLLIPS�/� INSURANCE PHONE I — Z S� — v `i [ v FAX &S-1- PROPERTY TYPE RrS—TNGLE FAMILY/NFW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH-O'KOOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION AalZRINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ ROUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ,, MOUSE & 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: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING 13 Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑Trim l . Site Plan/Survey showing the existing structures ❑ Other ❑ Fria 2. and proposed project. 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 TIE 1$97 U.B.0 FEE SCHEDULE) VALUATION Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due THIS IS AN I hereby apply for a building permit and I conformance with the ordinances andco permit but only an applicatio ermit approved plan in the case of all w� SIGNATURE OF APPLICANT 4"zEW1 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) R+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach FOR A PERMIT -NOT VALID UNTIL PROCESSED that the information above is complete and accurate; that the work will be in Fridley and with the Minnesota Construction Codes; that I understand this is not a not to start without a permit on site; that the work will be in accordance with the w and approval of plans. % PRINT NAME -yu:- V C) J Nti DATE / b