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PRE 2010 DOCS.City of Fridley, Mm. BUILDING PERMIT N° 5 5 0 9� Date: �rE» Owner: Builder Address Address CAIMO O DI G No. 7 Street Part of Lot Lot __ Block Addition orSubaDi on01' Corner Lot _... Inside Lot tback Sideyard Sewer Elevation — F dation Elevation DESCRIPTION OF BUILDING as: op F�� y�, is Front' Depth. Height Sq. Cu. Ftjn Fro Depth - eight Sq. Ft. Cu. Ft. Type of Construction�_ 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 aJl provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ , permit is hereby granted to to construct the building or, addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon viola on of any, of the provisions of said ordinances, ,may W /0007 - Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for thou hams. SuBjECT PERMIT N . City of Fridley" 23807 AT THE TOP OF THE TWINS BUILDING PERMIT T N O. • COMMUNITY DEVELOPMENT DIV. _ r PROTECTIVE INSPECTION SEC. � � NUMBERREv DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ' 612-571-3450 910415 10/16/95 JOB ADDRESS 1621 76 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Ouimette Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne Brown 1621 76 Avenue NE 784-0174 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Allstar Construction 3315 N Hwy 100, Mpls., MN 55422 593-5325 3247 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 El NEW O ADDITION ❑ ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Qarage ( 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 REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,950 $1.48 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. $74.75 Fire SC $2.95 PLAN CHECK FEE TOTALFEE �kX_p � R cense 84.18 SIGNA RE OF CONTRACTOR OR AUTHORIZED AGENT MATE I WHEN P'R/jOPE/`VALIDATED THIS IS YOUR PERMIT BLD INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 8/1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor: Address: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Lepgth Width Hgt/Ground Sq. Ft. OTHER: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Aliprox. Completion Date: (Cost on Back) <-riveway Curb Cut Width Needed: Ft. + 6 Ft = F�x $ _ $ DATE: f APPLIC Tel. #, Sq �j-���'� CITY USE ONLY .Permit Fee $ %`� , `%S Fee Schedule on Reverse Side Eire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge LIP-) $.50/$1,000 Valuation 'AC Charge $ $850 per SAC Unit :Acense Surcharge $ QCT $5.00 (State Licensed Residential Contractors) 'riveway 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 $ I °mTIPULATIONS: M CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 2002 Q 6431 University Ave NE , Fridley, MN 55432 APPLICATION FOR ftWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS- I RATE SCHEDULE OWNER �ICl/tA. ��SAf S CK., ro Residential Rate TOTAL Furnace Shell and Duct Work, Sumer - 6UILDING USED AS cu a Also Replacement Furnace $ 30.00 (Side Vent • Fill Out Back) $ ESTIMATED w COST PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF' fUgNACE AND OR NSR s Gas Range $10.00 $ r` Gas Dryer $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name i � Size No. 'Air Conditioning . All Sizes $ 25.00 $� BTU HP EDR Fuel Total Connected Load d All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% o(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 c specified agreeing to do all work in strict accordance with the City Codes an 43 State Surcharge 5 .50 rulings of the Building Division, and hereby declares that all the facts and -4 = TOTAL FEE $Ab representations slated in this application are true and correct. W DATE J MINIMUMLEE FOR ANY HEATING/CGOLfNG/VENTILATION � R 4Q9 HEATING CO W REFRIGERATION/AIR CONDITIONING PIERN T IS S25 00 PLUS THE 5.50 STATE SURCHARGE Signed syo4yk TEL # 14-7971 FAX to REINSPECTION FEE $47.00/Hr W G "Air Conditioners can not be placed in a side yard without Approved By Rough -in Dale` Final Date written permisslon from adjoining property owner. v CU FILL OUT BACK SIDE FOR STACK VERIFICATION Ofy REPLACE TENT Fly NACU � 0 I 7 rl CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2002 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, �r9 (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS W,1 7�nAU AYE RATE SCHEDULE OWNER I/05 -f ayN5i ,_ Residential Rate TOTAL Furnace Shell and Duct Work, Burner - 36-06 BUILDING USED AS lov�t� Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) $ ESTIMATED COST $7 ©� 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) /arm Air) Gas Dryer $ 10.00 $ Trade Name ._k mo,r-Q_ Size No. GMT 20— 3 BTUQ© � HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel (las 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 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 2 >, representations stated in this application are true and correct. TOTAL FEE $ J�"� U C2 . 8 .0.2— DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING COL it L� im "A k, REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed TEL #(76 q7 - FAX #� �/ REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date //• ,2S-O--� written permission from adjoining property owner. THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When ra i;� aningan eY*�ng gran _ _, 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 (, r 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 amkefflng rnmhustinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to inetall a naw _nmb jctien airs d will be sized and installed to meet the current codes and manufacturer's specifications. Yes (L -f No ( ) When installinn a new venting -syc m, 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 #1 Type 6rs-c A 4r BTU Input!30600— Fan Assisted or Nat Fecn 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 Heightft 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 CO:HEATING 94-0-1 Signed il1'i I _< / \ ,lam i - i -7'7S" Building WELDING Permit No.: Inspections RESIDENTIAL APPLICATION TOTAL JOB VALUATION $ Received By: 763-572-3604 CITY OF FRIDLEY Permit Fee Date Rec'd:�3 763-502-4977 FAX See Back Page for Fee Schedule Plan Review $ 1 Cill 1 EFFECTIVE 1-1-2010 Fire Surcharge $ DATE 3 i) YOUR E-MAIL ADDRESS ,Z3R✓ 00 t1P<JiD9017%�r VISI e SITE ADDRE S % 6 +�9' 76 rA 0� $ THIS APPLICANT IS: ,� OWNER ❑CONTRACTOR .0005 x Permit Valuation Minimum $.50 PROPERTY OWNER/ NAME: I QIV'17 y .0 15dexegv ADDRESS: Q fel LIJ A4O✓ lsf' ®eF' CTTY ��Nt� S STATi z>P �` TENANT PHONE: &-V"/ Curb Cut Escrow CONTRACTOR NAME: ft + 6 ft = ft x $24 = $ SUBWT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX Sewer Main Charge PROPERTY TYPE /NEw CONSTRUCTION SIZE Agreement necessary ( ) Non Necessary ( ) Total Due ❑ O FAMILY/NEW CONSTRUCTION STORIES °i I PERMIT TYPE ❑ ADDITION dRGARAGE/SHID ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE DECK ❑ SIDING ❑ OTHER ❑ SVANDANG POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION XADDTTION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: RTf a r 64N - F—Po-v-1 e✓w% VC& 4-90F SIZE OF IMPROVEMENT LENGTH ZZ WIDTH HEIGHT /7 SQ FT FING ❑ HOUSE ONLY ❑ BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES HOUSE & GARAGE 1. Existing Floor Plan GARAGES dATTACHED GARAGE 22X Z 2 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE PROPOSED HEIGHT: I 3. List of structural members to be used SIDING J (A Il9 Vinyl �a0r�t (CGS ❑Soffit Y FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: Aluminum _ � �7�(e 1. Site Plan/Survey showing the existing structures and proposed P%1ect rOther_�� l�� � ❑Fascia ,} 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS [Wes ❑No LOCATION OF WINDOWS { FOR WINDOWS —PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF I 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: (USING0T6 1 U.l� SCHEDULE) TOTAL JOB VALUATION $ �F�E OCCUPANCY TYPE Permit Fee $ 4011.1s See Back Page for Fee Schedule Plan Review $ 1 Cill 1 65% of Building Permit Fee Fire Surcharge $ 12.143 .001 times the total job valuation Surcharge $ gad .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 $ °i I Make checks payable to: City of Fridley 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 Aperrmt 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 a1Jwfi& which regWres j"dew and approval of plans. SIGNATURE OF 9 I PLEASE NOTE:AEPARATE PERMITS ARE REOUIRED FOR PLUMBING. ELECTRICAL AND MECHANICAL WORK I gAA 0 `C S VIN (rt4 7-0 ar)t4AO PROPOO ��O*t LTA � r5 Aec'IA- t 007-6 E l I try�Grq- FAY-�� e' . *co N o" '7lA, ;L XH w�4� r tri110110* I Ges y Vr) L X0,1 9 S 2HW LL WADE AF�AI�.ArLE OR THE JOB SITE dV . FOR THE FRAMING INSPECTION " "'c' 1 (Loudy� 4►"` 1 ec 1 ` t� `I ,)c-7 S Lp t � Ca 40 • eras -3 Yz'' a'p j 7z 4 e 5ifam izz m IN :t)e.