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PRE 2010 DOCS' City of Fridley, Minn. BUILDING PERMIT N? 5 s o s Date: Owner: Builder 4qi• --.-- Address Address ° O ION F BUILDING No.1 -'--- Street Part o Lot Lot �"No �_ dition or Sub-I.livisia - u '. Corner Lot — Inside Lot Setback Sideyard --.-- Sewer Elevation ___ _ Foundation Elevation DESCRIPTION OF BUILDING To Use Front� Depth Height Sq. Ft. W Cu. Flee, Fron Depth�f H ght _ Sq. Ft. ______ ? Cu. Ft, _ Type of Construction _ ,,�_ Est. CogE �G...�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. In consideration of the payment of a fee of $ lWal 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, re and moving of buildings within the city limits and this permit may be revoked at any time upon violaii o any of the provisions of said ordinances �* Building Inspector W NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be an to we the Building Inspector for separate permits for these Berra Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices Dept. of Bldgs. Phone SII 4-7470 PARTIAL RATE SCHEDULE 7 y '/ "-/ 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 t each add. 60,000 BTU ....................... 2.00 $ 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 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTL) ....................... 5.00 $:" 0 GV FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $T s Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule , TOTAL FEE $J� 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, Minn_ O7-4.12_ , 19 Owner Kind of Building 'ee ^7 - Used as To be completed about Estimated Cost, $ G Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No.G� Trade Nam Size No '2-3-1 y U Capacity a Sq. Ft. E.D.R-y% BTU H.P. Total Connected Load ��'`�� g�'_-Kind of Fuel BURNER — Trade Namp Size No Capacity. Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) 42 2M nss HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E,_ Guide Construction No. Insulation Windows Doors Reference Out. Wall Int. Wall CeilingRoof Floor Kind How. Applied Yes—No I Yes—No 19_. Room Length 4 Width/ K Height Room I Length /-i6-,Width Windows and Doors—Crackage ind Area Doors—Craekage and Area Width Height No. of Lineal ft, Area No. of p ne of pane lights of crack sq, ft. sZ �G/ f ZZ - �e 6 /0 s� -z G 1-'0 Coef. Btu Infiltration Coef. Btu Infiltration Glass Exp. wall Glass Exp. wall —dff a Exp. wall �� Glass Int. wall Net exp. wall Int. wall //-00 /® C/ �- ® Q Exp. wall (j o Floor d 7 IV 911 Net exp. wall /00 Floor ;- Q A W i0 Int. wall Ceiling. .G I I. /0 / Ceiling Floor 0, 0 Total Btu. 19-00.0, Required sq. ft. E.D.R. or 'sq. ins., W.A. Leader area 1 F1.1 , Mi eW - Room I Length 0 Width 7 Height Windows and Doom—Crackage and Area Doors—Craekage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. sZ �G/ f ZZ - 3 3-0 Coef. Btu Infiltration / -yo a .p 0 Glass Exp. wall Glass Exp. wall —dff a Exp. wall �� . �- Int. wall Net exp. wall Int. wall //-00 /® C/ �- Ceiling Floorp,jl+ (j o Floor Ceiling 7 IV 911 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I / 171.1 Room I Length /41!�P Width Height W Win ows ana Doors—Craekage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. sZ �G/ f ZZ - 3 3-0 Coef.1 Btu Infiltration Btu C/0 a Glass d0 vo Exp. wall Glass Exp. wall —dff a Net exp. wall �� . �- Int. wall 96 //-00 Ceiling O /0 765-0 Floorp,jl+ lyd IAP lots! Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of ane lights of crack sq. tt. sZ �G/ f ZZ - 3 3-0 /-6 /-O',Coef.1 Coef. Btu Infiltration Infiltration vo AA'i-a Glass Exp. wall —dff a 2 G Net exp. wall 96 //-00 / .0 /if Y-0 Int. wall lyd IAP Net exp. wall Ceiling O a /00 Floor ;- -7-3 A W i0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 FI.I Room I Length / 1, Width // Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane ofpane lights of crack sq. ft. sZ �G/ f ZZ - 3 Coef. Coef. Btu Infiltration j gyp a V© —dff a Glass 0d Exp. wall 96 //-00 Exp. wall Net exp. wall lyd IAP Net exp. wall Int. wall /-0 / O Int. wall ;- -7-3 jTi a Floor Ceiling. .G I I. /0 / Floor Total Btu. b<,/ ff,91 Required sq. ft. E.D.R. or sq. iris. W.A. Leader area Room I Length /Width f'I Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of panne lights ofcrack—sq. ft. Coef. Btu Infiltration j gyp a Glass ® 0d Exp. wall Net exp. wall lyd IAP /'F0 O Int. wall Ceiling ;- -7-3 jTi a Floor .G I I. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ,J •b City of Fridley Application for Plumbing and Gas Fitting Permit Dant_ of Rldam- Phena SII 4.7470 < / r - DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RAI Number Fixtures ...................... —4L 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 BTU) ......L x 2.00 New Ground Run Old Bldg . ............ x 3.25 TOTAL $ i DEQ $ $ 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 or Fricuey: 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 is this application are true and correct. Owner Kind of Building Used as�ts.ZC To be completed about Estimated Cost, $ Old—New. Building PermitNo Permit No. ROUGH FINAL 4z 2M 7-59 Business Pfione No eltt /T /' • y �^ oQ in iii w Z • • WATER HTR. ELEG cc GZ V < g�d ��a (�90 R N GAS Base F Jlr �. 1st 2nd _ 3rd _ 4th ' Future Connection Openings Connected withI Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RAI Number Fixtures ...................... —4L 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 BTU) ......L x 2.00 New Ground Run Old Bldg . ............ x 3.25 TOTAL $ i DEQ $ $ 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 or Fricuey: 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 is this application are true and correct. Owner Kind of Building Used as�ts.ZC To be completed about Estimated Cost, $ Old—New. Building PermitNo Permit No. ROUGH FINAL 4z 2M 7-59 Business Pfione No eltt /T /' City of Fridley Application for Plumbing and Gas Fitting Permit DepL of Bldgs. Phone SII 4-7470 yC� DESCRIPTION OF WORK Number. Kind and Location of Fixtures I ,- K w Z lii W Z • • WATER HTR. �O P N GAS ELEC. Base 1st 2nd _ 3rd 4th • Future Connection Openings Connected with I Sewer E] New Fixture, Old Openings Cesspool❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ �• Q� Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... 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= $ - 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, Minn 19 �' Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No �~ Permit No. ROUGH ROUGH /A-%7 -4 1 FINAL az 2M 7-59 Business P] ne No 1 /— Z% .7— City oFridlf Y,Minn. 1174- 6431 17 4 Fridley,. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: October 16, 1972 Owner: . _ Harvey D. Nelson Builder Albin Katznpr Address Way Al . E Address LOCATION OF BUILDING No. 409..____ street — 79th Wav N6F Part of Lot Lot _ ls?—�_ Block — _? Addition or Sub -Division _ Dries rook Park Addition Corner Lot Inside Lot Setback Sideyard X Sewer Elevation _ ___ _ __ __._ _�� Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage _ Front _ 241 Depth 26 t Height 10, Sq. Ft. _ 624' Cu. rt 6240,1 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Wood Frame Est. Cost _ , 2 x826.00 To be Completed 1 year Stipulation: Provide a hard surface drivway. Locate lot irons. In consideration of the issuance to me of a permit to construct the building described above I agree t9 do the proposed work in accordance with the description above set forth and in compjiance with ah provisions of Ordinances of the city of Fridley. '**N a �Yl� 1.41 State Surcha e In consideration of the payment of a fee of $ 12.00 , permit is hereby granted to Harvey Nelson, 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 anthee. city limits and this permit may be revoked at any time upon violation of any of the provisions of said iirdinsti - !-.ISLE i 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 these hems. Li APPLICATION FOR RESIDENTIAL, ALTERATIONS OR ADDITION BUILDING PERMIT CITY OF FRIDLEYs MINNESOTA 0W=1 S Nm: e' J./n BUILDER s ADDRESS: ,o Vol,� �., SSI $LOCK; CAM= LOT: un; SETBACK: SIDEYARD: Antlumt attach to thts Omw- o Certificates of Survey of Lot and proposed UAlAftS location drwn on these Certificates, DE CRIPTION OF BUILDING . Dep#h- 9 /:z7 Height: Square Feet;, � �Cubin Feet3,-�r�--�� 'rant: Depth; Height: ware Yeet; /j Cubic Feet: Tirfe of Construction �� � c{ ,. s pa Estimated Cost: $ A/0 0 ® y To ft "toted; Ta ued"Vignad hereby vok" application for. a permit for the work herein #poC f #.ed# agreeing to do all work in stttet accordance with the City of R'vUlay Otd$w=es and TutSW Qf the Department of Buildings, and hereby daalazeo dWt all the facts and representations stated is this application axe true m4 correct. I,TFi b EICNATUR,E: OF (Ro Rwarve Side For Addltioual Inforcqation,) r •TYPICAL SLAB DETAIL q Y 2" 66 X 10 =40 wire m e s h Grade 2-r 4 Re-Bars c - e - : 45° -W 12" Mitt 8l• Min. The above is a substitute design for frost footings, however, it-is not yet accepted by the State as an amendment to the Uniform Building Code, Section 2905,a. T4erefore upon using this method of construction, I agree to hold the City of Fridley harmless of any possible claim for foundation failure or structural damage caused by foundat• n failure. Witness roperty Owner /0/15 °72 Date Addiess of rr,perty egal Desc. . A' /J" k w 4 owner of the property located at have no objection to the City allowing the construction of a to be located at • G= without the required certificate of survey that the City ordinarily requires for all new construction. :ti Address - mess Date e City of Fridley fw 2 N"n end C-a!"D Farr'..� - Dept. of Bldgs. Phone SM -3450 DESCRIPTION OF WOnX L,/®t� (� (ir Zy Number, Kind a-nd Location of Fixtures Lorne .L • Fu2uro Co=actioa Openiap I •v"" Sower � �► New Fixture. Old Openings Cesspool � 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 Heater :Up to 99,000 BTU) .... I x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater............ z $2.00 $ 3AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 3 Additional Fixtures .................. x $ .75 $ Gas Range to 159.000 BTU ... ,.......... x $5.00 a 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, Minn !/ ^ S % 19— Owner AJ C-- L S �. Kind of Building L4 -J® c, Used as Pet 7' / To be completed about !l A Estimated Cost, $ r� Old—New. Building Permit No. Permit A(o. / Signed f c By �% ." �� f �t�.0 BusinessPhone No—E S^ " ROUGH FINAL ' REPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge Description....................................:........a TOTAL iZE 8 �' S� ,r NO oil INEMEMENEENE No owl • Fu2uro Co=actioa Openiap I •v"" Sower � �► New Fixture. Old Openings Cesspool � 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 Heater :Up to 99,000 BTU) .... I x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater............ z $2.00 $ 3AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 3 Additional Fixtures .................. x $ .75 $ Gas Range to 159.000 BTU ... ,.......... x $5.00 a 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, Minn !/ ^ S % 19— Owner AJ C-- L S �. Kind of Building L4 -J® c, Used as Pet 7' / To be completed about !l A Estimated Cost, $ r� Old—New. Building Permit No. Permit A(o. / Signed f c By �% ." �� f �t�.0 BusinessPhone No—E S^ " ROUGH FINAL ' REPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge Description....................................:........a TOTAL iZE 8 �' S� ,r NO CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Effective On January 1, 2000 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES z i JOB ADDRESS 409 79th WAY NE ' RATE SCHEDULE _79th Residential Rate TOTAL OWNER DAVID LATHE 780-4205 Furnace Shell and Duct Work, Burner . BUILDING USED AS 9t 240 i /7,IZ Also Replacement Furnace $ 30.00 $ ,01 () ;; (Side Vent - Fill Out Back) ESTIMATED COST SQW ez) PERMIT N0. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range $ 10.00 DESCRIPTION OF FURNACE AND OR BURNER 3 � $ n Gas Dryer No. of Heating Units / Circle One (Steam) (Hot Water) arm Air) J $ 10.00 $ Trade Name_C',�/C=dr Size No..i12`' 9 0 BTU 00.001') HP EOR n *Air Conditioning -All Sizes $ 25.00 $ Fuel Total Connected Load a All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. m 1% of Value of Appliance or Work $_ BTU HP EDR Commem i a l /1 ndustri a l 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 Derision, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE $ �' DATE MINIMUM FEE FOR ANY HEATING/COOL1111GlVENT1LATION HEATING CO RON' S MECHANICAL, INC. REFRfGERATMIAIR CONDITIONING PERMIT IS $25.00 PLUS THE $ SO STATE SURCHARGE Signed "�� _ TEi_ # 9 5 2 / 44 5 85 REINSPECTION FEE $47.00/Hr N "Air Conditioners can not be (aced in a side and without Ott w p y Approved By Rough -In Date Final Date written permission from adjoining property owner. FILL OUT O ST QKV IFICATI E EFURNACE r� m w 03/20/2000 11:42 6124455053 RONS MIECHANICAL PAGE /'rU- yQIOS . �•d �alo1. �� COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When re.R145109 an exiistina.furanas, 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 W No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications Including sizing, length, number of elbows and termination. Yes N 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-DAMA Category I Central Furnace Venting Tables 1br fan assisted and natural draft appliances. Yes( k No( ) The existing g*rnbustion air is sized and installed to meet the current codes N and manufacturer's spa fiications. Y () 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 (XJ No( ) When installing a new venting system, the undersigned hereby verges that it Is s 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 ()j 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 cosies. Yes (W No ( ) Appliance Tvae and Size/Common Vent and_Y_eet Ggnneator Infortnatlon Appliance #1 Type tVr. 4�r- BTU Input 32,ozya Fan Assisted or Nat nr �• t Appliance #2 Type BTU Input Fah Assisted or Not Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input 3?000 Common Vent Type N" i1q) l G ��/ent Height 146' 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: Z161L'%'y Ce— (�-G Signed By: Data : K ' 17 —Cx!3 £ei£0' d £S9S5p;' q1. A3 -11I 1 �13 dQ A11 D WQ;' J 4S:91 02 ' SUBJECt IT NO. City of Fridley 3 i 1 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � `y _ COMMUNITY DEVELOPMENT DIV. i PROTECTIVE INSPECTION SEC. ii72-31 04 /) p I( /_-7 CITY HALL FRIDLEY 35432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/10/01 JOB ADDRESS 409 79 Way NE 1 LEGAL LOT NO.BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1,2 3 2 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Lathe 409 79 Way NE 763-780-4205 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Aluminum Supply Inc 7701 Main Street NE, Fridley, MN 55432 571-3440 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 7983 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION) REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (28 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 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 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 QE COMPLIED $2,863 $1.43 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE S C CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK E TOTAL F Lice e S $5.0 $ .54 SIGNATURE OF CONTRACTOR OR AUTMOR4Ep AGENT IOATEI HENRWRVIOATEIS YO RPE IT V '- BLO INSP T1AIE S,GNATURE OF OWNER,IF OWNER BUILDERI IDATEI 05/10/2001 14:20 NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: 7635712260 ADVANCE ALUMINUM SUP CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMTr APPLICATION PAGE 01 Effective 1/1/98 rl Owner Name & Address: Tel. #1jo- Contractor: A �►l/r9i�.cw ALyr�i.��••. S `� poL y, b6 LICENSE # 79 $ 3 Address:_ 7 70 T Tel. # S-71— 3 Y�13 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IldPROVKMENT LIMG AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: `�� Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �_ APPLICANT: Tel. #Sof �7,14-lyd CTfY USE ONLY Permit Fee $ <93-a2g- Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ /, $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S':06 $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: � ��/•