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AF - 44873n � Village of Fridley, Minn. � U BUILDING PERMIT N° 901 Office of INSPECTOR OF BUII.DINQrS Owner '�� .�+"2''----- . / , >x'c* i� � (, �..{ Architect Frid�ey, Minn., ' , 19 >� Builder LOCATION OF BUILDING � "' � - �. (�. : ,�.ca J-.:_.=-t�.... . No. "p '"` Street Part of Lot r � Lot '� � � "'� ° Block � ~ Addition or Sub-Division ` ' `!` `� ry ' ^ - — �.c_ f DESCRIPTION O�' BUILDING ,�. .- .� f �� , :-, ;% Front ��""•r Depth '"' �' Fie}ght Stories_/� �"' Manner of Construction �`�":^""` `�"" "�., -l�tc.G.-� , �.-t.�.._ �� To be �sed as ' � To be completed Estimated Cost r ;� ll... ,�t,C �f 7-Gt� - /V;`�. ..r. 2 ` / � Q.tw... �l �. /I" (.'...(L.A!\ 6'��-�'L. 4�ra� ._..� f r�...-c.f.. GY7.� <�,+... .. .._<..c.... i ✓ Permit is hereby granted to �[ - � ' ; `" . �°-*'� `'E't•.: - - ° � }� ._, y = x � r � c . , � C:,�,� the building ` described in the above atatement. Thia permit is granted upon the expreae condition that the person to whom it is granted, and his agents, employeea and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinancea. • ` � � 1 t. � �..,q. .. . � <� ---�.�.i-c'.- -_� � ;J � �ns�ector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisiona of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. _ k'� �'f,�c . ,.,�,r,!`� /,��; _ � �; �• �,-,,_ _ Subscribed and sworn to before me at Fridtey, Minnesot this � , ,-�. /:r � � �'" .� � �� Uay 01 �� . . �r_.?.. �y:. � �:.L. 1�7 , r � . l.�"��. c..:=- '�= i.. 1. J J ;� . • �� J • � Date: City of Fridley, Mi.nn. BUILDING PERMIT APRIL 12, 1966 Owner: __ DONALD V. PARKS Builder _.�_._._._ 5� �o 6563 ANOKA ST. N.E. . Address �..__.+.._...._._........_.._.._._...___.._.._.._._._._.... Adclress ___._..._..__..._._.—_.....�..._..._.._.......___..___._._.__. _ FRIDLEY, MINNESOTA 55432 33/�.3 8'764 LOCATION OF BUILDING 6563 ANOKA STREET N.E. ....._._. Part oY Lot ._..____.._._.._..._..__.�..__._..�...__._ No. _._..._..._..._..._._._.. Street _.__.__...._____.._._.__..____.�_�____._._----•--.._..._.._. Lot .....Z.'�._&....2.Et.._ Block _.—..__._.__.�__._......_.._. Addition or Sub-Division -.--------OAR_ GROVE _._._. _.__._ Corner Lot _.__....__...---- Inside Lot ._.._.__.X...._.....__._ Setback _.Qf..�i5)�5.� ._ Sideyard __._....._.� � __._.�.._ � Sewer Elevatio� _._.__�..___.__._._...._._._._..._.._._.._._____._ Foundation Elevation DESCRIPTION OF BUILDING, To be vsea as: _ Det ._ Garage�...... Frant _._22 ._.. DePth _24 .— Height ..__1 �...._. Sq. F� 5 76 ._._.._._....___.�_._...______..__ Front .___ ............. Depth _...v.___..__ fTeight ._..__...---...__ Sq. Ft. _.._.__.... Type of Construction _._.._._�'_.rame .. __.. Es� Coat __. �.1.s 7 2 8_.....__..._..._.._ To be Completed � � T5,760 Cu. F� _.. In conaideration o! the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the d�scrlption above set forth aad in compliance wlth all provisions of cfrdinances of the city of Fridley. p - � ....l�i�L�e' L �a �� In ca�sideration of the payment of a fee o! �. 6. 00 W.___._.., permit is hereby granted to DOftALD V. PARKS to construct the building or addition as desccibed above. Thispe rmit is granted upoa fhe express conditi� that thep to whom it is granted and his agents, employeea and workmen, in all work done in, around and upon saici bu�ildir►g, or anypart thereof, shall conlorm in all respects to the ordinancee of Fridley, Minnesota locati�t, construction, alteration, mair►tenance, repair and mavin8 of buil� within the dty limits� permit may be reva�ced at aqy time upou violation oE ar�}► o! the Provldans � aa�d orrtiaarlc�es. ALLEN G. JEftSEN �� NoTice: iha p�neh dew �e! awr � venNrreNen. hahlldla� 1rr wi�. �lu�eb6�w �a I�Nn�, Nw�r � wahr. M wn te � fh� Wildle� Is�NMr hr Mpaan p�iM hr fh� N�. Y / o,�� .�., �� 4 - �-� 7'� '� C/ APPT,iCATION FOR BUILDING PERMIT F � . CITY OF FRID�EY, MINNBSOTA �``t , (� n� ' � OWNER' S NAME �('1'T'.1 ! f't, t, �i u.�! -V'�`j�'� t��' .r. BUILD�R ADDRES S �_a:i '� .�' ,._ � : .;. ' f,� ' . ,; f l'�,,`P ` .� � ' � � a ADDRES S ,;, , � LOCA ON OF BUILDING � � STREET , PART.OF LOT N0. � �'� ;� LOT�� _BLOCK �� ADDITION OR S IVISION �� .�l>' s � CORNER LOT INSiDE LOT�,_SETBACK SIDE-YARD ,� 1 � SEWER ELEVATION FOUNDATION EI,�VATI�ft Applicant attach to this form Two.Certificates of Survey of Lot and proposed� building location drawn on these Certificates. DESCRIPTIOP OF BUILDING To be used as; 'fi' .A ' , . . , . � . y _ .��:. t.vA� �-f.� Front �,,�. � Dep.th�Height JO � , 4 Sq. Ft .__, J��Cu. Ft ._�SlLS.� Front Depth Height Sq. Ft. Cu. Ft. y�/ � Tyre of Construction Estimated Cost � %� —7—�--�- 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 — f 'J SIGNATURE �U� �� ' / ,� (Schedule of Fee Costs can be found on the Reverse Side). � C V �. . • • - . ' 0 $UILDING PERMIT FEE SCHEDULE SECTIOIQ 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefore, require the payment by the. applicant for such permit of fees to the amount Yeerein below set fort�h and in the manner herein provided to•wit; 2.1. For any such permit for the erection of any fire-proof building, othei than a garage, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for similar occupancy, to any existing building, shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2 For any such permit for the erection of any fire -proof garage, warehouse, factory or grain elevator, or for the erection of any fire»proof addition, for similar occupancy, to any existing bui,lding shall be at the rate of $1.25 for each one thousand cubic feet; classified as "fireproof" by Section 502 of the Minneapolis Building Code, HOIISES 2.3. For any such permit for the erection of any non»fireproof building, other than a garage, warehouse, factory or grain elevatox, or any non-fireproof addition, for similar occupancy, to any exi:sting building � permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non-ffreproof garage, warehouse, factory or grain elevator, or for the erection of any non-fire-proof addition, for similar occupancy, to any existing building or for each such building ar addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with the minimum of $4,00. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or celiar to the average hefght of the upper surface or to the average height of the roof surface of the m,ain gable of a pitched roof. 2,5. For repairs or alterations to an existing strucCure, the fee shal?. be at the rate of $3.00 per each Five Hundred Dollars ($500.00j or fractivn thereof in the cost of all proposed work. ' 2.6. . In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. STORM REPAIR DAMAGE FEES: ResidenCial; Estimated Cost of work up to $50�.!?� -- �5.!?� Estimated Cost of work o�r�r C,:,.. ?= y;.;,,v�0 Com�ercial; Estimate ost of work u �: : ':� :�•J �• �.. a — �� Esti.mate�osC of wc�:�:� u: vr �_ !.,.:, ��i - ,��,�i? sus�ecr PERMIT NO City of Fridley � 3021 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • � ; � RECEIP � ; y ��_ COMMUNiTY DEVELOPMENT DIV. ��/ r � � PROTECTIVE INSPECTION SEC. i . � �4 � r"�1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE .- PAGE OF � APPROVED BY "•"'� � �'� 612-560-3450 910-F15 6-16-75 � � 10B ADDRESS DONALD V. PARKS, 6563 ANOKA STREET N.E., FRIDLEY, MINNESOTA 1 LEGAL LOT NO. BLOCK TRA4T OR ADDITION SEE ATTACHED DESCR. 2S & 2 5 OAK GROVE ADDITION sHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE DONALD V. PARK5 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. OWNER 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION l� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK RE—ROOF 9 CHANGE QF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRiCAI, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATtNG 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 �F CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PEFIOD 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 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 WHETHEfi SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �S`SOO.00 $.SO 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. S.00 PLAN CHECK FEE TOTAL FEE 5. 0 SIGNATURE CONiRA TO�AUTHORI DnGEN7 tDn7E� HEN PROPERLY ALIDATED THIS IS YOUR PERMIT 6-16-75 SiGNATURE OP OWNERIIF OWNER BU4LDER1 IDATEI B�DG INSP DATE . .. , ') •.-y . .� . .. . . �-----� •APPLICnTION FOR R�:SIDL•NTIAL., ALTERATION, OR AllllITION. BUILDI�tG P�Rb1IT CITY OF FRIDLEY, NiINNESOTA . � G�L� � . � OWNER' S I�T.A�1E : : , BUILUER • ADDP.ESS :, fp S� 3 G��itia�aEf�(, �I� �J ADDRESS : h0: � S�o � STRELT :,�L��LaJ .�1^ LOT : �.�i 3 � ��? � BLOCK: � ADDITI�I� : ��`�� CORN�R LOT : __ _INS TDE ZOx : Y SETBACi.: SIAL'YAI�D : AppJ.icant attach to this for:n 'Lyao Certiiicates of Survev of T ot. and .pxopose ' building location dra�an on these Certificates, r a • DESCRIPTION OF SUILDING To Be Used As: � Front: Depth: Height: • Square Feet: Cubic.Feet: Front : Depth : iieight : Square Feet; Cubic Feet: Type of Construction: �� Estimated Cost:�_ �,C��' To Be Compieted: �PU L17 i_,� � � ` The under.signed hereby malces applicatian for a pexmit for the work herein specified, agreein; to do all worlc in st�ict accordance with the City of Fridley Ordinances and rulin�s of the Department of 33uildings, and hereby declares tlia�. all the facts and representations stated in this application are txue and correct, . • DATE: (, /p 73^ SIGNATUR�: ��Zza�� .. (See Reverse Side For Additional Info�nation.) • � �,l � . � « . '� ..� � �� ` . . .. . , . , SUBJECT �E , City of Fridley 14310 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T � � � R . � ; y_.__�_ COMMUiVITY DEVELOPMENT DIV. w�„�� r � � PROTECTlVE INSPECTION SEC. o�' Q' � , , � /��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY �"-'�' �'� 612-560-3450 910-F15 8 22 77 � � JOB ADORESS 6563 Anoka Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR AODiTION SEE ATTACHED DESCR. 25, 26 5 Oak Grove Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Donald V. Parks 6563 Anoka Street N.E. 3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MqIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE IICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION G� ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRBE WORK Reside dwelling 9 CHANGE QF USE FROM TO = STIPULATIONS Call for final inspection when job is complete. SEPERATE PERMtTS REQI�RED Ft�'R 1NtR{NG, NEATING. PIU�B�N� a�D ScG�s. 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREE7 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 WOfiK WIIL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1 r OOO .,5. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- - STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $7. SO PLAN CHECKFEE TOTALFEE $8.�� SIGNATUREOFCON' ACTORORAUTHO iZEOnGE 7 IDn7E� HEN PROP RLY VALIDATED T IS IS YOUR PERMIT �? �11. ��.��_��. � 8-�-� � SiGNATUREOFOWNERUFOWNERBUILDERI fDAT � . BLDG. WSP DA7E _ _ �.e� .� ; i CITY OF FfZIllLEY ' APPLICATION FOR RESIDCNTIAL BUILDING PER��IITS (NEW� ALTERATIONS, ADDITION�, OR REPAIRS) 04JPd�R: � � � �/i -('/�;,� BUILDEI2: Address : � f� � �Z�f�,� �l�j'//z Y_ � Address : � Tel. No.. No.: $treet: _ , LOT: � _� � v- L �" BLOCY.: ,s ADDITION : 6/4K ��Q��r �/�V /%i d N CORNER LOT: INSIDE IAT: �'��' S,?TBI�CK: ' SIDEYARDS: Applicant attach �to this form Two Certificates of Survey of Lot and proposed buildir►g location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: � ^ � - Front: Depth: Height: 5quare Feet: Cubic Feet: Fron t : Square Feet: Type of Construction: Depth: Height: Cubic Feet: Estimated Cost: $ �� (/v0 ---*�--- �b Be Completed: Alt. A Alt. B Proposed Drive�oay Width If New Opening Is Desired $ S (SE� i2EVERSE 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 i:hat all the facts and representations stated in this application are true and correct. See reverse side for additional in£-ormation. DATE : � � Stipulations: SIGNATURE: l C.°.� �.,. � �'-1u:��-'` . c�,. ' G�� . � � a. - . .� . ,j� �� "'� Y�f ��ti�C . .s� . g, oa �� !. � 0 CITY or- FRIDLEY APPLiCATION FOR HE,A�'ifVC 4�EP�ACEMENT CHIt�1NEY AND STACK VERIFICATION THIS FORhS MUST ACCOP1PANY STAPJDARD APPLICATION FOR HEATING PERMI7 FORM. LOCATION �`J�� O�A �'- I�i G OATE �� e OWNER �on�A�-p ��2.jC.5 AODRESS Io�6� �wo�� G The undersigned hereby verifies that thQ existing chimney or stack: 1. Ha� been ��ref�lly exami*�� // i �`� 2. Is free from rusi or deteriaration ��i vrc�o�� C�� 3. I`�o foreign objects are iodaed within 4. That it is securely supported 5. That it meets a17 current Code requir�nents for size and total BTU connected 6. Total H�ating 6TU All Other 8Tll TOTAL RFf�RKS J ir�r _ -� SIGNEfl S�� `.e' � �� Licensee �y ; Address �� j� � � Telephone _�r� �%O� HEATING PERMIT # ' FridZey City License }� � �� ".� CITY QF FRID�EY APPLICATION FOR POWER PLANTS AND H�ATING, COOLING, VEVTILATION, REFRIt�ERATION AND �IR �ONllITIONIP�G SYSTEMS AND D�VICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: F�rnace Shell & Duct Work * Replacement of F�rnace Repairs & Alterations-up to $500.00 Repairs & Alterations each add. $500.00 MECHRNICAL WARh1 AIR: Furnace Shell & Duct Work to 100,00J BTU each add. 50,000 BTU *Repiacement of Furnace Repairs & Alterations-up to $500.00 Repairs & Alterations each add. $500.00 S'fEAi�t OR HOT WATER SYSTEM : Boiler & Lines up to �00,000 HTU each adcl�i. 50, 000 STU Boiler only ug to 100,000 BTU each addn. 50,000 B�PU OIL BLiRNER- to 3 gal. per hour each add, 3 gal. per houz G�.S IiURNIiR- from 100,000 aTU to 199r999 BTU (over 199,999 BTU see Fee Schedule) P.�TE TOTAL �12.0o S 7.00 $_� 7.00 $ 4.00 $ 512. 00 4.00 7. UO 7.00 4.00 �12.00 �}.OQ 7,00 E.00 $1.0. QO 10. 00 $FO,OO GAS .FITTING FEES: lst 3 Fixtures 1 x Y 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,OG0 H:U � x$10.Q0 AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIOh`S � R�PAIRS State Surcharge ROUGH INSP. Date °TNAL INSP. Date APPr2UVAL FOR PERMIT J�� c ,� TOTAL FEE REINSPECTION FE;E i$10.G0) Job Address K%� 1ta � �" �O 1.%� � �� Department of Auildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a pern;it for the work herein $ specified agreeing to do all work in strict accordance with the City Codes $ and rulings ef the Department of Buildinqs, and hereby declares that all the $_ +CO facts and r.epresentations stated in this application are true and correct. S $ ' Fridley, Minn. �� O , 19� OWNER lJ� 1J Rl...►� �L} �,1�� $ : INA OF HUII,pING ��% �� $ $ US�A AS �� l�7 �- IJ L.-�' S —7 '!'� $� COMPI,ETED AHOtJT �/) ! $ �6TIMATEA COST �� V Q $ IO�� OLD - NEW BUILDTNG PERMIT N0. PERMIT N0. ___�/L�� $ S �.00 $ $ s o.oa S S S $ .50 s 3e,�c, �tdIMUM FEE FOR ANY HEATING PERMIT ZS $7.50 pLiJS $.50 STATE SURCHARGE *At�ached stack verifica�on form DESCRIPTION OF FUFNACF./BURNER AEATING or POWER PLANTS, Steam, Iiot 6Jater, 47arm Air- No. Trade Name (��G Size No. ��1 p�f}�� Capacity � �1J Sq. Ft. EDR BTU HP __ Total Connected Load �LCO� Kind of Fuel N� T BU12t�ER - Trade Name Size No. Capacity Sq. °t. �DR BTU HP Company °�V �- � �igned By �'► 'Pel . No . �`i'�J "b� Q � sua�ecr PE . c�ty of Fridley � 9294 AT THE TOP Of THE TWINS g U I L D I N G P E R M I T r ; � RECE NO. • COMMUNITY DEVELOPMENT DIV. ' � �: ----- � r � PROTECTIVE INSPECTlON SEC. �� '(�� , , � /"'1 � CITY HALL FRIDLEV SS43Z NUMBER REV. DATE PAGE OF APPROVED BY �'.---'�: �.' 612-571-3450 910-F15 12/7/87 / / JOB ADDRESS 6563 Anoka Street. N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2rj,26 5 Oak Grove P,ddltlOri SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daryl Parks 571-9717 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Swords Construction 3528 Oakland Avenue South 827-7295 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION g ALTERATION ❑ REPAIR ❑ MOVE O REMOVE � 8 DESCRIBE WOHK Remo el kitchen and dinin r o. 9 CHANGE QF USE FROM TO STIPULATIONS Install smoke detectors in basement and ha11. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUP^ANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. 1�-� 7HIS 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 OF ABANDONED FOR A PERIOD OF 120 DAYS AT 1�" ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEFEBY CERTIFY THAT I HAVE AEAD 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 $8 � OOO ��F .00 DOES NOT PRESUME TO GIVE A THORITY TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY TH T OR LOCAL LAW REGULA7ING CON- STRUCTIONLIOR E OF CONSTRUCTION. $F)H.SO PLAN CHECK FEE TOTAL FEE J � $72.50 oF O ORORAUTHOR12EDAGENT ATEI � y� N PRO ER LI ED THIS IS YOUR PERMIT ` v . SiGNATURE OF OWNEAI�F OWNEA BUI�DERI iDATE� LDG wSP qaTE NEW [ ] ADDN. L` ] pLTER. � Construction Address: Legal Description: Owner Name Contraetor: Address: City of Fridley �R-1 AND R-2 j Building Permit Application J�/ / Effective �/1/86 LIVING AREA: GARAGE AREA: DECH 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 Width Height Sq. Ft. Width �/7/�C'h � � Hgt/Ground Sq. Ft. ✓ Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback YP %/ % G e� litZ°� G�� T e of Construction: ��'�l ��a Estimated Cost: $ Approx. Completion Date: � � Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation � ' � ---- --..._ Tel . # �� 5� DATE: �� ! d APPLICANT:� - CITY IISE ONLY Permit Fee Plan Check State Sureharge SAC Charge Park Fee Sewer Main Charge � ��, Sv $ �r — $ .O� $ � � Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering .,�� SU Agreement Necessary [] Not Necessary [] TOTAL $ STIPULATIONS : �-.I.SC ,-�--' �iOa a �' Z.O G �-- S�p�- � S/►�l a t6,, �G'��-S � � � � Y . - � ��G4t � �1 �' ��. 32..�� $� � v sue�ecr PERMIT City of Fridley 19662 AT THE TOP OF THE TWINS g U i L D I N G P E R M I T r � � � � � • COMMUNITY DEVELOPMENT DIV. ' ��:- I/ r � � PROTECTIVE INSPECTION SEC. �(?� 7 y i � ' � /'��1 � CITY HALL FRIDLE� 55432 NUMBER AEV. DATE PAGE OF APPqOVEO 8V i.---� • •�� 612-571-3450 9�0-F15 9/�/88 / / JOB ADDRESS 6563 Anoka Street N. E. t LEGAI LOT NO. BIOCK TRACT OR ADOITION SEE ATTA�HED DESCR. ZS,26 5 Oak Grove Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daryl Parks 6563 Anoka Street N.E. 571-9717 3 COMTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDFESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW C3� ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 12' and a 10' x 10' Deck Addition 9 CHANGE QF USE FROM TO STIPULATIONS See notations on plan ��.�►� S�PAf�ATE PERMII'S RE�UIRED F�R ,,, t WIRING, HEATING, PLUMBIN� :i�,1V� ��,�(�, Befiore diggirrg cafl Icc;al uti�,�,: iEI�.PHONE - ELECTft1C - G�� 1 �•� REC�UtRED BY 1.AVv SEPARATE PERMITS ARE REt�UIRED FOR ELECTRICAL, P�UMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD VENTILATING OR AIR CONpITtONING. 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 OFFSTiiEE7 PAFKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]. STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT Sl �%OO S. 85 OOES 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 OF THE PERFORMANCE OF CONSTRUCTION. $39.QO AN CHECKFEE TOTA�FEE $39 .85 siGN TURE OF CON'RA TpR OA P.UTHOAIZED AGENT ionrE� HEN PAOPEFIY VAU TEO THIS IS YOUR PERMIT �z�; y � 6 � �.:�� 4 � SiGNA OF OWNER IIF OWN BUII.DE � 1 TEI �� DG �NSP ()pT C� � �1 �� City of Fridley EEfective 5/L88 �N � � R-1 Ai�ID R-2 AL�ER [ ] �,; � cling Permit Ap�]. icati� O�nstruction Address:_ �^�-3 ��'/D �1 4' S% , Legal Description: ��.5 �.5—� � � /,�/DG�i � D� .� G�a� ��%i'�f? Owner Naane & Adc3ress : I%a Y�/ � a r�s Te1, #✓'r, �g �'/ Coritractor : �Sa �i� �. � Address: Attac� to this appl ication, a Certif i,cate of �,irvey of the lat, with the ��posoed vonstructio� drawn on it to scale. �ESatIPPION OF IlQ�€tDVEl� LIVII� AREA: Length Width Hei.ght St1. Ft. C�RAG�E ARF;A: Irength Width D�CK ARFA: Length � � Width � /C> x �O �Br. (brner Lot [ ] ��` � ILFt` Yd �Setback � of Construction: C�-�/�� Approx. Compl.etion Date: Beic,�t �. Ft. Hgt /Groimd Stl. Ft. �� Side Yard Setbacks Estimated Cost : S ' �d � �Q v Proposed Driveway Width If New Opening Is Desired: S, Width + 6' I]ATE: � � c�S APYLICANP: C�� - f QTY OSE �Y Permit P�e State Surcharge SAC �arge Driveway Escraw Park Fiee Sewer Kain f2iarg�e TOTAL 31'IP[JI,i�IONS: $ .� $- ' � $ S S $ � � Alt. A Alt. B � See Back Page TeI. #�`"�/--�/3d� t�e Schedule on Reverse Side 5.50/51,000 Valuation $550 per SAC Unit A1t, '�," or A1t. 'B" Above I�ee Determined by �gir�eering Ac�reenent Neoessary [ ] Nat Nevessary [ ] �°`°��.�,,,�,.,�, �7� u / �.� �r,,.,�� Q er I � .�e� .�; Y .�..��, -,�:. � �k�4�� I � 'N 3 ._ _ . {_. _ - - �- k' .� f - . - �� . � ,— � r ��(�; � �'� _ �. - .� � .r ' ' - ' - .- �-J � . - �- _ � ,� . � - � " - � :;! . -{ �- , _ � � i _ � �a.r�,� r-_ ,.�,_ , � � s�l`{ ��. . � _ � �.� _ -� � _ - �� . e" � ,- �- < � � " _ (� . :��CY' �<<<� Z,F',. �, i0 i�Ea-FC,'l � �� -�5 _�B �� . �F,� '. �.�. ��fL �� a ✓-.�'.1�C. !TE�r LE� r:. ..�. v�� YeC'7��J' ` _ ' � ` � YJ- a' . 'r � .i .. � . ♦ � /�Pd - (� IG�ONCt i � � , , � X � ?�E� c.Uv. • .� �' J J � , . � (� Y, C � , s �1��Fc . F�,, � ,s � ,, . �- �. ��. � �� 3� H•�� m �-- , ,�C� `� , .:`4^ ,: , _'� • �O�Fr �;t<� u✓-:e5� rc � � F- x r,- �-c� � �� O ^ �; r� ' E , _ . . ; � t' - �� ' \ � v � ,� � w``` � . Q � � ��' � a;4► �� Q _ _ _ - -- , -_._ , � - � - �N . � _ I � ,: ,� .�� ,� ��, = - � ��'' ,,. ; =�- ; , - - -- --- - � . `-- =_.. - �_ _ . . -- � , i� = I Fo�t" ; � � � ; a ; ; CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57Z-36U4 r'AX: ' ADDRESS : 6563 ANOKA ST NE PIN : 133024140105 LEGAL DESC : OAK GROVE ADD FRIDLEY PARK : LOT 25 BLOCK 5 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING I VALUATION : $ 2,431.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (21 SQ) TEAR-OFF IS APPLICANT A CONTRACTOR? APPLICANT GRAYHAWK BUILDERS 3020 CENTERVILLE RD MN 55117-1105 (651) 486-9888 OWNER PARKS, WAYNE E � 6563 ANOKA ST NE FRIDLEY, MN 55432 1 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if wark ar construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� 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 provisions of any other state or local law regulating consriuction or the performance of construction. Anslfi'cani� ,. Date Bldg Insp ��`�v.�J� Date � � Ia `� 571-1Zii7 v ,,;�3a� PERMIT NO.: 2004-00123 DATE ISSUED: O1/27/2004 ��:��tit Inspec�ion Card� Will Be Mailed �� . �omeowner '�o Pos� BUILDING PERMIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 12187 � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 83.25 2.43 1.22 5.00 91.90 NiJ�_.-r��,—��_��t1 1?�-�i FF�G� �l C I T'�' 0� _ FR I I�LE',' Ti=i NEW [ � A�DN j) , CRY QF FRiDLEY ALTER I� S�NGLE FAMILY ANp DUPLEX�S R-1 AND R-2 BUILDlNG PERMITAPALfCATlON Construction Address: `t Legal Qescriptiom � Owner Nam� & Address: Contractor: �`� ��(,l,UY1(�� Address f?C.L-iGb�,63� F, ri:-��c��:� .._.,, EffeGUve ;f i/2U07 _ a _ .. �?fi3) 572-3f44 @tdg tnsp a ��%�-�i a: �� ; -- � � ) ,----�'�. �.._.. ..- Te�. � � ��--I -�-al�� MN �iCENSE # ��'LI (D � � , �.�,�,�,Tef. # (flJ� � �D y �� Attach to this application, a Certificate of Survey of the iat, with the proposed cortstruction dravm on it to scale. DESCRlPT10N OP tMPROVEMENT UYING AREA: Length Width Height Sq. Ft. GARJ4GF AREA: Length Width Height Sq. Ft DECK AREA: L�ngth `� Width HgtJGround Sq. Ft. OTHER: Construction Type: Estimated Cost; $ � 'v,.,,eway Gurb Cut W�d#� Needed: Ft + 6 Ft = Ft x S =$ DATE: � � APPL(CANT: �� i��_�� ; G!��il Tel. # �� CITY US� ONLY - Ca11(783) 572-3604 #or Permit Fees if mailing in appticafion Permit Fee �,� . Z,�J _Fee Schedute on Reverse Side �re Surcharge � . �-1?� ` .001 of Permit V�tuation (7J1Qth%) State Surcl��rge $_ i , �Z $_50/$1,000 Vaivation SAC Charge $ $1750 per SAC Unit License Surcharge $ �. c�� $5.00 (State Licensed Resident+af Contractors) Driveway Escrow $ Ait "A" or Alt. "B" Above Erosion Contrvl $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agre�ment Necessary ( j Nat Necessary t] TOTAL �`� �LATtONS: ��.� '�� CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �.. ___ _ _ PERMIT � 2004-016^ 6_ DATE ISSUED: 09/23/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 6563 ANOKA ST NE PIN : 133024140105 LEGAL DESC : OAK GROVE ADD FRIDLEY PARK : LOT 25 BLOCK 5 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION . NOTE: AIR CONDTTIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A FURNACE (WARM AIR, ICP, 75000 BTUS) AND AN AIR CONDITIONER. # A/C LJNITS 1 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 10315 APPLICANT HEATING PERMIT MINIMUM FEE 0.00 HOME ENERGY CENTER FURNACE SHELL/DUCT WORK 35.00 15200 25 AVE N#128 GAS RANGE FEE 0.00 PLYMOUTH, MN 55447 GAS DRYER FEE 0.00 (763) 476-1990 AIR CONDITIONING FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 60.50 OWNER PAID WITH CHECK # 55636 PARKS, WAYNE E 6563 ANOKA ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws 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 provisions o any o r state or local law regulating construction or the p forma e of construction. Applicant Date Bldg Insp " D� SEPARATE PERMITS QUI D FOR WORK OTHER THAN DESCRIBED ABOVE. CiTY OF FRtDLEY BUILDiNG INSPECTION �' 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning-All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater ��5�v o Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATtNG, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES � T� $35.00 $ 35 . ° 6 $10.00 $ $10.00 $ $10.00 $ $25.00 $ 2,5,00 $ Commerciai/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR JOB ADDRESS (n�i(�3 �Y1UKA S� Y1 �' . owner_W(�.�Yle Pc�,rKs Building Used As ESTIMATED COST I C�, 31.5 .�� PERMIT NO ��-'�-'L! `�l �i (C� DESCRIPTION OF FURNACE AND BURNER # of Heating Units_,_ Circie One (Steam) (Hot Water)� Trade NameJ.C� `�`MPV �"{ 5 Size No. BTU `�ISbLO HP EDR Fuel Total Connected Load Burner Trade Name \ Cp C(fiC,yr2� Size No. 2 tOh S BTU HP EDR 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. � � S o HEATING CO Horie Energy Center � � �• Sa Signed Tel #763-476-I990 FAX # 763-476-1143 Date Q,IS �0 �%� *Air Conditioners can not be placed in side yard without written approval from adjoining properry owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE , Approved by � Rough-in Date Final Date C�/L,�� FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR_ AND COMBUSTION AIR VERIFICATION When replacing an existinq furnace, 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 �i ) No () The venting system is plastic/PVC and meets all current codes and manufacturer specif+cations 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. The existina combustion air is sized and installed to meet the current codes and manufacturer's specifications. 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 ( ) Yes � Yes ( When installirKt a new ventina 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 Fumace Venting Tables for fan assisted and natural draft appliances. Yes ) Is the common vent and vent cor�nectors sized and installed correctly aft2r an appliance has been removed from the common vent and vented separately as per current codes. No ( ) No ( ) No ( ) , Yes � No ( ) Appliance Tvpe and Size/Common Vent and Vent Connector Information Appliance #1 Type �i.,� ��c � BTU fnput '�oo� Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat App{iance #3 Type BTU lnput Fan Assisted or Nat Total.Appliances Tdal 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• (Describel HEATING Signed By: �� ( Avn�ss PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (763) 571-1287 : 6563 ANOKA ST NE : 133024140105 : OAK GROVE ADD FRIDLEY PARK : LOT 25 BLOCK 5 : ELECTRICAL : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION PERMIT NO.: 2004-01747 DATE ISSUED: 10/25/2004 { � �O � NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. REPLACE FURNACE AND AIR CONDITIONER. # INSPECTIONS 1 HOUSE HEATING TEST RECORD AuORESS � Y` 1� S � APT. FLOOR CITY r`� ��`e� OCCUPANT �� X��— ��S OWNER ��-�� HEAT LOSS DATE HTG. INST. SOLD BY HOME ENERGY CENTER INSTALLED BY HOME ENERGY CENTER Electrical Work By HARRISON ELECTRIC Gas Line By TYPE OF HEAT GA FA X HW STEAM SPACE HTR. UNIT HTR. OTHER �., . Model . Sereal . INPUT THERMOSTAT Valve Limit _1 Limit Setting _ Fan Setting _ Pilot Type _ Pilot Make _ Pilot Model _ Pilot Timing _ L.W. Cut Off _ Pressure — Input CFH _ Stack Temp. _ Form 235 f� / MAKE OF BURNER �,� r-----�-.. Model �.. -_._,.w_��.�. Max. BTU Rating _. MAKE OF FURNACE Model ---= P �� )� � Heat Plug Vent Size KIND OF LINER SIZE NONE Draft Hood Regulator Filters Size� �-�-� �SiC � Number Chimney Location Inside Outside .. Chimney Construction li�\� � .--- r_ Percent CO2 �� Percent 02_ + Percent CO . �Idg lnsp Date Smoke Bomb �" Wiring '� Draft � Test Tag i"'�� Door Pressure Lighting Inst. /'—�-_ Date Tested Company Testing H E ENERG CENTER Name of Tester SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.