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AF - 44125� � o2a � 3a City of Fridley, Minn. BUILDING PERMIT N� s g 2 2 • ._ �� Date: _...��:-'��,�..._....'-'.� _:,1 ___..._....___...._...._.._..._...._ ,,. �� ..,� < . .�'°��!��. . �:��' Owner: .. ..._.�...�._ _.`Q_..�.:.... ..__..... .._ Btulder ..._ _....___. •_--.--....._. �l�l....... ._---• • � ._.__.- ..._ ............. . r Address....._......_...._.....__...__._...___._....�_._.._._........_......_..__...._..._......._.._ Address _...__..._.__..._......._...__...__._..---._..._.__......._..._.._.._._._.___..._.___.�. � \J LOC,,9►TION OF B ILDING No��. 'l,._r...�.. Street . ._ ...----• _ ��%�°f --�=---•- -- t�� . of Lot ..............F._......._....__ g..y_� .__.._._.� Lot ....._....._�.,..��...._ Block .------......._....---.._.....�_ .............. Addition or Sub-Division a y��1��=�1 �.. � •-- ---- - l�2�1��l�=`�-._` —_ Corner Lot ...___....._...._._.... Inside Lot ------L�..._........... Setback .--- .��...�?..�............_..... Sideyard ......�� ..__...�. �.� �.__...__ Sewer Elevation _. f .. . _._ � --- •---._ I�ee�r►dntien Elevation ....._.l �'. � .,� -...T..G ..�._.____.__._._ �, ��s.........__.._._..._.._.._..._.._..._.---_...------ -- � /��' oi= ��='c?�i ��•'6 DESCRIPTION OF BUILDING v � � � ...... __ . ___... _.._ �ont hf..(,�!.__ Depth ��Height .....��. Sq. F� �.�� Cu. Ft.��..._ � 9 �� / ._ .. . _ Fron ..,F-r.�__ Depth _.�-_.r..,� ight ..�..Q�. Sq. Ft. .��.� G�. F� .T . _._ ^ .. To be Completed __�...__..�_.:_.._._...__�_ Type of C tructiott ._ . ..�_..... ._.. .. .. . __.. Est. Cos1r�..,'1..... ._:�-�.�� In con.sideration of the issuance to me of a permit to construct the building described above, I agree to do th� proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the dty of Fridley. ,�_ n /J Q �/�L/ �.,%/�� _. . i�/. �12G ...._._,......._......._._..._........__._._....__. to construct the builcling 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 a� Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked a t ar�y time upon vio]ation of any of the provisions of said ordinances. � .. /1 / 1 Building Inspector NOTICE: 1Ms p�emit do�s no1 cover �hs eonstruellon, inshllNion for wir�y. P�+�B. Yas h�afin�, arw�r or waNr. 8� wn to sN th� Building In��etor for s�p�r� p�rmits fo� 1h�n it�ms. //�� 7/(t� APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ,� `� ;, f-- OWNER' S PdL�ME �`��l S ,C�/Vd I�' BUILDER ,/ � J:'�:_' J°-' %; %�',`. s'�` •• -=--�', `. '� �/ .V //,� � _ � ' , ,, � � ; \ /�`°�% r-°- ADDRESS_�`) �G �lC�i'f��IG /fi ADDR$SS , -' � / �t �`�°'� � /y/'s I '� ,�� '— LOCATION OF BUILDING s'' '_ - �' _ �,", 130. ,�� j�t�,� 5treet �r'1 ` _ � Ct'1ki�� `��.�r� � • Part of Lot Lot � 3 Block � Addition or Subdivision/,/�i�'/%fti"�7��C�.� Corner Lot Inside Lot x Setback ��.5� Side-Yard /'v �/-S SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Suxvey of Lot and propoaed build- ing location drawn on these Certificates. To be used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu, Pt, Front Depth Height Sq. Ft. Cu. Ft, Type of Construction��t �� L.t� Estimated Cost To be Completed The undersigned hereby makes application for a permiC for the work herein specified, agreeing to do all work in strict accordanca with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated 3n this application a e er� and correct. �` 1�,�'�y�%.�:. - ��'�� :�� , DATE ' .�j�� -- S'tC,NATIIRE � � � � �. --- — '�la-- _��.�� -��s'"�'��.C��' (SchQdule of Fee Costs can be found on the Reverse Side). � . , i • p �� City of Fridley Applicatioe for P'lambing and Gas Fitting Perm�t Dept. of Bldgs. Phone 3U 4-7470 DESCRIPTION OF WORK � � � /U Number, Kind and Location of Fixtures Location � '7" ' �� I � = N Y Z � R� <Z U Z I O = I I � I ? I • I � I WATE� <� y ~°� Z �� i p = J ut ~ j`< d � Z� a F N GAS ELEC. 3c� �� ; � oLL � �0 5� <3 c�� c�� c�o Base / ist � 2nd 3rd 4th _ • Fulu:s Conaqct€on Openiags * New Fixlnse, Old Openings PARTIAL RATE SCHEDULE City of Fridley: � // The undersigned hereby makes application for a permit for the work herei speci fie d, agreeing to do a ll wor k 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 rrect. 'dley, Minn. ��/ °u�� , 19— Owner G��l'�`�—��i � Kind of Buiiding � seWe! � Used as Cesspool j� PLIIMBING FIXTURE RATES: NO. RATE TOTAi. Number Fixtures ......................� x $1.50 $�C� Future Fixture Opening ................ x 1.20 $— New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin .... . ..................... x 3.25 $ Water Heater <Up ta 200,000 BTiJ) . . . . . .—� x 2A0 $ � � U � New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL � lst 3 Fixtures . . . . . . . . . . . . . . . . . . . . . . . . . .—�x $1.50 $�L�:i_ Additional Fixtures .................... x .50 � Gas Range to 200,000 BTU . ............ . x 2.00 � REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ Q To be completed about � � Estimated Cost, $ Old 1Vew. uilding Permit No. �� Permit No G Signe � , �� BY!/�Gt—.�1l1C� � ��?��fiv� Business Phune No. ROUGH FINAL az sM aaiti��asso 53-8l�-s-915.51 ' . � �ity of Fridley . ��i�� ,�� a�d � ��s� �� Aapt, of B1dQs. Phons 560-3490 �-' - D�SCRtPTION OF WOAR 52�0 N. E. Buchanan Street Numbar, Kind and Location o! Fixtures �� * N � I I � NU' • • WATEN M�. OI3 � � S� � Nt I3 � O�. � r O �l� �3 �� (77 � t7Y t(79 � I N GAS ELEC. Base Irt 2nd 3rd 4th • Fu�u� Cona�cifoa Opsniaqs # N�w Fixlur�, Old Op�ainQs �� PARTIAL RAT� SCHEDULE S�w�r ❑ Cesspool n PLIIMSIN(G FIXTURE RATE3: NO. RATE TOTAL Number F`ixtures . . . . . . . . . . . . . . . . x $2.00 $ Future Fixture n��ening . . . . . . . . . . . x 31.50 S -. New Fixture Old Opening . . . . . : . . . . . x $1.50 3.�--_. Catch Basin . . . . . . . . . : . . . . . . . . x a3.25 a Water Heater ;(Jp to 99,000 BTU) .•.. x$3.00 E New Ground Run Old Bldg. ... . x�3.25 $ Flectric Wat�: ii�ater. . . . . . . . . . . . s a2.00 = �143 FITTING FEEB: NO. AATE TOTAL lst 3 Fixtures . . . . . • • . • • • • • • • . • x 52.00 ; Additionzl Fixtures . ... . . . . .... . . . . . x ; .7b ; Gas Range to 199.000 BTV .. .... ....... 1 x 35.04 i 5. 00 City oi ilridley: The undersigaed hereby makes application for a permit tor th� vsork herei specified� agreeing to do all work ia strict accordance with the Cit� Ordinance and ruling of the Department oi Buildings, and hereby declares that a3i the fact and representations stated in this applicatioa are true and correct ' 8-19-71� PYidley� Minn i9_ owner Frederick R. Weber � Fr�me . Kind of Bui2ding Res. Used as To be completed about 8-26-7� Estimated Cost, S 10.00 Old---��S76XBuitding PPrmit No. P•smit No._�_ Signe ' �� sy - -. . t Business Phone No ROUQH i'INAI, � ��,D - iS REPAIRS �c ALTERATION8—R.t•s !o Cod• .50 State Surcharge Descriptlon . . . . . . . . ... . .. . .... . .... . . . ..... . . . ... . ... . � . • TOTAL FEE ; 5. 5� � �;las� �A�' �urciiarge .5�c CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT N j, m �ro u • K w Water uf N N � u��-�i m o � �o� w � Heater v t� � N Ex.� rt S� m ro s� W . � Sa W N C ,C � ,�N[ .0 q q 3 O U� O.L �� U v O O •� � N 4' N �i � O O +1 N+� W N N N .0 +� .-+ ►+ ro ro •.+ m++ o.c r+ ro ro � ro rt � " as lec m u � ao ca �n 3 o w v� w � ro � 3 c� � � o lst 1 gas g� 11 2nd 3rd 4th (R) = Future Connection Opening Connected wi.th Sewer (*) = New Fixture, Old Openinq Water RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Sasin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer N0. RATE g 5. 00 $ 3.50 S 1. 50 S 4.00 $ 5. 00 $ 5.00 S 5.00 S 5.00 S 5.00 $ �.00 $ 5.00 g 10.00 $ 10.00 TOTAL S $ S S $ S S S S s $ S S Back Flow Preventer Required. .. Yes () No () �e $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS l+k of Value of Fixture or Appliance $�_ State Surcharge $ .50 Reinspection Fee $ ($15.00) TOTAL FEE $ IS.SO Effective Date May 1, 1988 Job p,ddress 5240 BuCharian St NE Department of Suildings 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 Fridley, Mn. n5�23 , 19 $$ owrr�R Burmis . ,7ohn KIND OF BUILDING Home USED AS Residence TO BE COMPLETED ABOUT 04/28/88 ESTIMATED WST $ 250.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. %D . Q��J ROUGH INSP. FINAL INSP. Company� 1`'1 I1@ 1SC0 ,.r� ,./'/` "�t �;'°'"+ i �,��;',�',';;Y.�'i- � S.i y ��' �' Te��a+��*1�,37 ��""�� ...,.i.r.�....�.a�......�:..s..r:a..,.:... Minnegasco #�,�x}�-5337 �te 700 W. Linden Avenue P• 0. Box 1165 Minneapolis, MN 55440-1165 Date APPROVAL FOR PERMIT �l-r� �4INIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 ST?1TE SURCHARGE — � � _______-_ e - - o � _ ��1.�7 B�uilding BUI�.,DING p�""'t No. �`- ?° . Inspe�tia�s T�SIDENTIAL AP�'LICATIOl� Received iiy: 763-�7�-3bQ4 CIT� UF FRI��,E�Y' i�At� R��a:�, o-�-C,� BA'1'E f�%_ r_�..�.!! . .. .......... YOUft L•MAIL A!]uRH;y.y' si� ar��ircass J'�o2�fo u. �a-n-noh S% ._ ..._ ... ..... ._.. _._. . _ ... .. .. __.._ 'I'tI15 APPLI(�ANT l5; d QWNEk ��N77�t1CTOR PAUrEk�l"Y C�w�vEt� NnM��_... . � Q � c� av� 7'ENAIYT _ .. .,_. ..... _.. .. AU�KFSS: S a t,� ow�-v�c�n Sd' '[TV r', . 5 i A'�'r�'Uf��e�S'SOL I -_._ , . ... _._ ,__ _.. PIIOTIG:.._..,'�p�� —lP,�� %g _.._ �_ CON`I'itAC'I'Q�{t NAh1E: �•111/2 _ .... .. .. .. ...._.—. _... �.._ ._.. . .... _ �1113M�T A COPY OF STATE LICFAISE k o�O�I�_S'�Fl� _, _ kXl' DATE _,,._..... _...__ _... YOUR STATE LICENSE ADnRCSS: __ ._,__.__ ,,,,`_ C1TY ,�_„ ,_____STATE_Z!P @�I'FH APPLIC.ATION I'HUNE FAX _ PRUPERTY TYPE L� 5[NGLE FAMILYINEW CQNSTRI7G1'KlN SIZE __ � CJ TWO PAMILYfNHv1� r.c�NS�rKUC:�iUr� STCIItIF,S �� j�ji,,]Z,]j+jj'j"Z`Y�ji, ❑ ADDII'T(')iV � GARAGErSFICD L] WINLX3WS 0 BA.SEMENT I'INISII ❑ RcX7F ❑ DRAIN Tll.� ❑ DGCIC Q SIDING � lYt'HBR � SWIMMIN('i N(x)L TYPE OF WORK: � Nkw ❑ aDCrrroN ❑MAINTCNAt+I(;H;lRhPAIK �REMODELINCi D83CRIBF. WpRK i3EING DONE: � .i�'"_ � � SQ�Y�'7�> S� 2-� SIZE OF 1MPRUV�MENT LLNCTH WII7TIi HEIGHT S. N"t. I30QFING a e�ousc oNLY �IUMDLC{ O�' SQUAk,IrS. _.. ❑ HOi)SE 8c IxARACiE F�/�,;'�-"�M--�NT REMODGLINCi S[IAMI"I': GA&4GES q ATTACHL�U liACtAGE 1. �xisting Floor PL1n .�. Prapvacd t�oor pien P'ROP05ED fiT�F: ❑ DF..TAC.`,I-►�I) GAIiACiE 3. List uf sUr.x:lurut mCmbots to be used YiiUY(75Et] HEIGHT: ��'' � FOR N�W CdN5TRUC:`I'1C1N IN(:.LUDING DCCKS, Q�nVl DS�>�t Alll)CI'i()NS. Xc P(]RS:��,�5 SUBr�i1T: CJ Aluminvm O Trim l. Site Plnn/Survey �:hs�wing the existing svucuu�s q Qthcr ❑ Pascia ,u�d p�o�wscci project VfrIN� f�WS 2. Two ecth af constructiai pla�s 1N EXIS7ZYC} OF�NINC7S es ONO LOCATIi]N OF WINDt7►VS 3, Eoorgy Calculatiuc� OR E(}lt Nf?W C)PENINGS- ESCRIBE 51ZE OF (}PF?NWGC[-IAI+IQES & -..__� � 'FYPr c)M� N+INIXIW'i'U 8E 1NSTALLLD '.�L+� UMBEROf' tiVINI]OWS ALL F'EES ARE BAS�D UN VAGUA ON, LVCLUDING TFI� COST OF LABUR AIVD MATERIALS: TOTAL .TOB Permit T�es Pian Red�ew Fir� Surc�►arge Surch�rge Liccnsn �urch�crrbe SAC Chargo Curb Cut E.gcrc�w Erosion Contral f'tv6 Fee. S�wvr Main Char�e Total Due U.B.0 N`EE �CH�EDULE) UA'1'TUN $ / �v/ UCCUPANCY ":'YPE � ��7 �' _ See L3ack Pa�. for Fee Schedute �_ � 6S% ot' Build"u� Pemiit F�e � .(�Q 1 times the totat job valuation � � / � .0005 � P�rmit Valuation Minimum $.50 � p $5.00 (Statc �icensed Residentiai ContrACtors) $ $1550 per SAC (Jnit (Plans to MWCC fordeterminaCi�n) � it+bi�= ftx$21 –$ � fi�50 Conservation Pl�n Review � �� Fee Determin�d by �n�,�ii�eering � Agrec:ment necessary () Non Nec�ssary { j $ .� 1. f� "� 11Kekc ehecks r�vable to: Cit� oi Frkllev Attac '1'HiS IS AN tlPPL1GATiON fQR A P�,FtMI'I'-►�fUT VAGfD UNT[L PRUCESS�U I liereby apply for a builcliri� �rmit and I acknowledge that th� inforniation above is eompl�te and accurate; that the wu�k will be in conformance with the ardinances � ccxles of the City of 4�ridley at�d with the Minnesata Construction Codns; ths�t ! understand this is not a perinit but only an application fur u permit tmd work is not to st�vrt witliout a permit; thak the work will be in �ccordance with the approved plan in th4 c�s� o#�all work: wh� h requsr rev'ew and appruval c>f�lans. SiC�NATURE OF ANl'LIC'AN'C G%�"�- �,, w,�,,, ^ PRiAIT ►VAM� �� l`"'�"'l `�"` DAT� Q I� U r � � y � �57�' t�d Wdc� : Z T 9��ic �� •unt ��ti TZ�9� :'ON XH� ha I P? a� .t+� h1 ?�: W�� t�c.�%�. % �- �'� �� v � � v I - DH-Uouble Hung, PW-Picture Window, 2LS 2 Lite Slider, 3L503 � LitB'Slid r, 1/3, 1L3, 1/3, 3LSO4 3 Lite Slider 1/4, 1/2, 1/4, C1R One Lite Casement'Right Hinged, C1L One Lite Casement Left Hinged, G2 Two Lite Casement, 3CO3 Three Lite Casement 1f3, 1/3, 1/3, 3C04 3 Lite Casement 1/4, 1/2, 1/4, AWN Awning, HOP Hopper, PAT Patio Door, BAYDH Bay w/Double Hung Flankers, Bay CAS Bay w/Casement�Flankers, BOW 3 3 Lite Bow, BOW 4 4 Lite Bow, BOWS 5 Lite Bow, � _ f s" �c WIN'�0►!Y COIVCEPTS OF MINNESOTA, INC DATE � � �� ` � CUSTOMER ''�;� "` ;"` ''~�� +"�-� ADDRESS �.. ti fd �`� � y` �� CITY !"' r ; : ij �- '�{ STATE ,rh"'' ,�'�` ZIP � � � � HOME PHONE ( � � �', ) � ,� �m ' � � a� �+! WORK PHONE (__) FINANCE ❑ C.O.D. ' �� .`�� # OPENINGS WINDOW COLOR OUTSIDE: � � � "�'x wx��r�, AL ALMOND CID COCOA ��.,� �:-�.`.. Number � � �, � �- � � �� ;,+ �E �- `s `s �� ! �) `�' �+�1 e ✓`,,3 � i�E6' :..14K' '�` fc P " 46� �° �r j t'.../VA �% ': Style ��, ✓ � sRy �Iu � sr.Ti r: n �z.7�:� �I ■ � . �� . ,.. I�.- . � �,- � ��I ��) I��I I�� I��' I��I I��I I��' I��I IQ�I I��' I��I I��' I��' A� �,LMOND C� COCOA LT LT.OAK DK DK.OAK WINDOW SERIES ❑ CONCEPT I �t ( v T�CONCEPT II ❑ CONCEPT III STAY CLEAN ❑ YES ❑ NO SPECIAL INSTRUCTIONS PROJECTION, CONFIGURATION, ETC. 1. `r"�'i c, � x� e.�.,� r� �- � �s r r�-. ��C;,.. � �v-� � � � 2. 4. ��Ll� SYG� Size OB� Glass Ieight Location Top Bott Tempered Screens Width X . t� �� i� 8 . .t E: n.� �� ■ ��■ ��■ �� ■ �� r .-:o:' � .;�.. ■ ��. ✓ .� � � � /� ��j AC � Comments TO OUR CUSTOMERS: PLEASE READ THIS WORK ORDER CAREFULLY: BY STGNING THIS WORK ORDER, CUSTOMER ACKNOWLEDGES THAT THE INSTALLATION PROCEDURE HAS BEEN OUTLINED:'TO THEM AND APPROVES INSTALLATION AS DETAILED ABOVE: ALI. WINDOWS INSTALLED IN CUSTOMER'S EXISTING BUCK FRAMES. ROTTEN WOOD REPLACMENT AS NEEDED INCLUDES: BUCK FRAME, OUTSIDE AND INSIDE CASING, IN AND OUT STOPS ONLY AS NEEDED. ROTTEN WOOD REPLACEMENT IS NOT INCLUDED ON ANY CONCEPT III W[NDOW UNLES,S SPECIFICALLY LISTED ABOVE. GYVEN THE PROPERTY TO BE IMPROVED MAY HAVE HIDDEN DEFECTS "HOMEOWNER(S)" AND "WINDOW CONCEPTS OF MN 1NC." AGREE "WINDO�W CONCEPTS OF MN INC." WILL PROPERLY NOTIFY HOMEOWNER(S) OF SUCH CONDITIONS AND HOMEOWNER(S) ACKNOWLEDGE "WINDOW CONCEPTS OFQVIN INC." MAY REQUEST ADDITIONAL AND REASONABLE COMPENSATION AND ADEQUATELY RESPOND TO SUCH CONDITIONS. WINDOW CONCEPTS OF MN INC. DOES NOT PAINT OR STAIN ANY W OOD THAT MAY BE. USED IN THE INST�L.LATTON. IF YOU DO NOT FULLY UNDERSTAND TH1S WORK ORDER, PLEASE ASK FOR CLARIFICATION BEFORE SIGNING. ��. � F � CUSTOMER'S SIGNATURE � �� t I �`�' s ��i� � REPRESENTATIV � �" Revised 09lOS � � � ' �' - � _ �— , �I . I �