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AF - 38632�� BUILDING PERMIT .-a�. �, Villa.ge of Fridley, Min.n. N� 2 91 � Date . . . . . . r . . . � . . . ��.�.�� . . . . . . . . . . � • P � .e:".'.`;;,.,'—� ; ,,�� Builder Owner .. . ... .�;. . �.. a. ... ... ........ ......................... . . Address .��.0 ....................:'.'.�'i�'. Address ...........,�........................... LC�CATION OF BUILDING No. . . . ��.�. Street . . . .�� .¢�: : . . . . . . . . Part of Lot . . . . . . . : - .. Lot ....��........ Block .:.�� ...... Addition or Sub-Division ... .�'... .... .. ... ... .... -L � �..� �� i ' ` �. Corner Lot . . . . . . . . . . . . Inside Lot . �a� .4_ . . Setback . . °��. Sideyard . � � . . . . . . . . . . . . . . . . . . . DES�CRIPTION OF BUILDING To be Used as: .�. ...... .... . Front .�.��.�..�. Depth . P/.1..� . L3eight C Sq. Ft. �/• ��. / Cu. Ft. ... .. .. . y, � . . Front �� f� Depth .� �� `� . Height °- . . . . Sq. Ft. . � G�. Ft. . . . . . . . . ' �� ,� Type of Construction ,.�� .— . . Cost .�.�.�` . • .�.� • .�.r.�.. . To be Completed . ..�%?��'r . .�..�r° �� In con�tder�.tia� of the i�ssuance 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 crompliance with all provisions of Ai�din�nces of the village of Fridley. c: . . . r. .rr . . . . . . : . . . . . . . . .�'i .'V. . . ✓. .T . . . . . �'/. "" . . Tn consideratiox� of.the payment oP a fee of $.��s.��; permit is hereby granted to ......''.�'.. ... • • • - • . • • . . . . . . . . .: . . . . . to construct the buil�ng or` ad dition as described above. This permit i�granted � n the express ebndition that the person to whom it is granted and his agents, employees and worlunen, in all work done in, around ancl upon sa.id buiiding, or any part thereof, shall conform in all respects to the ordinanees of Fridley, Minnesota regarding locatton, construction, alteration, maintenance, repair and moving of buildings with- in the vIllage limits and this permit may be revoked at any time upon violation.:oflany of the provisions of said ordinances. -, � � :� l Inspector NOTICE: This pe�mit does not cover the construction, inatallatlon or alteratian for wtring, pl�ng, gas heating, sewer or water. Be sure to see the Building Inspeator for separate permits for thesa items. C C � � � � C 0 � � . >� �C C d � E � ' y�► C .� = O � � V � 0 � � � � � 0 .� _ °�' � � � x a b PO 0 a A � G W U H W � J 1-- � a ��u w .q y .'A � 0 a�� s °�d� �� bb a�, �,� �aqy� t,c°y� w° o 'a �' qup� �(��cdq( .�y M � �F 1 g � a":8� �i � � �' FP4 `0 w y �a°� .n��`� d�'} � W � �� a� � �� v� b ��OO� � � v °� �� o �, y dbv U y�� E�+ h � W o 0 0 0 �. o 0 o u� a 00 �ti u� CV � . . . , ; ; 9 C O � . . Q � ..�� ..�b F ' '� � � � � � � a��°r� 4 e'� ,�, R, �� o °„' +, �Q�� a � � .� .� �� 5 a a a � �� .. b � � 7 � c�v � � o � 3 � y O � 5 ers va ert �s us o° o° o °o u°� OD N tfJ �fJ CV � � . ' °o o . . . : g $ � . : O � � � . � b s� :� � �� °' � '� � m � � o0 ��o�� p �?J a�I �� a�� ao� � � `�'� 1 z a � 01 , � z D �, �1.+ - � a � � � ..� .� 'a" U PO {]� a�� z � � H w O O w O O a V Q Esr v�r e� c�r cra °o o �°n �° o° CO OD N N �fj � a : .� � � � x : �p : W W : W w , y ��g �so�o � � � � � � 'P�A � �' �, r� w �� 3 � � � y .. N � � N M �� d a� o�� 4 � � w w � z � � � � 0 � � � � 0 z � . � :� U . � : � . �1 :� o� � o �. � � �, a � � M � m � � a o w � � �v a 0 z � � � F � 0 �`n �� u� 0 0 tf� � 0 0 0 0 0 d� a � � a � � � � �,' b''. � 0 � � � o z o�a � � � � a vg A W W � � � z � b � H u I G� � � a � � �' � � � � a U E+ GO U a 4 O N `� �, csr va ca � �°n �°ra o° � � N � ia oa oa z : : H � o : � o 0 �' N m k W a � y w � � q � � � � H y�c� w � � �� a� ers � 7 � � o N � w � �� a �� z°�°y�' C (y � v� ? E �4 0 a � o � U a � z H ew�� x � a i � q � a � � � � a� � z w a > 0 � Y Q W K �1 ^ �1 City of Fridley, Minn_ BUILDING PERMIT Dat,e; _ December 1, 19�i9 �� N° 10515 - � - - �� 1�� s . u •��.� . . . - ��. n._ -� • . LOCATION OF BUILDING No. 6536 s�t Clover Place part of Lot j,pt 10 _ B1oCk Add3tioII OP Sub-D3visfoII �'•� ovE±v T.p f Arirli tjnn Coraer Lot — Ine�4de Lot X Setback � Sideyard Sewer IIevatian Founda.tion IIevation DESCRIPTION OF BUILDING To be Used as: A1tPr B.a.�emQnt Front Depth Height — Sq. F't. Cu. Ft Front Depth fTeight Sq. FL Gw. F't. Type of Conatruction F'rame F�t. Cost _�4,300�0.0.___ To be CompleteFl 2-�0 In consideration oP 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 aad compliance with all prov3aiona of ordinances of the dty of Fridley. y _�_�`� In conafderation of the payment of a fee of $�,.p.0, , permft is hereby granted to MeC a l l � C o_ to construct the building or addition as descrYbed above. This permit is granted u�n the express conditfon that the persoa to whom it ia granted and his agent�, employees and worl�aen, fn all work done fn, around aad u�n said building, or anypart thereof, shall c�nform in all respects to the ordinance� of Fridley, Nii�onesota regardinp location, conatruct[on, alteration, maintenance, repair and moving oY buildinga wlthin the dty ]imits and tYus permit may be revoked at ar�y time upon violatYon of aay oE the provisions of sefd ordinancea CLARENCE BELISLE � . r NOTICE: i� peemh doss net eevsr fhs eo�frndioe, les�all�loe fe� �rhlne, plambieg, en heaHeg, sawr or wafsr. B� wn to ss� tlro Bulldio8 laspsetoe tor aparm parmhs Po� thas hfmt. APPI,ICATION FOR BIIILDIAIG P�MIT CITY OF FRIDLEY, N[INNESOTg OWNII'i 'S NAME � L /'f��d ��l � / � BIIILD� �c. c� C � � c, p , ADDRESS �P � � �v C'� o I/ �/i �L/� �E AUDRESS S^ `/ �S L �/iv �/� � � � S (� • LOC9TION OF BIIILDING No, s��o STREET C� c� 10 L--� �[�/� C t� LOT BLOCK A:DDITION OR SIIBDIyISION CORNER LOT IDE LOT SETBACS SIDEY�RD SEWgt ELEVATION TOP OF FOOTING Applioaut attach to thie form Two Certificatea of Survey of Lot and proposed buildir�g� location draw.n on these Certifiaates. DESCRIPTION OF BIIILDING To Be IIeed As: t 5�n ,qL TL`�?�T / � � $ � / �ont Depth Height . Square feet Cubic Feet F'ront Depth Height Squaxe feet Cubic Feet Type of Conetruction �� Estimated Coet y 3� � To Be Completed � — / — % c� The undersigned hereby makes application for a permit for the work hereiu epecified, agreeing to do all work in strict accordaace with the City of Fridley Ordina.nces and rulings of the Department of Buildings, and hereby declares that all the facte and representatione etated in thie application axe true and correcte �`�,� [ e � C� DiTE ,/ Z — � °- � % SiGNATURE � Y �� vC/ G,�.-.� (Schedule of Fee Costa can be found on the Reverae Side.) NOTE: A Certified Survey of the lot, showiag the'location of the foundagione once it has been constructed, will be required before proceedin� with the framing. � 7� a-� �,7� , � - .�. ^ � � BTTILDING PEHNIIT FEE SC�IILE SECTION 2. The Inspector of Buildinge shall, before iesuing permite for the erection of any building or structure, or for any addition to any �xistin� etructure or buildin�,.or fox any alteration or repaire to ariy exieti_ng building or structure, upon application therefore, require the pa,yment by the applicant for auch permit of fees to the amount herein below set forth and in the ma..nner herein provided to-wit: IIniform Buildin� Codee Type 19 29 & 4-�1a75 for each one thousand cubic feet, or fraction thereof, in such cubical c.nntents. Type 3& 5- $1e50 for each one thousand cubic feeto For the purpoae of computixt� fees for building permita, the cubical contenta of any 'buildi.ng -a��addition to a uniform heigh�t �thraughout �y ' multiplying the ground area covered from a point siz (6) inchea below the floor line of the basement or the cellar to the avera�e height.of the upper eurface or,to the avera.�e hei�ht of the roof surface of the ma.in gable of a pitched roof. For repaira or alterations to an existing atructure,. the fee ehall be at the rate of �3.00 per each five hundred dollars (t500.00) or fraction thereof in the coat of all proposed work. In no case ahall the fee char$ed for axiy permit as set forth in Section 2 be leae than �S.00e NSSSD CoxLnection Chax�ea based on loeation - Area 1 or 2. ., , � + � /''1 ,�-� R' � I � � � � � � _m ,� � `� � � ♦ � °_ � �� v y O � � � O� � �� + �� e .W °�� . �� O � �� a � � �� .� :. �� 5v0 fDMVII !YO 'YM sro �IiYM C�11r' 4MIM w,ri wn.a . � _� ; � � , �� P • � � � � � � '� � u � � � � � , � � � � � � � .'.■�. ., ��.. � ��. " ° �� • - �■�� . , �.■.�� ' . c�■■�■■ _ ,-- �� : � � W � MW- � . � � t � u . - 0 I N 1 i 0 � � � � � � � � � � n� s o M � I � M � l � $ � � � � � ��M� ; M N M M� M M r M M,M � e ¢ � � Ri a ' . + . ; . • '� � • • • a • s • � ¢ r � • � � • • • • • • � • � • • • ► a �• � o • . • � . • • • o � a a � � . . . . . . . . . � . . . . . . . . • . . �. • �r • • s i � . � � • • • s o � o � � � • • � � • a • • • + • � • • • a y � � . a ',� � • � � Li � a a � � s � • a. ♦ i • f Y • • • i Y • e � i • ► �i � • Q • � � : • � � � � nL � r• � • • � • « r • • � Y � � � � � $ � • � � � � � � � � � � �� . _ � � .�� .,` ;�� a-� � � � 0 �� N � � � � � v �C � �� ' �� _ H � � � � d � � �o � B � 9 �� «�� g �� '� � � •� �� .� � m ��«� �� a� �3�� o� � '!j � y � ��' a ��Q � l� � �� 88,83 � � m m � : : g 8 . . � . � � :� � � �� a �� '� � � a � � a ., u � � � ��_ � - �� ;, - : o g � � � � � : : : � : � $ � � ' : � � s�.�� s� � �� a �� .g � � � � � U � � W I . ��% 1 �- I x � � � � � � �� 88$8, .°. .°. o� a� � s � g . � � � � � � � � g � � � � � .� �si�8 � ��x �.�.� s' g � � °� � � x�� g � � �� 0 � z � � B a� � � � � � � � W � � � � U � � � � � � � � � � Iq � � i � . � o o� � � M � M M $ � � g � � � : � � � � � � � � � ' . a � : � � e� � � � � w • � �$ �� a��. �� s � � �� - � I � "�� a � o � � � � � � 0 � � � � c-9) w �a � � � U � � � � , � � � � � s � HOUSE HEATING TEST RECORD ADDRESS � e � APT. FLOOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Elactrical Work By Gas Line By TYPE OF HEAT GA FA �HW STEAM SPACE HTR. UN1T HTR. OTHER , �AS DE51GN CONVERSION MAKE � � MAKE OF BURNER Model �1�f./� /�>�� 41-��•�� Model Serial � Max. BTU Rating INPUT I�� MAKE OF FURNACE Model �� r� CONTROLS THERMOSTAT —l�.� Heat Plug � Vent Size � Valve ��' KIND OF LINER SIZE NONE Limit � �` Draft Hood RegulaTOr Limit Se4ting Filters Siza `��1`-�f �lumber ��% Fan Setting Chimney Loeation Inside Outside Pilot TYpa ,� °- Chimney Construetion ��°� Pilot Make Pilot Modal Smoke Bomb Wiring Pilot Timing Draft �� Test Tag �"J L.W. Cut Off Door Pressure Lighting Inst. �� Pressure �' � s Pereent CO2 �o Date Tssted - a Input CFH Percent 02 �%� Company Testing ~ Staek Temp. �� Pereent CO Name of Tester Form 235 sue�ecr PERMIT City of Fridley 19680 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T r � � T � `L _____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� l� ` � ----� ��'�� `.� CITY HALL FRIDLEY 55432 NUMBER REV. DATE vAGE OF APPROVED BV L 612-571-3450 910-F15 9�9�88 / / �os nooaess6536 Clover Place N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE Gerald Lindner same 574-9111 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Se lf a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDIN(3 Residential 7 CLASS OF WORK ❑ NEW O ADDITION �] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOHK Reroof Dwelling 9 CHANaE OF USE FROM TO STIPULATIONS 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 SQ. FT. CU. FT. AUTHOFIZED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. • NO. DW�G. UNITS OFFSTREET PARKING 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 WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT $1 ZOO $. GO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR �OCAL LAW REGULATING CON- $2G.� � OO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE $29. 60 S NATURE CoN O nU HT� EDaGErvr �o TEi WHEN PR PER V LIDAT D THIS J�S�Y U P RM� �� SiGNATUREOFO I �I OWNERBUIL�ER1 � I�E� �BLOG iN'P DaTE r�w t � ADDN (X►] AL7�R [ ] City of I�Yidley R-1 Al1ID R-2 �,; � ding Peuait Appl ication EEfective 5/L88 (bnstrt�tian Address: ��J�� C%� -t�- �� c � � .� T�1 Descriptian: . Owner Naane & Adc3ress: (�€ ��. �:�� .— Tel. # � •^ '1��f/ Qontractor : �� .�� Tel. # Address: Attac� to this appl ication, a Certif icate o� S�rvey of the lo�, with ir.�e proposoec7 c�nstruction dra�wn on it to scale. L�SCRIPPION OF IM�'ROV� T�TVTAY� ARFA • j�,an� W1C�1 HP1CJl1t .�. Ft. (�iRAGE ARFA• Le�tc3th Width � Height 51q. I�t. DEC�c ARF�►,: Length Widkh Hgt/Grotmd _ 9q. I�t. •JW:i�; Q�rr�er Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Qonstruction: Fstimatec7 Cost: S.�o? D� Approx. Completion D�te: _ _ � �/, .P,�? Alt. A Alt. B Proposed Driv�vay Width If New Opening Is Desired: S $ Width + 6' See Back Page L1ATE : APPLICANr: �t � State Surcharge SAC Qzarge Driveway Escrow Park F�ee Sewer l�ain Qiarge � `l 1' 1 �� •' � s '�9.00� S � � S S $ $ . � Te1. �_ CLTY QSE �iII�Y F1ee Schedu].e on Reverse Side 8.50/51,000 Valuation 5550 per SAC Unit Alt '�i" or Alt '�" Above �e D�termired by Et�gir�eering Agreeuerit Neoessary [ 7 Nat Neoessary [] �z�G Sc, G — '� � � I� �� =_�J _ � �. ' �+�w14 �i� �y:l��,l� The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any �7dition to any euisting building or structure, or for any alt�ration or repair to any existing building or structure, �on application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth anc7 in the manner herein prwid�ed to�►rit: � �TAL VALOE $1 to $500 5501 to $2,000 S2, 001 to $25, 000 525,001 to �50,000 ��: $15 (MinimtIIn Ftee is S1S plus surcharge ) � $15 for first $500 plus S2 for mch additional �100 or f raction thereo�, to and ir�luding �2,000 S45 for f irst S2, 000 plus S9 for each aaditional $1, 000 or fractioa� thereof, to and including $25,000 5252 for first �25,000 plus �6.50 for each additiona7. 51,000 or fraction thereof, to and including 550,000 550,001 to 5100,000 5414.50 for first 550,000 pl� 54.50 for each ac�ditional 51,000 or fraction thereof, t�o anc7 including 5100,000 5100, 001 to $500, 000 $639.50 for f irst 5100, 000 plus $3.50 for eacii additional Sl, 000 or fraction thereof, to and in,cluding 5500,000 5500,001 to 51,000,000 $?A39.50 for the first �500,000 plus �3 for each additional $1,000 or fraction thereof, to and including 51,000,000 �1,000,001 a�d up $3539.50 for the first �1,000,000 plus $2 for each additional Sl, 000 or f raction thereof DR[VEI�Y��RESSION E9CR�1 (Concrete Curb Streets Only) Alternate °A°: R�nwal and replaaement o� curb and c�tter a�ly - Driveway width plus 6 feet times $13.50. Alternate "Bp: Rgnwal and replaoement af curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times 515.7,5. �/�; ' : �i • � • � �►f��1� ! � M �i�� Permits for construction will be issued a minimiva of 24 hours f rom the time of application to allaw for proper review of the proposed structure and of the o�nstruction site. A Certif icate af �rvey of the lat, showing the locatia� of the fo�dation once it has been wnstrt�ccted will t�e required before prooeeding with the fra�ing. Building Inspections 763-572-3604 763-502-4977 FAX DATE � (� ' O SITEADDRESS �J-� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE TYPE OF WORK: PLUMBING Pernut No.:�l��--C�13 RESIDENTIAL APPLICATION Received By:� CITY OF FRIDLEY vate Rec'd: °1 -1 �-�� EFFECTIVE 2-19-09 YOUR E-MAIL ADDRESS ,°�� «-� �R�uL�`'� OWNER �CONTRACTOR 3r�L�rv �. �-�6�GZT ;53(e CCo�� c� CITY PHONE: �� 3'' �� r'` � G] 8 STATE UCENSE # STATE BOND !{ EXP DATE EXP DATE STATE /%NZIp J`r� �� ADDRESS: CITY STATE ZIP PHONE � SINGLE FAMiLY O NEW DETAILED DESCRIPTION OF WORK FAX ❑ TWO FAMILY ❑ TOWNHOUSE �EPLACEMENT 4►�� C�w �BF� V�Ic.v� FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. $35.50. BATH SINKJLAV FLOOR DRAINS _ BATHTUB � GAS P(PING (NEED CITY LIC) _ CLOTHES WASHER KITCHEN SINK _ DISHWASHER _ LAUNDRY TRAY S j f%Z, �. i i S I,p'� FIXTURES: (INDICATE TOTAL NUMBER�OF EACH BELOW). M[NIMUM FEE ' SHOWER SWIMMING POOL _ WATER CLOSET WATER HEATER ($35) _ WATER METER THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED WATER PIPING _ WATER SOFfNER ($ _BACKFLOW PREV. $1 ) FOR IRRlGAT10N _ OTHER I hereby apply for a plumbing 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 petmit but only an application for a permit 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 rk which requires review and approval of plans. SIGNATURE OF APPLICANT �GUi PR1NT NAME ��1 � � ��O 'G£'� � DA7� �l } d City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 (�Svv