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AF - 43009N° 278 Otvnsr�_� - Village off Fridley, Pilinn. BI�ILDYNG PERDIIT Oki:ce of INSPEL"rOP OF BUILDING3 Architect / P'rtdle ➢4inn., '� '�' / � 19,�! Y, ✓.+:'-•---� Builder �' ,+ � .,., ._` LOCATION OF BUILDING No. �� Street �J,(�_-�-��.C.��`'l K_.�_ � Part of Lot � � ., �..�, ; �,.�. � '�� Lot �� Block Addi[ion or Sub-Division 7 "y� � , L �� `'`�t�i�N•,.1�.��,.�'�.�,� �-'�^.+ ; Rmnt��'��' Depth�`! Height�� Stories___ Manner of Construc[ion� �'^'�r��-� ,� ,^ . t�� i� J _ To be used as �^"�2"yr To be completed }- �� Estimated Cost -� ��-� �J . , . . �" � .:�ti 7"� ' .�'�/'J/'�^'� r+� I f 1' i, r/�.. /. "" ''1'�.Yi(/�-(..fl -^1l� lY. r -� �"`L'� i . i . y" Permit is hereby granted to � ` ". �' to � - � '�'-� � � the building �� "' , described 1n the above statement. This permit is granted upon the express condition [hat �'he person to who it is grnnted, and his agents, employees and worAmen, fn all the work done in, around and iipon said building. or any part thex•eof, sha.11 conform in all respects to the ordi- nances of Fridley, Minn., regarding the constn�etion, alt<ration, main!enance, repair and moving of buildings within the citp limits, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. �•1 �r �4� � k� _ �i�� 1J' �.!? Inspector of Buildin�s. AGRFI;r4ENT A.ND SWORN STATEP,7T'NT In consideration of the issue ar.d delivery to me by thc Tr:snecter of L�uildings nf rtidley o` the above gerriit, I hereby agree to do the prono:ed work ir, accor�lance with the description above set forth and according to the provisions oi the o_�dinar.cc� of Pridley, a��d, bein� fi*st duly sworn, I hereby state and say that the facts stated by me a».d contained in the above perrnit are true as therein stated. / � , _ —i-- - �[-- Subscribed and swom to before me at Fridley, Minnesota, this %=� . day of �� ` A.D. 19 "�. —�i.. �` ,� ,': •C..v-v i. • • City of Fridley, Minn. BUILDING PERMIT N° 616 Date : ...............��.._ �....l........�..�......_:"..".`_'.._.�_�........._....._. a� Owner: -�--- .. .... ...... .:. .._ ..� . Builder .............•-•--�--•--..._......_. ......._..._.._.._........_...____..._._.__...�..�... Address .....�....._ :..�.._ ........... ....._....... . - ` Address TION F UILDING j : ,. No. ....��1.. Street .... .... ---. .. ..._. . _........_.,rl_ .............. Part of Lot •---._.... ..._.. ._._._.-----.____.._._. Lot ......I ��.._........ -- Blcek --- ............. ..._... ...._.............. Additian or Su Division .:. ..�!�wlir■!�. i . _. % � rrr�� Corner Lot .............. ........._........ Inside Lot ..:............. .................. Setback ...: .. . :. .... ...---• ideyard .--�--�-I�••�•--• SewerElevation .--._ ................... ....�--•--..........----�--......-•--•--.........--�--..................... Foundation Elevation ...............--�--.._...---.....----........._.._....._..._....._...._.._._..._.. DESCRIPTION OP BUILDING Ta be Used as: . ...... ... ..:... �... Front ----� --- �Pth ..�.. .. -.. Height ......!�R!�!►.. Sq. F� r„�.� Cu. Ft. _ . .:.�-- Fro ....f.. ......... Depth .._ ei ht .. -�..... �. Fk .�� C�t. 1+Y. .:.. ..__ ?f+�' Type of Constructi � ; �.... Est. Cost...._ ,� . ..........:....._ o be Completed ....._..---...._.._..._....-------.___......_: THIS p�R��, �''� ��j0 !ON �tT U�t,,-_..,__� ,,�_,qJ7� p E�, �r �'�'Y �:;. RIZ "�! �r:';U t2t�; i �,;i3; o�v�,uD COV�NANT �AN� In consideration of the issuance to me of a permit to construct the building described aboPve, I agree to do the propased woa�k in accordance with the description above set forth and in caanpliance with all pravisio�s of ordinances of the dty of Fridley. . In consideration of the payment of a fee af $.. ..!!�!!!'.'..'.".'..'...., permit is hereby granted to ...................._-•...--- -. ..._. _. _. _ .._._..._......_ ..............•------...._...------..........._... ta construct the building or additfon as described above. 1�iis permit is graated upon the express conditfon that the person to whom it is granted and his agenfis, employees and workineu, in all w�ork done in, around and upon said building, or any part thereof, shall confarm in all re�apects to the ordinances ot Fridley, Minnesota regarding location, construction, alteratiou, maintenance, repair and m of b� within the city limits and thfs permit may be revoked at any�py� ola ' any of the sions o� said ordinances. ! l [/� ,'� ��r. �',�.� "� `..�w1A� :;1 � i C� t sT� �-T^^?'; ..��...:.�..-. NOTICE: This permil does not eov�r th� eonsfruefion, instsllafien fer wiring. pWm6iny, ��s Reafie0, tww� w wNa. R� wh !e N� tha Building Ms�aetor for ssparaN psrmeb for lMs� fNms. �4 � / � r .._ - " , i _. _ _ ....� _. _ ____ �.__.au�< .; . � 2. `-/ � �G c/ � � . S APPLICATION FOR BUII,DING PERMIT CITX OF FRIDLEY, MINI3ESOTA �� Owners Name Builder �C3T6$8 � �C�Y'@3S r - LOCATION OF BUILDING . No..,�,�� Street �� Part of Lot �� 1��,�j�' ��. i,ot Bl�ck��r,,,�- Addition or 5ub.Div. ��'-� L�ii�� ,��/y/d•�'�s Corner Lot l�Inside Lot� 3et Back � d Side-Yard �� SEH1'ER ELEVATION FOUNDATI�N ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building loca.tion. DESCRiPTION OF BUII,DING To be sed as: FSront __ � T „�ep ��_.,_,Hei.ght�„_,_ Sq. Ft. Cu. Ft► .�%.,f�,,,,_a ��' � Front % r-i Depth � U Height,l�, -1 .___.�..�. Sq. Ft. �i�- �`� Cu. Ft, �� v '' Estimated Cost �.� � � a � � Type of Constructi�n /1� To be completed � .1 �� The undersigned hereby makes application for a permit for the work herein apecified, agreeing:to do a11 work in strict accordance with the City Ordinances and ruling of the Department af Buildings, and hereby declaxes that a17. the facts and representa- tions stated in thi application are true and c ct. DATE � �SIGNATURE ^ -L—� (A 5c dule of Fee costa can be found on the Reverse Side,) ._ s . � • _ , �.. ! •J �c � _ � � � � � , i � _ � i_ — , , i � .,.._, � Y- ` �� • .` . �!' � \ ' � City of Fridley t 4T 1MQ TOP Q/ TME TN�INY � � � rL"-��--� COMMVNIT� DEVE{.OPMtNT OtV, � � � 1'ROTECTIVR nN�CT10N OpT, 1l � r__•` � pTV ►IA�� fRi01.RY �Mig 4......J`.� .J i��' ��0' s NO ob Address 6301 llellwood Urive N. �. � a PLUMB I�Vr, PERf1I T APPL I C�T I O�J 1 � � ��s,-- - --- eaaress Yhone Bi11 Hauan same Contractor A ress P one Backdahl & Olson Plbg. & Htg. Co.,Inc. 3157 Chicago l�ve. 827-3779 Kind of Building Use Comptetion Date ' Ivov . 26 • , i' _ u �� i ' �— II �iW I I i :I r WI � I , � _ � -- -� I W 1 f'' °' � ( i I i < < ; � I I i �� a�Nra � � j I 6Y'J I � I . I � � '1ddY� � I —�_I — avo I + , � i .,s,w! 1 I ! � ;� � !_ I i •sao�l � I � � �I j •MNiva �— I � � � I. I�d„ I $NISVB) I I i I� H�1V�� I � I � I M iD4f+: � i 3 o iN�vaa� I fI i I � aoo�� z� I saaMw+Sl � I I � I O q '1Nf10d ! I I � Q awiao� I ( { I I i v� p� s�vail I I I � q � NsvM � i�NISI � I I � I � sNisva sant Mtv� irn .�'.o,a �aivn� .�. �� CU L�i .� � O eo 'ra W � LL � a� � 6 Ii i� (: ` I i � �sc�matea c;osc - 1,50.00 ; Plumbing Fixture Rates: N0. RATE TOTAL Number Fix tures x $2.00 �_ Future Fixtures x $1.50 New Fixture-Old Open. x $1.50 Catch Bastn x $3.25 Water Heater-99,000 BTU �_ x $3.00 � Ground Run Old Bldg. x$3.25 Elec. Water Heater � x $2.00 .DO Gas Fitting Fees: lst 3 Fixtures x $2.00 --�-^� Additiottal Fixtures x $ .75 Gas Ra.nge-199,000 BT[J x ,55.00 Repairs & Alterations See Description; Code i 3��° State Surcharge .50 , I TOTAL FEE $ � M r.,;�� a.°=) !The undersigned hereb� make�application for a permit �for the work herein specified� agreeing to do all woxk . in strict acco�dance with the Citp Ordinances and rulin of the Depaxtment of �uildinge� and hereby declare that �11'the facts and repxesentatione stated in this application are true and�correct. ., ��.�;wL-��.:�.�-�-- // �0-'�3 'Signature Date � i�� `'� - � � 7 Sl f . CiTY OF FRIDLEY APPLICATICN FOR POWER PLANTS AND HEATING, COOLING, VcNTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Job Address , G�' % l(.?(�-� �%� F1�rnace Shell & Duct Work $12.00 $ , Replacement of Flirnace 7.00 $�� Repairs & Alterations-up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Te1. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 STU Replacement of Furnace Repairs & Alterations-up to $500.00 RPpairs & Alterations each add. $500.0� STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3,qa1. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 ETU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: lst 3 Fixtures Additional Fixtures Gas Range to 199,000 BTU AIR CONDITIONING FAN HEATING SYSTEMS Se VENTILATING SYSTEMS ALTERATIONS �, REPAIRS ROUGH INSP. Date $12.00 4.00 7.00 7.00 4.00 $ $ $� fJ (7 S S $12.00 $ A.00 $ 7.00 $ 6.00 $ S10.o0 S 10.00 $ $10.00 $ $ x $ 3.00 $ x $ 1.00 $ x $10. 00 � $ S e Fee Schedule $ S S State Surcharge $ .50 TOTAL FEE $ �_ J O •cd� REINSPECT:CON FEE ($10 00) . � � 1� The undersiqned 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, Minn. �J ' O _. 19� OWNER KIND OF BUILDING USED A TO BE COMPLETED AHOUT +( � ✓ < � ! / ESTIMATED COST � J (,UG' �^ �- NEW BUILDING PERMIT NO. _ PERMIT NO. � 1 Cn�/ , DESCRIPTION OF FURNACE/BURNER AEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name ��.td/�� size No- (a�-� /CG' /i��/l'/� Capacity � Sq. Ft. EDR BTU �� C�� HP /�-'� Total Connected Load CG =�, C'�` IGind of Fuel C�',l� ��---- BURNER - Trade Name� Capacity FINAL INSP. �%-zi" %d • " �'` � Date r/� _�7' / 1 APPROVAL FOR PERMIT MINIMUM FEE EOR ANY HEATSNG PERMIT IS $�.50 PLUS $.50 STATE SURQ3ARGE Size No. � Sq. Ft. EDR BTU Hp Company Signed By Tel. No. '� • QESIDEIrTIAL CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AiR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE ` RATE Furnace 8hell and Duct Work, Burner (111�o raplacment furnace) Gae Pipinq (pipinq neoded vith na+ furnace) Gas Range Gas Dryer • Air Conditioning (all aizea� All Others/Repeirs and Alterations lt of Value of Appliance or Work COMMERCIAL�INDUSTRIAL 1• oi Value of Appliance or Work $ 20.00 $ 10.00 TOTAL S ` C� � $ Job Address �� Q l�jCy'] � ��\ UQ Department of euildinqs. 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. M571-3450 $ 10.00 $ The undersigned hereby makea application for a perwit for the wrk herein speciEied agreeing to do all work in strict accordance with the City Codea $ 10.00 $ and rulings of the Department of Buildinqa, and hereby declaree that all ths facts and representations stated in thia application are true and correct. o, $ 10.00 S �l'� . S S State Surcharqe r�•��.��t� Reinspection Fee (515.00) Rough Insp. Date Final Insp. Date Approval for Permit —�� MINIMUM FEE FOR ANY HEATING PERMIT IS j15.00� PLUS S.50 STATE SUFfCf1ARGE •Air Conditioners can not be placed in side yard without writcen pctwission fran adjoi�ing neiqhbor, S .50 $�_ 5 Fridley, Minn. . 19_ OWNBR �t ) 1 l l \ � (`n �"� i� S "i � KIND OF BUILDING _�2•,�p lCi C�Q „_ USED AS ` 1'�OS1 �QC��`d� TO 9E COMPLETED ABOUT �aq - � � � 00 ESTIMATED COST �� `j�)� '/ ___ OLD - NEYI BUILDING PEAMIT N0. PBRMIT NO. !�'Z �� DESCRIPTION OF FURNACE/BURNER HEATING or POWER PIANTS, Steam, Hot Water, Wasm Air- No. . Trade Name Cr�C'� i Q� size No. Jr�b �X 1�� Capacity Sq. Ft. EDR HTU S� NP 'ibtal Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP company A��C'('� N� �- �i i t' C.G cvC� Signed By Tel. No. ��- �� fill ou t back side for stack verification on replacement furnaces sus�ecr PERMI City of Fridley 19 6 3 4 AT THE TOP OF THE TWINS g U I L D t N G P E R M I T r ; � RECEIPT NO. � • COMMUNITY DEVEIOPMENT DIV. � �y------ � ��0 r � � PROTECTIVE INSPECTION SEC. � � /"'1 � CITY HALL FRIDLEV SS4$2 NUMBER REV. DATE PAGE OF APPROVED BY �""'� � ,�' 612-571-3450 910-F15 8/18/88 / / JOB ADDRESS 6301 Dellwood IIxive N.E. 1 LEGAL �OT NO. BLOCK TRACT Ofi ADDITION SEE ATTACHEO �esca. 17,18 1 Moore Lake Highlands lst Addition SHEET 2 PROPERTYOWNER MAILADORESS ZIP PHONE Houan 6301 Dellwood Dxive N. E. 3 CONTqACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. D& D Home Improvanent Inc. 7401 Centrai Avenue N.E. 784-7543 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Re s ide ntial 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Soffit/Fascia 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD VENTI�ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZEO 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 CEiiTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S89O $. SO DOES NOT PRESUME TO CaIVE AUTHORITY TO VIOIATE OFi CANCEL THE pEFiM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $23.00 PIAN CHECK FEE TOTAL FEE �•�� $2 3 . 50 S�GNATUAE OF CONTRACTOA OA AU7HOAIZED AGENT IDATEI WHEN PROPER�Y AIIDATED THIS IS YOUR PERMIT �. � � $�GNATUREOfOWNEA11f0WNEA8UILDEAI IDATEI BLDG �NSP npT � �� City of Fridley EEfective 5/1/88 ADD�1 � 7 R-1 AI�ID R-2 ALTER �) Onnstructian Address Legal Descriptim Bui.lding Permit �pl ication �«n �5�� Owner Nane & Ac7dress : � �1 a..� �1. # S'T/ - $oq S cbntractor : �-� I � , �e ,_`L'm �� eme�t+ �-�c - Te].. � ��f - 7��/j Aaar�: _ 7�a I C��n�-� �� /11�� Attach to this appl ication, a Certif icate of Sl�rvey of the lat, with the proposoed oonstruction dra�m on it to scale. �.SQtIPrIOId � II�ROVH�TP LIViNG ARF�: Length Width 8eight St�. Ft. C�+,RAGE Ag�i Lett9th �+1i,�='• �� Height 9q. Ft. ' Len9th Width Hgt /Gro�d St�. Ft. � 4�rner Lot �(,I Inside Lat [] Ft. Yd Setback Side Yard Setb�cks �pe of Gbnstruction: �I.wM � �-E-� �{� �id Estimated Cost : 8_ ,t��'0-� Approx. Completion D�ate: � - 3c� , A1t. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ Width + 6' See Back Page �• � 1 � ♦ �. �' / a�r�. Aennit Plee state surc�arye SAC Qiarge Drfveway Escrow Park Plee Sewer !lain C�arge ROTAL -� r•� �� . S �� O s .� v � S S S $ �:� .�?: CLTY OSE �LY �1. # �� 1 7��.3 P�ee Schedule on Reverse Side 8.50/51,000 Valuation 5550 per SAC Unit Al� '�" or Ait. "B• Above F1ee Determired by Fhgir�eering Agreenent Neo�essary [] Nat Neoessary I] C[TY OF FRIDLEY APP�ICATION FOR PWMBING AND GAS FITTING PERMIT m i� � m u . K a Water �n a ►roi c•-�i a1� 4 N o, �.�. �CN H�aCer �•�i W N � C ,Uf(1 E yC�( 1� W Hp �C CEE��i W K • P4 4 H ul .S � YaI C UI �.� y O . O V y�n �1 Y1 u1 N Vq1 L c v~i U � apq m v�i 3 0 w w 4. u a0 4� 3 cro7 � l� O as 'lec 19 C -� 1 c_- 2nd 3rd 4 th (A) � FLture Connection Opening Connected wlth Sewer (") � New Ftxture, Old Opening water RATE SCHEDULE PLUMBING FIXTURE RATES: ' N0. RATE TOTAL New Fistures Futurs Pi:tures Old Openinq, Naw FiYture Bae r Dispenaer elov Otf Basln Catch Basin Rain fiater Leader Hydraulic Valve Sump or Rsceivinq Tank Water Tre�ting Appliar►ce Hot Water Naatsr Gas Ranqa . . _.. ... . . _...,.....- Gas Dryer S 5.00 $ S 3.50 S S 1. SO S S 4.00 5 $ 5. 00 $ g 5. 00 S S 5.00 S S 5.00 S 5 5.00 5 5 7.00 $ S 5.00 � g 10.00 g g 10. 00 $ Back Flar Preventer Aequired. .. Yes O No O �pe 5 5. UO ALL OTHERS AND/OR REPAIRS AND ALTERATIONS . l� oi Yalue oi Fixture or Apptiance State Surcharye Reinspectioo Fee S ' (515.00) TOTAL FEE 5 S S .50 S /S: S� Effective I�tay 1, 1990. Job Address �� Q l �.�i � � Department of Buildinqs City uf Fridley Tel. k571-3450 The undersiqned hereEy makes application for a permit for the w rk herain specified agreeing to do all work in stcict accordance with the City Codee and rulinqs of the Department of euildinqs, and hereby declarea that all the facts and representations stated in thia applicntion are ttue and eorrect Fridley, lir�. �^ p�C � ZyC�.1 �1 ��_ OWNER _� `�v1 i, 1 CI IM C lrl Wl KINO OP BUILDING `)�'� y Yy�, �, h(j1fY\P USED AS `�p, TO BE COMPL.ETED ABOUT mn, rr 1� �(1 I�Iq (1 ESTIMATED COST � '�� OLD - NEW BUILDING PERMIT NO. PERMIT NO. 1��`D ROUGH INSP. Oate c-� ` , , CompanY ___ � h(l Y` n 1"i�-� !1- � 1(� Signed By Tel. No. 5 1 � - (� ��+ FINAL INSP. �� O � �D ��C� Date APF`ROVAL FOR PERMIT __� ►1LNIHUM FEE FOR ANY PLUMBINC PERMIT IS 515.00 PLUS.THE S.50 ST4TE SURCHARGE SUBJECT . City of Fridley � 2 7181 AT THE TOP Of THE TWINS gU I L D I N G P E R M I T r � � RECEIPT NO. COMMUNITY OEVELOPMEN7 OIV. r � v ~� PROTECTIVE INSPECTION SEC. f�a � � � � � � � /�"1 � CITY HALL fRIDLEV 55+32 NUMBER REV DATE PAGE OF APPROVED 8V �°'"�� '' 612-571--3450 9t0-Ft5 8/13/98 � � JOB ADDRESS 6301 Dellwood Dr 1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. 17 & Pt 8 1 Moore Lake Hi hlands lst SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PNONE Bill � Haun 571-8095 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ne ave Const 4208 83 Ave N 566-5225 20077950 4 AR HITECT R DESIGNER MAIL ADDRESS ZIP PMONE UCENSE NO. 5 ENGINEER MAIL AODFESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION O ALTERATION � REPAIR � MOVE O REMOVE 8 DESCRIBE WORK Reroof house and ara e 29 S Tear-off 9 CHANGEOFUSEfROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, HEATING, VENTILATING �R 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 FOfi A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTpEET PARKING I HEREBY CERTIFV THAT I HAVE READ ANO EXAMINED THIS APPLICA710N STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIQNS Of LAWS VALUATION $URTAX AND ORDINANCES GOVEFNING THIS TVPE Of WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1.2], OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T fEE SAC CHARGE PROVISIONS �F ANY OTFiER STATE OR LOCAL LAW fiEGU�ATING CON- STRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. Fl 2 SC Z.35 PLAN CHECK FEE TOT FEE 1 S�GNATUAEOFCON�AACTOAOFlAUTHOA�2EDAGENT IDATEI EN ROP V LID TE HIS I OUR PERMIT � i SiGNATURE OF OWNEA UF OWNEA BU4DEAi iDATE� G iNSP D�iE . Rug 11 98 10:45a NEW pDDN ALTER tl t� tJ ConstructionAddress: I,egal Description: Kerri 566-7183 CT�'Y OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 gUILDING pERMIT APPLICATION � G� • �G� 4�' � �IJ� �'�' � l �� Owner Nazne & Address: .,� Contractor: Zf G'� " Address: � LIVING AREA: GARAGE �AREA: DECK AREA: OTHER: Construction Type: �ll �� U; �� d � � O/�`i�� p.2 Effective 1/1/98 `�1 �� /l�� 7 Tel. #--��1 ^ � G 7 � MN LICENSE # ��7� � � Tel. # .�'/�P �'-� Z � Attach to this application, a Certif cate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT �ng� Width Height Sq. Ft. - Length �� Width Height ________ Sq. Ft. _______� w�acn �— H�Ground sq. Fc. Lengch � / Driveway Curb C�t Width Needed: Ft. + 6 DATE: c�Sr/�� 1� � r , � t// �` - Estimatcd Cost: $ a (Fee Schedule on Back1 = Ft x $ _ $ �� Tel. # �[o � �'.S`�22- ..� CTTY USE ONLY Pernut Fee $ ��-%� Fe.� Schedule on Reverse Side Fire Surcharge °�`�$ .001 of Permit Valuation (1/1Qth%) State Surcharge $ /- a / $.SO/$1,000 Valuation SAC Charge $ -$1000 per SAC Unit License Surcharge �$ ,, ,' G� $5.00 (State Licensed Residentiai Contractors) Driveway Fscrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review _ Park Fee $ Fee Detcrmined by Engineering Sewer 1Vlain Chazge $ Agreement Neccssary [] Not Necessary [] �� TOTAL $ �a�" � � , D rI U�. � / STiPUL,ATtONS: �'"�� 0 �b't�£�t N�3FIa �l1Q1 �O�IS�St ��IIl �d iS 'c!j �' SE09 `£Bitci� dH 3P1 1S Z/T � BQBh `CBTL�# t� dQ Q �1il� ��:T9�T� M��l � N.l N� � � N� 5�l � N� K:l W! ZH 00'Sf t�''� 8B'3 S� 69'if d8 5L'9S� �'H QO'�� fIS IZ'Sf Sj SE'Zf � SL'�Lf � ov •s� f1.S Iu'i# S� S£'c'3 dH 5L'bt3 dl 1� i I S j T T T t t i 1 � uo 9dt#�NfIS �� j �liit�i:kf(1S 3aI� 9NItilI(�-S1If�Rl3d gayH�It�; 3�13:1I1 XtilHflS � 39aHFl�?lfl5 3tiI� �IIQIIf�-SlIl�3d sat�a�s �la� j 39dtlf�)t!(� 3aI3 �IIQ �i(�-S1Iidtf�i M�I1dI8�.S� �6t5000 �1dI�3�! 04 8E�/£t/8 �31tlQ i ��3Mtl�Q �Q 310:1 ��3d0 +�*� 1d�3�3d d��5TKl � atpta� �o �t� CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572— 3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1999 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** NO. RATE TOTAL �� Gas Dryer** _ Back Flow Preventer Required ()Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 y, $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.596 of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 JOB ADDRESS (� �jD J n�/,CJp p�j ��. The undersigned hereby makes application for a permft 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. �1I �- �'� , 1999 � w� Own er �'� i 1 I � c¢iv�. ��- � Building Used As Estimated Cost PERMIT NO. ��J � '�� . PLUMBING COM_P� ��n�� qG.So�S p/ff; � .�.7 ; a�7� Approved By� Rough—In Date $.�Q�l7 PLUS THE $.50 STATE SURCHARGE TEL NO.�%�I �%� _ Final Date ��"J<�' ]C��IIT IG� �nn nn `i� **COMBUSl10N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SG1 INCHES. APPLICATION # 07-� CITY OF FRIDLEY 2007 LOAD LIMIT MODIFICATION PERMIT JOB ADDRESS: �.. � � I � �"��°�� MATERIAL TO BE HAULED: BElNG HAULED BY: PERMIT REQUESTED BY: � ri' �e-- { � � � � � -P �d DATES OF DELNERY: ��l � �� (Up To 3 Days) DATE: / � I l � � � / L THIS PERMIT I5 ISSUED TO ALLOW AN INCREASE OF AXLE WEIGHT FROM FOUR (4) TONS PER AXLE TO FNE (5) TONS PER AXZE OVER THE FOLLOWING DESIGNATED ROUTE: � � 3 �� '� �''Q � � F✓"� `! z NOTICE: This pernut is valid only for vehicles enroute to construction address during the hours of 8:00 am to 5:40 pm. See Resolution # 01-2004 and State Statute Section 169.87 5ignature of Applicant PERMIT FEE: $25.00 RECEIPT # � /(�� ISSLTED BY: '�� Copies Given To Police [�& Engineering [] D �� in�, in��;ti�r�� i'�:�-�72-��r{�4 ��—��—�� ► . , ,# � � �i ��,�� .= eaJ 37 ��ti�� : r��r� ��C'D � C y912008 i)a�,'Jf � C..'" ,�}:.r� �'�$�� _ ..__ Yt)t"RS �fhl;..r�t)T)Ki;4S !"i�+�O4r^ti.. � _�i'e�'L�'„�l�+��#:�•_,�.'�.�.L�,f/C�i.�y.`�, ._ �_ . . . 1�-r�. �nn�� s� _. ��.� � _.. '�? �.��.�.?.�_� e�-_. _ ��1-.. ��'� � ��.,� ��',.�'±� �.� _`�_ �_�..__.__ _.._ _. �_-____ � . ._ .. S �ttS ;t€�t'�..t�.' �+�sT €s C7 r:sw°h}s�t [1c:c)hTtz:�C"'t��tR t R i�"� 1 �i � {` L.-'ta_.... #'�+ ;� °«. ...._....._..._ .».._,.�.. .,�__.. .. _ ....._..... _._ . ...._ �nr�t�� _�_��__ �e.��,�.�. -�'�.� ., �=_�.�-'..__.�r[��_._.�.�'=�_�-b � �;��e_,...�,�_�z�r�__',�`S�'�.,�' �.. -� _-�--�___- a ..._ �>t �r ��a�r �'.�.�—�-�! �.. �"_��"-.�'� --._ � N Jt `vt�: C�3�'�'�2.�{'"�I'�� rA�`1f?ii��i'� � .�1�, ..._� x'a�;�''� � � ..w �. 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[�st tl�r wcer�t usti kr� "s:g au�:va te wAlr thc s�t�rr�te�i p#ar� ia tt�e c.�se ��f�ti uock v:ktii,:3� ru;ui��; r��icw anc� a�rc7v��t ��1 �Siase4. a� _. - — Mr �__. �� _ _.. ._ _ . ._.___. _ �._��__ ��_ _� _..______ _. _ __._. �._ � ��.� ��` �i�'f?,t,1"ti.lRf:t)E°�i'�i.Et:r12�i` ��`� PEt.rn1�'t*tr��}- ��a' t�AT��__ �F ��PF'Ftt`�V�C? t3�r' Ijr1T��;