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AF - 47378�� City of Fridley, Min.n. BUII.DING PERMIT Date: .. �j..^.../.� .�...:.��..�.� ........... Owner . �, `.�4(. . . � . . . . . a s �o �� Address . . . . . . . . . . . . . �. . . . . . . . . . . . . d . . � :-`°:°'"''�t � N° 3585 � Builder....../.... � :...........................:... Address........................................... LC?CATIO�I OF BUILDING ��4 r � j No.4�!.�. l. .. . street . .� . .�..�(,(l ...... .. .. .. .. . Part of �Lot . .... .... .. . .. .... . . .. . . .. A �� o �3:.,;7Y: � � Btock . .. .. .� . .. .. . Addition or Sub-Division . �. . .. . . ��. .... ... P,oaer a 3' Corner Lot . . . .. . . . . . . . Inside Lot . %� . . . .. .. . Setback .�S ta.��. Sideyard . � d. : . t? . . . .. . . . . .. .. .. . . DESCRIPTION OF BUILDING To be Used as: , �,..�� ...... ��t .Y.�:.d `�� c ; �. GC�lsl.��ix..... Front f..Y: � Depth �3:'0. Type of Con.�struction !�?!tt�'44......... �a� Co�t...�, . ao J Y�. H�ght �y-�� Sq. �. �.o.�� . �.�.. � �y..� � ��: _�= SQ. �.�.. : .. �. �3.��,Q � To be Completed / / ,- / _ /�� / - . i , � � �/�� / / / . „ - _ j, � � � . In consideration of t'he is�ance to me oi a permit to construct the building desribed above, I agree to do the prnposed work in accordance with the desc�3ption above set forth and in compHance with all proviaions of ordinances of the city of Fridley. .�....��.....�...�. �l�n:��I�../...... In consideration of the payment of a fee o! $.�.�..�."�..'., pernut is hereby granted to ................... ......................... to construct the building or addition as described above. This permit ia granted upnn the express condition that the person to whozn it is granted and h3s agents, employees and worl�nen, in all work done in, around and upon said building, or any part #hereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. / � � '��_ .. _.. ^. Building It�apeetor NOTiCE: This permit does not cover the construc�t(on� instailation or alteration for wi�lny, plumbiny, yas heatiny, �wer o� waien Be sure to aee the Bulldlnq inspector for separate permits tor these ttema �,- .. , � .� I F o Z � 3 � � � � Base lst 2nd 3rd •, City of Fridley App�ica�tian for P��mbing cmc� Gas Fitting Per�nit DepL of Bld.gst i�kione 3U 4-7470 DESCRIPTION OF WORK , — Number, Kind and Location of Fixtures L��oi'�� F- m in Y �} Z� z a � mH m �n 3� o° 4th � � � � � � � • Fuiure Cos►nection Openings * New Fixture, Old Openings � Vl d' N = N w Z _ � a' ~t < O < � a < QZ � a N LL O V m G i C9 G C9 C' U� O L PARTIAL RATE SCHEDULE a • i WATER HTR. F N GAS ELEC. � $@W@! � ce��i n PLUMBING FIXTURE RATES: NO. RATE TOTAL Nuxnber Fixtures ......................�_ x $1.50 $---� Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin ............................ x 3.25 �; Water Heater (Up to 200,000 BZ'in , . . . . . � x 2.00 $ � � � New Ground Run Old Bldg . . . . . . . . . . . . . - x 3.25 � GA3 FITTING FEES: NO. RATE TOTAL lst 3 Fixtures .........................._� g $1.50 $ � ✓ � Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU . ............._� u 2.pp $��Q REPAIRS & ALTERATIONS—Refer to Code Description ............................................... TOTAL I�'�'� City of Fridley: _� �� tK �Y � � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. E�idley, �Minn 19 Owner ��11s�[.rCf� � L�c-��°� 19, � Kind of Building ; � � -�+� - �-� , 19_ /� , US2C� 1S �l � �s� —t�—1 n � �� To be completed about Estimated Cost, $ � �, � � � . � � Old—New. Building Permit No � � ,.�- /� Signecl (vr.�1� � �u-c%'' By Business Phone Connection Permit No . ....................................................... water � • � C� ,1UN 2 4 1�359 Rough Sewer .�� Meter Deposit d � . ,,S''S''�, C� / �,� �S~ C► 11 1 M-8-58 �� SUBJECT R . City of Fridley . 14114 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � ECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � �y - ___ �f0 / 1 � r � � PROTECTIVE INSPECTION SEC. �` � �'�'1 � CITY HALL FRIDLEY SS4$2 NUMBER REV. DATE PAGE OF APPROVED BY """� � ,'� 612-5603450 910-F15 5�31/77 � � JOB ADDRESS 6321 Jackson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. Z3'25 5 Florence Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Arnold Aune 6321 Jackson Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Co. 6331 Riverview Terrace N.E. 560-2610 4 ARCHITECT OR DESIGNER MAfL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USEOF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Cl ALTERATION � REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK Reroof dwelling 9 CHANGE QF USE FROM TO ST{PULATIONS priginal roof to be removed. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONINCa. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAlUAT10N SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED yS`].�$OO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S• 9� 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. tiS`�.Z.00 �-�p-- PIAN CHECKFEE TOTALFEE � , f��'`,�"-�.e 6 � > > $12.90 SIGNATUAEOFCONiRACTORORAU HORIZEDAGENT �on7E� -- WHEN PFOPERLY VALIDA7ED THIS IS YOUR PERMIT / 1�n�t p � ��L-_'_LI_��__� SiGNATUfiE OF OWNERUF OWNEf7 BUILDERI IDATEI BLDG 1NSP DATE '� CITY OF FkIDLEY • APPLICAT'ION FOR RESIDE«TIAL BUILDING PER��IITS �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OTnT�1ER: �/��oG /� � u N� BUILDER: �� c h A �Z Q �t �$( i N 6 S' C�, Address : b3 Z I �1� cfC So n! 5�.1�!•� Address : b 33 f IZ�� 2.� [��.•� �i� I� Tel. No. :'S� o^ LG l o No.: ( 3Z. I Street: �Ac kSon� S f. N•L � LOT: Z 3 � Z S BIACK: S ADDITION: FL a��,,�cE �R �l' K �} �(�y, CORNER LOT: INSIDE IAT: S;TBACK: SIDEYARDS: Applicant attach to this form Ztvo Certificates of Survey of Lot and proposed building location drawn on these Certificates. . DESCRIPTION OF BUILDING � To Be Used As: � Front: Depth: Height: ' Square Feet: Cubic Feet: Front: Depth: iieight: Square Feet: Cubic Feet: Type of Construction :�EA �Z o FF �(�� 20 o F Estimated Cost: $ � t7 p o• o�_ To Be Completed: .� �l S/ � � Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE 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 that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE : ��' �7 7 S I GNATURE : % ;Q Stipulations: _ /�-� � �f U /� -�� . CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION� REFRIGERATION AND .AIR CONDITIONING $YSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVIT'Y WARM AIR: Rr1TE TOTAL Job Address �� 2- � �' �G� ,�� `�j �%� , � � Furnace Shell & Duct Work $12.00 $ , • Replacement of Ehrnace 7.00 $ Repairs & Alterations-up to $500.00 7.00 $ Department of Buildinga Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Fuznace Repairs & Alterations-up to $500.00 Repairs & Alterations each add. $500.00 STF�1M OR HOT WATER SYSTEM: Boiler & Li.nes up to 100,000 BTU each addn. 50,000 BTU Hoiler only up to 100,040 BTU each addn. 50,000 BTU OIL BURNER- to 3,ga1. per hour each add. 3 gal. per hour 512.00 4.00 7.00 7.00 4.00 S S S $ S $12.00 S 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ GAS BURNE R- Erom 100,000 BTU to 199,999 BTU 510.00 $ (over 199,999 BTU see Fee Schedule) S . • GAS FITTING FEES: lst 3 Fixtures x$ 3.00 $ Additional Fixtures x $ 1.00 $ � Gas Range to 199,000 BTU x$10.00 $ AIR CONDITIONING S /b,� FAN HEATING ,MS See Fee Schedule $ i VENTILATING SYSTEMS $ � , ALTERATIONS � REPAIRS $ I State Surcharge $ .50 �� F� s10, b RpUGH INSP. Date FINAL INSP. Data APPROVAL FOR PERMIT �=C'�-GV REINSPECTION FEE (.$10. 00) MINIMUM FEE FOR ANY HBATZNG PERMIT IS $7.50 PLUS $.50 STATE SURf�iARGE The undersiqned hereby makes apglication for a pern►it 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. (p �JI�YI � - . 19� OWNER j� '�` j�ii �� 1 � i%%� e. KII3D OF BUILDING �v�-a �u1 � USED AS GC� G I i I l/I aJ TO BE �MPLETED ABOUT �D �V YI / OB ESTIMATED COST ! r�� OLD NEW BUILDING PERMIT NO. PERMIT NO. ��,( J�-�.-. DESCRIPTION OF FURNACE/BURNER A � �' c��l � ��on,�9 . id�S1A�PF3i9 as P9fii�k�-Steam, Hot Water, Warm Air- No. Trade Name CQ �e WI b!/1 Size No. �� ,� Capaoit�- _ Sq. Ft. EDR BTU � i�0� Hp Z'" Total Connected Load ��VTtcy� COC��/v19_ Kind o£ Fuel SURNER - Trade Name� Size No. ' CapdC3ty Sq. Ft. EDR BTU HP ComP�►Y �a �darcl IT�t�i � � Signed By �--� /+ �+ � �e �_ Tel. No. Z � Z� 'J� � r sue�ecl PE t1J� . City of Fridley � 1413 AT THE TOP OF THE TWINS gU I L D! N G P E R M I f � � RECEIPT NO. � • COMMUNITY DEVE�OPMENT OIV. ' j L -��'�-, . r � � PROTECTIVE INSPECTION SEC. 1 , �1 � r��1 � C1TY HALL FRID�E� 55432 NUMBER REV. DATE PAGE OF APPFOVED 8V � `��«� I �.J . 612-560-3450 910-F15 6/7/77 � / J08 ADDRESS 6321 Jackson Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 23-25 S Florence Park Aeddition SHEET 2 PROPERTY OWNER MAIL ADORESS 21P PHONE Arnold Aune 6321 Jackson 5treet N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Leo O. Sanders 7813 Jackson Street N.E. 786-2860 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO. 6 USE OF BUI�DING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace garage slab 9 CHANGE QF USE FROM TO STIPULf\TIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PEfiMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VO{D IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK lS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNiTS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. Al� PROVISIONS OF �AWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $475.00 �. �JO WITH WHETHER SPECIFIED HEREIN QR NOT. THE GRANTING OF A PERMfT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE PROVISIONS ANY OTHER STATE OR �OCA LAW REGULATING CON- STRUCTION THE PERFOR NCE OF CON CTION. y�+7.50 � PLAN CHECKFEE TOTAIFEE d' y5`8 . �� IGNATUREOFCONiRACTORORAUTHORIZEDAGE IDnrEi � HEN PROPE LY VALIDATED THIS-IS YOUR PERMIT N CJ�� ' ' SiGNATUREOFOWNERIIFOWNERBUIL0ER1 IDATEI BLDG INSP DATE CITY OF FKIDLEY ' APPLICATION FOR RESIDE�TIAL BUILDING PERt�ITS iNEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWfdER: � BUILDER: p ` Address : )'- � � _ Address : ^�� l�C. � _ Tel . No . : ' '�rY e— � P � � / /� �,4� ° No. : �� Street • � (J�f[`l�'j_,�cf��; ��.JC� - U � a �1 LOT: �� `��. BIACK: �S ADDITION: ' 1l� �I!`� �.l �[Q,,/L . CORNER LOT: INSIDE LOT: S:TBACK: SIDEYARDS: Applicant attach 'to this form Ztao Certificates of Survey of Lot and proposed building location drawn on these Certificates. ' , DESCRIPTION OF BUILDING ' o Be Used As: ' � � nt: Depth: ' 'Height: ' Square Feet: Cubic Feet: •Front: Depth: ' � Height: � Square Feet: Cubic �eet: Type of Construction: � Estimated Cost: $ y 7� b O To Be Completed: ' Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired ' $ $ {SEE REVERSE 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 that all the facts and representations stated in this application are true and correct. See reverse side fo additional information. DATE: (p ��'r%% SIGNATURE: p � Stipulations : ' 6jC � -� ��. � � ,s � �� .�l � � �� HOUSE HEA7ING TEST RECORD ADDRESS �� °�' 1+'d<� �"% c` h �I�'- �' � APT. FLOOR CITY OCCUPANT �" OWNER �� HEAT LOSS DATE HTG NST. �CO � SOLD BY ��'h ��' � ��--' INSTALLED BY �% Eleetricat Work By Gos Line By ' j TYPE OF HEAT GA FA v HW STEAM SPACE NTR. UNIT HTR. OTHER / GAS DESIGN CONVERSION MAKE Gr�`�° ��+-� MAKE OF BURNER Model �b � Z- � Modet ' Sxial � � % % �� Max. BTU Rating INPUT �d d� O�A MAKE OF FURNACE Model CONTROLS 7HERMOSTAT �L�_ Heat Plug � �rV _ Valve � `�t � Limit �*'-'�'�'�-- Limit Setting �Q0 Fan Setting � 6 O'^/ i/ � Pilot Type �-�+R�� Pilot Make � � �' susuRe �'' � { �! Vent Size � �� KIND OF LINER ��''�� SIZE�_NONE DraR Hood � �—" - Regulamr � _ `'�-- Filters Size a 0 k L�' Mumber Chimn�y Loeation Inside �/ Outside Chimney Construetion � �"v`t'� Pelot Mode) Smoks Bomb Pilot Timing � "��- ' Draft Wiring � .Tsst Tap L.W, Cuf Off � � Door Prossure Li9htin9 Inst. �' ' '7 J � Prossura��—Pereent CO2 �� Date Testsd tnput CFH �� Peresnt 02 �� Company Testing Staek Temp. ��6 Pereent CO � Name of Tsster Form 235 9�-�'-�`�6051 • • CITY OF FRIDLEY ' : . , � ' . • � APPLICQTION FOR PLUMBING AND GAS �I�'1'ING }��RMI7 ' • � ro a � � u � � � , water ,?ob Addresa 6321 NE `� ackson . . . . . . . . . . . ,: ,� r� df � u a•�+ m. o y a w Heater , ' , '' n H'' "� u� x�� a''i a � w Department of Suildings � � o .5�� '�J � � w� a b� g L�� v� � � N � City of Fridley . � ,, u. . n � h u o .c r+ ro n a ro � Tel. #571.-3450 . u � w v�• .3 o w �n w u w a � u � as lec • , � Tha undorsigned hereby makes applicetion !or a pezmit !or the vork her�n ' ,y, . . apeoiticd aqrccing to do a1J. work in ntzict accordance with the City Coden -�=� d er end rulinqs oF tlio Departmant of Huildings, nnd heteby declarea thet all • � , . , the facts and representations stated in thia applicntion nre true nnd corrx L Znd , , , �' Fridley, Mn. 12-11-78 , 19 3rd • � • ' ' . owx�R AUNE • . a �ti ' (R) � tl�ture Connection Opening Connected with Sewer KzND OF BUILDING fr�me .' • (•) � Nev Fixtuze, Old Opening Water VSED A5 reS. ' ' ' , TO SE COMPLETED ASOUT 7-2"�-� 7S ' PARTIAL RATE SCk�EDULE ' � � � �sTZ��o cosx 30.00 � � PLU1�iBING FIXTIIRE RATES: N0. ' RATB TOTAL oLp - N�W HUILDZNG PERMIT.NO. PERMIT N0. �� tr.u�b�s Pixturea x S3.00 $ • � % �� Q� � ��'�`►'�- ' . �/ vn�/`q� . Future Fixtuze Opening • x $2.00 S ' Company • NAv Pixture, Old Oponing •� x $2.00 � $ • Signed By . Catch Basin ' X $5.00 $ • Hater Henter - to 99,000 92V x•SS.00 $ ' . Tel. No. 100,000 BTU to 199,000 BTV x$10.00 S ' ' xater Softener , x $7.00 S • ' � • . ' liew Czound F�n Ola 8uilding x $5.00 $ • ROUGH ZNSP. . , , �' � , w � �At9 • . . Electzic 5iater Henter x S5.00 ' $ ' , � , , _ • • GAS FITTINC FEES: ' • . � � ' • � ' ��s' , . FI21AL INSP. � .. . + Date ' • , . lst 3 tixturea x' ' S3.00 $ . � ' . �, additional Fix ture� x $1.00 S [, • ' APPROVAL FOR PERMIT !f� . ' Gan Ranqe to 199,000 BTV x 510.00 $ � � • REPAIRS $ ALTERATIONS . ' , �,� � : , , Pirst 5100.00 , 55.00 $ �_ , � ' , • eaeh ndd.. 5100.00 or traetton 52.00 S MINIMUM FEE FOR A23Y PL�iMBZNG F�RMST SS 57.50 pLVS S.SO STATS SIIRCfU�RGE State Surcharge $ .50 • _ , TOi'AL FEE $ 8 • � . ' , �. • � ' n REZNSPEC2inN aa� � sua�ecT PERMI c�ty of Fridley - 6 81 AT THE TOP OP THE TWINS g U I L D I N G P E R M I T r ; 4 RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � j L'--��—� r � � PROTECTIVE INSPECTION SEC. � � � /'�'1 � CITY HALL FRIDLE� SS432 NUMBER REV. DATE PAGE OF APPROVED BV `'��'�i �.J 612-571-3450 9i0-F15 10/12/82 / / JOB ADDRESS 6321 J3CIt5021 Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. Pt. 23, 24,25 5 Florence Park Addition to Fridley SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE A. L. Aune 6321 Jackson Street N.E. 571-1128 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. La.keland Brick & Stone 147 Craig �Qay N.E., Fridley 571-8464 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ g ALTERATION p REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a masonry fireplace. 9 CHANGE QF USE FROM TO STIPULATIONS TYPE Of CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, . VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY 7HA7 t HAYE REAO AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED y�]_� SOO y�. %S WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REG LATING CON- �`2rj.00 TR CTION OR THE PERF R NCE OF CONS�RUCTIO � _ ��`�//�//f�� PLAN CHECK FEE TOTAL FEE //A/ $25.75 `v �• .,S�GNATUAEOFCONTRACTOROAAUTHO DAGENT IDATEI WHEN PROPERL ALIDATED THIS IS YOUR PERMIT ~ • r0� iGNATUREOFOWNERUFOWNERBUILDEFi1 IDATEI BIDG WSP . DaT CI7Y Of fRIDLCY Effective Aug. 1, 1981 APPLICATIOF� FOk RESIDCNTI/1L 6U1LDliiG PL�i4ITS (t�c��. Alterations, Additions, or Re�airs) OWHER: � • nC • �/�� ADDP.ESS: � 3 a I �� r,��, st �i � - TEL A0: ' S i/-//� S � f3UIL0ER: ��L° I�r� �I C�� f S�br, � �o��ss: � y� c�� u�N n� �2� dl� � TEL ti0: _ S� l-�y�y Construction locatian . s�T No: � 3��, sTr�r: c�� c�cso� �S� n� �.o�r: ��_ - .�3 ,� � �� .ac' _ er�ooc : S 11DAITION : � Corner Lot: Insiiie Lots Setback: Sideyards: Ap�licant attach tc tl�is fozm two Certificates of Slirvey of lot and pzoposed building locatios� drawn on certificates to scale. DESCRIPTIOi�! OF OOF�STRUCTIO�i � Front: + bquare Feett Depth: Neiqht: Qibic Feet: , Front: Deptha Height: Square Feet: A�bic Feet: Zype of Cor,structfan :_ `7��6rv Estimated Costs S J,�0C7 . , �� , Rb Ae O�r.,pleted: (�cf' � lllt. 1► Alt. B Proposed Drivc�,�ay h'idth If New Opening Is Desired: $' $ . , SE� REVER�E SIDE OF SHEET � ZSie ur�dexsigned hereby mal;c� application for a permit for the work herein specific8, agreeing to do ,all aerk fr� strict accord�ce with the City of Fridley Ordinances end rulings of t.he Delk�ztmc�t of Duildinqs, and hereby declares that all the facts and repres�tatiens stated ir� this Applic�tion are true and correct., D.�7'E: � I � �',� SIC�tATUI�: StiPulations: l �.�-d� � �� / � A . SUBJECT City of Fridley �- 16 8 3 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f ; � ECEIPT NO � • COMMUNITY DEVELOPMENT DIV. � � ti: ------� r � � PROTECTIVE INSPECTION SEC. �J � , 1 P ' � �'��1 � CiTY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV � _„__Jl.' `.� 612-571-3450 9t0-F15 10/22/82 / / 108 ADDRESS 6321 Jackson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTpCHED �escR. 23 , 24, 25 5 Florence Park Addn. tb Fridley sHeer 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE A. L. Aune 6321 Jackson Street N.E. 571-1128 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Arvid ICorgsven Contr. 6711 Quincy N.E„ Fridley 571-5652 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGiNEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE Of BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADD1710N � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOfiK Alter Basement 9 CHANGE QF USE FROM TO STIPULATIONS >�=PF�A7E f'�Ri�lT� R��I�!fREQ �QR WfRtt�G, � .T - ; � r; '� � �.,� F � .� ,, , ��,-� # .!�t:f t r��.1�v� ��t'yts �� C��,�, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTFICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OF IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONED FOR A PERIOD OF 126 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTiiEET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION �- STALLS GAFAGES 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 $Z�80Q �S`1.,40 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- '�`3H.SO STRUCTION THE PE P RMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE � � ^ ��,.2Z $39.90 SIGNATUREOF �ONTRAC RORAUTHORIZEDA ENr IDATE) WHEN PROPE VALIDATED THIS IS YOUR PERMIT C� 10 �i2-� --SiGNATUFEOFOWNEAi1FOWNEABU1lDER1 �DATEI - BLDG INSP DA7 � A CITY OF fRIDLCY Effective Auq. 1, lge� APPLICATIOE� f0it RESIDLhiT1Ni BUlLD1f3G PCRf�iITS (t�c��r, A1 ter�tions. Addi tions, or Repa irs ) OWNER: � .�_� TiI 't� � ADDF:ESS: , ��. % �4/'�.S' dG't�.s'�c ISC�, �L �o: __ � �� l/z-�` . l3UI LOER : r�� C`� �/ � IIDDRCSS: �?� hC Lr reu e TEL t10: S� �/� —.st�� Construction Location �/ /� • STRITT NO: BTIiE�T: _...! Q. �- GC � d GY _� e i— LOT: �i'�,.,��_ .�S HLOtX: ADAITION: � /`P Corner Lot: Inside Lot: Betback: Sideyards: � 1►p�licant attach t4 this foz�a two Certificates of Stirvey of lot arid pzoposed builcling locatian drawn on certificates to scale. OESCRIPTIOi�t OF COh�STRUCTIOt� C..r�2-- � Front: Depth: r Heiqht: Squane �'eets Cnbic Fcet: . Front: Deptbs Heiqht: Square �'eet: Cubic Feet: � � � � -- 4ype of r.struction : � Estimated Cost: S�� ^ Rb Be Q�r.�pleted: �lt. A 1►lt. B Broposed Drivc►,�ay Thidth If New Opening Is Desireds $' $ _ . SE� i�VERSE SIDE OF SHEET � Tiie undersigned hereby makes application for � permft for the �aork herein specifi�d, agreeing to cb ,all Work ir, strict accora3nce With the City of Fridley Ordinances and ruli»gs of the Departme�t of Duildinqs, and hereby declares that all the facts and representxtiens stated 3n this �pplic�tion ar�, true an� co:rect. /1 , e a��: �p { � z _ �� sicNnzv�: � Stipulations: � �a,�� _�{b - `-�- ��, 90 r ; . . _ _... . ... . . .. -- - CITY OF FRIDLEY iNSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572— 3604 Basement Floor 1 Floor 2 Floor 3 Floor 4 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 —Eledric Effedive On January 1, 1997 APPLICATION FOR PLUMBING AND GAS FITRNG PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Shower NO. RATE Water Heater — Gas•• � Gas Range•* Gas Dryer*� Back Flow Preventer Required ()Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ �.� $ 7.00 $10.00 $ 7.00 $10.00 �10.00 $10.00 $15.00 Wash D��nk:;::::;:::: Fioor Catct�:;: AutA. �as�:::>r Ga .; : <. < .: : Tray �ou�it .::.: Drain Bas�n .:; Washer ARpI ' Range �ixt ;_: Gas Elec TOTAL Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS � 1.59G of Value of F'ucture o� Appliance a 4 � Stffie Surcharge TOTAL FEE $ .50 „�'D JOB ADDRESS�3�21 JACK�N' ST �E The undersigned hereby makes application for a permit fo� 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 fads and� representations stated in this application are true and correct. 3/ � / ,1998 • - /i� I �i�� ` Building Used As �G.S/,CJLC/U C/�L Estimated Cos�a�5 � �� PERMfT NO. ��( (� r-•� PLUMBING COMPANY .��'//� ��%~�it�' D�.��7UO/'�i� LI/,i� SIGNED BY TEL N0. h�� f��D Approved By Rough—In Date Final Date M!NlMUM FEE FOR ANY PIUMB{NG/GAS PERMIT IS 520.00 PLUS THE 5.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SEC7lON 504(� AND TABLE 6—A. MlNIMUM SlZE 9 S� 1NCHES. 0 �. sue�etr PERMIT NO. City of Fridley 2 8 4 51 AT THE TOP OF TME TWINS g � I L D I N G P E R M I T f ; � RECEIPT NO. � ; y__._._ COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �� i . l_-_-�,��,'� CITY NALL FRIOLE� 55�32 NUMBEN NEV OATE PAGE O� AVPROVED OY i 612-571-3450 910-F15 / / 10 28 98 108 ADDRESS 6321 Jackson Street NE t LEGAL �OT NQ BLOCK TFiACT ON ADDITION SEE ATTACMED DESCR. P�' 23 � 24 SFIEET 2 PHOPERTY OWNER MAIL AOORESS 21 PMONE 3 CONTRACTOR MAIL AODRESS 21P 3� � PHONE LICENSE NO Exterior Design Service 6391 Monroe St NE Fridley 55432 571-�4� 3237 � ApCMITECT OR DESIGNER MAIL AODqESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL AODIiESS 21P PMONE IICENSE NO 6 USE OF BUIIOING Residential 7 CLASS OF WOHK O NEW O ADDITION O ALTERATION � REPAiR O MOVE O REMOVE B OESCRIBE WORK Reroof house and ara e 22 S Tear-off• Re air dama e to sidin storm 9 CMANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARA7E PERMITS ARE REOUIRED fOR ELECTqICAL, PIUMBING, MEATING, VENTI�ATING OR AIR CONOITIONING THIS PERMIT BECOMES NULI AND VOIO If WORK Oii CONSTRUCTION 20NING SO. FT CU fT. AUTNOi;12ED IS NOT COMMENCED WITHIN 60 DAYS. Oii IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANOONED fOR A PERI00 OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UN17S OFFSTREET PARKING I MEREBY CEHTIfV THAT I HAVE READ AN� EXAMINED TMIS APPLICA710N STA��S GARAGES AND KNOW TNE SAME TO BE TRUE AND CORRECT. AlL PROVISIONS OF LAWS yq�UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH WME7HER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2385 1. 19 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR IOCAI LAW REGUTATING CON- STpU ON OR THE PERFOR ANCE Of CONSTqUCT10N ]L}. %S F1T C 2.35 'v PLAN CNECK fEE TOi F E icens . 0 .32 ' S�GN4fUpEOFC NC •CTOQ •uTNOai2ED�GENt �D�rE� p OP OAT IS IS YO p PERMIT � O ✓ -� S�GN�7UQE O� OWNEAi�F pWNEp BU4DEp� � AfE� � Bl0 �h5o. G qnrE 1 � � NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� Legal Description: " Owner Name & Address: � Tel. # � �. - - Contractor: Address: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Tel. # Effective 1/1/98 DESCRIPTION OF IMPROVEMENT LNING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. h\ 2D� �� U � OTHER: � /�'�.s- r� Construction Type: �' Estimated Cost: $ p a ��JJ� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ . DATE: APPLICANT• Tel. # � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ r � �� $��3� $ ..� $ $ $ $ $ $ $ , �-- CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ]