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AF - 47572• • • City of Fridley, Mi.nn. BUILDING PERMIT nate: �J� 9z...i9b5 _._.__ ___._ � 9� �� N° 8160 oa►ner: _ Tred Com�Inc. _..__ Bu�der _ Tred Com�an,yt ._Snc._._.___.. Adaress .� �� Aver�ue North _.�_._.._ address ��.�..3.-_LcrWr,�gvemxe �orth ._.._ � M3nneapolis, M3.�nesota 55lt17. _ __ LOCATION OF BUILDING No. ..._.z�6�?.._._.... St�et . J817e3ville._.. �._._..._.__.._._._ Part oi Lot Lot 2.�._& 2� ._, Block .�.. �...�.._._...__._.... Addition or Sub-Divtst� ._ River Viex Hei�ta Corner Lot _._ _ Inside Lot g--_._._ Setba.ck .___.�.�—._._._ Sideyard � 10 � Sewer IIevati� .�..__..._.._._ .�.__ Foundation IIevation DESCR�PTION OF BUILDING To be Used as: �t 26' neprb .� .6?' Height .w..20 sQ. Ft. is � c�. Ft. 2oibc� ........�._. Front � Depth Height ._.._._.._.._ Sq. Fk Cu. Ft.. Z�pe of Construction _�...1L�� Es� Cost �10.,,�000.00.._...�....__ To be C�►pleted _._ �tew Hau�e In cansideration o! the issuance to me of a pexmit to caris ct the building described abrn►e, I agree to do the prop�aed work in accordance with the descrlptlon above� s forth and in po�pliance with all pro�visions � a�dinances o! the city of Fiidley. � 1 (1 V r �, n In cansideratioai of the payment of a fee o! � 21.�0 -�-, P�t is hereby granted to TTed �o.� IIiC• to c�struct the building or addition as deacribed above. This�permit is granted upon the exprees car►dition that the person to whom it is graated and his agents, employees d worlQnen, in all work done in, around and upon said building, or any part thereof, shall oonform itt all respects to the ordinances o� Fridley, Minnesota regarding location, construchon, alteration, maintenanc�, repair and mo�vu►8 of buil� within the dty li�nits and this permit may be revoked at any time upoa violation of auy of the provSsfans o� sa�d ortlinanc�ea. Alleli dBAS�A B�8 � NOTICE: 7Ns p�emil doa eot eowr th� eoe�eoelioe, �Hon for WIeMO. P4n�bisW W hwlteW s�ww ar wd�►. !� aar to sN Ila luildiso le�ler fer s�paaf� p�nrib fer fMa R«as. .. ,c.'.�� .l.j,, � APP'LICATION FOR BUILDING PERMIT CITY. OF+ FRID�i.EY, MIId1�8SdTA,. � .. OWNER'S NAMS Tred Compa�, Inc. BttI�+D�'R , � Tred Com�ran r� It�c. _�. ��_ ADDRBSS 1427 Lowry Avenue North. pDDRESg� 142�� Lowry Avenue North Minneapolis, Minnesota 55411 Minneapolis, Minnesota 55411 LOCAZ"tdN OF BUILDING , No. ��'� Street_ Janesville �Tpart of Lot+ LOTS 23 & 24 BLpCK E ADDITION OR SUBDTVISION. River View Heights Corner Lot Inside LOT X Setback 35• Side-Yard 10� ��_ . �SSWER ELEVATION ' FOUNDATIO�t ELBVATIQN . Applicant attach to this form Two Certificates of Survey of Lot and proposed buildfng location drawn on these Certificates� .. - 'DESCRIPTIUN OF BUILDING To be used a�; One-Family Residence Front_ 26* Depth 3` 8.� 67' Height.. � Sq. Ft . 1, 008. � Cu. •Ft . ��A99-� � �l3 � . . _ �-�—.�-+r . _ Frant' D'epth �� Height "� . Sq. 1�t. Cu. Ft., �Type of �ortetruction Awelling � LetimBt�d CoaC �0,000.09 . . ,--_—._ To be completed 12O.days "� . � . � ..�. . . � �� The underaig�sed hereby ��niakea application,.,for a permi't for the work herein ape�ified, agreeing to da all work.in strict accoraance with the.Clty of Fridley Ordinences aad rulings��nf the Departmet�t `of �BUildings, ai�d, hereby declar8a that al� the facta ' and xepresen�tationa stated in this�application are true and corxect. .. DATE June 3 �1965 (Schedule of Fee Coats can be 1l3LiU4 vu �.,c 1<CVCtiiG ��uG�. � �, k. a �� . � �c • ��.D� �l . . ., � � � • City of Fridley, Minn. BUILDING PERMIT Date: ._.._.AP�l�,....�,�., 1966 33�.,�� N° 877'6 p�r; �Geo�e Kurucz � Buflder _._ Sussel Compan� � Ad�ss 563_Janesville St. N.E.__ _�,d�s �_ 1850 Como Ave,1 St. Paul _ No. __..563 I.ot _...___.._.. Corner Lot Sewer IIevatioa LOCATION OF BUILDING Street . J�?esville St . N.E . ._._._.W.__._._._ Part of Lot ._ . Block _ Additioa or Sub-Division ___.__�....� _.._._._ Inaide Lot _._____.�.�.�. Setback .______._�_..._.._. Sideyard Foundatio� Elevation DESCRIPTION OF BUILDING To � v�a as: Detached frame �t ?0� �p� 22 � Height .._._1��._. Sq, FL 4'4'0 �, �, w+00 ._._..__...$..ar� ._.._....._ Front � Depth _._..___.__ Height _.._...._.._.._ Sq. F't. � G�. Ft. Type of Construction _._.Frame _.� Es� Cost _.�1�45.0.00.._......_ To be Completed �.. 90 days In condderation of the issuaace to me of a permit to coz�struct the building descrlbed abave I agree to do th� propoaed work in accordance with the description above set�rth and in compflanoe with afl pravlsibns o[ ordinattces ot the dty of Fridley. .,� _ [.1� n.Gi ��a�n� �r ��t or a r� o: a 4.00 ,�t � a��,► �,+,�a � sussei c�any to caristruct the building or aadition as described above. Thia perrmit is greated upan the expresa c�dition that theperson to whom it is graated and his agents, employees and �v�rkrnen, in all work done in, around and upou said building, or anYpart thereof, shall conlorm in all respects to the ordinances o� Fridley, Minnesota reg locatie� construction, alteration, maintensnce, repair and mavin8 oi buil� withiu the dty ]inaits and�th s permit may be revolced at a�► time upoa violation of aqy of the Droviaioaa of d ordinaacx�. AT•T•F.N G. JENSEN BUildiaS �n�ctar � NOTICEs lbis p�eroit dea ae� eeva 1M �, i�uhflNbe hr wtrin�. Plw�bd�W N� hwltaW aw�r or wNa. i� ar� ee sN fh� i�rlldieo InpMds� hr ap�ral� p�iM fer fh� 1tMa. APPLICATION FOR BUILDING PERNIIT CITY OF FRID�LEY, MINNE30TA OWNER' S NAl� ��o �' y�e. �v 'r �!C 2. BUILDBR c�v 3 s� Cv ADDRESS �`f,� � -�d,�s f1�I�[� •�� ADDRESS /�Sr' C�, o ��.P cs� �.•� LOCATIOAT OF BUILDING N0. STRELT PART OF LOT L�OT BLOCK ADDITTON OR SUBbIVISION CORNER LOT INSIDE LOT SETBACK SIDE-YARD � SEWER ELEVATION FOUNDATION ELEVATI� �, ,, Applicant attach to this form Two Certificatea of Survey of Lot and propoaed building location drawn on these Certificates. DESCRIP'PION OF BUILDIRG To be used as; �� d a� F"d �+c �4 ��,.� Front a o Depth a a� Height � Sq. Ft. [-f'' �� .Cu. Ft. � G� . .., Front Depth. Hefght�� Sq. Ft. Cu. Ft. Type of Construction �rd-�-�� Estimated Coet yy,s-a °� . To be completed_ % The undersigned hereby makes application for a permit for the wark 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 representati:ons stated in this application are true and correct. DATE_ G�� % � -/96 �v SIGNATURE L'D - � (Schedule of Fee Costs can be found on the Reverse Side). � � � ... . • � � M, _ LOT LOCK ADD'N. 0 NAME ADDRESS AREA . __— .�.__�,...�—._. . ... _. � � � 2l�' :� ,.� i '� � i M ES N "- _ � �u.0 ErZ s � O.,i._Ftt.� Dcte+.� C� Se� Ou�v�2 � ��02 (.,OGATt 1 C01�(k1lT � � SIZE I ( Z� X Z Z VALUE 14-`� O `�` TYPE � r°",s b �' � � � �<<Ip r � . , Ib' Ooc��z . . �c� 2' 0. � ia.. c� +.� �- t8 .. ; , '�o �..rs hk' � Q T � Q 5� w EtZ �ocL E x e„c-r !�. o c. e.-r � o�.,� �, � Q c�c. oc�� Vre.2�/ e.a.z��v�.`y �• n \ o S E� E � P{ease advise the custo er h`--`ure startirg the job of . ' � the approximate amount of extra fill and extra concrete - - ��, , • . and get the OK to go ahe d. �'dhen the yob is completed, �� -� - notify the owner and als Marilee of the exact amount of �_..._.._...._....�_.....�._...._. _..... _.._...._..._....,_..Y__.._._.._...�___._._..._.' extras used. � . "" .. f, ` � �, �� C}w E�„ Oiw.� � cz To �l� 2�J t 5 H �oc� � O rz p.�.rJ .(� �.z-.%. �7Cb,GT � Gd.TI�� VO 5C2EEp � l�('S Tp �,f f�, � n � Q Nl E 5 t-{ l.01u Ou � T . ` �' jl. !` r � i � � �` .- � ' `-$ < � e i � ft //%/ ` r � , � „�':.ry�: x � :.:� . . • • • City of Fridley, Mi.nn. BUILDING PERMIT Date: _._..(l:c.t....._.]_,......1.9ft2._._.._...____._...._..__._..�....____........ p�r; Geor�e Kurucz_� �� ___ �___ _ ButIder Floodmaster Eng. Adctress ...__.5.�._._ ,I.�,�.�Y.� 1 e S t.�,..._N.�_.. E. �_...._..._._.... Address _ 154 5 S e lb� Av e..___._. __ St. Paul, Minnesota LOCATION OF BUILDING No. __--•5b�...._...__ Street ._._.._..,I.��?esville. St_.. N. E.._ .............__....._.._. Part of Lot .�..._... LoY 23_..&.2.4......_ Block _____._.�.._____.....__..�_ Addition or Sub-Divisian ..... Riverview Hei h� ts Corner Lot ----....._...____ Inside Lot _..._.._:._.�._._.-.---._ Setback ...._..---_..____.___._ Sideyard �_._._.�.. Sewer Elevatian ._.._...._._..._.._.._..___�_.._......_.._.._.___...._..------ Founda.tion Elevation �� "/ _ . N° 10438 DESCRIPTION OF BUILDING To be vsea as: R P S.� � zig...__._.._..__ Front _._..�_._.. Depth _.�..........� Height ._._._..._..._.. Sq. F't. G�t. FL ....._�.____......_......_.._..�._._ Front _____..__ Depth _.___._...___ Height ___.....____ Sq. F� .� Cu. F� ___��.__ Type of Construction ------._..___...___._...___.�___ Est, Cost _._�.1600_��._......._........ To be Completed ...�� In consideration of the issuance to me of a permit to co et the the proposed work in accorda.nce with the description ab set orth a ordinances of the city of Fridley. , t above, I agree to do with all Pro�isi� o! In coonsideratfon of the payment of a fee of �._._L�S?__...._.., pe� is hereby granted to._.�.loodmaster Eng . to construct the building or addition as descrlbed above. This pernzit is granted upari 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 ordinaaces o� Frddley, Minnesota regarding location, construction, alteration, maintenance, repair and. moving of buildi�$'� within the city limits and this permit may be revoked at any time upo� violation of any of the provisions o� ssid ordinances. /. --- ----- -- -- ----- — Clarence Belisle NOTICE: ihis p�nai� doa no1 eowr fh� eonslruelioa, insfallNion for wie�y. plumbiay. Yas h�o, aww er wd�r. M wn to a» fl�� BuiWias Inq��eror for aparat� p�emils fo� fh�a ft�ms. M ' � 0 APPLICATION FOR BUILDING PF�MIT CITY OF FRIDLEY, MINNESOTA � , � � �- OWNF'�i 'S NAME '� ,� - 5. � 5 BUILDER :''��.� � I" ,�;�.��Cc �. �_�= 1� _ % ADDRESS � �' _ - � � � DRF�SS /s'� � ' Q-�--�� _� _. . �y , _ �: _ c , o'�Z - �--' '� I,OCATION OF BUI7�DING N0. STREET LOT � BLOCK � / ADDITION OR SIIBDIVISION CORNER LOT INSIDE LOT SETBACK SEW�t ELEYATION TOP OF FOOTING SIDEYARD Applicant attach to this form Two Certificates of Survey of Lot and proposed building locatiox� drawxi on these Certificates. To Be IIsed As: DESCRIPTION OF BUILDING Front Depth Height . Square feet Cubic Feet Front Depth Height Squa�ce feet Cubic Feet `, �' U Type of Conetructio �� ,��,,�� Estimated Cost ��>�� To Be Completed � L� -� The undereigned hereby makea application for a permit for the work herein epecified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildinge, and hereby declaxes that all the facts and representations atat�d in this application are true and correct. � � Y !1% t��,.��' „t'-'f,� �' "'"� ' i ) , , .�� DATE,�/��/ - ��_ SiGNATUR� /:�.� j._�;?�'� ./1�`_`//� ��y7lT (Schedule of Fee Costs cari be found � � � �� he Revers�'Side.) � r- - • suB�ecr P City of Fridley 17 6 3 0 AT THE TOP OF THE TWINS gU I L D I N G P E R M IT � r ' ' RE � � • • COMMUt�11TY DEVELOPMENT DIV. � � I _ ' � L_�� / � r � � PROTECTIVE INSPECTION SEC. � V �0 � � � � ��1 � CITY HALL FRIDLEY SS432 NUMBEf± REV. DATE PAGE OF APPROVED BV �----�: `.� 612-571-3450 910-F15 7/24/84 � � JOB ADDRESS 563 Janesvi 11 e Street l0T NO. BLOCK TFACT OR ADDITION t LEGAL SEE ATTACHED DESCR. Z3, 24 E Ri ve rvTew Hei ghts SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leonard and Barbara Kirberger 563 Janesville 784-8055 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ IJEW C� ADDiTIOId ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 20' x 10' deck 9 CHANGE QF USE FROM TO STIPULATIONS Railings minimum 42 inch high if deck over 30 inches off the ground 6" spacing on slats TYPE OP CONST. OCCUPANCY GFOUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, ood frame VENTILATING 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 IF CONSTRUCTION OR WORK IS SUSPENDE� OR ABANDONED POR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PAiiKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GAFiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED '� �� C,O.00 .'rJH WITH WHETHER SPECIFiED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEt THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 2O. �JO PLAN CHECKFEE TOTALFEE 13 26.61 51 TURE OP CONTRAC R OR UT�f RI D AGENT ID 1 W EN PRO Y D THIS IS YOUR ERMIT t � � ' i � ,¢ .9 + ,� � ,i �" ATUAE OF OWN iIF O LD i�� I ) G iNSP DATE NEW [ � ADDN. [ ] pLTER. [ ] Construction Addresa: Legal Deacription:�_c Ownez Name 6 Address: Contractor: � �" Addreas City oP Fridley �R-1 AFD R-2 Building Permit Applieation ._-- � , i �._ �..s , � � ).� _�-,c . � Effective 4/1/84 � . � � � -�-_ c e ,_._� Tel. i �d aJ � � Tel . # �/ Attach to this application, a Certificate of Survey of the lot, With the proposed construction draWn on it to scale. DESCR�PTIOA OF IMPROYEMENT LItiING AREAs Length Yidth Height _ Sq. Ft. �ARAGE AREA: Length Width __ Height Sq. Ft. _ DECE AREA: Length � Nidth �._ Hgt/Ground �� Sq. Ft. �� — OTHER: ��~��.� g� s� Corner Lot [] Inside Lot [� Ft. Yd. Setback ,. Side Yard Setbaek Type of Construction• t.!`�'� r�IIY�`�' °` Estimated Cost: � Approx. Completion Date: `� � �v�� /'_f� �/ '' �(J Alt. A Alt B lQ �.� proposed DriveWay Width If Ne� Opening Is Desired: �e �ck Page for Explanation DATE � > Permit Fee Plan Check State Surcharge 3JIC Charge Park Fee Sewer l�lain �� STIPULATIONS: � .- �--- APPLICANT • ` Tel . #-�L'�'�-�J CITY OSE ONLY � Fee Schedule on Reverse Side � �, �� 25i of Building Permit Fee � e � =.50/�1,000 Valuation � ;425 per SAC Uait ' � Fee Determined by Engineering Agreement Hecessary [ ] Not Necessary [ ] � .� . . � +'�,., d 't �� f -�� . , .. ;;, . . , .<.P„.,.. ... .aw R�.�:, `' '.,",�' •�.O �." ' �° ' ' �� eE�:iMi�f-mY »`.;:r;Y',e..@'. a� �:., sR:...`L.S4. �.�:r'�$' l .:v n ..�f..�, is`.' � �.. ..F.; .�:'.M . ...: ., : n _ .... .. . � { � :� � � �.., 3��°r. :kF' 2 ��a t "e,.. . . . _ . .�.:�.:�� ........_,-�.....«��.�..r+..F.....,:+r....E,....:......, H' ' �. . I : .,. / ._ _ �°s� , -j6 .,....._ �.. ... . � . , A. �, _-•�-.... . . _ ,. . _. _ . . . �� .� ____ _�%,__ __ .__. __, __ _ _ '�' • . __.__�_.�_._'�_ __ _____ . ' � ! � � � I � � `�� i ..�._ ... .. ... ........_ .... ._ ..... -.,� � •__ • � � . . . .._...__......, �.� � � . . . ..� . .. , ...... _ _ .__. .. .. � � � � � � _ . 4 , __ � __� _ . . � , _ � _ __ �, ; _ r _ . _-- � -- � � ' . __ __s4 __. __ _ � i.� � 1 . . . .. _ .4 , . _.. � __ __ _._..�. � S _ .� � � __.._ ___ ._ . _... .,... ._. ..,... _ ._._ ..-..._..__ ....�..»__�..__ ._. . . .- ; _ _ ... _ _ .__._ �. �T. .,_ • f . .. ._v._._.._._.,.,-_-._..,..............,._--a-__,. __..r__......._-.� ..>._..«............. +,. .. d..,._...._j.�._,....._.._....._____..�.._,�_..._......... _.._..�...�........�..._.�._.,_ . �. _ . _ — �r. �i /p . . � • . i �- _ _,__ ___� .. ,,�r`�_,...�. __ _.. :r._._.._x..._.�,Y. � — -- _ _ _ __.. _ _ . _ _ , � , , - .. __ .�. _.�,_.._..,F . . �... _..._.. ..._ __.a._. � ,� .�._._...._._._� .._ .._. _ _. . _ __ � '- I�� Oe��o �/! �,� � �' P� .l�� : �. _..._.._ __ ____.._ . .__.._..�.._ .__ .�. :. . � . _. ._ . �� = , � _... �� .__ ._ _ ., ... _�._....�.....,.. �... �.. . �_._._.___-_-- _ �__�..� X� �,7:ir�t /6 � - O G �. ��° � .�_ �. _ _ __. �/ _ __.�_ _ �. _____ _ _ . �' : ��,�. . « • � � _._�� _�__ .. . _ ._ ____�____._.....�..____�_.:.l�'� .. .�+�_.._,!��•�____.�••>�_�*_�y. ��.�! � /� � � t �.�.� �O�i✓•� tT'a' � � �„ � .._...�_.__...� __,. ___..�... _._. _-.�..,.�..,.._.� �_n._.�,..�. _ . _.�.. _ . .._� _ _ . _ �' ---� �... . . __ ._. �., .._ _. �� .�. __ �_n.� .___ _ . . . __��._.__ _ __ , - __ _ . . � �; r.�; ,.,�� ,..�,-,�� ; �' .a*t �� s�' �jE':.'�-�.��:,as:.�;,�ar.��e,..: -.c ,yen,.,-. P..,,,,�., ;.g�, � _�` �,� o rs `� CITY OF FRIDLEY INSPECTION D1V. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIX�URES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS �� 3 ��SU� �� S� New Fixtures 3 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 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 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1�/o of Value of Fixture or Appliance State Surcharge ��• U� 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 appiication are true and correct. .50 TOTAL FEE $ a/,�� , 1991 Owner �' E1� � f P—i3 t=-12Gt �� Building Used As ��D�� Estimated Cost � � �� PERMIT NO. ` 0 � '�l � PLUMBING COMPANY� �(�d S �L r�c, I G, SIGNED BY TEL N0. S 3 3• I Z S�1 Approved By �.�.�— Rough-In Date �.L�._ Final Date ��<' l� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE 5.50 STATE SURCHARGE CITY OF FRIDLEY 1NSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBIN� FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 5�0 3 ��I�t�sS VlLL 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 _L Gas Range 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 $� 0.00 $10.00 $10.00 $5.00 10. c�0 Reinspection Fee �30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance _ State Surcharge .50 The undersigned hereby makes appiication 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 appiication are true and correct. 3 2 2 , 1991 Owner �.�hl ��/2 3 �� rs�2 Building Used As �e/�tlG� Estimated Cost 36`�" °y PERMIT NO. ��'7_� PLUMBING 1 SIGNED BY %!/C. , �� Approved By __ �� Rough-ln Date 3 Z Z. Final Date � / '�'�� -�l l MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $_l,�_S(� PLUS THE �.50 STATE SURCHARGE i CIIY OF FRIDLEY INSPECTION DIViSION 6431 Unive�sity Ave NE Fridley, MN 55432 APPLlCATION FOR POWER PLANTS AND HEATING� COOLING, VENT1lATI0N� 572-3604 `;`� REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVIGES .: RATE�SCHEDULE Residential Fumace Sheil and Duct Work, Burner — Also Repiacement furnace (Side Vent —:. Fiil Oi�t Back) Gas Piping (Needed with new fumace) Gas Range ; � Gas Dryer' *AirConditioning - All Sizes AII Othe�s/Repairs�$ Alterations (LIST ON BACfn 196 of Value of Appliance or Wo�c Commerciai/I ndustrial 1.25� oi Value of Appiiance or Work Rate TOTAL $ 30.00 $ 30 � 60 $10.00 $ ! �� $10.00 $ $10.00 $ $ 25.00 $ , b State Surcharge Effective On January 1, 1998 JOB ADDRESS � 3 _„ o ,�1' � , �, � , The undersigned hereby makes application tor 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. __ 4� - a �7 ,1998 OWNER I.u.�,�, 1-% a.�,,.,.,.�. BUILDING USED AS � �Z �e�� ESTIMATED COST �{ �t 8 5� ov PERMI7 N0. �' � �� DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units � Circle One (Steam) (Hot Wate� arm Ai�—� Trade Name `$,,,,�,,e,,,,,� Size No. 33 t? B1U (�, ae� � T HP EDR $ Fuel �/,.� ,J,e„�_ Total Connected Load �� TOTAL FEE , � �$ � � Sv MINIMUM FEE FOR ANY HEATING/COOLINGNENTiLAT10N REFRIGERATIONJAIR CONDITIONING PERMIT IS $25.00 PLUS THE 5.50 STATE SURCHARGE � REINSPECTION EE� $4200/Hr *Air Conditioners can not be placed in a side yard without written peRnission nom adjoining property owner. Burner Trade Name Size No. B�1J HP EDR � F�AtING A13D A+.R CC:'; �: T�;, . ,° - 410 WE$7 LAltE STF�" = � �APbUS, MN 55406-2998 HEATING COMPANY �+2-�42s�s Signed By Tel No. S C. Approved 8y Rough—In Date Final Date 0�` � FILL OUT BACK SIDE FOR ST CK VERIFlCATION ON REPLACEMDVT FURNACE • �, 1072 Payne Ave. St. Paul, MN 55101 612/772-2449 GAS WORK ORDER . �`� STAN DARD 410 W. Lake St. b HEATING MinneGa 2 824 26565408 & AIR CONDITIONING ` � , EQUIPMENT 1NFORMATION LAST � �� t��;( FIRST� ADDRESS.�� ,�;-__:: ,� r t/�%,� �� ; CITY �-,��r ZIP HM PH �'�,�,�._..�� WK PH TECH .�� n .= DATE ,� - / CO2 02 CO NET STACK TEMP ORSAT TEST RECORD °k METERED INPUT �j/ � Cfh CHIMNEY TYPE �' f� �_� = % LIMIT SETTING��- �� ] � FLUE SIZE �-� � � °k PILOT OUTAGE��vI..,,�. �.� �PC CONNECTOR SIZE �/ � �/ �? ° TOTAL CHIMNEY INPUT��j- � in. in. > btuh sue�ecT T NO. c�ty of Fridley 2 8 610 AT THE TOP OF THE TWINS g U I L D 1� G P E R M I T � �.572-3604 FE COMMUNITY DE�ELOPMENT OIV. � �v � � PROTECTIVE INSPECTION SEC. �� l i , i , � � ��"1 � CITY NALL FRIDLEY 55�32 NUMBEA pEV O�7E P�GE O� �vvqOVEO Br �"'"'�� '� 612--571-3450 910-Ft 5 � / ll/18/98 JOB ADDRESS ' � 563 Janesville t LEGAL �OT NO. BLOCK TRACT OR AOOITION SEE ATTACNEO OESCR. 23 24 E River View Hei hts sNEET 2 PROPERTY OWNER MAII AD08�S$ 21P PMONE Jud Hamm 7 3-8228 3 CONTRACTOR MAIL ADORESS tIP PNONE IICENSE NO Discount Windows & Wares In - � ApCHITECT OR DESlGNEA MAIL ADDRESS 21P PMONE LICENSE NO. 5 ENGINEER MAiI AOOfiE$S IIP PMONE LICENSE NO 6 USE OF BU►LDING Residential 7 CLASS OF WORK ❑ NEW O ADDITtON O ALTERATION � REPAIR � MOVE � O REMOVE 8 DESCRIBE WORK Window re lacement 9 CHANGE Of USE FROM TO STlPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each Ievel of house. ' TYP OfCONST OCCUPANCVGROUP OCCUPAHCYlOAO SEPARATE PERMITS ApE FEQUIREO FOR EIECTfitCAL, PLUMBtNG, HEATING. VENTI�A7ING Ofi AIH CONDITIONING. THtS PEfiM1T BECOMES NULL AND YOIO IF WORK OR CONSTRUCTION jONING SQ. FT CU fT. AUTMORIZEO IS NOT GOMMENCED VjIITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 pAVS A7 � ANV TIME AFTER WOqK IS COMMENCED. ' NO DWIG. UNI?S OffSTFEE7 PANKING I HEREBY CEfi71fV TMA7 1 MAVE AEAO AND EXAMINED 7HI5 APPLICA710N STALLS GAfiAGES AND KNOW TNE SAME 70 BE ?RUE ANO COA1aECT. ALL PROVISIQNS Of LAWS yq�UAT10N SURTAX ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILL 8E COMP�IEO WITN WMETMER SPECIFIEO MEREIN OF NOT. TME GRANTtNG OF A pEAMIT $1248 $.62 OOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE Oii CAMCEI THE pEpM1T fEE SAC CHARGE PROVISIONS OF ANY OTMER STATE OR IOCAL LAW REGULA7ING CON- STRUCTION OA TNE PEfiiOfiMANCE Of CONST::UC710N ��F3.00 Fire SC �1.Z�F PLAN CMECK FEE TOTA� FEE L'c SC .00 49.86 SiGNATUpE 0� CON'FACTOA OA AUTrrOpIZEO �GENT �O�iE� yy N P EpLY V �I TED TMIS �5 �OUR PEQMtT � � I S�GNaruaE O� OwNER�� OWNEaBUUDEA� � �OATE� . � � � � � �h o � � � �i��E - . NE'UV [ ] AUl71�T [ 1 ALTER [� CI'TY OF FRIDLEY SINC�LE FAMT.�Y AND D'[1PI.�XES R-1 AND R-2 BUYLDING PERMIT APPLICATION Effective I/1!9$ ��.�� ConstructionAddress: _ �b 3 ,J e4 �sv �1/�e Legal Description: Owner Name & Address: J J� 7 i-�-'►�-/"� /''�' �/�l-f"t- Tel. # �� Z� Contractor: ��3 C a� u�� l� ��-c.s �--i�--S l T� ti�.- MN LICENSE # �$ 7 • 1 T' Address: Z�� 41`�L�C�E� �i.. � ��1E1-c !A'(� �'/13 Tei.# �� 33-33d� , ' Attach to this applicatio�, a Certificate of Survey of the lot, with the proposed c�iz�struction drawn on it to scale. DESCRYPTION UF IMl'ROVEM�NT LiVIriG A.�2�A: ixngth Width Height Sq. Ft. GrAl2AGE AREA,: Length �Vidth �ieight Sq. Ft. AECK AREA: iret�gth Width Hgt/Ground Sq. Ft. OTHER: ' Construction Type: l� � a.i�� Pl�¢ce�v7 Estimated Cost: $ � Z. �? {Fee Schedul e on Back) `Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ i)ATE: �� 7 o AP�''I.ICA►NT; 2� �"""� Tet. #�� . b 3�' 3� ` CTI�Y USE ONLY Permit Fee $ �� v�ee Scherdule on Reverse Side Fire Surchazge $ �,o .Qp2 of �ermit Valuatian (1llOth%) State Surcharge $ �� $.50/$�,p00 Valuation SAC Charge $ $1004 p�r SAC Unit License Surcharge $ s: U(� $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above �rosion Controi $ $450.00 iConservation Plan �teview t... Park Fee $ Fee Det�zmined by Engineering Sewer Mai�n Charge $ Agreem�nt Necessary [] Not Necessary ( j TOTAL $ l� �� S'I'YPULATIONS: z0i10'd Z9��9TS9 Ol A31Q I 21� �0 J,l I 7 WO?�� L8Zi ILS Z19 Z� :9ti 8661-ZZ-f10N City of Fridley 6431 University Ave NE Fridley MN 55432 (763) 572-3602 or Fax (763) 502-4977 � ,� �� J "� ' � l � `� - --_-- - Water and Sewer Permit Application ✓�-� ❑ New Connection Utility Line Repair/l��ee�rt�n ❑ Existing Water and Sewer Connection Date: r� �O Job Adclress: Name of Applicant (Plumber): Name of Property Owner: Existing Structure Permit # Permit Type: Sewer Fee: Water Fee: Meter Fee: /� ��,2�L_ Repair Fee: � r�� Relocation: State Surcharge: , SC� SAC Charge: Special A�ssessment Fee: Total: $ � • Sb Applicant Signature: Inspector approval: Water Meter Repair — Weekend �I� Water Connections Permit Sewer Connections Permit Inspection Fee for Water/Sewer Line Special Assessments Cost of Water Meter SAC Charge State Surcharge Water Tap 04/04/OS � $125/hour $50 $50 $40 See Engineering See Utility Billing $1550 $ .50 See Eneineerin� City of Fridley REC'D MAY � 8�Q% 6431 University Ave NE �� ( Fridley MN 55432 7� (763) 572-3b04 or Fax (763) 502-4977 Water and Sewer Permit Application ❑ New Connection ❑ Existing Date: � QUtility Line Repair/Relocation ❑Water and Sewer Connection Job Address: �� I � �j`�' � � � � � � atl�es t� � , Name of Applicant (Plumber): Name of Property Owner: Existing Structure Permit # Permit Type: Sewer Fee: Water Fee: Meter Fee: Repair Fee: Relocation: Sta.te Surcharge: SAC Charge: Special Assessment Fee: Total: $ 0 `S�� Applicant Signature: ��j�JW� �___ Inspector approval: