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AF - 47590� � � City of Fridley, Minn. BUILDING PERMIT ��-;:.��-� � �v�v i N° 6891 Date: _.....�_I.. �._..�.:�.._.._:....��_ _. ......._____ t �� Owner: _.w�.��........._..�� _ Builder .. ... ._ . ..�..._.__.__..._......_......._..._.._._._.._.— Addre�sa ._._._._..__._._.._._..._.._..._._...�.._._._._.._.___.__..__._...__._._ Address _.�_._._.._..�_.__... ___�....___. No. .._�..�2_.._ s,�t r.,or.�.1.'C1..:�Sl :.�.`,�- Bio�x LOCATIQt�„ OF,��IILDING Addition or Sub-Divisi� (:..yeCl.�.�`_�! / � Corner Lot __�-._..— Inside Lot ...._.._.._..__.�.__.__ Setback .�� .,.1�_.._ .___._. Si@eyard _..,,�..�_....-C�..��__.....�. Sewer Elevatiam _ � ? b� • �.1...._.._._.__��__.._..___._ . . .._.w..� � ��_.., T��'' oF fo�rj,��L DESCRIPTION OF BUILDING T vsea � Front _..�� DePth .��..._.. Height ..�..� Sq. F't. ;�l��d Cu. F't�S�1:l...[.� ___. _. . . � Front _� . ._.. Depth _,� . I�eight _.�.._��..__ Sq. Fc. �.�. o �. cu. Ft. ��...t�s? , /,�-� . d� Type of txuction _. _�.......__�. Es� Cos ,! ..�j•1,�•� f:.� ._._....__ To be Coanpleted _.._�....� ;� In consideration of the issuance to me of a permit to construct the building described abave, I agree to do th� proposed work in accordance with the d�scription above set fortki and in compliance with all prov3sions of ordinances of the dty oP Fridley. �, In ca�sfderation of the payment of a fee of �.�� ✓ �___..__., perrnit is hereby granted to_.� to construct the building or addition as described above. This permit is granted up� the �express condition that the person to whom it is granted and his agents, employees and workmen, in all work dane in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o� Fridley, Niinnesota regarding location, construction, alteration, maintenance, repair and maving of buildings within the dty ]fmits and this permit may be revoked at aqy time upon violat},on of any of the provisio�s of said ordinances. �l�%/% /% B�S � NOTICE: 'Ihis p�nah doa aet wwr tM wiahuelioe, �aIl�Hee for wiAny. Phn�bino, �a h�aNn�, awk or wat�r. M wn te a� th� duildiag Inap�eeor for t�p�raw p�nnits fer Nr�a ifNns. /� City of Fridley ApplicRrtion for P'lumbing cmd Gas Fitting Permit Depl. of Bldgs. Phone,BU 4-7 DESCRIPTION OF WORK Number. Kind and Location of Fixtures � �I � � ? �� FIO �I � ILL �IV �I<3IU' `IU' a'IU' OI `I N�G $TEA ELEC. Base lst Y 2nd 3rd 4th L_ i � � � � � � � _��.__L�_ � � � • Futu:e Coaasc3fon Openings Connecied wi3h I Sewes * New Fixture, Old Openings Cesspool � PARTIAL RATE S�HEDULE PLIIMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... ..............—�. x $1.50 $ � � U Future Fixture Opening ................� x 1.20 $� New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin .... ....................... x 3.25 $ Water Heater (Up to 200,000 BTin ...... /x 2.04 $ oi - U U New Ground ftun Old Bldg . . . . . . . . . . . . . � x 3.25 $ GAS FITTING FEES: lst 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU ............. REPAIRS & ALTERATION3—Refer !o Code NO. RATE TOTAL _ x $1.50 $��_`—� _ x .50 $ — x 2.00 � City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all wark in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this applicati n are true and correct. Fridley, Mi,ns�n. ,�'��T , 19_ Owner ___��-G1�i��Ci��v��i.a� Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No.� Permit No. ^� a O G� Signe ''�%'�'^. By Business Phune No. ROUGH FINAL Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL FEE� __i�s2�� V 42 11�1 , APPhcation for Pawer Plants a�d Hea�ing, Coding. Ventilc�ioe. .Refrigerce�ion �nd Air Conditioning Srst�ns and Devicea PARTIAL RATE S�HEDULE GRAVITY WPiRM AIR: RATE TOTAL . Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Aepairs & Alterations each add, ;500.00 . . . . . . . . . . . . . . . 2.50 $ MECH. WARM AIR Furnaee Shell & Duct Work to 1�0,000 BT[7 . . . . . . . . . . . . each add. 6U,000 BTU ....................... Replacement oY Furnace ............................. Repairs & Alteration.s—up to $500.00 . . . :, . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . . . . : . . . . . . 3TEAM oz HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft, E.DA Steam. ...... d Furnace Shell & Lin�ta 640 sq. ft. EDR Hot Water ... + Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . Each add. 320 sq. ft. EDA Hot Water . . . . . . . . . . . . . . . . . . � OIL BURFER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . . over 3 gal. per hour—See Fee Schedule 8.00 $ �� O p a.00 � -___. �.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 2.50 $ 5.00 $ GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ GAS FITTING FEES: NO RATE TOTAL ist 3 Fixtures ...................... x $1.5Q $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTLJ . . . . . . . . . . . x 2.00 $ AIR CONDITIONII�G � FAN HEATING SYSTEb[ See Fee Sch�dule VENTILATING SYSTEid a ALTERATIOMS & REPAIRS TOTAL F$E ��°'-'�% ROUGH FINAL Depl. of Bldgs. Phoae SV 4-7470 ❑ ,... � City of Fridley: 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 �e true and correct. Fridley, Minn. � !� , �wner � Kind of Building « Used as _ a s To be completed about �O � �s�� cs.,-; v Estimated Cost, $ � �--�" � Oi New. uilding Permit No. �� Permit No. �� DESCRIPTION OF WORK HEATING or POWER PI.ANTS--Steam, Hot Wate Warm ' No. /` Trade Name � ` 8•��-�� " Size No �6--°�%�0 !� Z- Capacity d Sq. Ft. E.D.R. BTU H.P. Total Connected Load �%, g�o O Kind of FueL_G% '°�''� BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R BTiT H.P. /� • , ./ _ / �� %� . �.,i �ax 4M 7-59 �,�jj$�4��i1Q�A . r�1fRCC. � � R[ � 2936 FOURTH AVE. SO. • TA. 3-5287 (REMARKS—OVER) M�NNEAPOUS 8 MINNESOTA , , Application for Pawer Plants and He�ling. Coding. Ventilation. .Re�rigerce�ion �d Air Canditioning Systems arrd Devices PARTIAL RATE S�HEDULE GRAVITY WARM AIR: RATE TOT1�iL . Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $ Replacement of Furnace ............................. 5.00 � Repairs & Alterations—up ta $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. �500.00 . . . . . . . . . . . . . . . 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,OOQ BTIT . . . . . . . . . . . . /each add. 60,000 BTU . . . . � . . . . . . . . . . . . . . . . . . Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 . . . : � . . . . . . . . . . . . : Repairs & Alterations each add. $500.00 . . . . . . . : . . . . . . 8.00 $ 2.00 $ Y�__. ,�.00 $ 5.00 $ 2.50 $ 3TEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam. ...... 8.00 $ � Furnace Shell & Line—to 640 sq, ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ , Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURIvER—to 3 gal, per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTi1) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ �� GAS FITTING FEES: NO FiATE TOTAL lst 3 Fixtures ...................... x$1.50 $ �' � V Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTLT . . . . . . . . . . . x 2.60 $ AIR CONDITIONING � FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL F$E � �� ROUGH FINAL Depi. of Bldgs. Phoae SU 4-7470 i City oi Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all wark 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. �wner L- Kind of Building Used as Fridley, . Or . To be completed about 4-. Estimated Cost, $ ��0� Old ew. 'lding Permit No. —S� 3 , 19� � . � 4� y I � / Permit No. _ � CO °Z � DESCRIPTION OF WORK HEATING or POWER PLANTS-�team, Hot Water, Warm Air No. r Trade Name �� -- Size No.'�� Z— Capacity__�°_—' "� Sq. Ft. E.D.R. BTIT H.P. Total Connected Load �� 9 G' Q Kind oi Fue BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R. BTU H.P. (REMARKS—OVERJ Signe '� G`d By �°�<Z 7M �_s9 Business Phone No � L;.�..r.� `� � �. �� 9�° G� � -� . . . � .HEAT LOSS CAL TIONS DEPARTMENT OF INSPECTIONS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How App(ied Yes—No Yes—No 19._ „�I.� " Room � Length �, Width '' Height � 1.� Room Length Width Height Windows an oors—Crackage and Area Windows and Doors—Crackage and Area Nidth eight No. o[ Llneal ft. Area � Width HeiBht No. ot Lineal tt. Area No. ot pane of pane lights o[ crack aq. ft. No. of pane of pane Ilghta ot crack eq, tt. a /�'' � y Z, ! ! i R �2 � 2 /? /I Coef. Btu Infiltration �j/�j Glass �t. �"' '�E' / C. Exp. wall Net exp. wall Int. wall Ceiling Floor rj- , Total Btu. Required sq. ft E.D.R. or sq. ins. W.A. Leader area .� Room � Length � ' Width � Windows and Doors—Crackage and Area Wldth Helght No. of Lineal [t. Area No. ot DBne - of pane llghte of crack eq, ft. / 9' ��' ��9 � � � � � /o 7d' � I Coef. Btu In6ltration q/� �! j''(e ea Glasa � m .f"ar Exp. wal! (,o Net exp. wall / y �f' /a Int. wall Ceiling Floor v /S ,v? �%►O O Total Btu. � �L-p Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FL Room � Length Width / Z/Height Windows and Doors—Crackage and Area Wldth Helght No. of Lineal ft. Area . No. ot Dane ot pane Ilghte ot crack eq. tt. / �� /� ��e // Coef.l Btu Infiltration � e Glaas � �p. Waii y Net exp. wall G / � Int. wall Ceiling Floor O f ! Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area �/O li I � � In5ltration G(ass Exp. wall Net exp. wall Int. wall ' Cei�ing Floor Tota1 Bttt. Coef. Btu O �O / 0- O�t /�� f.�D �O /�Oo � 1 �,�FI.I / Room l 1-ength %/ Width Height �'' Windows and Doora—Crackage and Area Width Helght No. bt Lineal ft. Area No. of pane o[ Dgne 1lghts . ot crack eq. tt. i ' 3' o Coef. Btu Infiltration p yi[! /w► O-p Glass / o sD Exp. wall p Net exp. wall f �p / �jO Int. wall Cei�ing Floor / /}�� I Total Btu. �'+Om�"` Required aq. ft. E.D.R. or sq. ins. W.A. Leader area ,� .I Rocm I Length Width Height �' Windows and Doors—Crackage and Area Wid[h He1Bht � No. ot Llneal [t. Area . No. of Dgne ot Dane Ilghte ol crack sa. tt. / '�' / � Coef. Btu Infiltration � s�/ �K�,i � a Glass D y<<},p Exp. wall j"�. Net exp. wall �/g /D p Int. wall Ceiling Floor (rs /� �'�p Total Btu. ¢ p Required sq. ft. E.D.R. or sq, ins: W.A: L.eader arca . , .. .. . . Permit Fee �`•-•---•--•--•-•-•--•---..._. , APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT ' No. P------------------------ Dateof issuccnce-•----------••------•-••-•----------------•-•-•-••••••, 196•••.._ Loccation.•-•--•--•••-•---•-----••••-•-••---••--------- •-....---••------•-••---••--•-•---•-- .Minneapoti,s, .Minn------------------•---------------------•-------, 196..._.. In,speetor o f Buildin�ss ' The undersi�ned hereby mak-es a.pplieatiora for cz permit for the instal.latiorz, alteration or repair of a hc�catirc�, air eosz�ition,in6 or z�entilcatire� s;ystem, devir,e or eqzripnierat, cLS laereir� specifced, a�sreein�%to do ccll sz��;h, z<+ork. i.n, .stri-c# aecor•dccnee zvith the Ci.ty Ordirrctnces carul rulirz�'s of tlte Depctrtment of Inspeciioros afzd tlze ti��eci ficutiores set fcrth in this ctpplicatio�t as �opproz�ed and filed in tfre Departneent of Inspections. Owner--------------------------------------------•-----•--•-•-----••------.....------------._�Iddress of Owner-----------�-- ------------.. ._ ._ _------ ------------------- Kind o Buildin -•---•----•-••••---•--•------------------•-••--.How occunied._.__...---•---•---•--•--._.--------------•-••----•-- •-••--•-----•-----•--- f �'...••------------- Work to be started--------------------------------------------------- 196....._ W'ork to be completed.......----.._..._..------...-----------, 196_.._.. EsiLma,ted Cost � •-••••••••-••.•----•-..Otd — Ne�e} Bici,ldir�� Permit .No.-•-•--•-•---••-----•---•--•--•-----•-------- � --•-----•---•-------•-••------•••-•--•- DESCRIPTION OF WORK Note: Insert tfie ward inatall, add, aher, or repoir, naording to which ia to be done. Under "Remarks;' itemize removala, if any, and alterations to eqvipment. -----------•-•----------------------•�--------..Mechanical Warm Air Heating Planis—Furnaces ._...----------------...-------------�------....._..._._._..------- .Hfake...--------•-------------------------------------------------------------•-----------------------•---_..----..Size ----------------•-•----------------------...---- - ---------------•------• Connectedload----•---------------------------•---------------•---•--------------------------•--------.._.Capacit� ----------�--.._..._....----------------------------._...------- Air Conditioni�g System: Summer — Winter —.11ll Y'ear---------------•---------•------...------------------------------------------------------ ,Make----•-•---------------------------�----•�---•-•---...----•--•-----------•------------.._.. _.Capacity.-----------------------•--...----------Cim._..----------------------------- �---•---•----•---•--•------------•--•-••-----•------------•------•-------------•--------------.......- ------....-------..._._..---------•-----•--•------------------------•------------------------•------- Ventilating System: .Make-�-----------------•----•---------•-----------------•-------._..._CapacitzJ•-------------------------------G'fm•----------------------•------- -•-----------------------------------------------------------•---------------•--------------------•-- ------•-----------•----------------------•--•---------•--------•----•-----•------------------•------- Remurks: -�-----•----------------•-•---------•-----•--•-----•-------•---------------..._._. .------------------------------------------------------------�-------------------...--------•--- _._...--•-•---------•------------------------•--------------------•---•--•-----------•--------••----- ----------------------------•-•-•-----•----•------------------------------------------•------�------- •----•-----•---•---------••---------•----- -------------------------------••----••-------------•---�------------------------------------••--•--- --------------------------------=------------------------------------•-------------•---•--...._...... ----------------------------------------•--------------------------------------------•-----------•--- Si�ned• •-• •-------•------•-•--•--•-•-•-•-•-•-•-• •-• •--• •-•----•-----�--•-•-•-•---------•-•-•-- By....---• • •--• • -----•-•-------•-• ••--------- •----•--- • •----• •-• •-----• •-•----•• •-----•--- ✓lpproved----------------------------�---------------------------------------, 196.._.__ .gddress-----------------------------......--------------------------------------- •-•-------------••-•-•...•-•-•---•---•-•••----•-•--•--•--•••----------•----•...-----•••-•••.....---•-- Telephone..--•--•----•-•---------•-••---------•-•-•-------------•-••---•-•--- I» s�roector. ........ ... . . .....•---------------•-------------------------------------------------• ---------------------------------------------------------------------------------------------------------- �-----•--•------------------------•-----------•------------• �------------------------------._...------�----------------------•---------------------.....--------------------------...----------------••-•--- -----------------------------------------•-----------------------•------------------------------------�------------------------------------------------------------------------------------------------•---- D-20 4 a sue�ECr R MIT . City of Fridley � 15 4 2 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I r ; � RECEIPT NO. • COMMUNITY OEVEIOPMENT DIV. /� ' j L'---�� / /� r � � PROTECTIVE INSPECTION SEC. � � � i 1 � /"�1 � CITY HALL FRIDLEY 55432 NUMBEFi REV. DATE � GAGE OF APPROVED BV � �""� � ,�� 612-571-3450 910-F15 8/30/79 / / 108 ADDRESS 600 Janesville. 3tree� N.E. t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. SO-52 Q Riverview Heigh.ts SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE lmnald Williams 600 Janesville Street N.E. 784-6497 3 CONTRACTOR MAIL ADDFESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAI�ADDRESS 21P PHONE UCENSENO. 6 USE OF BUILDING Resi.dential 7 CLASS OF WORK 0 NEW j� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 1�' x 29' Addition to rear of building 9 CHANGE OF USE FROM TO STIPULATIONS �} � WARN�N� � � �n caN locat utt1lt►a� 8efor� d`+�B' � SEPERATE � pERM17S REQUtREti . tEtEPN1�NE • E��C��IC •��5 ��c, NEATtAiG, PLUMBtNG ANQ � � ��c��RE� �Y �►w SiG�S. . TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Tf100C�i FY'dICI@ THtS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTFUCTfON OR WORK IS SUSPENDED OR ABANDONED POR A PERIOD OF 120 DAYS AT 4Q6 8120 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED 12,350 $6.�.5 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $%S.00 NONE PLAN CHECK PEE TOTAL FEE - .75 $99.93 ATUREOFCONTR CTORORAUT OR12EDAGENT IDATEI W EN PRO E Y LI TED THIS IS YOUR PERMIT �� D � ��l r � �� o - [T /i ' SiGNATUREOFOWNERIIFOWNEF:BU�IDERI IDATEI LDG iNSP DA7E� � . � . � ��,,�--- 0 � �:� � � k �� i � � � i � ,; 3 I= -� � � �� -� � � � � � � K � � - -, �X /0_�L ��2_�I"oI S? _ __� i � X!o C e r L �' N a�'v'r.s ,r` �_ � � II� J li � � I I �' � � � ►,J3 I�v � � � I a W a� li� �c,� �� n _ � � i �'� ��,,� �� z o � '-� '' i'� � a. � �Q - --- _ .� ��I._-__�;�----�------ _- —►-T -- - _ -- ; �� ! � � .� o x � �. `�, � \ � � ' �� ,,_ I � �..� �� , �„ dt � p � 2 o --� c� o � -� ��-T �� IJ � � .� � � N �\ x � � �,� � 3 z � w � 1� �' � i� � ~ � �� — � i�%� `� x � ;�� -� � � � ,,� _` 7 � Z �� ) � � \� � i� � _� � IJ � � z � � .� Q Q � �\v -\ � �,. V � � � � � V v � Ql Q � �J �: �� 0 � .\ 0 Q � � A\ ; f �' � I _� __ k. J J � � ___ _ _ '� � � tC v � �� O 90 �y , � � � � o�. 0 3 � � � �,, � � � , � : � �� t � � � ��', � � � a �t � V 1 � � � � ; � � O � � � CITY OF FRIDL�Y • • � ARPLICA7ION FOR RESIDENTIAL QUILDIPJG PERMTTS � (Pdew, Alterations, Additions, or Repairs) , / � �� OWNER:� �/A- IGt �L�,�if�1 /Jl S BUILDER: �sg rY� ADDRESS: � 60 -.��A-�c/c,�_v„j,I%tie � T N'� ApDRESS: - TEL N0: ,��y- (o� � �% TEL N0: ' • � Construction Location . . ST�ZEET NO : � D D STREET: -� �}" /(I 'e S' b / ��3iO . � � ` .. . LOT: �j^O� j/ sz. BLOQC: ( y ADAITION: �� %�Cl� � ��._ Corner Lot: � Inside Lot: Setback: Sideyards: � Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. � DESCRIPTIO�d OF CONSTRUCTION - � �� %Front: Depth: Height: �, --.,- Squa�e. Feet: C�.tbic Feet: Front: Depth: Height: Square• Feet: � Cubic Feet: Type of Construction : �/ G 0 � �� /�-� Estimated Cost: $ < � � � Rb Be Cbmpleted: � 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 aTl the facts and � representations stated in this application are true and correct. DATE: SIGNATURE:. . . Stipulations: �� .nr+� �t- 1'Z,'S � 7 � 40 . . �l o� �c as 39 = ►o,�. � � . . � � S. ��, � ��'�S � �� , � - . . .: -,-.-- �o a,, - `, g .� - �Z��Z 3 i � � � . ! � � �s� . �►_.. sue�ecT PER . City of Fridley _ 15 4 6 7 AT THE TOP OF THE TWINS gU I L D I N G P E R M IT � r ' ' RE � � . ' COMMUtJITY DEVELOPMENT DIV. � �/ �� i V �� r � � PROTECTIVE INSPECTlON SEG 1 � i �l � /'�'1 � CITY HALL fRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY � �..��i �.J 612-571-3450 9t0-F15 /I9/79 � � JOB ADDRESS 60Q JanesviZle Street.N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5�-52 �7.V@Y'ST1�W H�.1.gh.�S SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ronald Williams 600 Janesvi.11e Street N.E. 784-6497 3 CONTRACTOFi MAIL ADDRESS ZIP PHONE LICENSE NO. S 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOV.E 8 DESCRIBE WORK � � � � � /'� �j � t V i� '"VI�IflN SA�E7Y I�hfii�L ��" b� NaY PL!►NT afi Pld1t� i►i�OY� 9 CHANGE QF USE fROM TO H1N I1r i'i115 Afi�A �1'1TT�1'C3i)i 9N� �'}iL?VAi t3�f TN7'c �f`�rlfV {�JF ��IQ+hIY1.�/Y STIPULATIONS provide a hard s.urface driyeway. Variance of side yard setback approved to 10.4 ± on 9/18/79. 'SEPERaTE PERMITS REQUIRED FOR W1RIt�`� �iEA�'I�iG, PLUMBI�IG ANd S�GNS. � waR�� ef!!�! 4lg�ing cali local utilities TELEPNONE • ELECTRIC • GAS Etc. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, P�UMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCl FL'aIRfl THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, OR IF CONSTRUCTION OR WOfiK IS SUSPENDEO OF ABANDONEO FOR A PERIOD OF 120 DAYS AT 242 2�20 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I kEREBY CERTlFY THAT I HAYE READ AND EXAMINED THIS APPUCATION �. 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 COMPLIED WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT $2�OZS .,SI..O� DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE 7pTAL FEE $10.69 SI NATUi7EOFCONTRAC70 ORAUTHORIZEDAGENT fDATE) WHEN PROPE LY VALIDATED THtS IS YOUR PERM17 �. � 9 ` t iGNA7URE Of OWNEA �IF OWNER BUILDERi IDA 1 B�DG iNSP � � A E T . . . • . ' . � CITY OF. FR I DL�Y •� •- � � . � ARPLICATION FOR RESIDEP�TIAL QUILDIP�G PE{tMITS �. � (fdew, Alterations, Additions, or Repairs) � . - . � . . . . i ' , ^ � � OWP�(ER: i'�c�-t '� �% . %i�C'-G.=�-.�.� Bl1I LDER : � � ,�,_,_: � ,c�-�x..� J� ADDRESS: ��CG� C�� c�'�'�� ApDRESS: �� , 'SL�'-�l� TEL N0: ��— � %� TEL N0: ��'�-- � �c�_� . • - � ' Construc�ion Location . . �� - STRE£T NO: lc U� STREET: t `.:. ` ' LOT: S0� S/T 5,�-- •BLOQC: ADDITZON: `�.� �J'�l-C-e-�� 1��%�+�/c-�, 0 Corner Lot: �! Inside Lot: Setback: Sideyards: • ApPlicant attach to this form two Certificates of Survey of lot and � proposed buildi.ng location drawn on certificates to scale. �. � - � DESCRIPTIOW OF CONSTRUCTION � . : . � � � � . _ � . � . �� Front: Depth:.^�, Height: /d � . Squa�e. Fee�: .�'��2 Ctiibic Feet: ,��{�2(,� . ' _ Front: Depth: � Height: � � Square• Feet: Cubic Feet: . . ' � _ _ ' � . . ��v o�-?J . .. Type o£ Construction : � ' � � ' Estimated Cost: . $ � �%d d Zb Be CbmpZeted: �1�-_ ��tZiC> . � . . - � . . . Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $' $ ' . . . . . . , SEE REVERSE SIDE OF SHEET . .7�e undersigned hereby makes applicata.on for a permit for the work� herein specified, agreeing to do all work in strict accordance with the City of �'ridley Ordinances and xulings of the Department of Buildings, and hereby declares that aTl the facts and � representations stated in this application are true and correct. . � DATE: ' � /� SIGNATURE:. , ,. - , R.:L� e . y �- . Stipulations; . � � % — � . ' `� • , . � � g . �� 9 : �� -�� : . v� - . . . n �. . � lQ��9 F _, . ' � . . � .,. �.��. �.. . . ... ..,oa►'Y � � � �Y,' � . �..� C� � �� j � , � � � �:. , , �.h -� � ;� � � L� • �` � p � J � `iJ � � n � � � � � � � � �-- � v � � ; , � � � c� a � � � - o , �_ .� ...�� /,, i _�_. :��[ i { M � ;� 6 /, � � �. `►- 3 � � �..►_� �c.� o �- , ' ' . o --,. / • - � � �,� � � Q : �- ; `j ( � �v ��/ � � f� �j� ' � . �/ (�° ? `s` � . j � � . C` �� ,; � � � ! � r : �=1- . N ', / .ri i � _ �.1 • \ � y� � � , c� y � � ! � Q! i � � � ` j t`— � O ' � � _--�j � _ �. j, � � A �--, -- �, �, _ � � .-. . �-.� . t ``.:� ,� � ; � � �G � :i � , 2 �---. � � ; � _...� Q �'�/ , ��v . . ^l` � � E (1 � � � � . i . . . v � � � 4�� ` I i ' � i ' _9�', � ; �, �. i _.. , , _ ��, � �----- ' ; � � � .� ; . ...� - ~ c��, � '\, ` ' ; cQ ,, � � ; . � : `� � � � � � , , � , ,, -- \. `'� - -____- ------ ' _ . } ., {------ _ _ , , v c� �� c�; I� �,i� ,,. , f 1 \ ry f � �� 1 I j�. �� 1 �� h Z � I �p � � � � v � t� � �� -. �:�,1� �._.� � � t ,Q � �--�- � � I' � -----, I ,- << � � � , � � � � � ` � �` �._�� i-..� � . -_ - -----.., � ' � � 1 �1 � z � �4 3 � � . � . _ � � 2� � � .r� .� _ x �-1.1 _._ .. _ . .___ _ __. _ .. -- -------� _ _ / �� 0 I�1 [ l ADDN [ J ALZ£R [ ] City of FYidley R-1 AND R-2 Building Permit Applicatiai � EEfe�tive 5/L88 Gbnstruction Address: .�/ Legal Descriptians � Owr�er Naae & Adclress:_ � d�z-�'�- ^ - �, �/ �y9� �ntractor : __ St�-�-�— �el. # Address: Attach to this appl icatio�, a Certif i,cate ��rvey of the lat, with the proposoed o�n�truction dra�m on it to scale. �_�� r� e. •;� i� •• d�;� T.TVTAi: ARFA • j,p�� Wl�l H�1C�lt ----- --- �. �. ' 1+�1c�1 TAl1C�'1 821i�it �. I�. • Length Width Hgt /Groula SL�. Ft. �:. t�rner Lot [] Inside Lo�t [] Ft. Yd Setback Si.de Yard Setbacks �pe c� Construction: Estimated Cost: S Approx. �mgleti� Date: �f3 / Alt. A Alt. B Proposed Driveway Width If New (�ening Is Desired: � S S Width + 6' See Back Page n� : lU � �1 �ic�,rrr : �a-n �� ,� � �el. � 7��i-� ��7 Permit Ppe State Surcharge SAC Qiatge Driveway Escraw Park P�ee Se�,ter l�ain Charge 1�0►rA% F!H��J .+ t,4 , ^ .. _ .._. -- �TY OSE �Y .a-�-..----,. ��$ ��-� F�ee Schedule on Reverse Side � ' 5.50/51,000 Valuation $ 5550 per SAC Unit $ Alt. "A' OI Alt. "8" AbOVE $ F�e Determir�ed by Ehgir�eering � Agreenent Neoessary [ j Nat Neaessary I] S � �/�--• ( � � �I GL �� \ � � � � •,' � sue�ecT MIT NO. City of Fridley 2 5 4 8 8 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r ; � RECEIPT NO. � • COMMUNITV DEVELOPMENT DIV. � � �: - r � � PROTECTIVE INSPECTION SEC. ,(„�� 73 � . � 1 � /"�1 � CITY HAIL FRIOLE� 55432 NUMBER REV OATE PAGE OF ACPROVED BY �""'�" ,'' 612-571-3450 910-F15 9/11/97 � � �oe n�oaess 600 JANESVILLE ST NE 1 LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACMED oescR. 50-52 Riverview Hei hts SHEET 2 PROPERTY OWNER MAIL AD�RESS 21P PHONE Roriald/Leona Williams 600 Janesville Street NE 784-6497 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO. Same a ARCHITECT OR �ESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION �] REPAIR p MOVE ❑ REMOVE 8 DESCRIBE WOFK Reroof House & Garage (25 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOii ELECTRICAL, PLUMBING, HEATING, VENTILATING OR Alii CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTtON 20NING SO. FT. CU. fT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTHUCTION OR WORK IS SUSPENDED Of± ABANDONEO FOR A PERIOD Of 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING F I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND Of;DINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED Wl7H WHE7HEii SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2 s O8S � 1. O�F DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PqOVISIONS OF ANY OTHER STATE OR �OCAI LAW REGULATING CON- $7(�. JS Fire SC �L.OH STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE �77.87 SIGNATUAE OF CON'RACTOA OA AUtMOAIZED AGENT IDATEi WHEN PFOPERIY LIDATED THIS IS YOUR PERMIT Vv S�GNnTUAE OF OW Ea iic O NEA BUiIDERi iOATEi BLD � iNSP ��FTE NEW ADDN ALTER [l [) �� CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXE5 R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: _ fp Q(� _..%,g � e c v�//-c S T Legal Description: Effective 1/1/97 ��ZS��' ,�� .� `�% 7.3 • .i�-: •�� , i _ , 6 i � � � � . � : fj �r i .:� J3' . . ., �,. , ,�► .�► � _ - �, %� -� , � �= � � '��r; � --- - --- __ _ _ LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certifica.te of Survey of the lot, with the proposed construction drawn on it to scale. DF�SCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width , Hgt/Ground _ e�• ��' � Sq. Ft. Sq. Ft. S�c . Ft. / � a� _ .� .('_L � � � Construction Type: Estimated Cost: $ �Dc�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �-- /�� APPLICANT:�j B-�Z �.�X�,��e�,, Tel. # 7�"1/�`0 �/9�' Permit Fee Fire Surcharge State Surchazge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS : $ � � ��8 $ .� $ $ $ $ $ $ $ �U CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50!$1,000 Valuation $950 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 [ ]