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AF - 47644Village of N'ridley, �Iiiu�. BUILDING PERIVIIT `�' f' 1 �� ; . ,� , ;� _ � n,te: .,.,.,.,...::,,.�...r ...................... i ✓ _ � . Otancr ..... f� ir� il V:: l�L....6!.�.e�. ��-.�. .`r�/ C .................................. l;uild[`r :'.............. ......... Addrrss...................................... :\ddress ............................................. /i3 LOCATION OF BUILDING \ a . (G�.lrK. . . SL'ect y� �: � � :. �:... . A. . . . .. _ . 4. tT. . . . . . . . . Part of Lot . . . .. . . . .. . . .. . :... .... ... ........ ��» . . / Lot ...p � ... .. .. . BloCk -. .. .� .. .. ...... . Additimi or Sub-Di��ision ��...:'. J4. �'�C{:��..!'�'!'� ._ / • Corncr L.ot ...... , Insidc I.ot ..� ....... Setbac)< wJ ..... Sidcyard ..,l.:..'~!�. " ................. 'fo Ue i'�ea as: �/� •,, ��: ,�� i.r/•.,..... ,. : yC./{ (r'r � . . . . . . 'Pype of Construction DESCRIPTION OF BUILDING Front y.�%t.... Depth .s.it:... 1lc;ghV -.s.,�r!! Sy. Ft. ........ Cu. Ft. ........ / F nt � r�!'..... Depth .b��:. Iieight .�.��.. Sq. Ft. ........ Cu. Ft. ........ ��l.f:!!/.4�.... Est. Cost �yC:'^=:�........... To be Completed .................. In considcration of the issuance to me of a permit to construct the building described abovr, I agree to do the proposed «�ork in accordanec �+iUi the description aboce set forth and in compliance with all provisions of ordinances ot the cillage of Fridley. . �l-�4�-.�1.K...�_e�� !�!�:5��%-�'�!W . i In wnsidcration of lhe payment of a fee of $..c �:.:...., pein�it is hereby granted to . i...!`.:,', t C°�v_,.. ..,C..:...�. �.�:(_.%..:�%%��.. to conshvct thc building or ad�3ition as described above. This permit is granted upon the cxpress condition that the Person to whom it is granted and his agents, employecs and workmen, in all work done in, airotmd and upon said building, or any part thercof, shall conform in all respects to the ordinances of Fridley, Mintierota re�arding location, construction, alteration, m2intenance, repair and moving ot buildings with- in tne cillage ]imits and this permit may be revoked at any time upon ��iolation of any of the provisions of said m�dinances, � �. / �� N ...'a.�...�...:�..�t� '�T.�' � ,/L�`?fG.�Building Inspector . �. � ._......... NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sev�;er cr watur. Bc sure to scr: t�Buii<ting In=_pector for separate oermits for�se iicros. �rNNE�AS�o • 53-8� -s-9�.5. 51 , �i�y � �iu�� . l��:pli��:��a� #�s� P1u�� g�s�iR . Dept. oi Sldqs. Phor►� 360-3454 .. . D£3CRIPTlON O:' �'IOiz : '�� 622� Jupiter ftoad N.E. Numbar, Kiad and Loce..�on oi Fi:ciuzes . tl WATf� MTII. : r � z� � �� z k � O Z z z O� ' U Z • • x V v1 .< M{ �� o i'<- 7 z 7 • N c�s euc. i i� U � • r i N�; ►� r� � ► O iU d t� V l<! a l) � fars:x• CoaaocS�a Oponin�s H•w F'ixts:z.. Cld O,�.ninqs 1 E�w�r . Ccszpaol PART�AL RaTE S�HEDUIE ,IIMSII�iG FIXTURE AJ►7E3: NO. RATE T07AL A'umDer i�xtures . . . . . . . . . . . . . . . . x 8?.00 S . F1�ture flxture Opcning . . . • . • • • • • • x S1.50 S -• New Fixture Old Opening . . . . . .• . . . . : x $1.50 3____.-_ Catch Basin . . . . . . . . . . . . . . . . . . . . x 53.25 S Water iieater 'Up to 99,000 BTUs •••• x 53.00 S , tiew Ground Rua 01d Bidg. . . . .•. . •. . x �.3.25 S ElretrLe W�:ar H�.n4r . . . . . . . . . . . . . . . a S2.CA a_._._.._.----- IlS FITTl:iG FEES: NO. RA7E 70i1►Y. lst 3 Fixtures • . • • � � � � � � � � . • • � � • X SZ- !� � , Additloaal Fixtuses .. . . . . .... . . . . . x = .75 S c� x�� :o is9.000 sru ...... ..... --1 _-- x as.00 6 5•� City of Fridley: 'The uadersigned hereby makes application for a permit for thc vrork herei specified, ad eeing to do all w•ork ia strict accordance with the �t� Oz�iinsna and ruling ot the Department of Build:ngs, and hereby declares that all ihe izci • and represesstations stated in this appticatioc are true and corsect� iiidley, bsinn 5"28-75 �=-- Owner Cl.ayoon Polzin Kind.of Building Frsme _ _ Res. Used as - To be completed about 6-�-?5 __ __ Estimated Cost, S 10.00 ' _ OId—� Bui2diag Pecmit A'o. P.rmit No. �� . Signed _d�� • sy "AINNEGASC� . __ Busincss Ph�ae Ido ROUGH` FIN�I, � " / � - % � : . �YAIAS i� AL7iR�►TIONS—A�i�z to Cod� .50 Stdt@ SurChaacge . Duaiytiot� . . . . . . . . . . .. . . . . . . . ... . . . ... . . . . ... �. ... . � � • . Taru. � s 5.50 . � �g� s.urcc�arg� �°� � , � . . ' v � ;: ; 9'� -81� =879001 ctiY or fRIllLEY . APPLICATION FOR PWMBIN� AND GAS FITTING PERMI7 - ' � � � d � . � a wator Job Addrasa _^622� � T�,�ter I?riv . _ w �,� „ � y � w g Neatcr � y .-ai � a t+ »� �o w an a t+ •' , •� � u � � a � � w � � � � ,� � i� � ,� D�pdrtmant o! Suildings ►+ � +� • „�� •H � N � � � g � H u � o� w a x� ` City o! Fridley 1 � '� w a � y 3 a u°, v�i w c� � R� � � c� o as •lsc Tel. N571-3450 �o u o m • The undarsiqned hereby makes applicstion tor.a permit for the work her< � apecified aqrecing•to do a21 work in strict accordance with the City Coc �lst a►nd rulinqs o! tha Dapartment o! Buildinga, and hereby declares that all , , the leats and repreaentations stated in this applieatioa are true ar.d co_ 2ad • . • Fridlay. Ma. - �l-fi-7? , 19 + �rd . p�R `'ondice �x �ictor atn . . xiwe oF av=r.csntG rame (R) � Rituse Connection Opening Connectad with Sewer (•) � New Fix�ra, Old Opening wat� USED A8 �'es TO BE CObQ�LETEO A80UT ' - ____ . � PARTIAL RATE SCHEDULE � � ssT=e�,�c oosT .lo,00 PLU�IBII�G FIXTlJRB RATES: N0. RATE TOTAL ot.c - NEW SUILDING PERMIT NO. T NO. -�Q b�er Fixtures ` x 53.CO $ ' Gg��2�!' . . �� - FVture FL�cture Opening •� x $2.00 8 � CO�� Acw Fixture, Old Openinq x $2.00 S , S�gned By L Gteh Sasin x 55.00 $ � ' � Hatar Heater � to 99 000 H1Z] x SS.00 S Tal. No. � 100;000 B1V to 199,000 BTU x$10.00 Water Solteaer ' x S7•Q� Ne�r Gsour.d I� Old Building �� x 55.00 Electric watar Heatar - x 55.00 GAS FITTI\G FEES: � lst 3 tixtuses . x �3.00 1+3ditioaal Fixtures � x S1.00 .Ws Aang• to 199,000 BTU x 510,00 S S S $ S __ S_....,,. S ,�,._ REPAIRS 6 ALTERATIONS . Pirst 5100.00 35.00 S ,r,,,+_ �aoh add. 5100.00 or lsaction $2.00 $ , ' State Surcharge S .SO � ' sarnL �s . S 8_�� • . , '. itEINSPECTION FEE - tS)0.00) ' . ROOCH INSP. � Date • FINI�L INSP. DatQ APPROVAL FOR 88RMIT -�� + � � NINIMUM FES FOR 11NY PLt1M8INC PBRMZT IS 57.50 C!_�s� «q�, S,archarg� .5C;� . SU6JECT . �� "�� . City of Fridley 215 4�0 , , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RECEIP f � �` _�__ COMMUNITY DEVELOPMENT DIV. �� r � v � PROTECTIVE INSPECTfON SEC. i � � � ��'1 � CITY HALL FRIOLE� 55432 NUMBER REV. DATE PAGE OF APPROVEO BV �'""�" ��' 612-571-3450 910-Ft5 9/10/92 / / J08 ADDRESS Fj22O Jupiter Road NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. l�- 2 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Suzanne Aluite 6220 Jupiter Road NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO. R& M Associates 3487 Auger Ave [�Thite Bear Lake MN 55110 770-9322 4391 d ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C� ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCAIBE WORK Install egress window in basement 9 CHANGE OF USE FROM TO STIPULATIONS Egress window znust meet the State Egress Requirements, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOF ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TNIS PERMIT BECOMES NUIL 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 1 FIEREBY CER7IFY THA7 I HAVE READ ANO EXAMINEO THIS APPLICATION 1 STALIS GAFAGES 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 $8QO $.SO WITk WHE7HEA SPECIFlED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PpOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT OR 7HE PERFORMANCE OF CONS7R�CTION. $2�-• OO k'ire SC y�. SO PLAN CHECKFEE TOTALFEE __ C�-/D '�L License SC $5. 00 $27, 00 S�G T OF CONTRACTOR OA AUTHOR�ZED AGENT IDATEI yy N P PERLV VOAL ATED THIS IS VOUR PERMIT .�/�-I2 SiGNATUAE OF OWNEP iIF OWNER BUILDEAI �DATE� BLOG NSP rypTE NEW [ ] Effective 3/ 1/92 ADDN ( ] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: /� �n ��'u� �T �r nr Legal Description: Owner Name & Address: � � Z A J/l J F � G/i�T..�' Tel. #_ Contractor: .�_ ,� S S� c�- MN LICENSE � Address: 3�/Fr� �t r,L�� w %�, / ��''�"rio Tel. # ��o -9 32Q— Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF iMPROVEMENT LIYING AREA: Le�tgth Width Height GARA.GE AREA: Length Width Height DfiCK AREA: Length Width Hgt/Ground OTHER: Corner Lot [] Inside Lot [ J Ft. Yd Sett�ack _ Type of Constiuction: �y� � c S S c� ,,�,; J�, �,,u = Approx. Completion Date: .`� f 5� s,� �. (QX�-S E�/'�9 N � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost: $ ' �"� a � jCost on Back) Ft x $ = S DATE: �� iG - qZ APPLiCANT: Tet. #�� 93 Z'� CITY USE ONLY Permit Fee $ 2% a� Fee Schedule on Reverse Side Fire Surcharge $ � iJ�� .001 of Permit ValuaEion (1110th`�) � State Surcharge S , �� $.50/$1,000 Valuation SAC Charge $ '—� $700 per SAC Unit . License Surcharge $ c�� D O $S.UO (State Licensed Residential Contractots) . Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary (] Not Necessary (� TOTAL ST[PULATIONS: $ 2.7� Dt� , CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FIITING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBlNG FIXTURE RATES: NO. RATE TOTAL 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 Ftow Preventer Required OYes O No Type $ 7.00 ��- 0 L� $ 4.00 � $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 D,OD $10.00 $10.00 $5,00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance State Surcharge TOTAL FEE �� s JOB ADDRESS � a� a C�J �U�7U7 � t�� l I/ �-°- 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 antl rulings of the Buiiding Division, and hereby deci�res that ail the facts and representations stated in this appiication are true and correct. � �/ , � sg�-- , Owner Lv � Building Used As ��hG f � � � Estimated Cost !�' �� PERMIT NO. �� / PLUMBING COMPANY �� bs�r��(/'m ��i ��'`�`�� SIGNED B 2� L N0. ��r�'� � �`-� ��.- � Approved By��,�, Rough-M Date Final Date � .50 ' MtNIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 $�S. SO pLUS THE �.50 STATE SURCHARGE SUBJECT . P NO. �� City of Fridley 21916 AT THE TOP OF THE TWINS g U I L D i N G P E R M I T i � RE � • � � � • COMMUNITY DEVELOPMENT DIV. /� r � y +� PROTECTIVE INSPECTION SEC. I� v� � i � � �'�'1 � CITV NALL FRIDLE� 55432 NUMBER FEV. DATE PAGE OF APPROVEO BV �""'�'� �`J 612-571-3450 9�0-F15 6/16/93 � / JOB ADDRESS 6220 Jupiter Road NE t IEGA� LOT NO. BLOCK TRACT OH ADDITION SEE ATTACHEO oesca. 11 2 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Suzanne Alvite 6220 Jupiter Road NE 574-175Q 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R& M Associates 3482 Auger Ave, White Bear Lake, MN 77Q-9322 4391 0 AFCHITECT OR DESIGNER MAIL ADDFiESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residentia,l 7 C4ASSOF WORK O NEW O ADDITION ❑ ALTEAATION G� REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Replace to� two feet o,� chimney }�.rick 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEAT�NG, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WfTHIN 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 CERTIFV THAT I HAVE REAO AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED $6OO $. SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAtJTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL TH� pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE Ofi LOCAL LAW REGULATING CON- $1.�� OQ k'lie SC $. SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTAIfEE License S $5.0 $23.10 S�GNATUFIEOFCON�RACT0�70RAUTHORf2EDACaEtVT {DATEI �7�1 O E ALIDATED THIS IS YOUR PERMIT � � � /V y S�GNniURE OF OwNEa ��F OWNER BUiLDER� iDATEi BIDG �NSP ppTE NEVV [ ) Effective 5I26i93 .�1DDN [ ] CITY OF �RIDLEY �� ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Const�uction Address: � ' � �'� �� ) ,��,r S � -� Legal Description: �wuer Name & Address: J�U �� a�..£ t�- r �� T �' Tel. # �/— / Sa Co�ractar: �ti,� ��, r, r r MN LICENSE �Dooa �%3 91 Address: 3 G% �.2 ,� �'�',..r� ,i¢vs t,�� 7—f' {��'ar r�,1�'� Tel. #�2�" --, Attaeh to this application, a Ceztificate of Survey of the lot, with the propased construction drawn on it to scaie. DESCRTPTI4N OF IIIRPROVEMENT LIVING ARBA: Length '9V'idth Height Sq. F� GARAGE AREA: Length Widi6 He�ght Sq. Ft. DECK AREA: I�gth Width HgtlCrvund Sq. Ft. 01'HER: Corner Lot [ l �� [ l Ft. Yd Setb�ck Side Yard Setbacks l Estima#�ed Cc�: � � °� G Type of Construcdion: i G ----�" Approx. Compl�on Date: �•c i� (Ga�t o� Back} llriveway Curb Cut Width Neaied: Ft. + 6 Ft = FE x� DATE:6 "� � l�'� APPLICANT: CITY USE QjvLY Permit Fee Fire Surcharge State Surcharge 5AC Charge License Surcharge Driveway Escrow Er�osion Conirol Park Fee � Sewer Maia Charge TQTAL s.___--��, �° $ , �v0 $ �� S � � aD S a $ $ s �• /D Fee Schedule on Reverse Side .001 of P�mit Valuation (illtkh%) $.54/$1,000 Valuation $750 per SAC Unit �s.00 fsc� ��a x��a�b� c��) t'�lt. ~A� or Alt. �Bw AWYe'i Conservation Plan Review $450.00 Fee Deteimined by Engineeritng Agreement Nece�ry I l Not Necessazy I l _ _ __ i STIPULATIONS: � __ _� =S Te1. # 7�O' %� 2 Z- CITf O� FRIDLEYINSPECTlON DIV, , Effective On January 1;�1993 6431 University'Ave NE . � . Ftidley, MN 55432 APPLICATtON FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, �72-3604 REFRIGERA?ION AND AIR CONDITIONiNG SYSTEMS ANp DEVICES • ;, f_ � � Resfdential Fumace Sheil and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnacej Qas Range Qas Dryer *Atr Conditfon(ng - All Sizes All Others/Repalrs & Afteratlons (LIST ON BACt� 19�0 of Value of Appifance or Wo�k Ccmmercial/I ndustrial 1% oiValue of Appi(ance or Work Rate $ 20;OQ $ 10,00 $ 10.00 $10,00 $10,00 State Surcharge TOTAL FEE 70TAL $ �°`z, $ 1n a�- $ $ $ JOB ADDRESS � 2 � (� � �� , �•;� The undersigned hereby makes applicallon for a permit for the wark herein spacifled agreeing to do aN work �n strict accordance wtih the Cfty Codes and rulings of the Building Divlsion, and hereby declares that all the facts and representations stated in this application are true and correct, � � - a 3 ,1993 OWNER Sr, 7 �,,. �,- (/ �i I ��1�-� -- ---.� - ��BUILDING USED AS �►rarr��, ESTIMATED.008T �t � OD_ D`" PERMIT NO, L/� � : �►. � �i� :►� ♦; �:►..: � No, of Heating Units� Circle One (Steam) (Hot Water) arm A Trade Name�,�, Size No. BTU c�,C�, � HP � EDR _ $ Fuel Total Connected Load $ ,50 �S'� L�,� .. •'�► � •• A •� _ ; � _.i.:, i • • � • � � � 1■ � 1_ i REINSPECTtON FEE� $30.00 *Alr Conditior�era. car� not be placed in a s(de yard wlthout wrltten permissfon trom adjoinfng property owne�. Burner Trade Name Size No. ' B7U HP EDR HEATINCi COMPANY_ S� ��:,,, c - ,�-/ ( .f �c . Signed 6y_/��'�ct �..�..�i��d 7el No._� - � � � �� _ �7� Approved By 1/�i� Rough-in Date _„�,,;� � Flnai Date FiLL OUT BACK SID� FOR STACK VERIFICATION ON REPLAC�MENT FURNACE