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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: Sept. 25, 1968 per: _ James L. Flasch Builder Address 591 Lafayette St. N. E. Address LOCATION OF BUILDING Same Same © 9952 No _ 1 Street Lafayette St. N. E. Part of Lot 17, Lot .1.8,iq, o,2?lock C Addition or Sub -Division . SgSYiew Heights- Corner Lot _ Inside Lot _ Setback — Sideyard —_ Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING 'V V X66 To be Used as: Addition Front ____ 27' Depth 15' Height —2DL Sq. Ft. 405 Cu. Ft. _ _RJ O0 Type of Construction Front Depth Height _ Sq. Ft. _ _ Cu. Ft. Frame Est. Cost 1200.00 _ To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above sett forth and in compliance with adl provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $- 12.00 , permit is hereby granted to— 1s=95 L -, xEkat Flasch to construct the building or addition as described above. This Permit is granted upon 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 ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. d� r Clarence Belisle NOTICE: This permit does not cover the construction, Installation for wiring, ping, gas hosting, sower or water. Be stn to an the Building Inspector for separate permits for these hone. . . �V APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ADDRESS ADDRESS LOCATION OF BUILDING NO. 5~� STREET LOT/ BLOCK ( ADDITION OR SUBDIVISIO..N v � COR -NM LOT INSIDE LOT X SETBACK SEWER. ELEVATION TOP OF FOOTING SIDEYARD Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front 2 � Depth /S ' Height 2 U Square feet o ,S` Cubic Feet ®)e / 6 a Front Depth Height Square feet Cubic Feet Type of Constructiona Estimated Cos�42 0,0 °� To Be Completed 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. i DATE - - %5 (c SIGNA -yr�o �`� (Schedule of Fee Costs can be fourid`lon. the Reverse Side.) V • - L BUILDING PERMIT FEE SCEE:DBLE SECTION 2, The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing structure or building, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Uniform Building Code: Type 1, 2, & 4 - $1075 for each one thousand cubic feet, or fraction thereof, in such cubical cDntentsa Type 3 & 5 - $1050 for each one thousand cubic feet. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500°00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5o00a NSSSD Connection Charges based on location - Area 1 or 20 7 City of Fridley, Minn. N° 10506 Renewal Of BUILDING PERMIT Date: November 17, 1969 Owner: James L. Flash Bider Same Adder 591 Lafayette Street Address Same LOCATION OF BUILDING No. - 591 Street La faQtte St'7APt Part of Lot 1 18-21 C Riverview Heights Addition or Sub -Division .._._.._..._. Corner Lot .__ Inside Lot — — Setback --_ Sideyard — Sewer Elevation To be Used as: Complete Addition Foundation Elevation DESCRIPTION OF BUILDING Front _ _ Depth Height Sq. Ft. Cu. Ft. Front Depth Height ___ Sq. Ft. Cu. Ft. Type of Construction _ Frame Est. Cost _500.00 __ To be Completed October 1970 In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with 21 provisions of ordinances of the city of Fridley. 1—% 11 In consideration of the payment of a fee of; 6.00 permit is hereby granted to James Flash to construct the building or addition as described above. This permit is granted upon 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 ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair andmoving of buildings within the city limits and permit may be revoked at any time upon violation of any of the provisions of said ordinances. ' r CLARENCE BEL NOTICE: This permit dost not corer the construction, Installation for wiring, plumbing, gee heating, sewer or water. Be sire to sae the Bullding Inspector for separate permhs for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'S NAME _ ��n S C. d BUILDER 610F-W'9L- PE ,e M 1 r IV '-��4m �- ADDRESS .5-9/ L/4 FAT L jn�- S i ADDRESS LOCATION OF BUILDING of NO. .579 smu L,4 F(4V g- T r -& ujV2 17 LOT it -.2i BLOCK ADDITION OR SUBDIVISION der@ Ulf u) A4 E CORNER LOT INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: 6: rn P L E T L_kA iT"l U AJ Front Depth Height Square feet Front Cubic Feet Depth Height Square feet Cubic Feet Type of Construction Estimated Cost /4 00 •U C� To Be Completed a U9'go 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. .(Schedule of Fee Costs can be found the Reverse Side.) BUILDING PE MIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing structure or building,.or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Uniform Building Code: Type 1, 2, & 4 - $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.50 for each one thousand cubic feet. For the purpose of computing fees for building permits, the cubical contents of any 'building -or'-addition to a uniform height throughout iffy multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average height -of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. NSSSD Connection Charges based on location - Area 1 or 2. 16 -4z. Iii�3-`-------------- �>_�--, Renew Permit #10,506 City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. Date: - May 21, 1971 Owner. James Flasch Builder Same Address 591 Lafayette Street N.E. _ Address Same LOCATION OF BUILDING No. ._591 _____ Street Lafayette Part of Lot Lot ._..1721 Block I€ C_ __ Addition or Sub -Division _ Riverview Heights Corner Lot _____ Inside Lot R Setback Sideyard Sewer.. Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Complete AlteraticMnt Depth Height Sq. Ft Cu. Ft. —_ Front .___ Depth Height Sq. Ft. Cu. Ft. Type of Construction T+ ramp- Est Cost — $1,000 _ oo To be Completed X" 21 , 1979 In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above het forth and in compliance with ah provisions of ordinances of the city of Fridley. i l In consideration of the payment of a fee of $�:_QL , permit is hereby granted to James F1asc to construct the building or addition as described above. This permit is granted upon 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 ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bui '— vyithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordiaances: CLARENCE BELISLE NOTICE: This permit does not cover the construction, Installation for whing, plumbing, gas heating, sewer or water. Be sure to sae the Building Inspector for separate permits for these hems. OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA O �4JAdZL ADDRESS:f _�_% � . ADDRESS: NO• � �71 STREET: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ,[ L _ y aah _/ �P ,, a� a %o� bnt: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:Estimated Cost: $ To Be Completed: �,IL The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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. _ DATE: 6— — / & " / / SIGNATURE (See Reverse Side For Additional Inflation.) 01 APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA O �4JAdZL ADDRESS:f _�_% � . ADDRESS: NO• � �71 STREET: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ,[ L _ y aah _/ �P ,, a� a %o� bnt: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:Estimated Cost: $ To Be Completed: �,IL The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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. _ DATE: 6— — / & " / / SIGNATURE (See Reverse Side For Additional Inflation.) 01 City of Fridley, Minn.. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BU_ I -MI TG PERMIT Date: August 9, 1972 Owner: . James Flash Builder Inter City Builders Address __ 591 _Lafavette N.E. Address 2600 Murray Avenue N.E. LOCATION OF BUILDING No. _5.9 Street — Lafayette Street N.E. Part of Lot Lot __.17-21 _ Block _ C ____ Addition or Sub -Division Riverview heights Corner Lot Inside Lot Setback Sideyard Sewer Elevation _ Foundation Elevation _....._ DESCRIPTION OF BUILDING To be Used as: Garage Front 201 Depth —22' Height 81 Sq. FL 440 Ca. Ft 3520 Front _ Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost 1,845 To be Completed September 1, 1972 (1,993.20) Provide a hard surface driveway In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth in compliance with all provisions of ordinances of the city of Fridley. 0 In consideration of the payment of a fee of $ 8.50 permit is hereby granted to Inter City Builders to construct the building or addition as described above. This permit is granted upon 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 ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings Within the city limits and this permit may be revoked at a upon "ola "on of any of the provisions of said ordinances. Building Inspector DARREL C NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to see the Buildi 7 Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: �/ ��n L S �L � GC/7 BUILDER: /J(/ kA, ADDRESS :.� / a air �"P /1/G ADDRESS : ?rD P,ov46,e NO ; , 9/ STREET: L a �a y e 7—re I/ LOT; BLOCK: ADDITION: CORNER LOT: INSIDE LOT:_SETBACK: S SIDEXARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: 7 1 Front: Depth: Height: Square Feet: 41 /0 Cubic Feet: 35 a ' Front: Depth: Height; Square Feet; Cubic Feet: Type of Construction: FR ae Estimated Cost: $ �� - To Be Completed: Sep;r 99 3 The undersigned hereby makes application for a permit for tbe_wQrk herein specified, agreeing to do all work in attict accordance with the City Qf Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applig4tim are true and correct. WE: D SIGNATURE: (Be* Reverse Side For Additional Informa#bn.) • `� _.� /'0 9• , TYPICAL SLAB DETAIL The above is a substitute design for frost footings, however, it is not yet accepted by the State as an amendment to the Uniform Building Code, Section 2905,a. Therefore upon using this method of construction, I agree to hold the City of Fridley harmless of any possible claim for foundation failure or structural damage caused by foundation failure. Witness 9 _�P_ -7-?- Date O P pe Owner Aadfesg qX--Pr-6-rerty—/Leg—a Desc. B. H. BRADLEY CIVIL ENGINEER AND SURVEYOR 9820• 24TN—AVENUE BOOTH v JJJ" YINN6AMLIY. YINNH80TA� sury O fv4Pl 25o If vs- o-,7 fgve / (,/Y1// ,rF JP 724-2169 , FA Scall l`' -1301 // 9_!; I-AF'1jYrFr7-E 57 r �heYehy cei-ti'fy lbet thIS 1,5 C7 co et-ec-t f-epre 5700 t,lrtvii a cy Svrey o ' 1's, 2/� 20, /9, / 4- EP W -1 o Lo !7 45'1.'e Ck C , Rlveevrew H iyh:� Ac%l i-jcIleas r: f Ly �4 P y F.t e f -he Zo "it o I Flu ly /97Z- A 1 -I d ! /( "� 1 �A 6 I-AF'1jYrFr7-E 57 r �heYehy cei-ti'fy lbet thIS 1,5 C7 co et-ec-t f-epre 5700 t,lrtvii a cy Svrey o ' 1's, 2/� 20, /9, / 4- EP W -1 o Lo !7 45'1.'e Ck C , Rlveevrew H iyh:� Ac%l i-jcIleas r: f Ly �4 P y F.t e f -he Zo "it o I Flu ly /97Z- A 01 SUBJECT PER U. - - City of Fridley 18091 AT THE TOP OF THE TWINS BUILDING PERMIT _ f REC 16L ...... COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. o�f , CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J 612-571-3450 910-F15 6/27/85 JOB ADDRESS 591 Lafayette Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 17, 11 ;18^21 B Ock C Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Loegering 591 Lafayette Street N.E. 780-3727 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Add a 61 x W Sun Roof and reroof Dwelling 9 CHANGE OF USE FROM TO ST,,I PU CATIONS Meet with Building Official prior to starting project. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED 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 THAT I HAVE READ AND EXAMINED THIS APPLICATION ] 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 $2,000 $1.00 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- $32.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $ 8.13 $41.63 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY V ATED THIS IS YOUR PE MIT UZ SIGNATURE OF OVV r ID EI BLDG INSP - ATE 01 NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Tc Legal Description: 20 N0 Owner Name & Address: eI' 1,g/ o SF Tel. # Contractor: Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER : in s fall a, `x !gM /-o ana MrQ 0 tc cve l/i ria . Corner Lot [ ] Inside Lot [v-] Ft. Yd. Setback Side Yard Setback Type of Construction: FelcP1QSS ��I-Qrr�� Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: aZ g�_ APPLICANT: -6eTel. # 700- 37Al7 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL CITY USE ONLY $ c'o� Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ /.0 $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering I Agreement Necessary [ ] Not Necessary [ ] $ STIPULATIONS: 7 fnvj '4 0� 9. ®. - <)(;� xc�� PI-4vVAQA memo: ek J 47 1.2:riz FEDERATED INSU RANCE OWATONNA • ATLANTA WINNIPEG Kevin Kremer Pentagon Office Park 4660 W. 77th St. Minneapolis, MN 55435 Phone: 831.4300 memo: ek J 47 1.2:riz FEDERATED INSU RANCE OWATONNA • ATLANTA WINNIPEG B. H. BRADLEY CIVIL t"GIN9601 AND IYAVi►Ot laity • BATw AvaNus SOUTH am"CA POLIS. row w V OTA ga.r 7tA�tIM Surveil �ov 'nfetc f 2 So o M V I- eJ qve /Y,F ► 1 I-AFyY4FT rF Sl.. -.11 'Ito 1.1 Scalp P -130' %hcrQby CEf-fl, {y tht r fhA A Z7 c0Pec, C f-�pre sar t,: �ic.� a { cy Svrvey of Go Ts, 2/ 202 /y, /; 4. the �,�f o f [ot /7 LzOCe C, 1T16FNrv.tw He y*fs A'/d fi-�ry. vs , AitvcJjcecd Py i- he Jo"'oo t/uly 1z. vt�:yvi- X SUBJECT NO. City of Fridley 38983' AT THE TOP OF THE TWINS r BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 F 1 NUMBER REV DATEPAGE OF APPROVED By CITY HALL FRIDLEY 55432 763-571-3450 910415 10/20/03 JOB ADDRESS 591 Lafayette Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 17,21 C Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fred Haugh 591 Lafayette Street NE 763-786-2247 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Grayhawk Builders 3020 Centerville Rd, Little Canada, MN 55117 651-486-9888 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20174611 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace existing window 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 I 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 OR NOT. THE GRANTING OF A PERMIT $1,300 $.65 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- $47.90 Fire SC $1.30 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE icens SC $5.00 $54.85 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, VVIIIEN PROPERLY VALIDATED THIS IS YO R PE MIT S,GNATURE OF OWNEPoF OWNER BUILDER) IDATEI OG IN P r1ArE X A1JG-�£-2C7t 1 11:41 FPOM CITY OF FR. I DLEY TO NEIN [ ADDN [ 1 Cr7Y OF FRiDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R -'t AND R-2 Y BUILDING PERMIT APPLICATION Construction Address.G� Legal Description: 6-514O6E1 f SM P. 01%'02 Effective imwo9 (763) 572-3604 bldg Insp Owner Name & Address:_ n,)�n4 --�Tel. # ,� L, C -"Z o Contractor: US - ' , � MN LICENSE # 3111a Address,( –LdSl LWT Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: i X1 UM IdArnated Cost: $ r✓..vewvay Curb Cut Width Needed: —Ft + 6 Ft = —Ft x $ _ $ DATE: APPLICANT:1 TeL # �GI.7 Sq CITY USE ONLY - Call (763),572-3604 for Permit Fees if mailing in application Permit Fee $ s I 0 Fee Schedule on Reverse Side Fire Surcharge $ J .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $—,$1150 per SAC Unit License Surcharge $__:72. -�k> $5.00 (State licensed Residential Contractors) Driveway Escrow $ Alt "A" or Alt. "B" Above Erosion Control $--_.$450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary ( ] TOTAL $ c� ILATIONS: A MAY-04-2005 14:24 CITY OF FRIDLEYC�®� ,02/03 NEW [ j ADUN [ j ALTER [ j Construction Address: Legal Description: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN %432 (763) 5724604 Bitlg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 671-1287 Fax BUILDING PERMIT APPLICATION MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on It to'scale_ DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height,T Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �J l� P !/ Construction Type; & Estim ted Cost: k& / Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $_ _ DATE: APPLICANT: /V�� F/v'G'�t,��C� Tet. #7Y1—U Zai M Call (763) 572-3&K for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ q ,7� Fee Schedule on Reverse Side $ 65% of Permit Fee $ 3 . 4— .001 of Permit Valuation (1110th%) $ A . (o a $_50/$1,000 Valuation $ $1450 per SAC Unit $„ $5.00 (State Licensed Residential Contractors) $ Alt, "A" or Alt. T" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ J Not Necessary [ J $ STIPULATIONS: Building MECHANICAL Permit No • - •D Inspections RESIDENTIAL APPLICATION Received By: 7.63-572-3604 CITY OF FRIDLEY DATE___Z_ YOUR E-MAIL ADDRESS SITE ADDRESS 1 E THIS APPLICANT IS: O OWNER `CONTRACTOR PROPERTY NAME: — IJ f11,i OWNER/ ADDRESS: S' - CITY STATE ZIP TENANT PHONE: -7 &2 - A9 1— a CONTRACTOR COMPANY NAME: CONTACT PERSON: SUBMIT A COPY OF LOU , YOUR STATE STATE LICENSE #mum � A931 LICENSE WITH ADDRESS: 17�I 3677 CITY STATE ZIP APPLICATION PHONE FAX PERMIT TYPE SINGLE FAMILY O TWO FAMILY 11TOWNHOUSE TYPE OF WORK: O NEW PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK 00 PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the installation replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) improvement, or Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEL: MFG: SIZE/BTU Equipment Installed MFG: MODEL: SIZEBTU MEG: MODEL: (GAS) $15.00 SIZE/BTU GAS RANGE/OVEN $10.00 A/C $25.00 _FIREPLACE TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 IRE NEW GAS GRILL $10.00 GAS UNIT HTR $10.00 _AIR BOILER _FURNACE $35.00 LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 VENTII.ATOR $1500 _CHIMNEY DUCT WORK $10.00 GAS PIPING $10.00 '/'T.'t f+TF.3'A iti!'n '�J Permit Fee $ Number of fixtures @ $10.00 x $10.00 = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 _1 x $25.00 = $ RS Number of fixtures @ $35.00 / x $35.00 = $ 3� State Surcharge = $ .50 Total THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota -Construction Codes; that I understand this is not a permit but only an application r a permit°' d wo is of to start without a permit; that the work will be in accordance with the approved plan in the case of o fres r i d approval of plans. �/j J SIGNATURE OF APPLICANT PRINT NAME �T`�) 'DATE / 7 ®7 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Engineering WATER AND SEWER Permit No.: r-�) 7t3�i 163-572-3551 PERMIT APPLICATION Received By: 763-571-1287 fax CITY OF FRIDLEY D MVD V 0 3 2009 -_ -- i nrrn%Illvnw7,v7 PPLICTATION DATE: �� ' 3 4 YOUR E-MAIL ADDRESS: _ THIS APPLICANT IS: O OWNER P.CONTRACTOR JOB ADDRESS: NEW CONSTRUCTION PERMIT# (IF APPLICABLE): PROPERTY NAME: OWNER/ ADDRESS: 5--j/ L. ST rn� CITY F STATE ZIP TENANT, PHONE: CONTRACTOR NAME: C'4 u 'A SUBMITA COPYOF YOUR STATE TATE ADDRESS: I L /!-d L k'rl CITY BGG •/` STATFA4d/ ZIP ,S'Sy0& LICENSE WITH PHONE CELL PHONE: APPLICATION STATE LIC # 07 LLBD STATE BOND: EXP DATE: 1. Narrative/written description: 2. Please attach sketch showin curb PERMIT TYPE 0 SEWER CONNECTION PERMIT ❑ WATER CONNECTION PERMIT ❑ WATERLINE REPAIR Zj SEWER LINE REPAIR ❑ ADD STATE SURCHARGE ❑ SAC CHARGE @ $2000 = $50 $50 $40 $.50 1 S_ 6 &,S-6 OTHER CHARGES (11F APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST — SEE UTILITY BILLING SPECIAL ASSESSMENTS — SEE FINANCE WATER TAP — SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / WEEKENDS & HOLIDAYS $125/HOUR-BILLED THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordi ces and codes of the City of Fridley. I understand this is not a permit but only an application for a pe and w �isnot without a permitWa n r d SIGNATURE OF APPLICANT PRINT NAME: ~ any Q 3l� DATE: �� 3 APPROVED BY: 76 3- 77- - DATE: COPY GIVE O. ❑ ILITY BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENGINEERING City of Fridley Engineering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3551 FAX: 763-571-1287 Building PLUMBING Permit No.: PJA 1) 17�� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY V 0 Z00� 763-502-4977 FAX EFFECTIVE 2-19-09 DATE I l a I O9 gYOUR E-MAIL ADDRESS SITE ADDRESS e. !�'4" THIS APPLICANT IS: ❑ OWNER XCONTRACTOR PROPERTY NAME: FA CL, 94CL (A ADDRESS: �' t l i -QS , y ___>4 CITY F-dL L� STATE M1JZIP �� Y3L OWNER/ TENANT � PHONE: -j tp?j - 2-91 - j �a$ CONTRACTOR NAME: —Teve 4 O veyacAe✓ P I Wz Im— SUBMIT A COPY OF YOUR STATE STATE LICENSE # \o (� �{ YY7 EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: Z . Ma tel- CITY STATE_IL`)ZIP , INSURANCE PHONE rI103� Si�� �i�iiy FAX PERMIT TYPE (SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 13 NEW PLACEMENT DETAILED DESCRIPTION OF WORK ANG j 1 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINKILAV _FLOOR DRAINS _ SHOWER _ WATER PIPING _ _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER Number of fixtures @ $10.00 x$10.00=$ Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge $ - .50 .36&T (MINIMUM $35.50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a p and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all w 'ch requires review and approval of plans.. 0 L� U f' DATE SIGNATURE OF APPLICAN PRINT NAME PLEASE NOTE: SgMg6g PERMITS ARE UIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977