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PRE 2010 DOCSApplin;` non for PilwabY g cmd C ens u btu --- Dept. of B1dv. Phono 5$0.3450 DESCP.IPTIO:T O: G or=. Lo,�+.'-ei Kua:Sar. K:--dvid Lccr_ion of Fixtures • Fnr._:a C- .-.:.:.'.:a Gr :irk ------ - _ uaaaz * Nan :-ixhim. Old Cca:pcol n PARTIAL RATE SuHIEDULE City of Fridley*. The undersigned hereby -rakes application for a permit fer the- work he:ti specifi^d, a. eeing to do zU work In strict acco:dznce with the Cir C:din! t and ruling of the Department of Builr'nZs, and hereby declares that -ZI L':e fad and representations stated in th:s app'licat:on are true znd correct' iiidley, Minn 19-- A A n 01AMW -.0- I i Used as • v To be completed about - Estimated Cost. S i PLUMBING FIXTUPLE RATES: RATE TOTAL Old Itew) u., tng rms Q I I I I 9 tiur.ber Fixtures ...•.••••• $3.4 .S � Fvture Fixture Opening ............ wAT[4 wTK. By �y ^ (a Business Phare No ---- .New Fixture Old Opening. • ... • • • • • x SI.50 a_..._:--• C:tch Basin ................... • !.- x $3.25 $ �` O� °• ' tt'ater Beater 'UP to 99.000 BTU • • • • x 't G0 S i ROUGH ,.New Ground Run Old Btdg....:.... x :3.25 T'ec,ek Watsr Has tar.....:........ z $2•W 5----- 21S FTTING FEES: NO. RATE TOTAL Base Ist 3 Fixtures ............ • • • • • • x $2.00 75 5 - Gas Rafe to 199.000 BTU ........ X 55.00 G :50 State Surcharge - TLv-?ilaS 3c ALT::RATIOHS---?Afar to Coda .rc:c:i;L'crs....................... ° • Q0Tara. z-*:.� s ��� I 3:d S:h • Fnr._:a C- .-.:.:.'.:a Gr :irk ------ - _ uaaaz * Nan :-ixhim. Old Cca:pcol n PARTIAL RATE SuHIEDULE City of Fridley*. The undersigned hereby -rakes application for a permit fer the- work he:ti specifi^d, a. eeing to do zU work In strict acco:dznce with the Cir C:din! t and ruling of the Department of Builr'nZs, and hereby declares that -ZI L':e fad and representations stated in th:s app'licat:on are true znd correct' iiidley, Minn 19-- A A n 01AMW -.0- I i Used as • v To be completed about - Estimated Cost. S i PLUMBING FIXTUPLE RATES: RATE TOTAL Old Itew) u., tng rms Q qNO. Rigned tiur.ber Fixtures ...•.••••• $3.4 .S � Fvture Fixture Opening ............ X $1.5J S - • By �y ^ (a Business Phare No ---- .New Fixture Old Opening. • ... • • • • • x SI.50 a_..._:--• C:tch Basin ................... • !.- x $3.25 $ �` O� °• ' tt'ater Beater 'UP to 99.000 BTU • • • • x 't G0 S i ROUGH ,.New Ground Run Old Btdg....:.... x :3.25 T'ec,ek Watsr Has tar.....:........ z $2•W 5----- 21S FTTING FEES: NO. RATE TOTAL Ist 3 Fixtures ............ • • • • • • x $2.00 75 5 - Gas Rafe to 199.000 BTU ........ X 55.00 G :50 State Surcharge - TLv-?ilaS 3c ALT::RATIOHS---?Afar to Coda .rc:c:i;L'crs....................... ° • Q0Tara. z-*:.� s ��� ,p �`^:°, �? w. �"`-'^+`W `�j.•..-..�4g -,•.. QL'�i^'.^''•'' (/i �.j�.a%iFa•., py�'"1.:�`,.�-J' QP`�'-^"� ,.�^n..^►}jR'+. ��J(� i;.�,iaaYO��tc�� yL:`C ��lCbY..V 4G.r.LGEw:r'O. Vdp� � �A �FoiGOGCYNYYtCfi�$ �V.I�i1.�W1CrY6S0'�� t�WY Y }/p�y(f"r?v�Dj[p��Oab`� LpeL r�4 �"I'® �"�C•�.n ..tit w;Y�. i0.,t+•r+..r wei`PL9 t1v�►3bG= PARTIAL RATE SC EDUI Dopt. Of Bldg. F�voa* 1w-°., m GRATITT :ts'ARX AIR: 1RP%t,Z TO`FAI. Lox�'�r�® d � �� � / 22, e, F%M—axe Shell & rhX1 wor'a $10.00 $ r Replseemtmt of Ffirnare 6.00 Z— City o4 Findley: P,rpairc & Alterations— up to $500.00 644 $T__._ The undersigned hereby makes application for a peimIt for the worst her dr specified agr�rc'ing to do all work in strict accordance with the City Ordirancetr Repairs & Aitprs�«o^.s each add. 3500.00 3 E and riling of the Depaitment pf Buildings, and hereby declares that art the faeu and r4mr-!sentatiuns stated in this application are true and correct. IMCI-L WARM AIB /7/—� y � Fridltry, Minn rurnaee Shell & L`uct Work to 120,040 BTU $10 do S - each add. $0,040 BTU 3.UC1 $ (.Owner RePLcetrient of Furnace 6.00 % kind of Building Regaira ac Alte•atiors—up to $540.00 6.00 $ Used as Repairs & Alteratioris each add. 3500.00 3.00 $ STEAM at HOT WATER SYSTEM To be completed about Furnace Shell !s Lines --to 400 sq. tt FDR Steges `10.04 5 Estimated Cost, S Furnace Shell d: Line�•to 640 sq ft. EDR Hot Water 2000 5. OldNew. wilding Permit No._Permit No. Each add 204 sq. fl. EDR -S?eam R tkl $ Each add. 31.0 sq. ft EDR Hot Water 3.00 S S:rZC .IFiiG111 OF WORT OIL BURN—ER—to 3 gal. per hour 6.00 S. DATING or FOYER P'i.,�NT=.r—UL> ssa, P,et Ti'a Warm Air No , over 3 gal. per hour --See Fee Schedule GAS BURNER Cop to 1_199,0W BTU) 6.00 3_5e7� Trade Name���-- Site Ido o,nr 133.000 81'iJ Sae Fee $chodulo Capacity_.._. — SQ. FL F-D.R BTU Har' GAS FITTING F LES: V0 RATE TOTAL al I f Total I.c�d Isi 3 Fixturesz8 200 s Connected ��I� of � Addi•Jonal F1ZLwIi'S x 78e � x /c,? _ • BURNER -- Tsmde N3ln�' Sig Pdo Gag Rangy to L99,0W State Surcharge .50 Capacity Sq. FL ED BTU EX-_ AIR G^.�.i-nOXIr.Gr TjLn IMAMNG SYST= ga" Fn schrdak RAY N. WELTER HEATING CO. 4637 Chicago Ave. AL.�¢cs ��AI. SIS Minneapolis, Minnesota= B7 ROUGH B cy MAL— ds�aaxs—Desai . 486 0 CITY OF FRIDLEY PUBLIC WORKS DEPARTMENT TAPPING APPLICATION AND PERMIT FOR INSTALLATION OF WATER & SEWER SERVICE I) This form to be completed before a tap is made to any existing water or sewer line. Lot Block / Addition Address Owner _ Plumber HARGES TO BE PAID BEFORE TAP CfS MADE — WHERE ASSESSMENT HAS NOT BEEN LEVIED AGAINST PROPERTY II) Water & sewer connection permit must be registered before this Tapping Permit can be issued. City supplies all material and labor for 1" or under water tap. Con- tractor supplies all material and labor for water tap over 1", and all sewer taps. WATER TAP: SEWER TAP: Materials Used: $ ���• 4� Street Patch: : $ /" - 6"-e TOTAL: $ _2 4S, Street Patch: x . $ III) If this property has not paid a full Lateral Charge for its share of the water and sewer system, additional charges will be placed against it. This will be in addition to the normal connection and tapping permits, meter deposits, etc. Water ASSESSMENTS TO BE LEVIED: Lateral: $ Sewer Lateral: $ TOTAL ASSESSMENT: $ -� d "__�IL4 1 wo Clerks Signature Supt. of Public Works M/P 3/76 White P.W. CanaryFinance Pink Prop. Owner Goldenrod Plumber Be SEI R City of Fridley SUBJECT PERMIT 13389 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO • COMMUNITY DEVELOPMENT DIV. I r i PROTECTIVE INSPECTION SEC. 97.� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-660-3450 910-F15 2-27-76 JOB ADDRESS 7559 Lakeside 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 1 Lakeside SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cedar Bay Builders Canyon Lane 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. DW Construction, Inc. 8804 Lexington Avenue 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential --i-CLASS OF WORK CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct home split level(3) 621 x 241141 9 CHANGE OF USE FROM TO STIPULATIONS Sewer: Must be connected 1. Provide truss design 8" VCP.on Centerline of Lakeside Road 2. Provide a verification survey Water•us 6a ed 3. Provide a hard surface driveway IP W��main 10 West of Centerlin of Lakeside Road —IMPORTANT—o a, 8 dtigging calf local etc. Wry THE FRIDLEY ENGR, DIVISION pliONE-ELECTRIC- REGARDING CURB REMOVAL AND REPLACEMENT l Y AW QUIRED E1PERATE PERMITS REQUIRED FOR WIR## DRIVEWAY OPENINGS �P '1EATING, PLUMBING AND SIGNS, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. frame OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. wood 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 1,008 20,464 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. $41 20.82 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ,650 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 - $46.73 350.00 STRUCTI OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 417.55 SIGN RE OF NTRACTOR08AUTHORI 0 NT (DATE) EN PROPERLY V L%��rA�TE/D%T�IS IS YOUR PERMIT BLDG INSP DATE! SIGNATURE OFOWNER(IFOWNER BUILDER) IDATEI R APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:_...02.X -A St)JI" BUILDER: �4��4 ADDRESS: �s NO:. '?S�� STREET: �ae_C5 ' %,B- LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: oL— SETBACK: 3 Z SIDEYARD: /!, `F5 – 1):!;-" Applicant attach to this form Two.Certificates of Survey of Lot and-ropose. building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front:_ ��� Depth: `F� Height: '/ Square Feet:. / n o '5" Cubic Feet: O JAI Front: Depth: .Height: Square Feet; Cubic Feet: c[Pno Type of Construction: Estimated Cost: $ 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 Fridlev 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 Information.) ez a VVI -\ 4(-0. 73 oLO Y1, City of Fridleyoe27238 SUBJECT P .� AT THE TOP OF THE TWINS BUILDING PERMIT f 1 7 • ______ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r r J/ 1 . � tq�111ER REV DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 0-F1 88/17/98 JOB ADDRESS 7559 Lakeside Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 lBayer's Lakeside Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Senftner 783-3503 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 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 Reroof house and garage 24 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 $1000 $1.00 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- Fire STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 SC $2.00 PLAN CHECK FEE TOTAL FEE $77 75 NATURE OF CONTRACTOR OR AUTHORIZED AGENT 11DAA/TEL �� N P PER BL06 INSP (DATE I$ I$ Y LIMIT oorO E S& ATURE OF OWNER OF OWN^ILIERI IDATEI a NEW ADDN [ ] CITY OF FRIDLEY ALTER KI SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: , ls�q t44C'[ Legal Description: f�210 Effective 1/1/98 =10 Owner Name & Address: J-kn i5 SW -4i 2f/z Tel. # D 23 " 3.5©.3 Contractor: (rIt -J tj �'Z MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length Width _ GARAGE AREA: Length Width _ DECK AREA: Length Width OTHER: Q001 -r h o l Construction Type: Tel. # Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. C -U Estimated Cost: $ 1000-00 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Q APPLICANT: rliJrQ Tel. # CITY USE ONLY Permit Fee $ 7L J Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ /`- $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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 $ �� . STIPULATIONS: CITY OF FRIDLEY INSPECTION 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 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 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 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 % of Value of Fixture or Appliance _ %. 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 application are true and correct. /'_'A47 '1991 Owner. Building Used As Estimated Cost PLUMBING COMPANY SIGNED BY c N0. Approved By G KF Rough -In Date Final Date J;;� State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $b PLUS THE $.50 STATE SURCHARGE t�,: nalShower Wash Tray kFIoor Drain A to. Washer G sWatUlt Ran a; erHester Stories EI cGas Basem e n Floor 1 Floor 2 Floor 00 3 '::::iF.:::v:•:iti:•:: Floor loo 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 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 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 % of Value of Fixture or Appliance _ %. 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 application are true and correct. /'_'A47 '1991 Owner. Building Used As Estimated Cost PLUMBING COMPANY SIGNED BY c N0. Approved By G KF Rough -In Date Final Date J;;� State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $b PLUS THE $.50 STATE SURCHARGE