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PRE 2010 DOCSCity of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: - Ar=1 1 1972 OVMW: —Tri –rn -R +i 1 Aero Builder Same gddTess 7555 Van Rt+r -n Street N_F� Address Same LOCATION OF BUILDING No 222 Street Liberty Street N.E. Part of Lot ?got 'A 5, 26 Block _ 6 Addition or Sub -Division Spring Brook Park Corner Lot Inside Lot X Setback _ _3.6 '._..._.... Sideyard 5'-6" & 101-6" * Elevation a48 sty 310"AH IMM 8151- 45 CApprnx- m9le Top of Footing DESCRIPTION OF BUILDING To be Used as: 19,108 8w.e l 1 ing Front 241 401 Height _201 _ Sq. Ft. _._ 960' Cu. Ft. Garage Front 20' 3)epth 21' -8" Height 10' Sq. Ft. _._A3 3 Cu. Ft. Type of Construction Wood Frame Fist, Cost .._$19,2 34.72 To be Completed Sept. 1. 1972 Stipulations: Provide a hard surface drive. Provide a verification survey before capping. WATER LOCATION: 10.9' E. of Sewer Service. SEWER LOCATION: 203' E. of Manhole 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 sg forth and in compliance with all provisions of Ordinances of the city of Fridley. / J e In consideration of the payment of a fee of S— 4IL - ii0 , permit is hereby granted to Tri -Co R + i 1 r s to construct the building or addition as described above. This permit is granted 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 buildiage �nthe city limits and this permit may be revoked at any time upon violation of any of the provisions of Said a&Lggz�.g Building Inspector: CLARENCE BELIS E NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: _ C 0 BUILDER : __ �., - (7a /- 11.2 j- /ti ADDRESS :_ 75 _ j �,�� ADDRESS :_ 7S S .S7` NO:. STREET: LOT: :i S- 4- 3 9 BLOCK: G ADDITION: Ty <�e� �1v oc /C '00%y�� 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: "i�g/6 -'-Am //" "J Front : Depth: -ell"V Height • X_/ S Square Feet:y Cubic Feet: Front: Depth : ,j e. Height: Y -e y Square Feet; "133 Cubic Feet: Z/=f J& Type of Construction: -19-ue Estimated Cost:_$ 10C, 7_2�, To Be Completed: /� jw�? %Y 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:* F- �-%�� 7: SIGNATURE • (See Reverse Side For Additional Information.) 5-69 DONALD H. DEUTSCH LAND SURVEYOR MINNEAPOLIS LICENSED 722-0235 PHONE:: .+.�. 4155 v 24th Avenue South MINNEAPOLIS. MINNESOTA 55406 2 .3 37A t � � 24a '�' D�c1JoTEs ZeeN. MON. _ I Lo -r 3�6 1 L'i 5.5 L.0 GES I � 1 , 3a o -- bo - -- N r 6...t.F—V N I hereby certify that the plat hereon is a true and correct representation of a survey of the boundaries of Lots 35 and 36, Block 6, "Spring Brook Park, Anoka County, Minn.", as surveyed by nae the 4th day of April, 1969. O G` IA �v � vC 4 5 Lf 7,-r � Cify of Fridl®y Application for Pring wd G= Ming Permit DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: MO. RATE ��,�TOTAyL��,, Number Fixtures ................ x$2.00 $�.L Future Fixture Opening ........... x $1.50 $ a -Ad1d New Fixture Old Opening .......... . x $1.50 $ _ Catch Basin .................... x $3.25 $ Water Heater (Up to 98,000 BTU) .... x $3.00 $ on New Ground Run Old Bldg. ........ x $3.25 $ - Electric Water Heater .............. s $2.00 $ RAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............... x $2.00 $ c2 -610 Additional Fixtures ................. x $ .75 $ Gas Range to 198.000 BTU ..... , ...... x $5.00 $ REPAIRS B ALTERATIONS—Refer to Code Description ........................................... $ TOTAL FEE $ Dept. of Ridge. Phone W3450 I Lamson A 2 2 /� i �iFR I Y S r, City of Fridley. The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn t"d Owner TR1 —GO t3 ivIL&as Kind of Building P0,406140 R 061 4 0 Used as To be completed about T� EY i 'r/s Estimated Cost, $ 4Nde.-New. Building Permit No. Permit No._ti. Signed/� g! By IV .i tt/ � /T . -ZffA 1a6t Business Phone No PA C - VIM ROUGH FYNAL — ' e e WATER W".r GAS ELEC. Base 1st 2nd 3rd 4th • future Coaneetion Openings + New Fixture. Old Openings Connected with Sewer Ej C"Wol ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: MO. RATE ��,�TOTAyL��,, Number Fixtures ................ x$2.00 $�.L Future Fixture Opening ........... x $1.50 $ a -Ad1d New Fixture Old Opening .......... . x $1.50 $ _ Catch Basin .................... x $3.25 $ Water Heater (Up to 98,000 BTU) .... x $3.00 $ on New Ground Run Old Bldg. ........ x $3.25 $ - Electric Water Heater .............. s $2.00 $ RAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............... x $2.00 $ c2 -610 Additional Fixtures ................. x $ .75 $ Gas Range to 198.000 BTU ..... , ...... x $5.00 $ REPAIRS B ALTERATIONS—Refer to Code Description ........................................... $ TOTAL FEE $ Dept. of Ridge. Phone W3450 I Lamson A 2 2 /� i �iFR I Y S r, City of Fridley. The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, Minn t"d Owner TR1 —GO t3 ivIL&as Kind of Building P0,406140 R 061 4 0 Used as To be completed about T� EY i 'r/s Estimated Cost, $ 4Nde.-New. Building Permit No. Permit No._ti. Signed/� g! By IV .i tt/ � /T . -ZffA 1a6t Business Phone No PA C - VIM ROUGH FYNAL — ' Base 1st 2nd 3rd 53-84-879.01 City of Fridley Applit a&m for P and Gas RM" Folnub Dept. of Ridge. Phone SOD -3455 DESCRIPTION OF WORK 222 N E Liberty St Number. Diad and Location of F xtuns win. "M. City of rvidler. I a ® = o n GAS MCThe undersigned hereby makes application for a permit for the work htrei. specified, agreeing to do all work in strict accordance with the Qt,T Ordinance and reeling of the Department of Buildings. and hereby declares that all the fact and representations stated in this application are true and correct 1 3-2-73 Fridley. Mina PARTIAL RATE SCHEDULE PLvims ` a ?ia zwaE MATES: NO. ANTE TOTAL Number Fixtures ................ x $200 $ Future Fixture Opening ........... x $1.50 $ New Ja ixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Beater 'Up to 99.000 BTU).. • • x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electrk Water Heater .............. a $2.00 $ GAS FITTING FEES. NO. RATE TOTAL Owner M Holum frame Kind of Building res Used as To be completed about 3-10-3 Estimated Cost, $ 10.00 Old—New. Building Permit No. Porma No. ed " Z By _ jt4g&P+A CO Business Phune No ROUGH MiAL 3 /8'-�'� lot 3 Fixtures ....... ...... • .. x $100 $ Additional Yixtv;M .. . . . . ...... . . .'. x $ .75 On Range to IW Wo BTU • ........... 1 x $5.00 $ 'T• 00 State Surcharge $ .50 MV Surcharge .50�, REPAIRS A ALTERATIONS—Ater to Cbdo _ Description ........................................... TOTAL MM 8 3.50 4 01 Application for Power Plants and HsaNng, Cooling, Ventnagons Rshl- 1gtion and . Air Conditioning Stens and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIS: RATE TOTAL Furnace Shell & Duct Work ... .$10.00 Replacement of Furnace ..... ..... 6.00 = Repairs & Alterations—up to $500.00 6.00 Repairs & Alterations each add. $500.00 3.00 MECH. WARM AIS Furnace Shell & Duct Work to 120,000 BTU ...... . ..$10.00 each add. 60,000 BTU . 3.00 $ Replacement of Furnace .... 6.00 ; Repairs & Alterations—up to $500.00 . 6.00 $ Repairs & Alterations each add. $3W.00 .... .. &00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. _ Furnace Shell & Line —to 640 sq. ft. EDR Hot Water I0.00 $_ Each add. 200 sq. ft. EDR Steam 3,00 Each add. 320 sq. ft. EDR Hot Water 3,00 ; OIL BURNER—to 3 gal, per hour SAD $ _ over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 199,000 BTU) 6.00 ; o over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures _X$200 $ . o Additional Fixtures x .75 $ Gas Range to 199,000 xi 500 ; AIR CONDMONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule $ TOTAL FEE (SURCHARGE Dept. of Bldgs. Phone SBO -3480 - ' �a Lem " Liberty St. 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 Ordinance. and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn_ 41 Owner _ Tri -CO Bldrs . Kind of Building ._ Frame Used as -- - - Dwg . To be completed about Estimated Cost, Old—NewXBuilding Permit No. Hermit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Not Water, Warm Air*No- 1 Trade Name Singer Size No GB 1104—OHD Capacity Sq. Ft. E.D.R 10 0 , 0 0 0 _BTU_Hp. Total Connected Load 4 4 , 6 6 9 Kind of Fuel__Hat . Ga s BURNER — Trade Name Size No Capacity Sq. F!. E.D.R BTU Hip (REMARKS -OYER) sig Mill City Heating Co. B„cinm phme No 544-1501 lr-se ` HEAT L2K CALCULATIONS 1)E:1)Alt't %I EN [ A.S.H. Insulation Wed�heratrips Construction No. Guide How Applie ViRdows I rs Reference Out. Wall Int. Wall Ceiling Roof Floor Kind Yes o ea 19—. F7, / oom Length Width �Ieight Fl.� Room Length /� -'Width -Height Windows and rs—Crackage and Area i Window nd Doors--Crackage and Area Width Height No. o[ Lineal 1t. Area Width Height No. of Lineal it. Area *to p e ofahte of crack eQ.t.IV --7.> 1 4L X I *P--) I 44,r I I NO. of p o[ pane Ilghte o[ ac41 x e - ,V q / L�lv Infiltration Glass _Exp. wall Net exp. wall Int. wall Ceiling i� Floor Total Btu. 7F, nom Length Width :Height r Windows and Doors—Crackage and Area width Height No. o[ Llne¢1 ft. Area No. of pans of Dane Ilghte of crack eQ. [t. Infiltration Glaw Exp. wall Net exp. wall Int. wall Ceiling / �C Floor Total Btu. or sq. ins. r area Room I Length iWidth /f[eigl and Doors--Crackage and Area Helght No. of Llneal t. Are i of pa a Ilghte of rI SQ. i' I Xi Infiltration I Infiltration r Glass Exp. wall ' 0 _ Net exp. wall Int. wall Ceiling Floor _ T al Btu. _ Required sq.,L or sq. ins. W.A. Leader area _ Fl, _ oom {_Length --'Width Height Windows and Doors—Crackage and Area V1'id:h Height 27� i 2 Lineal M Area No. of aua Of a e If hta of ac sq v Floor Total Btu. ft. E.D.R. fns. W.A. Lander area Infiltration_ Glass �— _ Fsp. wall Net exp. wall Int. wall Ceiling Floor _ _Total fitu.r_!—_�- _ Required sq. ft. D.Rj or sq. iris. _W.A. ,ender area m I Length Width --Height Windows and Doors--Crackage and Area Width Hel t N of Linealtt-1 Area _N%o.� Dane of a his of crack sQ. f / / 7 s n Infiltration I �+ Class " Exp. wall Net exp. wall Int. wall Ceiling L �- Floor - Total Btu. Required stALDR or iiir� L✓ay E Weatherstrips <. tt . ruc: _ _. Guide �� ._ �.,. -� 1 r 'I t S.'all lln• Fall t;ealt!f{, t�•. ' �t�a ��'ptPd -- ---• Windows Doors 11 Reference � Jut. s - tf� 7 ..- I He, _ 1 1 it 'Height } - � Fr fir r h 4JOI r Ft•� No m Length .I idtn r 0 ..-lak g _ ! _ �,.• t_ ,i __ .. __ _T- - „� Windows and _Doors —Crackage ane Area �1{ v a.to • 'rs t j r ngc a ;! Heitr ' Width ui {H NO. O acre ine light n rrH. t. e.; I I _ T • -i 1. co Bin Infiltratton ;' —• , Glass Exp. wall t �_- _..___-.— __ ;�' i a L• P •. f.. 7.y ?kali k I -�--• —'-�- o •a ' r Net exp wall Int. wall ------.—_. Ceiling r' Floor _ .: _J��„r...,-t`-`+-�.--•-+-••fir' _ •. __ ._ --i- , Total BILL -RFquir I sq -_•r-` Height '74) aiih Windows and 170o s racicay,e .r_ Asa � � T1s i )t'S--Are. --- - - ; q atain rT No. - i , t.- �M L t --- -_. _..._.. _ sY• --_ ...__ ��-:yi. �:• moi, � I ! t tu Infiltration ,j I.�p wall_ `' r' r -.;o ' iVet—exp. wall – _ t _ l Int. wall st:`. – 7 Ceiling _ ---- - - _�- -..__ � ' ,�._ �. • `� r - : � _. ,... ' -,'-� j_ %'- r Floor- - Total Brei r r i tit• t\ -'h. �. rr d'. a .:.... — y tirtd�/`sq E.D K. ,,, { a ,r ��✓... " 2 r Height e ��1 r e jilows alit: Dc -,!3'j- C, ACkac d,-... r� 1V 1dth tgtT Nu. .-r o , ea No. 4 ol Dane 1 r �p r T ± 1 l �-�T- - a - I it �Pt BtL' ___ .._.—._. ! f%f..��' �•�.. �^ � -'hll tl1 :el f''' -C _.. � •""s_-�I•-{-•T. _._.- Infiltration _Glass I -c---........` .. Exp. wall `– F ==�r- - Net exp. wall Int. int wail nt. wall --- - _ . Ceding Floor 2t—r` Total Btu. totua ?stL. Required s ft. E.D.R. or sq. ins. W.A. Leader area E�equited sq, ft. iE.D.IZ or sq. ins. W.A. Leader area _ - i� .City of Fridley sueaEcr PER "-4 AT THE TOP OF THE TWINS BUILDING PER RECEI O. • COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � t � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/28/77 JOB ADDRESS 222 Liberty Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 35, 36 6 1 Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mervin Rohwer 222 Liberty Street N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Swanson Construction 466 - 83rd MN Avenue N.E., Mpls. 786-5552 –'Z—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 X 8 DESCRIBE WORK Construct masonry fireplace SEPERA-M PERMITS REQUIRED FOR WIRING, 9 CHANGE OF USE FROM HEATING, PLUMBI�NGD AN . fl STIPULATIONS Fireplace cannot extend more than 2 feet into side yard. Permit attachment given to owner. WARNING sof ing Call � utilities �ElEPH4NE�, Ei,ECt�� as Etc. REQUIRED By LAW 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 SQ. 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 1 ISTALLS 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. $800 $ 50 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 SI ATUREOFCONT ACT OR LITHOR)ZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT %� 9 _�: Z— BLDG INS, DATE SIGNATURE OF OWNER (IF OWNER BUILDER) IDI T L1 I Y Ur f 1Q1JLtY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: //! C,hy "o / Vl LJ e%^ BUILDER: • I rn I Address:,2J-Z `1 Apart), A"-. Tel. No.: 7.06 �SS� No.: Z2 Street:— 1:74 .L" LOT: �S� �p BLOCK: ADDIT CORNER LOT: INSIDE IAT: SETBACK: SIDEYARDS: 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: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Square Feet: Cubic Feet: Height: Type of Construction: a�d a.,„�,,,, �e Estimated Cost: $pPQp To Be Completed: /o /ao / 7 7 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 all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: c� / -� d 1-7 % SIGNATURE: Stipulations: tir M,vk CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT dl $4 M t °' o m U m � D m xi pC N ni is a N 3 m r. q ' a •.4 ;! Q w m 3 O w a S W u 1 J-� N U as v � ."c V N w w N d W O Water Heater as 1ec RATE TOTAL OLD - NEW BUILDING PERMIT NO. Q / PERMIT NO. U �O Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ Company��-- New Fixture, Old Opening Catch Basin 1st $2.00 $5.00 $Signed $ By Water Heater - to 99,000 BTO x $5.00 $ Tel. No. 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener 2nd $7.00 $ New Ground Run Old Building x $5.00 $ ROUGH INSP. Electric Water Heater x $5.00 $ Date GAS FITTING FEES: 3rd FINAL INSP. 1st 3 fixtures x $3.00 $ Date Additional Fixtures 4th $1.00 $ Gas Range to 199,000 BTU x $7:0.00 $PROVAI+ FOR PERMIT REPAIRS $ ALTERATIONS First $100.00 (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water Job Address ;7,,-2, — /, Z' --K' A- v _ . Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. / �7 , 19 OWNER -- KIND OF BUILDING USED AS REINSPECTION FEE ($10.00) TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. Q / PERMIT NO. U �O Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ Company��-- New Fixture, Old Opening Catch Basin x x $2.00 $5.00 $Signed $ By Water Heater - to 99,000 BTO x $5.00 $ Tel. No. 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ ROUGH INSP. Electric Water Heater x $5.00 $ Date GAS FITTING FEES: FINAL INSP. 1st 3 fixtures x $3.00 $ Date Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $7:0.00 $PROVAI+ FOR PERMIT REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) suBdEcr City of Fridley CE � 7828AT THE TOP OF THE TWINS BUILDING PERMITPT r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 /-5—/649 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 12/'4/84 JOB ADDRESS 222 Liberty Street N,E, 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 35,36 6 1 SPring Brook Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles Anderson 222 Liberty Street N.E. 7861110 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Groen's Vacu-Man P.O. Box 24295 le Valle MN 55124 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 JJ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Relining Chimney 9 CHANGE OF USE FROM TO STIPULATIONS 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 ISTALLS 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 $l l5O $.58 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S RU 10 R E PERFORMANCE OF CONSTRUCTION. $20,5a PLAN CHECK FEE TOTAL FEE $21,08 IGNATURE 6f CONTRA OR OR AUTHORIZED AGENTZ(DAA) WHEN PROPERLYI TED THIS IS YOUR PERMIT L G 1N SP D E SIGNATURE OF OWNER I IF OWNER BUILDERI IDATEI NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address: oK Legal Description: Owner Name & ddress: I Contractor: ,� Address • ✓/ �R �ayaY LIVING AREA: GARAGE AREA: DECK AREA: OTHER: City of Fridley R-1 AND R-2 Building Permit Application /'_d /! &I -9v� %' Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Effective 4/1/84 Tei . # *7.P6 Tel. # Sq. Ft. Sq. Ft. _— Sq. Ft. _ Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setbk�r Type of Construction: Estimated Cost: $ \\ Approx. Completion Date: Proposed Driveway Width If New Opening DATE: APPLICANT: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Alt. A Alt B red: $ $ See Back Page for Explanation Tel. # ��S' 7� `C,ITY USE ONLY $ Q+ Sy Fee Schedule on Reverse Side $ 25$ of Building Permit Fee $ ., 5� $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary ( ] Not Necessary [ 7 $ NEW [ ] CITY OF FRIDLEY ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: ;0?01 z %-,�� i / z S� Legal Description: Q Owner Name & Address: . /,�_ f _Tel. # > t Contractor: /,, LJ f S r- ,C /V �% O 0 MN LICENSE Address: Tel. # 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:�. WidHgt/Ground S . Ft OTHER: "CE 7 6 Construction Type: ' e"Oeo Ule:5— Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 66 Ft = Ft x $ _ $ DATE, Tel.# Call (763) 572-3604 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 Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 per SAC Unit $5.00 (State Licensed Residential Contractors) 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: Building BUILDING Permit No.. -1 m-- O Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: lb SATE' - �� -7 YOUR E-MAIL ADDRESS ;ITE ADDRESS a a a LI gorn-rl sr rl� PHIS APPLICANT IS: ❑ OWNER RCONTRACTOR PROPERTY OWNER/ NAME; CD AJ STr'rr- TENANT ADDRESS: 02.a,3L LIQgr-Ty SE IJE CITY 591b� STATE ZIP: �3� PHONE: -2-2-90 CONTRACTOR NAME: 5 pf o �1577w c�i t o,.1/, t�3 STATE LICENSE # a o3 `� `/ 3 3 EXP DATE m 3 3/ .2 oo � w YkJ SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: &8'f`(- 16+t.- AVEnSLh- SOOTh CITY Icr 1a4) STATE zT SS`12.3 WITH APPLICATION PHONE FAX PROPERTY TYPE .® GLE F /NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ,I ZECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: JKNEW ❑ ADDITION ❑ MAW rENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: /IJSTftL-,-W) o b'F rJ•3 75064L SIZE OF IMPROVEMENT /a LENGTH /6 WIDTH L HEIGHT Sq. Ft. 19a ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMI-TTT REMODELING SUBMIT: GAI2AGFS ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project VIMOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING TffE 1 R7 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ , P53 .001 times the total job valuation Surcharge $ , au .0005 x Permit Valuation Minimum $.50 License Surcharge $ S(}C, $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Min 1. 1 5 Make checks payable to: City of Fridley Attach Stipulations 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 for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. [' SIGNATURE OF APPLICANT 0 1 /��`t Lio PRINT NAMEy �� 0 y 1`-0 L -b DATE ?-2-7-C7 Building NIEC]EIANICA.L Inspections RESIDENTIAL APPLICATION Received By: 7.63-572-3604 CITY OF FRIDLEY DM' 0 2 DATE J- a 9- O YOUR E-MAIL ADDRESS SITE ADDRESS rZ_*1'- �'�� of - THIS APPLICANT IS: 0 OWNER INCONTRACTOR PROPERTY OWNER/ TENANT' CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: NAME: W A 12. ADDRESS:a. CITY F•vL o o 1 STATE ZIPS=- PHONE: %" COMPANY NAME: K t v` r i CONTACT PERSON: C t-1 o ! a STATE LICENSE # EXP DATE _ ADDRESS: %� ® ✓1 CITY F P_t +D l STATE @�1 ZIP Sz °� 3 PHONE -716 1 -] V4 41 cl y FAX SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE 0 NEW :p�REPLACEMENP ❑ ALTERAnONIREMODEL DETAILED DESCRIPTION OF WORK 4k a l %- L`� -)'- 12- &" A `� PER MS 16B.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 improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS 5500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FDMJM: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: U V A MODEL: i.J eaPl a t) �A�1 SIZFlBTU -14 u MFG: MODEL: MFG: MODEL. SIZEIBTU A/C $25.00 FIREPLACE (GAS) $15.00 . _GAS RANGElO,vEN $10.00 -AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 FURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEYY LINER $10,00 ER $35.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 _..,VENTILATOR $15.000 Permit Fee Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE 0 Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ 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 for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. , SIGNATURE OF APPLICANT C k e d ,J R G'►O (Q PRINT NAME Ok 4, b "�*r�'�.ka DATE 1 - off- �- 07 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 7 63-572-3604 FAX: 763-502-4977 Building MECHANICAL, Permit No.• Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Da 'd• 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE i— I Q— I u YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: ADDRESS: S� oiC CITY Fve-14Ix STATE H� ZIP s S1(Si OWNER/ TENANTPHONE: i d3 - 79'0 - a a g a CONTRACTOR COMPANY NAME: 1payJLR_ Gi cSl�•�� '(L�m-1 CONTACT PERSON: 14 V2 0 SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 8ai h -� �� E CITY Fx2j.0 I STATE o1N ZIP SJV31•- APPLICATION PHONE %4Z 7,1 F a (4 FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW,'REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK _:J•- 0 S4 A (( &ee FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK. VA P ri 10 J.AZ 44--11,1) Equipment Installed MFG: (L/ MODEL: 0 SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 _FURNACE $35.00 GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 2: ,Y 0 ., _`,i' : � 5 �}} S� h S � iv � til ?% S ` h' 'b � : �i Y �3 ✓r .�- .g - � 4 5 aS tta»"S"t � �'<`>• �V � S , ;�- 1 6' Y ! t' ar . t � t 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 for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT r t a PRINT NAME Ci- I DATE t7 APPROVAL INSPECTORS SIGNATURE DATE l V City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977.