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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 7317 Date: Owner: Builder Address Address FNG No. Street en 04 Lot _ Block Addition or Sub-Divisio _ Corner Lot ._ Inside Lot _ _ Setback — Sideyard.. Sewer Elevation(.Fmmdtrtion ElevationS� a 7-6-P o F Fo ®f ri c.- DESCRIPTION OF BUILDING U Front Depth Height Sq. Ft. Z! Ca Ft®L'V!W Deptheightoe-e Sq. Ft. Cu. Ft. Type of Construction Est. Cost =/-=-- 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 s=fqin comp li rovi ns of ordinanct3s of the city of Fridley. In consideration of the payment of a fee of �ad�-�I ,permit is hereby granted to 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 dtany part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construcfiton, 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. 1 --IN, yr ---% NOTICE: nhb permit don not eonr the eondrucdon, inata filen for wbin& phmihing, gn h*x1hM ewer or water. Be sora to we 69 Building Inq-clor hr sepwaft pmft for rhes ftenm APPLICATION FOR BUILDING PERMIT CITY OF.FRIDLEY, MINNESOTA OWNER'S NAME 4 ze6v*/CLP G 6r&WT2- BUILDER o C ADDRESS ADDRESS LOCATION OF BUILDING No. % Street Part of Lots_ Lot_ A �t %.7 Block // Addition or Subdivision Corner Lot "Inside Lot ye Setback Side Yard — SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DES%IPT ON OF BUILDING ;27� Front D��.t1a�Height Sq. "Ft. Zjg 0 E_ Cu. Ft. Front Perth Height, Sq. Ft. Cu. Ft. Type of Construction \��L-y- 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 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. 0 mw� 0 110- P (Schedule of Fee Costs can be found on the Reverse Side). V. BUILDING PERNIT FEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any emist- ing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, 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: 2.1. For any such permit for the erection of any fire -proof building, other than a garages warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1;40 for each one.thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fire -proof garage, warehouse, -- factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non-fireprcc,f addition, for similar occupancy, to any existing building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erecting cr arni' garage, warehouse, factory or grain elevator, ,,,. r .., �. �.c:r:i cry of any non-firaproof addition, -for similar occupancy, to .. • , ,� a , ., : r.. , r f.<? :^o or for each such building or addition - ninety cpnt:- ; t ; , �a $^c r��..:.11 orae thcusand cubic feet or fraction thereof, in the cu: ier-1 r:,� .r- t;►ereof with a minimum of $4.00.. - For the purpose of computing fees fo perp -Its, the cubical contents of any building or addition to a unifc:m>ea3�:t throLghout by multiplying the ground area covered from a point six (6) ianhes below the floor line of.;:.he basement or 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. 2.5. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. 2.6. In no case shall the fee__charged,.for.any permit a$ set forth in Section 2 be less.than $4.00. City of Fridley, Minn. 1107. 6431 University Ave. N.E., Minneapolis, Minn. 55432 BUIIDING PERMIT Date: - ?++ 1; R, 1971 Owner: Francis Poehler Builder Sussel Co. Address 229 T.ib rty r _ -r N F. _ Address 185() CAmn Avenue LOCATION OF BUILDING No. ___229___ Street —Liberty Street Part of Lot Lot h& 17 _ Block Addition or Sub -Division .—Spring Brook Park Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation _....._ DESCRIPTION OF BUILDING To be Used as: --Garage ____ Front _ 22 ` Depth 22 Height _- 10 Sq. Ft. _1484.__ Cu. Ft. 4240 Front — Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost _ $1630. To be Completed - 9 () Days_ Hard surface driveway Maintain existing elevation of fill . Garage slab to be about 4" above grade in rear yard. Minimum 18" above centerline of street. In consideration of the issuance to me of a permit to construct the building described abov , I agree tq do the proposed work in accordance with the description above set forth and in compliance with 0.11 provisions of ordinances of the city of Fridley. A I A9 _ In consideration of the payment of a fee of $ ®, permit is hereby granted to --- stmsel G _, 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 ordin4nces of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of building vrithin the city limits and this permit may be revoked at any time upon violation of any of theprovisions of said ordfaances. Biidlding Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. P J w APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME Poe 11 /e r BUILDER: 41_u,5,5j (r_') ADDRESS • o� ,C i s �5 r ADDRESS: A NO:. STREET: LOT: BLOCK:- ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: -A 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: 14 0 tea- Front: a Depth: Height: Square Feet: Cubic Feet:O Front: Depth: Height: Square -Feet; Cubic Feet: Type of Construction: Estimated Cost: 3c To Be Completed: Ie do VA�_u4rf©N� 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: �1y �7 '%� /�%/ SIGNATURE:__,Lea — h (See Reverse Side For Additional Information.) A �. _,� tr ..,mow � st c,`_ �+',. S "aa �: ���.'d� :�".s .J n t 2�',i� r l;b�4�^s'9'�s��.s-,k CATE THE ITEMS BELOW ON LAYOUT Conduit Pte' ont;'or"Tte`ar 2-Startings Points Only House - S.P.L. 0,— Dr. Offset S.S.P.-L. F. Street Location aets-- Ocksr L. Other operty Lines --�4,>., Alley -4 PHONE J03 ADDREESS l - BLDG.. CODE AREA D DACE C ON T RACTO, JOB -7 .CON'l'RACT �SUSSEL JOB L ..CONTRACT 300-? r -F ti CATE THE ITEMS BELOW ON LAYOUT Conduit Pte' ont;'or"Tte`ar 2-Startings Points Only House - S.P.L. 0,— Dr. Offset S.S.P.-L. F. Street Location aets-- Ocksr L. Other operty Lines --�4,>., Alley �l City of Fridley, Minn. 1 6431 University Ave. N.E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: ----August -2=5, 1.9_72 Owner: ___Francis D. Poehler Builder Same Address 229 Liberty N.E. Address LOCATION OF BUILDING No. 229 Street _Liberty Street N.E. Part of Lot Lot V16x_17 _ Block _ 11 _ _.__ Addition or Sub -Division Spring Brook Park Corner Lot ___......__.._._._ Inside Lot X --- Setback Sideyard Sewer IIevation To be Used as: Foundation Elevation __..._. DESCRIPTION OF BUILDING Residing _ Front Depth Height Sq. Ft. Cu. Ft. (Replacement �..__ Front .— Depth Height Sq. Ft. Cu. Ft. Type of Construction Ina n 1_ i te Siding Est, Cost .._ 500.00 To be Completed 3 months In consideration of the issuance to me of a permit to construct the building described above I agree tg do the proposed work in accordance with the description above t forth and in compliance with ail provisions of ordinances of the city of Fridley. 22�� .50 State Surcharge In consideration of the payment of a fee of $-5._.9Q , permit is hereby granted to Francis C. Poehler 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 buildiIIgs within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to a" the Building Inspector for separate permits for these items, w n; APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER I S NAM: �AW C, S ; )) a G� 1 P2 BUILDER: �i4�c f✓ , ,. ADDRESS • 2 .2 Z -e, c ! ' j N'f • ADDRESS • SA ✓n c ee^ ® w NQ :. �� % STREET: Q r2 r!4 S T IQ .. LOT; A /7 BLOCK:, // ADDITION: CORNER LOT: INSIDE LOT:__SETBACK: SIDEXARDs 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: A[ S r 4 C- - —Front: —Depth: Height: Square Feet: Cubic Feet: ' Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: ergo Lr9"r Estimated Cost: $ isRusmq To Be Completed: m o The undersigned hereby makes application for a permit for the v rk 14erein specified, agreeing to do all work in sttict accordance with the City pf Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applicati =` are true and correct. BATF ; 7 z" SIGNATURE: (See Reverse Side For Additional Information.) VT- .....::.. a.et CIiYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 May 24, 1989 Owner/Occupant 229 Liberty Street N.E. Fridley, MN 55432 RE: Skateboard Ramp under Construction in Alleyway between 200 Blocks of Liberty and Ely Streets Dear Owner/Occupant: Recently it has come to our attention that a skateboard ramp is being built and stored on City property at the above -referenced site. As the City is responsible for the health and safety of its citizens, and general maintenance of its property, we must require that this construction cease and the materials be removed immediately. This is necessary to keep the alleyway free of debris and prevent risk of damage or injury caused by this activity. If this ramp and any surrounding materials are not removed by June 12, 1989, the City will take action to resolve the problem. Please call me at 572-3595 if you have any questions or wish to discuss this further. Thanks for your cooperation! Sincerely, Steven Barg Planning Assistant SB:ls C-89-288 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: New Fixtures NO. RATE TOTAL JOB ADDR 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- $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 _ 2. State Surcharge $ .50 TOTAL FEE 2 7 4, 6e2la J-�, ,v. � 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. Owner J d e t,)• &_n 5f3A Building Used As dome ("4j !P nl ,bzE� D_/q_ 72-,194W Estimated Cost PERMIT NO. / r%c(� 126 PLUMBING COMPANY SIGNED BY //_C.�%�� TEL N0. 7 a 0-207-7 P IV Approved By Rough -In Date Final Date ' MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 IN MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR ater 'es l�'`' �urinal e 'tF':' Shower iFloor rWash Tray Drain Auto.G Washer "t> Range Water Heater s eSto se Ba ment' Floor 1 Floor 2 Floor3 00 FI r 4 I., - M. El PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 State Surcharge TOTAL FEE JOB ADDRESS -2 % �.'��,e ��, S� AJ E Fa2ioGc y 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. -Z/,19 Owner , / o c:. L 14'-_j •S i '+0 Building Used As ®G.,e�l Estimated Cost Zo00 PERMIT NO. PLUMBING COMPANY Se f ,y SIGNED BY �� TEL N0. Approved By (' Rough—In Date eFinal Date $ .50 0 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT PER City of Fridley (�_21600:= AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ V PROTECTIVE INSPECTION SEC. /V 1 Cell✓✓✓✓ NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/7/92 JOB ADDRESS 229 Liberty Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16,17 11 Spring Brook Park SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE 780-2077 Joel Hanstad 229 Liberty Street NE 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 O MOVE ❑ REMOVE 8 DESCRIBE WORK Install bathroom in basement 9 CHANGE OF USE FROM TO STIPULATIONS See notations. on plan. SW TE PERWM RE'QUI'RED FQR WNG, HEATING, PLUMBING AND SIGNS, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $l $. 75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT f500 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $35.00 Fire SC $1.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $37.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI HE P - RV ALI TED THIS IS YOUR PERMIT DATE N ` SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEIY7�'�INSPBLDG Yl. ♦):)i)i)(. i..)a a.}.i.iSi}tYa>i)a)i)aYCti)Uc><)cxY..)a>ahri>4>i>d>i)t2i)j)jT)f7i:t${.rl)i7tYi>i>iYUi>i>LT3fY1»rt>.H)UC.rrtU<l4)S>U1btH)UCHx..�uxMisU�Haa�usp)LK>UtliHwUilCfax»tA[sasnr�nSuaruxvw.wuuvaauuu>cuur..ua.urr�ru.rw �.arua.r ..✓a... r�.. NEW [ ) ADDN [ ] ALTER [ ) Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 4,' Effective 3/1/92 1 -/32 - Legal Description: Owner Name & Address: J07 ee L /%,) si fn Tel. # :Z8,0 -Z-4:)77 Contractor: L5e MN LICENSE #i- 5L3-qz.S-%G_ I 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 Width Hgt/Ground Sq. Ft. OTHER: -1-Ger- Comer Lot (] Inside Lot j ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 1,5 -bo Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: /0- 7-12- APPLICANT: �� R-�-a� Tel. # 7,TO - 2 ® 7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee Sewer Main Charge $ TOTAL STIPULATIONS: 11 f z!_ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ) <•�: <_1 l �,1 1 _. �. i:• -� Z_ _, \Sl J-'1 �' SUBJECT PE City of Fridley 2 3 41 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY "'j 612-571-3450 910-F15 3/21/94 JOB ADDRESS 229 Lib rtv Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16,17 11 S rin B SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joel Hanstad 229 Liberty t780-2077 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Install basement batbroolm 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan - renewal of building permit 421600 issued 10/7/92. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,000 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1.00 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $45.00 Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 48.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, HEN PR RLV LIDATED THIS IS YOUR PERMIT \) Is- 23-9Ll RL-r. INS DATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE, NEW [) Effective 1/1/94 ADDN (] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 02 p2 cl L , 6P� T s� Legal Description: Owner Name & Address: c f o E L -5'V,nE Tel. # -780-a0 77 Contractor: . 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 Width Hgt/Ground Sq. Ft. OTHER: '- � 3 -: �- t/?� oa— 6x // Corner Lot [ ] Inside Lot[ t. Yd Seth ck Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ Xl? 0 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ _ $ DATE: ,j 2 APPLICANT: Tel. # 7,Fd - ore 7 7 CITY USE ONLY Permit Fee $ .� Fee Schedule on Reverse Side Fire Surcharge $ �' .001 of Permit Valuation (1/10th%) State Surcharge It /.00- $ 5031000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $800 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Building MECHANICAL Permit No.: -I Inspectionscv RESIDENTIAL APPLICATION Received By: 7.63-572-3604 CITY OF FRIDLEY Date Recd: =DRESSas �5T- Nuc THIS APPLICANT IS: ❑ OWNER 11CONTRACTOR PROPERTY NAS; v i S �'e� %%ZIP S5 OWNER/ ADDRESS: -CITY STATE TENANT PHONE: `1 co3 - 2 3RE � CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY SUBMIT A COPY OF CONTACT PERSON: JOANN ZINKEN YOUR STATE LICENSE WITH STATE LICENSE # EXP DATE ADDRESS: 13562 CENTRAL AVE HE CITY ANOYA STATE NNzIP 55304 APPLICATION PHONE 763-757-6202 FAX 763-757-6701 9 AINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE PERMIT TYPE TYPE OF WORK: ❑ NEW )(REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK Trask c A ` ZP QkL Ie. �L 0. e -e 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 $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: ONDICATE TOTAL NUMBER OF EACH BELOW) MODEL: 00,-P -Q% SIZE/BTU' 1 S 000 MFG: �" `� a Equipment Installed MFG: MODEL: SIZFJBTU MFG: MODEL: SIZE/BTU _A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _FIREPLACE $35.00 wf-URNACE $35.00 GAS UNIT HTR $10.00 _BOILER CHINWEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 BENTII,ATOR $15.00 DUCT WORK $10.00 _GAS PIPING $10.00 , Permit Fee $ N umber of fixtures @ $10.00 x $10.00 = $ _ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 l 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. ROGER HOFFHEIN DATE o'Z 15 ®G SIGNATURE OF APPLIC �R PRINT NAME City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 T A %T . •7 /'f f r%'N A r%77 Building PLUMBING Permit No.: - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY nate Recd: � DATE 0 YOUR E-MAIL ADDRESS SITE ADDRESS /_j bed l / . a lux—F THIS APPLICANT IS: ❑ OWNER OCONTRACTOR PROPERTY NAME: &t 44 ADDRESS:CITY �y/`I /c� i STATFIPa OWNER/ TENANT PHONE:2k3-. CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE _ CITY STATI ZIP_5� YOUR STATE ADDRESSZ/alb Aw[ .'l! LICENSE WITH PHONE a`5 7- WSZ FAX - APPLICATION PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW REPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK r(- j hYl jif4 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 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 $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _SHOWER _ WATER PIPING _ _FLOOR —BATHTUB _ GAS PIPING R� cmucEZE) _ SWIMMING POOL _WATER SOFTNER ($35) WATER CLOSET PREV. ($15) _ CLOTHES WASHER _ KITCHEN SINK _ _BACKFLOW DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ _ WATER METER —OTHER PERM_ IT EE�RO iG`I ,_ O p� J 4 �, . , ,: ...4.:t NMWUQJ i' ° Permit Fee $- — Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $`S . 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 requMi=NAME__/� val of plans. SIGNATURE OF APPLICANT ���l/% DATE g) L `HPLEASE;NOTE> ... . . <: 4 �� i �.: ` ` ► *W C WORT . City of Fridley ]Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.: i Inspections RESIDENTIAL APPLICATION Received By: 7'`C)� 763-572-3604 CITY OF FRIDLEY DateRec'd: DATE 7_/0 - YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ ow,,iR -#CONTRACTOR PROPERTY NAME: ADDRESS: cS f CITY �/ STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP DATE STATE'SLIP LICENSE WITH ADDRESS: 13,22 4,2 641 �. � f�_pTy 4�7 APPLICATION PHONE% - FAX PERNUT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 11NEW 13REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK n l- az aeL/ 5 4a,„h--4 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 $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU $25.00 (GAS) $15.00 —GAS RANGE/OVEN $10.00 _A/C _FIREPLACE TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR —FIREPLACE $35.00 $35.00 —GAS UNIT HTR $10.00 _BOILER —FURNACE LINER $10.00 DRYER $10.00 —POOL HEATER $35.00 _CHIMNEY —GAS DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 'WE'Rmi1#C$ IORfiD� s�$SD� ,,k �SCI.R$Sti� 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 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 wor hich requires review and approval of plans. y `� SIGNATURE OF APPLICANT PRINT NAME L.�Lfc t !v/ r DATE G`G( 1* °��',�.L?�°S]✓?�T(�T1,, �SE�'u4RA`v�'��'ERviITSa�AIZE�; °:CJiRED`:FOR;B[�II:DING,�'I3��C'.�G�"ANDvM1��..H�filCa'9_JaO� ",'';. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977