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PRE 2010 DOCSCity of Fridley, Minn.. BUIMING PERAUT Date: Omer: y— _ i � Builder Address Address — LQCA► ON eof BUILDING No. Street _ Part cft Lot F Lot _ Block _ Addition or Sub -Division Corner Lot _ Inside Lotr Setback Side–yard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used Front �� Depth Height Sq. F't. .� a _ Fron Depth Height. Sq. Ft. Cu. Ft. Type of nstruction 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 set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $,5S , permit is hereby granted to— to construct the building or addition as described above. This permit is granted upon the empress 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 timeof upon violation of any of the provisions said ordinances. _ _ . "i Building Inspector 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 Hems. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder _,D�n� Address n p -k T �� � r� � T a �.� LS Addres _.�.% 2 a) 9 � �6 l� S `■ �°. 9 �,-_.. LOCATION OF BUILDING No._� tree 1�GuL Part of Lot t Lot Block__3Addition or Subdivision M .� _..._ ...,.._�. _.ter. ... Fell, n!®RT►�-G��p��'� Corner Lot Inside Lot Setback 3,,,��Side-Yard ��' Scwp SEVMR ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used ass D f"► Front 7 Depth Height jS ' �O sq. Ft. 9 `I i �q C,e�,�Cu . Ft. F ront­gL.�_-;— Depth eight Sq. Ft. Cu. Ft. Type of Construction °A Me Estimated Cost ©9� To be Completed_Ar -- G 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and corn t. DATE G s'° is �- SIGNATUI4E (Schedule of Fee Costs can be found on the Reverse Side). HARVEY A. CARTWRIGHT ANOKA COUNTY SURVEYS HENNEPIN COUNTY SURVEYS MINNEAPOLIS SURVEYS 8410 PALM STREET N SUNSET 47855 OWNER INDUSTRIAL - JUDICIAL BUSINESS - TOPOGRAPHICAL CITY LOTS - PLATTING Jon 1%.ichno--U:<_i 11, r i L4? y' is OF CMGHT & OLSON COMBINNGTHEJ. E. HILL, CIV ILECORDS ENGINEER LAND SURVEYORS ESTABLISHED 1896 C. F. SANDHOFF REGISTERED UNDER LAWS OF STATE OF MINNESOTA CIVIL ENGINEER LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS ESTABLISHED 1908 JAMES NELSON 326 PLYMOUTH BUILDING FEDERAL 8-8721 SURVEYOR HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA ESTABLISHED 1922 Ou tert'ftcatc METROPOLITAN LAND rbetlOr'g C SURVEYORS. LSTABLISMED IP51 \ a r A 11> ,,= b c __•�i_ - t' . t this is tim : . n . c _ _ -,ct r.._,r .s ''.tion o s1a�.'vc,- J of 7, 'loci: , rion ..iy: by ,•n this ' nth j=7r I) d:.i�iU.. `r� - ITWRIGHT AND OL90N City of Fridley Application for Plumbing and Gas Fitting Pem* DESCRIPTION OF WORE Dept of Bldgs. Phone SII 4-7470 _ �—��P� ���� �,���%• Number, Kind and Location of Fixtures Location q i Cd q >Z = z z �a p Z j z O J (9 0 Z �O • F • N WATER HTR. GAS ELEG Base 1st 2nd _ 3rd _ 4th • Future Connection Openings Connected with Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 13--f-6 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 8- O 0 New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ / '5—O Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE 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 Ordinances 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, Owner Kind of Building Used as To be completed about Estimated Cost, $ Old New. B ding Permit No % 7 Permit No. �Z ROUGH ? - o? O - (o -2— FINAL 42 2M 7-59 Signe Business Phone No 19Z -- Estimated � City of Fridley Application for Plumbing and Gas RMng Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..................... Future Fixture Opening ............... New Fixture Old Opening ............. Catch Basin ........................... Water Heater (Up to 99,000 BTU) ..... New Ground Run Old Bldg. ........... Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ...... .................. Additional Fixtures ................... x $2.00 $ X $1.50 $ X $1.50 $ x $3.25 $ x $&00 $ x $3.25 $ a $2.00 $ NO. RATE TOTAL 2 x $2.00 $-2 - 00 x$.75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (1) gas grill & (1) V to 6,00 REPAIRS & ALTERATIONS—Refer to Code Location 5197 14E. Lincoln Jt. City of Fridley: 53-84-5915.51 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 Aug. 28, 1970 , 19— Owner Lawrence Oorrm►ers Kind of Building frame Used as residence To be completed about Sept. 1., 1970 Estimated Cost, $ 20 -00 - Oldk-New. Building Permit No Pe 't No. gn o By— CAMAI Business Phone No ROUGH FINAL / / - 3 - 70 Description ................................................$ TOTAL FEE $ 8.00 as m 12 VI � 1- C LL LL O a O RZ • • WATER HTR. Base 1st 2nd 3rd 4th • Future Connection Openings s New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..................... Future Fixture Opening ............... New Fixture Old Opening ............. Catch Basin ........................... Water Heater (Up to 99,000 BTU) ..... New Ground Run Old Bldg. ........... Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ...... .................. Additional Fixtures ................... x $2.00 $ X $1.50 $ X $1.50 $ x $3.25 $ x $&00 $ x $3.25 $ a $2.00 $ NO. RATE TOTAL 2 x $2.00 $-2 - 00 x$.75 $ Gas Range to 199,000 BTU .............. x $5.00 $ install (1) gas grill & (1) V to 6,00 REPAIRS & ALTERATIONS—Refer to Code Location 5197 14E. Lincoln Jt. City of Fridley: 53-84-5915.51 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 Aug. 28, 1970 , 19— Owner Lawrence Oorrm►ers Kind of Building frame Used as residence To be completed about Sept. 1., 1970 Estimated Cost, $ 20 -00 - Oldk-New. Building Permit No Pe 't No. gn o By— CAMAI Business Phone No ROUGH FINAL / / - 3 - 70 Description ................................................$ TOTAL FEE $ 8.00 as CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND $ AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE $ $10.00 $ 10.00 $ $10.00 P / �Z 9 7 1 0 N ' e5 GRAVITY WAW.1 AIR: RATE TOTAL Job Address / AJC ej f Furnace Shell & Duct Work $12.00 $ Renlacama nt of Furnace 7.00 7.00 $ $ Department of Buildings Repairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 Tel. #571-3450 MECHaNICaL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each: adi. 50,600 BTU Replacement of Furnace Repairs & Alzeratiors-up to $500.00 Reairs & Alterations each add. $500.00 STF_kV OR HOT 11:%Ti:R SYST LM: Boiler i .._..as up to 100,000 BTU eazh ad.in. 50,000 BTU Boiler only'up to 100,000 BTU each ad n. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,99; BTU see Fee Schedule) GAS FITTING FEES: ist 3 Fixtures Additional Fixtures Gas Range to 199,000 BTU AIR CONDITIONING FAN HEATING SYSTEMS see Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS ROUGH INSP. FINAL INSP. $12.00 $ 4.00 $_ 7.00 $_ 7.00 $_ 4.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ x $ 3.00 $ x $ 1.00 $ x $10.00 $ State Surcharge TOTAL FEE REINSPECTION FEE Date ($10.00) APPROVAL FOR PERMIT / F� MIN12MUM FEE FOR ANY HEATING PERMIT IS $7.50 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. Xn a Fridley, Min/n. E'j ` ( , 19 eC3 OWNER � L�PC:f 77—e&s�/e`� KINfl OF BUILDING i USED AS TO BE COMPLETED ABOUT 2 ESTIMATED COST ! S Q OLD - NEW BUILDINGG PERMIT NO. /1 'PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No: Capacity Sq. Ft. EDR BTU HP Company Signed By Z Tel. N�C;26� SUBJECT PE City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT �17!0!95� i � ECEIPT . COMMUNITY DEVELOPMENT DIV. I L PROTECTIVE INSPECTION SEC. r � , r---� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By ''j 612-571-3450 910-F15 7/22/91 JOB ADDRESS 5197 Lincoln Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 1 Marion Hills. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Jensen 5197 Lincoln Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Q & M Enterprises 598 Dayton Ave, St. Paul -1 SRR 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 Dwelling (19 Squares) 2nd Layer 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd, 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 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 1 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 $988 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT e50 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- $25.0.0 Fire SC $.99 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. FEE TOTAL FEE jpr-6.49 SIGNATURE CONT TO' AUTHORIZED AGENT IDATE ffAENLIPROPE Y DA ED IS Y UR PERMIT G INSP ri SIGNATURE OF OWNER qF OWNER BUILDERI IDATEI )M [ ] ADEV [ ALMM [ R-1 AMID R-2 Euilding Permit Application Effective 1,/1/91 Owner Name i Address: . I eA15 LOA-- Tel • # _ Address: S �' S �. ��� ��- S'?z a Attach to this appliwt%n, a Certificate of Survey of the lot, with the proposed onts zuctim drawn on it to scale. DB9C3L7717M CF II—MUCM LIMM AREA: Length Width Height sq. Ft. GMM AM: Length Width Height sq. Ft. DBCR AM: Length Width Hgt/M=md Sq. Ft. Corner Lot [ ] Inside Lot [ Ft. Yd Setback Side Yard Setbacks Type of Oonstruczt.ion:Estimated Cost: Approx. Ompletion Date: F1 Proposed Driveway Width If New opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: �%' %' q APPLICANT: Teel. # 2 � . /.- CITY un C�,Y Permit Fee $ oc Fire Surcharge $ 99 State Surdu rge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TaIAL $ SI'1 U ATICINS: Flee Schedule an Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by 1 i r�r+pri r7 Nay [ ] Not Necessary [ Building BUILDING Permit No -014-6" Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY Datec : SEP M8 200 763-502-4977 FAX EFFECTIVE 1-1-08 DATE��p ��� YOUR E-MAIL ADDRESS SITE ADDRESS— fes► �7 A,T t n�����_�J THIS APPLICANT IS: X,0WNER ❑CONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: �/ A l 1 my d 'FVITY —� .•v STATE�Zt)r I h PHONE: NAME: Ak- ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE �INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH )4QROOF ❑ DRAIN TILE ❑ DECK ` 0 SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION X,}vIAINTENANCE/REPAIR [3REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT.4 LENGTJ WID HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES _ A HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ,�R ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit I. Site Plan/Survey showing the existing structures ❑ Aluminum ❑Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 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: `SING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ ,3D � _� OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 2,9 $ I $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Davable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowled e th e 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 Collis truc that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in acc rdanc i in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME s I DATE APPROVED BY DATE