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PRE 2010 DOCSVillage of Fridley, minn. Pia N® 341 BUILDING P Office of INSPECTOR OF BEINGS Owner- ,. r, ArchitectF -� w Fridley, Mann., - * " �- Builder -41- _ .,x c J ` LOCATION OF BUILDING No. CPQ-�` Street �a� �.�/✓�� Part of Lot Lot Block Addition or Sub -Division.:.. DESCRI PT ON OF BUILDING e Manner _ Front Depth Height +" Stories Pe nner of Construction y � To be used To be comleted�"'� '�"` " Fa �ated Com -� Permit is he granted �.'� "`-"to FJi the building " ' j des bed in the above statement. This permit is upon the express condition thatperson to who it is granted, and his agents, employees and workme the work done in, around and upon said buildin , or any part thereof, shall bonform in all respects to i nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of 1 within the city limits, and this permit may be revoked at any time upon violation of any of the provision ordinances, f' `, r(y} A IL T �AA'k .T*+spector of B AGREEM= AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Blandings of frill the above permit, I hereby agree to do the proposed work in accordance with the dere above set forth and according to the provisions of the ordinances of Fridley, and, being fir; sworn, I hereby state and say that the facts stated by me and contained in the above peri true as therein stated. Subscribed and sworn to before me at Fridley, day 191-1. Minnesota, tlai a .AA City of Fridley, Minn. BUILDING PERMIT N? /4563 Date: ...---•- .._.: _ _ ...__ ___ Owner: _ _.. .: __. _..___..._ Builder ...... ..... ..... _ Address _. Address ,/ _ ,rg LOCATION SOF BUILDING No..... � Street _-�'+� ', _. ` �.---__--•- ..._......._..._ Part of Lot ..................._.... Block .............. .._...- .................. Addition or Sub -Division .--s+'.,_...�.... Corner Lot ... Inside Lot ..-----_?' ........................... Setback ........ .................. .............. Sideyard ....._.... ..._� Sewer Elevation ....._........_ ...................... ___.___.__...._.....___.._......._..._........ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: . J / -... - ... Front .r9- -. Depth ..:...__ Height ... .- Sq. Ft. Cu. Ft. .................... .............. -....................... Front .... .......... ....... Depth _.........:..._.A41el ht ........... 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 set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of permit is hereby .... y 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 any part thereof, shall conform in all respects to the ordinances of Fridley, Mmiesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any tim�.upo olatioy-,of any of the provisions of said ordinances. �' 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 / M 1� h b h iA -c 1 r, c> 1 .Sa- - Cj.2)ff APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name 7 y) ajg �`l r Builder ��1 �► o a t,, )LA o, e - Address Cs S'y 0 .� a,9r�n ,1�, , �, .. Address °�' b ; = LOCATION OF BUILDING Part of Lot `7 No. to S �/ b Street .L c, c > /�, Xr..,` _..., _,�- ....�.�._ Lot ( Block Addition or S1�b.Div. , �ry!A�_n,.Q Corner Lot -Inside Lot ` Set Back Side -Yard SEM ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Theo' ®ev? er � Front. x depth I Height / f� i Sq. Ft. .3 3 6 Cu. Ft. 6 �� Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Fa 1kom I. Estimated Cost /.Z 0 0 - /1s- o D To be completed �13 u Tc b f- / I .t 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 representa- tions stated in this application are true and correct. DATE V- 2 % 42 SIGNATURE , -- (A Schedule of Fee costs can be found on the Xverse Side.) v 97-84-416051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE ' m PLUMBING FIXTURE RATES: NO. >. N N=L er Fixtures x $3.00 v Future Fixture Opening x b $ _^ Water c 41 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU y ap m ro w per, w $ Water Softener Heater $7.00 $ m x $5.00 $ Electric Water Heater y $5.00 $ Li 4 .5 to •.1 U 43 O O Is N R 7 O 0 +� �I V: N y u n sa t W 3 Q k. 111 w u aroa a 3 U c� O 3a.Tlec 1st r n 2nd E4th (R) a Future Connection Opening Connected with Sewer (') a New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL N=L er Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ _^ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 REINSPECTION FEE loin nn% ,4� Job Address 65110 Lucia Lane NE 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 facL•u and roprosontations stated in this application are true and correct Fridley, Mn. 6-27-79 , 19 OWNER RESTKE KIND OF BUILDING 'free USED AS TO BE COMPLETED ABOUT 7-4-79 ESTIMATED COST 40,00 OLD - NEW BUILDING PERMIT NO. PER:4IT NO. C i Company — POINNEGASCO Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT W)ta� MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE SUBJECT City of Fridley o 1 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT � • COMMUNITY DEVELOPMENT DIV.®� r PROTECTIVE INSPECTION SEC. 1 � S CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4-26-82 JOB ADDRESS Irene Haedtke 6540 Lucia Lane 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. E 1/2 of 4 1 Lucia Lane Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Irene Haedtke 6540 Lucia Lane 571-8209 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 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 )C] ALTERATION CX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK reroof and aluminum trim 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Asphalt & alum 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 6 XX��QX 3.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT X000 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER OR LOCAL LAW REGULATING CON- 56.50 STRUC N R THE PE MANCE OF CAW§TR CTION. O PLAN CHECK FEE TOTAL FEE Ef 59, .50 GNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY VALIDAT&D THIS IS ;r FERRMIT` BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIal FOR RESIDENTIAL BUILDING PEW4ITS (New, Alterations, Additions, or Repairs) OWNER: --7-,ee,UjE5', BUILDER: ADDRESS: -2�,5�Or LLUG/fi � ire ADDRESS: TEL NO: TEL NO: Construction Location • STRI=T NO: .��� .I� STREET: /J LOT: ® BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: - Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: • <oOQo � Type of Construction: Estimated Cost: $ -� • 4b Be Completed: ^�y�� 3® Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Mie undersigned hereby makes application for a permit for the %.mrk herein specified, agreeing to c?o ,all work in strict accordance with the City of rridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this applica DATE: V 2,( SIGNATURE: Stipulations: PA,J- rw 3 sn. Co DIVISION / COMINA►TION REQUEST e"'' 0'5 7t Division Aunicipality FRIDLEY Date o 'Cow P7 Combination For taxes payable in 19� Fee owner: �'."� _ �6_ a A4 --'e, Contract purchaser: I Taxpayer name: Address: PIN IAT BLK SUBDIVISION OR DESCRIPTION (w'Iz) l O V R- J 0- Z — L_1 ' 00% 0 Ce SIS) I 2 t i �� LAACiA Uot-m 141- Note: If this is a request for a division of a tax parcel, the legal descriptions of the new parcels must be attached. X= 13 fee owner rjContract purchaser Note: If the request is by a contract purchaser, t�appplantmust already appear as the contract purchaser in the county tax records or a copy of the' contract for deed must be attached. Checked for delinquent taxes by: Date: / / oazc� tkc rL_4114� SUBJECT City of Fridley 3 195 0 AT THE TOP OF THE TWINS BUILDING P E R M I T COMMUNITY DEVELOPMENT DIV. ��3604 NO r PROTECTIVE INSPECTION SEC. `'� CITY HALL FRIDLEY 55432 NUMBER REV DATEPAGE OF APPA0VED BY L 612-571-3450 910-F15 6/29/01 JOB ADDRESS 6540 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt 4 Lucia Lane Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Herb Rainey 6540 Lucia Lane NE 763-571-8957 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 O NEW O ADDITION O ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (15 Sq) 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 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $1,534 $.77 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $59.35 UTHORIZED AGENT IDATEI SIGH OF CO"IFN M PR VA D ED THIS IS YOUR PERMIT INSDA, JAYE N4T E OF OWUIIDERI IDATEI NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: (os''�© L.cu e-icc Lm . Legal Description: Owner Name & Address: Lucia L h . Tel. # 76-3 5-71-01757 Contractor: .5e J -P 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. Width DECK AREA: Leng f Hgt/Ground _ Sq. Ft. r DECK AREA: Lt�OTHER: no Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: 1Pti9 01 APPLICANT: Tel. # 76-3 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 'S-90 Fee Schedule on Reverse Side Fire Surcharge $ 1,,9-3 1 .001 of Permit Valuation (1/10th%) State Surcharge $ 217 $.50/$1,000 Valuation SAC Charge $ $1150 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 $ s- gr STIPULATIONS: a CITY OF FRI•DLEY INSPECTION DIV. Effective On January 1;1993 6431 Unlversity'Ave NE Fridley. MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 672-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 6S3/0 RATE MMEQULE The undersigned hereby makes appfrcation for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Sumer - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct. 169, _,j 9,93 Gas Piping (Needed with new furnace) S10100 S____�___ OWNER LM� V Gas Range $1{1.00 $�n- - BUILDING USED AS Gas Defer $10.00 S� ' ESTIMAMI) COST PERMIT Nfl *Air Conditioning - Ali Sizes $10.00 $r_,_._____ • DESCRfPT1QN OF FURNAC-9 AND_0R ffifflNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value m Appliance or Work S � No. of Heating Units Circle One (Steam) Hot Water (Warm Alt Trade Named e7T �i"n/ Size No., t,, ,e -V $ >® CommeralatIndustrial BTU !f®, oo® HP EDR I% of Value of Appliance or Work S� Fuel NA-?tUf�* L. 6A -S Total Connected Load State Surcharge • ocos' $ -z:M TOTALFEE "54• 95 MINIMUM FEE FOR ANY HEATING/000LINGNENTIiA140N REFRIGERAT! NX11 CONDITItONiNG PERMIT IS 5115.00 PLUS THE 5.54 STATE SURCHARGE REINSPECTION FEE $30.40 *Air Conditioners, can not be placed In a side yard without wr4tten permission tram adjoining property owner. Burner Trade Name Size No. BTU HP - EDR HEATING e_ 1-,x.1 C. Signed By� l Approved By �? Rough -In Date Final Date 9� a - FILL OUT BACK SIDE FOR STACK VERIFICATION'Ok REPLACEMENT FURNACE