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PRE 2010 DOCSVillage of Fridley, Mum. ix �::I. n 1\T® 440 ice of WSPEM01 OF BUHMMGS Owner, Architec„,,� Fridley, .Builder ” LOCATION OFA BIDING NO. Street a *. Part of Lot - k Lot Block Addition or Sub -Division - e 4---j -- t Front �'1 Dep�h Height, _ Stories_ _ Manner of Construction P#. 9 a LY TO be used as ZS y� q ,o,,,,r To be completed° Estimated Cost Permit is heregran ted to, - to d i' 4` the building , described in the above statement.- This permit is granted upon the express condition that the pe on to whom it is granted, and his agents, employees and workmen, in all the world done in -'around and upon sffld building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the construction, 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.m 1&� ,t ector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Impector of Buildings of Fridley 9f the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of li'ridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. M Subscribed and sworn to before me at. Fridley, Mi nesota, t ' day ojotA. D. 19 w p � ,.. k - ,_.� � �. a t !-!a:t'J:.Y A. 1 . ,J-�::.:27'1NtvF;iT SURVErS P�7.a 3rMSh(i T -4E WZtCP-0S 07 -W'- e.tri. ,.V�=. N. E. Rs 'aAST RIYiA RD E. P. E /'� l��J /'� �+ - Z. MItL-E$T491:9N5p 1896 _ ���il SURVEYORS E*�1J�J -•>TEPLI.40 2301 C. F• 3iV0"aar. ESTAaU;5btmO 1348 ! `! ;-IAROLO R. OLSON !tEG13 I fiRsD L/.V� i'N. �•-\'rVi f.:= :i'f AT.�-_ OF MINNESOTA ;9%q.z4 NAQ,SON. ESTABLISH= 1922 �tcENScQ By MINMEAPOL15 BOX 174, R09T$1 LK=UaTRIAL -NESTW000 SNORES :37 PLYMOUTH 3JILDI`6; LINICOLN 372t BUSINESS - ! !40JNO. ?AIN.NE3OrA ' I or $NRv6YS Ammepor's +.certificate LAx�SI,Otat� tA0'.1N7 �48M PLATTIM<; Carl :.arson I 9931 5nv. 75 -cote: This surfey for loan for any other use. -7z •� r �}:r'f�:• �� t ;�F: _ ; `� :tu:_;, :: .�.�.:�. 21 � -4:::� ia �1 A Ir SUBJECT PER - City of Fridley 1*C,. AT THE TOP OF THE TWINS BUILDING PERMIT t S NO. COMMUNITY DEVELOPMENT DIV. /RECEIPT r PROTECTIVE INSPECTION SEC. 1 = � CITY HALL FRIDLEY 55432 ,`1 NUMBER REV. DATE PAGE OF APPROVED BY `•"' 612-580-3450 910-F15 5/3/79 10B ADDRESS 6663 Lucia Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5E Auditor's Sub. #21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carl Swanson 6663 Lucia Lane N.E. 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 ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 5' x 12' Entry d an 18' x 12' Addition 9 CHANGE OF USE FROM TO STIPULATIONS WARNING 84fore digging call 10cal utilities TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 + 216 1200 + 4320 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 60 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING '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. $4.20 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8,400 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- $51.00 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $12.75 $67.95 SIGNATURE OF CONTRACTOR OR AUT-H2O,R,IIZEID AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP I -QjkTE 1f SIGNATURE OF OWNER (IF OWNER BUILDERI (DATE) CITY OF FRIDLEY , APPLICATION FOR RESIDENTIAL BUILDING PEMITS PEW, ALTERATIONS, ADDITIONS,' OR REPAIRS) OWNER:C- ��'��'' �� � �.�. BUILDER: Address: G3 =® Address: Tel. No. .� _10V No.: t-/, G6 o/ _3 Street: LOT: ,j' BLOCK.: ADDITION: ®lam CORNER LOT: INSIDE LOT: 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: a Depth: `i. Height: a Square Feet: & Cubic Feet: Front: I*19 Depth: �'L Height: Z O Square Feet: '�� �•• Cubic Feet: �® Type of Construction: �n�-y �. Estimated Cost: $ 40d To Be Completed: 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:� 2 —,)q SIGNATURE: 61 la Stipulations: 1466 if IL,1s"00 20 �. CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY Y,AR}i AIR: RATE TOTAL Furnace Shell & Duct Work $12,00 $ 'R.eplace_-ant of Furnace 7100 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500:00 4.00 DIECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 each add. 50,C00 BTU 4.00 $ 'Raplaceye:t of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7,00 $ Repairs & Alterations each add. $500,00 4,00 $ SII..:_•i OR IDT 1' AyTE.R SYSTE is Boller & Lines, up to 100,000 BTU each add-. 50,000 BTU Boiler only up to 100,000 BTU each adds. 50,000 BTU OIL BU:LNEF.- to 3 gal. per hour each and. 3 gal. per hour $12.P0 4.00 $ 7. OR $ P.- PP s q?q•G4 }q.Aq GAS BURNER- from 100,000 BTU t.0 19,9,jjj RTR S1Q:qq . (over 139,999 BTU see Fee Schedule) GAS FITTING FEES:-. 1st 3 Fixtures ?t $ $.AQ A:!4-tional Fixtures Gas Range to 199,000 BTU i6 �IA;aA AIR CONDI T IO\I2iG, X FEATI `:G SYSTEMS See Fee Schedule VEN ILAIING SYSTEMS ALTERATIONS 4 REPAIRS State Surcharge TOTAL FEE F=mi LtiSP. REINSPECTION FEE Date ($10.00) FI::AL I:iS2. — i -p 'Z Dal te APPnOV.'L FOR PERMIT . $ q FOR A2.Y HEATING PERMIT IS $7.50 PLUS • $. 50 STATE SURCHARGE °:.t:ae':e3 stack verifiea-,•ion fora Uob Address Department of Buiidinga C;ty of Fridley Tel. #571-3450 The undersigned hereby makes explication for a permit for t%e work herein specified agreeing to do all work in strict accordance with the City Ccdes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. a Fridley, Minn. ( e --ems• 19� 014NER 6 -Lk ;aND PF BUILPIIJG TA Pr OQMFLETFQ WTIT / Q ` 1-2-- `o S-0 FSTTM !Tpp PM � �S 0 TR JG r OE4CRTPTIQN QF FUR'N'ACE/TURNER PAT$NP A; pgw;N ?ANT.s( Sfe4?p, NPI: W4par; wary} Air- ljo. Tricia Name size No. e C,9-0 - �2C__Sr Capacity q. Ft. EDR BTU :'w Total Connected Load Kind of Fuel BURNER - Trade Name Size No. %00' Q e Capacity Sq. Ft. EDR BTU HP Company p a Signed By Tel. No. -7 f�l j ` Y 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 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 NO. RATE TOTAL JOBADDRESS Loi��� /2('J.�? A2 Gas Dryer Back Flow Preventer Required ( )Yes () No $ 7.00D The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work In strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 $ 7.00N '1991 $ 7.00 $10.00 Owner M'1-4 t AdXn e iPR4 �5 $ 7.00 $10.00 Building Used Ash $10.00 , $10.00 Estimated Cost > `�� ° PERMIT NO. Type $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS C�I 1 % of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE 7/U //0 PLUMBING COMPANY_,A 0e_A P "/, d i 0-55 oj,i 2.15% 1 • c� • SIGNED�TEL N0. Approved By Rough -In Date Final Date MINIMUM FEE FOR ANY_PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE /ater> 11*. U a I Bdi `< Shower Tf.::::: Wash <.; '` Tr :iC.::.. ay Drcrtii. : Floor D i 1.::.:. ran [t11: Auto. '` W sher BiSt::.. a.:1.::.::. h; :Gas ":`<> Ran a g MSCx.... Water Heater ririn Sto esi.'dst:: Ga EI s ec Bas emen Floor 1 Floor 2 Floor loo 3 Floor 4 PLUMBING FIXTURE RATES: 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 NO. RATE TOTAL JOBADDRESS Loi��� /2('J.�? A2 Gas Dryer Back Flow Preventer Required ( )Yes () No $ 7.00D The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work In strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 $ 7.00N '1991 $ 7.00 $10.00 Owner M'1-4 t AdXn e iPR4 �5 $ 7.00 $10.00 Building Used Ash $10.00 , $10.00 Estimated Cost > `�� ° PERMIT NO. Type $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS C�I 1 % of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE 7/U //0 PLUMBING COMPANY_,A 0e_A P "/, d i 0-55 oj,i 2.15% 1 • c� • SIGNED�TEL N0. Approved By Rough -In Date Final Date MINIMUM FEE FOR ANY_PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE U 011 SUBJECT PE City of Fridley 1 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. - rr COMMUNITY DEVELOPMENT DIV r PROTECTIVE INSPECTION SEC 437 1 � = CITY HALL FRIDLEY 55432 NUMBERREV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/16/96 JOB ADDRESS 6663 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 5 1 1 Auditor's Subdivision X621 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carl Swanson 6663 Lucia Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Contr 6331 Riverview Ter NE, Fridley 55432 574-9966 4051 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 ❑ MOVE ❑ REMOVE X B DESCRIBE WORK Reroof House & Garage (22 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 $1,815 $.91 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- $59.50 ire SC $1.82 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION / l6 PLAN CHECK FEE O AL FEE T / �� Licens SC .00 $67.23 SIGNATURE OF CONTRACTOR OR AUTHOG'ZED AGENT IDATEIMeAL.G LY V I ED THIS IS YOUR PERMIT DATE SIGNATURE OF OWNER SIF OWNER BUILDERI IDATEI U 011 NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 616 3 L� c ,',g by Legal Description: Owner Name & Address: C A RL Tel. # Contractor: 9,c R D /49 f/,V G MN LICENSE # Z,/0 S Address: G 33 t RcyP- JZ U i e � t -'E i2, Tel. # .S"7 - G Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 22 so, _ Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: FF R A= 9 o o F Estimated Cost: $ Approx. Completion Date: 14c a S -L- q,2a c e (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: _ � 16`16 APPLICANT: Tel. # 5 7 9 2' e AC CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ f . 9_�2 .001 of Permit Valuation (1/10th%) State Surcharge $ 9/ $.50/$1,000 Valuation SAC Charge $ $900 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 $ �_ 3 STIPULATIONS: l SUBJECT PERMIT City of Fridley 3 1468 AT THE TOP OF THE TWINS BUILDING P E R M I T E � R COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. l� E . � NUMBER REV DATE PAGE OF APPROVED BY i A CITY HALL FRIDLEV 55432 --_. ,��'�',•� L J` 612-571-3450 910-FlS 1.0/11/00 JOB ADDRESS 6663 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 5 1 Auditor's Sub. #21 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carl Swanson 6663 Lucia Lane NE 763-571-9660 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Restoration 6319 Hwy 65 NE, Fridley, MN 55432 502-1082 5267 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 ❑ MOVE ❑ REMOVE B DESCRIBE WORK Repair Roof (5 Sq) Tear -off Tree Damage 9 CHANGEOFUSEFROM 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 I HEREBY CERTIFY THAT 1 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 $511 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OT A E CAL LAW REGULATING CON - $26.55 Fi SC $ RUCTION OR T FORMA CE OF CON TRUCTION .51 PLAN CHECK FEE T AL FEE Licens_e,,SC y$32.56 $IGNATUR CONT TORO AUTNORQEDAGENT H PRO Y VA 10 ED THIS IS YOUR PERMIT �TE� 8 G NSR f•/ !!DATE -2 S,GNATUREOFOWNEROFOWNER BUILDERi IOATEt l NEW [ l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: (o f �yG/� '4;ywe Legal Description: Owner Name &Address: r,5Gf�i�/I%f% Tel. # Contractor: -f2��/-J G'�j�'��p��jJ MN LICENSE # Address: Tel.# J02 ® Z Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. TOTAL $ S STIPULATIONS: DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length``_ Width Hgt/GroundSq. Ft. OTHER: Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft= Ft x $ _ $ DATE. DO APPLICAN Tel. #�' CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ • �S Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $O $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ S-'00 $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 STIPULATIONS: