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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT Date: //- 1 0 Owner: Address N° 5034 Builder 1Z"o /0 , Address / �LON BUILDING No. Street _ _ :_.._ _._.._... Part f Lot Block Addition or Sub -Div son �° Corner Lot __ eff' Inside Lot Setback T__ _ Sigeyard ' Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING T Used :l / ll Front Depth e" Height Sq. Ft.. '/� Cu. Ft. Depth Sq. Ft. Cu. Ft. Type of Construction �.�'�`'!'= F.st. C�"Q� T 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 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, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation any of the provisions of said ordinance& , _ �o Building Inspector NOTICE: ibis permit does not cover the cons ruction, butalladon for wiring, plumbing, gas heating, sewer or water. Be sure to sae the Building [Wector for separate permits for these B'ems. a APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, XMNESOTA Owners Name Builder, Address LOCATION OF BUILDING No. 'Z60 ( Str@@t ° ��, PATI of Lot Lot �� _Block, % Addition or Sub Div. Corner Lot side Lot Set Back 5, Side -Yard 2, 0 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING &ff) 33 To be used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction 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 Ordinances And ruling of the Department of Buildings, and hereby declares that all the facts And representa- tions stated in this application are true an correct. DATE: tl ll q_/ (. ® SIGNATURE ' (A Schedule of Fee costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU Y DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL x $1.50 $ %. U O Number Fixtures ....... .............. N 8c N Future Fixture Opening ................ m Z , . WATER HTR. GAS ELEG Catch Basin ...... ..................... 3 3.25 �� Water Heater (Up to 200,000 BTU) ...... ?� 2.00 o New Ground Run Old Bldg. ............ a V 6 $ GAS FITTING FEES: O. RATE TOTAL S 1st 3 Fixtures .......................... x $1.50 $ —� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st r 2nd _ 3rd — 4th • Future Connection Openings Connected with Sewer � New .Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL x $1.50 $ %. U O Number Fixtures ....... .............. 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 $ 52- - G New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: O. RATE TOTAL S 1st 3 Fixtures .......................... x $1.50 $ —� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description.............................................. TOTAL EE':Z� -� 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 anMorrect. Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No ROUGH -'5-- a - 4 FINAL - 4 z :M 7-39 Bye `- --lP--a�fsiLl Business Phone N W 19/'..../ APPlicarion for Power Plants and Heating. Cooling, Ventilattion..ReFrigeratioe and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL. Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $�— each add. 60,000 BTU ....................... .................. 2.00 $ _ Replacement of Furnace 0.00 $ Repairs & Alterations up to $500.00 ... ` ............ 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam..... . 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $—,X — GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ x Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS RC�(JGH ,4 FINAL_!, See Fee Schedule TOTAL 1 $ flfo S U Dept. of Bldgs. Phone SII. 4-7470 City of Fridley: 9/1 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. A,4 , .. Fridley, Minn '-5r- 1961 Owner -' U Kind of Building Used as W i To be completed about F,stimated rnct- Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PI.ANTS—Steam, Hot WaterNNo ��4y!-ems Trade Name' ` /,Size No-_�1T �DQC% Capacity Sq. Ft. E.D.R�®D 6V6BTU H.P. Total Connected Load y� 12 !? Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) By OL 4 P 2M 7-59 Business Phone No- 'S lee HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS ~~ i . t�70'Zj� MINN. -Weatherstrips A.S.H.V.E. Construction No. Insulation Guide W' ws I D s Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied No e 0 19_ .P 6' 41.1 Z V/.#')ORoomi Lengthy/- Width % -Height Fl,) l " G Room I Length =Width X? 'Height Windows and oors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. of pane of pane lightof sq. ft. ocrack / ; � m'' ", / ,,y Coef. Btu Infiltration InfiltrationG�-/� Glass ° 77 - Glass Glass Exp. wall -FT 1.117 Exp. wall -n22 Int. wall % 7 Ae Net exp. wall V �,71,09 le p Int. wall " Pef 1 /0 eves Int. wall Ceiling ®° 7 &0�; XV e? P�? Floor® ate✓ Total Btu. i Require ^ ,ft. E.I),R. or sq. ins. W.A. Leader area ® FlAsou' oom I Length ° Width ,��? ®Height Windows and Doors—Crackage and Area Coef. Width Height I No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 0 17-7 Glass JCoef.j Btu Infiltration Coef. Btu InfiltrationG�-/� Glass ® 6z eq Exp. wall' Glass Exp. wall Net exp. wall 1.117 .14" -n22 Int. wall Exp. wall 7 Ae Ceiling V ✓�" Net exp. wall /� ` Ceiling " Pef 1 /0 eves Int. wall Ceiling ®° 7 Ceiling�7� ate✓ Floor Total Btu. Required , f4t. E. .R. or sq. ins. W.A. Leader area J FU 1 V N " oom I Length - Width moi'' ° Height Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. 0 17-7 Glass JCoef.j Btu Infiltration Exp. wall - 5/ Infiltration 45� fie Glass ® 6z eq Exp. wall' r _ Exp. wall Net exp. wall 1.117 .14" 1/ Int. wall Z 71 7 Ae Ceiling Int. wall ✓�" Floor /� ` Ceiling " Total Btu.j Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. ofLineal ft. Area No. of pane of pane lights of crack sq. ft. mdows and Doors—Crackage and Area Coef. Btu Infiltration Glass Coef. Btu Exp. wall - 5/ Infiltration Net exp. wall Glass - ,e Int. wall r _ Exp. wall Ceiling 1.117 .14" 1/ Floor Z 71 7 Ae Total Btu. Int. wall ✓�" Required s # ,, .D.R. or sq. ins. W.A. Leader area Ceiling J FI_I '? K N,n ' u,- Room I Lenath ®® ® Width 14 -,Height ° mdows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of panee� lightsof crack sq. ft. �e�Nf r-.: Chir. .✓� � ��'� Coef. Btu Infiltration./ Infiltration Glass Glass r _ Exp. wall Exp. wall �7 Net exp. wall�°� i° Ae I/ Int. wall ✓�" ��'1 Ceiling 419 a'�7,1910 Floor Ceiling ®° 7 Total Btu. I z-�� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ,/Fl.l Room I Lenath Width °r-" Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall �7 Net exp. wall ✓�" ��'1 Int. wall Ceiling Floor,' ate✓ Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley, Minn. BUILDING PERMIT N° (q:151; Date:"W "M 6 Ilk Owner: Builder Y-1- Address Address ,eY CAT N F B ILDING N04 Street Parto t 0. Lot _ _ Block Addition or Sub- LVIMMUn Corner Lot _ Inside Lot aback dt Sideyardp,, Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Ttwo as: Front Depth Height Sq. Ft. Cu. Ft Depth Height Sq. Ft. _ _ Cu. Ft. Type of Construction F�t.�____ To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do thh proposed work In accordance with the description above set forth and In compliance with I provisions of ordinances of the city of Fridley. Y In consideration of the payment of a fee of t --Y - , 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 dame 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 time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: ffib permit don not cover the censkoction, InstalbMan for Wbing, plumbing, on heating, sever or crater. Be sure to sea do Building Inspector for separate pormhs for thea hens. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name : D AV So a) s-,f/%V'' Builder, Address /00/ Address J A LOCATION OF BUILDING No. // Street Part of. Loth -#A - Lot /% Block / Addition or Subdivision ('-'�, a&A, Corner Lot Inside Lot Setback Side -Yard ./ SEWER ELEVATION FOUNDATION ELEVATION 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: 6�_41fhGt Front ,_d Depth .2a Height Sq. Ft. �'40 Cu. Ft.. Front Depth Height 7� .Sq. Ft. Cu. Ft... 3 Type of Construction "6m c Estimated Cost .: / 41,0 D . To be Completed �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 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. k all DATE ` / �"_ / 4 :)— SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). N° 4965 Original Permit for PLUMBING AND CCAS Fr s TING N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for permit inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee DESCRIPTION OF WORK Number, Kind and Location of Fixtures City of Fridley ,19 � W J w C G = 0 W WATER HTR. Stories Connected with Sewer -Cesspool Gas piping for Openings Permission is hereby granted to do the plumbing and gas fitting in the building described in the stAFement hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. .112:042 1aa—"5-v Owner 0-- ^ ) •>� J�—r� e-^-" -� Location f Kind of Building— Used as To be Completed , 19, Estimated Cost Old -New. Building Permit No. .inspector oT uuttaings. h O 3 U Z 7 H m m r N Y Q m ?� F Z O p LL O = �J O zQ J 6' LL❑ F tll 4 6 U m Z Q O K J r, S 4. an d Q p, O Q W Z 6 4 < C GAB ELEC. Basement 1st 2nd 3rd 4th Connected with Sewer -Cesspool Gas piping for Openings Permission is hereby granted to do the plumbing and gas fitting in the building described in the stAFement hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. .112:042 1aa—"5-v Owner 0-- ^ ) •>� J�—r� e-^-" -� Location f Kind of Building— Used as To be Completed , 19, Estimated Cost Old -New. Building Permit No. .inspector oT uuttaings. A t PIN'TH Professional Association of Treatment Homes 5851 DAith Street, Minneapolis, Minnesota 55422 [612] 546-6411 Date: October 14, 1981 TO: City Clerk City Hall 6431 University Avenue N.E. Fridley, MN 55421 FROM: Don R. Mleziva, ACSW Administrator The following home in your city is licensed to provide foster care services for three children: Roger and Carol Fassett 1001 Lynde Drive Fridley, MN 55432 They have two children of their own under the age of eighteen years. A Non Profit Organization CITYOF FRIDLEY CLIC CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 - PHONE (612) 571-3450 June 18, 1987 Dave Ryan Coldwell Banker 951 Hillwind Road N. E. Fridley, M 55432 Dear Mr. Ryan: Recently you inquired about a garage setback deviation at the property at 1001 Lynde Drive N.E. in Fridley. We have researched the situation and found that the garage was built before Polk Street was platted. Therfore it is considered a legal non-conformina use Under the non -conforming uses and structures section of the Code it states that "whenever a lawful non -conforming structure is damaged by fire, flood, explosion, earthquake, tornado, riot or act of God, it may be reconstructed and used as before if it is reconstructed within 12 months after such calamity except if the damage to the building or structure is 50 percent or more of its fair market value - as determined by the City, in which case the reoonstructicn shall be for use in accordance with the provisions of this chanter The Dresent Code calls for a setback of 17.5 feet from the side lot line on a corner lot. The current garage appears to be 10 feet from the right of wav Should the garaae be damaged bevond 50 percent of its value as previously stated, it would have to be reconstructed at a setback which meets today's Code. I hope this answers your questions. Sincerely, James L. Robinson Planning Coordinator C-87-256 U N I VERSA L T I T L E INSURANCE COMPANY 433 Jackson Street Anoka, MN 55303 M E M O R A N D U M O F C H A R G E S Account No.: A096156 FILE NO.: A15-17487 Date: 05/27/87 Customer: Coldwell Banker Residential Mortgage Sery Inc 3434 Lexington Ave. N. Shoreview, MN 55126 Attn: Anne Burt cc: CLOSING BINDER Coldwell Banker -Fridley -Dave Ryan Coldwell Banker -Roseville -Jeff N. Legal Description: 17/1 Lyndale Builder 6 Add Anoka County, MN Property Address: 1001 Lynde Drive N.E. City: Fridley MN 55432 Reference: Phan S. Quan and Can Thuc Quan Amount of Insurance $ 62,250.00 Owner's Mortgagee's Reissue Credit Transaction 1. Owner's Policy 2. Mortgage Policy 3. Simultaneous Issue 4. Reissue 5. Service Fee 6. Abstract 7. Registered Property Abstract 8. Special & Pending Assessments 9. Name Search Codes 10. Tax Search 11. Regular Closing 12. Contract Closing 13. Escrow Fee 14. Plat Drawing 15. Tract Search Fee 16. Cash Advances 17. Recording Fees 18. Endorsement 19. Other Transactions Charges Premium 2 151.00 Service Fee 5 100.00 Simultaneous Issue 3 Abstracting/RPA 7 50.00 Searches -Assessments 8 25.00 Escrow Services 11 200.00 Cash Advances 16 Plat Drawing 14 40.00 Name Search 9 16.50 Other Other TOTAL CHARGES lsp THIS IS NOT AN INVOICE 54 universal time insurance companU 582.50 SCHEDULE B (Continued) No. A15-17487 Page No. 2 (EXCEPTIONS CONTINUED) 7. Contract for Deed by and between Luella C. Etter, a single person, as vendor, and Larry F. Russell and Nancy M. Russell, husband and wife, as vendee, dated June 11, 1974, recorded July 7, 1976, as Doc. No. 90242. Vendee's interest in said contract for deed is now held by Roger E. Fassett and Carol J. Fassett as per assignment of contract for deed dated Sept. 1, 1977, filed Feb. 7, 1978, as Doc. No. 98342. The vendor's interest in said contract for deed is now held by .Jerome 0. Koolmo and Luella C. Koolmo, husband and wife, as tenants in common, as evidenced by certificate of title No. 52741. 8. Interest of Roger E. Fassett and Carol J. Fassett, husband and wife, as disclosed by Doc. No. 98342. 9. Covenants, conditions, terms, restrictions, and easements contained in document dated Nov. 21, 1960, recorded Nov. 22, 1960, as Doc. No. 34286; which does not include a forfeiture or reversionary clause (Restrictions, if any, based on race, color, religion, or national origin, are deleted). 10. Drainage and utility easement over the Rear (North) 5 feet of subject property, as shown in Doc. No. 34286. 11. Easement for drainage and utility purposes over the North 5 feet of subject property, as shown on the recorded plat. 13. It appears that there is an encroachment by garage over the building -line restrictions contained in Doc. No. 34286, affecting the West 10 Peet of the land, as disclosed by plat drawing. NOTE: If an Owner's Policy is issued, it will take exception to the possible encroachment shown above. If the Company receives a written statement from the buyer/mortgagor acknowledging the existence of the possible encroachment, the Company will give the mortgagee the following affirmative insurance in the Loan Policy: "The Company hereby insures the mortgagee and its assigns, against loss or damage sustained be reason of the entry of a Court Order or Judgment which constitutes a final determination and adjudges that the encroachment referred to in Schedule B, Item No. "_". must be removed." If there are any questions concerning this Commitment, please call Teri at 421-5882. F I universal tale insurance company UTIC-2025 ss than SUBJECT O• , City of Fridley 2 6 215 AT THE TOP OF THE TWINS BUILDING PERMIT o i COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r 1 i NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/11/98 JOB ADDRESS 1001 Lynde Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 1 1 Lyndale Builders 6th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Phan/Can Quan 1001 Lynde Drive NE 572-1681 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 0. REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 11 windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement bedroom windows can not reduce the clear openable area to be 1 what was existing or 5.7 square feet. Provide smoke detectors to meet the State Building Code - in all sleeping rooms and on all levels of the dwelling. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $2,700 $1.35 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- $74.75 Fire SC $2.70 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $78.819 SI N URE OF ,TOR ORAUTMORIZEDAGENT IDAT I WHEN PROPER VALIDATED THIS IS YOUR PERMIT 414 BIAG INSP rjATE iGNATURE OF OWNER,IF OWNER BUILDER) IDATEI ss than NEW [ ] Effective 1/ 1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: oo 61 Legal Description: Owner Name & Address: Cal., (. r •= Tel. # Contractor:M4N 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 EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length 9Width H Gro d Sq. Ft. OTHER:( '6r � Construction Type: Estimated Cost: $ !Z:Ia (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 6 (4/f—APPLICANT: avory Tel. #-S20 -74q,- �6 � CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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 STIPULATIONS: SUBJE& P City of Fridley 9 854 AT THE TOP OF THE TWINS BUILDING PERMIT r IPT//NO. `y COMMUNITY DEVELOPMENT DIV. ��_ r � � PROTECTIVE INSPECTION SEC. �3 d NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910415 7/12/99 ,OB ADDRESS 1001 Lyn e Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 1 1 L ndale Builders SHEET 6th Additinn 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Can Quan - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO First Choice Exteriors 24Q5 Anna..pnlis Ln N I;tp 240 23;yMoUth 55441 553-3932 4266 d 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 M( REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before i#�' covering TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIREO 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 1 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 $7500 $3.75 SUME TO GIVE HO 7Y TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ANY OTHER E CAL LAW REGULATING CON- THE RF NC C NSTRUCTION 153.25 cI� FireSC 7 50 =SiGN PLAN CHECK FEE TOTALFEE 24 nse SC 5 1O cON' ACTOR OR AUTHORIZEDAGENi SOA E. WM OPERLY V LIGATED T IS IS YOUR PERMIT _ 7 -lo -99 BLDG iNSp GATE S-GNATURE OF OWNEROf OWNER BUILDER1 iDATEI NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: /ego / Z,<W4z Legal Description: Owner Name & Address:Tel. # T Contractor: MN LICENSE #�� Address:y2�fdvr�r,�� ` moi' �r�irr' d2y� Tel. # ✓f'.��--/Sl�� 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: Lenc� Sidth Hgt/Ground Sq. Ft. OTHER: < dl Construction Type: �/® /"v Estimated Cost: $ 7SDO _ p/9 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x = $ DATE: 7 /2 APPLICANT: Tel. # .CJs a EZ CITY USE ONLY Permit Fee $ �� 3 S� Fee Schedule on Reverse Side Fire Surcharge $ % SZ� .001 of Permit Valuation (1/10th%) State Surcharge $ s� $.50/$1,000 Valuation SAC Charge $ $1050 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 STIPULATIONS: NEW [l CITY OF FRIDLEY-uic%ve 4/1/2004 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: / oo LAI#j Q(�- ba 0 & Legal Description: I 1 4 4 4 .. G3 Owner Name & Address: el. �3 . ' 42 0 " ' Contractor. MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: QTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length _ Width Height _ Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: Estimated Cost: $ / vv Driveway Curb Cut Width Needed: 7 Ft + 6 Ft = Ft x $ _ $ / sto DATE: IF) ® APPLICANT: 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 $ Fee Schedule on Reverse Side Plan Review $ 65% of Permit Fee Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1350 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut 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 $ STIPULATIONS: Building PLUMBING Permit No.d� I (3—b I.� Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY n c' a 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE L6 / t o YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER ,CONTRACTOR PROPERTY NAME: OU�,'4'e—k OWNER/ ADDRESS: /00/ °fir. A'' CITY y STATFJhg- ZIP TENANT PHONE: NAME: CONTRACTOR SUBMIT A COPY OF STATE LICENSE # Terry Overacker Plumbing, Inc. TE YOUR STATE 502 E Main Street LICENSE, BOND AND STATE BOND # Anoka, MN 55303 TE CERTIFICATE OF ADDRESS: License# 061945PM STATE ZIP INSURANCE PHONE 763-572-8880 PERMIT TYPE ❑ SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK. ❑ NEW OrREPLACEMENT DETAILED DESCRIPTION OF WORK 4",& FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER SINK _ WATER CLOSET _ BACKFLOW PREY. ($15) _ —KITCHEN DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER Number of fixtures @ $10.00 "x $10.00 = $ Number of f hires @$15.40 Number of fixtures @ $35»00 x$55'.00='$,"_ State Surcharge $5.00 7-7 $40.00 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. Pie SIGNATURE OF APPLICANT sd.�P'%X_ PRINT NAME ��. K lC Zc.JL DATE 1. APPROVAL INSPECTORS SIGNATURE PLEASE NOTE;.. SEPARATE PERMITS ARE RE UIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977