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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: Owner: ._ ..._. ._... .. ,_.... � .. ......... Address 9 Builder............. ..... ..... .._. r ............. ...... _...___....__---------- ._._._.... Address LTA N OF BUILDING No. JaJa_. Street _.. _... �' ._.._.. .�_. r.... _..... .................................... PaqAmot ..... _..._...__ _.. .....__.._........_..._._ _ _ f Lot ..--- ...------ _--------- ...-. Block ... .................. Addition or Sub-DivisiQ CornerLot .-..._..---------------._.. ----- Inside Lot .---._ ...............- Setback ...... ............. Sideyard ......... . ... _..... .... .......................... Sewer Elevation....._......._............._...._.......-...._......._...._......._..._......._...._........ Foundation Elevation DESCRIPTION OF BUILDING Used 1' �►� //� ,r / To r i;, Front'__-- Depth ei-.....� Height ........ Sq. Ft! G -% `� Cu. Ft. �42� ..---.............. _............ ._... _ .............. Front .......... ........... . Depth .......-.... .._.. ei ht ............... Sq. Ft. ...... ................. Cu. Ft......................... Type of Construction _..._.... _...-..--- Est Cost... �} To he Completed ....._...._._.._ .......... ................... 4r7� 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. it In consideration of the payment of a fee of $,Ipl --, 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 of py of the provisions of said ordinances. tea, -/I f 7 1/ 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 fir these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Builder L- Vey -- Address Address qivy 1��r LOCATION OF BUILDING No, T 0 Street Dfw" Part of Lot Lot !-� Block . Addition or Sub.Div, Corner Lot Inside Lot Back T -Side-Yardw 11'/') SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING � To be used as: ram c4- ��3 -` 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, -y 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 SIGNATURE 1. C� vV / � lz - (A Schedule of Fee costs can be found on the Reverse Side.) s City of Fridley Application for Plumbing and Gas Fitting Porn* DepL of Bldgs, Phone SII , DESCRIPTION OF WORK Location AllD/e � `• Number, Kind and Location of Fixtures M F Z12 = 7 _Z= K Z O� a 6 W • • WATER HTR. ELEC. Base / f 1s 2nd 3rd t4h_ • Future Connection Openings I Connected with Sewer e New Fixture, Old Openings Cesspool E] PARTIAL RATE SCHEDULE 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. Owner Kind of l" Used as To be completed about PLUMBING FIXTURE RATES: NO. RATE �TOTAL Number Fixtures ....... .............. x $1.50 $--9- ,— 0 —C-) 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) ...... _�Z x 2.00 $ New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Z x $1.50 $—L' =::i� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ..............................$ TOTAL FEE Estimated Cost, $ Old—New. Building Permit No ` Pez t No. 10) ROUGH / A ' O FINAL - az 2M 749 Business Phone Application for Power Punts and Heating. Cooling. Ventilation..Rehigeration and Air Conditioning Symms 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 $ n - each add. 60,000 BTU .... . .................. 2.00 $ _ Replacement of Furnace ............................. §.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 $ a 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 $ !C Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS \OUGH See Fee Schedule TOTAL FEE a `� Dept. of Bldgs. Phone SU. 4-7470 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. n -5ridln Minn_ Owner Kind of Building v� Used as To be completed about ^� e0 Estimated Cost, $ Sid Old—New. Building Permit No. Permit No. oeU DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hotter, Wa �m Ai ��o Trade Name Size No. O G Capacity Sq. Ft. E.D.R�D� D0� BTU // H.P. Total Connected Load Kind of Fuel L9"9Z-::9 BURNER — Trade Name Size No Capacity. (REMARKS -OVER) 42 2M 7_59 Sq. Ft. BTU H.P. Business Phone No- ell L a/ IS—® 79 T LOSS CALCI UL DEPARTMENT OF BUILDIN Weatherstrips A.S.H.V.E, Construction No. Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor _ Yeg-�AltrF ,Ye 19— f /F1.1 Room I Length Heiaht II FLI Windows an&Qoors—Crackage and Area I b/-,' ;^' ':/ / Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. F1.1 I ' ` w a oom ( Length Width.: * Height { Windows ,'and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. -77 Coef. Btu Coef. ,. Coef. Btu Infiltration a Exp. wall Glass Net exp. wall Glass Int. wall Exp. wall Exp. wall /-/2 `i' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Net exp. wall E F1.1 Room ILength 9,4 Width . Heiaht Ceiling Int. wall �:-Tr �'' l";� Floor Ceiling Floor 1 otal ]Stu. I b/-,' ;^' ':/ / Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. F1.1 I ' ` w a oom ( Length Width.: * Height { Windows ,'and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. -77 Coef. Btu Coef. Btu Infiltration Infiltration Glass a Exp. wall Glass Net exp. wall Int. wall Exp. wall Ceiling ��' -,- Floor p /-/2 `i' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Int, wall E F1.1 Room ILength 9,4 Width . Heiaht Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Infiltration Glass Coef. Btu Exp. wall Co ef.1 Btu Infiltration a' p Ceiling Glass Floor Total Btu. Exp. wall 6 . Fl.l Room I Lenath ' '- Width -",,----Height Net exp. wall Int, wall Ceiling °•' �:-Tr �'' l";� Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Kind Insulation How Applied Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane ofpane_light. of crack sq. ft. Coef. Btu Infiltration Glass Coef. Btu Exp. wall Net exp. wall Int. wall Ceiling 9 P Floor Total Btu. " Required sq. ft. E:,D.R. or sq. ins. W.A. Leader area Fl.l Room I Lenath ' '- Width -",,----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 Net exp. wall 9 P Int. wall Ceiling• " Floor Total Btu. ` Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Fl Room I Length / --L Width - Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack .Q. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall 9 P Int. wall Ceiling Floor Total Btu. m Required sq. ft. E.D.R. or sq. ins. W.A. Leader area &Y�P'zs- City of Fridley, Minn. N? 8977 BUILDING PERMIT Date: AUGUST 24, 1966 Owner: WILLIAM DRIGANS Builder OWNER Address 1060 LYNDE DRIVE N.E. Address FRIDLEY, MINNESOTA 55421 LOCATION OF BUILDING No. 1060 Street LYNDE DRIVE N.E. Part of Lot Lot 2 Block 3 Addition or Sub -Division ____ LYND&E BLDRS 6TH ADDN. Corner Lot Inside Lot — x Setback — Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DET. GARAGE Front 22 Depth 26 Height 10 Sq. Ft. 572 Cu. Ft. 5,720 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction FRAMF Est. Cost — $1, 000 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 encs with 21 provisions of ordinances of the city of Fridley. ✓ lit/ /J F �' In consideration of the payment of a fee of $ 6.00 , permit is hereby granted to WILLIAM DRIGANS 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 p�eerrtt thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, �altte alteration, maintenance, repair and moving of buildings within � city limits and this time upon violation of any of the provisions of said CL,ARENCE BELISLE NOTICE rob po mit don not cover the andrection, ins abfi n for whing, phtmbing, gas heating, ower or water. Be am to as the Bomb* hegmftr for Separate rami" for thea Sena. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME W'�-�b ��S BUILDER ADDRESS /060 141AJE ADDRESS LOCATION OF BUILDING NO, STREET — (-YAW �� PART OF LOT LOT. _ BLOCK �� ADDITION OR SUBDIVISION CORNER LOT SEWER ELEVATION INSIDE LOTSETBACK SIDE YARD 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; �� 699,46C Front ; 2 Depth v�2 - Height 1Z) Sq. Ft.__ \f— Z .-;�—. Cu. Ft. Front Dept ` Height Sq. Ft. Cu. Ft. "� Type of Construction Estimated Coe A le---i�--'" 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 ofthe Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct, DATE � ��SIGNATUR (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule ROUGH FINAL Dept. of Bldgs. Phone SM -3480 Locafion�/ D (o d yv J e /Q ME. City of Fridley: The undersigned hereby makes application for a permit for the work hereic 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 facts and representations stated in this application are true and correct. / I Fridley, Minn D@ O • /7 19% Owner tuj'1/,�AA,� ��.� �cc� 5 Kind of Building f r°n''^ - "&;I— Used as -- dw -e /Z 'y G To be completed about TF1 '� 17� / i 7 04 od Estimated Cost, $ -30® 91A—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Si @ G L 2 fr' Size No S f� �- Capacity, Sq. Ft. E.D.R BTU �� a o H.P. (REMARKS—OVER) Signed .lV` o rx/ CORP By 464140;' _ - Business Phone No- F2 7 - tG 3 GAS BURNER (up to 199,00_ BTU) ....................... 5.00 $� over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Q__ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone SM -3480 Locafion�/ D (o d yv J e /Q ME. City of Fridley: The undersigned hereby makes application for a permit for the work hereic 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 facts and representations stated in this application are true and correct. / I Fridley, Minn D@ O • /7 19% Owner tuj'1/,�AA,� ��.� �cc� 5 Kind of Building f r°n''^ - "&;I— Used as -- dw -e /Z 'y G To be completed about TF1 '� 17� / i 7 04 od Estimated Cost, $ -30® 91A—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Si @ G L 2 fr' Size No S f� �- Capacity, Sq. Ft. E.D.R BTU �� a o H.P. (REMARKS—OVER) Signed .lV` o rx/ CORP By 464140;' _ - Business Phone No- F2 7 - tG 3 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYST-I: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour RATE TOTAL Job Address v'o'�i $12.00 $ 7.00 $ 7.00 $ Department of Buildings 4.00 S City of Fridley Tel. X4571-3450 $12.00 4.00 7.00 7.00 4.00 $12.00 4.00 7.00 6.00 $10.00 10.00 The undersigned hereby makes application for a permit for the work herein S specified agreeing to do all work in strict accordance with the City Codes S and rulings of the Department of Buildings, and hereby declares that all the S facts and representations stated in this application are true and correct. $�•C3 S L Fridley, Minn. T, 192X OWNER lj06�/ � � : Ara '0'_9 $ KIND OF BUILDING S / $ USED AS _ /f mac?/ dry < TO BE COMPLETED ABOUT 7,!6 O0 75- S GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING $ FAN HEATING SYSTEMS see Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ 50 TOTAL FEE $ ROUGH INSP. REINSPECTION FEE Date ($10.00) PINAL INSP. Date APPROVAL FOR PERMIT 7ES TED COST 0 /DD OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER SEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Capacity Total Connected Load f11 iia 41uvn BURNER - Trade Name V.INIMU.4 FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHMS Size No. Sq. Ft. EDR BTU HP Kind of Fuel Size No. Capacity Sq. Ft. EDR BTU SP Company Signed By �/ �t✓- Tel. No. No. Make Original PERMIT for Power Plants and Heating. Cool- ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK Plants—{�C-C A,ozi be installed-paltered—repaired Oil fired-, Coal frred , Gas fired-; Gas Authorization No. Remarks Approved by Final Inspection Date , 19_ Inspector L/5 7 Permit N° 4875 Fee Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. /--2 _ 4 �Ea , 19:20 Owner W i LL, 4 tln 4 ri a ?' 4 a4s, Location A l'E Kind of Building /V How Occupied Auj 6- Lt, a 4)C® Work to be Commenced—, 19— To be Completedil��f Estimated Cost, $ '36a u a Old- ew, Building Permit No. Permission is hereby granted to ` C 'v��-1 ��-install—erect—use the material and devices described in the above statement. This permit is granted upon the express conditioh that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifacatigns set f prth in the approved application for this permit on file in the office of the Inspector of Buildings. CAi-�� ,:1PL2-) , Inspector of Buildings 42 2M 11-67 V City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMI(OF MIT N _ 146'70 r ` `y ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 = � �l ---n CITY HALL FRIDLEY 55432 ,'J 612-560-3450 CEIPT NO. NUMBER 910-F15 REV. DATE 5/4/78 PAG APPROVED BY JOB ADDRESS 1060 Lynde Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 1 Lyndale Builders 6th SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Robert Prois 1060 Lynde Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sussel Company 1850 Como Avenue, St -Paul 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 6 DESCRIBE WORK Construct a 10' x 12' Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE WITH WHETHER SPECIFIED HEREIN OR NOT. COMPLIED, THE GRANTING OF APERMIT VALUATION $3,062 SURTAX $1.53 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVIcam OF ANY OTHER STATE qR LOCAL LAW REGULATING CON- STRUC ION OR THE PERFORMANCE F CONSTR CTION. $19.90 � PLAN CHECK FEE TOTAL FEE AAft&1Vk'L1 '� $4.98 $26.41 SIGNATURE OF CONTRACTOR ijKAUTHO RI2 AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP - 0 DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)- ``' CITY OF FRIDLEY , APPLICATION FOR RESIDENTIAL L'UILDING PERMITS (NEW, ALTERATIONS, ADDITIONS', OR REPAIRS) o OWNER: BUILDER Address: /0 40 "'v` Address: . f e4,p" LtY-- Tel. No.: No. (® to Street: LOT: V BLOCK: �_ ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach 'to this form IVo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING b To Be Used As: 7 Front: l tlC o Depth: � y Height: " Square Feet: JI -C' Cubic Feet: jggo CDj`. Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ &4/ o To Be Completed: 0 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 or additional 'nformation. DATE: u / SIGNATURE: Stipulations: ' ;X.4 g �1 lyM CITY OF FRlDLEY INSPECTION DIV fi43f UniversityAve1gE POW, MN 55432 - 572-3604 r - r3 RATE SCHE0JjLE r- `' Residential C°J Furnace Shelf and Duct +Mork, Burne -r Also Replacement Furnace (Side Vent -- Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Cas Dryer APPLICATION FOR POWER l' 'lTS AND HEATING, C00UNG, VENTILATION REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES, *Air Conditioning. — All Sizes L All ©thersiRepairs & Alterations (LIST ON BACK] f % of Value of App ilance or Mork r Gommerciaif industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 110.00 $1000 $14,00 $ 25,00 State Surcharge TOTAL FEE Effective on janUary 1, 1997 JOB ADDRESS The undersigned herebY makes application for a permit forthe work herein TOTAL speciffed agreeing to do ap work in strict accordance with the Ci ty codes rulings of the Bullding Ofvision, and hereby declares that all the facts and and representations stated in this application are 72ML and- $ $ 1897 i MINIMUM FEE FOR ANY EAtTING CpOLING ENTitATION REFRIGERATION AIR CONRITIONING PERMIT IS $25.00 PLUS THE $.50 STAT SUROHARGE REfN SPECTION FEE $42,00/Hr ` "Air conditioners can not be placed in a side yard without %rritten permission UOM adjoining property owner. OWNER- ''3 v 6 P R 6 /'s , 7Y o ®o BU.ILDDINGUSEDAS /D L„ p Li_L A� ESTIMATED COST 3 3ren� PERMI'TNO, /1;2� i:?,ES RiPTIQ o.URNACE AND OR BUFt ER No. of peatln Units g _ Circle One (Stearn) (Plot V ater Tia{Waw Aird Tiara. Name I ,tom A, v X STEL u v o Size No, L j _ HP EDR Fuel A -r . &4 S Total Connected Load $urner Tracie Name Size No. STU . HP EDA . l-IEATING GOMf'ANY -rt,.,iAjt T r'u ti e _ nn ---fir - Signed t3Y `r J Tel No. Approved By Rough—in Date __________ Final Date FILLOUT BACK SLOE FSTACK VERIFICATION ON REPLACEMENT FURNACE F& SUBJECT P NO. City of Fridley 5 91 AT THE TOP OF THE TWINS BUILDING PERMIT � � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY •--1 CITY HALL FRIDLEY 55432 612-571-3460 910-F15 4/8/98 JOB ADDRESS 1060 Lynde Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 3 Lyndale Builders 6th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Prois 1060 Lynde Drive NE 574-0012 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of MN 3118 Snelling Ave S M is MN 55406 721-6628 2179 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 X ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside Dwellin • Soffit & Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and call for inspection of same. 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 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 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 $11,668 $5.83 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 License__*,C $5.00 e A9.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT MATEI N ROPE Y LIDATED THIS IS YOUR PERMIT � .9L +SSP • r O E •�j SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI F& N L W I� ADDN I CITY OF FRIDLRY ALTER I I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Lllective 1/ 1/94 Legal Description: _ Owner Name & Address:Lbe:�'r+P.1� s Tel. # - 0010 - Contractor: �/�_Yl�( C�F-� OF M N MN LICENSE- �f Q-1 s°"`a���587-Y3Z' Address: 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Tel. # -70 1 - 6 65, Z,?' Sq. Ft. Sq. Ft.- Sq. t.Sq. Ft. Corner Lot [ ) Inside Lot [ ) Ft. Yd Setback Side Yard Setbacks d _ Type of Construction: SiCt j nQ ' 5/F Estimated Cost: 60 Approx. Completion Date:®bf 0/95 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + Ft = It x $ _ $ _ DATE: APPLICANT: Tel. # %v� (-�o&z c Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $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 I I Not Necessary I i $� ao9. -/s 0, 4, r Reference No. 601-07-0594 Request For Service Report City of Fridley Service Requested. Water Shut off Date 10/3/07 Time ON -Cali - Department public Works Division Location of Service need 1060 Lynde Dr. Owner or Agent of Property Tesfaye Tsegaye Name of Citizen Address Details of Request Shut water off. Permit # Water - Phone: (H) Phone: (H) 571-4154 Request Taken By: Pete/After hours Department raat ti Person responsible for request Kory Jorgensen Title Supervisor Action taken (include date & communication w.iih citizen) 721 Emergency water shut off. Basement carpet all wet. Left a key for them to turn water on when done. Picked up key at 9:OOam on 10/4/07. Charge for a normal water shut off. Date Cleared 1013/07 Citizen notified Yes z No gnature of person clearing'reguest Pete Gunderson 4 Re Wince No. 601-08-0249 Request For Service Report City of Fridley Service Requested Change stopped meter Date 4/24/08 Time 9:10am Department Public Works Division dater Location of Service need 1060 Lynde Dr. Owner or Agent of Property t� Helen Mamo,,Phone: (H) 568-6342 Name of Citizen Phone: (H) Address Details of Request Change stooped meter. Appt set for Friday. APril 25, 2008 at 7:30am Request Taken By: Wend? Department CA,� Person responsible for request V -M Tule Action taken (include date & communication with citizen) ►leyv�,f- n \'Iftesr' �� S ,ei9 ro " Date Cleared >igneture of person clearing'request �., 309ia re �a � Citizen notified es' No - Building BUILDING TOTAL JOB VALUATION $ Permit No.: 01�( Inspections $ See Back Page for Fee Schedule RESIDENTIAL APPLICATION Received By: 763-572-3604 $ .001 times the total job valuation CITY OF FRIDLEY $ .0005 x Permit Valuation Minimum $.50 Dat d. 8 763-502-4977 FAX SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) i Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control EFFECTIVE 1-1-08 Park Fee $ Fee Determined by Engineering DATE 9y � 2' <E-2- ® R� YOUR E-MAIL ADDRESS Total Due SITE ADDRESS /(A—b I—inde THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL. PROCESSED THIS APPLICANT IS: ❑ OV,1NER"CONTRACTOR I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes PROPERTY OWNER/ � y NAME: I -1e -j, -7o ce with the oved plan in the case of all work which require�eview and approval of plans. lJ"Vr /�2� 1a7 �lP D� o1O� CITY , d� c STATE ZIP TENANTADDRESS: PHONE: DATE NAME: ADDRESS: 9'�� ✓� +'j v� CITY Ar -n 1, STATE ZIP S 1,U CONTRACTOR SUBMIT A COPY OF PHONE 363 ail — 7z5G� FAX YOUR STATE LICENSE STATE LICENSE # -0M 6 --7 EXP DATE PROPERTY TYPE WINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ' ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH i" ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION iWMAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFINGpp 11HOUSE ONLY R BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES EjPHOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ 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 1. Site Plan/Survey showing the existing structures [3 Aluminum ❑Trim t. 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: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 6 OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) i Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ CIN Make checks payable to: Ciq of Fri4!ey Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL. PROCESSED I hereby apply for a bu ' g 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 'th 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 ' I be in a ce with the oved plan in the case of all work which require�eview and approval of plans. lJ"Vr SIGNATURE OF APPLI PRINT NAME /��� DATET—Y- APPROVED BY .. DATE