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SAME PLAN AS #5175 NOW IN YOUR OFFICE APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MINNESOTA Owner's Name Merwin Earth �SL9e%%y'F"?� Builder Bernard Julkowski _ Address 5001 -Jackson St, N.E. Address ��� LOCATION OF BUILDING No. Street Ma c+ �T �� Part of Lot Lots 22 & 23�_-, Block 8 Addition or Subdivision jL r]R Park Corner Lot ,inside Lot x Setback ; 5 f�,,&et Side -Yards ana - side SEWER ELEVATION FOUNDATION ELEVATIONhigh enough for proper Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: 4 Alex Front �4 Depth Hca Height ,Z� Sq. Ft. 2nnEz Cu. Ft. 4n, 12 -n 2-n, Front_ Depth Height Sq. Ft. Cu. Ft. CSO Type of Construction rtu r-cn Estimated Cos , a� To be Completed .Aum -.-131 , j 961 The undersigned hereby makes application for a permit fpr 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 j DATE �1 / 7 A� -- SIGNATURE l� 'a��_�al't.. �!L .e'fi,31 (A Schedule of Fee Costs can be found on the Reverse Side.) p prove y Built' Inspector p r -• M t � City of Fridley, Minn. BUILDING PERMIT Address rf� f Address -- - LO TI O UILDING NO.Street Part Lot Block Addition or Sub-Diviaton� Corner Lot ---- Inside Lot Setback _...j�l Si yard _' Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Front Depth � Height Sq. Ft. ;.s 1 Cu. Ft Depth H�tght _ Sq. Ft. Cu. Ft. Type of Constructions x ; Est C t _ 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 is compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee Of -t 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 -gy of the provisions of said ordinances. 3 Inspector [.NOTIC& This permit does not cover the construction, installation for wiring, plumbinib gas heating, sewer or water. Be sure to am the Building inspector for separate permits for these ;hems. 4 If © rx Application for Power Pkmts and. Heating. Cooling, Ventilation..ReftigeraMon and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU. 4-7470 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 $ NECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 80,000 BTU ........................ 2.00 $ Replacement of Furnace R.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 '3�'2 i 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 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING . FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fes Schedule TOTAL FEE $ City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridle , Minn .ld .1190 Owner Kind of Used as I To be completed about �rn< Estimated Cost, $ l% Old � e Building Permit No. permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steof Wa , Warm Air—No Trade Nam Size No Capacity—41- 0Ft. E.D.R BTU H.P. oopo1"I • /.?,630 Hp� • '5"6 Total Connected Loadl6107-3 A9,11° �'®��` Sind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU A.P. Signe �•�. q J, By ,��i ..x,42 zM 7-59 Business Phone No- Mile (REMARKS -OVER) a4 r • A HEAT LOSS CALCULATIONS/ & %�3 DEPARTMENT OF BUILDINGS 41- A:LzX MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference I Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No I Yes—No 19_ _11_ I R....... I i .—A. i -/ C4/;.1►1, � w�i7e;sl,t ndows d Doors—Crackage and Area e Width Height No. of Lineal ft. No. of pane of pane lights of crack Width Height No. of Lineal f . Area No. of pane of pan lights of crack sq. ft. / 0 E14 0 Coef. Btu Coef. Btu Infiltration I AfO R0 p Glass AL& -0 Net exp. wall Exp. wall Glass Exp. wall Int. wall Net exp. wall Ceiling p 0 Int. wall /® enl419 Ceiling Ceiling JAA, Floor Ceiling 3 ,� Total Btu. .Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I �yaS FI.1,/„c_ p - Room I Length >7 Width,,, .t' Height -? Windows a,Orboors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. No. of pane of pane lights of crack Width Height No. of Lineal ft. Area No. of pane of pan lights of crack sq. ft. / 0 E14 0 Coef. Btu Coef. Btu .Infiltration .7, R0 p Glass AL& -0 Net exp. wall Exp. wall Glass Exp. wall Int. wall Net exp, wall Ceiling Net exp, wall Int. wall Net exp. wall Int. wall /® enl419 Ceiling Ceiling JAA, Floor Ceiling T -►-1 U... W' Bows 7nd Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. No. of pane of pane lights of crack Area sq. ft. / 0 E14 0 Coef. Btu Infiltration / Btu ® .7, R0 Coef. Btu Infiltration Glass 1,0000 Net exp. wall o Glass Exp. wall Int. wall Ceiling Net exp, wall Int. wall Net exp. wall Floor , j /® enl419 Ceiling Int. wall JAA, Floor Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area AilP M -AReefn I Length A/ Width IQ Height Win ows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. (� ® Oryi E14 Coef. Btu Coef. Btu Infiltration / Btu 0 Glass ® ®® Exp. wall Glass Ceiling Net exp. wall ® .4 - 0 Int. wall Ceiling Net exp. wall Floor , j /® .3 tv Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A.W Leader area � f�p}® .�' w .•�O R-- 111 ... th 0 elth l4 -'—Lt Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. No. of pane of pane lights of crack 6 E14 Coef. Btu Infiltration Coef. Btu Infiltration Net exp. wall O 0 Glass Ceiling d Exp. wall Net exp. wall o /0 Aov Int. wall Ceiling Floor p d Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area- C0 Fl art �. Room I Length Width Height W' Bows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. / Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall 4 ILL Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area /? / .3G 4 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows Doors Reference Out. Wall "WallCefling Roof Floor Yes Y —No 19— Rnnm I I .Pnath i /l Widtht 1 -.11 Willdows a - -- -- o-- - - a Doors—Crackage a d Area --- y Width" Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. w Coef.1 Btu Infiltration Btu Glass Coef. Btu Infiltration Net exp. wall ®® O Int. wall p Glass 1.20 / Q Floor v0 O Exp. wall C s12/10 0 ® D Net exp. wall 0 D Int. wall Ceiling 29/v D Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I .,' Fl.1 /o __.Room I Lenstth 9 Width //- Height JV Win ws and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pans, of pane lights of crack sq. ft. O49 0 �/ D Coef.1 Btu Infiltration Btu Glass p Exp. wall Glass `D Net exp. wall ®® O Int. wall p Ceiling 1.20 / Q Floor o O Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 6 Y0 i' FI.I a i Roam I Length 0 Width ZJ Height X Win ws and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane oL pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. 0 �/ D Coef. Btu JCoef.j Btu Infiltration p /22O Glass `D Net exp. wall ®® O Exp. wall Net exp. wall p D Int. wall /0 o O Ceiling Floor 0 ® D Total Btu. Reauired sa. ft. E.D.R. or sa. ins. W.A. Leader area L -?,K Vh MINNEAPOLIS. MINN. Insulation Kind How. Applied _9 Room I Length /1 Width J--7 Height Win ows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane oL pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lig�hots of crack sq. ft. D Coef. Btu Coef. Btu Infiltration p /22O Glass Net exp. wall /00 d Exp. wall Ceiling Net exp. wall /0 o O Int. wall Ceiling 0 ® D Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area O p / FI_I �,,/ .2 Room I Length d.7 Width %/ Height,? Win ows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane oL pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack SQ. ft. Coef. Btu Infiltration Btu Glass p Exp. wall Glass / Net exp. wall Int. wall Ceiling G Floor 3oo Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1163 / FII Rn vn I i .Pnath 0 Width X— Height Je Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack SQ. ft. Co f. Btu Infiltration D Glass / .6-10 Exp. wall Net exp. wall /01 3oo Int. wall Ceiling E /0 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I ;; 9, � - . Dr w HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS A.V. Weatherstrips S.H.E. Construction No. Guide Dors Reference Out. Wall Int. Wall Ceiling Roof Flol —No 19— Room I Lenstth-,.Vo Width j I Height JP' II Fl W' Bows #If boors—Crackage7nd Area Width HeightNo. of Lineal ft. No. of pane of pane llghts of crack Width Height No. of Lineal ft. Area No. of pane of pane lig is of crack eq. ft. Width Height No. of Lineal f . Area No. ofpane of pane lights of crack sq. ft. Li ICoef.1 Btu Coef. Btu Infiltration "' O D Glass .5-,o O d Exp. wall Net exp. wall Int. wall --1-0 O Int. wall Net exp. wall Ceiling Ceiling p D p Floor D o O Ceiling Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 0 J FIA I Length // Width //, Height S? Windows and Doors—Crackage and Area Doors—Crackage and Area Width HeightNo. of Lineal ft. No. of pane of pane llghts of crack Width Height No. of Lineal ft. Area No. of pane of pane lig is of crack eq. ft. 6 V Oi/ ✓�/ n v Li ICoef.1 Btu Infiltration Infiltration Infiltration Glass O Glass Exp. wall .5-,o O v Net exp. wall O /D --1-0 O Int. wall Net exp. wall ®I Ceiling p D p Floor D o O Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I e / Room I Lensrth /.Oi Width / 4 Heisfht Windows and Doors—Crackage and Area Doors—Crackage and Area Width HeightNo. of Lineal ft. No. of pane of pane llghts of crack Width Height No. of Lineal ft. Area No. of Dane of pane 'lights of cracksq. ft. 6 V Oi/ ✓�/ n v :t! Coef. Btu Infiltration Infiltration p O Glass D .5-,o O v Exp. wall pD Exp. wall Net exp. wall ®I ) p D Int. wall O D o O Ceiling Ceiling 4za p Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader areae xf.,,-a4ek MINNEAPOLIS, MINN. (I Insulation Kind How. Applied Windows and Doors—Crackage and Area Doors—Crackage and Area Width HeightNo. of Lineal ft. No. of pane of pane llghts of crack Width Height No. of Lineal ft. Area No. of pane of pane ilghts of cr ck sq. ft. 4z 16 /® Coef.Btu Coef. Infiltration Infiltration Coef. Btu O Glass Glass Exp. wall e D Exp. wall pD Exp. wall Net exp. wall ®I ) p D Int. wall O D o O Ceiling Ceiling 4za p Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area j 6-36-0 ,40 m I ,moo . Rnnm I l .math AP Width _ A— Height Win ows and Doors—Crackage and Area Doors—Crackage and Area Width HeightNo. of Lineal ft. No. of pane of pane llghts of crack Area sq. ft. 4z 16 /® Coef. Btu Infiltration Coef. Btu Infiltration Ei Glass Exp. wall p Glass L D Exp. wall Int. wall Net exp. wall Int. wall O D o O Ceiling � p 4za p Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / 1F7 I - v07- . Re m I i .Pndth /- Width X" Height /Z Windows a Doors—Crackage and Area Width Height No. of I Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration ® p Ei Glass Exp. wall PO L Net exp. wall /® Int. wall Ceiling ®/® � p Floor 16 -notal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area e) Application for Power Plants and.. Heating, Cooling, Ventilation, .Refrigeration 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 $ ,y 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 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. IDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR 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 $� GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ I SO Additional Fixtures ................. x .50 $ J"o Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH 'FINAL See Fee Schedule TOTAL FN $� e= Dept. of Bldgs. Phone SU. 4-7470 0 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. Q Fridley, Minn/.Ccl oZ� _ 19 4z,i Owner Kind of Building Used as To be completed about Estimated Cost, $ aj-4D �a y O1dBuilding Permit No. Permit No. / DESCRIPTION OF WORK HEATING or PO S--SteHot We , Warm Air—No Trade Nam Size No Capacity O C2 Sq. Ft. E.D.R f O BTU H.P. Asti - �8; 63o A,oroZ - /dr, 630 170 Total Total Connected Load— Ajel!'I , �f SG O Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signe G By wp 4 z 2M 7-59 Business Phone No - City of Fridley Application for Plumbing and Gas Pitting Perm Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK /�?/��"'^' ��l Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 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 $----g • Q New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ �•�� Additional Fixtures .................... x .50 $ G Gas Range to 200,000 BTU .............. x 2.00 $ a a REPAIRS & ALTERATIONS—Refer to Code Description........... ........................ TOTAL FEE $� City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this applicatio are true and correct. Mi Fridley, nn. �7 2— 19�� Owner 0 - Kind of Building Used as To be completed about 1-1 Estimated Cost, $ 2� Oldew. uilding Permit No. ���� Permit r-. ROUGH FINAL Business Phone No K -14 - uZ-i� ZFz 00 9 rcz u. o tQT3Z c)� O < J �d O �G 4a Z z �O R • N WATER HTR. GAS ELEG Base 4 2,1 1st b• 2 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 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 $----g • Q New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ �•�� Additional Fixtures .................... x .50 $ G Gas Range to 200,000 BTU .............. x 2.00 $ a a REPAIRS & ALTERATIONS—Refer to Code Description........... ........................ TOTAL FEE $� City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this applicatio are true and correct. Mi Fridley, nn. �7 2— 19�� Owner 0 - Kind of Building Used as To be completed about 1-1 Estimated Cost, $ 2� Oldew. uilding Permit No. ���� Permit r-. ROUGH FINAL Business Phone No K -14 - CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x Water y +i .pp0 x $ a 1 x Qp m u pA', w � Heater 100,000 BTU to 199,000 BTU x $10.00 $ •t�yy Water Softener N� $7.00 ge O �ggroi N $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: �pp Q ��� 0 O ++ romro +j t�ryp N N $ Additional Fixtures m $1.00 $ R1 Ri U1 3 O FOv t�l1 W U PQ 3 C7 First $100.00 O aS lflc each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 + TOTAL FEE $ C9 REINSPECTION FEE lst ` ($10.00) 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number 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 $ C9 REINSPECTION FEE ` ($10.00) Job Address Aa -1/ '0�A 5/ 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 facts and representations stated in this application are true and correct Fridley. Mn OWNER /S /" �a�iE /l`� S O 0004 KIND OF BUILDING USED AS a TO BE COMPLETED ABOUT ESTIMATED COST 4 , OLD - NEW BUILDING PERMIT NO. PERMIT NO. / y� Company Signed Tel. No. 6 ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE CITY Y OF F aIDLE 'Y 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612'571-3450 April 18, 1978 CITY COUNCIL ACTION. AKCN NOTICE Kenneth F. Peterson 2441 Lyndale Aveue South Minneapolis, Mn 55405 Re: Variances for 6011 6019•:Main StreetDear Mr. Peterson: . f On April 3, 1978 the Fridley City Council officially approved your request fol• variances with the stipulations listed below. Please review the noted stipulations, sign the statement below, and return one copy to the City of Fridley. If ;you have any questions regarding the above.action, please call the Community Development Office at 571-3450. JLB/de Stipulations: 1. Parking to be blacktopped and curbed 2. Rubish containers to be screened 3. Improvements to be coordinated with street improvement projects 4. Completed no later than September 15, 1978 Concur frith action taken. Mr. Kenneth F. Peterson 2441 Lyndale Avenue South Minneapolis, MN 55405 Re: Repair & Maintenance of the Rental Property Located at 6019 Main Street N.E., Fridley, MN Dear Mr. Peterson: It was confirmed by a routine on-site inspection on October 14, 1980 that the above listed rental property was being maintained in violation of Chapter 220, Residential Maintenance Code, of the Fridley City Code. The inspection on the above date found the following list of deficiencies which must be corrected. Any repairs or improvements must be completed in a workmanship like manner. It is the City's hope that similar or other' deficiencies in apartments that were not inspected will be corrected as needed. EX2T3RIOR The painted wood surfaces of the windows and trim are in need�r a of refinishing and should be scheduled for the spring of 1981. COMMON AREAS No orders this date. FURNACE/LAUNDRY ROOM No orders this date. APARTIWNT #1 Repair and maintain the leaking hot water faucet for the bathroom sink. /,--/ u--J�l % A reinspection will be conducted on or'about November 17, 1980 to determine .compliance. We are confident in your cooperation on these matters and if any questions or problems arise, please feel free to contact me at 571-3450. Failure to abate these violations may result.in this matter being turned over to the City Prosecutor for his legal consideration. Sincerely, s' d ` S N J. OLSON, R. S.' Environmental Officer S,1O/mh .ENC: 1. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction N0. E /Ul � L� $3.00 s ` 0 x N x $2.00 x N x b x u x % 0 $7.00 Water $5.00 x $5.00 G Ca 44 Heater y V H 1 N b P y fo N W W � N •.d FI 41 ro C. x 0 -HN N X -W N H 4 C. .N B O R' LI 47 0 .11 J O O - V roU N 3 Q w w w U rroA 3 cro7 o as Alec 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction N0. E /Ul � Job Address (0 el / 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 facts and representations stated in this application are true and correct Fridley, Mn. %/ , 19 OWNER -- KIND OF BUILDING USED AS�&d \ TO BE COMPLETED ABOUT ESTIMATED COST TOTAL OLD - Wfir BUILDING PERMIT NO. PERMIT NO. S ° O Signed By 32 REINSPECTION Tel. No. CJ Q� J 9' 2 r $ $ ROUGH INSP. u x L� $3.00 s ` 0 x $3.00 x $2.00 x $2.00 x $5.00 x $5.00 x $10.00 x $7.00 x $5.00 x $5.00 Job Address (0 el / 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 facts and representations stated in this application are true and correct Fridley, Mn. %/ , 19 OWNER -- KIND OF BUILDING USED AS�&d \ TO BE COMPLETED ABOUT ESTIMATED COST TOTAL OLD - Wfir BUILDING PERMIT NO. PERMIT NO. S ° O Signed By 32 REINSPECTION Tel. No. CJ Q� J 9' 2 r $ $ ROUGH INSP. u x L� $3.00 s ` 0 x $1.00 $ x $10.00 $ $5.00 $ $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 REINSPECTION FEE ($10.00) FINAL INSP. Date Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432 TELEPHONE ( 812)671.3460 May 23, 1979 k Mr. Kenneth Peterson 2441 Lyndale Avenue South Minneapolis, MN 55405 Re: Repair & Maintenance of the Rental Property Located at 6019 Main Street N.E., Fridley, Minnesota Dear Mr. Peterson: It was confirmed by a routine on-site inspection on May 21, 1979 that the above listed rental property was being maintained in violation of Chapter 220, Residential Maintenance Code, of the Fridley City Code. Although. the general condition of the property was good, the inspection on the above date found the following list of deficiencies which must be corrected. Any repairs or improvements must be completed in a workmanship like manner. It is the City's hope that similar or other deficiencies in apartments that were not inspected will be corrected as needed. EXTERIOR Provide and maintain stripping for the parking lot t designate individual parking stalls (10' x 201) 9 -It -7q 0 ODMi4ON AREAS No orders this date. LAUNDRY/FURNACE ROOM No orders this date. APARTMENT #3 No orders this date. A reinspection will be conducted on or about June 18, 1979 to determine compliance. We are confident in your cooperation on this matter and if any questions or problems arise, please feel free to call on us at 571-3450, extension 164. Failure to abate this violation may result in this matter being turned over to the City Prosecutor for his legal consideration. Sincerely, - STEVEN J. OLSON Environmental Officer SJO/mh R 23, 1979 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 812)571-3450 Kenneth Peterson Lyndale Avenue South eapolis, MN 55405 Repair & Maintenance of the Rental Property Located at 6019 Main Street N.E., Fridley, Minnesota Dear Mr. Peterson: It was confirmed by a routine on-site inspection on May 21, 1979 that the above listed rental property was being maintained in violation of Chapter 220, Residential Maintenance Code, of the Fridley City Code. Although the general condition of the property was good, the inspection on the above date found the following list of deficiencies which must be corrected. Any repairs or improvements must be completed in a workmanship like manner. It is the City's hope that similar or other deficiencies in apartments that were not inspected will be corrected as needed. EXTERIOR Provide and maintain stripping for the parking lot to designate individual parking stalls (10' x 201) COMMON AREAS No orders this date. LAUNDRY/FURNACE ROOM No orders this date. APARTMENT #3 No orders this date. A reinspection will be conducted on or about June 18, 1979 to determine compliance. We are confident in your cooperation on this matter and if any questions or problems arise, please feel free to call on us at 571-3450, extension 164. Failure to abate this violation may result in this matter being turned over to the City Prosecutor for his legal consideration. Sincerely, 6 / 3 ST EN J. OLS Environmental Officer SJO/mh woRk SAS r3tEn1 C, o T7�/FNf� � ou - 97-84..416051APPLICATION FOR PUJMBING AND GAS PITTING PeWIT Job Address 6019 NE Main Street apt' 1" Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for A permit for the work herai, specified agreeing to do all work in otriet accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and corre Fridley, Mn. 6-6-79 , 19_� OWNER Peterson KIND OF BUILDING frame USED AS res. k . • s.a ESTIMATED COST 40.00 ' LUF®INC FIXTURE RATES: NO. u . L e � x Water $�` Future Fixture Opening • $2.00 $ �_•- ►b. e w n. a• S u o. w S • Neater Catch Basin x ° S ••� Nater Neater - to 99,000 BTU x • $5.00 $ u• �M �% '� i� Water Softener _x 57.00 $ ,� r .pi �� x $5.00 $ �� • ROUGH INSP. ,C G C $5.00 $ d u v '1S FITTING FEES: ' • w UM.tx x' 3 $ ' Data .. o as 1ec $ •' Cas Range to 1990000 BTV _x $10.00 �_� $ ��- APPROVAL FOR PERMIT 'EPAIRS 6 ALTERATIONS . First $100.00 $5.00 $ • • each add. $100.00 or fraction $2.00 �� $ MINIMUM FEE FOR ANY PLUMBING PERMIT 15 $7.50 pLV3 $.50 STATS S-vRC0Rt,Z State Surcharge $ 50 TOTAL FEE $ 8.00 - ra a (re ola e) j ti R) -•Future Connection Opening Connected with Sewer ') a New Fixture, Old Opening Water Job Address 6019 NE Main Street apt' 1" Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for A permit for the work herai, specified agreeing to do all work in otriet accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and corre Fridley, Mn. 6-6-79 , 19_� OWNER Peterson KIND OF BUILDING frame USED AS res. k TO BE COMPLETED ABOUT b-lj-7y PARTIAL RATE SCHEDULE ESTIMATED COST 40.00 ' LUF®INC FIXTURE RATES: NO. RATE TOTALOLD NEW BUILDING PERMIT. N0. PERMIT N0.' ltusber Fixtures � x $3.00 $�` Future Fixture Opening x $2.00 $ �_•- Company ' New Fixture, Old Opening x $2.00 S • Signed By Catch Basin x $5.00 S Nater Neater - to 99,000 BTU x • $5.00 $ Tel. No. 100,000 BTU to 199,000 BTU x $10.00 Water Softener _x 57.00 $ flew, Ground Run Old Building �� x $5.00 $ �� • ROUGH INSP. Electric Water Jleatnr x $5.00 $ Data .. . '1S FITTING FEES: ' • FINAL INSP. ' , 1st 3 fixtures x' '$3.00 $ ' Data .. Additional Fixtures _X $1.00 $ •' Cas Range to 1990000 BTV _x $10.00 �_� $ ��- APPROVAL FOR PERMIT 'EPAIRS 6 ALTERATIONS . First $100.00 $5.00 $ • • each add. $100.00 or fraction $2.00 �� $ MINIMUM FEE FOR ANY PLUMBING PERMIT 15 $7.50 pLV3 $.50 STATS S-vRC0Rt,Z State Surcharge $ 50 TOTAL FEE $ 8.00 97-84-116051 CITY OF FRIDLEY APPLICATION FOR PLUMiBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE A Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 14 New Fixture, Old Opening 41 d+ $ Water o L .ei Water Heater - to 99,000 BTU m $5.00 H� H 0%e .C+ •ro m G m m u '; W w $ New Ground Run Old Building Heater $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: c c 3 u c 4 x $3,00 ti Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 4 A R W .14 o g ro J ro 0 N $ yaui _ m u a M �Nroy OD M W 3 0 w .°c ul w ro ci W C 3 0 roN C7 i1 o as 'lec 1st I r ge (r 1 es 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (t) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number 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 $ REINSPECTION FEE ($10.00) Job Address 6019 NE Main Street apt 3 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 facts and representations stated in this application aro true and correct Fridley, Mn. 6-6-79 , 19 OWNER PETERSON KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 1. 6-13-79 ESTIMATED COST 40.00 OLD - NEW BUILDING PERMIT NO. PER14IT NO. Compa��Ei�' 0 Signed By MINNEGASCO Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE SUBJECT PE City of Fridley 16207 AT THE TOP OF THE TWINS BUILDING P E R M I T � t • COMMUNITY DEVELOPMENT DIV. r i PROTECTIVE INSPECTION SEC. �p' ® cp t . � CITY HALL FRIDLEY 55432 NUMBER DATE PAGE OF APPROVED BY 612-571-3450 910-F15 TREV. 5/28/81 JOB ADDRESS 6019 Main Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22,23 8 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ken Peterson 2441 Lyndale Avenue South., Mpls 871-0600 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Home Modernizers Inc. 4153 Minnehaha, Mpls 721-6474 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 Cil ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminum trim 9 CHANGE QF USE FROM TO STIPULATIONS 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 S0. 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 CER AT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNO E SAME BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OR INANCES GOV NING THIS TYPE OF WORK WILL BE COMPLIED $8.80.00 $.50 WITH W ETHER SPECIFIE HEREIN OR NOT. THE GRANTING OF A PERMIT Y DOPrNPRESUME TOIVE UTHORITY TO TE OR CANCEL T PERMIT FEE SACCHARGE P OVISI OF ANY OT ER TE OR LOSS L LA REGG $7.50 TRUCTIO ORT PERF R CE OF CO,NSTRU ION. PLAN CHECK FEE TOTAL FEE $8.00 �8i NA'WRE0 CTO OR AUT ADEN ID E) WHEN PROPERLY VALIDAO&ATED THIS IS YOUR PPERRIMIT a./�"% G BLDG INSP DATEr SIGNATURE OF OWNER IIF OWNER BUILDER) IDA I OWNER:/ ADDRESS: CITY OF FRIDLEY APPLICATIO' FOR t:[ SIU["NTIA1_ BUILDING PER141TS Alterations, Additions, or Repairs) TEL NO:��/ _ u � Q o BUILDER ADDRESS: TEL NO: 71 %__---� ' EZ� Construction Location ' STREET NO: D STREET: 464 ZZA- --7 LOT: BLOCK: •--f�---- ADDITION: Corner Lot: Inside Lot: Setba 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: Squane. Feet_ Cubic feet: Front: Depth: Height: Square- Feet: Cubic feet: Type of Construction: To $e Completed: Proposed Driveway Width If New Opening Is Desired: Estimated Cost:��� Alt. A Alt. B SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the uork'herein specified, agreeing to do •all work in strict accordance with - City of Fridley Ordinances and rulings of the Department of Buildings, and here de lares that all the facts and represen testi. irs s ated in this appl' a a are ue d -rect. DATE: SIGNIITUF.'r:: 5ta.pula ions b 0( SUBJECT RMIT City of Fridley 7649 AT THE TOP OF THE TWINS BUILDING P E R M I T _ i � • ___ COMMUNITY DEVELOPMENT DIV. t✓ PROTECTIVE INSPECTION SEC. !s3 9® CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J` 612-571-3450 910-F15 8/6/84 JOB ADDRESS 6015 & 6019 Main Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20, 21, 22, 2 8 Hyde Park SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Clayton Tarman 7209 Grand Avenue So., Richfield, MN 866-7702 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Durabilt Associates 7343 Ann Court, Eden Prairie, MN 55344 938-9350 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential (Apartments) 7 CLASS OF WORK (� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 221• Garage 9 CHANGEQFUSEFROM TO STIPULATIONS Provide a hard surface driveway. wARIING FOR Before digging call local 911140 SEPERA-rE PERMITS REQUIRED S IGNSr 71r11PHONE I ELECTRIC -GAS Eg: P UMBING AND HEATING, REQUIRED BY LAW 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 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 1 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 $5,425.64 $2.72 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 - $56.50 TION OR THE PERFORM NCE OF CON UCTION. y-4 PLAN CHECK FEE PLAN TOTALFEE $59.22 SIGNATURE OF CONI ACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY YAVDATED THIS IS YOUR PERMIT r SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI BLDG IN' TE Prepaid Plan Check $ Estimated Cost $ Receipt # /_A !x!16 Construction Addri Legal Description Property Owner/Ads Contractor/Addres�_ , Architect/Address: Reg.# Effective 4/1/84 City Of Fridley OTHER THAN R-1 AND R-2 Building Permit Application Engineer/Address: Reg.# Type of Work �fNew [ ] Addition [ ] Alteration ¢ USE OF BUILDING• APPLICANT SIGNATURE: Tel. #� Date: BUILDING DIMENSIONS Size of Structure y�? Length Width Height Sq. Ft. # of Stories �— OFC. AREA: Length Width Height Sq. Ft. WHSE. AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. VALUATION Sq. Ft. R $ Cost/Sq. Ft. = Valuation $ _ Sq. Ft. % $ Cost/Sq. Ft. = Valuation $ ) _ $ Sq. Ft. % $ Cost/Sq. Ft. = Valuation $ ) Total Type of Building Construction &yQ Occupancy Group Class. Zoning Air Conditioned [ ]Yes [ ]No Fire Protection System [ ]Yes [ ]No. Permit Fee $ S® See Fee Schedule on Reverse Side Plan Check $ �'— In excess of Prepaid Plan Cheek -See Back Pg. State Surcharge $ ��� $.50/$1,000 Valuation (See Sched. for > $1 mil) SAC Charge $ $425 per SAC Unit Park Fee $ ®� Fee Determined by Engineering Sewer Main Charge $ TOTAL $ 0 22 Agreement Necessary [ ] Not Necessary [ ] STIPULATIO.A A,,Jiba CiF.�.eJv Ok- a \ � 4 DIVISION / CO.MBINATION REQUEST 4' l Division - Municipality / Date Combination For taxe's payable in 19 CPO _ `• , !moi /R2�r/j Contract purchaser.: Taxpayer name: Address: PIN IAT BLK SUBDIVISION OR DESCRIPTION � Q ---b Note: If this is a request for a division of a tax parcel, the legal descriptions of the new parcels must be attached. QPee dwner J2] Contract purchaser Note: If the request is by a contract purchaser, the applicant must 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: -�S drr— Date: 7;4 Aj vile Tim. wW 6e.AO- i y Ir -L-00- - C.L�: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 S° Effective On January 1, 1999 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR .- 4_`136 H-9 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 I Rain Water Leader $ 7.00 I , 1999 Sump/Receiving Tank $ 7.00 ➢�� Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Je-tk cQ� Water Heater - Gas** ( $10.00 Building Used As Gas Range** Gas Dryer** $10.00 $10.00 Estimated Cost (�a '� PERMIT NO. L C� Back Flow Preventer Required ( )Yes () No McGUiRE & SOBS Type $15.00 PLUMBING COMPANY /1 605 12th Avenue South A I r ITT—RnnKinq ION RA _ Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE SIGNED BY Approved Byf !- Rough -In Date $ .50 $ PLUS THE $.50 STATE SURCHARGE TEL N0. 1 3k -T -S_ Final Date **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. J SUBJECT RMIT NO. City of Fridley 32570 AT THE TOP OF THE TWINS BUILDING PERMIT r R NO. � • COMMUNITY DEVELOPMENT DIV. SEC. r PROTECTIVE INSPECTION 0? 1 ; � T5� CITY HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 9t0-Ft5 5/8/02 JOB ADDRESS 6019-6021 Main Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 20-23 8 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joe Terry 6019 Main Street NE 612-328-4710 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Jobe's Construction LLC 25426 Grail Ct, Wyoming, MN 55092 612-685-8893 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20216480 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Duplex 7 CLASS OF WORK O NEW O ADDITION O ALTERATION J3 REPAIR O MOVE : O REMOVE B DESCRIBE WORK Reroof Duplex (30 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must meet the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TXP OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 2 STALLS GARAGES AND KNOW THE SAME TOPE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GO FINING THIS TYtf OF WORK WILL BE COMPLIED $ 3,216 $1.61 WITH WHETHER SP FIED H EIN O OT. T GFIANTING OF A PERMIT OT_ DOES NOT PRES E TO E A VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS O ANY ER TE OR CAL LAW REGULATING CON- $97.25 Fire SC $3.22 ST CTION THE RFO ANCE OF ONSTRUCTION PLAN CHECK FEE TOTAL FEE LicenS $5.0 07.08 SIGNATURE OFC N'RACTOR OR AUTHORIZED AGENT IOATEI N ROP 19 64 G INS VALIDATE THISI$ 'u 4 PF.RMIT FIATE $-GNATURE OF OWNEROF OWNER BUILDER, IDA TEi J NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Qlq /l/9 f:5'tft�g p Legal Description: Owner Name & Address: G Tel. # 61d- 3OF+/?1O Contractor. //he� ro Gr% MN LICENSE # ® O Address: r�li� t1woL 1.7 'j;4) Tel. #6Q -6;F5 --7W3 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 I Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Le width Hgt/Ground S{gq.. Ft OTHER: / %, f.Q a4 / �'w- Construction Type:LYJ�� - � � Estimated Cost: $ � Driveway Curb Cut Width Needed: Ft + 6 Ft t x $ =$ DATE: J - 0 —®0'A APPLICANT: yor Tel. Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] Not Necessary [ ] TOTAL $ /09 -op) STIPULATIONS: