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PRE 2010 DOCSSUBJECT PERMIT City of Fridley 11 ���� AT THE TOP OF THE TWINS BUILDING PERMIT • r NECEIPT r COMMUNITY DEVELOPMENT DIV. ( ---- -- �: PROTECTIVE INSPECTION SEC. � � ggLlgoe/ 1 NUMBER REV. DATE PAGE OF APPROVED BY =� �'--1 CITY HALL FRIDLEY 55432 612-560-3450 910-F15 2/24/75 JOB ADDRESS 201 Mercury Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Sylvan Hills Plat 5 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Milo J. Mannino 2818 Northway Drive 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pendzimaz-Hallen Construction Co. 5740 Brooklyn Boulevard -7-ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 25' x 411 Dwellinci,and a 28' x 24' Garacie 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. SEWER LOCATION: 51' East of Manhole (E. Inv. 837.64) 0-ji's Wye Elev: 838.71 ® Ca,q- Top of Footing: 842.71 Minimum 0 r,! WATER LOCATION: 10' East of Sewer Service V (Services off Satellite Lane) 5OR WRING, PERMITS REQ! IRED SEPERpfiE AND SIGNS. "FATING, PLUMBING TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 1066 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, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $27,908 13.95 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. $53.00 $325.00 PLAN CHECK FEE TOTAL FEE $391.95 GNAT RE ftONTRACTORO�THORIZEDAGENT (DATE) WHEN PROPERLY ATED THIS IS YOUR PERMIT �. SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG. INSP DATET- i APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: Milo J. Mannino BUILDER: Pendz imaz-Hallen Construction Co. ADDRESS: 2818 Northway Dr. ADDRESS: 5740 Brooklyn Blvd NO:. 201 STREET: Mercury Drive LOT: 1 BLOCK: 2 ADDITION: Sylvan Hillsi�P pct 55 CORNER LOT: X INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Single family dwelling house Front:_ 2 • Depth: 411 Height: 12• Houses 8528 Square Feet: 1066 Cubic Feet: Basements 8320 garage Front: 28' Depth: 24, Height: 8' Square Feet; 672' Cubic Feet: 5376' Type of Construction: wood frame Estimated Cost:_$ 40.270.00 To Be Completed: 120 days The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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. � sGam/ DATE: 9 / ,/ ?A�5SIGNATURE • (See Reverse Side For Additional Information.) 6 �+ ..Oe i y' P L AGREEMENT DATE i/.4:fx� the owner of the following described pro erty ,` � �/. Of Hereby agree to pay in cash $ , "� � ?!f ,` to the city of Fridley to cover ' my proportionate share of the utility system, or in lieu thereof agree to have the City levy an assessment against the property described above to cover the cost of my proportionate share of t6 utility system as pro- vided in Section 2 of Ordinance No. 113, passed by the Council of the City of Fridley on December 11 1958. 007 --.0p FR'S SIGNATUR �.'40 Tapping Permit No. a • � A 9 CHERRIER WWER & ASSOCIATES INC. REGISTERED PROFESSIONAL a LAND SURVEYORS SUITE 306 I VILLAGE NORTH P0104S$IONALOLDG 7420 UNITY AVENUE NORTH BROOKLYN PARK. MINNESOTA 55 43 Certificate of Su T 4.r PROPERTY OF Pendzimaz Hallen ConstructCo, .. .......... .... . ..r... .. T.... ,. described os bllorrs..............�•4t.. ....� O.C.M..�..:. SXI�V.A ..Iii S.-FLA,T..5,..:Oaunty....of.. ................... _...... Anoka�..State. o.,.n�i4Boti�....... ... .. ...............:........... ................................................... .. ..... .............. ... . ....... .�..• .... r --- - SATELLITE L ANS N 89 S2 1#04t --MI. 78— T=30 '8_T=30 '�. y �` pRoPo�l►� Hot-L�,i; ` �' f� tt�i�►';cx.� � I�F}�+2 846.5 Q 6 � •� ai•SS _ 7 vc� I ,•'aV QQ :3ftrz , I hereby certify that, this survey, plan, or report was prepared by me or Scold: i ink under my direct supervision and that I etn a dint RpisNred Land Surveyor • — In~" holy Mommnt Set under, the J�ws of the State of Yirnneaota. O — bdioetes Irm Nomriftext Fb" / ., '......................................................... eoeR.......Page .......... No.. 320 Date..t .' ..... Rog. No.,9dtii - - (..5� l�v�c es �i OF � /Y/, r L 0 2 rr% N 9 N City of Fridley pQiccNaam hr SumMag and G= �NOung Permft Dept. of Bldgs. Phone 560-3490 DESCRIPTION OF WORK Number, Kind and Location of Fixtures • Future Connection Openings + New Fixture, Old Openings PARTIAL RATE SCHEDULE 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 application are true and correct Owner Kind of sppool Cesser � Used as PLUMBING FIXTURE RATES: NO. RATE TOTAL 8111mmuMMMMMM1111 x $2.00 $ 6 Future Fixture Opening ........... x $1.50 $ . New Fixture Old Opening .....:.... . x $1.50 Catch Basin .................... x $3.25 $ Water Heater :Up to 99,000 BTU) .... J x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water heater .............. s $2.00 $ 3AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ................... �_ x $2.00 ; ,-2 Additional Fixtures ................ x $ .75 $ Gas Range to 199,000 BTU.. . ,........ x $5.00 ; • Future Connection Openings + New Fixture, Old Openings PARTIAL RATE SCHEDULE 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 application are true and correct Owner Kind of sppool Cesser � Used as PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $2.00 $ 6 Future Fixture Opening ........... x $1.50 $ . New Fixture Old Opening .....:.... . x $1.50 Catch Basin .................... x $3.25 $ Water Heater :Up to 99,000 BTU) .... J x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water heater .............. s $2.00 $ 3AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ................... �_ x $2.00 ; ,-2 Additional Fixtures ................ x $ .75 $ Gas Range to 199,000 BTU.. . ,........ x $5.00 ; To be a r Fridley, Minn o 1�� Estimated Cost. $�=✓/�� '' Old—�� Building Permit No. Permit No. (0457 SignedBy i Business Phone ROUGH FINAL REPAIRS # ALTERATIONS—Roter to Cod* .50 State Surcharge Description ............................................ ; TOTAL FEE A-iF-- 8t - ro for Power Pkwh and HeathM Cooling. Ventilations Refdpration and Air Conditioning Sydems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: HATE 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 $ la f Z each add. 60,000 BTU .................... .. 3.00 i Replacement of Furnace ... 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 &00 $ STEAM or HOT WATER SYSTEM $ AIR COlfD1T=ONENG Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 FAN HEATING SYSTEM See Fee Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00Each ALTERATIONS S REPAIRS add. 320 sq. ft. IDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ — over 3 gal, per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) 6.00 $ v over 199,000 BTU See Fee Sehsdnb GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 200 $ Additional Fixtures x .75 $ Gas Range to 199.000 x$ 5.00 $ AIR COlfD1T=ONENG $ FAN HEATING SYSTEM See Fee Sehadale VE ITILATING SYSTEM $ ALTERATIONS S REPAIRS TOTAL FEE a ROUGH FINAL f - al - Z� (SURGHARGE $_,.50) Dept. of Bldgs. Phos 8804480 Locafiea 201 Mercury Drive 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 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. Fridley, Minn lg Owner Pendzimaz & Hallen Kind of Building .�Framt% Used as To be completed about Estimated Cost,_- Old—NewXBuilding Permit No. Permit No. L3 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam. Hot Water, Warm Air2LNo 1 Trade Name Lennox Size Ne G1203-.110 Capacity Sq. Ft E.D.R_ 110 , 0 0 0 13 ..ff H.F.. Total Connected Kind of Flet Nat.Gas BURNER — Trade No size No Capaci Sq. Ft. EMD R- BTU SIP: (REMARKS -OVER) Sim Mill City Heating Co. Bladness Pti=e pa 544-1501 e q' 1}96 HEAT L®SS CALCULATIONS DEPARTMENT OF cNsprx;"iloN Construction No. Insulation Weatlasrstrips , *� � How Appli lindawe' 'Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind 19 Width Height t�bte �e gth Widt fight ' Fl. Dom Length it�• �' racks e and Area Windows and Dots—C g Windows and Doors—Crackage an Area R,Idth Height No, of Lineal ft. Area width Height No. of Lineal ft. AreaJA No ° e of Ights of crack sq. No of pa of pane —:— 11 hts of er4ck sq � Oe _ Infiltration Glass Exp. Vw �"' , Net eall Int.wallp--- Ceiling Floor Total Btu. Requir sq. ft. E.D.R. or sq. ins. W.A. ader area ` Fl / Room Length Width Height t Windows and oors—Crackage and Area MelWidth of, Linoal ft. Are e o t N to of crack sq. t. ATa oe Coef. Btu Glzw:a:::�_ Net exp. wall Int, wall Ceiling F•lnnr AVW1;n1dows . ft. E. R. or sq. ins. W.A. Leader area aom Length Width and Doors—Crackage and Area C" Infiltration O Glass ew-ap, wall `✓C� 9 Net a:p. wall Int. w 11 Ceiling Floor a Tot 1 Btu. Required aq. ft. E.D.R. or sq. ins. VA. Leader area in ! Room I Length width Windows and Doors—Crackage and Area eal ft. Ar width ° Helgnte tlshts of crack SQ. f No. of pa e I I Infiltration t 9W Gla5s Earp, wall Net exp. wall Inc. wall Ceiling Floor Total Btu. Required sq. D R. or sq. ins. WA. der area Fl. m 1 Lengt ® .o°1Width Height Windows and Doors•--Crackage and Area Width No. of p e HatBOe It�ht0 Ll of cr l ft- ►//�/ j/ V. IJ 96 HEAT LASS CALCULATIONS DEPARTMENT O� INSPECTION Insulation Construction No. Weatiteratrips _ GuideHow Applied Wind ivs Doors Reference Out. Wall Int. Wall Coiling Roof door Kim es-- e ngth Width He' t F1•I Room Length Width Height Windows and Doors.–Crackage and Area ,. Windows and Door rackage and Area Width Height No. of Lineal ft. Area �p lYldt He1Bht No. of Lineal tt. Area No of a ne 11 Eta of crack aa• t• No. 0f pane o ne ieshee of cra aA t f s �J Infiltration Glass Exp. wall Net exn. wall Total Btu. Rte' ed D . or sq. ins. W.A. ader area oom Length idth 'Height Windows and Doorackage and Area Width Height No. of Lineal ft. Arei /) Na oY pan a ll�hts of crac (40 r _ ::j_- Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling -o Floor /097 Total Btu. Wutdows and Infiltration Glass Exp, wall Net exp. wall Int. wall Ceiling Floor 91�- Total Btu. Requi d sq f E.11-11. or sq. ins- WA. der area Fl I Length /...Width 'fle►ght s Windows and Doors—Crackage and Area Width No. of Dane Hefgbt 1 hoof Leal o ta of crack SQ. 8 Infiltration ffjoAb� Glass r_ Exp. wall p ("e i ::7 ::1 ' Net exp. wall Int. wall Ceiling Floor r" Total Btu. f ins. W.A. ader area equir ft. E.D. . or aq. ios. W.A. der area r ngth Width —Height FI. mn I Length idth Height .kage and Area Windows and pooh—Crackage and Area 1 K Lineal ft. Area %%/.''��� Width Height No. of Lineal ft. Area 0 of crack e0• No. of Dalle s 11 fits of e k M. Infiltration Glass ��--�-- Exp. wallNet exp. wall Int. wall Ceiling 0 Floor Total Btu. SUBJECT MIT NO. City of Fridley 5089 089 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. L ^ �(7' r 1 PROTECTIVE INSPECTION SEC ,,[� Jj� i CITY HALL FRIDLEY 55432 ✓��_ v NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/23/97 JOB ADDRESS 201 Mercury Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Sylvan Hills Plat 5 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virgil Voeller 201 Mercury Drive NE 571-3103 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION j7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (23 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,897 $.95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE T AL EE $ .35 SIGNATOR ON'RACTORORAUTHORIZED AGENT IDATEI rp Q VALI THIS IS Y UR PERMIT SiGNATU OV OWNER BUILDERI IDATEI BL INSP GATE NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 'ZC1 /q e r4 Legal Description: Owner Name & Address: 1,ll� 0 e Ile /' Tel. # S 7/- y -3 Contractor: A MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Re- to o 'c Te 4 r' - Z 32 �y Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ (Fee Schedule on Back) Ft x $ _ $ DATE: S- 2 3 - 9 7 APPLICANT: �/,',-•� ' / Ilele Ile L Tel. # S' 7/ --3 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 $ $950 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: Building PLUMBING Permit N ►' �� Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX "p EFFECTIVE7-1-2010 DATE ® YOUR E-MAIL AWRESS SITE ADDRESS 01 Me C "IC- V ('- t THIS APPLICANT IS: ❑ OWNER CONTRA OR PROPERTY NAME; s ADDRESS: CA. ` /ey STAT /VZT� OWNER/ TENANT PHONE: CONTRACTOR NAME; ` LL STATE LICENSE # C% G� EXP DATE I / SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF SIP ADDRESS: � CITY �Sc��s TATE i�_ZS_S3 INSURANCEFAX PHONE J0-3—,571- ® S 1-) 7G 3 ` !:t 5—L-5 — 7 'h& PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑'REPLACEMENT DETAILED DESCRIPTION OF WORK!s c FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINIULAV DRAINS —SHOWER _ WATER PIPING _ _FLOOR GAS PIPING (NEED CITY LIC) _ SWIMMING POOL —WATER SOFTNER ($35) —BATHTUB _ KITCHEN SINKWATER CLOSET _ BACKFLOW PREV. ($15) CLOTHES WASHER _ _ _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION —DISHWASHER _ WATER METER OTHER Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge $ 5.00 0Ll $40.00 Total = $ ().100 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 Se of all w wh q1 review and approvfplans. SIGNATURE OF APPLICANT PRINT NAME ATE APPROVAL INSPECTORS SIGNA PLEASE NOTE: SEP TE PtMTS ARE RE U1RED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 3,-3k, 91