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PRE 2010 DOCSCity of Fridley PERM i2-- 40suBaECT AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT NO COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. V CITY HALL FRIDLEY 55432 If ,�� NUMBER REV. DATE PAGE OF APPROVED BY """ 612-560-3450 8i0-F15 7/1873 JOB ADDRESS 221 Mercury Drive N.E. 1 LEGAL DESCR. LOT NO. 6 BLOCK 1 TRACT OR ADDITION SEE ATTACHED Plat 4, Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE C. J. Corporation 701 Columbia Boulevard 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 I$ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Construct 46' x 26' Dwelling and 22' x 26 Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. SEWER LOCATION: 9' Southeast of Manhole (Inv. 837.53) WYE ELEW: 837.83 TOP OF FOOTING: 840.83 Minimum WATER LOCATION: 15' N.W. of Sewer Service SEPERATE PERMITS REQUIRED FOR MIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 1196 23,920 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 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 10.70 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $21,398.52 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. 44.00 275.00 PLAN CHECK FEE TOTAL FEE $329.70 SIGNATURE OF CbrACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VA I TED THIS IS YOUR PERMIT (IT a' n . /Csj SIGNATURE OF OWNER (IF OWNER BUILDER) )DATE) BLDG )NSP DATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: C.J.Corp. BUILDER: C.J. Corporation ADDRESS: 701 Columbia B1vd.NE. ADDRESS: Same NO :4 , �A_.2.� STREET • / LOT: 6 BLOCK: 1 ADDITION: Plat 4,Sylvan Hills CORNER LOT: INSIDE LOT: X SETBACK: 371 SIDEYARD: 10 & 28t 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: Res Front: 46 Depth • 26 • Height • d • Square Feet: 1196 Cubic Feet: 1-2 Qa? Q - /o7wz- Front: Depth: Height: Square Feet; Cubic Feet: /J -v Type of Construction: Frame Estimated Cost: $ 29j900*00 To Be Completed: 10/15/73 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. DATE: 7/17/Y3 SIGNATURE: / (See Reverse Side For Additional Information.) SAC. 00 D U /7 0 9 ° - � Land Planning 6875 Highway No.65 N.E. Land Surveying i ( /+ Minneapolis, Soils Testing ) �L'• Minn. 55432 Civil Engineering Telephone 784-6066 Municipal Engineering Engineers & Surveyors Area, Code 612 Certificate of Survey for C.J.--coroorDfion 00 D inch, so (LEL a .Y P ° DQnofeS iron monumen} _U JULY , IM p Lo G dock I- .19 �P Q. SYLVAN -HILL; D� PLAT 4 Anoka Coun I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location of all buildin s, thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this day of// A.D. 19�� SUBURBAN ENGINEERING, INC. Engineers Surveyors t L3.42 by .'(="` r O J J JI:j: 8 s `�rr13 i i e 111 . -91is ®a GAS [LEC. PARTIAL RATE SCHEDULE City City of Fridley: The undersigned hereby makes application for a permit for the work here!, specified, agreeing to do all work in strict accordance with the City Ordinance and waling of the Department of Buildings, and hereby declares that all the fact and representations stated in this applicatjgq argl true and correct Kind of Building Q Used as Cesspool PLQMBING FIXTVRE RATES. NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ....... • ... x $1.50 i New Fixture Old Opening .......... x $1.50 : Catch Basin .................... x $3.25 : Water Heater !Up to 99,000 BTU) • • • • x $3.00 i —3-00 New Ground Run Old Bldg......... x $3.25 $ Electric Water Beater .............. s $zoo $ GAS FITTING FEES. NO. RATE TOTAL J. C) 1st 3 Fixtures ............... �— x $2.00 $ Additional Fixtures ................ : i .75 $ Gas Range to 199,000 BTU ............ x $5.00 $ State Surcharge $ .50 RE RAMS it ALTERATION8-1tater to Coda _ Demrlption............................................$ TOTAL TSE g=1 Q - To be completed about / to. v ✓ r Estimated Cost, $ Old—New. Building Permit4No. Permit No. ® � Signed By Business Phune No ROUGH FLMAL - ;?. 7 - I9_ Application 4br Power Plaints and HOWIE , Cooling. Ventilatte. Ref lgeralioa aid Air CondltionIng Sydens aid Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIA: RATB TOTAL Furnace Shell & Duct Work ................ .. $10.00 $ Replacement of Furnace .. . ..... ..... .. 6.00 $ Repairs & Alterations—up to $800.00 6,00 $ Repairs & Alterations each add. $800.00 3.00 MECiL WARM AIR Furnace Shell &Duct Work to 120.000 BTU ...... ..$10.00 $ s� 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 2.00 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 GAS BURNER (up to 199,000 BTU) 8.00 $� over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOL 1st 3 Fixtures x$ 2.00 Additional Fixtures x .75 $ Gas Range to 199,008 x$ 5O0 $ AIR COIewulzi 1dDfa $ FAN HEATING SYSTEM Seo Fee Schedule YIGiTII.ATIIIG SYSTEM ALTERATIONS It REPAIRS TOTAL PM aT ROUGH Fnau— -3-75z (SURCHARGE $_.50) Dept. of Bldgs. Phone 860-3M �/;//y Am JI 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 farts and representations stated in this application are true and corr'eet. dley, Minn i Owner Kind of Building Used as To be completed about ___.. /�® Estimated Cost, �p Old Ne Building Permit No. Permit No. 5`78 0 16) } 0i & .. • 1 HEATING or P07FR PLANTS–steam, Hot Water, arm Air No Trade Name ����� Siae N J Capacity 4IN7 Sq. Ft. E.D.R ® +� BTU H.P._y Total Connected Load �ZVKind of FueI ;Lr 4� BURNER — Trade Nam Capadde 7 ty Sq. Ft, E.D.R BTU Np (REMARKS—OVER) Sipa RAY R�1�fjdELTER HEATING M463 a CHICAGO AVM By to NNW_0U.% MIMMOTA Business .Phone Alo_� 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 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ Dept. of Bldgs. Phone 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. idley, Minn M-11 19�� Owner Kind of Buildingf�/!%%�� Used as i01f)Z 4 /�J(2 0 STEAM or HOT WATER SYSTEM To be completed about Atc:" /Z*O' Furnace Shell &Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Estimated Cost, $ Furnace Shell & Line—to 640 sq. ft. EDR, Hot Water .. 8.00 $ (a—New. Building Permit No. Permit No. Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water ..... ............ 2.50 $ DESCRIPTION OF WORK OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule HEATING or POWER PLANTS --.Steam, Hot Water, Warm Air—No GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ Trade Name Size No GAS FITTING FEES: NO RATE TOTAL Capacity Sq. Ft. E.D.R BTU H.P. 1st 3 Fixtures ...................... x $1.50 $ Total Connected Load Kind of Fuel Additional Fixtures ................. x .50 $ BURNER — Trade NamP Size No Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING L­� $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL -e—/_2- , / Cf Capacity Sq. Ft. E.D.R BTU H.P. fo::2�-e CdA9 of no Ajex . - d� �°'�'� - je ogr�le! — WgiF N, WEL E r r, H"EA I INN Q:, o Signed 4627 CJi4_'44*9 Agr= MINNEAPOLIS, MINNESOTA By 4 z Business Phone No 0� (REMARKS -OVER) r CITY OF FRIDLEY PERMIT o.: 2004-01689 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/29/2004 ►63) 572-3604 FAX: (763) 571-1287 ADDRESS 221 MERCURY DR NE PIN 143024320022 LEGAL DESC SYLVAN HILLS PLAT 4 LOT 6 BLOCK 1 PERMIT TYPE BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK VALUATION : $ 2,148.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 6'X 8' AND A 10'X 12' DECK. STATE LICENSED CONTRACTOR 1 APPLICANT CONSTRUX BUILDERS REMOD 20453544 PO BOX 49243 BLAINE, MN 55449 - OWNER KIM BER JAMES D 221 MERCURY DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulatin �co.n—s� ction r�tperf�oceof construction. per'` Appli��, Date 3`lS / BUILDING PERMIT FEE 83.25 PLAN CHECK FEE 54.11 FIRE SURCHARGE 2.15 STATE SURCHARGE, VALUE 1.07 LICENSE SURCHARGE 5.00 TOTAL 145.58 PAID WITH CHECK # 5210 Bldg Insp Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [) CITY OF FRIDLEY �&_66 / Iq Effective 4/1/2004 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fa BUILDING PERMIT APPLICATIONX L/ l� ti Construction Address:t- f Legal Description: VGA-',- Owner GAOwner Name & Address: Tel. # 26 3 S -3 0 Contractor. MN LICENSE #�� 3 Address: P - ®x �l '�� Tel. # aL --7 !S1 - "•)t4-7-3> 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 5- Sq. Ft OTHER: 6' Construction Type: Estimated Cost: $� z�a�a Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: AS 04 APPLICANT: ` Tel. # �b Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ , Fee Schedule on Reverse Side $ .7J4 , 65% of Permit Fee $ I .001 of Permit Valuation (1/10th%) $ o $.50/$1,000 Valuation $ $1350 per SAC Unit $ -60 $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 $ I H S �S STIPULATIONS: O w ©:E sfW� 01 (6' C � < 4 C7 - m rin Ln, p C� k O L� 0 Ll - _... .. CA O w ©:E sfW� 01 (6' C � < 4 C7 - m rin Ln, p C� k O L� 0 Land Planning Land Surveying Soils Testing Civil Engineering Municipal Engineering Mortgage .Ff'WaltAWn 6875 Highway No.64 N.E. t • • �f Minneapolis, ��jL(�LllRl'1�y2�� �ly2C• Minn. 45422 Telephone 784-6066 Engineers & Surveyors Area Code 612 Loan Survey for V. 3, Corporatioti a%4 °\ e7 .` 1uq, 1913 -1 LQIBLOCL qYLVAN HILLS -PLAT 4., G Anoka County This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is un4erstood and agreed ng monuments have been placed for the purpose of establishing lot linea or boundary corners. Dated this_j`day ofj4j� A. D. 19_n. SUBURBAN ENGINEERING, INC. L a2 Engines % Su ry yore an by!' - 4CG Or