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PRE 2010 DOCS-;2 S// City of Fridley, Minn. BUILDING PERMIT N® 6993 Date: - ' —s 1 Owner:!9Builder Address Address LOCATIOId 0,AF BUILDING No. Street _ _� Part nf t Lot --Block Addition or Sub -Division Corner Lot _ Inside Lot _ Setback,? ideyard _— Sewer Elevation 0 __. _ Elevation d 4 y 'Tc ;' o r Pec Tl ty DESCRIPTION OF BUILDING U FrontDepth �Height �� Sq. Ft. /All Cu. Ftz Front Depth Height Sq. Ft. Cu. Ft. 6 do Type of ction t. _ �`To be Completed In consideration of the issuance to me of a permit to construct th uilding d cri above I agree to do the proposed work in accordance with the description above set f in co a with 11 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $. �"� , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any pari thereof, shall conform in all respects to the ordinances of Fridley, Minnesota reg location, construction, alteration, maintenance, repair and moving of b.41.44-- within uilding wi n the city limits and permit maybe revoked at any upon viole�tion of any of the provisions of said Building Inspector NOTICE: This permit does not cover the construction, hwaman for wiring, plumbing, gas h.aftog, sower or water. Be giro to ae the BulWW lespeetor for apm to permiis for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA CLEMRON, INC, Owner's Name Builder GENERAL CONTRACTORS "29 or,11jairlin St. N. ru Address Address Minneapolis 18, Minn. LOCATION OF BUILDING No. Street Part of Lot Lot d%Vl Block Addition or Subdivision Corner Lot Inside Lot z, Setback, & Z Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be iised as: PV DeDth 10 He /Ioslw y Sq. Ft./ ZAMA-1F - • Type of Construction ____Estimated Coo To be Completed C' /offzn2f' 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 applicatgon are _true and correct. DATE SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) ;i• City of Fridley Application for Plumbing and Cas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Find and Location of Fixtures Locatio W NO. RATE TOTAL y <<Z = O W u1 $� UN' u1 Z F N WATER HTR. GAS ELEC. 3 x 3.25 Vi; Water Heater (Up to 200,000 BTU) ...... D Q a� U New Ground Run Old Bldg . ............ qq Ua' a <� a' `U' Q r Base 1st 2nd 3rd 4th • Future Connection Openings Connected with * New Fixture, Old Openings I Sewer Cesspool 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 $ -7,99 New Ground Run Old Bldg . ............ x 3.25 $ 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 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ D 0 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 andAcorrect. Fridley, Owner Kind of Building Used as C To be completed about_ Estimated Cost, Old—New. Building Permit No 94i Permit No.�� Signeri P By Busin Phone — ROUGH `i FINAL d2 21M APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA l OWNER'S NAME �� � BUILDER 1., LOCATION OF BUILDING ��� Street Part of Lot LOT R ADDITION OR SUBDIVISION Corner Lot Inside LOT Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION,.. Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth4height Sq. Ft. Cu. Ft. Front Depth _Height Sq. Ft. Cu. Ft. Type of ConstructionEstimated Cost To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City 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 SIGNATURE I ' C/" . (Schedule of Fee Costs can be found on the Reverse Side). SUBJECT R_MIT N of Fridley 16 0 61 AT THE TOP OF THE TWINS BUILDING P E R M I T rpCity RECEIPT NO tr ______ COMMUNITY DEVELOPMENT DIV. SEC. r PROTECTIVE INSPECTION (D/% ; CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/9/81 JOB ADDRESS 234 Mercury Drive N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Donald W- Howard 234 Mercury Drive N.E. 571-2114 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Ck ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install fireplace and Bxi.ck. Front of Duelling 9 CHANGE OF USE FROM TO STIPULATIONS call local Ilion GAs Etcs ELECTRIC ` ELore 4E iEPHaNE " B1 LAy, SEPERATE pERMITS REQUIRED FOR -fF'4T?rqG, PLD&1BIIVc AND SIGNS,lN1k��t��� 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 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 $2,000 $1.00 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- 12.00 5TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $13.00 SI ATUREOFCONTRACTOR RAUTHORIZE NT (DATE) WHEy„PROPERLY VALIDATED THIS IS YOUR PERMIT SiGNA7URE OF WNE (IF OWNER BUILDER) IDATEI BLDG INSP D E CITY OF FRIDLEY APPLICATIM FOR RESIDENTIAL BUILDING PER14rrs (Now, Alterations, Additions., or Repairs) • OWNER: AGS _--w W CLI� UUI LDI:R : �L L ADDRESS: �� %��� tom- fes.- ADDRESS: TEL NO: 3 �` c� `�' TEL NO: . Construction Location STREE, T NO: STREET: Kv--,Q L% LOT: � BLOCK: � ADDITION: `� ►�lU ti �.l LLS p��T 't Corner Lot: Insiae Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey, of lot and proposed building location drawn on certificates to scale. DESCRIPTIO14 OF CONSTRUCTION Front: Depth: H eight: Square.Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: _ -bdZ`c_K_ l Type of Construction: t I R -L f LAC -C F)&& 7 Estimated Cost: $ To Be Completed: �/3 6 l �` 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 %:nrk- 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. DATE: �1 q' %I SIGNATURE Stipulations. - 0 6 Pr N 0 tipulations: C leu v 13, 0 CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 A 6431 University Ave NE 116 Fridley, MN 55432 APPLICATION FOR POWER,PLANTS AND HEATING, COOLING, VENTILATION, �- 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE JOBADDRESS 7-3 V/VI<'g Umy MINIMUM FEE FOR ANY HEATING/COOUNGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner, HEATING COMPANY 694Stl Signed By_ 'I� Tel No. 536 -o &G Approved By Rough -In Date Final Date FILL OUT BACK SIDE R STACK VERIFICATION ON REPLACEMENT FURNACE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in. strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent - Fill Out Back) y 19 97 Gas Piping (Needed with new furnace) $10.00 $ OWNER. C #OiC5 4;6 Gas Range $10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ ESTIMATED COST ua PERMIT N0. /_36,/ *Air Conditioning -All Sizes $ 25.00 $ Z3-, �' ./'00, &,-',J``A #SZ7-- oozy' Zia -i '" `� � DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work ` $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge .50 Burner Trade Name Size No. TOTAL FEE Z�5$ ra� BTU HP EDR . MINIMUM FEE FOR ANY HEATING/COOUNGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner, HEATING COMPANY 694Stl Signed By_ 'I� Tel No. 536 -o &G Approved By Rough -In Date Final Date FILL OUT BACK SIDE R STACK VERIFICATION ON REPLACEMENT FURNACE n , Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHEWNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. . Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ! ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER -. 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 August 9, 2000 Carla Hofstad 234 Mercury Drive NE Fridley, MN 55432 Re: Final Inspection at 234 Mercury Drive NE Contractor: Marsh Heating and Air Conditioning Dear Ms Hofstad: A mechanical permit was issued on May 14,1999 for the property located at 234 Mercury Drive NE for an air conditioning unit. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical system. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAVE ANSEN Build' Inspector 1� suejEtr P RMIT NO. City of Fridley 8965 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. � `v ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. ��� f : PROTECTIVE 1 . � NUMBER REV DATE PAGE OF APPROVED BY E"'1 CITY HALL FRIDLEY 35432 ti--"A 612-571-3450 910-F15 3/2/99 JOB ADDRESS 234 Mercury Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ( Z 1 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hofstad 234 Mercury Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Citywide Home Improvement 1005 West Broadway, Minneapolis, MN 55411 529-2489 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 3013 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair damaged siding on one side of dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 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 $500 $.50 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- $21.00 Fi $.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION VSC PLAN CHECK FEE TOT FEE Licen5pelc $5. $27.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi PER MEN ROP VALID E TH3_YOZ� S-GNATUREOF OWNEROF OWNER BURDERt IDATEI B iNSP - OA TE 1� 'NEW[ ] (y Effective,1/1/9$ ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUWLEXES' R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:. Legal Description: , Owner Name. & Address: Tel. # Contractor: MN LICENSE # Address: Uj , '�j� �� ( Tel. # Attach to this application, a Certi�lcate 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: ZM. k2f'-b_� Construction Type:Es ted Cost: $ y (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: "l APPLICANT Tel. CITY USE ONLY Permit Fee $ e--� % a Q Fee Schedule on R6Verse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ Q $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review �i Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement. Necessary [ ] Not Necessary [ ] TOTAL $ �� STIPULATIONS: i SUBJECT PERMIT City of Fridley 921 1 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RI<EET ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ,/�� e / !0 j T � , NUMBER REV DATE PAGE OF APPROVED BY f CITY HALL FRIDLEY 55432 L J` 612-571-3450 910415 4/14/99 JOB ADDRESS 234 Mercury Drive NE 1 LEGAL LOT No. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Phil Hofstad 234 Mercury Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New Haven Construction 4208 83 Avenue N Minneapolis, MN 55443 566-5225 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20077950 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION 1 REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof House & Garage (19 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,628 $.81 DOES NOT PRESUME TO GIVE AUTHORITY TO VIO ATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVIS SOF ANY OTH STATE OR OCAL REGULATING CON- TRU TIO OR THE PE O MANCE OF DNST U ION @ $54.00 Fire SC $1.63 PLAN CHECK FEE TOTAL E C 4J, Licens $5 0 $61.44 NATURE OF CON•RACTOR OR AUTHORIZED AGENT ID E EN R P Y VALIDATED HIS IS YPU4 PERMIT de / BLot.INSP - f NATE S,GNATURE OF OWNER,IF OWNER BUILDERI IDATEI Rpr 14 99 12:31p Kerri 566-7183 p.1 APR -14-1999 11:34 FROM CITY OF FRIDLEY TO 5667183 P.01i02 1 , ADDN CITY O1+ FMLEY AADt D ALTER [) SINGLE FAMMY AND DUPLEXES R-1 AND R-7. BUILDING PERMIT APPLICATION q ConstructionAddress.,,23 /YIe/'_ez d� 1'&�1'� f Legal Description: Owner Name & Address: ozilD f u _ Tel. # Contiactor: MN LICENSE # 2 -CQ 7 7 Address:�� i ,. 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 �1 Height Sq. Ft. DECK AREA: Length �.� Widch Hgt/Ground Sq_ Ft. O'f14�R: Construction Type: /4 G �=- �200� _ Sst tedrOSf• $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $. = $ fl� �i 1 APPLICANT: tit'iS 11/ 1 Tel. # DATE; f ITY USE Permit Fee $ UU Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ $.SO/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review padc Fee $ Fee Deternined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Nccessary t I TOTAL $ 6"`-7 STIPULATIONS: 010 SUBJECT PE City of Fridley 32212 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. 6-3604 72 RECEIPT NO. �6 �� f PROTECTIVE INSPECTION SEC. NUM9ER REV DATE PAGE OF APPROVED BY �� 11 i CITY HALL FRIDLEY 55432 IL---- A ; J`% 612-571-3450 9:0-F15 10/2/01 JOB ADDRESS 234 Mercury Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Phil Hofstad 234 Mercury Drive NE 763-574-9438 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] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install a bay window 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN W 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 $3,500 � $1.75 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- $97.25 Fire SC $3.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F E $1,02.50 SIGNATURE OF C. TRACTOR OR AUTHORIZED AGENT IDATEI N P P R LIDAT T IS IS YOUR PERMI L� �� 4 BL G NSP lam- - I ATE S,GNATURE O� O,NNER„T OWNER BUIL DER, IOATEI I' 010 NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Z z q M ERC'. Sd b.p,. WE Legal Description: Owner Name & Address: 1'141L &r:fM 1 t) Tel. # Contractor: sttl F 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: Construction Type:ADD SAY IN) 7JnOW Estimated Cost: $ SGOO Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: (a LOAPPLICANT: 4 r Tel. #-763- 5 l -9Y 3;9 11 / CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ .3. -50 .001 of Permit Valuation (1/10th%) State Surcharge $ 475— $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ t $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 $ /� ;1 • ✓;0 STIPULATIONS: SUBJECTP -_�xa� City of Fridley 33130` AT THE TOP OF THE TWINS BUILDING PERMIT EIPT NO. • COMMUNITY DEVELOPMENT DIV. i m fr _____ r � � PROTECTIVE INSPECTION SEC. ® 1 � NUMBER REV DATE PAGE OF APPROVED BY � CITY HALL FRIDLEY 55432 763-571-3450 1! F 15 10/l/02 10B ADDRESS 234 Mercury Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Phil Hofstad 234 Mercury Drive NE 763-574-9438 J 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 B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14'8" x 12' and a 13'10" x 8' Deck 8 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WARNNING BefOre digging call for all Utility locations REQUIRE®oo2 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 SO. 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 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 $3,168 $1.58 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- $97.25 Fire SC $3.16 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTA FEE 01.99 RE OF CON'AACT R OR UTHOAiZE AGENT iOATE� N P OPE ALIDA THIS IS YOUR PERMIT &SGNAT v ` 10-1 r (�� SNS FiAtE S-GN.TUI OF OWNEROF OWN BUILDE , iDATEiBL NEW [ j CITY OF FRIDLEY Effective 1/1/2002 ��II ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 763) 572,3604 1llr�p ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 234 8SKC—,UFX b94NJe W , I~KQLF-`l MW 55y32�� Legal Description: LOT G. WLOM 2, NLV AbJ 44*1 LLS q'LATTE -*4* Owner Name & Address: I L. jA0f Sj -APj S*LMa Ar coins+• aa1Jm s- Tel. # ?h3- 5111- `N3 $ Contractor. V10ri?.., MN LICENSE # Address:N /A Tel. # N/A 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:a+ I Length 14!- $ Width 12.0 Hgt/Ground ?-'9 Sq. Ft 17(,o 4-A OTHER: 2 � L. 13'-16 VwK o" fi . $'-a" 4- 112 Construction Type: V1)b-:F1W,4C, Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ NSA DATE: I. 30'02. APPLICANT: FOIL 14ol:srAtz Tel. #.163- 5?q -'?4 38 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 $ .S $� $ i s� 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 $ 1-4o< STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES MINIMUM FEE FOR' ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY Signed ByL Tel Approved Bye`�- Rough—In Date FILL OUT BACKSIDE WR REPLACEMENT FURNACE STACK VERIFICATION OR 1 JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ e�5 0(_) representations stated in this application are true and corre9t. (Side Vent — Fill Out Back)' Gas Piping (Needed with new furnace) $ 10.00 $ 1 OWNER ;__Gas Range $ 10.00 $ .BUILDING USED AS^A, Gas Dryer $10 QO $ ESTIMATED COST 1,A). 66 PERMIT NO. ZM i *Air Conditioning —All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work r $ Fuel' Total Connected Load State Surcharge .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ �J MINIMUM FEE FOR' ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY Signed ByL Tel Approved Bye`�- Rough—In Date FILL OUT BACKSIDE WR REPLACEMENT FURNACE STACK VERIFICATION OR 1 HIMNEY AND STA K VERIFICATI The, undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes { ) No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes (} No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: 4 I� CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 May 18, 2004 Mr. Phil Hofstad 234 Mercury Drive NE Fridley, MN 55432 Re: Final Inspection at 234 Mercury Drive NE Contractor: CenterPoint Energy Dear Mr. Hofstad: A mechanical permit was issued on April 7, 2003 to install a dryer with '/2 inch shut-off valve and new venting at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and the permit will be expired. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh City of Fridley Building Inspections Dept. -5!5 Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NES � Fridley MN 55432 Mechanical Permit # o� t 10 16 Residential Application'�J City of Fridley SPA Back Side For Reauired Information Date 5LAOf. Site Address: b,c_ Theapplicant is: (cirice one) Owner Contractor Property Owner./ r dvi= Address: Z- ,v e-c-r City: Phone 7� LtW - v � State: /bw - Zip:513Z Cell: Fax: Contractor Information Company Name: FLe-s r.k- Contact Person: L'ArL: QGAr Address: 2-700 %ar ✓ � iw r�z City: 9 -se --lit Phone: lri2 3&3-67rt- Email: State: /Nj - Zip: Cell: Fax: MN Bond# & ExpDate Type of Work circle one): New Replacement eratiorltRemod—e ------------------- Detailed Description of work: Ski �l ('26,00 79-- Oq/e- -1P2- ;12 r-' , -V 0 Equipment Installed: MFG: Model: LcryuSize/BTV:_ MFG: Model: Size/BTU: MFG: Model: StzetBTU: Please check all that apply: yjg2Fireplace (gas) $15.00 New Gas Grill $10.00 $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _Air to Air exchanger $15.00 _Furnace $35.00 _Pool Heater $35.00 $35.00 Gas Dryer $10.00 Ventilator $15.00 _Boiler _Chimney Liner $10.00 tw Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ (Total from above -Minimum fee $35.00) Surcharge $, 0.50 Total Due $ S - Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical 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; that the work will be in accordance with the approved plan in case of all work which requires review and approval of pians. 64 Signature of Applicant: Date: �6106 Approval Inspector Signature: Date, oG Please Note: Separate permits are required for Building, Plumbing, and Electrical work Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-5723604 CITY OF FRIDLEY nate Recd: m DATE CJ I �(© YOUR E-MAIL ADDRESS SITE ADDRESS 2S'l H C— Los& bKIVS ME THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: lL ( TENANT ADDRESS: 3 q Li ® CITY_ �2,1 Mt—`� STATEN4IP�3`Z /� �I6 PHONE: _ 5-77 - q S3 CONTRACTOR NAME: W0146 STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE—ZIP WITH APPLICATION PIJONE FAX PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ PRAIN TILE ❑ DECK ❑ SIDING OTHER J(JFhb' P I N I t,1G ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR 10JREMODELING DESCRIBE WORK BEING DONE: KIC'iEW' DI ]J I NIG, Or-PICE, W40 UL SIZE OF IMPROVEMENT 32 LENGTH 12' WIDTH / HEIGHT 39 S . Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS )KYes ❑No LOCATION OF WINDOWS i-lV t h* Rc>a,4 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED CSMA NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ I S Ctr) _C0 OCCUPANCY TYPE Permit Fee •$ .1'53. -.;L11�- _ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ a&t4 .001 times the total job valuation Surcharge $ 3_,1 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) 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 $ ko` . Q-1 Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building 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; that the work will be in accordance with the approved plan in the case of all work which requires review, and approval of plans. SIGNATURE OF APPLICANT Z bJ w vk PRINT NAME—Mit, Hq sg DATE CITY OF FRIDLEY PERMIT NO.: 2006-01031 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 06/09/2006 571-36U4 YAX: (763) 571-1287 REPRINTED ON 6/14/2006 ADDRESS : 234 MERCURY DR NE PIN : 143024320032 LEGAL DESC : SYLVAN HILLS PLAT 4 : LOT 6 BLOCK 2 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ELEC SERVICES, NEW NOTE: CALL FOR ROUGH IN AND FINAL INSPECTION H.O. PHONE # 763-574-9438 CONT: 651-224-2833 ELECTRIC PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE WIRE GAS FIREPLACE ENTER ELECTRICAL FEE 20 COLLINS ELECTRIC 278 STATE ST ST PAUL, MN 55102 (651)224-2833 APPLICANT OWNER HOFSTAD PHILIP L & CARLEEN 234 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 wort 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 regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELECTRICAL PERMIT FEE 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 7248 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. r ELECTRICAL CONSTRUCTION CO. 6/12/2006 CITY OF FRIDLEY 6431 UNIVERSITY AVE. N.E. MINNEAPOLIS, MN 55432 Re: Permit Refund Application # 1-789-541 Address: 234 Mercury Drive NE This is a request for a refund on the above-mentioned permit application. This fireplace installation has been cancelled. If you have any questions, please call me. Sincerely, 4;4 da. Katie Illi Collins Electrical Construction Co. Permit Department 278 State St St. Paul, MN 55107 651-255-0164 278 State Street St. Paul, Minnesota 55107-1679 www.collinselec.com Telephone: (651) 224-2833` ' Facsimile: (651) 292-0359