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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 5810 Date: Address .. LOCAT F BUILDING No-ql_' Street P of t Lot _ __ Block - Addition or Sub -Division Corner Lot Inside Lot Setback Sideyard Sewer Elevation ____ — Foundation Elevation DESCRIPTION OF BUILDING ToV / r .rr Front Depth'. Height– Sq. Ft. Cu. Ft.L✓ Fro Depth ei t-. Sq. Ft. cu. Ft. Type of Construction �— Est. Cost• 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 m compliance with all provisions of ordinances oY the city of Fridley. In consideration of the payment of a fee of $, $wow ; 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 wig � city limits and this permit .may be revoked at any ttiimee uponviolation 91 any of the provisions of said Building Inspector NOTICE:. This peratit does not cover the construction, installation for wiring, plu"Ing, gas heating, sewer or water. Be aura to we the Building Inspector for separate perndb for theme Items. Owner'& Name Address APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY. MINNESOTA OF BUILDING no. Z/ Street Lot A Block Addition or Subdivision Corner Lot -Inside Lot /11_�Setba< Siiie'-Yaid SEWER ELEVATION— FOUNDATION ELEVATION Applicant attach to this form Two Certificates- of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front Depth- Height 49 Sq. Ft. AJ Cu. Ft.,Wazzo —Fr.out Depth Height Sq. Ft. Cu.' Ft. Typo of Construction �2Estimated Cost, To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to-do all work in strict aceordance-with'the City of Fridleyordinances 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. (schedule of Fee Costs can be found on the Reverse Side). APPROVED SUBJECT TO CONFORMANCE TO APPLICI.L'1,E C 'ID:35 BLD 1XG Ilf 8 CITY OF FRI iyl IlIlUITESOTA City of Fridley App icatiou for Plumbing and C= Fitting Permit Dept. of Bldgs. Phone SII 4-1 DESCRIPTION OF WORK Number, Kind and Location of Fixtures d7 NO. RATE TOTAL Number Fixtures ...................... Jer x $1.50 $-.�,Z 0 -0 - Future Fixture Opening ................ x 1.20 N N x 1.00 $ w Z • • WATER HTR. GAS ELEG 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 $ m Base 1st 2nd _ 3rd — 4th • Future Connection Openings Connected with Sewer � New Fixture, Old Opening's Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Jer x $1.50 $-.�,Z 0 -0 - Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTI) ...... x 2.00 • 0 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 $�� Q �f0 � O J City of Fridley: G 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. Fridley, Kind of Building- Used uilding Used as J To be completed bout —/ " Estimated Cost, Old—New. Building Permit No� 6 Permit No. Signerd By v ROUGH S- 2 - (o 'L' FINAL a a 2M 7-59 Business Phoe Nom SUBJECT MIT NO. City of Fridley 25671 AT THE TOP OF THE TWINS BUILDING PERMIT r ______ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/6/97 JOB ADDRESS 140 Mississippi Place NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 Johnson's River Lane Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Arlene/Loren Nagel 140 Mississippi Place NE 441-7810 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Siding & Roofing 18979 Gladstone Blvd, Maple Grove MN 55311 20010277 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 416-4804 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 4- lex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C:k REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK -P ex Reroof 1ygVqg1/E1/q##q(g(q (23 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Ice & Water must be inspected before covering. This is a requirement of the City Code. 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 $1,918 $.96 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTA EE Lic s $5.0 $70.13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN IS YOUR PERMIT D INSP MOPLIDATEP7HIS BATE SIGNATURE OF OWNER of OWNER BUILDERI IDATEI SEP -25-1997 14:05 NEW [. � ADDN j 1 ALTER j ConsrructionAddre$$: Legal Description: Owner Name & Address= 1 Contractor: M� Address: i 7q,-� q (' (, CITY OF FRIDLEY CITY OF FRIDLEX SINGLE FAMD,Y AND DUPLEXES R -i, AND R-2 B Uf WING i'.BR mrr APPLICATION r 612 571 1297 P.01/02 Eff...ctivc l/l/97 6z,ZJ a 00 /3- Tel. # --7 MN LICENSE #,:;r')r) I l-) 2—?.-� Attach to this application, a Certificate of Survey of the lot, with the PrVO$ed Construction drawn on it to scale. DESCRIPTION OF EivXPRO'VEAWIN'T LrMG AREA: Length _ Width Height_ Sq. Ft, GARAGE AREA: Length Width � Height — Sq. Ft. DECD AREA: Length Width Hgt/Grourd. Sq. Ft. 3rrE —Sri onstruction Type_��Clr (�C d �l�Vim Cost: -$ -DO✓� (Fee Scheduj e ore Back) riveway Curb Cut W -x th. Nebded: OTR: j (/ 4l APPLICANT-- LJV. �! �� TeL -0 �L L "ULA 1`IONS: 7 USE ONLX trait Fee $ Fee Schedule on Reverse Side r, SUrcharge $ /� - .001 of Permit Valuation (1/10th%) Abe Surcharge $ %� $.50/$1,000 Valuation C Charge $ $950 per SAC Unit . b Surcharge $ $5.00 (State Licensed Residential Contractors) veway Escrow $ Alt. "A" or Alt. "B" Above 4on Control $ •$450,00 Conservation Pian Review K Fee $ .` Fee Determined by Enguaeering ,er. Main Charge $_ Agreement Necessary Not Necessary I ] rOTAL $ 9C /3 "ULA 1`IONS: SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 3 0659 i O. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. S� r � � d% 1 NUMBER REV DATE PAGE Os APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910415 2/10/00 JOB ADDRESS 140 Mississippi Place NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 1 Johnson's River Lane Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Loren Nagel 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wellington Windows 3938 Meadowbrook Rd, St Louis Park, MN 55426 933-6300 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING 4 Plex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION J7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK RINMUffiffARM Replace Windows 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. 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 4 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 $7,000 $3.50 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. 139.25 Fi a SC $7.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TCIAL FEE Ci ens 149.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI HEY P Y VAL D THISIS 7QURMIT SIGNATURE OF OWNER i iF OWNER BUILDERi IDATEI O/%� B G -N5r�ArE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ��,– 3G 03 /� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �r BUILDING PERMIT APPLICATION J Construction Address: Legal Description: Owner Name & Address: w Contractor: C It 6 vie �_'o".. Address: 2 Tel. # 163 I dl w MN /LIICENSE # brva � U oci(S Rce V` Tel. # q 31-6 36k:�, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF YMPROVEMENT 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: Rce14CC-evt �d� W('AI'Qmated Cost: $ m�Ooo Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $. DATE: l a-16 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ APPLICANT: -00u / Gem af--, Tel. # CITY USE ONLY S Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 $ YL C/ " e �s— STIPULATIONS�O'i//off SUBJECT P City of Fridley 312 5 AT THE TOP OF THE TWINS BUILDING �U I L D I N G PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. /��r Y CITY HALL FRIDLEY 35432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910415 7/28/00 JOB ADDRESS 140 Mississippi Place NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 2 1 Johns n 1 s River Land Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Loren Nagel 441-7810 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wellington.Window and Door Co. 3938 Meadowbrook Rd St Louis Park MN 55426 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 952-933-6300 36667 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION (.X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK window replacement 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the house per Section 310.9.1.2 1997 Uniform Building Code. Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 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 $4,238.00 $2.12 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- Fir STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $111.25 SC $4.24 PLAN CHECK TOT FEE IF 117.61 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN DPER D THIS IS YOUR PE IT� - �ALIDA ,Bl D L'/�j fTATE SIGNATURE OF OWNER.-F OWNER BUILDER, (DATE. NEW [ ] Effective 1/1/2000 ADDN [ j CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 `VJ BUILDING PERMIT APPLICATION I� P Construction Address: V �� .�/ Legal Description: j Owner Name & Address: nA 'V Tel. # Contractor: 1' MAJod 44W -(dlb i� # Address: Tel. #�, 01,4 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 Estimated Cost: $ 1 4( _ Driveway Curb Cut Width Needed: 'Ft. + 6 F Ft x $ _ $ DATE: -- APPLICANT. Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing In application Permit Fee $ 11 Fee Schedule on Reverse Side Fire Surcharge $-- .001 of Permit Valuation (1/10th%) State Surcharge $ / - O" $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ #7V -$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 [ ] a /i% 6,� TOTAL $ i6�ls STIPULATIONS:&O0. iC� s