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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3781 Date: .. �.(............. Owner ....................................... Builder .... `�...... .......... Address ...................................... Address ............................................. �j LOCATION OF BUILDING No. .. w �.. Street ... .............. Part syof�Lot ....... . Lot .....� ..... Block ..... 4�........... dition or Sub -Division GAca� . Corner Lot ............ Inside Lot . X ....... Setback Sideyard ........................... DESCRIPTION OF BUILDING TA,be Us as, R �_ ` �j .... ........ ..... Front .'�: ® Depth ..'�.`."� Height CJ' Sq. Ft. / Cm Ft. ..... aa .... Front :.. 'Depth e- :10 Height /O.49. Sq. Ft. 3dj .. Cu. l3if 0.7. Type of Construction ................... Fst. Cost.. 4 7.11.—.. To be Completed .................... In consideration of the issuance to me of a permit to construct the I desribed above, I agree to do the proposed work in accordance with the description above set mpliance with all provisions of ordinances of the city of Fridley. , . 4 010 "1 In consideration of the payment of a fee of $.0.9 ...... 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. l ....... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY.OF FRIDLEY, MINNESOTA -77 Builder Owners Name Address Address i LOCATION OF BUILDING. No.Street Part of Lot Lott.,._. Block Addition or Sub. Div. Corner Lot Inside Lot �+ Set Back � ...Applicant attach to this form Certificate of.Survey•of Lot and proposed " building location. DESCRIPTION OF BUILDING To be used as fKa = Front DepthHeight Sq.; Ft. ® Cu. • Ft, all Front Depth :Height Sq. Ft. Cu. Ft,. Type of Construction Estimated Cost zzma-&. To be completed The undersigned hereb 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 4 are true and orrect. djd��Dote / Signature d�_ (A Schedule of Fee Costs can be found on the Reverse Side) City of Fridley, Minn. BUR DING PERAUT Date: June 11,, 1965 Celestine Neisius Builder Reco Construction N? 7855 Address 821 Mississippi Street N. E. Address 1311 South 5th Street Mpls., 4 LOCATION OF BUILDING No. 821 street Mississippi Strget N. E. part of Lot Lot 9 Block 2 Addition or Sub -Division Meadowlands Corner Lot Inside Lot Setback Sideyard Sewer Elevation _ __ — Foundation Mevation To be Used as: Type of Construction Storm damaged DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Front Depth Height Sq. Ft Est Cost $2, QW. 00 M To be Completed _ In consideration of the issuance to me of a permit to constrwat the build the proposed work in accordance with the description above set orth and in ordinances of the city of Fridley. Cu. Ft Cu. Ft I agree to do provisi of In consideration of the payment of a fee of $-10-1-0-0 , permit is hereby granted to Reco Constr. Co. 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, Minnesotalocation, construction, alteration, maintenance, repair and moving of buildings withiaa� city limits a� permit may be revoked at any time upon violation of any of the provisions of said ordin Allen Jensen , Building Inspector NOTICE IMS pumb don not eever the eensModfee, hW&W= for r hIM phnnhing, on hating, sewn or water. Be son to no the SWMIng InspKtor for separate pwm6a for then items. 'APPLICATION FOR4-.-NGIPERMIT 41 CITY OF FRIDLEYO #IMSOTA OWNER' S NAME C E' 1 e �5,A 'C ie S' % V S BUILDER�1�. d /�- ADDRESS o� M; S S i S o A s ADD994 lqALI e LOCATION OF BING No, �a' � Stfeat .M i`5 S :,`S Si '7a T) �Part of Lot. Lot Block Addition or Subdivibion � Corner Lot Inside Lot <..SetWmk Side -Yard.. SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this► form, Two Certificates of, Survey of Lot and proposed build -r ing .)oration drdwn on these (;at°tificates . DESCRIPTION OF BUILDING Tao be used ss -'cont Depth Height ' Sq. Ft. Cu. Ft. Front Depth Height Sri. Ft. Cu. Ft. Type of Construction Estimated Cost 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 01f the Department•'of Buildings, and hereby declares that all the facts and representations stated in this applicati are true and corr_e.t�.• 1 C% jSchedule of Fee Costs can be found on tie Reverse Side). - .„ .. • . 1 0 + , ti 4k 'APPLICATION FOR4-.-NGIPERMIT 41 CITY OF FRIDLEYO #IMSOTA OWNER' S NAME C E' 1 e �5,A 'C ie S' % V S BUILDER�1�. d /�- ADDRESS o� M; S S i S o A s ADD994 lqALI e LOCATION OF BING No, �a' � Stfeat .M i`5 S :,`S Si '7a T) �Part of Lot. Lot Block Addition or Subdivibion � Corner Lot Inside Lot <..SetWmk Side -Yard.. SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this► form, Two Certificates of, Survey of Lot and proposed build -r ing .)oration drdwn on these (;at°tificates . DESCRIPTION OF BUILDING Tao be used ss -'cont Depth Height ' Sq. Ft. Cu. Ft. Front Depth Height Sri. Ft. Cu. Ft. Type of Construction Estimated Cost 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 01f the Department•'of Buildings, and hereby declares that all the facts and representations stated in this applicati are true and corr_e.t�.• 1 C% jSchedule of Fee Costs can be found on tie Reverse Side). - .„ .. • . 1 0 + , ti Cify of Fridley Application for Plumbing and Gas Fifting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK �� Number, Kind and Location of Fixtures Location Cn 3 Z wzZ Z 3� Z Z e� 8p� Z o'�o lQj U < �U' °1 (�9� Z (�j0 • f N WATER HTR. GAS EIEC. Base 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer ElCesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL �?® o Number Fixtures ...................... x $1.50 $ - Future Fixture Opening x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... . ..................... Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ GAS FITTING FEES: 1st 3 Fixtures ......................... Additional Fixtures .................... Gas Range to 200,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code x 3.25 $ x 2.00 $ x 3.25 $ NO. RATE TOTAL x $1.50 $ x .50 $ x 2.00 $ 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 facl and representations stated in this application are true and correct. ,o Fridley, Minn Owner - '6a42a=n1=2 a � �-✓ Kind of Building Used as To be completed about �� 8 Estimated Cost, $—,/�✓ D Old—New. Building Permit No Permit No. //'"6 Signed By��=t /B/>�a�a0 Business Phone No q? - 9 ROUGH p' FINAL Description ................................................$ TOTAL FEE d` 42 SUBJECTPERM1 City of Fridley 4999 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO _ COMMUNITY DEVELOPMENT DIV. L INSPECTION PROTECTIVE SEC. *"1 CITY HALL FRIDLEY 55432 IL " ,'J NUMBER REV. DATE PAGE OF APPROVED BY L""A 612-560-3450 910-F15 0/31/78 JOB ADDRESS 821 Mississippi Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 2 Meadowlands Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Celestine Neisius 821 Mississippi Street N.E. 3 CONTRACTOR MAILADDRESS 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 ❑ NEW ❑ ADDITION Ij ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a chimney 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRINGS HEATING, PLUMBING AND SIGNS* 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $600 $.50 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. MIR $7.50 PLAN CHECK FEE TOTALFEE $ 8.00 SIGN Cr IrDAGE�T (DATE) p WHEN PROPERLY IDATS IS YO R PERMIT �RE )ICS c� v OG INSP�TE OG )NSP$IGNATURE OF OWNER BUILDER) IDATEI SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATION FOR RESI))ENTIAL BUILDING PEMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: 0—, ff&g,,'�jTt M Ci Jit ElS 1 US nUILDER: Gg -^A� A2.1 I�r1iS'� ST. Address: Address: Tel. No.: •• No.: S Z ( LOT: -L Street:/SSt S?/l.j• C: BLOCK: ADDITION: YNN r A CCW to4,^J Q S (400. CORNER LOT: INSIDE LOT: JV0_ SETBACK: SIDEYARDS: Applicant attach to this form A.:o Certificates of Survey of Lot and proposed building location drawn on these Certificates. 3 DESCRIPTION OF BUILDING To Be Used As: Ca IPA Front: Depth: Height: ' Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ ACV -UO To Be Completed: 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 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. See reverse side for additional information. DATE: �i�' ►�% SIGNATURE: Stipulations: , vt� I � • gv 0-0 3 ADDRESS HOUSE HEATING TEST RECORD - 1 � � ' - - OCCUPANTAPT. FLOOR CITY SUBURB_ A HEAT LOSSCS DATE HTG. INST. OWNER SOLD BY Electrical Work' By INSTALLED BY TYPE OF HEAT GAFA Gas Line By � CITY HALL FRIDLEY 55432 HW STEAM SPACE HTR. UNIT HTR. OTHER MAKE GAS DESIGN , ��,, / CONVERSION Modal 4( •. ,+ _ MAKE OF BURNER 6/18/86 Serial - - - odel INPUT ��-z � ,,- Max. BTU Rating TRACT OR ADDITION SEE ATTACHED Meadowlands Addition DESCR. 9 MAKE OF FURNACE SHEET 2 PROPERTY OWNER MAIL ADDRESS Model Neisius 821 Mississippi Street N.E. THERMOSTAT CONTROLS - Heat Plu Richard Hastings Contr. 6331 Riverview Terrace N.E. 574-�� Valve �� r g Vent Size ZIP PHONE LICENSE NO. Limit i KIND OF LINER SIZE NONE_ Limit Setting Draft Hood RegulaTor Fan Setting Reroof Dwelling Filters Size`%�> 'l umber Pilot Type Chimney Location Inside�_Outside Pilot Make Chimney Construction _ i7 Pilot Model OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Pilot Timing Smoke Bomb Wiring L.W. Cut Off CU. FT. Draft A, �' Test Tag - Pressure - Percent CO Door Pressure Lighting Inst. s Input CFH ' 2 Percent 0 Date Tested Company NO. DWLG. UNITS 'Stock Tem �� B 2 -ice Temp. - Percent CO Testing % , Form 235 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS Name of Tester CITY HALL FRIDLEY 55432 IvuAev+ _ 612-571-3450 910-F15 6/18/86 - - - - - JOB ADDRESS 821 Mississippi Street N.E. 1 LEGAL LOT NO. BLOCK 2 TRACT OR ADDITION SEE ATTACHED Meadowlands Addition DESCR. 9 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Neisius 821 Mississippi Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP LICENSE NO. Richard Hastings Contr. 6331 Riverview Terrace N.E. 574-�� 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 ❑ NEW ❑ ADDITION [Z ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 8 CHANGEOFUSEFROM TO STIPULATIONS 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 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 $.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,300 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. $22.00 _ 6 PLAN CHECK FEE TOTALFEE /d $22.65 SIGNATURE OF CONTRACTOR OR AUTdIORIZED AGENT IDATEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT U INSP rA E SIGNATURE OF OWNER OF OWNER BUILDER) IDATEIBLDG NEW L ] City of Fridley Effective 4/1/86 ADDN. f R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: �?Z ( M'6S ; 5,5; P Pr St Legal Description: der 7 Aa?W. Owner Name & Address: &Tel. Tel. # Contractor: /� e c.� A4 14A�%' KSS Tel. # Address:3 3l f�c VCP_ o a,,) 'Nr it - 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: --- Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: k tl:Raa F Estimated Cost: $ �R3bO - oa Approx. Completion Date:� �'� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: �� APPLICANT:-K�—..o "� Tel. # S%� 9 6,9 CITY USE ONLY Permit Fee $ �� 06 Fee Schedule on Reverse Side Plan Check $ 25$ of Building Permit Fee State Surcharge $ (4L $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ _ TOTAL $ Agreement Necessary [ ] Not Necessary [ ] ��- � � STIPULATIONS: 11/ SUBJECT PERMIT NO. City of Fridley 28452 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f PROTECTIVE 7� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED Br L J\ 612-571-3450 910-F15 10/28/98 JOB ADDRESS 821 Mississi i Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 Meadowlands Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Florette Neisius 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Exterior Design Service 6391 Monroe St NE Fridley1-3220 3237 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 ❑ ALTERATION Jk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 22 S Tear -off; Repair damage on siding (storm) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2385 $1.19 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- STRU IONOR THE PEg ORMA_NCE OF CONSTRUCTION $74.75 Fir S $2.38 �' V✓ PLAN CHECK FEETOTA FE e 5.00 : 32 SIGNATURE OF CONTRACT OR AUTHORIZED AGENT IDATEI EN OPE HI$ IS YO E IT S-GNA TUBE OF OW NER,iF OWNER 8U4 DE RI IOATEi INSp BATE ' r NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: _ Owner Name & Addr Contractor: z Address:l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R -Z BUILDING PERMIT APPLICATION Effective 1/1/98 MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq: Ft. Construction Typ • �� Estimated Cost: ` (Fee Schedule on Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ DATE: APPLICANT: led.S, Tel. # TOTAL $ e'4" STIPULATIONS: 0 CITY USE ONLY Permit Fee $ % 7�r Fee Schedule on Reverse Side Fire Surcharge $ -' .001 of Permit Valuation (1/10th%) State Surcharge $ 4 ! $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ b $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 $ e'4" STIPULATIONS: 0 SuBjECT City of Fridley Z29491 AT THE TOP OF THE TWINS BUILDING PERMIT r _RsGeorr NO.V � `COMMUNITY DEVELOPMENT DIV. SEC. ` f PROTECTIVE INSPECTION dq4 ,'� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 1 612-571-3450 910-F15 15/18/99 10B ADDRESS 821 Mississippi Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 9 2 1 Meadowlands Addition' SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Florette Neisius 571-1980 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO The Cities Home Imp: Co. 640 Mendelssohn Ave. N. Golden Vly 55427 612-591-0332 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 ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace windows and doors 8 CHANGEOFUSEFROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of the house. 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 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 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 $4990 $2.50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $123.74 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT iDATE, WHEN PROPER ALIDATED THIS IS YOUR PERMIT BL INSP QATE SIGNATURE OF OWNER..F OWNER BUILDER, IOATEI f AY -1i -i'999 ♦ra. sr ` J ADDN'[� [ ALTER [ 10: 1s FROM CITY OF FR i L LE4' TO Construction Address: Legal Description: E910371 P. 01.-02 Effective 5/1a/� ary of FRmu� SINGLE FAMIOL " AND DUPLEXES R-1 AND R -z 0,` BLUDING PERMIT APPLICATION `\ Owner. N=e & Address: iz sS6 ♦ lT '7C. � .�.�.� Tel. # .. .. Contractor: � /, h M N UCENSE # Address lei. 01444 el. #(all'—e�i/-0�•�2. .Attach to this application, a Certificate of Survey of tk Z7 — lot, with the proposed construction drawn on it to scale. DESCREM4N OF IMPROVEWNT LIVING AREA: Length _ Width Height Sq. Ft. GARAGE AREA: Length -� width Height_ Sq, Ft. DECK DECK AREA: ungtih '�Jidtfa , HgtfGrouW SqFt. OTHER: ea Consauctiou Type: LMKA eOI S Estimated Cost: $ •� DdVe�vay Curb Cut Width Needed. Ft. Y 6 Ft — Ft x $ = $ BA'T'E: F�` /�=� APPLIC Q-';V�-Car- Tel.33Z- permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway,E.scrow Erosion Control 3.P'ark.fee Sewer Maid Charm STIPULATIONS: s CIT CiNL Fee Schedule on Reverse Side .001 Of Peermrt Valuation (1/10th%) S-50IS1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Coawrvation plan Review Fee Determined by Engineering Agreerent Necessary [ l Not Necessary [ ] CITY OF FRIDLEY PERMITo.: 2004-00522 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 04/16/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 821 MISSISSIPPI ST NE PIN : 143024140079 LEGAL DESC : MEADOWLANDS ADD : LOT 9 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING VALUATION : $ 12,000.00 NOTE: PER SECTION 1402, 1997 UNIFORM BUILDING CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. RESIDE HOUSE & GARAGE: SOFFIT & FASCIA STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE 209.25 NORTHWEST EXTERIORS FIRE SURCHARGE 12.00 6500 WALKER STREET STATE SURCHARGE, VALUE 6.00 ST LOUIS PARK, MN 55426- LICENSE SURCHARGE 5.00 (612) 926-8663 TOTAL 232.25 OWNER THOMAS HAGEN 821 MISSISSIPPI ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT jaSpPrC� This permit becomes null and void if work or construction ®n Cary authorized is not commenced witin 60 days or if construction fie 1111118dor 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 owner TO ppr* 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 regul ' constructio or the performance of construction. Applicant Date Bldg Ins p Date QA�J*e EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 05/29/2002 20:38 9529265960 NORTWEST EXTERIORS PAGE 01)^ APR -14,2W 15.,e2 FROM CITY OF FR I DLEY cm OF FRIDIXT 6431 Univ4e►rilq+ Ave NE, FOGY, MN 6643 . SINGLE FAMILYERMI'T LE=' TIONS WLDINc3 NEW AL;� iron AddreBe: Lood Dsbn, Owner Name &t&Ire cont'«: f 110 UVINAAR®A: GARAGE ARM, DECK AREAS g52 MS%e P.01/02 efjwdw4nrAW �)g7?,m" 81do Nap 'e74^1 Fax -7 X60 C... MN LIMSE 0 a Q•22� �f� IUch to this noC6ft", a C90ces of sumy of the Wt, vfflb the proposed wj0&Uc9on dream on it to $Dole. DEKAWTON OF 11000VEMM Width I`kftM Sq. Ft L®n�tA Wkkh Hnht - '- EqFk I,enQd1 Width HgVG=nd ,�..,,.- g9- Ft. OTKM 0M*UdKen T FStfmated Cost: S p Dr.fty out Cult Width Needed: _..FG + 6 Ft m ..-..fit x TL?: - AppL,LCANIN ��,'!T�'�--T ��7 /z is 2Jj < Tel. � W � 2 �, - * 6 6 -;DI► on. pu to 7,93-6714 287 9 using crKM nerd and w►e WM Dal{ Ce11(76�� 10�' Pe4rmit F� d am" In eipp� you for crud number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC ChaMa Curb Cut Gamow Er*Won Control Park Fes Sewer Main Charge TOTAL, Fee Sohedule on Reverete Side am of Permit Fee _ L�6 .001 of Permit Valu®tion (1110thIA) L)Q $.50!$1 ,000 ValuaMnn $$1350 per SAC Ung $5.00 (Stag Ltermed ReeldentMI Cot>rMG'actor>�) $ Alt, W or ATS Ove $ $450.00 CQnseroadon Plan Review $ Fee Dawminerd by Rn&mdng $ Agreement NecaawY I Not NiOOMNY [ ] s SF.U19Z1Qfda.' 7 Ir7l/e 4 CITY OF FRIDLEY PERMIT NO. 004-00695 6431 UNIVERSITY AVENUE NE - FRIDLEY, MN 55432 DATE ISSUED: 05/12/2004 163) 572-3604 FAX: (763) 571-1287 ADDRESS : 821 MISSISSIPPI ST NE PIN : 143024140079 LEGAL DESC : MEADOWLANDS ADD : LOT 9 BLOCK 2 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL DRYER WITH 1-1/2" COPPER & VENTING # A/C UNITS 0 VALUE OF APPL OR WORK # FURNACES # GAS RANGES APPLICANT CENTERPOINT ENERGY/NIINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304 - OWNER THOMAS HAGEN 821 MISSISSIPPI ST NE FRIDLEY, MN 55432 0 # GAS DRYERS 0 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 regulating construction or the performance of construction. Appli ant /1 Date Bldg HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS PIPING FEE GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 1008098 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 444 0 15.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 15.50 CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer I" *Air Conditioning -All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater -27 Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Fee Total Owner $35.00 $ Building Used Asj% $10.00 $ ESTIMATED COST �yy" PERMIT NO _ $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. $25.00 $ BTU 30 HP EDR Fuel Total Connected Load $ Burner Trade Name Size No. BTU HP EDR Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ HEATING CO Signed moi/' TeI # 6/o) --V/- REINSPECTION -V/ REINSPECTION FEE $50.00/HOUR FAX # ��,5� �/ % Date L� ` *Air Conditioners cannot be placed inside yard without written approval �'/v�� G� L �il%�� /i ��✓//� from adjoining property owner copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : CITY OF FRIDLEY PERMIT NO..004-00696 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/12/2004 F63) 572-3604 FAX: (763) 571-1287 ADDRESS : 821 MISSISSIPPI ST NE PIN : 143024140079 LEGAL DESC : MEADOWLANDS ADD : LOT 9 BLOCK 2 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL RANGE WITH 1-1/2" COPPER # A/C UNITS # FURNACES -# GAS RANGES APPLICANT CENTERPOINT ENERGY/MINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304 - OWNER THOMAS HAGEN 821 MISSISSIPPI ST NE FRIDLEY, MN 55432 0 VALUE OF APPL OR WORK 125 0 # GAS DRYERS 0 0 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 worl 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. HEATING PERMIT MINIMUM FEE 15.00 FURNACE SHELL/DUCT WORK 0.00 GAS PIPING FEE 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 15.50 PAID WITH CHECK # 1008098 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer i" *Air Conditioning -All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Commercial/Industrial/Institutional 2cq& 73 Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Fee Total �- Owner��/��/� $35.00 $ Building Used As $10.00 $ ESTIMATED COST f PERMIT NO $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. $25.00 $ BTU HP EDR Fuel Total Connected Load $ Burner Trade Name BTU 1.25% of Value of Appliance or Work (List on Back) $ Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge $ TOTAL FEE $ /.55/ REINSPECTION FEE $50.00/HOUR ` *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City HP Size No. EDR 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. bignea_zTel FAX #_ Date Y d 70 11 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type Appliance #2 Type Appliance #3 Type Total Appliances _ BTU Input _ BTU Input _ BTU Input Total Btu Input Common Vent Type Vent Height Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date :