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PRE 2010 DOCSN v - City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK — }', Number, Kind and Location of Fixtures qq I Gl NO. RATE TOTAL Number Fixtures ...................... x $1.50 amp ou Future Fixture Opening ................ Q vy+ G'c Z t� sO a3 c�°d G C7 �a 00 F N WATER HTR. GAS ELEG Base x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 -$ — Additional Fixtures ................. x .50 $ 1st Gas Range to 200,000 BTU .............. x 2.00 $ 2nd _ 3rd — 4th • Future Connection Openings New Fixture, Old Openings Connected with 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 $ 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 $ 2 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do a11 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, Minn-� 19& • v . - OP'R" Kind of Building Used as To be completed about Estimated Cost, $ v 77" Old—New. Building Permit ROUGH FINAL .JRW42 2M 7-59 Permit No. e d Phone No�� City of Fridley, Minn. 11491 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: June 9. 1972 Owner: Hilary Mayers Bider_ Arrowhead Alum. Products, Inc. Address _ 969 Mississippi Street N.E. Address 4301 Quebec Avenue North, Mpls. LOCATION OF BUILDING No. _..:_969___.._ Street _ _Mississippi Street N.E. Part of Lot Lot ._.__8G Block ._....A._...._S—#23._.._.._ Addition or Sub -Division Exc S 90 ft- n f D1 190 F t Corner Lot _.__...._.._._ Inside Lot Setback Sideyard 90 Ft. of N. 280 Ft. Sewer Elevation Foundation Elevation _...._. DESCRIPTION OF BUILDING To be Used as: etc. Reside., install-zutte=, Front _ Depth Height Sq. Ft. Cu. Ft. __ — Front . _ Depth Height Sq. Ft. Cm Ft. Type of Construction Alum num Est. Cost 825.00 To be Completed 2 weeks Stipulation: Caulk ends of siding in butt strips. In consideration of the issuance to me of a permit to construct the building described a ve, I agree to do the proposed work in accordance with the description above set forth d in compliance all provisions of Ordinances of the city of Fridley. \ .50 Sta Surcharge In consideration of the payment of a fee of $ 6.00 , permit is hereby granted to Arrowhead Alum. Prod. 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 b-uadbW Within the city limits and this permit may be revoked at any time upon violation of any of the provisions of sidd ordinances. Inspector CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for whin®, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PtRMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: Hilary Mayers BUILDER. ARROWHEAD ALUM. PRODUCTS, INC. ADDRESS: 969 Mississippi Street N.E. ADDRESS: -4301 Quebec Ave. No., Mpls., Minn. NO:. 969 STREET: Mississippi Street N.E. LOT: BC BLOCK: Aud. Subd. 21 ADDITION:Exce� 9g EE f N 19go E s�O: 98 F Of No: AB Ft: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD; 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: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Install gutters, aluminum siding, -etc Estimated Cost: $ 825.00 To Be Completed: 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. , /' A DATE: 5-26-72 SIGNATURE: (See Reverse Side For Additional C'-) L' /- % -," /,,' cf5 a' i iv b c- 7-1 -5,7' /,� Dy SUBJECT PERM City of Fridley 1.581.5 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ----I CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF AP ED BY , L 612-571-3450 910-F15 7t/7/80 JOB ADDRESS 969 Mississippi St. N.E. 1 LEGAL LOT NO. BLOCK TR ACT OR ADDITION SEE ATTACHED DESCR. 8-C Aud. Sub. #,21 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Hilary L. Mayers 969 Mississippi St. Fridley 55432 571-6968 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK ' X 141 addition and an attached 24' X 32' garage. 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED f©R VOR IjEAT1tiu`8 PWMBING AND SIGM ftill 'HQNE.;Q �� f�°c� r�filities SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 BO 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 I 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 $22,400 g IJ•.DO 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. $135.00 NONE PLAN CHECK FEE _ y -i. -R&-_K3 TOTALFEE $179.95 SI UREOFCONTRACTOR ORAUTHORIZED AGENT (DATE)! WHEN ALLIIDATED THIS IS YOUR PERMIT ! gPROPERLY T A moi_ �l_0_A -" '7 `J BLDG INSP f1A7 SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) CITY OF FRIDLEY APPLICATIOid FOR RESIDEN1•IAI_ BUILDING PERMITS (New, Alterations, Additions, or Repairs) ADDRESS: TEL NO: % % BUILDER: ADDRESS: TEL NO: Construction Location STREET NO: STREET: ' S LOT: G. - BLOM: ADDITION: /r -f Corner Lot: Inside. Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION 14d 'a Front: ' C% Square. Feet_ Depth: 2 Height: �Q Cubic Feet: „z a ra Front: �� Depth:�.� Height: Square - Feet: Cubic Feet: Type of Construction: ej Estimated Cost: 7b Be Completed: ,e Ga P - Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET.. T1ie 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. �j DATE:. � '' _ Q � SIGNATUI'.E : Stipulations: IyX 30 420x 24 .0-L,, = 130028.4U QG.6o + i;1.2- TM SUOJECT PE City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 27982 r � 16 COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �'� CITY HALL FRIDLEY 53432 1 612-571-3450 EiPT NO. cKJU NUMBER 910415 REV DATE 25/98 PAGE OF APPROVED BY JOB ADDRESS 969 Mississippi Street NE 1 LEGAL DESCR. I LOT NO. Pt. of 8C BLOCK TRACT OR ADDITION Second Rev. Auditor's Sub. #21 SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hilary Mayers 571-6968 3 CONTRACTOR MAIL ADDRESS TVIR --o-- ZIP PHONE LICENSE NO 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 O NEW O ADDITION O ALTERATION x6j REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (30 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT CU FT 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 $2571 $1.29 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 $74.75 Fire SC $2.57 PLAN CHECK FEE TOTAL FEE 78.61 SIGNATURE FCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPE VALI ATED THIS IS You�R/O S-GNATOWNER SIF OWNE UILDERI I ATEI BL G INSP OAtE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Effective 1/1/98 g9 - Owner Name & Address: o �, S Tel. #_ Contractor:-- MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BOROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ (Fee Schedule on Back) Ft x $ = $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side $ �. S �2 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation s $ $1000 per SAC Unit s $ $5.00 (State Licensed Residential Contractors) s $ Alt. "A" or Alt. "B" Above s $ $450.00 Conservation Plan Review s $ Fee Determined by Engineering s $ Agreement Necessary [ ] Not Necessary [ ] From: City of Fridley To: 7633237595 Page: 4/5 Date: 3/4/2010 3:29:26 PM Building MODEL: SlGE/BTU MECHANICAL Permit No.: 0° Inspections _A/C $25.00 RESIDENTIAL APPLICATION Received B 763-572-3604 FIREPLACE (WOOD) $35.00 GAS GRILL $10.00 _AIR $35.00 Date MAR 181 _NEW _GAS UNIT HTR $10.00 _BOILER LINER $10.00 _GAS DRYER $10.00 CITY OF FRIDLEY _CHIMNEY DUCT WORK $10.00 763-502-4977 FAX VENTILATOR $15.00 EFFECTIVE 1-1-2010 DATE SI61IOAA�� YOURE-MAIL ADDRESS �Y1a�tY1��ncx-i'�.(� �/1Ct-1ttYct LOY►� SITEADDRESS C CA Hlb5(I,tr�; S;k THIS APPLICANT IS: 171 OWN (*ONTRACTOR PROPERTY NAME: OWNER/ ADDRESS:C M I S CITY Fv►�(� L� STATE 'GIP TENANTc PHONE: 'AU 3 '- j'(� - lQ`l LS -S CONTRACTOR COMPANY NAME: �J6✓�'1nQ�5-� CONTACT PERSON: �1VI di'C-Y'� Lc�CIJ2. SUBMIT A COPY OF STATE LICENSE it 9-\-3 I. U tA6 S EXP DATE S I 1 S I L O YOUR STATE LICENSE WITH ADDRESS: ( CITY SN STATE(�I1`�GIP APPLICATIONPHONE -7CR3 -32.3-1& -7 FAX -f -e -323--r5C15 PERMIT TYPE DINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: I ❑ NEW C14EPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK VQOiL\-C>— FEES ARE. BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOIG /' Equipment Installed MFG: QNj. kk7.Y MODEL: C j NV\\' -0i 501 bA(- SIZE/BTU-1b, Oy.O MFG: MODEL: SlGE/BTU MFG: MODEL: SlGE/BTU _A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANG E/OVEN $10.00 TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 GAS GRILL $10.00 _AIR $35.00 FURNACE $35.00 _NEW _GAS UNIT HTR $10.00 _BOILER LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 THIS IS AN APPLICATION FORA 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 ,All7tvork which ygquires review and approval of plans. SIGNATURE OF APPLICANT/ PRINT NAME Y 1 I^f{(^` t� vl�.Q_ DATE APPROVAL INSPECTORS SIGNATURE DA City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977